Cov tsos mob tshiab ntawmnyuajnqos los yog xav zoo li zaub mov tau daig hauv koj lub caj pas tuaj yeem txhawj xeeb.Kev nqos feem ntau yog txheej txheem uas tib neeg ua instinctively thiab tsis xav.Koj xav paub yog vim li cas thiab yuav kho li cas.Tej zaum koj kuj yuav xav tias kev nqos nyuaj yog ib qho cim ntawm mob qog noj ntshav.
Txawm hais tias mob qog noj ntshav yog ib qho ua rau dysphagia, nws tsis yog qhov ua rau feem ntau.Feem ntau, dysphagia tej zaum yuav yog ib yam mob uas tsis yog mob qog noj ntshav xws li kab mob gastroesophageal reflux (GERD) (ntau cov kua qaub reflux) los yog qhov ncauj qhuav.
Kab lus no yuav saib cov ua rau dysphagia, nrog rau cov tsos mob kom saib xyuas.
Lub sij hawm kho mob rau dysphagia yog dysphagia.Qhov no tuaj yeem muaj kev paub dhau los thiab piav qhia ntau txoj hauv kev.Cov tsos mob ntawm dysphagia tuaj yeem tshwm sim los ntawm qhov ncauj los yog txoj hlab pas (lub raj zaub mov ntawm lub qhov ncauj mus rau lub plab).
Cov neeg mob uas muaj kab mob esophageal ua rau dysphagia tuaj yeem piav qhia cov tsos mob sib txawv me ntsis.Lawv tuaj yeem ntsib:
Feem ntau ua rau dysphagia tsis yog los ntawm kev mob qog noj ntshav thiab tej zaum yuav tshwm sim los ntawm lwm yam ua rau.Kev ua ntawm nqos yog ib txoj kev nyuaj uas yuav tsum muaj ntau yam ua haujlwm kom zoo.Dysphagia tuaj yeem tshwm sim yog tias ib qho ntawm cov txheej txheem nqos tau raug cuam tshuam.
Kev nqos pib hauv lub qhov ncauj, qhov chaw zom cov qaub ncaug nrog cov zaub mov thiab pib zom nws thiab npaj rau kev zom zaub mov.Tus nplaig yuav pab thawb lub bolus (ib qho me me, puag ncig ntawm cov khoom noj) los ntawm lub caj pas nraub qaum thiab mus rau hauv txoj hlab pas.
Thaum nws txav mus, lub epiglottis kaw kom khaws cov zaub mov hauv txoj hlab pas es tsis yog nyob rau hauv lub trachea (windpipe), uas ua rau lub ntsws.Cov leeg ntawm txoj hlab pas pab thawb zaub mov rau hauv plab.
Cov xwm txheej uas cuam tshuam nrog ib feem ntawm txoj kev nqos tau tuaj yeem ua rau cov tsos mob ntawm dysphagia.Qee qhov xwm txheej no suav nrog:
Txawm hais tias tsis tas yuav ua rau muaj feem cuam tshuam, kev nqos nyuaj kuj tuaj yeem ua rau mob qog noj ntshav.Yog tias dysphagia tseem nyob, ua rau lub sijhawm dhau mus, thiab tshwm sim ntau zaus, mob qog noj ntshav yuav raug xav tias yog.Ntxiv mus, lwm cov tsos mob yuav tshwm sim.
Ntau hom mob qog noj ntshav tuaj yeem tshwm sim nrog cov tsos mob ntawm kev nqos nyuaj.Cov qog nqaij hlav ntau tshaj plaws yog cov uas cuam tshuam ncaj qha rau cov txheej txheem nqos, xws li mob qog noj ntshav taub hau thiab caj dab lossis mob qog noj ntshav esophageal.Lwm hom mob qog noj ntshav yuav muaj xws li:
Kab mob los yog mob uas cuam tshuam rau ib qho kev nqos tau tuaj yeem ua rau dysphagia.Cov hom kab mob no yuav suav nrog cov kab mob neurological uas tuaj yeem cuam tshuam kev nco lossis ua rau cov leeg tsis muaj zog.Lawv kuj tseem tuaj yeem suav nrog cov xwm txheej uas cov tshuaj xav tau los kho tus mob tuaj yeem ua rau dysphagia ua rau muaj kev phiv.
Yog tias koj muaj teeb meem nqos, koj tuaj yeem tham txog koj cov kev txhawj xeeb nrog koj tus kws kho mob.Nws yog ib qho tseem ceeb kom nco ntsoov thaum cov tsos mob tshwm sim thiab seb puas muaj lwm yam tsos mob.
Koj yuav tsum tau npaj los nug koj tus kws kho mob cov lus nug.Sau lawv thiab nqa lawv nrog koj kom koj tsis txhob hnov qab nug lawv.
Thaum koj ntsib dysphagia, nws tuaj yeem ua rau muaj kev txhawj xeeb.Qee tus neeg yuav txhawj xeeb tias nws yog mob qog noj ntshav.Txawm hais tias ua tau, mob qog noj ntshav tsis yog qhov ua rau feem ntau.Lwm yam mob, xws li kab mob, kab mob gastroesophageal reflux, los yog tshuaj, kuj tuaj yeem ua rau nqos nyuaj.
Yog tias koj tseem muaj teeb meem nqos, nrog koj tus kws kho mob tham thiab ntsuas qhov ua rau koj cov tsos mob.
Wilkinson JM, Cody Pilley DC, Wilfat RP.Dysphagia: kev ntsuam xyuas thiab kev tswj xyuas.Kuv yog ib tug kws kho mob hauv tsev neeg.2021; 103(2): 97-106.
Noel KV, Sutradar R, Zhao H, et al.Tus neeg mob tau tshaj tawm cov tsos mob hnyav raws li kev kwv yees ntawm lub chaw saib xyuas xwm txheej ceev thiab tsis npaj mus pw hauv tsev kho mob rau mob qog noj ntshav taub hau thiab caj dab: txoj kev tshawb fawb ntev ntawm cov pej xeem.JCO.2021; 39(6): 675-684.Number: 10.1200/JCO.20.01845
Julie Scott, MSN, ANP-BC, AOCNP Julie yog tus kws kho mob rau cov neeg laus muaj ntawv pov thawj thiab tus kws kho mob dawb uas muaj kev mob siab rau kev qhia cov neeg mob thiab cov zej zog kev noj qab haus huv.
Post lub sij hawm: Sep-22-2023