【到底是 #鼻竇炎?過敏性鼻炎還是 #感冒?】流鼻涕卻 #傻傻分不清楚?醫師完整說明鼻竇炎症狀、治療與預防方法!
鼻竇炎是一種很常見的疾病,不過卻有很多人因為症狀有點像,搞不清楚鼻竇炎、過敏性鼻炎和感冒這 3 種疾病的差異,而延誤了鼻竇炎的治療時機。
MedPartner 今天這篇文章整理了多篇文獻,以及臨床經驗,將要教會你分辨鼻竇炎和其他2種疾病的差異,還會完整說明鼻竇炎的成因、症狀以及預防治療方法,與你一起認識這個常見卻不太熟悉的疾病。
趕快分享給你身邊的親朋好友,守護彼此的健康吧!
延伸閱讀:
🤧 如何正確洗鼻子紓緩鼻竇炎症狀?醫師完整圖文教學
https://www.medpartner.club/saline-nasal-irrigation-introd…/
😷 感冒怎麼辦?需要去看醫生嗎?醫師完整解說
https://www.medpartner.club/common-cold-care-treatment/
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現在就動手,讓我們成為彼此的夥伴吧!
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同時也有10000部Youtube影片,追蹤數超過2,910的網紅コバにゃんチャンネル,也在其Youtube影片中提到,...
「saline nasal irrigation」的推薦目錄:
- 關於saline nasal irrigation 在 MedPartner 美的好朋友 Facebook 的精選貼文
- 關於saline nasal irrigation 在 加護病房查房日誌 Facebook 的精選貼文
- 關於saline nasal irrigation 在 Racheal Kwacz - Child & Family Development Specialist Facebook 的精選貼文
- 關於saline nasal irrigation 在 コバにゃんチャンネル Youtube 的最佳貼文
- 關於saline nasal irrigation 在 大象中醫 Youtube 的最佳貼文
- 關於saline nasal irrigation 在 大象中醫 Youtube 的最佳解答
- 關於saline nasal irrigation 在 Saline Nasal Rinse How To - YouTube 的評價
saline nasal irrigation 在 加護病房查房日誌 Facebook 的精選貼文
加護病房查房日誌20180109
流鼻涕不是病,流起來要人命,尤其是過敏性鼻炎,老師就從小為此所苦,常聽別人說:過敏性鼻炎會影響學習與智商,老師常常在想,如果沒有過敏性鼻炎,現在不知道會到那邊了,想太多了是嗎?
過敏性鼻炎有很多治療方法,類固醇鼻噴劑,口服抗組織胺,抗組織胺鼻噴劑等。基本上老師都用過了,用了有時候比較好,沒用就有開始。老師今天想要跟大家討論一下,nasal saline irrigation,用生理食鹽水洗鼻子這件事情。
文獻建議可以單獨使用saline洗鼻子或是在使用其他藥品前先洗,理由是可以把鼻黏膜洗乾淨一點。
市面上有很多器具,沖洗的瓶子,也有人就用針筒,建議用溫水,有需要時使用,或是一天一到兩次也OK。
有數個研究指出在小孩或懷孕婦女,效果都還不錯。
Int J Pediatr Otorhinolaryngol. 2009;73(12):1696. Epub 2009 Sep 27.
Int Arch Allergy Immunol. 2010;151(2):137.
ORL J Otorhinolaryngol Relat Spec. 2009;71(1):50. Epub 2008 Dec 1.
唯一一個要特別小心的是,水要乾淨,無菌,因為曾經有案例報導過,因為使用不乾淨的水,然後感染的情況,大家要特別小心。
老師問問大家,有過敏性鼻炎的同學,在底下留言+1,曾經用過saline洗鼻子的,分享一下效果吧。
saline nasal irrigation 在 Racheal Kwacz - Child & Family Development Specialist Facebook 的精選貼文
**COLD / FLU / HAY FEVER REMEDY!!!**
Good morning!
Ella Grace gets some pretty gnarly allergies that get her clogged up so we've been giving her a sinus flush/neti pot rinse since she was little when she needs it. I decided to record us doing one before bed since it's one of our most frequently asked tutorials! 😂🙈
***
Here are some benefits of a sinus flush/neti pot routine:
- Keeps nasal/sinus passages clear and free of irritants (prevents infections)
- Clears away mucus more effectively than a snot sucker (and we've tried lots!!!!!)
