{"id":39808,"date":"2025-04-02T17:04:31","date_gmt":"2025-04-02T15:04:31","guid":{"rendered":"https:\/\/www.oafifoundation.com\/?p=39808"},"modified":"2025-04-02T17:14:13","modified_gmt":"2025-04-02T15:14:13","slug":"disfagia-y-artrosis-dos-afecciones-clave","status":"publish","type":"post","link":"https:\/\/www.oafifoundation.com\/ca\/disfagia-y-artrosis-dos-afecciones-clave\/","title":{"rendered":"Disf\u00e0gia i artrosi: Comprenent dues afeccions clau i la seva relaci\u00f3"},"content":{"rendered":"\n<p>La disf\u00e0gia i l&#8217;artrosi s\u00f3n dues condicions m\u00e8diques que afecten diferents parts del cos, per\u00f2 que poden tenir interaccions sorprenents. Aquest article n&#8217;explora les caracter\u00edstiques principals, possibles connexions i m\u00e8todes de tractament.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>En primer lloc, parlarem de la disf\u00e0gia, qu\u00e8 \u00e9s?<\/strong><\/h2>\n\n\n\n<p>El terme disf\u00e0gia prov\u00e9 del grec \u00ab<strong>dys<\/strong>\u00bb (dificultat) i \u00ab<strong>phagia<\/strong>\u00bb (menjar).<\/p>\n\n\n\n<p>La Disf\u00e0gia es defineix com un s\u00edmptoma que fa refer\u00e8ncia a la dificultat o mol\u00e8stia que es produeix a l&#8217;hora de formar i\/o moure el bol alimentari, des de la boca a l&#8217;es\u00f2fag.<\/p>\n\n\n\n<p>La disf\u00e0gia es pot localitzar a nivell orofaringi o esof\u00e0gic. La disf\u00e0gia orofar\u00edngia compr\u00e8n les alteracions de la degluci\u00f3 d&#8217;origen oral, faringi, laringi i de l&#8217;esf\u00ednter esof\u00e0gic superior i abasta gaireb\u00e9 el 80% dels diagn\u00f2stics de disf\u00e0gia. La disf\u00e0gia esof\u00e0gica fa refer\u00e8ncia a alteracions a l&#8217;es\u00f2fag superior, el cos esof\u00e0gic i l&#8217;esf\u00ednter inferior, suposa el 20% dels diagn\u00f2stics.<\/p>\n\n\n\n<p>Les poblacions de m\u00e9s risc de presentar disf\u00e0gia s\u00f3n les persones grans (afecta el 30-40% de les persones de 65 anys o m\u00e9s), les persones amb malalties neurol\u00f2giques o neurodegeneratives i les persones amb malalties de cap i coll. Un diagn\u00f2stic preco\u00e7 i un tractament adequat s\u00f3n essencials, ja que la disf\u00e0gia pot portar a complicacions greus com ara la desnutrici\u00f3 o pneum\u00f2nia per aspiraci\u00f3.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>Quins s\u00f3n els s\u00edmptomes de la disf\u00e0gia?<\/strong><\/h2>\n\n\n\n<p>Hi ha diferents signes que ens fan sospitar d&#8217;una disf\u00e0gia:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Tos o ennuegament en menjar, o immediatament despr\u00e9s, amb totes o amb alguna consist\u00e8ncia, especialment l\u00edquids.<\/li>\n\n\n\n<li>Canvis a la veu durant o despr\u00e9s de la degluci\u00f3.<\/li>\n\n\n\n<li>Babeo, dificultat per al control de la saliva.<\/li>\n\n\n\n<li>Dificultat per a la formaci\u00f3 del bolo i el maneig del menjar a la boca.<\/li>\n\n\n\n<li>Degluci\u00f3 fraccionada (tenir la necessitat d&#8217;empassar diverses vegades per menjar un bolo petit).<\/li>\n\n\n\n<li>Empassar el menjar en petites quantitats, a poc a poc.<\/li>\n\n\n\n<li>Residus a la boca post degluci\u00f3.<\/li>\n\n\n\n<li>Sensaci\u00f3 de retenci\u00f3 d&#8217;aliments a la faringe i necessitat de fer diverses deglucions.