{"id":1029,"date":"2019-03-18T14:31:54","date_gmt":"2019-03-18T14:31:54","guid":{"rendered":"https:\/\/www.curamodravard.se\/?p=1029"},"modified":"2019-03-18T14:31:54","modified_gmt":"2019-03-18T14:31:54","slug":"rectusdiastas","status":"publish","type":"post","link":"https:\/\/curabmm.se\/?p=1029","title":{"rendered":"Aktuellt i media: Rectusdiastas"},"content":{"rendered":"<p>Det har skrivits mycket i media om rectusmuskeldiastas hos kvinnor under och efter graviditet. Rectusdiastas (<em>rectus<\/em> = rak; <em>di\u00e1stasis<\/em> = en separation) efter f\u00f6rlossningen \u00e4r vanligt och kan ge fysiska besv\u00e4r i form av d\u00e5lig stabilitet och funktion i b\u00e5len med sm\u00e4rtor i bukv\u00e4gg, l\u00e4ndrygg och b\u00e4cken. D\u00e4rtill kommer en kosmetiskt generande deformation av bukv\u00e4ggen. Problemet \u00e4r k\u00e4nt under begreppet \u201dmammamage\u201d.<\/p>\n<p>Det har p\u00e5st\u00e5tts att rectusdiastas \u00e4r en f\u00f6rlossningsskada, men det finns inget fog f\u00f6r det p\u00e5st\u00e5endet. \u00c5lder, BMI, vikt\u00f6kning, f\u00f6rlossningss\u00e4tt, f\u00f6delsevikt, etc., tycks inte \u00f6ka risken f\u00f6r rectusdiastas. Fysisk tr\u00e4ning f\u00f6re, under och efter graviditeten minskar emellertid risken.<\/p>\n<p>En intressant fr\u00e5ga \u00e4r om rectusdiastas har n\u00e5got samband med andra typer av \u201dbindv\u00e4vssvaghet\u201d, s\u00e5som b\u00e4ckenbottensvaghet, urininkontinens och prolaps, men i de f\u00e5tal studier som gjorts har n\u00e5got s\u00e5dant samband inte p\u00e5visats. M\u00e5nga studier som gjorts om rectusdiastas \u00e4r dock av l\u00e5g vetenskaplig kvalitet.<\/p>\n<p>Bukh\u00e5lan omg\u00e4rdas av muskulatur i olika lager. I medellinjen framtill, <em>linea alba<\/em> eller \u201dden vita linjen\u201d, finns det emellertid inga muskler. <em>Linea alba<\/em> best\u00e5r av en platt senstruktur mellan de b\u00e5da raka musklerna, rectusmusklerna. Under graviditet t\u00e4njs naturligtvis bukh\u00e5lan och dess muskulatur ut och <em>linea alba<\/em> kan \u00f6ka i bredd och h\u00e5llfastheten i senplattan kan svikta. Normalt \u00e4r <em>linea alba<\/em> 10-25 mm bred hos icke-gravida kvinnor, beroende p\u00e5 var och hur man m\u00e4ter, men det finns ingen entydig definition p\u00e5 m\u00e5ttet under graviditet. I en svensk avhandling fr\u00e5n 2014 r\u00e4knades en bredd p\u00e5 30 mm eller mer mellan innerkanterna p\u00e5 rectusmusklerna som rectusdiastas. En vanlig men diffus definition \u00e4r tv\u00e5 fingerbredder eller mer.<\/p>\n<p>Drabbade kvinnor har klagat \u00f6ver att den offentliga sjukv\u00e5rden inte \u00e4r tillr\u00e4ckligt lyh\u00f6rda f\u00f6r deras problem och att professionen saknar kunskap och intresse f\u00f6r att hj\u00e4lpa dem. Kvinnornas vittnesm\u00e5l \u00e4r trist l\u00e4sning och manar till eftertanke f\u00f6r dem inom sjukv\u00e5rden som tr\u00e4ffar dessa kvinnor! En viktig del av problematiken \u00e4r emellertid att det i stor utstr\u00e4ckning saknas kunskaper om vilka effekter som kan f\u00f6rv\u00e4ntas av fysioterapi och vilka kvinnor som ska rekommenderas operation.<\/p>\n<p>Fysioterapi med b\u00e5lstabiliserande tr\u00e4ning \u00e4r f\u00f6rstahandsalternativet, det \u00e4r alla \u00f6verens om, men det saknas riktlinjer och evidens f\u00f6r hur tr\u00e4ningen ska l\u00e4ggas upp. Alla typer av fysisk aktivitet kan g\u00f6ra nytta, men styrketr\u00e4ning i form av curl-ups och sit-ups tr\u00e4nar rectusmuskulaturen b\u00e4st.