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26.08.2014

Treatment for aspiration, treatment for early puberty - Within Minutes

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Food transport and bolus formation during complete feeding sequences on foods of different initial consistency. The study of 43 infants by milk aspiration pneumonia treatment and hood applications TCPAP oxygen therapy and blood gas analysis before and after comparison of clinical observation, the application of proven TCPAP improve oxygenation and ventilation function for better results. There were clear after feeding milk inhaled history, clear the airway when the milk aspiration. A thorough history and a careful physical examination are important in the diagnosis and treatment of swallowing disorders.
In these situations, therapy is individualized based on the functional and structural abnormalities and the initial responses to treatment trials observed at the patient's bedside or during a VFSS.A basic principle of rehabilitation is that the best therapy for any impaired activity is the activity itself. For the original videofluorographic study, three small radiopaque markers were glued to the surface of the tongue to highlight its movement.
As a result, liquid spills prematurely into the unprepared pharynx, and this often results in aspiration.PHARYNGEAL PHASEWith dysfunction of the pharyngeal phase of swallowing, food transport to the esophagus may be impaired. A videofluorographic swallowing study is particularly useful for identifying the pathophysiology of a swallowing disorder and for empirically testing therapeutic and compensatory techniques. Thus, the pretreatment evaluation is directed at identifying circumstances for safe and effective swallowing in the individual patient.DIETARY MODIFICATIONDietary modification is a common treatment approach.
Esophageal propulsive forces may be reduced because of weakness or incoordination of esophageal musculature.


For example, the complaint of food sticking or stopping in the chest is highly suggestive of an esophageal disorder.
Maintaining oral feeding often requires compensatory techniques to reduce aspiration or improve pharyngeal clearance.1,19OTHER TREATMENTSSurgery is rarely indicated in patients with oral or pharyngeal dysphagia, but it can be effective in selected patients. The consequences of dysphagia include dehydration, starvation, aspiration pneumonia and airway obstruction.1,2 Dysphagia may result from or complicate disorders such as stroke, Parkinson's disease and cancer. Aspirating material into the distal airways is more dangerous than aspirating material into the trachea.Physical properties of the aspirate. With a modified diet and use of compensatory maneuvers, most patients with minimal aspiration can learn to take sufficient food and drink by mouth to meet nutritional requirements. Patients with impaired level of consciousness, massive aspiration, silent aspiration, esophageal obstruction or recurrent respiratory infections often require enteral feeding.Percutaneous endoscopic gastrostomy is commonly used for long-term enteral nutrition. Aspirating refluxed acidic stomach contents may cause serious damage to the pulmonary parenchyma. However, this approach is itself associated with increased risks of gastroesophageal reflux and aspiration pneumonia.25 Parenteral feeding is expensive, but it may be medically appropriate in patients who develop aspiration pneumonia on tube feedings.
Aspirating material laden with infectious organisms or even normal mouth flora can cause bacterial pneumonitis.Pulmonary clearance mechanisms. To this end, an examination of oral-motor and laryngeal mechanisms is critical.The anterior neck is inspected and palpated for masses.


Laryngeal elevation is evaluated by placing two fingers on the larynx and assessing movement during a volitional swallow.The oral cavity and pharynx are inspected for mucosal integrity, masses and dentition.
The soft palate is examined for position and symmetry during phonation and at rest.The gag reflex is elicited by stroking the pharyngeal mucosa with a cotton-tipped applicator or tongue depressor.
The hyoid bone and larynx are pulled upward and forward; as a result, the upper esophageal sphincter opens. The posterior pharyngeal wall pushes forward to come into contact with the posterior surface of the tongue. This diet would include foods that could be eaten and swallowed safely by a particular patient.1,19With the VFSS, it is also possible to test the effectiveness of compensatory maneuvers designed to improve pharyngeal clearance or reduce aspiration.
For example, tucking the chin (neck flexion) or holding the breath before swallowing may reduce aspiration. Turning the head toward the weak side may improve pharyngeal clearance by deflecting the bolus to the strong side in a patient with unilateral pharyngeal weakness.20,21Other maneuvers have been developed to improve opening of the upper esophageal sphincter, increasing pharyngeal clearance and minimizing aspiration.



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Comments to “Treatment for aspiration”

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