Swallowing disorder training method

  Dysphagia is a difficulty in swallowing that can be caused by a variety of reasons and can occur at different sites. Swallowing disorders can affect the ingestion of food and nutrient absorption, and can also lead to inadvertent aspiration of food into the trachea leading to aspiration pneumonia, which can be life-threatening in serious cases. The training methods are as follows: 1. Cold stimulation of the mouth and throat and empty swallowing The therapist wears rubber gloves, soaks the finger in ice water mixture for a moment, gently massages the patient’s lips, cheeks and pharyngeal and palatal arches with the finger, and then instructs the patient to empty swallowing; 2. The patient sits on a chair, supports the chair with both hands to do pushing and pressing, holds the breath, at this time the thorax is fixed, the vocal folds are tightly closed, then suddenly releases the hand, the vocal folds are wide open, and exhales to make a sound; 4, feeding training includes adjusting the food form (semi-paste-like chyme swallowing), feeding position (30°~60° supine position + neck forward bending position), adjusting the amount of bite, etc.. According to the degree of ingestion-swallowing disorder, the dietitian should prepare the main food with fresh milk, vegetable juice and fruit juice, etc. With the improvement of swallowing function and recovery of physical ability, the food should be made into jelly or porridge, which is characterized by uniform density, sticky and not easy to be loosened, easy to be deformed when passing through the pharynx and esophagus, fresh color, strong aroma and beautiful taste, which is conducive to consumption and absorption; ingestion A mouthful should start with 3~5ml, then increase as appropriate to 1 tablespoon size, about 15-20ml; after each feeding, ask the patient to swallow several times repeatedly to make all the food swallowed, and also drink an appropriate amount of water to remove residual food in the pharynx. The distribution method of food intake should be reasonably distributed daily according to different needs, and adhere to the principle of eating good breakfast, full Chinese food and little dinner. Some patients do not open their mouths when eating, then pour a spoonful of water from the teeth to stimulate them to open their mouths, and once they open their mouths, they should give one mouthful after another without interruption. In practice, the feeding position varies from person to person. For bedridden patients, generally take 30~60° supine position, with the shoulder of hemiplegic side padded by pillow, for those who can still get out of bed, take the neck forward flexion position, with the body inclined to the healthy side by 30°, which can make the food enter the esophagus from the healthy side of the throat. In case of hemiplegic patients, the head should be turned to the paralyzed side by 8° so that the pharynx can be enlarged to facilitate the entry of food to prevent mispharynx.