From the perspective of traditional Chinese medicine, various diseases are likely to occur when seasons change. Especially in autumn, the temperature changes from hot to cold. Therefore, patients with cerebrovascular diseases often experience various uncomfortable symptoms at this time, which can easily cause secondary attacks and thus medullary paralysis. What is medullary paralysis? Bulbar palsy, also known as bulbar palsy, is a common syndrome of paralysis of the pharyngeal and laryngeal muscles. It can be caused by lesions of the lower motor neurons of the glossopharyngeal, vagus and hypoglossal nerves and nuclei, as well as damage to the bilateral corticobulbar tracts. It is mainly divided into true bulbar palsy and pseudobulbar palsy. Professor Sheng Guobin said that the main symptoms of patients with medullary paralysis are difficulty in swallowing and choking when drinking water. They need to rely on nasogastric tubes to eat liquid food for a long time. Both patients and their families are very painful. Long-term nasogastric feeding can cause rupture of the nasal mucosa, lesions of the esophageal mucosa and gastric mucosa, ulcers and even bleeding. Choking and inhaling foreign objects into the lungs will cause complications such as pneumonia. If patients with medullary paralysis are not properly cared for and their diet is not adjusted properly, they will also suffer from dehydration, malnutrition, weight loss, decreased resistance and other problems, which will affect the progress of recovery. Therefore, nasogastric feeding diet and care are very important. People who are susceptible to bulbar palsy Medullary bulbar palsy, especially pseudo-medullary bulbar palsy, is more common in patients with recurrent cerebrovascular diseases. Most patients have suffered two or more cerebrovascular attacks, such as cerebral infarction, cerebral hemorrhage, etc., collectively referred to as stroke patients in traditional Chinese medicine. There are many causes of stroke, most of which are related to emotions, diet, and daily life. Modern medical research has shown that ischemic stroke and hemorrhagic stroke are often related to hypertension, hyperlipidemia, diabetes and high homocysteine. How to perform nasogastric feeding care Checking the fixation of the gastric tube before nasogastric feeding, ensuring aseptic operation, the cooling temperature of food and necessary oral cleaning are all key to nasogastric feeding care. For example, food must be cooled to 38℃~40℃, and patients must perform oral care at least twice a day. These details must be taken seriously. |
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