<\/p>\n<p>Det saknas \u00e4ven tillr\u00e4ckligt vetenskapligt underlag f\u00f6r att avg\u00f6ra b\u00e5de indikation och metod f\u00f6r operation. En viktig f\u00f6ruts\u00e4ttning f\u00f6r att operation ska bli aktuell \u00e4r att kvinnan avslutat sitt barnaf\u00f6dande. Ett \u00e5terkommande klagom\u00e5l \u00e4r att operation p\u00e5 enbart kosmetisk grund inte g\u00f6rs i offentlig sjukv\u00e5rd och m\u00e5nga kvinnor har d\u00e4rf\u00f6r tvingats v\u00e4nda sig till den privata sjukv\u00e5rden f\u00f6r att f\u00e5 hj\u00e4lp, och d\u00e5 f\u00e5tt bekosta operationen sj\u00e4lv.<\/p>\n<p>Riktlinjer f\u00f6r utredning och behandling saknas inte bara i Sverige utan \u00e4ven internationellt. Inom Svensk Kirurgisk F\u00f6rening p\u00e5g\u00e5r arbete med att utarbeta nationella riktlinjer, vilka f\u00f6rv\u00e4ntas bli f\u00e4rdiga under 2019.<\/p>\n<p>\u00a9Per Olofsson<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Det har skrivits mycket i media om rectusmuskeldiastas hos kvinnor under och efter graviditet. Rectusdiastas (rectus = rak; di\u00e1stasis = en separation) efter f\u00f6rlossningen \u00e4r vanligt och kan ge fysiska besv\u00e4r i form av d\u00e5lig stabilitet och funktion i b\u00e5len med sm\u00e4rtor i bukv\u00e4gg, l\u00e4ndrygg och b\u00e4cken. D\u00e4rtill kommer en kosmetiskt generande deformation av bukv\u00e4ggen. [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[2],"tags":[],"class_list":["post-1029","post","type-post","status-publish","format-standard","hentry","category-nyheter-sv"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.4 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Aktuellt i media: Rectusdiastas - CURA Barnmorskemottagning<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/curabmm.se\/?p=1029\" \/>\n<meta property=\"og:locale\" content=\"sv_SE\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Aktuellt i media: Rectusdiastas - CURA Barnmorskemottagning\" \/>\n<meta property=\"og:description\" content=\"Det har skrivits mycket i media om rectusmuskeldiastas hos kvinnor under och efter graviditet. Rectusdiastas (rectus = rak; di\u00e1stasis = en separation) efter f\u00f6rlossningen \u00e4r vanligt och kan ge fysiska besv\u00e4r i form av d\u00e5lig stabilitet och funktion i b\u00e5len med sm\u00e4rtor i bukv\u00e4gg, l\u00e4ndrygg och b\u00e4cken. D\u00e4rtill kommer en kosmetiskt generande deformation av bukv\u00e4ggen. [&hellip;]\" \/>\n<meta property=\"og:url\" content=\"https:\/\/curabmm.se\/?p=1029\" \/>\n<meta property=\"og:site_name\" content=\"CURA Barnmorskemottagning\" \/>\n<meta property=\"article:published_time\" content=\"2019-03-18T14:31:54+00:00\" \/>\n<meta name=\"author\" content=\"admin\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Skriven av\" \/>\n\t<meta name=\"twitter:data1\" content=\"admin\" \/>\n\t<meta name=\"twitter:label2\" content=\"Ber\u00e4knad l\u00e4stid\" \/>\n\t<meta name=\"twitter:data2\" content=\"3 minuter\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\\\/\\\/curabmm.se\\\/?p=1029#article\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/curabmm.se\\\/?p=1029\"},\"author\":{\"name\":\"admin\",\"@id\":\"https:\\\/\\\/curabmm.se\\\/#\\\/schema\\\/person\\\/5338ef1ab333f3892d0a6695a01ee3eb\"},\"headline\":\"Aktuellt i media: