Choking is severe in the patient s current needs

If the cough is severe, first check whether you have a fever, drink more warm water, you can boil a little rock sugar pear to moisten the lungs, and you must wear a mask when you go out to do a good job of protection. If you have a fever, go to the hospital as soon as possible.

If the patient chokes on drinking water, it is necessary to consider whether there is a local disease of the ear, nose and throat. Patients are advised to go to the ENT for laryngoscopy to further determine whether they have a localized ENT disease. In addition, cerebrovascular disease is more common, which can lead to bilateral throat muscle paralysis due to bilateral pyramidal tract involvement, causing uncoordinated swallowing function, choking on drinking water or even eating, and severe patients can lead to aspiration and even suffocation, which is life-threatening.

Once this situation occurs, it is necessary to go to the hospital in time for treatment and make a diagnosis in time to avoid delaying diagnosis and treatment.

I choked when I drank water, and I choked when the water was too cold.

If you drink too hard, you will not have this situation again if you drink it in small sips and drink it slowly.

Many people have difficulty swallowing because of various diseases, and even drink water will often choke, which makes the patients themselves and their attendants very troubled.

1. Eat without saying a word, please be quiet. For people with dysphagia, it is necessary to maintain absolute silence and not be distracted when eating, for example, chatting is absolutely unsuitable, so as not to distract the patient and increase the risk of choking.

Second, the water cup is full, do not straw. If it is less than half a cup, the patient will aggravate the angle of bowing his head when eating, which is not conducive to esophageal stretching and is prone to choking. In addition, in order to make it convenient for patients to drink water, many escorts will use straws to feed water, but they do not know that straws will increase the probability of choking, because when drinking water with straws, the internal operation of the mouth is more troublesome, and it is easier to cause coordination imbalance and choking.

3. Feed food and "push". When feeding food to a person with dysphagia, it is important to help the person chew and swallow, for example, a small amount of food can be pushed to the base of the tongue with a spoon, or to the side of the base of the tongue if a small amount of chewing is required.

Fourth, lower the gastric tube and disinfect frequently. If the patient's dysphagia is severe, the doctor usually intervenes with a gastric tube, in which case the caregiver should take the patient's temperature and disinfect the stomach tube frequently to avoid infection and fever.

Fifth, make food and be particular. When nursing patients with dysphagia, the food they are fed is also very important, in addition to ordinary liquid food, all kinds of vegetables can also be fed with mud, and spicy and nasal seasonings such as chili pepper and pepper are strictly prohibited in seasoning, and the temperature is not suitable for too hot, which will induce the appearance of choking.

In addition, if the patient still has subjective motivation, then the nursing staff should also help and supervise the patient to practice the training of oral muscles, which can greatly reduce the appearance of choking. In short, such patients need to be carefully cared for and fed, if there is a choking phenomenon, the patient should be helped to adjust his breathing, and when the situation is serious, he should call the doctor in time.

Nursing such patients, we must pay attention not to let him drink water in large gulps, use small sips or use a straw, drink slowly in small sips, or dip a cotton swab in water and then dip his lips, so that it will have a certain effect.

In this case, you can dip some cotton swabs in a little water to moisten his lips and throat, which is perfectly fine. And be sure to take it slowly.

The patient's larynx should be cleaned daily. Functional training of swallowing should also be supervised daily.

Insert a gastric tube and insert it through the tube. Foods that have a uniform texture, proper viscosity, are not easy to loosen, and are easy to deform through the pharynx and esophagus are relatively safe.

Inject with esophageal instruments. With the help of high technology, food can be directly converted into liquid and injected into the stomach for easy absorption.

There is a drink that you can try for the patient, the ingredients in it are extracted from daily foods such as potato starch, carrageenan, and maltodextrin, so it will not react with the drug, and it can produce a smooth and viscous feeling, without the patient having to swallow on his own. This kind of thing has been used abroad for decades, and the technology is quite mature.

Analysis:

Choking on drinking water or cerebral infarction, guidance:

Cerebral infarction does not simply cause limb movement disorders, but also causes tongue movement disorders, this kind of coughing, eat less liquid food, the thicker the food, the less easy it is to choke, you can take some Huatuo rebuilding pills, it takes time to repair, if the cough is severe, avoid causing aspiration pneumonia.

There is currently no good solution to this problem.

Nasogastric feeding can only be used to avoid aspiration pneumonia, airway obstruction and even suffocation caused by choking and aspiration, which are life-threatening.

