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Samenvatting Dysfagie

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Deze samenvatting is gebaseerd op aantekeningen uit de les en op het boek Dysfagie van de Bodt. De volgende leerdoelen komen voorbij: - fysiologie van normale en afwijkende slik - Hersenzenuwen en slikken - ROO en functioneel slikonderzoek - behandelplan opstellen voor dysfagie bij NAH - slik...

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  • Yes
  • April 19, 2021
  • 14
  • 2020/2021
  • Summary
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Beschrijft de fysiologie van normale en afwijkende slik
aan de hand van casuïstiek / legt de relatie tussen
neurologische aandoeningen en dysfagie bij volwassen
Dysfagie = moeite met slikken

Fasen van slikken
1. Voorbereidend orale fase
2. Orale transportfase
3. Faryngeale fase
4. Oesofageale fase

Voorbereidend orale fase > willekeurige fase maar wel bewust
• Zuigen
• Afhappen
• Kauwen
• Manipuleren voedsel
• Speekselvorming

Orale transportfase
• Kauwen stopt
• Verplaatsen bolus naar achteren
• Slikinzet > tong tegen alveolair rand

Faryngeale fase
• Activatie slikreflex
• Optrekken velum
• Sluiten stemplooien > beschermen luchtweg
• Sluiten epiglottis
• Bolus verplaatst door farynx
• Openen UES (upper esophageal sfincter) > bovenste slokdarmsfincter (scheid faryns van
slokdarm
• Ontspanning spier
• Heffing/kanteling larynx
• Peristaltiek farynx

Oesofageale fase
• Peristaltiek slokdarm
• Opening LES > (lower esophageal sfincter) lagere slokdarmsfincter

, Fase 1 Fase 2 Fase 3 Fase 4

Willekeuri Willekeurig Onwillekeuri Onwillekeuri
g g g

Omkeerba Onomkeerba Onomkeerba Onomkeerba
ar ar ar ar

Stoornis Stoornis Stoornis Stoornis
goed minder goed minder goed minder goed
zichtbaar zichtbaar zichtbaar zichtbaar

Archiniveau Paleoniveau Neoniveau

Reflexmatig slikken Automatisch eten Bewust eten

Wurgreflex, Onbewuste fase 1 Bewust fase
kokhalsreflex, en 2 doorlopen 1 en 2
fase 3 en 4 doorlopen


Anatomie slikken
Anatomie mondholte
• Lippen
• Tandkassen
• Tanden
• Gehemeltebogen
• Huig
• Tong

Anatomie farynx
• Nasofarynx
• Orofarynx
• Hypofarynx


 Tongbasis
 Epiglottis
 Vallecula
 Stemplooien
 Trachea
 Sinus piriformis
 Farynxwand




anatomie larynx

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