{"id":1819,"date":"2022-08-10T10:56:46","date_gmt":"2022-08-10T13:56:46","guid":{"rendered":"https:\/\/lam.unitedforclinicalnutrition.com\/pt-br\/?p=1819"},"modified":"2022-08-10T10:56:46","modified_gmt":"2022-08-10T13:56:46","slug":"terapia-nutricional-na-disfagia-quais-sao-as-recomendacoes","status":"publish","type":"post","link":"https:\/\/lam.unitedforclinicalnutrition.com\/pt-br\/terapia-nutricional-na-disfagia-quais-sao-as-recomendacoes\/","title":{"rendered":"Terapia Nutricional na disfagia: quais s\u00e3o as recomenda\u00e7\u00f5es"},"content":{"rendered":"<p>Mastigar, conduzir o alimento com a l\u00edngua at\u00e9 a laringe e lev\u00e1-lo pelo es\u00f4fago at\u00e9 o est\u00f4mago s\u00e3o atividades corriqueiras, mas nem sempre simples. Uma em cada 17 pessoas tem, ou ter\u00e1, em algum momento da vida, disfagia.<a class=\"bibliography-sup\" title=\"1. Malagelada, J. et al. Disfagia: diretrizes e cascatas. World Gastroenterology Organisation Global Guidelines, 2014. Dispon\u00edvel em: https:\/\/www.worldgastroenterology.org\/guidelines\/dysphagia\/dysphagia-portuguese\" href=\"#\" data-bibliography-link=\"\">1<\/a><\/p>\n<p>Quando esse dist\u00farbio do mecanismo de degluti\u00e7\u00e3o ocorre, o indiv\u00edduo enfrenta dificuldade de realizar tais procedimentos, que s\u00e3o fundamentais para a ingest\u00e3o de alimentos e l\u00edquidos por via oral.<\/p>\n<p>A terapia nutricional na disfagia \u00e9 fundamental para garantir a sa\u00fade dos pacientes. Entenda mais a seguir.<\/p>\n<p>&nbsp;<\/p>\n<h2>O que \u00e9 disfagia?<\/h2>\n<p>A <a href=\"https:\/\/www.worldgastroenterology.org\/guidelines\/dysphagia\/dysphagia-portuguese\">World Gastroenterology Organization<\/a> define disfagia como a dificuldade de iniciar a degluti\u00e7\u00e3o (geralmente denominada disfagia orofar\u00edngea) ou a sensa\u00e7\u00e3o de que alimentos s\u00f3lidos e\/ou l\u00edquidos est\u00e3o retidos na transi\u00e7\u00e3o da boca para o est\u00f4mago (geralmente denominada disfagia esof\u00e1gica).<a class=\"bibliography-sup\" title=\"1. Malagelada, J. et al. Disfagia: diretrizes e cascatas. World Gastroenterology Organisation Global Guidelines, 2014. Dispon\u00edvel em: https:\/\/www.worldgastroenterology.org\/guidelines\/dysphagia\/dysphagia-portuguese\" href=\"#\" data-bibliography-link=\"\">1<\/a><\/p>\n<p>Em termos leigos, portanto, disfagia seria a incapacidade ou dificuldade de engolir de forma natural e segura.<\/p>\n<h2>Por que a disfagia \u00e9 perigosa?<\/h2>\n<p>Quando engolir se torna um desafio, o indiv\u00edduo passa a enfrentar um <strong>risco aumentado de desnutri\u00e7\u00e3o e desidrata\u00e7\u00e3o<\/strong>.<\/p>\n<p>Al\u00e9m disso, com a dificuldade para deglutir l\u00edquidos, cresce a possibilidade de <strong>pneumonia aspirativa<\/strong>.<a class=\"bibliography-sup\" title=\"2. Murry T, Carrau R. Clinical manual for swallowing disorders. San Diego: Singular, 2001\" href=\"#\" data-bibliography-link=\"\">2<\/a>,<a class=\"bibliography-sup\" title=\"3. Barczi SR, Sullivan PA, Robbins J. How should dysphagia care of older adults differ? Establishing optimal practice patterns. Semin Speech Lang 2000;21:347\u2013361.