Yu kin swɛla it ɛn drink bak sikrit wan? Mek wi tok abaut Silent Aspiration!

Na nɔmal tin fɔ chok smɔl we wi de it ɔ drink. Bɔt yu no se sɔntɛnde tin dɛn lɛk it ɛn drink kin slip insay wi aywe dɛn we wi nɔ kin ivin notis ɛni kɔf ɔ diskɔmfɔt? Na dat wi de kɔl "silent aspiration." Dis na sɔntin we wi fɔ tek tɛm wit, mɔ fɔ mama ɛn papa dɛn we gɛt smɔl pikin dɛn.

Wetin na Saylent Aspirashon?

Fɔ tɔk am simpul wan, ``Silent Aspiration`` na we yu nɔ bin want fɔ inhal it, drink, saliva, ɔ bɛlɛ asid insay yu winda paip (trachea). Nɔmal wan, we wi de swɛla, di nɛv ɛn mɔsul dɛn na wi mɔt ɛn trot kin wok togɛda fɔ push di it stret insay di bɛlɛ, pas fɔ push am insay di briz. wan sכmכl flap de na di tכp pat pan wi trot we dεn kכl ``Epiglottis``. We wi swɛla, dis flap kin lɔk, ɛn i kin kɔba di briz. so we dεn nεv dεm, mכsul dεm, εn di ``Epiglottis`` de wok fayn fayn wan, di it de go insay di bεlε εn di briz de go insay di lכng dεm.

Bɔt pɔsin we gɛt ``Silent Aspiration'' nɔ de kɔf ɔ fil se dɛn tin ya dɔn go insay di winda. Na dat mek dɛn ad di wɔd "silent" pan am. dis we ya, nכto fכ it, drink, εn saliva nכmכ, bכt fכ sכm pipul dεm, bεlε asid (asid we de kam כp na di trot insay kכndishכn lεk gastritis - ``Acid Reflux'') kin sikrit wan go insay di winda.

Wetin dis kin du to di bɔdi?

Di smɔl tin we kin stɔp na di say we di briz de blo wan wan tɛm nɔ kin bi big prɔblɛm. Bɔku tɛm, wi bɔdi kin kɔf am.

Bɔt if yu gɛt ``Silent Aspiration'', yu nɔ go no se i de apin ɔ aw ɔltɛm i de apin. If yu kɔntinyu fɔ gɛt wata na yu aywe dɛm lɛk dis, yu kin gɛt wan sik we dɛn kɔl ``Aspiration Pneumonia'', we na infεkshɔn na yu lכng. If dɛn nɔ trit am fayn, ``Aspiration Pneumonia'' kin rili denja.

Wetin na di sayn dɛm fɔ silent aspiration?

Pipul wae gɛt ``Silent Aspiration'' nɔr kin sho ɛni sayn. Bɔt if sɔm sayn dɛn de, dɛn kin difrɛn difrɛn wan bay yu – ɔ yu pikin in – ej. Yכŋ pikin dεm we gεt ``Silent Aspiration'' kin sho simptom dεm lεk:

• yu brith rεt de inkrεs כ yu de kech yu brith we yu de gi bεlε.
• Bɔku tɛm yu kin gɛt smɔl fiva fɔ natin, ɔ yu kin gɛt infɛkshɔn na di say we yu de blo, mɔ na di lɔng dɛn.
• Dɛn nɔ kin lɛk fɔ drink milk, dɛn kin tɔn dɛn fes kɔmɔt nia di bɔtul ɔ di mama in milk.
• afta yu dכn drink milk, "wet" sawnd de na di vכys, lεk se mכkus de insay, כ sawnd lεk dat we yu de kray.

Pikin ɛn big pipul dɛn kin gɛt dɛn sik ya if dɛn gɛt ``Silent Aspiration'':

• Di rit we yu de blo kin go ɔp we yu de it.
• A fil lɛk se sɔntin dɔn stɔp na mi trot.
• Pikin dɛn we de smɔl kin se dɛn nɔ kin ebul fɔ it ɛn dɛn nɔ kin gri fɔ it.
• Mi nos kin stɔp afta a dɔn it, bɔt i kin go afta sɔm tɛm.
• Sawnd de rat fɔ natin, ɛn nɔys de we yu de blo.
• Afta yu dɔn it, di vɔys kin chenj lɛk se mכkus de na di trot.
• Infεkshכn dεm na di rεspiretכri lεk bכnkaytis kin apin bכku tεm.

