O le a le Dysphagia, o a faʻailoga ma faʻafefea ona faia le togafitiga

Anotusi

• Ituaiga o dysphagia ma auga
• 1. Orpharyngeal dysphagia
• 2. Faʻafitauli o le esophage
• Mafuaʻaga mafuaʻaga
• Faʻafefea ona fai le togafitiga

Dysphagia mafai ona faʻamatalaina o se faigata faʻaumatia, lea e masani ona taʻua o le oropharyngeal dysphagia, pe o le lagona o le i ai o meaai maileia i le va o le gutu ma le manava, lea e masani ona taʻua o le esophageal dysphagia.

E taua tele le faʻailoaina o le ituaiga o faʻasoifua maloloina o loʻo iai nei, ina ia mafai ona faʻatinoina togafitiga e sili ona talafeagai, ma, i nisi tulaga, o ituaiga uma e lua o le dysphagia e aliali mai i le taimi e tasi.

E masani lava, togafitiga aofia ai le faʻatinoina o faʻamalositino, aʻoaʻoina foloina metotia, faʻafomaʻi vailaʻau ma, i nisi tulaga, faia taʻotoga.

Ituaiga o dysphagia ma auga

Faʻailoga mafai ono eseese faʻamoemoeina i le ituaiga o disphagia:

1. Orpharyngeal dysphagia

Faʻaigoaina foi o le maualuga dysphagia ona o lona tulaga, oropharyngeal dysphagia e iloga i le faigata ona amata folo, ma faʻailoga e pei o faigata i le foloina, nasal regurgitation, tale pe faʻaitiitia le tale reflex, nasal tautala, fetinaʻi ma manava leaga.

I tulaga ogaoga, o loʻo iai le aʻafiaga o le leai o se tino, le lava o meaʻai ma le manaʻomia o faua, faʻalilolilo ma / poʻo meaʻai i le māmā.

2. Faʻafitauli o le esophage

Disphagia o le Esophageal, e taʻua foi o le maualalo o le dysphagia, e tupu i le distal esophagus ma e iloga i se lagona o meaai o loo saisaitia i le esophagus. Dysphagia o loʻo tupu i le faʻaaogaina uma o solids ma suavai e fesoʻotaʻi ma faʻaletonu o le esophage motility, ma e mafai foi ona fesoʻotaʻi ma le fatafata tiga. Dysphagia e tupu na o solids, atonu o se faʻailoga o le faʻalavelave ole masini.

Mafuaʻaga mafuaʻaga

O le Orpharyngeal dysphagia e mafai ona tupu ona o le afaina o le stroke, afaina ai le faiʻai, faʻamaʻi faʻaleagaina e pei o Parkinson ma Alzheimer, faʻamaʻi neuromuscular, pei o le amyotrophic lateral sclerosis, myasthenia, tele sclerosis, faiʻai o le faiʻai ma le cerebral palsy, gutu o le gutu ma laryngeal tumors, vailaʻau, faʻaumiumi orotracheal faʻalavelaveina, tracheostomy ma radiotherapy, mo se faʻataʻitaʻiga.

O mafuaʻaga taatele o le esphageal dysphagia o maʻi o le mucosal, ma le faʻaititia o le esophageal lumen e mafua mai i le fulafula, fibrosis poʻo le neoplasia, faʻamaʻi mediastinal, ma le faʻalavelaveina o le esophagus ma faʻamaʻi neuromuscular e afaina ai le maso lamolemole esophage ma lona loloto, faʻalavelave peristalsis ma / pe malologa o le esophage sphincter.

Faʻafefea ona fai le togafitiga

O le togafitiga mo orpharyngeal dysphagia e faʻatapulaʻaina, ona o le neuromuscular ma neurological faʻaletonu ia maua ai, e faigata ona faʻasaʻoina e togafitiga faʻafomaʻi poʻo taotoga togafitiga. E masani lava, o suiga i le taumafataga e saunia, faʻatasi ai ma meaai vaivai, vai mafiafia, i tulaga e faʻafaigofie ai ona folo. E mafai foi ona faʻaaogaina togafitiga togafitiga e fesoasoani ai i le foloina, e pei o le faʻamalosia o faʻamalositino ma le faʻaosofia o le vevela ma le vevela.

I nisi tulaga, atonu e manaʻomia le fafagaina o faagaau nasogastric.

Togafitiga mo le esophageal dysphagia faalagolago i le mafuaʻaga autu, ae mafai ona faia i le faʻaaogaina o vailaʻau-taofiofia fualaʻau, i tagata ma gastroesophageal reflux, ma corticosteroids i mataupu o eosinophilic esophagitis ma maso relaxants, i tagata o loʻo i ai faʻamaʻi o le esophagus. Vaʻai poʻo fea fofo o loʻo faʻailoa mai mo le togafitia o reflux.

I se faʻaopopoga, togafitiga e mafai foi ona faia i togafitiga faʻafomaʻi e faʻalauteleina le faʻalauteleina o le esophagus poʻo le taotoga, i mataupu o poloka e tuma poʻo diverticula, mo se faʻataʻitaʻiga.