\" href=\"#\" data-bibliography-link=\"\">3<\/a><\/p>\n<p>Segundo uma resolu\u00e7\u00e3o do Congresso dos Estados Unidos, a disfagia \u00e9 uma patologia subestimada e, no geral, mal entendida, apesar de frequente. As complica\u00e7\u00f5es da disfagia resultam em readmiss\u00f5es hospitalares, atendimentos de urg\u00eancia, estadias hospitalares prolongadas, necessidade de interna\u00e7\u00e3o em institui\u00e7\u00f5es de cuidados de longa perman\u00eancia e necessidade de suporte respirat\u00f3rio e nutricional.<a class=\"bibliography-sup\" title=\"4. United States. Congress. House. Resolution expressing the sense of the Congress that a National Dysphagia Awareness Month should be established. 110th Congress. 2nd session. H. Con. Res. 195 (2008). Washington, DC: United States Government Printing Office, 2008. Dispon\u00edvel em: https:\/\/www.congress.gov\/bill\/110th-congress\/house-concurrent-resolution\/195\/text?r=89&amp;s=1\" href=\"#\" data-bibliography-link=\"\">4<\/a><\/p>\n<p>Dados da Ag\u00eancia de Pesquisa e Qualidade em Servi\u00e7os de Sa\u00fade do pa\u00eds apontam que cerca de 60 mil norte-americanos morrem a cada ano por complica\u00e7\u00f5es da disfagia.<a class=\"bibliography-sup\" title=\"4. United States. Congress. House. Resolution expressing the sense of the Congress that a National Dysphagia Awareness Month should be established. 110th Congress. 2nd session. H. Con. Res. 195 (2008). Washington, DC: United States Government Printing Office, 2008. Dispon\u00edvel em: https:\/\/www.congress.gov\/bill\/110th-congress\/house-concurrent-resolution\/195\/text?r=89&amp;s=1\" href=\"#\" data-bibliography-link=\"\">4<\/a><\/p>\n<h2>Quem est\u00e1 sujeito \u00e0 disfagia?<\/h2>\n<p>Pessoas de todas as idades podem ter disfagia. Por\u00e9m, o problema \u00e9 mais frequente em alguns grupos<sup>:<\/sup><\/p>\n<ul>\n<li>Mais de 13% dos idosos (&gt; 65 anos)<a class=\"bibliography-sup\" title=\"5. Turley R, Cohen S. Impact of voice and swallowing problems in the elderly. Otolaryngol Head Neck Surg 2009;140:33\u20136.\" href=\"#\" data-bibliography-link=\"\">5<\/a>;<\/li>\n<li>Mais de 51% dos pacientes idosos institucionalizados<a class=\"bibliography-sup\" title=\"6. Lin LC, Wu SC, Chen HS, Wang TG, Chen MY. Prevalence of impaired swallowing in institutionalized older people in Taiwan. J Am Geriatr Soc 2002;50:1118\u201323.\" href=\"#\" data-bibliography-link=\"\">6<\/a>;<\/li>\n<li>Ao menos 50% dos pacientes com AVC isqu\u00eamico e hemorr\u00e1gico;<a class=\"bibliography-sup\" title=\"7. Hoffmann S, Malzahn U, Harms H, Koennecke H-C, Berger K, Kalic M, et al. Development of a clinical score (A2DS2) to predict pneumonia in acute ischemic stroke. Stroke 2012 Oct 1;43(10):2617e23.\" href=\"#\" data-bibliography-link=\"\">7<\/a>,<a class=\"bibliography-sup\" title=\"8. Martino R, Foley N, Bhogal S, Diamant N, Speechley M, Teasell R. Dysphagia after stroke: incidence, diagnosis, and pulmonary complications. Stroke 2005 Dec 1;36(12):2756e63.\" href=\"#\" data-bibliography-link=\"\">8<\/a>,<a class=\"bibliography-sup\" title=\"9. Suntrup S, Warnecke T, Kemmling A, Teismann IK, Hamacher C, Oelenberg S, et al. Dysphagia in patients with acute striatocapsular hemorrhage. J Neurol 2012 Jan 7;259(1):93e9.\" href=\"#\" data-bibliography-link=\"\">9<\/a><\/li>\n<li>De 60% a 80% dos pacientes com doen\u00e7as neurodegenerativas;<a class=\"bibliography-sup\" title=\"1. Malagelada, J. et al. Disfagia: diretrizes e cascatas. World Gastroenterology Organisation Global Guidelines, 2014. Dispon\u00edvel em: https:\/\/www.worldgastroenterology.org\/guidelines\/dysphagia\/dysphagia-portuguese\" href=\"#\" data-bibliography-link=\"\">1<\/a><\/li>\n<li>Entre 60% e 75% dos pacientes submetidos \u00e0 radioterapia por c\u00e2ncer de cabe\u00e7a ou pesco\u00e7o.