{"id":1541,"date":"2017-04-10T19:34:30","date_gmt":"2017-04-10T19:34:30","guid":{"rendered":"http:\/\/www.harpahreins.com\/blogg\/?p=1541"},"modified":"2017-04-12T11:04:56","modified_gmt":"2017-04-12T11:04:56","slug":"reynsla-tn-sjuklings-af-thjonustu-landspitala-haskolasjukrahuss","status":"publish","type":"post","link":"https:\/\/harpahreins.com\/blogg\/2017\/04\/10\/reynsla-tn-sjuklings-af-thjonustu-landspitala-haskolasjukrahuss\/","title":{"rendered":"Reynsla TN-sj\u00faklings af \u201e\u00fej\u00f3nustu\u201c Landsp\u00edtala-H\u00e1sk\u00f3lasj\u00fakrah\u00fass"},"content":{"rendered":"<p>&nbsp;<\/p>\n<p><strong><img data-recalc-dims=\"1\" loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-1544\" src=\"https:\/\/i0.wp.com\/harpahreins.com\/blogg\/wp-content\/uploads\/2017\/04\/nota_1.jpg?resize=540%2C303&#038;ssl=1\" alt=\"Zeudberg l\u00e6knir\" width=\"540\" height=\"303\" srcset=\"https:\/\/i0.wp.com\/harpahreins.com\/blogg\/wp-content\/uploads\/2017\/04\/nota_1.jpg?w=640&amp;ssl=1 640w, https:\/\/i0.wp.com\/harpahreins.com\/blogg\/wp-content\/uploads\/2017\/04\/nota_1.jpg?resize=300%2C168&amp;ssl=1 300w\" sizes=\"auto, (max-width: 540px) 100vw, 540px\" \/><\/strong><\/p>\n<p><strong>I. hluti<\/strong><\/p>\n<p><strong>Inngangur<\/strong><\/p>\n<p>\u00c9g hef \u00fej\u00e1\u00f0st af \u00f3d\u00e6miger\u00f0um \u00ferenndartaugaverk (TN 2) \u00ed kj\u00e1lka fr\u00e1 apr\u00edl 2012. Hann hefur a\u00f0allega l\u00fdst s\u00e9r eins og veri\u00f0 v\u00e6ri a\u00f0 draga \u00far jaxlana vinstra megin me\u00f0 naglb\u00edt og sv\u00ed\u00f0a g\u00f3minn \u00ed lei\u00f0inni. Oftast n\u00e1\u00f0i \u00e9g verkjalausum h\u00e1lft\u00edma eftir a\u00f0 \u00e9g vakna\u00f0i \u00e1 morgnana en svo t\u00f3k verkurinn vi\u00f0 og versna\u00f0i uns m\u00e9r t\u00f3kst a\u00f0 sofna um kv\u00f6ldi\u00f0 af n\u00f3gu krassandi lyfjum. Lyf hafa virka\u00f0 afar takmarka\u00f0 \u00e1 verkinn sj\u00e1lfan, eins og oftast er raunin me\u00f0 TN2. Greining taugal\u00e6knis er \u201etrigeminus taugaaffection af t\u00fdpu II\u201c. Formleg greining er Disorder of trigeminal nerve, unspecifed G50.9 \u00fev\u00ed sj\u00fakd\u00f3murinn er \u00fea\u00f0 sjaldg\u00e6fur a\u00f0 hann hefur ekki eigin k\u00f3\u00f0a \u00ed ICD-10.