Cerebellar atrophy and cough are more severe, which is a manifestation of the middle stage of cerebellar atrophy, mainly due to the abnormal function of the central nervous system, which is generally progressively worsened. At present, there is no effective method for cerebellar atrophy, mainly for the intervention of some controllable genres, on this basis, some drugs that can improve the patient's ataxia can be selected to partially improve the clinical symptoms of the patient. Usually you can use some drugs to nurture the nerves.

For cerebellar atrophy, it is necessary to: 1. Early detection and early detection; 2. Promote normal development, inhibit and improve abnormal movements and postures; 3. Comprehensive**, using various effective means to carry out comprehensive and diversified synthesis of patients**; 4. Family training and doctor until combined; 5. Targeting, syndrome differentiation and disease differentiation, treating both symptoms and root causes, regulating the internal organs, nourishing brain cells, and promoting the development of brain tissue.

It is mainly for diseases such as cerebellar atrophy and ataxia.

Central nervous system and cranial nerve diseases (such as acute polio, diphtheria neuritis, polycerebral neuritis, encephalitis, brainstem encephalitis, etc.): the first manifestation is easy fatigue in speech, slurred speech (with nasal voice), dysphagia is first manifested as rapid eating, drinking water is easy to cause choking, fluid can be regurgitated from the nostrils, severe and advanced patients often open, saliva overflow, unable to speak and swallow. Parkinson's disease, also known as parkinsonism:

People over the age of 50 have chronic and progressive exacerbations, with typical symptoms and signs such as tremor (often starting from one upper limb and being prominent in the hand), rigidity (starting on one side and gradually moving to the opposite side and the whole body), decreased voluntary movements (fine motor disorder), difficulty chewing, swallowing cough, dysphagia, mask face, and panicked gait.

Many people don't care about their physical health, and when there is no major disease, they generally procrastinate, and they don't pay attention to many symptoms, and they don't start to seek medical advice until they get sick. It is a very irresponsible behavior and attitude towards oneself. In the face of the disease, what we have to do is to prevent the slightest, prevention is greater than the first, and when the disease has not developed to the severity, it is the best policy to curb the development of the disease in time.

Unsteady walking, dizziness, slurred speech, swallowing and coughing indicate a problem with the body's internal circulation. What is Internal Circulation? All the functions of the five internal organs of the human body are complementary to each other, with the five organs of the heart, lungs, spleen, liver, and kidneys as the center, with the qi, blood, semen, and fluid as the material basis, and the meridians as the transportation channel, the five internal organs, the five senses, the nine orifices, and the limbs and hundreds of bones form a unified organic whole.

The relationship between them is not a simple chain structure but a complex network structure, each of which has a partial function of the five organs, and is the epitome and unity of the five organs.

Unsteady walking, dizziness, slurred speech, swallowing and coughing symptoms are the kidneys that produce marrow, the spleen that produces blood, the liver that hides blood, and the heart of the Tibetan god has major problems. The essence of the kidneys is integrated into the mind, and a series of problems will occur when any one of the five internal organs occurs, and as mentioned above, the relationship between the five internal organs and the six internal organs is a complex network structure.

In layman's terms, the role of the spleen is to help digest and run nutrients so that the heart can have enough strength to make blood circulate, in addition to the blood circulation also needs the regulation of the liver, at the same time, blood and essence breed each other, transform each other, any link of the problem will cause kidney qi deficiency, resulting in cerebellar dystrophy, unstable walking, slurred speech, dizziness symptoms. If this situation is not curbed in time, it will only make the internal vicious cycle worsen, and eventually cause more diseases.

Long-term unsteady walking will cause the patient to lose the confidence to walk, gradually become unable to walk and use a wheelchair to walk, and then may develop bedridden. At the same time as the symptoms of walking instability are aggravated, the patient's dysarthria will become more and more obvious, the tongue is stiff when speaking, the pronunciation is not clear, and the cough and swallowing difficulties occur gradually when drinking and eating.

If you want to ** walking unsteadily, dizziness, slurred speech, swallowing and coughing symptoms need to be prevented, while the symptoms are mild and do not seriously affect your life in time**. By strengthening the spleen and stomach, nourishing the liver and kidneys, the connection between the five organs gradually develops in a healthy direction, so that the meridians as transportation channels are unobstructed, the spleen and stomach in charge of transportation are active, the heart beat vigorously in the main blood, and the kidneys that store essence and marrow can be nourished.