<a class=\"bibliography-sup\" title=\"1. Malagelada, J. et al. Disfagia: diretrizes e cascatas. World Gastroenterology Organisation Global Guidelines, 2014. Dispon\u00edvel em: https:\/\/www.worldgastroenterology.org\/guidelines\/dysphagia\/dysphagia-portuguese\" href=\"#\" data-bibliography-link=\"\">1<\/a><\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<p>H\u00e1 tamb\u00e9m particularidades regionais que adicionam fatores de risco para o desenvolvimento da disfagia. Na <strong>Am\u00e9rica Latina<\/strong>, onde h\u00e1 ocorr\u00eancia da <strong>doen\u00e7a de Chagas<\/strong>, os pacientes podem desenvolver acalasia e megaes\u00f4fago chag\u00e1sico. S\u00e3o altera\u00e7\u00f5es na estrutura do es\u00f4fago que levam a dificuldades na degluti\u00e7\u00e3o.<a class=\"bibliography-sup\" title=\"10. Matsuda NM, Miller SM, Evora PRB. The chronic gastrointestinal manifestations of Chagas disease. Clinics (S\u00e3o Paulo, Brazil) 2009;64:1219\u201324.\" href=\"#\" data-bibliography-link=\"\">10<\/a><\/p>\n<p>&nbsp;<\/p>\n<h2>Cuidados nutricionais para o paciente disf\u00e1gico<\/h2>\n<p>O cuidado do paciente disf\u00e1gico sempre deve ser multiprofissional, com participa\u00e7\u00e3o de fonoaudi\u00f3logo, nutricionista, fisioterapeuta, enfermeiro e m\u00e9dico.<\/p>\n<p>Nesse cen\u00e1rio, o nutricionista realiza a adequa\u00e7\u00e3o das necessidades cal\u00f3ricas \u00e0 ingest\u00e3o e \u00e0 consist\u00eancia adequada a cada caso.<a class=\"bibliography-sup\" title=\"11. Silva LBC, Antunes AE, Botelho I, Paula A, Silva AA, Amaya-Farfan J. Nutrition and dysphagia: body mass index, food consistency, and food intake. Rev Bras Nutr Clin 2008; 23(2):91-6. Dispon\u00edvel em: https:\/\/www.scielo.br\/j\/rcefac\/a\/T85wkwdsNZhkBh6rGsfVJrk\/?lang=pt\" href=\"#\" data-bibliography-link=\"\">11<\/a> Pode, tamb\u00e9m, contribuir para a orienta\u00e7\u00e3o de terapias nutricionais, incluindo vias alternativas, como a enteral e a parenteral.<\/p>\n<p>Essas avalia\u00e7\u00e3o e orienta\u00e7\u00e3o s\u00e3o especialmente importantes no ambiente hospitalar, em que os riscos de disfagia e desnutri\u00e7\u00e3o se somam e podem agravar a situa\u00e7\u00e3o do paciente.<\/p>\n<p>A terapia nutricional para a disfagia deve corrigir casos de desnutri\u00e7\u00e3o ou preveni-la nas situa\u00e7\u00f5es em que h\u00e1 esse risco.<\/p>\n<p>Ingest\u00e3o oral inferior a 75% da oferta alimentar, doen\u00e7as catab\u00f3licas e perda de peso involunt\u00e1ria acelerada s\u00e3o alguns dos pontos que podem gerar indica\u00e7\u00e3o.<a class=\"bibliography-sup\" title=\"13. Sociedade Brasileira de Geriatria e Gerontologia. I Consenso Brasileiro de Nutri\u00e7\u00e3o e Disfagia em Idosos Hospitalizados. Barueri, SP: Minha Editora, 2011. Dispon\u00edvel em: https:\/\/sbgg.org.br\/wp-content\/uploads\/2014\/10\/Consenso_Brasileiro_de_Nutricao1.pdf\" href=\"#\" data-bibliography-link=\"\">13<\/a><\/p>\n<p>Especialmente na geriatria (faixa et\u00e1ria mais atingida pela disfagia), os objetivos da TN s\u00e3o<a class=\"bibliography-sup\" title=\"12. Volkert D, Bernerb YN, Berryc E, Cederholmd T, Coti Bertrande P, Milnef A et al. ESPEN guidelines on enteral nutrition: geriatrics. Clinical Nutrition 2006; 25:330- 60.