<\/p>\n<p>H\u00e9r ver\u00f0a helstu samskipti m\u00edn vi\u00f0 heila-og taugaskur\u00f0l\u00e6kningadeild Landsp\u00edtala-H\u00e1sk\u00f3lasj\u00fakrah\u00fass (h\u00e9r eftir skammstafa\u00f0 Lsp) rakin. \u00c9g \u00e1l\u00edt a\u00f0 \u00e1 m\u00e9r hafi veri\u00f0 gr\u00f3flega broti\u00f0, \u00ed lj\u00f3si \u00feess hve alvarlegur \u00feessi sj\u00fakd\u00f3mur er og \u00ed lj\u00f3si \u00feess a\u00f0 \u00e9g er haldin \u00f6\u00f0rum l\u00edfsh\u00e6ttulegum sj\u00fakd\u00f3mi, \u00fe.e. dj\u00fapu \u00f3l\u00e6knandi \u00feunglyndi, svo ekki s\u00e9 minnst \u00e1 lagabrot (sj\u00e1 t.d. V. kafla 18. og 19. grein og II. kafla 5 gr. b, c og d \u00ed L\u00f6gum um r\u00e9ttindi sj\u00faklinga 74\/1997).<\/p>\n<p>\u00dea\u00f0 sem m\u00e9r bl\u00f6skrar einkum er alger skortur \u00e1 sambandi l\u00e6kna vi\u00f0 sj\u00fakling, alger skortur \u00e1 uppl\u00fdsingum til sj\u00faklings, \u00a0algert \u00e1hugaleysi um hvernig sj\u00faklingi l\u00ed\u00f0ur og hvernig alger \u00f3rei\u00f0a vir\u00f0ist einkenna \u00feessa deild, m\u00f6gulega sj\u00fakrah\u00fasi\u00f0 \u00ed heild. Ekkert af \u00feessu hefur neitt me\u00f0 kostna\u00f0 e\u00f0a mannafla a\u00f0 gera.<\/p>\n<p><strong>T\u00edmal\u00edna atbur\u00f0ar\u00e1sar<\/strong><\/p>\n<p><strong>2. mars 2016<\/strong>: Samsl\u00e1ttur \u00e6\u00f0ar og \u00ferenndartaugar s\u00e1st \u00ed segul\u00f3mun. (\u00cdslenskir l\u00e6knar taka \u00feetta oftast sem s\u00f6nnun \u00feess a\u00f0 sj\u00faklingur s\u00e9 haldinn \u00ferenndartaugaverk en \u00ed rauninni er \u00feetta bara ein af \u00feremur kenningum um ors\u00f6k sj\u00fakd\u00f3msins.)<\/p>\n<p><strong>8. mars 2016<\/strong>: Fr\u00e1farandi yfirl\u00e6knir HVE sendi l\u00e6knabr\u00e9f til Arons Bj\u00f6rnssonar, yfirl\u00e6knis heila-og taugaskur\u00f0deildar Lsp \u00fear sem segir a\u00f0 \u00e9g hafi \u00fej\u00e1\u00f0st af trigeminal neuralgia \u00ed m\u00f6rg \u00e1r, be\u00f0i\u00f0 er um a\u00f0 brug\u00f0ist s\u00e9 skj\u00f3tt vi\u00f0 og athuga\u00f0 me\u00f0 \u201evi\u00f0ger\u00f0\u201c.<\/p>\n<p>M\u00e9r var \u00fathluta\u00f0 vi\u00f0talst\u00edma hj\u00e1 Aroni \u00ed s\u00edmtali \u00feegar \u00e9g var erlendis. Vi\u00f0 n\u00e1nari athugun reyndist s\u00e1 vi\u00f0talst\u00edmi vera \u00e1 annan \u00ed p\u00e1skum. N\u00e6sti vi\u00f0talst\u00edmi var einnig gefinn \u00ed gegnum s\u00edma, 9. ma\u00ed, og fylgt eftir me\u00f0 SMS-\u00e1minningu.<\/p>\n<p><strong>9. ma\u00ed 2016<\/strong>: \u00deegar \u00e9g m\u00e6tti \u00e1 g\u00f6ngudeild heila- og taugaskur\u00f0deildar (h\u00e9r eftir skammstafa\u00f0 H+T). kom \u00ed lj\u00f3s a\u00f0 hvorki \u00e9g n\u00e9 vi\u00f0talst\u00edminn fannst \u00ed t\u00f6lvu m\u00f3tt\u00f6kuritara. \u00c9g komst samt \u00ed fimm m\u00edn\u00fatna vi\u00f0tal vi\u00f0 Aron, sem virtist mj\u00f6g skilningsr\u00edkur en fyllti svo \u00fat g\u00f6ngudeildarn\u00f3tu um \u201everk vinstra megin \u00ed andliti, n\u00e1nar tilteki\u00f0 \u00ed vanga og kinn og kannski kj\u00e1lka vinstra megin.