Wetin kin mek dis apin?

Bɔku rizin dɛn de we mek ``Silent Aspiration'' kin apin. Sɔmtɛm i kin apin fɔ no rizin ɛn i kin apin bay chans. Bɔt bɔku tɛm dɛn kin si am pan pipul dɛn we gɛt wan sik we de ambɔg di we aw dɛn de swɛla. Fɔ ɛgzampul:

• Kleft lip ɔ cleft palata.
• I nɔ izi fɔ swɛla (Dysphagia) ɔ vokal kɔd paralayz.
• Gastroesophageal Riflɔks Disiz (GERD) we de mek pɔsin gɛt sik. Pipul dεm wae gεt dis kכndyushכn kin alaw dεn bεlε asid fכ fכlכ כp insay di briz paip.
• wan kכndyushכn we dεn kכl ``Laryngomalacia.`` Dis kin afekt di pikin in larynx (voys bכks), εn i kin mek i at fכ sכlow εn i kin mek i gεt ``GERD.``
• Prɔblɛm dɛn we gɛt fɔ du wit di bren ɛn di nervɔs sistɛm. Fɔ ɛgzampul, tin dɛn lɛk Sɛribra Palsi, Multiple Sclerosis (MS), we pɔsin kin gɛt sik, ɔ we i bin dɔn gɛt injury ɔ strok na in bren bifo.
• Tiub dεm we dεn put dכn di trot bikoz fכ כda mεdikal kכndishכn dεm. Fɔ ɛgzampul, wan nasogastric tube ɔ wan tracheostomy tiub.

Udat de pan big risk fɔ gɛt dis?

dis kכndyushכn we dεn kכl ``Silent Aspiration'' kin afekt εnibodi frכm sכm sכm pikin to ol pipul dεm. Bɔt lɛ wi luk udat de pan denja pas ɔl:

• Yכŋ pikin dεm: Bebi dεm nכ kin tεl yu se dεn gεt trot we de at כ dεn de gεt difrεnt fכ it. So i at fɔ no if dɛn gɛt ``Silent Aspiration''. Dɔn bak, bikɔs bɔku tɛm dɛn kin it tin dɛn we gɛt wata, i kin izi fɔ mek wata go insay di say we dɛn de blo pas sɔlid it dɛn.
• Pipul wae gɛt krɛse sik ɔr wae gɛt disabled: Bɔrku sik, lɛk multiple sclerosis (MS) ɔr epilepsy, kin afɛkt yu ebul fɔ swɛla. Dɛn wɛl bɔdi kɔndishɔn ya we de afɛkt fɔ swɛla de mek di risk fɔ silent aspiration de bɔku.
• Ol pipul dɛm: Kɔndishɔn lɛk dis maynia sik ɛn strok kin kam wae pɔrsin dɔn ol. Dɛn tin ya kin mek yu chenj di we aw yu de swɛla ɛn i kin mek yu nɔ no se sɔntin dɔn stɔp na yu trot.

Aw yu no dis?

We yu de no se yu gɛt silent aspiration, di fɔs tin we yu dɔktɔ go du na fɔ chɛk yu nos, yu mɔt, ɛn yu lɔng ɛn tɔk bɔt yu mɛrɛsin istri. If yu pikin gɛt dɛn sik ya, yu dɔktɔ go bigin wit di sem tɛst dɛn.

