Uketshezi olunomsoco ukulungiswa kokudla okwenyusa uketshezi kwamanzi ukuze kuvikelwe ukuchofoza . Kunconywa utshwala obuqinile kubantu abanenkinga yokugwinya (dysphagia) nokugcina ukudla noma uketshezi ukuze bangene emoyeni. Kungase kudingeke ukuba ube neziphuzo ezinamandla ukuze uthole i-dysphagia uma unesifo sezinzwa njenge- stroke, ukwehliswa kwemisipha noma izinzwa zesifo , noma ukuvinjelwa (ukuvimba) emqaleni.
Izinhlobo
Utshwala obuncane noma obuncane be-viscosity njengamanzi avamile abe yingozi enkulu yokubamba futhi ukufisa abantu abanesifo se-dysphagia. Ukuze uvimbele ukufisa kubantu abasengozini, izithasiselo zingandisa ukwanda kwe-viscosity (ubukhulu) bomswakama. Ngaphezu kwamanzi, izibonelo zamanzi aphuzileyo zihlanganisa i-soda, ikhofi, ijusi kanye nomhluzi wesobho. Isibonelo samanzi oketshezi ngokwemvelo (i-viscosity ephakeme) ingaba ibhotela. Isamba umthamo okufanele ukhulunywe ngaso ngokuvamile kuvunywa ngobukhulu be-dysphagia.
Izinkampani ezinama-nectar-like noma zinyene zinezinto ezivumelanayo ezizoqhubeka ziphephe i-spoon. Kodwa-ke, uketshezi kuhambisana ngokugcwele ukuthi ifilimu ekhanyayo izohlala ebusweni besipuni.
I-honey-like noma i-liquide ehlanganiswe ngokulinganisela ngeke isaphambuka ngokukhululekile kulesi sipuni. Esikhundleni salokho, uketshezi olunjengezinyosi luzokwehlisa isipuni sesipuni.
Uketshezi olukhulu kakhulu noma okwenziwe ngokweqile ngeke lususe isipuni.
I-spoon ephuzi oketshezi luqinile kakhulu futhi luzohlala kulesipuni uma isipuni siphethwe. Lokhu kufana nokuvumelana kwe-pudding.
Izinhlobo Zabaqaphi Zitholakalayo
Manje kukhona imikhiqizo ehlukahlukene yokuqina etholakalayo kwezohwebo. Ungathenga iziphuzo zangaphambi kokuqina noma imikhiqizo eqinisa ukuthi uzixuba.
Abaqashi bafika ezinhlobonhlobo ezisuselwe esitokisini nasezinsini; ngayinye enezinzuzo zayo kanye nezinsalela zayo. Naphezu kokungqubuzana kokuthi abasebenzisi abaqothulayo bayathinteka yini noma cha, ukuhlolwa kokubili kwamakhompi kanye nabantu kubonise ukuthi kunamanzi angama-95% okusetshenziselwa uketshezi ngokusetshenziswa kwabaqashi bezentengiselwano. Ukufuna usizo oluvela olimini lolimi lwezinkulumo noma isondlo sokudla okunomsoco mayelana nendlela yokugcoba kahle uketshezi kungaba usizo.
Abaqashi be-starch basuke balula ukuxuba; Kodwa-ke, zingcono kakhulu ukudla ngemva kokuxubana. Uma isikhathi eside sisisindo esisekelwe ngesitashi sihlala, isisindo esikhulu siyoba khona. Uma ngabe uketshezi luyisiqandisiso, uketshezi luba lukhulu kakhulu. Imikhiqizo yezohwebo ihlanganisa:
- Khuphuka
- I-Thick-It
Ama-stepping-based base-Gum adinga ukunakekelwa okungaphezulu njengoba bevame ukuhlanganisa okuningi futhi kufanele baxube kahle ukuze bagweme ukungafani okuketshezi kwamanzi. Uma ngabe i-liquid ayihlanganisiwe kahle, ungase ukwandise ngengozi ingozi yokuchofoza kunokuba uyinciphise. Enye inzuzo yezinkukhu ezisekela i-gum yukuthi uma ixutshwe, ukuvumelana kuyahlala kuzinzile futhi kungenziwa efrijini. Imikhiqizo yezohwebo ihlanganisa:
- SimplyThick
- AquaCareH2O
- I-Thik & Sula
Ngingazi Kanjani Uma Ngidinga Amanzi Amanzi?
Uma udokotela wakho enenkinga yokuthi une-dysphagia, cishe uzocoma ukuba uhlolwe ngumuntu okhuluma ulimi lolimi.
Uyokwazi ukwenza ukuhlolwa okudingekile ukuze anqume ukuthi usengozini yokufisa nokugubha. Izilimi ze-pathologists zolimi zivame ukwenza ukuhlola lapho bazokubuza khona imibuzo, bheka isakhiwo sakho sobuso nesimo somlomo futhi ubukele ukuthi udla. Uma ukuhlolwa okwengeziwe kudingekile, isifundo sokuguqula i- Barium swallow (MBS) noma ukuhlolwa kwe-fiberoptic endoscopic yokugwinya (FEES) kungalawulwa. Ngokusekelwe emiphumeleni yalezi zivivinyo udokotela wakho angancoma uketshezi oluqinekile.
Imithombo:
Ukukhulisa Inkulumo Australia. Amazinga ase-Australian for Texture Foods Modified and Fluids. http://www.speechpathologyaustralia.org.au/library/Poster_%20A3_Aus_Standards_Food_Fluids_Poster_Check%202.pdf
I-Intermountain Healthcare. (2014). Dysphagia. https://intermountainhealthcare.org/ext/Dcmnt?ncid=520408191
Izigayidi, RH (2008, Okthoba 14). Ukuphathwa kwe-Dysphagia: Ukusebenzisa ama-Liquids aqinile.////Umholi we-ASHA. http://www.asha.org/Publications/leader/2008/081014/f081014a4/
Garcia, JM & Chamber, E. IV. (2010). Ukuphatha i-Dysphagia Through Diet Modifications. I-American Journal of Nursing. 110: 11; k. 26-23. http://journals.lww.com/ajnonline/Fulltext/2010/11000