\u201c Af \u00feessu m\u00e1 r\u00e1\u00f0a a\u00f0 Aron hlusta\u00f0i alls ekki \u00e1 mig \u00ed \u00feessu fimm m\u00edn\u00fatna vi\u00f0tali, annars hef\u00f0i hann varla skrifa\u00f0 allt anna\u00f0 en \u00e9g sag\u00f0i. Hann greindi mig me\u00f0 Atypical facial pain. G50.1 og v\u00edsa\u00f0i m\u00e9r til taugal\u00e6knis \u00e1 taugal\u00e6kningadeild Lsp.<\/p>\n<p><strong>24. ma\u00ed 2016<\/strong>: Taugal\u00e6knir t\u00f3k \u00edtarlega sj\u00fakras\u00f6gu og f\u00f3r yfir hva\u00f0a ranns\u00f3knir \u00e9g hef\u00f0i fari\u00f0 \u00ed (sem voru 2 snei\u00f0myndat\u00f6kur og segul\u00f3mun).<\/p>\n<p><strong>20. j\u00fan\u00ed 2016<\/strong>: Taugal\u00e6knir sendi mig \u00ed beinaskanna. Ekkert \u00f3e\u00f0lilegt s\u00e9st.<\/p>\n<p><strong>13. j\u00fal\u00ed 2016<\/strong>: Taugal\u00e6knir sendi mig \u00ed snei\u00f0myndat\u00f6ku \u00e1 R\u00f6ngtendeild Lsp. \u00c9g sag\u00f0i honum \u00ed s\u00edma a\u00f0 \u00e9g hef\u00f0i fari\u00f0 tvisvar sinnum \u00e1\u00f0ur \u00ed svona myndat\u00f6ku h\u00e9r \u00e1 Akranesi, en \u00fea\u00f0 breytti engu. St\u00falkum \u00e1 R\u00f6ngtendeild Lsp \u00fe\u00f3tti skondi\u00f0 a\u00f0 a\u00f0 sj\u00faklingur af Akranesi k\u00e6mi \u00ed \u00feessa 5 m\u00edn\u00fatna myndat\u00f6ku til \u00feeirra \u00fev\u00ed snei\u00f0myndat\u00e6ki\u00f0 \u00e1 sj\u00fakrah\u00fasinu \u00e1 Akranesi er miklu n\u00fdrra og fullkomnara. Ekkert \u00f3e\u00f0lilegt s\u00e1st.<\/p>\n<p><strong>9. \u00e1g\u00fast 2016<\/strong>: S\u00ed\u00f0asti vi\u00f0talst\u00edmi hj\u00e1 taugal\u00e6kni Lsp, hann gekk fr\u00e1 endanlegri sj\u00fakd\u00f3msgreiningu, v\u00edsa\u00f0i m\u00e9r til H+T og sag\u00f0i a\u00f0 \u00e9g myndi heyra fr\u00e1 \u00feeim \u00ed okt\u00f3ber.<\/p>\n<p>Taugal\u00e6knirinn sendi svo \u00edtarlega g\u00f6ngudeildarn\u00f3tu til \u00feess yfirl\u00e6knis HVE sem var l\u00f6ngu h\u00e6ttur st\u00f6rfum. Fram kemur a\u00f0 lyfjame\u00f0fer\u00f0 teljist fullreynd og hann meti a\u00f0 vel komi til greina a\u00f0 reyna \u201eballoon\u201c e\u00f0a glycerol a\u00f0ger\u00f0 \u00e1 \u00ferenndarhno\u00f0a. Or\u00f0r\u00e9tt segir: \u201eHef veri\u00f0 \u00ed sambandi vi\u00f0 Aron Bj\u00f6rnsson og finnst honum koma til greina a\u00f0 reyna balloon me\u00f0fer\u00f0 og mun hann taka \u00fea\u00f0 upp vi\u00f0 Hj\u00e1lmar Bjartmarz sem \u00e6tti \u00fe\u00e1 