If nid de, di dɔktɔ kin ɔda sɔm tɛst dɛn fɔ luk insay yu trot ɛn chɛk aw yu de swɛla. Yu ɔ yu pikin kin nid fɔ du tɛst dɛn lɛk dɛn wan ya:

• X-ray na di chɛst:Dis na tɛst we nɔ de mek pɔsin fil pen. I de tek pikchɔ fɔ yu lɔng ɛn chɛst. I kin chɛk fɔ nyumonia na yu lɔng ɛn luk tin dɛn na yu trot ɛn di we aw yu de blo.
• Fiber-optic Endoscopic Evaluation of Swallowing (FEES): Insay dis tɛst, di dɔktɔ kin put wan tin tiub wit kamɛra we dɛn tay tru yu nos. Dis kin si insay yu trot we yu de swɛla. Sɔntɛnde, dɛn kin gi yu spɛshal wata fɔ drink fɔ ɛp yu fɔ si klia wan wetin yu de swɛla.
• Laryngoscopy: Insay dis prosidur, di dɔktɔ kin luk yu trot wit wan tin tiub we gɛt kamɛra.
• di כp GI siriכs: Bifo dis εks-ray, dεn go gi yu wan likwid (barium) fכ drink, we de sho pan di εks-ray. Dis kin ɛp fɔ fɛn prɔblɛm na di dijestiv sistɛm we kin mek pɔsin gɛt kɔndishɔn lɛk GERD.

Aw dɛn kin trit dis?

We yu de trit ``Silent Aspiration'', di fɔs tin fɔ du na fɔ trit di ɔndalayn kɔndishɔn we mek i kam. Fɔ ɛgzampul:

• If yu gɛt GERD, yu dɔktɔ kin gi yu mɛrɛsin fɔ mek yu bɛlɛ asid nɔ flɔ go ɔp na yu trot.
• If yu pikin gɛt smɔl aspireshɔn we i de gi in bɛlɛ, yu dɔktɔ kin se yu fɔ ol yu pikin tinap stret we yu de gi am in bɛlɛ. dis tin we yu de tinap stret kin ɛp yu pikin fɔ swɛla in mama in milk ɔ fɔmula izi wan.
• Bebi dεm we kin chok bכku tεm pan bεlε milk כ fכmula kin nid fכ mכdify it wit tik tik it. If di sik bad, dɛn kin nid fɔ put tɛmporari fidin tyub tru di nos ɔ bɛlɛ. Bɔku tɛm, dɔktɔ dɛn kin pul di tiub we di pikin ebul fɔ swɛla fayn fayn wan.
• Pɔsin we gɛt klip ɔ in palata kin swɛla nɔmal wans dɛn dɔn ɔpreshɔn am.

Afta yu dɔn trit di ɔndalayn kɔz, yu dɔktɔ kin du ɔda tɛst fɔ si if yu ebul fɔ swɛla dɔn bɛtɛ.

Yu tink se dɛn go ebul fɔ stɔp Saylent Aspiration?

No klia we nɔ de fɔ mek dɛn nɔ gɛt ``Silent Aspiration''. Bɔt yu kin mek yusɛf ɛn yu pikin gɛt wɛlbɔdi bay we yu de go to yu dɔktɔ ɔltɛm ɛn chɛk yu. If yu gɛt ɛni dawt bɔt yu wɛlbɔdi ɔ yu pikin in wɛlbɔdi, tɔk to yu dɔktɔ. Yu dɔktɔ de fɔ mek yu nɔ gɛt wɛlbɔdi prɔblɛm ɛn fɔ gi yu tritmɛnt we nid de.

Di tin we impɔtant pas ɔl na fɔ tɔk to dɔktɔ if yu gɛt ɛni dawt, ivin smɔl.

Wetin kin apin if a gɛt (Silent Aspiration)?

pan pikin dεm, ``Silent Aspiration'' kin go fכ insεf as dεn de ol. Bɔt if yu ɔ yu pikin in sik de kam bikɔs ɔf wan patikyula sik, di fɔs tin we yu fɔ du na fɔ no wetin na di kɔz.

If dɛn trit di kɔz fayn fayn wan, bɔku tɛm dɛn kin mɛn ``Silent Aspiration'', ɛn yu kin liv wɛl bɔdi layf. Aks yu dɔktɔ if yu nid fɔ go si am ɔltɛm fɔ chɛk yu sik.

Ustɛm a fɔ go to dɔktɔ?

