360 KB29 KB200820252017Ogrin, Majaštevilka:1letnik:16str. 55-60ISSN:1580-9315COBISSID_HOST:2335337URN:URN:NBN:SI:doc-WI8TB2USslUniverzitetni rehabilitacijski inštitut Slovenije - SočaRehabilitacija (Ljubljana)assessmentDeglutition Disordersdiagnostikalogopedska obravnavamotnje požiranjaokvara hrbtenjačerehabilitationspeech and language therapySpinal Cord Compressionspinal cord lesionswallowing disorderDisfagija pri bolnikih z visoko okvaro vratne hrbtenjače| Dysphagia in patients with a cervical spinal cord injury|Causes of swallowing disorders in adults can be linked to various neurological diseases or injuries, including the spinal cord lesion. Cervical spinal cord injuries can often lead to injuries of the brain nerves responsible for normal swallowing. Nerve injuries consequently lead to an altered perception in the throat area and changes in the functioning of the muscles involved in swallowing. This hinders or even prevents swallowing. Efficient help for a patient with dysphagia starts with early detection and assessment of difficulties, followed by the selection of adequate therapeutic methods and techniques. Assessment and treatment of swallowing disorders are carried out in a team. It is important that patients cooperate and offer their insight into the difficulties. They must be able to follow and understand instructions and be prepared to take part in the swallowing improvement programme, and it is also vital that family members are involved. Good cooperation and communication among all team members are essential for timely detection of swallowing disorders, efficient therapeutic help, safe feeding and adequate nourishment of these patientsVzroki za nastanek motenj požiranja pri odraslih so lahko povezani z različnimi nevrološkimi boleznimi in poškodbami, med drugim tudi z okvaro vratne hrbtenjače. Pri bolnikih z okvaro vratne hrbtenjače pogosto pride do poškodb možganskih živcev, ki omogočajo normalno požiranje. Poškodbe živcev zato vodijo do spremenjenega občutenja v predelu grla in spremenjenega delovanja mišic, ki sodelujejo pri požiranju. To spremeni akt požiranja ali ga celo onemogoči. Učinkovita pomoč bolniku z disfagijo se začne s pravočasnim zaznavanjem in ugotavljanjem težav ter izbiro ustreznih terapevtskih metod in tehnik. Tako ugotavljanje kot tudi obravnava motenj požiranja potekata timsko. Pomembno je bolnikovo zavedanje težav, sposobnost sledenja in razumevanje navodil ter njegova pripravljenost za sodelovanje v programu za izboljšanje požiranja ter sodelovanje svojcev. Dobro sodelovanje in komunikacija med vsemi člani tima sta bistveni za pravočasno odkrivanje motnje požiranja, učinkovito terapevtsko pomoč, varno hranjenje in zagotavljanje ustrezne prehranjenosti teh bolnikovTEXTznanstveno časopisjejournalsSlovenian National E-content AggregatorNational and University Library of SloveniaUniverzitetni rehabilitacijski inštitut RS – Soča