{"id":63303,"date":"2021-09-14T00:54:26","date_gmt":"2021-09-13T23:54:26","guid":{"rendered":"https:\/\/radioljubuski.ba\/?p=63303"},"modified":"2021-09-14T00:54:28","modified_gmt":"2021-09-13T23:54:28","slug":"sto-je-disfagija-i-moze-li-se-izlijeciti","status":"publish","type":"post","link":"https:\/\/radioljubuski.ba\/index.php\/2021\/09\/14\/sto-je-disfagija-i-moze-li-se-izlijeciti\/","title":{"rendered":"\u0160to je disfagija i mo\u017ee li se izlije\u010diti?"},"content":{"rendered":"\n

Disfagija je poreme\u0107aj gutanja, a mo\u017ee biti potpun ili djelomi\u010dan i na razli\u010ditim razinama. Prof. dr.sc. Zdravka Poljakovi\u0107, dr.med, obja\u0161njava kako je gutanje funkcija koju ljudi uglavnom shva\u0107aju kao sasvim normalnu pa \u010dak i na razini podsvijesti.<\/strong><\/p>\n\n\n\n


<\/a><\/p>\n\n\n\n

– Treba znati da je to vrlo kompleksna funkcija u kojoj sudjeluje mozak i mo\u017edana kora, vi\u0161e desetaka mi\u0161i\u0107a i nekoliko mo\u017edanih \u017eivaca, sve to skupa treba uskladiti i biti koordinirano. Disfagija je, upravo zbog te kompleksnosti, vrlo \u010dest poreme\u0107aj, ka\u017ee.

Kada govorimo o neurolo\u0161kim bolestima vrlo \u010desto dominiraju neki drugi, naizgled te\u017ei simptomi, te se ponekad poreme\u0107aj gutanja zanemaruje. No, Poljakovi\u0107 ka\u017ee kako je dijagnozu jednostavno postaviti.

– Testiranje nije posebno komplicirano i ne zahtijeva posebnu dijagnostiku pomo\u0107u razli\u010ditih ure\u0111aja, potrebno nam je na\u0161ih deset prstiju i malo vode, pri \u010demu mo\u017eemo ispitati faze gutanja. Onaj prvi korak je sasvim sigurno pitanje klini\u010dara koji razmi\u0161lja o tome je li osoba ima poreme\u0107aj gutanja, ka\u017ee Poljakovi\u0107. 

– Prvi korak je dijagnostika gdje se vidi koliko je disfagija uznapredovala i koji stupanj disfagije je prisutan. Sukladno tome odlu\u010dujemo kako \u0107emo hraniti bolesnika, ako je taj akt gutanja jako o\u0161te\u0107en onda se pacijentima postavlja nazogastri\u010dna sonda; ako smatramo da \u0107e se du\u017ee hraniti na taj na\u010din onda se mo\u017ee postaviti i perkutana endoskopska gastrostoma da ih hranimo direktno u \u017eeludac. No ipak, ve\u0107ina pacijenata se hrani jednom dijetom promijenjene konzistencije, \u0161to zna\u010di da se hrana i teku\u0107ine daju u ugu\u0161\u0107enom obliku, moramo posti\u0107i odre\u0111eni stupanj gusto\u0107e za svakog bolesnika i pri tome sura\u0111ujemo i s logopedima, koji odre\u0111uju koji stupanj gusto\u0107e hrane je pojedinom pacijentu potreban, obja\u0161njava nutricionistica prof. dr. sc. Darija Vrane\u0161i\u0107 Bender<\/strong>.

Mag. log. Kornelija Bere\u010di\u0107<\/strong> isti\u010de kako je uloga logopeda da potvrdi ili opovrgne ima li pacijent disfagiju, odnosno da ju dijagnosticira i utvrdi na kojoj razini je gutanje poreme\u0107eno, odredi koje su rehabilitacijske mogu\u0107nosti i na koji na\u010din \u0107e se pacijent hraniti.

Jedan dio poreme\u0107aja nastaje i prirodnim starenjem \u2013 postoje statistike koje ka\u017eu kako \u0107e svaka peta osoba iznad 65. godine imati odre\u0111eni poreme\u0107aj gutanja. S druge strane, uzrok mogu biti i bolesti koje o\u0161te\u0107uju mozak, primjerice mo\u017edani udar, degenerativne bolesti poput Parkinsonove bolesti ili poreme\u0107aji na razini samog aparata za gutanje, odnosno mi\u0161i\u0107a i \u017eivaca koji sudjeluju u gutanju.