a\u00f0 geta sko\u00f0a\u00f0 sj\u00fakling n\u00e6st \u00feegar hann kemur til starfa. \u201c<\/p>\n<p>\u00c9g vek athygli \u00e1 a\u00f0 <strong>fr\u00e1 9. \u00e1g\u00fast 2016 telst \u00e9g sj\u00faklingur H+T<\/strong> og vissulega var r\u00e9tt hj\u00e1 taugal\u00e6kninum a\u00f0 H+T \u00e6tti a\u00f0 hafa samband vi\u00f0 mig \u00ed okt\u00f3ber \u00fev\u00ed hafi sj\u00faklingur veri\u00f0 \u00e1 bi\u00f0lista \u00ed 3 m\u00e1nu\u00f0i ber l\u00e6kni a\u00f0 hafa samband vi\u00f0 hann skv. <a href=\"http:\/\/www.landlaeknir.is\/gaedi-og-eftirlit\/notendur-heilbrigdisthjonustu\/bid-eftir-heilbrigdisthjonustu\/\">vi\u00f0mi\u00f0unarm\u00f6rkum Emb\u00e6ttis landl\u00e6knis um bi\u00f0t\u00edma eftir a\u00f0ger\u00f0<\/a>, \u00a0sem sett voru 15. j\u00fan\u00ed 2016. \u00c9g vek l\u00edka athygli \u00e1 hvernig sj\u00faklingurinn (\u00e9g) er, \u00feegar h\u00e9r er komi\u00f0 s\u00f6gu, or\u00f0inn a\u00f0 einhvers konar bolta sem menn gefa \u00e1 milli s\u00edn: Aron \u00e1 taugal\u00e6kninn &#8211; taugal\u00e6knirinn gefur til baka \u00e1 Aron sem hefur \u00e1kve\u00f0i\u00f0 a\u00f0 gefa n\u00e6st \u00e1 einhvern Hj\u00e1lmar o.s.fr.<\/p>\n<p><strong>7. okt\u00f3ber 2016<\/strong>: \u00cd okt\u00f3ber haf\u00f0i hvorki heyrst h\u00f3sti n\u00e9 stuna fr\u00e1 H+T og verkurinn var or\u00f0inn n\u00e1nast \u00f3b\u00e6rilegur. N\u00fdr yfirl\u00e6knir HVE skrifa\u00f0i l\u00e6knabr\u00e9f til Arons Bj\u00f6rnssonar yfirl\u00e6knis H+T \u00fear sem segir m.a.: \u201e\u00d3ska\u00f0 er eftir a\u00f0 konan komist \u00ed a\u00f0ger\u00f0 hj\u00e1 Hj\u00e1lmari Bjartmarz, heila-og taugaskur\u00f0l\u00e6kni \u00ed Lundi, Sv\u00ed\u00fej\u00f3\u00f0. Me\u00f0fer\u00f0 fullreynd.\u201c \u00deessu br\u00e9fi var ekki svara\u00f0.<\/p>\n<p><strong>18. okt\u00f3ber 2016<\/strong>: S\u00e9rfr\u00e6\u00f0il\u00e6knir minn (ge\u00f0l\u00e6knir) sendi l\u00e6knabr\u00e9f til yfirl\u00e6knis HVE og samrit til Arons Bj\u00f6rnssonar. \u00dear segir m.a. a\u00f0 afar br\u00fdnt s\u00e9 a\u00f0 finna \u00farr\u00e6\u00f0i til a\u00f0 sl\u00e1 \u00e1 TN-verkina \u00fev\u00ed \u00feeir geri l\u00edf mitt illb\u00e6rilegt og \u00fea\u00f0 er \u00edtreka\u00f0 seinna \u00ed br\u00e9finu. \u00deessu br\u00e9fi var ekki svara\u00f0.