嬰幼兒吞嚥障礙之徵兆(The Signs and symptoms of Pediatric dysphagia)

您如何知道孩子吃得好呢?

在整個進食/吞嚥的過程中

不僅僅出現嗆咳, 才表示有吞嚥問題

在寶貝進食的過程中有那些是我們可以多加留意的地方呢?

以下提供嬰幼兒吞嚥障礙的徵兆~ 

您可以觀察看看孩子在進食時, 是否有以下情形? 

□back arching(背拱起)

□breathing difficulties when feeding(進食時呼吸困難)

  □increased respiratory rate during feeding(進食時呼吸速率變快)

  □skin color change such as turning blue(皮膚顏色改變/藍色)

  □apnea(窒息)

  □stopping frequently due to uncoordinated suck-swallow-breathe pattern

    (因吸吞呼吸不協調而經常停止吸吮)

  □desaturation (decreasing oxygen saturation levels)(血氧下降)

  □changes in normal heart rate (brachycardia or tachycardia) in association with

    feeding(改變正常的心跳速度)

□coughing and/or choking during or after swallowing(進食時/後咳嗽或嗆咳)

□crying during mealtimes(進食時哭)

□decreased responsiveness during feeding(進食時反應減少)

□dehydration(脫水)

□difficulty chewing foods that are texturally appropriate for age (may spit out

    partially chewed food)(咀嚼不佳,可能吐出食物)

□difficulty initiating swallowing(難以啟動吞嚥)

□difficulty managing secretions (including non-teething related drooling of saliva)

    (難以控制口水)

□disengagement cues, such as facial grimacing, finger splaying, or head turning

  away from food source(做出鬼臉/手指撥開/轉頭表示不要食物)

□frequent congestion, particularly after meals(經常剩下食物)

□frequent respiratory illnesses(經常有呼吸相關的疾病)

□gagging(作嘔)

□loss of food/liquid from the mouth when eating(進食時有些食物或液體從嘴巴流出來)

□noisy or wet vocal quality noted during and after feeding(進食時/後有呼嚕聲)

□prolonged feeding times(進食時間過久)

□refusing foods of certain textures or types(拒絕某種材質的食物)

□taking only small volumes, over-packing the mouth, and/or pocketing foods

(每口都吃很小口,嘴巴過度包覆/藏食物在嘴裡)

□vomiting (more than typical "spit up" for infants)(過度的嘔吐)

□weight loss or lack of appropriate weight gain(體重減輕或是沒有適切的增加體重)

the source from American Speech-Language-Hearing Association (ASHA)