Smärtdominerade funktionella mag-tarmsjukdomar hos barn och ...

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Regionalt vårdprogram – Smärtdominerade funktionella mag-tarmsjukdomar hos barn och ungdomar Innehållsförteckning Förord ..................................................................................................................................... - 2 - Innehållsförteckning .............................................................................................................. - 3 - Sammanfattning ..................................................................................................................... - 5 - Introduktion ............................................................................................................................ - 6 - Presentation av sjukdomen .................................................................................................... - 9 - Definitioner ................................................................................................................................................ - 9 - Epidemiologi.............................................................................................................................................. - 11 - Samsjuklighet ........................................................................................................................................... - 11 - Riskfaktorer ............................................................................................................................................... - 12 - Prognos ..................................................................................................................................................... - 13 - Innebörd för individ och samhälle ........................................................................................................... - 13 - Kartläggning av nuläget ....................................................................................................... - 14 - Hur vanliga är smärtdominerade funktionella mag- och tarmsjukdomar bland barn och ungdomar? . - 14 - Sökbeteende .............................................................................................................................................- 16 - Befintligt utbud av vård ...........................................................................................................................- 16 - Hälsoekonomiska aspekter ..................................................................................................................... - 18 - Patientperspektiv .................................................................................................................. - 18 - Fallbeskrivningar ...................................................................................................................................... - 18 - Citat från barn som behandlats för FMT ................................................................................................. - 21 - Prevention ............................................................................................................................. - 22 - Utredning .............................................................................................................................. - 22 - Anamnesens centrala betydelse ............................................................................................................. - 22 - Symtom för att skilja organisk från funktionell sjukdom ...................................................................... - 23 - Praktiska råd för anamnesen .................................................................................................................. - 23 - Alarmsymtom ........................................................................................................................................... - 25 - Sammanfattning anamnes...................................................................................................................... - 25 - Laboratorieprover .................................................................................................................................... - 26 - Differentialdiagnostiska överväganden .................................................................................................. - 28 - Vårdnivå och remissinnehåll ................................................................................................................... - 29 - Behandling ............................................................................................................................ - 32 - Det lugnande beskedet ........................................................................................................................... - 32 - Läkemedelsbehandling ............................................................................................................................ - 34 - Kost .......................................................................................................................................................... - 36 - Stöd för evidensbaserad medicin, Stockholms läns landsting - 3 -
Regionalt vårdprogram – Smärtdominerade funktionella mag-tarmsjukdomar hos barn och ungdomar Psykosocial behandling ........................................................................................................................... - 38 - Biverkningar ............................................................................................................................................. - 40 - Icke-göra .................................................................................................................................................. - 40 - Egenvård .................................................................................................................................................. - 40 - Sjukskrivningsprocessen ...................................................................................................... - 40 - Kvalitetsindikatorer ............................................................................................................... - 41 - Vårdorganisation/vårdkedja ................................................................................................. - 43 - Konsekvenser för införande ..................................................................................................- 44 - Referenser ............................................................................................................................- 46 - Termlista ............................................................................................................................... - 55 - Stöd för evidensbaserad medicin, Stockholms läns landsting - 4 -
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Smärtdominerade funktionella mag-tarmsjukdomar hos barn och ...

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