Sväljunderökning

Sväljunderökning, often translated as a swallowing examination or videofluoroscopic swallowing study (VFSS), is a diagnostic procedure used to evaluate a person's ability to swallow safely and effectively. It is particularly important for individuals experiencing dysphagia, a medical term for difficulty swallowing.

The primary goal of a sväljunderökning is to identify the underlying cause of swallowing difficulties. This can involve assessing the coordination of the tongue, pharynx, and esophagus during the act of swallowing. It helps determine if food or liquid is entering the airway (aspiration) or if there are blockages or abnormalities in the swallowing pathway.

During a sväljunderökning, the patient is asked to swallow various consistencies of food and liquid that have been mixed with a contrast agent, typically barium. This agent is visible on X-ray. A fluoroscope, which is essentially a real-time X-ray machine, is used to capture images of the swallowing process. These images are recorded and can be reviewed frame by frame, allowing healthcare professionals to observe the mechanics of swallowing in detail.

The findings from a sväljunderökning guide treatment decisions. Based on the identified problems, recommendations may include dietary modifications, swallowing therapy exercises, or in some cases, alternative methods of nutrition and hydration. This examination is a crucial tool for improving patient safety and quality of life by addressing the risks associated with impaired swallowing, such as malnutrition, dehydration, and pneumonia.