<\/p>\n<p>Fr\u00e1 \u00fev\u00ed \u00ed okt\u00f3ber hringdi \u00e9g reglulega \u00ed l\u00e6knaritara H+T. H\u00fan vir\u00f0ist skilja hlutverk sitt sem einhvers konar var\u00f0hunds til a\u00f0 varna \u00fev\u00ed a\u00f0 sj\u00faklingur n\u00e6\u00f0i tali af l\u00e6kni \u00e1 \u00feessari deild. Sv\u00f6r hennar, \u00feegar spurt var um \u00feennan Hj\u00e1lmar Bjartmarz voru yfirleitt \u00e1 \u00fe\u00e1 lund a\u00f0 enginn vissi hven\u00e6r hann k\u00e6mi til landsins \u00fev\u00ed ekki n\u00e6\u00f0ist \u00ed hann. \u00dea\u00f0 \u00fe\u00f3tti m\u00e9r nokku\u00f0 merkilegt \u00e1 t\u00edmum tals\u00edma og t\u00f6lvup\u00f3sts, sem og \u00ed lj\u00f3si \u00feess a\u00f0 ma\u00f0urinn er yfirl\u00e6knir heila-og taugaskur\u00f0l\u00e6knadeildarinnar \u00ed Lundi.<\/p>\n<p>\u00c9g vissi ekki einu sinni n\u00f6fn \u00feeirra l\u00e6kna sem ynnu \u00e1 H+T, nema Arons. Hann var me\u00f0 h\u00e1lft\u00edma vi\u00f0talst\u00edma snemma \u00e1 morgnana (fr\u00e1 7:30-8:00) en hringja \u00feurfti gegnum a\u00f0alskiptibor\u00f0 Lsp. Eftir nokkrar \u00e1rangurslausar tilraunir, me\u00f0al annars a\u00f0 pr\u00f3fa a\u00f0 b\u00ed\u00f0a \u00ed s\u00edmanum \u00ed \u00feennan h\u00e1lft\u00edma, komst \u00e9g a\u00f0 \u00fev\u00ed a\u00f0 a\u00f0alskiptibor\u00f0 Lsp gefur s\u00edmt\u00f6l ekki \u00ed r\u00e9ttri r\u00f6\u00f0 og lukkan r\u00e6\u00f0ur hvort samband n\u00e6st. \u00c9g var or\u00f0in \u00fea\u00f0 veik, b\u00e6\u00f0i af \u00ferenndartaugaverk og \u00feunglyndi, a\u00f0 \u00e9g gafst upp \u00e1 a\u00f0 r\u00edfa mig \u00e1 f\u00e6tur eldsnemma morguns (eftir svefnlitlar n\u00e6tur) til reyna a\u00f0 n\u00e1 sambandi vi\u00f0 manninn. L\u00e6knaritari Arons g\u00e6tti \u00feess, eins og \u00e1\u00f0ur sag\u00f0i, vandlega a\u00f0 \u00e9g n\u00e6\u00f0i hvorki sambandi vi\u00f0 hann n\u00e9 nokkurn annan heila- og taugaskur\u00f0l\u00e6kni.<\/p>\n<p><a href=\"https:\/\/harpahreins.com\/blogg\/2017\/04\/12\/reynsla-tn-sjuklings-af-thjonustu-landspitala-haskolasjukrahuss-2\/\">Frh. \u00ed n\u00e6stu f\u00e6rslu<\/a><\/p>\n<p>\u00deessi f\u00e6rsla og \u00fe\u00e6r n\u00e6stu tengjast f\u00e6rslum um \u00ferenndartaugaverk, sem eru:<\/p>\n<p>1. <a href=\"https:\/\/harpahreins.com\/blogg\/2015\/09\/13\/threnndartaugabolga-eda-vangahvot\/\">\u00derenndartaugab\u00f3lga e\u00f0a vangahvot<\/a>;<br \/>\n2. <a href=\"https:\/\/harpahreins.com\/blogg\/2015\/09\/19\/lyfjamedferd-vid-threnndartaugabolgu\/\">Lyfjame\u00f0fer\u00f0 vi\u00f0 \u00ferenndartaugab\u00f3lgu<\/a>;<br \/>\n3. <a href=\"https:\/\/harpahreins.com\/blogg\/2015\/10\/25\/threnndartaugin-og-inngrip-gegn-threnndartaugabolgu\/\">\u00derenndartaugin og inngrip gegn \u00ferenndartaugab\u00f3lgu<\/a><br \/>\n4. <a href=\"https:\/\/harpahreins.com\/blogg\/2015\/11\/08\/skurdagerdir-og-adrar-adgerdir-i-eda-vid-threnndarhnoda\/\">Skur\u00f0a\u00f0ger\u00f0ir