\" href=\"#\" data-bibliography-link=\"\">12<\/a>:<\/p>\n<ul>\n<li>oferecer <strong>energia, prote\u00edna e micronutrientes<\/strong> em quantidades suficientes;<\/li>\n<li>manter ou melhorar o estado nutricional;<\/li>\n<li>manter ou melhorar fun\u00e7\u00e3o, atividade e capacidade para a reabilita\u00e7\u00e3o;<\/li>\n<li>manter ou melhorar a qualidade de vida;<\/li>\n<li><strong>reduzir a morbidade e a mortalidade<\/strong>.<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-1820 aligncenter\" src=\"https:\/\/lam.unitedforclinicalnutrition.com\/pt-br\/wp-content\/uploads\/sites\/3\/2022\/08\/terapia-nutricional-disfagia.png\" alt=\"\" width=\"1380\" height=\"1035\" srcset=\"https:\/\/lam.unitedforclinicalnutrition.com\/pt-br\/wp-content\/uploads\/sites\/3\/2022\/08\/terapia-nutricional-disfagia.png 1380w, https:\/\/lam.unitedforclinicalnutrition.com\/pt-br\/wp-content\/uploads\/sites\/3\/2022\/08\/terapia-nutricional-disfagia-300x225.png 300w, https:\/\/lam.unitedforclinicalnutrition.com\/pt-br\/wp-content\/uploads\/sites\/3\/2022\/08\/terapia-nutricional-disfagia-1024x768.png 1024w, https:\/\/lam.unitedforclinicalnutrition.com\/pt-br\/wp-content\/uploads\/sites\/3\/2022\/08\/terapia-nutricional-disfagia-768x576.png 768w, https:\/\/lam.unitedforclinicalnutrition.com\/pt-br\/wp-content\/uploads\/sites\/3\/2022\/08\/terapia-nutricional-disfagia-500x375.png 500w\" sizes=\"auto, (max-width: 1380px) 100vw, 1380px\" \/><\/p>\n<p>&nbsp;<\/p>\n<h3>Abordagens para o paciente disf\u00e1gico<\/h3>\n<p>As escolhas relacionadas \u00e0 terapia nutricional v\u00e3o depender do quadro do paciente, suas necessidades e suas possibilidades.<\/p>\n<p>De forma geral, busca-se privilegiar a alimenta\u00e7\u00e3o por via oral, <strong>adaptando a textura dos alimentos e prescrevendo suplementos alimentares orais<\/strong> que favore\u00e7am o balan\u00e7o nutricional adequado.<\/p>\n<p>No entanto, quando o paciente n\u00e3o consegue se alimentar de forma suficiente dessa maneira, ou se a via oral representa risco, pode ser necess\u00e1rio o uso da nutri\u00e7\u00e3o enteral (NE) ou da nutri\u00e7\u00e3o parenteral (NP).<a class=\"bibliography-sup\" title=\"13. Sociedade Brasileira de Geriatria e Gerontologia. I Consenso Brasileiro de Nutri\u00e7\u00e3o e Disfagia em Idosos Hospitalizados. Barueri, SP: Minha Editora, 2011. Dispon\u00edvel em: https:\/\/sbgg.org.br\/wp-content\/uploads\/2014\/10\/Consenso_Brasileiro_de_Nutricao1.pdf\" href=\"#\" data-bibliography-link=\"\">13<\/a><\/p>\n<p>&nbsp;<\/p>\n<h4>Nutri\u00e7\u00e3o enteral para paciente disf\u00e1gico<\/h4>\n<p>Pacientes impossibilitados de se alimentar com quantidades adequadas por via oral devem ter como <strong>primeira escolha a via enteral<\/strong>, desde que hemodinamicamente est\u00e1veis e que ela seja utilizada por um per\u00edodo m\u00ednimo de 5 a 7 dias.<a class=\"bibliography-sup\" title=\"14.\tRocha MHM, Alves CC, Catalani LA, Waitzberg DL. Indica\u00e7\u00f5es e t\u00e9cnicas de ministra\u00e7\u00e3o em nutri\u00e7\u00e3o enteral. In: Waitzberg DL (ed.). Nutri\u00e7\u00e3o oral, enteral e parenteral na pr\u00e1tica cl\u00ednica. S\u00e3o Paulo: Atheneu, 2017.\" href=\"#\" data-bibliography-link=\"\">14<\/a><\/p>\n<p>No estudo FOOD, foi realizado em pacientes com acidente vascular cerebral disf\u00e1gico, a NE precoce foi associada a uma redu\u00e7\u00e3o de 5,8% no risco de morte de 5,8%.