Rectusdiastas\",\"datePublished\":\"2019-03-18T14:31:54+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\\\/\\\/curabmm.se\\\/?p=1029\"},\"wordCount\":568,\"commentCount\":0,\"articleSection\":[\"Nyheter\"],\"inLanguage\":\"sv-SE\",\"potentialAction\":[{\"@type\":\"CommentAction\",\"name\":\"Comment\",\"target\":[\"https:\\\/\\\/curabmm.se\\\/?p=1029#respond\"]}]},{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/curabmm.se\\\/?p=1029\",\"url\":\"https:\\\/\\\/curabmm.se\\\/?p=1029\",\"name\":\"Aktuellt i media: Rectusdiastas - CURA Barnmorskemottagning\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/curabmm.se\\\/#website\"},\"datePublished\":\"2019-03-18T14:31:54+00:00\",\"author\":{\"@id\":\"https:\\\/\\\/curabmm.se\\\/#\\\/schema\\\/person\\\/5338ef1ab333f3892d0a6695a01ee3eb\"},\"breadcrumb\":{\"@id\":\"https:\\\/\\\/curabmm.se\\\/?p=1029#breadcrumb\"},\"inLanguage\":\"sv-SE\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\\\/\\\/curabmm.se\\\/?p=1029\"]}]},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\\\/\\\/curabmm.se\\\/?p=1029#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Hem\",\"item\":\"https:\\\/\\\/curabmm.se\\\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Aktuellt i media: Rectusdiastas\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\\\/\\\/curabmm.se\\\/#website\",\"url\":\"https:\\\/\\\/curabmm.se\\\/\",\"name\":\"CURA Barnmorskemottagning\",\"description\":\"\",\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\\\/\\\/curabmm.se\\\/?s={search_term_string}\"},\"query-input\":{\"@type\":\"PropertyValueSpecification\",\"valueRequired\":true,\"valueName\":\"search_term_string\"}}],\"inLanguage\":\"sv-SE\"},{\"@type\":\"Person\",\"@id\":\"https:\\\/\\\/curabmm.se\\\/#\\\/schema\\\/person\\\/5338ef1ab333f3892d0a6695a01ee3eb\",\"name\":\"admin\",\"image\":{\"@type\":\"ImageObject\",\"inLanguage\":\"sv-SE\",\"@id\":\"https:\\\/\\\/secure.gravatar.com\\\/avatar\\\/7a00c0df9be9787ce9d749fa37d1a37bafa719cd7e0cb3a68cbeb8de3bd04f52?s=96&d=mm&r=g\",\"url\":\"https:\\\/\\\/secure.gravatar.com\\\/avatar\\\/7a00c0df9be9787ce9d749fa37d1a37bafa719cd7e0cb3a68cbeb8de3bd04f52?s=96&d=mm&r=g\",\"contentUrl\":\"https:\\\/\\\/secure.gravatar.com\\\/avatar\\\/7a00c0df9be9787ce9d749fa37d1a37bafa719cd7e0cb3a68cbeb8de3bd04f52?s=96&d=mm&r=g\",\"caption\":\"admin\"},\"sameAs\":[\"https:\\\/\\\/curabmm.se\"],\"url\":\"https:\\\/\\\/curabmm.se\\\/?author=1\"}]}<\/script>\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"Aktuellt i media: Rectusdiastas - CURA Barnmorskemottagning","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/curabmm.se\/?p=1029","og_locale":"sv_SE","og_type":"article","og_title":"Aktuellt i media: Rectusdiastas - CURA Barnmorskemottagning","og_description":"Det har skrivits mycket i media om rectusmuskeldiastas hos kvinnor under och efter graviditet. Rectusdiastas (rectus = rak; di\u00e1stasis = en separation) efter f\u00f6rlossningen \u00e4r vanligt och kan ge fysiska besv\u00e4r i form av d\u00e5lig stabilitet och funktion i b\u00e5len med sm\u00e4rtor i bukv\u00e4gg, l\u00e4ndrygg och b\u00e4cken. D\u00e4rtill kommer en kosmetiskt generande deformation av bukv\u00e4ggen. [&hellip;]","og_url":"https:\/\/curabmm.se\/?p=1029","og_site_name":"CURA Barnmorskemottagning","article_published_time":"2019-03-18T14:31:54+00:00","author":"admin","twitter_card":"summary_large_image","twitter_misc":{"Skriven