透過您的圖書館登入
IP:18.223.125.219

摘要


隨著老年人口比例的上升,老化產生的健康問題越顯普遍。其中吞嚥困難是臨床上相當容易被忽視的問題。吞嚥困難泛指在吞嚥過程的任一步驟出現障礙,舉凡年紀老化或是疾病的影響,甚至是治療的後遺症都可能引發吞嚥障礙。一旦出現吞嚥障礙將容易引發營養不良,吸入性肺炎等問題。本文透過一位漸進性發生吞嚥障礙的個案,探討該問題的成因,與特定疾病的關聯,提供臨床工作者參考如何從病史部分追溯可能原因,搭配適當的檢查協助鑑別診斷,並由團隊分工擬定個別化的處置,積極預防功能的退化乃至於併發症的產生。

並列摘要


Aging related health problems has been more common along with the older people. Although dysphagia is a highly prevalent clinical condition, it is often not recognized. Any disruption in the swallowing process can be defined as dysphagia. Age-related changes, many diseases and even their treatments may contribute to dysphagia. Once dysphagia occurs, the patients are prone to have many complications such as malnutrition and aspiration pneumonia. In this article we attempt to report a case of chronic dysphagia, trying to explore the possible etiology and connection with specific diseases, in the aim to provide clinical physicians how to trace back the history and determine the appropriate diagnostic testing. Dysphagia management should be individualized through multidisciplinary team working, in prevention of functional decline and related complications.

延伸閱讀