摂食・嚥下障害の診断と治療 : 病態に応じた診断と治療法について

概要

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It is important that understanding how much posses the swallowing ability in dysphagia patients, firstly, simplified examination, such as, "test of water drinking", "RSST" usually is used. A Videofluorgraphy (VF) examination follows this simple test. In the case of patients in serious patients, the VF examination's position must be seated at an angle of 30° from the ground. In the case of good results in the first VF examination, an upward tilt is allowed. The VF examination must be finished within a duration of 30 minutes. The strategy of treatment varies according to the type of diseases. Dysphagia from apoplexy or nerve disease mainly concerns aged people. Aspiration can cause a critical condition at this age and must be checked through a simple examination. Treatment is mainly done through direct or indirect rehabilitation for dysphagia. It is important to note that certain shapes of food and/or proper ways of eating can prevent dysphagia. On the other hand, dysphagia from originatl diseases is mainly caused by a defect in an organ, such as, muscle and/or bone. There are very few impairment cases in the central nervous system. Purpose of treatment recover the pre-operation condition as same level as possible. The choice of treatment is important, not only concerning the rehabilitation of the dysphagia, but also comprehensive treatment, such as, maxillofacial prosthetics and/or reconstructive surgery.
2010-06-30