<\/li>\n\n\n\n<li>Carraspeo durant o despr\u00e9s dels \u00e0pats<\/li>\n\n\n\n<li>Ocupaci\u00f3 de temps excessiu per menjar.<\/li>\n\n\n\n<li>P\u00e8rdua de pes progressiva.<\/li>\n\n\n\n<li>Pics febrils sense causa aparent.<\/li>\n\n\n\n<li>Infeccions respirat\u00f2ries de repetici\u00f3 (per broncoaspiraci\u00f3).<\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>Artrosi: Una malaltia degenerativa<\/strong><\/h2>\n\n\n\n<p>L&#8217; <a href=\"https:\/\/www.oafifoundation.com\/ca\/que-es-artrosi\/\" data-type=\"link\" data-id=\"https:\/\/www.oafifoundation.com\/que-es-la-artrosis\/\">artrosi<\/a> \u00e9s una patologia cr\u00f2nica caracteritzada pel desgast del cart\u00edlag articular, cosa que genera dolor i rigidesa a les articulacions. \u00c9s la forma m\u00e9s comuna d&#8217;artritis i la prevalen\u00e7a augmenta amb l&#8217;edat. Factors com l&#8217;exc\u00e9s de pes, la gen\u00e8tica i l&#8217;\u00fas repetitiu de certes articulacions augmenten el risc de desenvolupar-la. Les articulacions comunament afectades inclouen els genolls, malucs i mans.<\/p>\n\n\n\n<p>L&#8217;artrosi limita la qualitat de vida i pot conduir a una discapacitat severa si no es fa servir correctament.<\/p>\n\n\n\n<figure class=\"wp-block-image size-large\"><img fetchpriority=\"high\" decoding=\"async\" width=\"1024\" height=\"1024\" src=\"https:\/\/www.oafifoundation.com\/wp-content\/uploads\/2025\/04\/Disfagia-3-1024x1024.jpg\" alt=\"\" class=\"wp-image-39816\" srcset=\"https:\/\/www.oafifoundation.com\/wp-content\/uploads\/2025\/04\/Disfagia-3-1024x1024.jpg 1024w, https:\/\/www.oafifoundation.com\/wp-content\/uploads\/2025\/04\/Disfagia-3-300x300.jpg 300w, https:\/\/www.oafifoundation.com\/wp-content\/uploads\/2025\/04\/Disfagia-3-150x150.jpg 150w, https:\/\/www.oafifoundation.com\/wp-content\/uploads\/2025\/04\/Disfagia-3-768x768.jpg 768w, https:\/\/www.oafifoundation.com\/wp-content\/uploads\/2025\/04\/Disfagia-3-1536x1536.jpg 1536w, https:\/\/www.oafifoundation.com\/wp-content\/uploads\/2025\/04\/Disfagia-3.jpg 1667w\" sizes=\"(max-width: 1024px) 100vw, 1024px\" \/><\/figure>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>La conexi\u00f3 entre <a href=\"https:\/\/youtu.be\/NWUznoxsgok?si=roo7eh24nwnnZJcV&amp;t=684\" data-type=\"link\" data-id=\"https:\/\/youtu.be\/NWUznoxsgok?si=roo7eh24nwnnZJcV&amp;t=684\" target=\"_blank\" rel=\"noopener\">disf\u00e0gia i artrosi<\/a><\/strong><\/h2>\n\n\n\n<p>Encara que aquestes dues afeccions semblen no estar relacionades, hi ha circumst\u00e0ncies on convergeixen.<\/p>\n\n\n\n<p>Per exemple, l&#8217;artrosi cervical, que afecta les v\u00e8rtebres del coll, pot ocasionar compressi\u00f3 d&#8217;estructures properes a l&#8217;es\u00f2fag i causa disf\u00e0gia mec\u00e0nica.<\/p>\n\n\n\n<p>D&#8217;altra banda, dins de l&#8217;artrosi cervical, aquesta pot causar canvis ossis o la formaci\u00f3 d&#8217;oste\u00f2fits (creixements ossis). Aquests canvis estructurals poden exercir pressi\u00f3 sobre l&#8217;es\u00f2fag o les vies nervioses que controlen els m\u00fasculs de la degluci\u00f3 i porten a una disf\u00e0gia mec\u00e0nica.<\/p>\n\n\n\n<p>En aquests casos, la dificultat per empassar-se no est\u00e0 causada per problemes neurol\u00f2gics, sin\u00f3 per una obstrucci\u00f3 f\u00edsica o una alteraci\u00f3 estructural.