{"id":1376,"date":"2026-04-09T13:51:56","date_gmt":"2026-04-09T13:51:56","guid":{"rendered":"https:\/\/darkcyan-pheasant-754087.hostingersite.com\/?page_id=1376"},"modified":"2026-04-11T13:57:12","modified_gmt":"2026-04-11T13:57:12","slug":"lapsen-kipea-esinahka","status":"publish","type":"page","link":"https:\/\/lastenkirurgia.fi\/sv\/lapsen-kipea-esinahka\/","title":{"rendered":"Ett barns \u00f6mma f\u00f6rhud"},"content":{"rendered":"
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F\u00f6rhudsstenos och omsk\u00e4relse hos ett barn<\/h2>

Phimosis \u00e4r ett vanligt tillst\u00e5nd hos barn, men alla fall kr\u00e4ver inte operation. Det \u00e4r viktigt att skilja mellan ett normalt utvecklingsstadium och ett tillst\u00e5nd som kr\u00e4ver behandling.<\/p>

\u00a0<\/p>

Notera:<\/b>\u00a0V\u00e5r praktik utf\u00f6r endast omsk\u00e4relser av medicinska sk\u00e4l. Vi utf\u00f6r inte religi\u00f6sa omsk\u00e4relser.\u00a0<\/strong><\/p>

\u00a0<\/p>

N\u00e4r \u00e4r det okej att inte g\u00f6ra n\u00e5gonting med f\u00f6rhuden?<\/h3>

F\u00f6rhuden p\u00e5 ett prepubertalt barn \u00e4r ofta fysiologiskt stram, vilket \u00e4r normalt. Om barnet inte har n\u00e5gra symtom beh\u00f6ver tillst\u00e5ndet inte behandlas och kan f\u00f6rsvinna av sig sj\u00e4lvt allt eftersom barnet v\u00e4xer.<\/p>

N\u00e4r b\u00f6r behandling \u00f6verv\u00e4gas?<\/h3>

Behandling \u00e4r n\u00f6dv\u00e4ndig om en tr\u00e5ng f\u00f6rhud orsakar barnet problem, s\u00e5som:<\/p>

  • \u00c5terkommande f\u00f6rhudsinfektioner (kirurgisk behandling \u00e4r extremt s\u00e4llsynt, infektioner avtar vanligtvis med \u00e5ldern med korrekt sk\u00f6tselr\u00e5d)<\/p><\/li>

  • F\u00f6rhuden \u00e4r ofta \u00f6m eller spricker och bl\u00f6der.<\/p><\/li>

  • Urinstr\u00e5len \u00e4r onormal (kissan tr\u00e4ffar inte penis eller f\u00f6rhudens "bollar" vid urinering).<\/p><\/li><\/ul>

    Lichen planus (BXO) \u2013 Den vanligaste orsaken till operation<\/h3>

    I Finland \u00e4r den vanligaste orsaken till omsk\u00e4relse av barn eller ungdomar\u00a0Balanitis Xerotica Obliterans<\/b>. Det \u00e4r en \u00e4rrbildning i f\u00f6rhuden som g\u00f6r huden stram, blek och oelastisk.<\/p>

    • Till vit lav\u00a0den enda effektiva behandlingen<\/b>\u00a0\u00e4r borttagning av \u00e4rrskad hud, eller omsk\u00e4relse.<\/p><\/li><\/ul>

      Behandlingsalternativ<\/h3>

      Valet av behandling beror p\u00e5 symtomen och eventuell underliggande sjukdom:<\/p>

      1. Medicinsk kr\u00e4m (Bemetson):<\/b>\u00a0Om det \u00e4r en enkel n\u00e4st\u00e4ppa utan tecken p\u00e5 lichen planus kan du prova en stark kortisonkr\u00e4m (Bemetson) i ungef\u00e4r tv\u00e5 veckor. Kr\u00e4men mjukar upp och l\u00f6ser upp huden.<\/p><\/li>

