He aha ka Dysphagia, he aha nā hōʻailona a pehea e hana ai ka lāʻau

Anter

• Nā ʻano o ka dysphagia a me nā ʻōuli
• 1. ʻO ka disphagia Oropharyngeal
• 2. ʻO ka esphageal dysphagia
• Nā kumu kūpono
• Pehea e hana ai i ka lāʻau

Hiki ke wehewehe ʻia ʻo Dysphagia ʻoiai he paʻakikī i ka ale ʻana, ka mea i kapa ʻia he orpharyngeal dysphagia, a i ʻole ke ʻano o ka loaʻa ʻana o ka meaʻai i hoʻopaʻa ʻia ma waena o ka waha a me ka ʻōpū, kahi i kapa ʻia he esphageal dysphagia.

He mea nui ia e ʻike i ke ʻano o ka disphagia i kēia manawa, i mea e hoʻokō ai i ka lāʻau kūpono kūpono loa, a, i kekahi mau hihia, ʻike like ʻia nā ʻano ʻelua o ka dysphagia i ka manawa like.

ʻO ka mea maʻamau, ʻo ka mālama ʻana i ka hana ʻana, ke aʻo ʻana i nā ʻenehana ale, ka lawelawe ʻana i nā lāʻau a, i kekahi mau hihia

Nā ʻano o ka dysphagia a me nā ʻōuli

E loli paha nā ʻōuli ma muli o ke ʻano o ka disphagia.

1. ʻO ka disphagia Oropharyngeal

Ua kapa ʻia ʻo dysphagia kiʻekiʻe ma muli o kona wahi, ʻike ʻia ka disphagia oropharyngeal e ka paʻakikī e hoʻomaka i ka ale ʻana, me nā ʻōuli e like me ka paʻakikī i ka ale ʻana, ka nasal regurgitation, kahe a me ka hōʻemi ʻana i ka reflex bat, ka ʻōlelo nasal, ka ʻeha a me ka hanu maikaʻi ʻole.

I nā hihia ʻoi loa, aia ka makaʻu o ka make wai, malnutrisi a me ka ʻiʻini o ka lawā, nā huna a me / a i ʻole nā ​​meaʻai i ka hū

2. ʻO ka esphageal dysphagia

ʻO ka esphageal dysphagia, i kapa ʻia hoʻi ʻo dysphagia haʻahaʻa, kū i loko o ka esophagus distal a ʻike ʻia e kahi ʻano o nā meaʻai i paʻa i ka esophagus. Hana ʻia ʻo Dphphagia me ke komo pū ʻana o nā mea paʻa a me nā wai e pili pū me nā maʻi o ka moti esophageal, a pili pū paha me ka ʻeha o ka umauma. Hana ʻia ʻo Dysphagia no nā mea paʻa wale nō, he hōʻailona paha ia o ka ālai mechanical.

Nā kumu kūpono

Hiki i ka disphagia Oropharyngeal ke hana ma muli o ke kū ʻana o kahi maʻi hahau, hōʻeha lolo lolo, nā maʻi degenerative e like me Parkinson a me Alzheimer, nā maʻi neuromuscular, e like me ka amyotrophic lateral sclerosis, myasthenia, mau sclerosis, nā maʻi lolo a me ka cerebral palsy, ka waha o ka waha a me nā tumo laryngeal, ka lāʻau, hoʻolōʻihi orotracheal hoʻolōʻihi, tracheostomy a me radiotherapy, no ka laʻana.

ʻO nā kumu maʻamau o ka esphageal dysphagia nā maʻi mucosal, me ka hoʻopili ʻana o ka lume esophageal ma muli o ka mumū, fibrosis a i ʻole neoplasia, nā maʻi mediastinal, me ka ālai ʻia o ka esophagus a me nā maʻi neuromuscular e hoʻopili i nā mākala ʻoluʻolu esophageal a me kāna ʻiʻo ʻana, hoʻomaha o ka sphincter esophageal.

Pehea e hana ai i ka lāʻau

Hoʻopau ʻia ka lāʻau no ka disphagia oropharyngeal, ʻoiai ʻo nā neuromuscular a me nā maʻi neurological e hana ai, ʻaʻole hiki ke hoʻoponopono ʻia e ka lāʻau lapaʻau a me ka lāʻau ʻoki lāʻau. ʻO ka mea maʻamau, hāʻawi ʻia nā loli i ka papaʻai, me nā meaʻai momona, nā wai mānoanoa, i nā kūlana e kōkua i ka ale ʻana. Hiki ke hoʻohana ʻia nā ʻenehana therapeutic e kōkua ai i ka ale ʻana, e like me ka hoʻoikaika ʻana i ka hoʻoikaika kino a me ka stimulate thermal a me gustatory.

I kekahi mau hihia, pono paha ka hānai ʻana i ka paipu nasogastric.

ʻO ka mālama ʻana no ka dysphagia esophageal kaukaʻi ʻia i ke kumu kumu, akā hiki ke hana ʻia me ka lawe ʻana o nā lāʻau hoʻomākino acid, i ka poʻe me ka reflux gastroesophageal, me nā corticosteroids i nā hihia o ka esophagitis eosinophilic a me nā relant muscle, i ka poʻe i loaʻa nā spasms o ka esophagus. E ʻike i nā lāʻau i hōʻike ʻia no ka mālama ʻana i ka reflux.

Eia hou, hiki ke hana i ka lāʻau me nā kaʻina olakino e hāpai i ka dilation o ka esophagus a i ʻole ke ʻoki ʻana, i nā hihia o ka ālai ʻia e nā tumors a i ʻole diverticula, e laʻa me.