<a class=\"bibliography-sup\" title=\"15.\tDennis MS, Lewis SC, Warlow C, FOOD Trial Collaboration. Effect of timing and method of enteral tube feeding for dysphagic stroke patients (FOOD): a multicentre randomised controlled trial. Lancet 2005;365(9461):764e72.\" href=\"#\" data-bibliography-link=\"\">15<\/a> Embora esse resultado n\u00e3o tenha sido estatisticamente significativo, essa tend\u00eancia \u00e9 um argumento adicional para o in\u00edcio precoce da NE na aus\u00eancia de evid\u00eancias de outros estudos randomizados.<a class=\"bibliography-sup\" title=\"16.\tVolkert, D. et al. ESPEN guideline on clinical nutrition and hydration in geriatrics. Clinical Nutrition 38 (2019) 10e47. Dispon\u00edvel em: https:\/\/www.espen.org\/files\/ESPEN-Guidelines\/ESPEN_guideline_on_clincal_nutrition_and_hydration_in_geriatrics.pdf\" href=\"#\" data-bibliography-link=\"\">16<\/a><\/p>\n<h4>Nutri\u00e7\u00e3o parenteral para paciente disf\u00e1gico<\/h4>\n<p>A principal indica\u00e7\u00e3o da nutri\u00e7\u00e3o parenteral (NP) \u00e9 oferecer aporte nutricional e metab\u00f3lico aos pacientes que n\u00e3o conseguem suprir suas necessidades por via enteral (quando a NE \u00e9 contraindicada ou mal tolerada).<a class=\"bibliography-sup\" title=\"16.\tVolkert, D. et al. ESPEN guideline on clinical nutrition and hydration in geriatrics. Clinical Nutrition 38 (2019) 10e47. Dispon\u00edvel em: https:\/\/www.espen.org\/files\/ESPEN-Guidelines\/ESPEN_guideline_on_clincal_nutrition_and_hydration_in_geriatrics.pdf\" href=\"#\" data-bibliography-link=\"\">16<\/a><\/p>\n<p>Segundo o <a href=\"https:\/\/sbgg.org.br\/wp-content\/uploads\/2014\/10\/Consenso_Brasileiro_de_Nutricao1.pdf\">I Consenso Brasileiro de Disfagia e Nutri\u00e7\u00e3o em Idosos Hospitalizados<\/a>, as indica\u00e7\u00f5es absolutas de NP s\u00e3o<a class=\"bibliography-sup\" title=\"13. Sociedade Brasileira de Geriatria e Gerontologia. I Consenso Brasileiro de Nutri\u00e7\u00e3o e Disfagia em Idosos Hospitalizados. Barueri, SP: Minha Editora, 2011. Dispon\u00edvel em: https:\/\/sbgg.org.br\/wp-content\/uploads\/2014\/10\/Consenso_Brasileiro_de_Nutricao1.pdf\" href=\"#\" data-bibliography-link=\"\">13<\/a>:<\/p>\n<ul>\n<li>v\u00f4mitos incoerc\u00edveis ou intrat\u00e1veis;<\/li>\n<li>diarreia grave de dif\u00edcil controle;<\/li>\n<li>mucosite ou esofagite (quimioterapia, por exemplo);<\/li>\n<li>\u00edleo paral\u00edtico\/grandes cirurgias abdominais;<\/li>\n<li>obstru\u00e7\u00e3o intestinal completa;<\/li>\n<li>repouso intestinal\/f\u00edstulas enterocut\u00e2neas de alto d\u00e9bito;<\/li>\n<li>peritonite;<\/li>\n<li>s\u00edndrome do intestino curto;<\/li>\n<li>m\u00e1 absor\u00e7\u00e3o grave;<\/li>\n<li>pr\u00e9-operat\u00f3rio no qual a cirurgia n\u00e3o possa ser adiada e o paciente tem desnutri\u00e7\u00e3o grave.<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<p>O documento destaca ainda que a terapia nutricional parenteral pode ser usada de forma total ou suplementar a outro tipo de nutri\u00e7\u00e3o que n\u00e3o esteja atingindo as necessidades energ\u00e9ticas.<\/p>\n<p>H\u00e1 estudos que demonstram que o uso de NP auxilia no tempo de recupera\u00e7\u00e3o do estado nutricional e retorno \u00e0 terapia oral individualizada.<a class=\"bibliography-sup\" title=\"17.