      2. Foreskinplastik:<\/b>\u00a0Om huden \u00e4r stram och det inte finns n\u00e5gra \u00e4rrbildningar kan plastikkirurgi \u00f6verv\u00e4gas. Denna procedur tar inte bort huden, utan omformar den f\u00f6r att g\u00f6ra den l\u00f6sare.<\/p><\/li>

      3. Omsk\u00e4relse:<\/b>\u00a0Om kr\u00e4mbehandling inte hj\u00e4lper eller om det \u00e4r lichen planus utf\u00f6rs omsk\u00e4relse, d\u00e4r den f\u00f6rtr\u00e4ngda eller sjuka delen av f\u00f6rhuden avl\u00e4gsnas.<\/p><\/li><\/ol>

        Instruktioner f\u00f6r de som ska genomg\u00e5 operation<\/h3>

        Operationen utf\u00f6rs vanligtvis under narkos f\u00f6r att g\u00f6ra ingreppet sm\u00e4rtfritt och r\u00e4dsfritt f\u00f6r barnet.<\/p>

        \u00c5terh\u00e4mtning hemma:<\/b><\/p>

        • Sm\u00e4rtlindring:<\/b>\u00a0Regelbunden sm\u00e4rtstillande medicinering \u00e4r viktig under de f\u00f6rsta dagarna (t.ex. paracetamol och ibuprofen).<\/p><\/li>

        • Hygien:<\/b>\u00a0Omr\u00e5det h\u00e5lls rent genom daglig dusch. L\u00f6st, mjukt bomullsunderkl\u00e4der rekommenderas.<\/p><\/li>

        • \u00c5terh\u00e4mtningstid:<\/b>\u00a0Du kan vanligtvis \u00e5terv\u00e4nda till skolan eller dagis efter n\u00e5gra dagar.<\/p><\/li>

        • Trammels:<\/b>\u00a0Motion, sport, bastu och simning b\u00f6r generellt undvikas.\u00a0ungef\u00e4r tv\u00e5 veckor<\/b>\u00a0efter operationen.<\/p><\/li><\/ul><\/div><\/div>

          \"\"<\/div><\/div>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>","protected":false},"excerpt":{"rendered":"

          Esinahan ahtaus ja ymp\u00e4rileikkaus lapsella Esinahan ahtaus eli fimoosi on lapsilla yleinen vaiva, mutta kaikki tapaukset eiv\u00e4t vaadi leikkaushoitoa. On t\u00e4rke\u00e4\u00e4 erottaa toisistaan normaali kehitysvaihe ja hoitoa vaativa sairaus. \u00a0 Huomautus:\u00a0Vastaanotollamme tehd\u00e4\u00e4n ymp\u00e4rileikkauksia ainoastaan l\u00e4\u00e4ketieteellisin perustein. Emme suorita uskonnollisia ymp\u00e4rileikkauksia.\u00a0 \u00a0 Milloin esinahalle ei tarvitse tehd\u00e4 mit\u00e4\u00e4n? Esimurrosik\u00e4isen lapsen esinahka on usein fysiologisesti ahdas, mik\u00e4 […]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_angie_page":false,"site-sidebar-layout":"no-sidebar","site-content-layout":"page-builder","ast-site-content-layout":"full-width-container","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"disabled","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"set","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"class_list":["post-1376","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/lastenkirurgia.fi\/sv\/wp-json\/wp\/v2\/pages\/1376","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/lastenkirurgia.fi\/sv\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/lastenkirurgia.fi\/sv\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/lastenkirurgia.fi\/sv\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/lastenkirurgia.fi\/sv\/wp-json\/wp\/v2\/comments?post=1376"}],"version-history":[{"count":4,"href":"https:\/\/lastenkirurgia.fi\/sv\/wp-json\/wp\/v2\/pages\/1376\/revisions"}],"predecessor-version":[{"id":1583,"href":"https:\/\/lastenkirurgia.fi\/sv\/wp-json\/wp\/v2\/pages\/1376\/revisions\/1583"}],"wp:attachment":[{"href":"https:\/\/lastenkirurgia.fi\/sv\/wp-json\/wp\/v2\/media?parent=1376"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}