Diagnoza logopedyczna w przypadku dysfagii ustno-gardłowej w przebiegu choroby COVID–19
DOI:
https://doi.org/10.18778/2544-7238.09.13Słowa kluczowe:
dysfagia, COVID-19, SARS-CoV-2, metody diagnostyczne, procedury generujące aerozolAbstrakt
Celem niniejszego artykułu jest przedstawienie procesu diagnostycznego w przypadku dysfagii ustno-gardłowej w przebiegu choroby COVID–19 na podstawie dostępnych publikacji naukowych oraz wytycznych opracowanych przez stowarzyszenia zrzeszające logopedów na całym świecie. COVID–19 to ostra choroba zakaźna układu oddechowego, wywołana zakażeniem wirusem SARS-CoV–2. Przebieg schorzenia może być różny – od bezobjawowego nosicielstwa aż po ciężką niewydolność oddechową prowadzącą do śmierci. Wśród pacjentów hospitalizowanych z powodu COVID–19 częstym objawem są zaburzenia połykania. Wykazano, że dysfagia jest niezależnym predyktorem śmiertelności wewnątrzszpitalnej, przedłużonego czasu hospitalizacji oraz wiąże się z niekorzystnym rokowaniem u tych chorych. W przypadku pacjentów z COVID–19 bardzo istotne jest właściwe rozpoznanie zaburzeń połykania, ustalenie mechanizmu prowadzącego do rozwoju tych zaburzeń oraz włączenie odpowiedniej terapii. Pozwoli to zapobiec poważnym powikłaniom dysfagii, stanowiącym zagrożenie dla zdrowia i życia pacjenta.
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