吃东西下咽困难怎么办呢?
吞咽困难指的是人们吃东西下咽困难,出现的咽喉部、胸骨后的疼痛。吞咽这个动作的发生与其所支配的神经、相关的肌群、其所属的部位以及其他原因均有关系。食物是在喉部进入食管的,所以咽喉部及食管的相关疾病会影响正常的吞咽动作。
常见原因包括:
第一,喉的急性疾病,比如急性会厌炎、急性扁桃体炎、扁周脓肿、颌下脓肿等,这种疾病会导致咽腔的狭窄,引起咽喉部咽口水的疼痛,食物也不能正常通过。出现这种情况,因为一般都是急症,一定要查血常规,评估是哪种细菌或者病毒感染引起,判断如何用药。只有咽喉的腔隙大了,食物才能下去,吞咽才不会受影响;
第二,喉部或者食管的外伤,外物直接损伤喉部,比如喉部的烫伤及烧灼伤,因为疼痛导致的吞咽困难;
第三,喉癌、食管癌,肿瘤在后期的破损,也是疼痛所致的吞咽困难;
第四,环杓关节炎,即喉结的疼痛,引起的吞咽困难;甲状腺肿大压迫的喉腔导致的狭窄;
第五,喉、食管异物,在额镜或者动态喉镜下取出即可。也可在网上看就是常见的急救术里喉异物急救术,不过,一旦发生喉异物,会出现刺激性的咳嗽。
喉肌群的疾病主要是某些原因导致的喉肌群重症肌无力,引起相关肌肉不能推动食物向下蠕动,出现的食物下咽困难。
支配喉及食管的神经包括迷走神经、舌咽神经、舌下神经等,出现的核性及核下性的损伤,产生的延髓麻痹。延髓麻痹就会出现吞咽困难以及饮水的呛咳,动作缓慢尚可,动作迅速则会出现这类症状,在疾病发展的后期会出现更为严重的包括张口困难、口水外溢及说话困难等。帕金森病、脑卒中等为出现吞咽困难的高发病。
其他因素
第一,婴幼儿,是因为小儿咽喉腔狭小以及吞咽功能不成熟导致的。所以喂养小儿要小量、流质、动作慢轻柔;
第二,老人,咽喉及食管肌群的功能退化,肌肉的张力、灵活性都在下降,逐渐出现的吞咽困难;
第三,焦虑抑郁,精神紧张等出现的假象的吞咽困难,并无器质性的改变,这种常常伴随胃食管反流而出现。
![张丝微头像](https://image.healthjd.com/da/s100x100_jfs/t1/66747/24/23942/45682/63d7ded4Fb69aa6a8/509e44653be14d01.jpg)
![赵红头像](https://image.healthjd.com/da/s100x100_jfs/t1/99849/24/29649/39489/62b985ecEb0cd4d58/144549d37fddc12c.jpg)
![冯佳鹏头像](https://image.healthjd.com/da/s100x100_jfs/t1/72583/6/18330/76083/6298069bE94f8266f/4d9b77a9b0de9ae3.jpg)
![赵威头像](https://image.healthjd.com/da/s100x100_jfs/t1/225862/2/12294/17215/65bb5048F4c411199/a2b86de62b5724e2.jpg)
![张建军头像](https://image.healthjd.com/da/s100x100_jfs/t1/180364/3/44318/14192/6628af87Faf904e15/e7df5ae2a512bfe1.jpg)
![](https://storage.360buyimg.com/jdhhealth-public/laputa/ecf107fd-0a2f-4dfb-8681-590f62deed9a.png)
![常见吞咽困难,我们不能忽视](http://image.healthjd.com/da/jfs/t1/130322/34/13970/13785/5f9a5df2Ed1e96153/0c3be1aae70faffe.jpg)
常见吞咽困难,我们不能忽视
![周宁医生](http://image.healthjd.com/da/jfs/t1/128666/11/13337/131253/5f6c485dE245bafe6/5c56a7cbba78a4a4.jpg)
![咽部老是发痒是怎么回事?](http://image.healthjd.com/da/jfs/t1/130673/28/16300/15873/5fb5c709E327cee8b/a0880275a4698c96.jpg)
咽部老是发痒是怎么回事?
![周宁医生](http://image.healthjd.com/da/jfs/t1/128666/11/13337/131253/5f6c485dE245bafe6/5c56a7cbba78a4a4.jpg)
![出现咽喉肿痛,我们应该怎么办?](http://image.healthjd.com/da/jfs/t1/191739/32/5311/16517/60afad93E546c3cd8/ae56a3cd7b1e3983.jpg)
出现咽喉肿痛,我们应该怎么办?
![周宁医生](http://image.healthjd.com/da/jfs/t1/128666/11/13337/131253/5f6c485dE245bafe6/5c56a7cbba78a4a4.jpg)
![腹泻了应该怎么吃药?你知道么?](http://image.healthjd.com/da/jfs/t1/170926/35/1460/7108/5ff703fbE3d6f2886/ce0bfb528d4bb084.jpg)
腹泻了应该怎么吃药?你知道么?
![手护妈妈](http://image.healthjd.com/da/jfs/t1/133390/22/11950/517651/5f7fe6e3Eeeda440d/9298484059ba3dd2.jpg)
![得了消化性溃疡怎么办呢?](http://image.healthjd.com/da/jfs/t1/155502/19/9429/8852/5fd2dab6E4c5324ff/6758ff1f74a74ac4.jpg)
得了消化性溃疡怎么办呢?