- Relieves sinus pressure by flushing out congestion
- Thins out mucus more effectively than a nasal spray so it can drain more easily
- Ayurvedic natural non-drug remedy
***
We worked up different stages before we got to the "big bottle" flush. I let Ella Grace mostly lead me and she was quite clear whenever she was ready for the next stage.
1. Infant (check w dr if below 6m) - swaddled and laying down on a changing mat w a cloth underneath to absorb. Tilt body to the side and flush so it runs out the other nostril not to the back of her throat. Use the small one-time saline ampoules or in small doses so baby has time to process and take a breath between. The first few times is tricky at first as they are still learning how it works so lots of soothing, reassuring, prepping, talking through, explaining, empathizing. I also count down (like in swim lessons) so when I get to 3, she starts understanding and instinctively holds her breath.
2. Struggling Toddler : When they are a bit older but still struggle when you have to do it. Use a bath towel to swaddle and gently but firmly hold down head w your forearm. This is done for their safety so you can be quick and they won't inhale the saline into their lungs and choke/cough. The key at this stage is to get them familiar with it
3. Toddler: The older they get, the more they are able to reason and understand so you can take off the towel swaddle if they are good at holding still and holding their breath when you flush. (Quick flushes and age-appropriate holding of breath!) I count down and prepare her and she knows what is coming without being afraid that I will just do a sneak attack or when she isn't ready.
4. Toddler standing up: Once they can stand up, tilt their head to the side and stay there, you can move on to the big bottle. At first, she was really ticklish and would giggle giggle when the bottle came near. She still does this occasionally and I just laugh with her and then count down. Be mindful that with the big bottle, each flush is longer so build in time for her to take breaths between. Don't forget the cloth! 🤦🏻♀️🙈
***
A couple things to note:
- Water MUST be filtered and boiled (and cooled down) or sterile. Never straight from the tap.
- Gravity does a majority of the work so tilting to the side really helps although the NeilMed bottle will also work upright.
- The idea is that the volume of saline going through the nasal/sinus passages helps to push out the junk so the key is pushing enough through but also keeping it short enough so they can take a breath between instead of inhaling while the saline is going through which causes them to get really upset when it goes down the wrong pipe!
- In a pinch or if traveling and you don't have supplies, you can either use sterile saline (used for flushing a wound or contact lens solution) w a sterile irrigation syringe or sterilized bulb aspirator bulb (snot sucker).
- Always discard leftovers and use a new batch of saline every time.
- We did this with the encouragement of our doctor because I also do it for my allergies and it helps tremendously in preventing a sinus infection and J does it when he gets a cold. If you have any medical concerns at all, please clear it w your doctor first!
- Never share bottles. We sterilize between flushes and label everyone's bottle so we don't mix them up. We also change our bottles every 3 months.
***
Tips for helping w the struggle
- Be empathetic. I talk about this in my Toddler Wars workshop but you use similar strategies in working together instead of against each other. Talk them through it, prepare them for it, explain what you are doing and why, be firm but don't bully, validate their concerns, be understanding and build trust.
- Let them have some control over the things that they can control. Do you want to do it before your bath or after? Do you want to help me squeeze? Will you let me know when you are ready? etc
- We praise a lot for being brave and we tell her we are proud she tried even if she cries or gets upset. We make a ridiculously big deal when she is finished and make it a point to ask if she feels better after.
- I think more so than anything, Ella Grace really feels the difference before and after a flush and that's why she enjoys it. Frequently, if she's stuffed up or having an allergy attack, she asks for a "flush please mama" and it both breaks my heart and makes me so proud. ❤️❤️❤️
***
We get our NeilMed Sinus Rinse supplies from m+ pharmacy. In America, they are available at most of the drugstores as well as Target and Walmart. In Singapore, they are available in Guardian.
Infants - NeilMed NasaDrops Saline on the Go single use ampules
Toddlers/Adults - NeilMed Sinus Rinse Kit (they actually make a smaller pediatric bottle but I haven't seen it in Malaysia 😅)
Refills - NeilMed Sinus Rinse Premixed Sachets
You don't necessarily have to use the premixed sachets but I find it very convenient and very gentle because it's pH balanced. Much easier than trying to figure out the math of the ratio of salt to water to baking soda without it stinging!
***
Happy to answer questions (and bonus video 😂) in comments! Share, like and follow Racheal Kwacz Workshops for more.
saline nasal irrigation 在 Saline Nasal Rinse How To - YouTube 的推薦與評價
Leslie Gomez, a board-certified nurse family nurse practitioner (FNP-C), demonstrates a step-by-step process for conducting a saline nasal ... ... <看更多>