Cov tsos mob tshiab ntawmqhov nyuajkev nqos lossis kev xav tias zaub mov daig hauv koj lub caj pas tuaj yeem ua rau txhawj xeeb. Kev nqos feem ntau yog ib qho txheej txheem uas tib neeg ua raws li lub siab xav thiab tsis xav txog. Koj xav paub vim li cas thiab yuav kho nws li cas. Koj kuj tseem yuav xav tsis thoob tias qhov nyuaj nqos puas yog ib qho cim ntawm mob qog noj ntshav.
Txawm hais tias mob qog noj ntshav yog ib qho ua rau mob dysphagia, nws tsis yog qhov ua rau mob feem ntau. Feem ntau, mob dysphagia tej zaum yuav yog ib yam mob uas tsis yog mob qog noj ntshav xws li mob gastroesophageal reflux disease (GERD) (chronic acid reflux) lossis qhov ncauj qhuav.
Tsab xov xwm no yuav saib cov ua rau muaj dysphagia, nrog rau cov tsos mob uas yuav tsum tau saib xyuas.
Lo lus kho mob rau dysphagia yog dysphagia. Qhov no tuaj yeem ntsib thiab piav qhia tau ntau txoj kev sib txawv. Cov tsos mob ntawm dysphagia yuav los ntawm lub qhov ncauj lossis txoj hlab pas (lub raj xa zaub mov los ntawm lub qhov ncauj mus rau lub plab).
Cov neeg mob uas muaj teeb meem ntawm txoj hlab pas ua rau mob plab yuav piav qhia txog cov tsos mob sib txawv me ntsis. Lawv yuav muaj cov tsos mob no:
Feem ntau cov ua rau mob dysphagia tsis yog los ntawm mob qog noj ntshav thiab tej zaum yuav yog los ntawm lwm yam ua rau. Kev nqos yog ib qho txheej txheem nyuaj uas xav tau ntau yam los ua haujlwm kom zoo. Kev mob dysphagia tuaj yeem tshwm sim yog tias muaj ib qho ntawm cov txheej txheem nqos ib txwm raug cuam tshuam.
Kev nqos pib hauv qhov ncauj, qhov uas kev zom khoom sib xyaw cov qaub ncaug nrog cov khoom noj thiab pib zom nws thiab npaj nws rau kev zom zaub mov. Tom qab ntawd tus nplaig pab thawb cov bolus (ib daim khoom noj me me, puag ncig) hla mus rau tom qab ntawm caj pas thiab mus rau hauv txoj hlab pas.
Thaum nws txav mus los, lub epiglottis kaw kom khaws cov zaub mov hauv txoj hlab pas es tsis yog hauv lub trachea (pa raj cua), uas mus rau lub ntsws. Cov leeg ntawm txoj hlab pas pab thawb cov zaub mov mus rau hauv lub plab.
Cov mob uas cuam tshuam rau ib feem ntawm txoj kev nqos tuaj yeem ua rau muaj cov tsos mob ntawm dysphagia. Ib txhia ntawm cov mob no suav nrog:
Txawm hais tias tsis yog qhov ua rau muaj feem ntau, qhov nyuaj nqos kuj tuaj yeem ua rau muaj mob qog noj ntshav. Yog tias dysphagia tseem muaj, hnyav zuj zus, thiab tshwm sim ntau zaus, tej zaum yuav xav tias muaj mob qog noj ntshav. Tsis tas li ntawd, lwm cov tsos mob kuj yuav tshwm sim.
Muaj ntau hom mob qog noj ntshav uas yuav muaj cov tsos mob ntawm kev nyuaj siab nqos. Cov mob qog noj ntshav uas feem ntau tshwm sim yog cov uas cuam tshuam ncaj qha rau cov qauv nqos, xws li mob qog noj ntshav taub hau thiab caj dab lossis mob qog noj ntshav esophageal. Lwm hom mob qog noj ntshav suav nrog:
Ib yam kab mob lossis ib yam mob uas cuam tshuam rau txhua yam kev nqos tuaj yeem ua rau mob dysphagia. Cov kab mob no suav nrog cov mob hlwb uas tuaj yeem cuam tshuam rau kev nco lossis ua rau cov leeg tsis muaj zog. Lawv kuj tseem yuav suav nrog cov xwm txheej uas cov tshuaj uas xav tau los kho qhov mob no yuav ua rau mob dysphagia ua ib qho kev phiv.
Yog tias koj muaj teeb meem nqos, tej zaum koj yuav xav tham txog koj qhov kev txhawj xeeb nrog koj tus kws kho mob. Nws yog ib qho tseem ceeb uas yuav tsum nco ntsoov thaum twg cov tsos mob tshwm sim thiab seb puas muaj lwm yam tsos mob.
Koj yuav tsum npaj txhij nug koj tus kws kho mob cov lus nug. Sau cia thiab nqa nrog koj kom koj thiaj li tsis hnov qab nug lawv.
Thaum koj muaj teeb meem dysphagia, nws tuaj yeem yog ib qho tsos mob uas txhawj xeeb. Ib txhia neeg yuav txhawj tias nws yog los ntawm mob qog noj ntshav. Txawm hais tias ua tau, mob qog noj ntshav tsis yog qhov ua rau muaj feem ntau. Lwm yam mob, xws li kev kis kab mob, kab mob gastroesophageal reflux, lossis tshuaj, kuj tuaj yeem ua rau nyuaj nqos.
Yog tias koj tseem muaj teeb meem nqos, nrog koj tus kws kho mob tham thiab soj ntsuam qhov ua rau koj cov tsos mob.
Wilkinson JM, Cody Pilley DC, Wilfat RP. Dysphagia: kev ntsuam xyuas thiab kev koom tes tswj hwm. Kuv yog kws kho mob hauv tsev neeg. 2021; 103 (2): 97-106.
Noel KV, Sutradar R, Zhao H, thiab lwm tus. Cov tsos mob uas tus neeg mob qhia ua qhov kwv yees ntawm kev mus ntsib chav kho mob ceev thiab kev mus pw hauv tsev kho mob tsis tau npaj tseg rau mob qog noj ntshav taub hau thiab caj dab: kev tshawb fawb raws li cov pej xeem ntev. JCO. 2021;39(6):675-684. Tus lej: 10.1200/JCO.20.01845
Julie Scott, MSN, ANP-BC, AOCNP Julie yog ib tug kws saib xyuas neeg laus uas tau ntawv pov thawj thiab yog ib tug kws sau ntawv txog kev kho mob ywj pheej uas muaj lub siab nyiam qhia cov neeg mob thiab cov zej zog kev kho mob.
Lub sijhawm tshaj tawm: Cuaj hlis-22-2023