Recurrence of cerebral infarction, aphasia, poor swallowing ability, easy to choke. What should I do?
Dysphagia after cerebral infarction is not uncommon, mostly caused by pseudobulbar paralysis, mostly caused by multiple cerebral infarction or multiple cerebral infarction. Mainly manifested as choking during eating, with different degrees, mild to moderate choking is more common, and severe choking is less common. Patients with cerebral infarction should strive for a stable condition before eating, instead of relying on nasal feeding or intravenous nutrition all the time, but the following points should be paid attention to when eating: 1 Choosing the right posture for eating is not completely consistent for patients, and it should be adjusted according to the specific situation. If you can't get out of bed, you should take the trunk supine position, lean forward, put a pillow on the hemiplegic shoulder, and the family members or nurses are located on the healthy side of the patient to help him eat, making it difficult for him to eat from his mouth. If you can get out of bed, take a straight head and lean forward, and your body can also lean 30 degrees to the healthy side, so that food can enter the esophagus from the healthy side pharynx to prevent choking caused by swallowing. 2. Pay attention to the proper form of food. The form of food can be determined according to the difficulty of eating and swallowing. For patients with poor swallowing ability or drowsiness and lethargy, give liquid foods that are easy to swallow, such as fresh milk, vegetables and juice. With the improvement of swallowing function, it can be changed to semi-liquid food, such as porridge, vegetable paste, batter and so on. It is required that the density is relatively uniform and easy to stick, which is beneficial to eating and digestion. When the swallowing function is obviously improved, you can gradually transition to ordinary diet, pay attention to good color, fragrance and appetite, and still avoid hard food at this time. 3. Reasonable distribution of food should follow the principle of gradual progress from small amount, starting from 1/3- 1/2 of the patient's pre-illness food intake, and gradually increase the food intake. The amount of food in your mouth should also start from a small amount, that is, 3-4 ml, and add it to 1 spoon as appropriate. After each meal, let patients swallow several times repeatedly to prevent food retention and exercise swallowing muscle function. When patients can eat three or more meals a day, they can reasonably allocate the amount of food for each meal according to the principle of eating well for breakfast and eating less for dinner, so as to achieve fewer meals and rich nutrition.