神经系统疾病中的缺食症
Maan El Halabi1, Remy Arwani2, Henry P Parkman3
1Section of Gastroenterology, Temple University Hospital, Philadelphia, Pennsylvania.
Seminars in neurology
|August 14, 2023
概括
消化不良,吞困难,在神经系统疾病中很常见,如中风和帕金森病. 及时诊断和治疗神经性消化不良症可以显著改善患者的生活质量.
科学领域:
- 神经学 神经学
- 胃肠病学 胃肠病学
- 语音语言病理学 语言病理学
背景情况:
- 缺食症是神经疾病中常见的症状,影响全球数百万人.
- 神经性消化障碍,特别是口腔消化障碍,在诸如中风,帕金森病和痴呆等慢性疾病中很普遍.
- 这种情况是由于控制吞的复杂感觉运动系统中出现的干扰引起的.
研究的目的:
- 阐明背后的病理生理机制.
- 详细介绍了诊断方法来识别食障碍.
- 审查潜在的治疗干预功能障碍的治疗方法.
主要方法:
- 综合审查现有关于失消症的文献.
- 对病理生理机制的分析.
- 讨论诊断工具,包括病史,体检和特定测试.
- 探索治疗策略的探索.
主要成果:
- 消化障碍呈现的不同:口腔喉消化障碍涉及最初的吞困难 (咳,窒息),而食道消化障碍导致胸部食物阻塞的感觉.
- 潜在的并发症包括吸气性肺炎,减肥和营养不良.
- 准确及时的诊断对于有效的管理至关重要.
结论:
- 神经性消化障碍严重影响生活质量,因为它与神经系统疾病有关.
- 通过多方面的方法进行早期和精确的诊断是成功治疗的关键.
- 干预可以改善吞功能和患者的整体幸福感.
相关概念视频
Disorders of the Nervous Tissue
1.4K
Nervous tissue is a vital component of the human body's communication system, enabling us to perceive and respond to stimuli. However, like all other tissues, it is vulnerable to disorders and diseases that can significantly impact our neurological functioning.
Homeostatic Imbalances:
Alzheimer's disease manifests as a gradual decline in memory and cognitive abilities, attributed to the buildup of amyloid plaques and neurofibrillary tangles in the brain.
Parkinson's disease arises from the...
Homeostatic Imbalances:
Alzheimer's disease manifests as a gradual decline in memory and cognitive abilities, attributed to the buildup of amyloid plaques and neurofibrillary tangles in the brain.
Parkinson's disease arises from the...
1.4K
Gastrointestinal Motility Disorders
438
Gastrointestinal or GI motility disorders are characterized by irregular gastrointestinal tract movements, disrupting food transit from the mouth to the anus. They are caused by damage or dysfunction in gut muscles or nerves. These disorders can cause symptoms such as severe constipation, diarrhea, abdominal pain, and swallowing difficulties. Disorders can affect any segment of the GI tract and range widely in severity, from common conditions like GERD to life-threatening conditions like...
438
Enteral Nutrition I: Orogastric and Nasogastric Feeding
349
Enteral nutrition delivers nutrients directly to the stomach or small intestine through a tube. This method is appropriate for patients who cannot eat but still have a functioning digestive system. It is also beneficial for individuals with swallowing difficulties, anorexia, malabsorption, or those who have undergone gastrointestinal (GI) surgery.
Orogastric (OG) and nasogastric (NG) feeding are two standard methods used for enteral nutrition. Enteral nutrition is often preferred over...
Orogastric (OG) and nasogastric (NG) feeding are two standard methods used for enteral nutrition. Enteral nutrition is often preferred over...
349
Enteral Nutrition II: Nasointestinal and Gastrostomy Feeding
200
Enteral nutrition encompasses various methods of delivering nutrition directly to the gastrointestinal (GI) tract, bypassing traditional oral intake. It is particularly beneficial for patients who cannot eat by mouth but have a functioning digestive system. Key methods include nasointestinal feeding, gastrostomy, and jejunostomy, each suited to different clinical scenarios based on the patient's needs and condition.
Nasointestinal Feeding
Nasointestinal feeding involves placing a tube...
Nasointestinal Feeding
Nasointestinal feeding involves placing a tube...
200
Taste Buds and Receptors
2.2K
Gustation, or the sense of taste, is intrinsically linked to the anatomical structures located on the tongue. This organ's surface, along with the entirety of the oral cavity, is adorned with stratified squamous epithelium. Evident on the tongue are elevated structures known as papillae (singular = papilla), which house the mechanisms for the transduction of gustatory stimuli. Four distinct types of papillae exist, each identified by their unique morphological attributes: the circumvallate,...
2.2K
Deglutition
2.1K
Swallowing, otherwise known as deglutition, facilitates the transport of food from the mouth to the stomach. It is a multifaceted process that involves both the tongue and the muscles of the throat and esophagus. Saliva and mucus aid in this process, which takes approximately 4 to 8 seconds for semi-solid or solid food and around 1 second for liquids or very soft food.
Swallowing can be divided into three stages: the voluntary phase, the pharyngeal phase, and the esophageal phase. Although the...
Swallowing can be divided into three stages: the voluntary phase, the pharyngeal phase, and the esophageal phase. Although the...
2.1K


