Zakudya zamadzimadzi ndizochita zowonjezera zamankhwala zomwe zimapangitsa kuti madzi azikhala osasinthasintha kuti asatengeke. Zakudya zamadzimadzi zimaperekedwa kwa anthu omwe ali ndi vuto lomeza (dysphagia) ndi kusunga chakudya kapena madzi kuti asalowe panjira. Mungafunikire kukhala ndi zakumwa zowonjezereka kwa dysphagia ngati muli ndi matenda a mitsempha monga kupwetekedwa, kupweteka kwa minofu kapena mitsempha ya mitsempha , kapena kuchoka pamtima.
Mitundu
Zamadzimadzi zochepa kapena zochepa kwambiri monga madzi omwe nthawi zonse amachititsa kuti anthu omwe ali ndi dysphagia akhale pangozi yaikulu. Pofuna kuteteza aspiration anthu omwe ali pangozi, zowonjezera zingapangitse mamasukidwe akayendedwe a madzi. Kuwonjezera pa madzi, zitsanzo za zakumwa zochepa zimaphatikizapo soda, khofi, madzi ndi msuzi. Chitsanzo cha madzi ozizira kwambiri (mawonekedwe apamwamba kwambiri) angakhale buttermilk. Chiwerengero cha madzi omwe ayenera kuwonjezeka kawirikawiri chimatsimikiziridwa ndi kuuma kwa dysphagia.
Zamadzimadzi kapena zochepa mowa zakumwa zimakhala zosasinthasintha zomwe zidzathamanga ndi supuni. Komabe, madzimadziwa amakhala ndi chidziwitso chokwanira kuti filimu yowala ikhalebe pamwamba pa supuni.
Uchi-wokonda kapena moyenera wandiweyani madzi sangathenso kuyenda momasuka kuchokera pa supuni. Mmalo mwake, uchi-ngati madzi amadzimadzi amachoka pampando wa supuni.
Supuni wandiweyani kapena kwambiri wokhuthala madzi sadzathanso kuvulaza supuni.
Supuni zakumwa zamadzimadzi zimakhala zolimba ndipo zimakhalabe pa supuni pamene supuni imangidwe. Izi ndizofanana ndi kusinthasintha kwa pudding.
Mitundu ya Othota Amapezeka
Pakali pano pali mitundu yosiyanasiyana yowonjezera yomwe ikupezeka malonda. Mukhoza kugula zakumwa zolimbitsa thupi kapena zowonjezera zomwe mukuzisakaniza.
Ophuka amabwera m'mitundu yowonjezera ndi yosunga; aliyense ali ndi ubwino wake womwe ndi ubwino wake. Ngakhale kuti pali vuto linalake lokhudza ngati akugwiritsa ntchito thikuta, maphunziro a makoswe ndi anthu asonyeza kuti madzi akumwa ndi 95% omwe amagwiritsidwa ntchito pogulitsa malonda. Kufunafuna chithandizo cha chilankhulo cha chilankhulo kapena katswiri wokhudzana ndi zowonjezera pa momwe angapewere madzi abwino angakhale othandiza.
Othira nsombazi ndizosavuta kusakaniza; Komabe, amatha kudya mwamsanga atangosakaniza. Pakati penipeni, chokhacho chimakhala chokhazikika. Ngati madziwo ali ozizira, madziwo angakhale obiriwira kwambiri. Zamalonda ndizo:
- Kuthamanga
- Zambiri-Izo
Ma thickeners omwe amawagwiritsa ntchito amafunika kusamala kwambiri kusakaniza monga momwe amachitira zinthu zambiri ndipo ayenera kusakanikirana bwino kuti asagwirizane ndi makulidwe a madzi. Ngati madziwo sakusakanikirana bwino, mungathe kuwonjezera mwangozi chiopsezo chokha mmalo mochepetsera. Chinthu chimodzi chokhacho chimakhala chophatikizapo, chimakhala chosakanikirana ndipo chimakhala chozizira. Zamalonda ndizo:
- Zosintha
- AquaCareH2O
- Thik & Sula
Kodi Ndingadziwe Bwanji Ngati Ndikufunikira Zamadzimadzi Ochepa?
Ngati dokotala wanu ali ndi nkhawa kuti muli ndi dysphagia, iye angakulimbikitseni kuti muyesedwe ndi chinenero cha chilankhulo.
Adzakhoza kuchita mayeso oyenerera kuti adziwe ngati muli pachiopsezo cha aspiration ndi choking. Chilankhulo cha anthu odwala pathologist nthawi zambiri amayesa kufufuza momwe angakufunseni mafunso, kuyang'ana nkhope yanu ndi kumayankhula ndikumayang'ana kuti mudye. Ngati kuyesedwa kwina kuli kofunikira, kuwerengera kwa Barium swallow (MBS) yophunzira kapena fiberoptic endoscopic kuyesa kumeza (FEES) ikhoza kulamulidwa. Malingana ndi zotsatira za mayesowa dokotala wanu angapangire kuti zakumwa zowonjezereka.
Zotsatira:
Kulankhulana kwa Australia. Malamulo a ku Australia Ojambula Zakudya Zosintha ndi Zamadzimadzi. http://www.speechpathologyaustralia.org.au/library/Poster_%20A3_Aus_Standards_Food_Fluids_Poster_Check%202.pdf
Intermountain Healthcare. (2014). Dysphagia. https://intermountainhealthcare.org/ext/Dcmnt?ncid=520408191
Mills, RH (2008, October 14). Dysphagia Management: Kugwiritsira ntchito Madzi Otentha.//// Mtsogoleri wa ASHA. http://www.asha.org/Publications/leader/2008/081014/f081014a4/
Garcia, JM & Chamber, E. IV. (2010). Kusamalira Dysphagia Kupyolera Zakudya Zakudya. Mankhwala Achirendo Achimereka. 110: 11; mas. 26-23. http://journals.lww.com/ajnonline/Fulltext/2010/11000