Mvura yakanyanyisa inoshandiswa pakugadzirwa kwezvokurapa iyo inowedzera kuwirirana kwemvura kuitira kuti zvidzivirire kugunzva . Mvura yakanyanyisa inokurudzirwa kune vanhu vane dambudziko rokumedza (dysphagia) uye kuchengeta zvokudya kana mvura kuti isapinda mumhepo. Iwe unogona kunge uchinge wakanyanyisa mvura ye dysphagia kana iwe uine chirwere chepfungwa chepachirwere, kuora simba kwemisungo kana mitsetse yechipupuri , kana kubva pakudzivirira (kuvhara) mumutsipa.
Aina
Zvinhu zvakasvibisa kana zvishoma zvakasvibiswa zvakadai semvura nguva dzose zvinowanzova dambudziko guru rekugunzva uye kuda kune vanhu vane dysphagia. Kuti ivhiringidze kushuva kune vanhu vari pangozi, zvinowedzera zvinogona kuwedzera visikiti (kuwanda) kwemvura. Mukuwedzera kumvura, mienzaniso yewaini yakasviba inosanganisira soda, kofi, juice uye soup muto. Chimiro chemvura chaiyo yakadzika (yakanyanya viscosity) yaizova buttermilk. Chiyero chemvura inofanira kuwedzerwa kazhinji chinotarirwa nekuoma kwe dysphagia.
Nectar-like kana zvinyoro zvakanyanyisa mvura ine kusagadzikana iyo icharamba ichimhanya pape. Asi zvakadaro, mvura inoshandiswa inogadzirisa zvakakwana kuti firimu inopenya ichagara pamusoro penzvimbo yepuni.
Uchi-hunofanana kana huwandu hwakanyanyisa mvura hahuzogoni kutenderera zvakasununguka kubva pakapu. Pane kudaro, uchi-sezvinwiwa zvinodonha kubva pamucheto wejiyo.
Spoon-thick or too thickened liquid haichazogoni kubvisa chipuni.
Spoon yakasviba mvura yakasimba uye inoramba iri papeponi apo kapu yakasungwa. Izvi zvakafanana nekufanana kwepudding.
Mhando dzeTuckeners Inowanikwa
Ikozvino kune zvakasiyana-siyana zvekuwedzera kwezvinhu zvinowanikwa mune zvekutengeserana. Iwe unogona kutenga kunwa kwema-pre-thickened kana kuwedzera kwezvinhu zvaunosangana nazvo.
Vanokuya vanouya mumhando dzakagadzirwa nemashizha uye yegum; rimwe nerimwe rine zvigaro zvaro zvingabatsiri uye zvisingabatsiri. Pasinei nekukakavadzana pamusoro pekuti kana kwete hydration inoshungurudzwa nekushandisa vanodzivirira, zvidzidzo mumakumbo maviri uye nevanhu zvakaratidza kuti kune 95% inoshandiswa yemvura nemashandisirwo emagetsi ekutengeserana. Kutsvaka rubatsiro kubva mumutauro wekutaura mutanogist kana muyanzvi wezvokudya zvekudya pamusoro pekunyatsokwanisa kupisa mvura inogona kubatsira.
Starch-based thickeners zvakaoma kusanganiswa; zvisinei, ivo vanonyanya kupedzwa mushure mekunge vafunganya. Iyo yakareba yakakura-stalk-thickener iripo, iyo yakasvibiswa kusagadzikana kuchava. Kana iyo yakasvibiswa yakanatswa firiji, mvura yacho inogona kuva yakawandisa. Zvigadzirwa zvemabhizimisi zvine:
- Thicken Up
- Yakanaka-Iyo
Gum-based thickeners inoda kutarisirwa zvakanyanya kusanganiswa sezvo inowanzoita kuti iwedzere uye inofanira kusanganiswa zvakanaka kuti irege kusanzwisisika mvura yakakura. Kana iyo yakasvibiswa isina kunyatsosanganiswa zvakanaka, unogona kuwedzera nengozi yekuchera pane kuideredza. Rimwe ruzivo rwema gum-based thickeners ndeyokuti kana yakambosanganiswa, kusagadzikana kunogara kwakasimba uye kunogona kufiratirwa. Zvigadzirwa zvemabhizimisi zvine:
- SimplyThick
- AquaCareH2O
- Thik & Clear
Ndinoziva Sei Kana Ndichida Mvura Yakanyanyisa?
Kana chiremba wako ane zvinetso zvekuti une dysphagia, iye angangodaro akakurudzira kuti iwe uongororwe nemutauro wekutaura mutanogist.
Anokwanisa kukwanisa kuedza kuongororwa kuti aone kana iwe uri pangozi yekushuva uye kukura. Mutauro wekutaura pathologists kazhinji vanoita sarudzo iyo vachakubvunza mibvunzo, tarisa chiso chako uye muromo wakarongeka uye wotarisa iwe unodya. Kana kuwedzera kuongororwa kwakadikanwa, kugadziridzwa kwebhaumum swallow (MBS) kudzidza kana fiberoptic endoscopic kuongorora kwekumedza (FEES) inogona kurairwa. Kubva pamigumisiro yezviedzo izvi chiremba wako anogona kukurudzira mvura yakawanda.
Sources:
Hurukuro Inharaunda Australia. Maitiro eAustralia Mavara Okugadziriswa Zvokudya uye Zvirwere. http://www.speechpathologyaustralia.org.au/library/Poster_%20A3_Aus_Standards_Food_Fluids_Poster_Check%202.pdf
Intermountain Healthcare. (2014). Dysphagia. https://intermountainhealthcare.org/ext/Dcmnt?ncid=520408191
Mishonga, RH (2008, Gumiguru 14). Dysphagia Management: Kushandisa Mvura Yakadzika.////Mutungamiri weAHA. http://www.asha.org/Publications/leader/2008/081014/f081014a4/
Garcia, JM & Chamber, E. IV. (2010). Kutarisira Dysphagia Nokudya Zvokudya. American Journal of Nursing. 110: 11; pp. 26-23. http://journals.lww.com/ajnonline/Fulltext/2010/11000