Dysfagie is een medische term die betekent dat een patiënt heeft moeite met slikken. Er zijn een aantal verschillende omstandigheden die dysfagie kan veroorzaken. En iemand die lijdt aan dysfagie vindt vaak dat het maakt het leven erg moeilijk. Afhankelijk van hun conditie, slikken kan zeer pijnlijk, waardoor het eten en het krijgen van voldoende voeding een uitdaging.
En om het nog meer verontrustend is dat veel mensen met fibromyalgie rapport problemen met dysfagie.
Dus, wat zijn sommige van de dingen die dysfagie kunnen veroorzaken? Is er een verband tussen de aandoening en fibromyalgie? En wat kunt u doen om het te behandelen?
Wat zijn de oorzaken Dysphagia?
Er zijn een aantal verschillende dingen die dysfagie kan veroorzaken. Alles wat interfereert met het complexe systeem van zenuwen en spieren die de slokdarm kan slikken moeilijk te controleren. Maar sommige van de meest voorkomende oorzaken zijn:
- Achalasie – een aandoening die ervoor zorgt dat de spieren in de slokdarm te vernauwen.
- Diffuse Spasme – een aandoening waarbij de spieren spasme ongecontroleerd, meestal na het slikken.
- Slokdarm Strictuur – een vernauwing van de opening van de slokdarm veroorzaakt door littekenweefsel of tumoren.
- Gastro-intestinale refluxziekte (GERD) – De geleidelijke afbraak van het weefsel in de slokdarm veroorzaakt door maagzuur afwas in de slokdarm.
Dysfagie kan ook plaatsvinden zonder duidelijke bron. Maar wat ook de oorzaak, de symptomen zijn vaak vergelijkbaar. De meest commons symptomen zijn moeite met slikken, pijn in de keel, frequente brandend maagzuur, een hese stem, en herkauwen voedsel dat je al hebt gegeten.
In de meeste gevallen is dysfagie is niet gevaarlijk. Maar het kan leiden tot dramatische gewichtsverlies en kunnen levensbedreigend zijn als het zorgt ervoor dat je voedsel uitspugen in de longen.
En terwijl we niet altijd weten wat de oorzaak van de aandoening, weten we dat het abnormaal vaak voor bij mensen met fibromyalgie.
Dysphagia en fibromyalgie
Een studie van het National Institute of Health in de Verenigde Staten vastgesteld dat een aanzienlijk aantal patiënten met fibromyalgie gemelde problemen met slikken. Patiënten in de studie gemeld die lijden aan dysfagie tegen een tarief 40% hoger dan mensen zonder fibromyalgie.
Helaas is de reden dat dit soort symptoom komt vaak voor bij mensen met fibromyalgie blijft een mysterie. Er is zoveel dat we niet weten over hoe fibromyalgie werkt, met inbegrip van de reden waarom het dysphagia zou veroorzaken. Maar we kunnen speculeren over een aantal mogelijkheden.
Mensen met fibromyalgie hebben vaak last van spierzwakte. Deze zwakte zou kunnen verklaren waarom zij lijden aan dysfagie. De spieren die het proces van slikken controle kan worden beïnvloed door de algemene zwakte veroorzaakt door fibromyalgie.
Daarnaast weten we dat mensen met fibromyalgie hebben problemen met hun zenuwstelsel. Een NIH studie bleek dat patiënten met fibro hadden significant meer neurologische afwijkingen dan een controlegroep. Als fibromyalgie is een aandoening die het zenuwstelsel, zoals veel artsen raden het is, dan zou het kunnen zijn waardoor een defect tussen de zenuwen die de slokdarm en de hersenen te controleren.
Dit zou verklaren waarom mensen met fibromyalgie hebben een harde tijd slikken. Hun hersenen kunnen geen controle over de spieren in de slokdarm zoals het normaal zou doen. Maar totdat we meer weten over de toestand weten, kunnen we niet met zekerheid zeggen wat de link is.
Gelukkig zijn er enkele dingen die je kunt doen om de aandoening te behandelen.
Behandelingsopties
De eerste stap in de behandeling is de diagnose. De meest voorkomende manier om de diagnose te stellen is met een imaging-test, zoals een barium X-ray. In wezen, de patiënt drinkt een contrast materiaal – barium die jassen de slokdarm en maakt het makkelijker om te zien op de X-ray. De arts kan dan onderzoeken de afbeelding om te zien of uw slokdarm goed is uit te breiden. En dit onderzoek kan ook gedaan worden met een endoscopische camera.
Uw behandeling zal afhangen van wat de oorzaak van de aandoening. Als de aandoening wordt veroorzaakt door verzwakte spieren, zijn er een aantal oefeningen die je kunt doen om de spieren te versterken. En je kunt leren verschillende slikken technieken om te compenseren voor de verzwakte spieren. Uw arts zal in staat zijn om u te adviseren over wat te doen.
Als de behandeling wordt veroorzaakt door de spieren vernauwing in de slokdarm, zijn er een aantal medicijnen die kunnen helpen ontspannen de spieren. Bovendien kan een chirurg een procedure om de spieren te verwijden en hen dwingen om te ontspannen uit te voeren. Tenslotte kan een chirurg delen van de slokdarm te verwijderen om de ruimte te verbreden voedsel passeren.
Als u problemen ondervindt bij het slikken, het is altijd een goed idee om een arts te raadplegen. Zij zullen in staat om u te adviseren over de beste behandeling.
Dus, heb je ooit gehad dysfagie? Denk je dat het in verband met fibromyalgie? Wat heb je gedaan om het te behandelen? Laat het ons weten in de commentaren.
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