av":"admin","Ber\u00e4knad l\u00e4stid":"3 minuter"},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"Article","@id":"https:\/\/curabmm.se\/?p=1029#article","isPartOf":{"@id":"https:\/\/curabmm.se\/?p=1029"},"author":{"name":"admin","@id":"https:\/\/curabmm.se\/#\/schema\/person\/5338ef1ab333f3892d0a6695a01ee3eb"},"headline":"Aktuellt i media: Rectusdiastas","datePublished":"2019-03-18T14:31:54+00:00","mainEntityOfPage":{"@id":"https:\/\/curabmm.se\/?p=1029"},"wordCount":568,"commentCount":0,"articleSection":["Nyheter"],"inLanguage":"sv-SE","potentialAction":[{"@type":"CommentAction","name":"Comment","target":["https:\/\/curabmm.se\/?p=1029#respond"]}]},{"@type":"WebPage","@id":"https:\/\/curabmm.se\/?p=1029","url":"https:\/\/curabmm.se\/?p=1029","name":"Aktuellt i media: Rectusdiastas - CURA Barnmorskemottagning","isPartOf":{"@id":"https:\/\/curabmm.se\/#website"},"datePublished":"2019-03-18T14:31:54+00:00","author":{"@id":"https:\/\/curabmm.se\/#\/schema\/person\/5338ef1ab333f3892d0a6695a01ee3eb"},"breadcrumb":{"@id":"https:\/\/curabmm.se\/?p=1029#breadcrumb"},"inLanguage":"sv-SE","potentialAction":[{"@type":"ReadAction","target":["https:\/\/curabmm.se\/?p=1029"]}]},{"@type":"BreadcrumbList","@id":"https:\/\/curabmm.se\/?p=1029#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"Hem","item":"https:\/\/curabmm.se\/"},{"@type":"ListItem","position":2,"name":"Aktuellt i media: Rectusdiastas"}]},{"@type":"WebSite","@id":"https:\/\/curabmm.se\/#website","url":"https:\/\/curabmm.se\/","name":"CURA Barnmorskemottagning","description":"","potentialAction":[{"@type":"SearchAction","target":{"@type":"EntryPoint","urlTemplate":"https:\/\/curabmm.se\/?s={search_term_string}"},"query-input":{"@type":"PropertyValueSpecification","valueRequired":true,"valueName":"search_term_string"}}],"inLanguage":"sv-SE"},{"@type":"Person","@id":"https:\/\/curabmm.se\/#\/schema\/person\/5338ef1ab333f3892d0a6695a01ee3eb","name":"admin","image":{"@type":"ImageObject","inLanguage":"sv-SE","@id":"https:\/\/secure.gravatar.com\/avatar\/7a00c0df9be9787ce9d749fa37d1a37bafa719cd7e0cb3a68cbeb8de3bd04f52?s=96&d=mm&r=g","url":"https:\/\/secure.gravatar.com\/avatar\/7a00c0df9be9787ce9d749fa37d1a37bafa719cd7e0cb3a68cbeb8de3bd04f52?s=96&d=mm&r=g","contentUrl":"https:\/\/secure.gravatar.com\/avatar\/7a00c0df9be9787ce9d749fa37d1a37bafa719cd7e0cb3a68cbeb8de3bd04f52?s=96&d=mm&r=g","caption":"admin"},"sameAs":["https:\/\/curabmm.se"],"url":"https:\/\/curabmm.se\/?author=1"}]}},"_links":{"self":[{"href":"https:\/\/curabmm.se\/index.php?rest_route=\/wp\/v2\/posts\/1029","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/curabmm.se\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/curabmm.se\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/curabmm.se\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/curabmm.se\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=1029"}],"version-history":[{"count":0,"href":"https:\/\/curabmm.se\/index.php?rest_route=\/wp\/v2\/posts\/1029\/revisions"}],"wp:attachment":[{"href":"https:\/\/curabmm.se\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=1029"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/curabmm.se\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=1029"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/curabmm.se\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=1029"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}