![赵彦鹏医生](http://image.healthjd.com/da/jfs/t1/136170/2/10666/30565/5f6c950cE8a844946/8692f9d608ddaad8.jpg)
![喉咙有痰该怎么办呢?](http://image.healthjd.com/da/jfs/t1/139135/13/12361/14888/5f9a3948Ee48cae4d/f0ec4f6385dc0a84.jpg)
喉咙有痰该怎么办呢?
![周宁医生](http://image.healthjd.com/da/jfs/t1/128666/11/13337/131253/5f6c485dE245bafe6/5c56a7cbba78a4a4.jpg)
![咽喉肿大吞咽困难是怎么回事?](http://image.healthjd.com/da/jfs/t1/142593/31/24479/14838/619c8eaeE110dfaee/14be1b76336b7838.jpg)
咽喉肿大吞咽困难是怎么回事?
![陈平](http://image.healthjd.com/da/jfs/t1/116683/6/7832/1506742/5ec78be8E78bfc134/0eb34686e7807701.jpg)
![咽喉痛怎么办呢?](http://image.healthjd.com/da/jfs/t1/191512/12/5082/16408/60ae6e04Ee9a75b38/ff15f5112e537e7e.jpg)
咽喉痛怎么办呢?
![周宁医生](http://image.healthjd.com/da/jfs/t1/128666/11/13337/131253/5f6c485dE245bafe6/5c56a7cbba78a4a4.jpg)
![吃饭不消化,肚子胀是怎么回事呢?](http://image.healthjd.com/da/jfs/t1/155307/10/9845/82720/5fd70690E25b1ebce/5cae9d6a311a1738.jpg)
吃饭不消化,肚子胀是怎么回事呢?
![消化知识科普](http://image.healthjd.com/da/jfs/t1/154604/30/9346/27907/5fd21f32E43a8fb6b/bed36e8b17b7324b.jpg)
![吐完后喉咙连吞口水都疼怎么办?](http://image.healthjd.com/da/jfs/t1/40569/25/14643/6310/60f24afcE9e898a43/301b696b46ee2621.jpg)
吐完后喉咙连吞口水都疼怎么办?
![耳鼻咽喉小知识](http://image.healthjd.com/da/jfs/t1/142183/30/18498/47550/5fd8171eEac5b59cf/567ef02d0bc7df7b.jpg)
![咽炎会导致吞咽困难吗](https://img14.360buyimg.com/imagetools/jfs/t1/188961/1/44914/13526/664df7c8F6e09623d/c595d1c86d9fda1a.jpg)
咽炎会导致吞咽困难吗
![老年人吞咽困难如何预防噎呛](https://img14.360buyimg.com/imagetools/jfs/t1/188961/1/44914/13526/664df7c8F6e09623d/c595d1c86d9fda1a.jpg)
老年人吞咽困难如何预防噎呛
![阿伯切胃后又患上食管癌,医生祭出大招让结肠、小肠“翻跟斗”替代食管](https://img14.360buyimg.com/imagetools/jfs/t1/188961/1/44914/13526/664df7c8F6e09623d/c595d1c86d9fda1a.jpg)
阿伯切胃后又患上食管癌,医生祭出大招让结肠、小肠“翻跟斗”替代食管
![脑梗塞吞咽困难怎么康复](https://img14.360buyimg.com/imagetools/jfs/t1/188961/1/44914/13526/664df7c8F6e09623d/c595d1c86d9fda1a.jpg)
脑梗塞吞咽困难怎么康复
![食管癌术后吞咽困难怎么办](https://img14.360buyimg.com/imagetools/jfs/t1/188961/1/44914/13526/664df7c8F6e09623d/c595d1c86d9fda1a.jpg)
食管癌术后吞咽困难怎么办
![吞咽困难症状](https://img14.360buyimg.com/imagetools/jfs/t1/188961/1/44914/13526/664df7c8F6e09623d/c595d1c86d9fda1a.jpg)
吞咽困难症状
![吃东西吞咽困难怎么回事](https://img14.360buyimg.com/imagetools/jfs/t1/188961/1/44914/13526/664df7c8F6e09623d/c595d1c86d9fda1a.jpg)
吃东西吞咽困难怎么回事
![甲状腺胶质囊肿症状](https://img14.360buyimg.com/imagetools/jfs/t1/188961/1/44914/13526/664df7c8F6e09623d/c595d1c86d9fda1a.jpg)
甲状腺胶质囊肿症状
![胃溃疡会引起吞咽困难吗](https://img14.360buyimg.com/imagetools/jfs/t1/188961/1/44914/13526/664df7c8F6e09623d/c595d1c86d9fda1a.jpg)
胃溃疡会引起吞咽困难吗
![什么中药可以治疗食道癌](https://img14.360buyimg.com/imagetools/jfs/t1/188961/1/44914/13526/664df7c8F6e09623d/c595d1c86d9fda1a.jpg)
什么中药可以治疗食道癌
![广告图片](https://storage.360buyimg.com/jdhhealth-public/laputa/3091b328-e8b4-4082-9175-02332118d2ff.png)
![关闭icon](https://storage.360buyimg.com/jdhhealth-public/laputa/d44c4b5b-8206-45b2-85e6-12408f369b3e.png)