– Od skupina bolesti, na prvom mjestu bih istaknula mo\u017edani udar kao glavni uzrok, pa onda sve ostalo, isti\u010de Poljakovi\u0107.

Disfagiju je mogu\u0107e izlije\u010diti, no sve ovisi o stupnju poreme\u0107aja i uzroku.

– Disfagija je dosta u\u010destala, jako puno osoba ne zna da im se mo\u017ee pomo\u0107i i da mogu do\u0107i na rehabilitaciju kod logopeda, da oporavak postoji ili da postoji barem neko postizanje zadovoljavaju\u0107eg stanja da se opet vrati ta kvaliteta \u017eivota i u\u017eivanje u hrani, ka\u017ee Bere\u010di\u0107 i dodaje kako je u njezinoj ambulanti 50 posto pacijenata oboljelo od disfagije, dok drugih 50 posto otpada na pacijente s jezi\u010dnim ili govornim pote\u0161ko\u0107ama.

Osim tih primarnih, disfagija uzrokuje i niz drugih posljedica.

– Ono \u0161to je vode\u0107i problem kod bolesnika s disfagijom je \u0161to postoji cijeli niz simptoma ili poreme\u0107aja koji su naizgled dominantni, pa koji put zanemarimo gutanje. Ono \u0161to je osnovna posljedica je malnutricija, odnosno nedovoljni unos energije i nutrijenata, svega onoga \u0161to je na\u0161em tijelu potrebno da bi funkcioniralo. Posljedica svega toga mo\u017ee biti produ\u017eeno bolni\u010dko lije\u010denje i lo\u0161 ishod lije\u010denja \u2013 osoba koja je neuhranjena \u0107e sasvim sigurno lo\u0161ije podnijeti bolest nego netko tko je adekvatno uhranjen. Sljede\u0107i problem su komplikacije, od kojih je naj\u010de\u0161\u0107a aspiracijska pneumonija, odnosno upala plu\u0107a koja je posljedica zagrcavanja i ulaska hrane ili teku\u0107ine u di\u0161ni sustav. Na kraju, postoji ne\u0161to na \u0161to manje mislimo, a to je gubitak mi\u0161i\u0107ne mase koji uzrokuje nemogu\u0107nost fizi\u010dke aktivnosti i neadekvatnog oporavka, ka\u017ee Poljakovi\u0107.

Cilj javnozdravstvene kampanje<\/strong>

<\/strong>– Svakome treba zagrljaj, svakome treba gutljaj, koja je pokrenuta u lipnju u suradnji s Hrvatskim neurolo\u0161kim dru\u0161tvom, je osvijestiti javnost o ovoj bolesti, ka\u017ee Poljakovi\u0107.

– Svijest je gotovo nepostoje\u0107a u na\u0161oj populaciji, tako da je ideja prvo dati do znanja da tako ne\u0161to postoji. Mi smo i ranije radili neka istra\u017eivanja u domovima za starije, gdje smo otkrili da ne postoji nikakva svijest o tome, iako smo na\u0161li 30 posto slu\u010dajeva disfagije u toj populaciji. Definitivno postoji potreba za edukacijom, zato postoji i web stranica disfagija.hr gdje se na jednom mjestu mo\u017ee nau\u010diti o svim postupcima, prehrani, lije\u010denju i rehabilitaciji kod disfagije. Skretanjem pa\u017enje na ovu problematiku svakako mo\u017eemo pomo\u0107i brojnim obiteljima i osobama, zaklju\u010duje Bender.<\/p>\n\n\n\n

Izvor:hrt.hr<\/p>\n","protected":false},"excerpt":{"rendered":"

