Utywala obuninzi luyilungiso olutya lokutya oluthathaka ukuhambelana kwamanzi ukuze ukhusele. Kunconywa utywala obuninzi kubantu abanobunzima bokugwinya (i-dysphagia) nokugcina ukutya okanye utywala ukuze bangene kwi-airway yabo. Unokudinga ukuba utywala obunzima kwi-dysphagia ukuba unesifo sengqondo esinjenge- stroke, ukubuthathaka kwezihlunu okanye iimbilini ze- esophagus , okanye kwi-obstruction (ukucima) emqaleni.
Iintlobo
Utywala obuphantsi okanye obuncinane be-viscosity njengamanzi aqhelekileyo abeka umngcipheko omkhulu wokukhahlela nokufuna abantu abane-dysphagia. Ukuze kuphephe ukufunyanwa ngabantu abasengozini, izongezo zandisa i-viscosity (ubukhulu) bomnatha. Ukongezelela kwamanzi, imizekelo yefuthe elincinci iquka i-soda, ikhofi, ijusi kunye nomhluzi wesobho. Umzekelo wendalo yamanzi ngokwemvelo (i-viscosity ephezulu) yayiza kuba ibhotela. Isixa esilungelelanisayo esifanele sinyanzeliswe ngokuqhelekileyo sisigxininisa sisifo se-dysphagia.
I-Nectar-like or liquidly thickened liquids ine-consistency ezayo iya kupheka i-spoon. Nangona kunjalo, i-fluid ine-cookie eyaneleyo yokuba ifilimu ekhanyayo iya kuhlala kwi-spoon's surface.
Ubunjani-ofana nobusi-okanye omanzi obunomlinganiselo obunamanzi abuyi kuhamba ngokukhululeka kwi-spoon. Kunoko, u-honey-like liquids uya kuhlamba isicu sesipuni.
Utywala obuninzi okanye obunzulu obukhulu buya kusayi kuphinda luqhewule i-spoon.
I-Spoon yoxinzelelo lwe-liquids yomeleleyo kwaye iya kuhlala kwi-spoon xa i-spoon ishicilelwe. Oku kufana nokuhambelana kwepudding.
Iintlobo zabaxhasi abafumanekayo
Kukho ngoku iintlobo zeemveliso ezinobungakanani ezikhoyo kwizorhwebo. Unokuthenga iziphuzo ezingaphilile okanye iimveliso ezixubayo ozidibanisayo.
Abaqhibi beza kwiintlobo ezisekelwe kwisitashi kunye neentlobo; nganye nganye kunye neentlobo zayo zeenzuzo kunye nokungalunganga. Nangona kukho ukuphikisana malunga nokuba ingekho i-hydration echaphazelekayo ngokusebenzisa abaphangi, uphando kwizibini nakubantu lubonise ukuba kukho ukungcola kwe-95% yelwelo kunye nokusetyenziswa kwabaxhasi bezorhwebo. Ukufuna uncedo kwiilwimi zeelwimi okanye isondlo sokutya kwindlela yokwenza utywala ngamanzi kakuhle kunokuba luncedo.
Abaqashi be-Starch-based basebenziseka lula; nangona kunjalo, zigqitywa ngokukhawuleza emva kokudibanisa. Xa ixesha elide linomgca wesitashi lihleli, ukugqithisela kuya kubakho. Ukuba i-liquid ishicilelwe i-friji, umbane unokuba lukhulu. Iimveliso zorhwebo ziquka:
- Ukunyuka
- I-Thick-It
Abaxhasi be-Gum bafuna ukunyamekela ukuxuba njengoko bathambekele ekugqibeleni ngaphezulu kwaye kufuneka baxutywe kakuhle ukuze baphephe ukungqinelani kwamanzi. Ukuba umbane awuxutywanga kakuhle, unokwandisa umngcipheko wokubhukuda kunokuba unciphise. Enye inzuzo yabathathi be-gum-based-based that is once mixed, i-consistency ihlala isigxina kwaye ingafakwa efrijini. Iimveliso zorhwebo ziquka:
- SimplyThick
- AquaCareH2O
- Thik & Sula
Ndingazi Njani Ukuba Ndifuna Amanzi Amanzi?
Ukuba ugqirha wakho unenkxalabo yokuba une-dysphagia, mhlawumbi uya kucetyiswa ukuba uhlolwe ngetetho yolwazi lwezilwimi.
Uya kukwazi ukwenza iimvavanyo eziyimfuneko ukuqinisekisa ukuba unobungozi bokufuna ukuxhamla nokukhwaza. Iilwimi zeentetho zezilwanyana zisoloko zenza uvavanyo apho ziya kukubuza imibuzo, jonga ubuso bakho kunye nomlomo kunye nokubukela ukutya. Ukuba uvavanyo olongezelelweyo luyimfuneko, uvavanyo olutshintshiwe lwe- Barium swallow (MBS) okanye uvavanyo lwe-fiberoptic endoscopic yokugwinya (I-FEES) linokuyalelwa. Ngokusekelwe kwiziphumo zale mvavanyo ugqirha wakho unokuncoma utywala obukhulu.
Imithombo:
Intetho yokuHlaliswa kweNtetho yaseAustralia. Imilinganiselo yase-Australia yokuTya ukutya okuTshintshiwe kunye namaFluids. http://www.speechpathologyaustralia.org.au/library/Poster_%20A3_Aus_Standards_Food_Fluids_Poster_Check%202.pdf
Uncedo lwezempilo lwe-Intermountain. (2014). Dysphagia. https://intermountainhealthcare.org/ext/Dcmnt?ncid=520408191
IiMills, RH (2008, Oktobha 14). Ulawulo lweDysphagia: Ukusebenzisa iLiquids ezinamandla.////I-Leadership ASHA. http://www.asha.org/Publications/leader/2008/081014/f081014a4/
Garcia, JM & Chamber, E. IV. (2010). Ukulawula i-Dysphagia ngokusebenzisa iinguqu zokutya. I-American Journal of Nursing. 110: 11; iphe. 26-23. http://journals.lww.com/ajnonline/Fulltext/2010/11000