<\/p>\n\n\n\n<p>A m\u00e9s, els adults grans, comunament afectats per l&#8217;artrosi, tamb\u00e9 s\u00f3n m\u00e9s propensos a patir disf\u00e0gia a causa de l&#8217;envelliment natural dels m\u00fasculs implicats en la degluci\u00f3.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>\u00bf Qu\u00e8 he de fer si sospito que tinc disf\u00e0gia?<\/strong><\/h2>\n\n\n\n<p>Davant la sospita de disf\u00e0gia hem d&#8217;acudir a un otorinolarig\u00f2leg especialista en disf\u00e0gia perqu\u00e8 ens faci el diagn\u00f2stic.<\/p>\n\n\n\n<p>Hem d&#8217;acudir tamb\u00e9 a una logopeda especialista en disf\u00e0gia perqu\u00e8 ens orienti quin tipus d&#8217;alimentaci\u00f3 podem menjar i ens ajudi amb la rehabilitaci\u00f3 de la disf\u00e0gia.<\/p>\n\n\n\n<p>En conclusi\u00f3, podem dir que tant la disf\u00e0gia com l&#8217;artrosi presenten desafiaments significatius, per\u00f2 la investigaci\u00f3 continua proporcionant millors enfocaments per manejar-los. Comprendre la relaci\u00f3 entre aquestes dues condicions \u00e9s crucial per desenvolupar tractaments integrals i personalitzats.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Refer\u00e8ncies Bibliogr\u00e0fiques<\/h2>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Velasco MM, Arreola V, Clav\u00e9 P, Puiggr\u00f3s C. Abordaje cl\u00ednico de la disfagia orofar\u00edngea: diagn\u00f3stico y tratamiento. Nutr Clin Med. 2007; 1 (3): 174-202.<\/li>\n\n\n\n<li>WGO. Disfagia. Gu\u00edas y cascadas mundiales. Vol. 1. World Gastroenterology Organisation; 2014. p. 55-72.<\/li>\n\n\n\n<li>Hochberg, M. C., Altman, R. D., April, K. T., et al. (2012). American College of Rheumatology 2012 recommendations for the use of nonpharmacologic and pharmacologic therapies in osteoarthritis of the hand, hip, and knee. <em>Arthritis Care &amp; Research, 64<\/em>(4), 465\u2013474.<\/li>\n\n\n\n<li>Hunter, D. J., &amp; Felson, D. T. (2006). Osteoarthritis. <em>BMJ, 332<\/em>(7542), 639\u2013642.<\/li>\n\n\n\n<li>Katz, P., Yelin, E., &amp; Haaz, S. (2014). Prevalence and correlates of perceived employment discrimination among working-age adults with arthritis. <em>Arthritis Care &amp; Research, 66<\/em>(9), 1306\u20131313.<\/li>\n\n\n\n<li>Logemann, J. A. (1998). Evaluation and Treatment of Swallowing Disorders. <em>Austin: Pro-Ed<\/em>.<\/li>\n\n\n\n<li>Smithard, D. G., O\u2019Neill, P. A., England, R. E., et al. (1996). The natural history of dysphagia following a stroke. <em>Dysphagia, 11<\/em>(4), 231\u2013237.<\/li>\n\n\n\n<li>Atenci\u00f3 a la disf\u00e0gia orofar\u00edngia en els diversos \u00e0mbits del sistema de salut Document de consens Octubre de 2018<\/li>\n<\/ul>\n\n\n\n<p>Recupera ara <a href=\"https:\/\/youtu.be\/NWUznoxsgok?si=EAE2MK-vWKJLdLoF&amp;t=684\" data-type=\"link\" data-id=\"https:\/\/youtu.be\/NWUznoxsgok?si=EAE2MK-vWKJLdLoF&amp;t=684\" target=\"_blank\" rel=\"noopener\">el nostre programa d&#8217;OAFI Radio<\/a> sobre DISF\u00c0GIA, SARCOP\u00c8NIA I NUTRICI\u00d3: COM ENS POT AJUDAR L&#8217;ALIMENTACI\u00d3?