If yu pikin gɛt sayn dɛm fɔ chok, ɔ if yu tink se yu pikin kin gɛt ``Silent Aspiration,'' go to yu pikin in dɔktɔ wantɛm wantɛm. Dɔn bak, chɛk yu pikin in wet ɛn go fɔ chɛk in wɛlbɔdi lɛk aw yu dɔktɔ se. Dis kin ɛp bak fɔ mek shɔ se yu pikin de gɛt di it we i nid.

If yu gɛt sayn dɛn fɔ GERD ɔ yu nɔ izi fɔ swɛla, mek apɔntinmɛnt fɔ go to dɔktɔ. If yu du di rayt tɛst ɛn trit yu wɛlbɔdi prɔblɛm, yu kin mek yu nɔ gɛt saylɛn aspirayt ɛn ɔda prɔblɛm dɛn.

Ustɛm a fɔ go na di Imejɛnsi Dipatmɛnt (ETU) ?

Go to dɔktɔ wantɛm wantɛm if yu pikin gɛt ɛni wan pan dɛn tin ya:

• If di skin tɔn blu.
• If yu gɛt prɔblɛm fɔ blo.
• Fiva we pas 100.4 digri F (38 digri C) if di pikin nɔ rich 3 mɔnt, ɔ fiva we pas 102.2 digri F (39 digri C) if di pikin ol bitwin 3 mɔnt ɛn 3 ia.
• If i at fɔ wek frɔm slip.

If yu gɛt ɛni wan pan dɛn sik ya, go to tritmɛnt kwik kwik wan:

• If yu nɔ ebul fɔ swɛla nɔmal wan.
• If yu fil se yu de gɛt prɔblɛm fɔ blo ɔ fɔ swɛla.
• If yu gɛt pen na yu chɛst.
• If yu fil se it ɔ sɔntin dɔn stɔp na yu trot ɔ windpaip.

Saylent aspireshɔn kin bi tin we de mek yu fred, mɔ if i afɛkt yu pikin. Bɔt di gud nyus na dat, dɛn kin kɔntrol ɔ mɛn pɔsin we nɔ de tɔk natin bay we dɛn trit di rizin we mek i gɛt am. As yu pikin in nerv ɛn mɔsul dɛn de gro ɛn lan fɔ wok togɛda, sɔntɛnde i kin bɛtɛ fɔ insɛf. Ilɛk wetin mek yu du dis, yu dɔktɔ de fɔ ɛp yu fɔ gɛt di tɛst ɛn tritmɛnt we yu nid. Tɔk to am bɔt di tin dɛn we de mɔna yu. Dɔn, yu kin mek plan fɔ ɛp yu ɛn yu pikin fɔ liv fayn layf.

Di tin dɛn we impɔtant pas ɔl fɔ mɛmba (Take-Home Message) .

Okay, so naw yu get beta andastan of wetin wi bin de tok abaut, ``Silent Aspiration''. Di tin we impɔtant pas ɔl na fɔ go to dɔktɔ kwik kwik wan if yu tink se yu ɔ yu pikin gɛt dɛn sik ya. Sɔntɛnde, i nɔ kin bi ɛnitin we siriɔs, bɔt i fayn fɔ mek dɔktɔ chɛk yu pas fɔ tink se na so i bi.

• We yu de gi yu pikin in bɛlɛ, pe atɛnshɔn to aw i de blo ɛn in vɔys.
• If yu kin gɛt fiva ɔltɛm ɔ yu gɛt infekshɔn na yu briz, tek tɛm bɔt dat bak.
• If yu na big pɔsin, no se i nɔ izi fɔ swɛla ɛn i kin chenj afta yu dɔn it.
• Ilɛk wetin mek i apin, tritmɛnt dɛn de. So nɔ panik.

Yu wɛl bɔdi ɛn yu famili na in impɔtant, so i rili impɔtant fɔ no bɔt tin dɛn lɛk dis.

` Saylent Aspirashon, Difikulti fɔ Swɛla, Aspirashɔn Nyumonia, Pikin Wɛlbɔdi, Prɔblɛm fɔ Rispiret, Fɔd Aspirashɔn