Dysphagia yog dab tsi, cov tsos mob zoo li cas thiab kev kho mob yog ua li cas

Zoo Siab

• Hom mob ntawm dysphagia thiab tsos mob
• 1. Oropharyngeal dysphagia
• 2. Txoj hlab pas plab dysphagia
• Cov teeb meem muaj peev xwm
• Yuav kho tus mob li cas

Dysphagia tuaj yeem piav qhia yog qhov nyuaj nqos, uas feem ntau hu ua oropharyngeal dysphagia, los yog raws li qhov kev xav ntawm muaj zaub mov daig ntawm lub qhov ncauj thiab lub plab, uas feem ntau hu ua esophageal dysphagia.

Nws yog qhov tseem ceeb heev los txheeb xyuas cov hom mob dysphagia tam sim no, txhawm rau nqa cov kev kho mob uas tsim nyog tshaj plaws, thiab, muaj qee kis, ob hom mob dysphagia tuaj yeem tshwm sim ib txhij.

Feem ntau, kev kho mob suav nrog kev ua tawm dag zog, kawm tawm tswv yim nqos, tswj kev siv tshuaj thiab qee kis, kev phais mob.

Hom mob ntawm dysphagia thiab tsos mob

Cov tsos mob yuav txawv nyob ntawm seb hom mob dysphagia:

1. Oropharyngeal dysphagia

Kuj tseem hu ua high dysphagia vim nws qhov chaw nyob, oropharyngeal dysphagia yog tus cwj pwm nyuaj los pib nqos, nrog cov tsos mob xws li kev nyuaj rau nqos, txhaws ntswg, hnoos lossis txo hnoos tsis zoo, qhov ntswg hais lus, txhawm chim thiab ua pa tsw phem.

Nyob rau hauv ntau qhov mob nyhav, muaj qhov phom sij ntawm lub cev qhuav dej, ua tsis tau zoo thiab xav tau cov qaub ncaug, cov quav thiab / lossis khoom noj rau lub ntsws.

2. Txoj hlab pas plab dysphagia

Esophageal dysphagia, tseem hu ua qis dysphagia, tshwm sim nyob rau hauv cov hlab pas distal thiab yog tus cwj pwm los ntawm kev xav ntawm cov zaub mov daig hauv txoj hlab pas. Dysphagia uas tshwm sim nrog ob qho kev noj cov khib nyiab thiab haus cawv yog cuam tshuam nrog kev cuam tshuam ntawm txoj hlab pas, thiab kuj yuav cuam tshuam nrog mob hauv siab. Dysphagia uas tshwm sim tsuas yog rau cov khib nyiab, tej zaum yuav yog qhov qhia ntawm kev thaiv lub cev.

Cov teeb meem muaj peev xwm

Oropharyngeal dysphagia tuaj yeem tshwm sim vim tshwm sim ntawm mob hlab ntsha tawg, raug mob rau lub hlwb, mob hlwb xws li Parkinson thiab Alzheimer, cov kab mob neuromuscular, xws li amyotrophic lateral sclerosis, myasthenia, ntau yam sclerosis, hlav hlav thiab mob hlwb, mob ntawm lub qhov ncauj thiab cov qog nqaij hlav, muab tshuaj, ua mob orotracheal intubation, mob pob qij txha thiab tshuaj tua hluav taws xob, piv txwv.

Cov teeb meem feem ntau ntawm cov hlab pas ua pa dysphagia yog cov kab mob mucosal, nrog txoj kev nqaim nqaim esophageal lumen vim hais tias mob o, mob rau cov leeg lossis neoplasia, mediastinal muaj teeb meem, nrog ob leeg ntawm txoj hlab pas thiab cov hlab ntsha neuromuscular uas cuam tshuam rau txoj leeg txoj leeg txoj leeg nqaij thiab nws sab hauv, cuam tshuam nrog cov leeg mob kev so ntawm cov leeg txha caj qaum sphincter.

Yuav kho tus mob li cas

Cov kev kho mob rau oropharyngeal dysphagia tsuas yog muaj tsawg tsawg xwb, vim tias cov neuromuscular thiab lub paj hlwb tsis zoo uas tsim nws, tsis tuaj yeem kho los ntawm kev kho mob hauv tsev kho mob lossis phais mob. Feem ntau, kev hloov pauv ntawm cov khoom noj tau muab nrog cov zaub mov softer, kua nyeem tuab, nyob hauv txoj haujlwm uas pab txhawb nqos. Cov tswv yim kho kuj tseem tuaj yeem siv los pab kev nqos, xws li ntxiv dag zog ua kom lub cev muaj zog thiab ua kom lub zog thiab qhov ua kom muaj zog.

Qee qhov xwm txheej, yuav tsum tau pub cov leeg ntswg rau lub raj mis yuav tsum muaj.

Kev kho mob rau txoj hlab pas dysphagia nyob ntawm lub hauv paus, tab sis nws tuaj yeem ua nrog kev noj cov kua qaub-tiv thaiv cov tshuaj, hauv cov neeg uas muaj plab zom mov, nrog corticosteroids nyob rau hauv kev mob eosinophilic esophagitis thiab cov leeg ua kom mob, nyob rau hauv cov neeg uas muaj spasms ntawm txoj hlab pas. Saib seb cov kev kho twg yog qhia rau txoj kev kho mob thuas rov qab.

Tsis tas li ntawd, kev kho mob kuj tseem tuaj yeem ua nrog cov txheej txheem kho mob uas txhawb nqa dilation ntawm txoj hlab pas lossis nrog kev phais mob, yog tias muaj kev cuam tshuam los ntawm qog los yog diverticula, piv txwv.