<\/p>\n\n\n\n<p>Al programa d&#8217; <a href=\"https:\/\/youtu.be\/NWUznoxsgok?si=EAE2MK-vWKJLdLoF&amp;t=684\" data-type=\"link\" data-id=\"https:\/\/youtu.be\/NWUznoxsgok?si=EAE2MK-vWKJLdLoF&amp;t=684\" target=\"_blank\" rel=\"noopener\">#OAFIRADIO<\/a> explorem la disf\u00e0gia i quines alternatives nutricionals hi ha per anticipar o gestionar aquesta patologia, com les textures modificades, juntament amb <strong>Nat\u00e0lia Talleda<\/strong>, logopeda i terapeuta ocupacional i <strong>Patricia Sanz<\/strong>, Campofr\u00edo Food Group, alhora que coneixem el testimoni de Susana. A m\u00e9s, juntament amb la nutricionista <a href=\"https:\/\/www.instagram.com\/nutricion.go\/\" data-type=\"link\" data-id=\"https:\/\/www.instagram.com\/nutricion.go\/\" target=\"_blank\" rel=\"noopener\">Antonela B\u00e1varo<\/a>, coneixem com l&#8217;alimentaci\u00f3 ens pot ajudar a enfortir la musculatura i prevenir o millorar patologies com ara la sarcop\u00e8nia.<\/p>\n\n\n\n<p><\/p>\n","protected":false},"excerpt":{"rendered":"<p>La disf\u00e0gia i l&#8217;artrosi s\u00f3n dues condicions m\u00e8diques que afecten diferents parts del cos, per\u00f2 que poden tenir interaccions sorprenents. Aquest article n&#8217;explora les caracter\u00edstiques principals, possibles connexions i m\u00e8todes de tractament. En primer lloc, parlarem de la disf\u00e0gia, qu\u00e8 \u00e9s? El terme disf\u00e0gia prov\u00e9 del grec \u00abdys\u00bb (dificultat) i \u00abphagia\u00bb (menjar). La Disf\u00e0gia es [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":39805,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[549,962,1437,1286,960,814,959,1569,1689,552,1690],"tags":[1288,1255,2320,2458,1257,1279,1280,1281],"class_list":["post-39808","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-amics-oafi","category-area-pacients","category-artrosi","category-blog-ca","category-consells-nutricio","category-consells-sobre-salut-articular","category-dolor-ca","category-id-ca","category-nutricion-ca","category-recerca","category-salud-ca","tag-artrosis-ca","tag-calidad-de-vida-ca","tag-disfagia-ca","tag-disfagia-y-artrosis-ca","tag-fundacion-oafi-ca","tag-oafi-ca","tag-prevencion-ca","tag-salud-articular-ca"],"_links":{"self":[{"href":"https:\/\/www.oafifoundation.com\/ca\/wp-json\/wp\/v2\/posts\/39808","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.oafifoundation.com\/ca\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.oafifoundation.com\/ca\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.oafifoundation.com\/ca\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.oafifoundation.com\/ca\/wp-json\/wp\/v2\/comments?post=39808"}],"version-history":[{"count":2,"href":"https:\/\/www.oafifoundation.com\/ca\/wp-json\/wp\/v2\/posts\/39808\/revisions"}],"predecessor-version":[{"id":39823,"href":"https:\/\/www.oafifoundation.com\/ca\/wp-json\/wp\/v2\/posts\/39808\/revisions\/39823"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.oafifoundation.com\/ca\/wp-json\/wp\/v2\/media\/39805"}],"wp:attachment":[{"href":"https:\/\/www.oafifoundation.com\/ca\/wp-json\/wp\/v2\/media?parent=39808"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.oafifoundation.com\/ca\/wp-json\/wp\/v2\/categories?post=39808"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.oafifoundation.com\/ca\/wp-json\/wp\/v2\/tags?post=39808"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}