og a\u00f0rar a\u00f0ger\u00f0ir \u00ed e\u00f0a vi\u00f0 \u00ferenndarhno\u00f0a<br \/>\n<\/a>5. <a href=\"https:\/\/harpahreins.com\/blogg\/2015\/11\/18\/threnndartaugarverkurvangahvot-saga-ordanna\/\">\u00derenndartaugarverkur\/vangahvot: Saga or\u00f0anna<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<p>&nbsp; I. hluti Inngangur \u00c9g hef \u00fej\u00e1\u00f0st af \u00f3d\u00e6miger\u00f0um \u00ferenndartaugaverk (TN 2) \u00ed kj\u00e1lka fr\u00e1 apr\u00edl 2012. Hann hefur a\u00f0allega l\u00fdst s\u00e9r eins og veri\u00f0 v\u00e6ri a\u00f0 draga \u00far jaxlana vinstra megin me\u00f0 naglb\u00edt og <span class=\"ellipsis\">&hellip;<\/span> <span class=\"more-link-wrap\"><a href=\"https:\/\/harpahreins.com\/blogg\/2017\/04\/10\/reynsla-tn-sjuklings-af-thjonustu-landspitala-haskolasjukrahuss\/\" class=\"more-link\"><span>Read More &#8230;<\/span><\/a><\/span><\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"nf_dc_page":"","_jetpack_memberships_contains_paid_content":false,"footnotes":""},"categories":[113],"tags":[141,142,140,143,114,116,132],"class_list":["post-1541","post","type-post","status-publish","format-standard","hentry","category-threnndartaugabolga","tag-aron-bjornsson","tag-brot-a-logum-um-sjuklinga","tag-heila-og-taugaskurdlaeknadeild","tag-reynsla-sjuklings","tag-trigeminal-neuralgia","tag-vangahvot","tag-threnndartaugaverkur"],"jetpack_featured_media_url":"","jetpack_sharing_enabled":true,"_links":{"self":[{"href":"https:\/\/harpahreins.com\/blogg\/wp-json\/wp\/v2\/posts\/1541","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/harpahreins.com\/blogg\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/harpahreins.com\/blogg\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/harpahreins.com\/blogg\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/harpahreins.com\/blogg\/wp-json\/wp\/v2\/comments?post=1541"}],"version-history":[{"count":11,"href":"https:\/\/harpahreins.com\/blogg\/wp-json\/wp\/v2\/posts\/1541\/revisions"}],"predecessor-version":[{"id":1562,"href":"https:\/\/harpahreins.com\/blogg\/wp-json\/wp\/v2\/posts\/1541\/revisions\/1562"}],"wp:attachment":[{"href":"https:\/\/harpahreins.com\/blogg\/wp-json\/wp\/v2\/media?parent=1541"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/harpahreins.com\/blogg\/wp-json\/wp\/v2\/categories?post=1541"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/harpahreins.com\/blogg\/wp-json\/wp\/v2\/tags?post=1541"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}