\tWinkler-Budenhofer UC, Ihler S, Goke B, Kolligs FT. Acute exacerbation of a chronic esophagitis. Dtsch Med Wochenschr 2009; 134(30):1517-9.\" href=\"#\" data-bibliography-link=\"\">17<\/a>,<a class=\"bibliography-sup\" title=\"18.\tBower MR, Martin RC. Nutritional management during neoadjuvant therapy for esophageal cancer. J Surg Oncol 2009; 100(1):82-7.\" href=\"#\" data-bibliography-link=\"\">18<\/a>,<a class=\"bibliography-sup\" title=\"19.\tO\u2019Keefe SJ. A guide to enteral access procedures and enteral nutrition. Nat Rev Gastroenterol Hepatol 2009; 6(4):207-15.\" href=\"#\" data-bibliography-link=\"\">19<\/a>,<a class=\"bibliography-sup\" title=\"20.\tVivanti AP, Campbell KL, Michelle S, Hannan-Jones M. Contribution of thichened drinks, food and enteral and parenteral fluids to fluid intake in hospitalized patients with dysphagia. J Hum Nutr Diet 2009; 22(2):148-55.\" href=\"#\" data-bibliography-link=\"\">20<\/a>,<a class=\"bibliography-sup\" title=\"21.\tRyu J, Nam BH, Jung YS. Clinical outcomes comparing parenteral and nasogastric tube nutrition after laryngeal and pharyngeal cancer surgery. Dysphagia 2009; 24(4):378-86.\" href=\"#\" data-bibliography-link=\"\">21<\/a>,<a class=\"bibliography-sup\" title=\"22.\tHa L, Iversen PO, Hauge T. Nutrition for elderly acute stroke patients. Tidsskr Nor Laegeforen 2008; 128(17):1946-50\" href=\"#\" data-bibliography-link=\"\">22<\/a><\/p>\n<p>As vias enteral e parenteral tamb\u00e9m exercem papel importante na reabilita\u00e7\u00e3o do paciente. Quando a alimenta\u00e7\u00e3o via oral est\u00e1 sendo reintroduzida, mas ainda n\u00e3o \u00e9 suficiente para suprir todas as necessidades, as vias alternativas podem ser utilizadas de modo auxiliar, como no infogr\u00e1fico a seguir.<a class=\"bibliography-sup\" title=\"13. Sociedade Brasileira de Geriatria e Gerontologia. I Consenso Brasileiro de Nutri\u00e7\u00e3o e Disfagia em Idosos Hospitalizados. Barueri, SP: Minha Editora, 2011. Dispon\u00edvel em: https:\/\/sbgg.org.br\/wp-content\/uploads\/2014\/10\/Consenso_Brasileiro_de_Nutricao1.pdf\" href=\"#\" data-bibliography-link=\"\">13<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Mastigar, conduzir o alimento com a l\u00edngua at\u00e9 a laringe e lev\u00e1-lo pelo es\u00f4fago at\u00e9 o est\u00f4mago s\u00e3o atividades corriqueiras, mas nem sempre simples. Uma em cada 17 pessoas tem, ou ter\u00e1, em algum momento da vida, disfagia.1 Quando esse dist\u00farbio do mecanismo de degluti\u00e7\u00e3o ocorre, o indiv\u00edduo enfrenta dificuldade de realizar tais procedimentos, que [&hellip;]<\/p>\n","protected":false},"author":67,"featured_media":1821,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[47,4],"tags":[173,172,171,67,143],"class_list":["post-1819","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-artigo-4","category-nutricao-clinica","tag-degluticao","tag-dieta-enteral","tag-disfagia","tag-nutricao-parenteral","tag-terapia-nutricional"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v24.5 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Terapia nutricional na disfagia: quais as recomenda\u00e7\u00f5es<\/title>\n<meta name=\"description\" content=\"Pessoas com dificuldades de deglutir precisam de cuidados nutricionais para evitar desnutri\u00e7\u00e3o, desidrata\u00e7\u00e3o e outras complica\u00e7\u00f5es. 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