Yini iDysphagia, yiziphi izimpawu nokuthi ukwelashwa kwenziwa kanjani

-Delile

• Izinhlobo ze-dysphagia nezimpawu
• 1. I-dysphagia ye-Oropharyngeal
• 2. I-Esophageal dysphagia
• Izimbangela ezingaba khona
• Yelashwa kanjani

I-Dysphagia ingachazwa njengobunzima bokugwinya, okuvame ukubizwa ngokuthi i-oropharyngeal dysphagia, noma njengokuzwa kokudla okuvaleleke phakathi komlomo nesisu, okuvame ukubizwa ngokuthi yi-esophageal dysphagia.

Kubaluleke kakhulu ukukhomba uhlobo lwe-dysphagia olukhona, ukuze kwenziwe ukwelashwa okufanele kakhulu, futhi, kwezinye izimo, zombili izinhlobo ze-dysphagia zingavela ngasikhathi sinye.

Ngokuvamile, ukwelashwa kuqukethe ukuzivocavoca umzimba, ukufunda izindlela zokugwinya, ukufaka imishanguzo futhi, kwezinye izimo, ukwenza ukuhlinzwa.

Izinhlobo ze-dysphagia nezimpawu

Izimpawu zingahluka ngokuya ngohlobo lwe-dysphagia:

1. I-dysphagia ye-Oropharyngeal

Ebizwa nangokuthi i-dysphagia ephezulu ngenxa yendawo akuyo, i-oropharyngeal dysphagia ibonakala ngobunzima bokuqala ukugwinya, ngezimpawu ezinjengobunzima bokugwinya, ukubuyiswa kwamakhala, ukukhwehlela noma ukunciphisa ukukhwehlela okukhwehlela, ukukhuluma ngamakhala, ukuminyanisa nokuphefumula okubi.

Ezimweni ezinzima kakhulu, kunengozi yokuphela kwamanzi emzimbeni, ukungondleki nokufisa kwamathe, uketshezi kanye / noma ukudla okuya emaphashini.

2. I-Esophageal dysphagia

I-Esophageal dysphagia, ebizwa nangokuthi i-dysphagia ephansi, ivela ku-distal esophagus futhi ibonakala ngokuzwa kokudla okuvaleleke emqaleni. I-Dysphagia eyenzeka ngokufakwa kokuqina noketshezi kuhlotshaniswa nokuphazamiseka kwe-motility esophageal, futhi ingahle ihlotshaniswe nobuhlungu besifuba. I-Dysphagia eyenzeka kuphela ngokuqina, ingaba uphawu lokuvinjelwa kwemishini.

Izimbangela ezingaba khona

I-Oropharyngeal dysphagia ingenzeka ngenxa yokuvela kwesifo sohlangothi, ukulimala kwengqondo okulimazayo, izifo ezikhubazayo ezifana neParkinson ne-Alzheimer, izifo ze-neuromuscular, ezifana ne-amyotrophic lateral sclerosis, i-myasthenia, i-multiple sclerosis, izicubu zobuchopho nokukhubazeka kobuchopho, ingaphakathi lomlomo nezicubu zomlomo, imithi, i-orotracheal intubation ende, i-tracheostomy ne-radiotherapy, isibonelo.

Izimbangela ezivame kakhulu ze-dysophage esophageal dysphagia yizifo ze-mucosal, nokuncipha kwe-lumen esophageal ngenxa yokuvuvukala, i-fibrosis noma i-neoplasia, izifo zangaphakathi, ngokuvinjelwa kwesifo somzimba kanye nezifo ze-neuromuscular ezithinta imisipha ebushelelezi ye-esophageal kanye ne-innervation yayo, ukuphazamisa i-peristalsis kanye / noma ukuphumula kwe-sphincter esophageal.

Yelashwa kanjani

Ukwelashwa kwe-oropharyngeal dysphagia kunqunyelwe, njengoba ukuphazamiseka kwemithambo yegazi nokukhiqiza imizwa okuyikhiqizayo, akunakulungiswa ngokwelashwa komtholampilo noma kokuhlinzwa. Ngokuvamile, izinguquko ekudleni ziyanikezwa, ngokudla okuthambile, uketshezi olujiyile, ezikhundleni ezikusiza ukugwinya. Izindlela zokwelapha nazo zingasetshenziswa ukusiza ukugwinya, njengokuqinisa ukuzivocavoca kanye nokukhuthaza okushisayo nokunamandla.

Kwezinye izimo, kungadingeka ukufunza nge-nasogastric tube.

Ukwelashwa kwe-dysophage esophageal dysphagia kuncike kumbangela, kepha kungenziwa ngokudla izidakamizwa ezivimbela i-asidi, kubantu abane-reflux ye-gastroesophageal, ne-corticosteroids ezimweni ze-eosinophilic esophagitis kanye ne-relaxant yemisipha, kubantu abane-spasms ye-esophagus. Bona ukuthi yimaphi amakhambi akhonjisiwe ekwelapheni i-reflux.

Ngaphezu kwalokho, ukwelashwa kungenziwa futhi ngezinqubo zokwelashwa ezikhuthaza ukunwebeka kwesisu noma ngokuhlinzwa, ezimweni zokuvinjelwa ngamathumba noma nge-diverticula, ngokwesibonelo.