Disfagija je poreme\u0107aj gutanja, a mo\u017ee biti potpun ili djelomi\u010dan i na razli\u010ditim razinama. Prof. dr.sc. Zdravka Poljakovi\u0107, dr.med, obja\u0161njava kako je gutanje funkcija koju ljudi uglavnom shva\u0107aju kao sasvim normalnu pa \u010dak i na razini podsvijesti. – Treba znati da je to vrlo kompleksna funkcija u kojoj sudjeluje mozak i mo\u017edana kora, vi\u0161e desetaka […]<\/p>\n","protected":false},"author":2,"featured_media":63304,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1],"tags":[],"class_list":["post-63303","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-bihiregija"],"yoast_head":"\n\u0160to je disfagija i mo\u017ee li se izlije\u010diti? - RADIO LJUBU\u0160KI<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/radioljubuski.ba\/index.php\/2021\/09\/14\/sto-je-disfagija-i-moze-li-se-izlijeciti\/\" \/>\n<meta property=\"og:locale\" content=\"hr_HR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"\u0160to je disfagija i mo\u017ee li se izlije\u010diti? - RADIO LJUBU\u0160KI\" \/>\n<meta property=\"og:description\" content=\"Disfagija je poreme\u0107aj gutanja, a mo\u017ee biti potpun ili djelomi\u010dan i na razli\u010ditim razinama. Prof. dr.sc. Zdravka Poljakovi\u0107, dr.med, obja\u0161njava kako je gutanje funkcija koju ljudi uglavnom shva\u0107aju kao sasvim normalnu pa \u010dak i na razini podsvijesti. – Treba znati da je to vrlo kompleksna funkcija u kojoj sudjeluje mozak i mo\u017edana kora, vi\u0161e desetaka […]\" \/>\n<meta property=\"og:url\" content=\"https:\/\/radioljubuski.ba\/index.php\/2021\/09\/14\/sto-je-disfagija-i-moze-li-se-izlijeciti\/\" \/>\n<meta property=\"og:site_name\" content=\"RADIO LJUBU\u0160KI\" \/>\n<meta property=\"article:publisher\" content=\"https:\/\/www.facebook.com\/Radiio-Ljubuski-1490835324566332\" \/>\n<meta property=\"article:published_time\" content=\"2021-09-13T23:54:26+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2021-09-13T23:54:28+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/radioljubuski.ba\/wp-content\/uploads\/2021\/09\/shutterstock-2011953014-20210910110324.jpg\" \/>\n\t<meta property=\"og:image:width\" content=\"1000\" \/>\n\t<meta property=\"og:image:height\" content=\"667\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\n<meta name=\"author\" content=\"Radio Ljubu\u0161ki\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:creator\" content=\"@radioljubuski\" \/>\n<meta name=\"twitter:site\" content=\"@radioljubuski\" \/>\n<meta name=\"twitter:label1\" content=\"Napisao\/la\" \/>\n\t<meta name=\"twitter:data1\" content=\"Radio Ljubu\u0161ki\" \/>\n\t<meta name=\"twitter:label2\" content=\"Procijenjeno vrijeme \u010ditanja\" \/>\n\t<meta name=\"twitter:data2\" content=\"4 minute\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\\\/\\\/radioljubuski.ba\\\/index.php\\\/2021\\\/09\\\/14\\\/sto-je-disfagija-i-moze-li-se-izlijeciti\\\/#article\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/radioljubuski.ba\\\/index.php\\\/2021\\\/09\\\/14\\\/sto-je-disfagija-i-moze-li-se-izlijeciti\\\/\"},\"author\":{\"name\":\"Radio Ljubu\u0161ki\",\"@id\":\"https:\\\/\\\/radioljubuski.ba\\\/#\\\/schema\\\/person\\\/19fc700381a780f69665d7956c469e3b\"},\"headline\":\"\u0160to je disfagija i mo\u017ee li se izlije\u010diti?\",\"datePublished\":\"2021-09-13T23:54:26+00:00\",\"dateModified\":\"2021-09-13T23:54:28+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\\\/\\\/radioljubuski.ba\\\/index.php\\\/2021\\\/09\\\/14\\\/sto-je-disfagija-i-moze-li-se-izlijeciti\\\/\"},\"wordCount\":858,\"publisher\":{\"@id\":\"https:\\\/\\\/radioljubuski.ba\\\/#organization\"},\"image\":{\"@id\":\"https:\\\/\\\/radioljubuski.ba\\\/index.php\\\/2021\\\/09\\\/14\\\/sto-je-disfagija-i-moze-li-se-izlijeciti\\\/#primaryimage\"},\"thumbnailUrl\":\"https:\\\/\\\/radioljubuski.ba\\\/wp-content\\\/uploads\\\/2021\\\/09\\\/shutterstock-2011953014-20210910110324.jpg\",\"articleSection\":[\"BIH i regija\"],\"inLanguage\":\"hr\"},{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/radioljubuski.ba\\\/index.php\\\/2021\\\/09\\\/14\\\/sto-je-disfagija-i-moze-li-se-izlijeciti\\\/\",\"url\":\"https:\\\/\\\/radioljubuski.ba\\\/index.php\\\/2021\\\/09\\\/14\\\/sto-je-disfagija-i-moze-li-se-izlijeciti\\\/\",\"name\":\"\u0160to je disfagija i mo\u017ee li se izlije\u010diti? 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