洗鼻腔 Nasal Wash

由於鼻塞引起口呼吸使得舌頭吞嚥位置太低, 牙弓得不到正常的擴張,在青少年發育時期會造成牙弓狹窄。牙弓狹窄使得牙齒無法有足夠的空間生長,這會造成各種的齒列不正,也是我在矯正門診時常看到的咬合不正及顳顎關節等問題。整日的鼻塞不但生活起來不舒服也會影響青少年的學習及注意力無法集中,進而學校成績差,生活一團亂。環境中的空污長期黏在鼻咽喉的黏膜上, 對呼吸及肺部都有不良影響。過敏體質的大人或小孩對於環境中的髒東西或過敏原的吸入肺部及吸附於黏膜上影響就更嚴重。鼻腔有過濾空氣的效果,在口呼吸的患者就少了這個身體給你的自然過濾器。鼻腔黏膜腫脹尤其是上額竇積鼻涕或蓄膿更會影響呼吸,長期有可能造成鼻竇炎。

每天或在鼻塞的時候,用我介紹的方法沖洗去一整天吸入的髒污及鼻涕就像日常生活洗澡或洗手一樣, 對健康的生活很有幫助。這個方法材料非常簡單, 家裡廚房都有,器具只要加上一支60cc注射器即可。第一次接觸盥洗鼻腔可能會害怕有被水嗆到的感覺;開始時你可能會有點擔心或害怕,但是這是因為你還不熟悉它, 一旦熟悉之後就可以輕易上手。神就像你的朋友,祂站在門口等著你的開們進去,但是如果門一直都不開,祂又能怎麼樣。只要你勇敢的走向神一步, 神會走向你一百步。

在此所提及的洗鼻方法是由患者自行操作,並非由家長幫助。嚴重的鼻塞與扁桃腺發炎腫脹等鼻咽部症狀所引起口呼吸還是要找耳鼻喉科醫師治療。

With the occurrence of nasal congestion, some people develop a tendency to breathe through their mouth. In a child, this mouth breathing pattern causes narrowing of dental arches and adenoid face – becoming narrower and longer than normal. If this abnormal breathing pattern persists, there is a chance the child may adapt to this breathing habit. The abnormal habitual effect of the breathing will in turn affect the normal growth of the maxilla and the mandible – this is particularly true in the growing stages of boys and girls.

The palate receives an upward and backward pressure when swallowing. This pressure results in the normal growth of the palate and dental arches to sufficient dimensions to provide the space for teeth eruption. A narrow dental arch is a common cause of mal-occlusion.

The ears, nose and throat are complex organs and a number of conditions can cause problems with breathing.  When in doubt regarding a treatment or diagnosis, you must seek advice from an ENT doctor. The following nasal washing method is only to help your nose breath better in the absence of complex medical condition.

自廚房依比例準備 食鹽: 100; 小蘇打: 4; (木醣醇: 20)  or  食鹽: 20; 小蘇打: 1; (木醣醇: 5)

Prepare the following in ratio of – Salt: 100; Baking soda: 4; ( optional…Xylitol: 20)

 

混合至小容器以方便使用

Mix them into a small container for ease of use

準備一支60cc朔膠注射器 不加針頭

Have available a 60cc plastic syringe (without the needle)

加上一支小湯匙 就以上的器材

…and a small tea spoon. That is all the equipment you need.

一碗約300cc適合洗臉溫度的開水或過濾水

Place 300cc of lukewarm water in a bowl

舀一整勺混合過的洗鼻藥粉

Get a full scoop of the mixed nose rinsing powder

倒入碗中 充分地混合 一直到洗鼻粉完全溶解

pour into a bowl and mix well until the powder have completely dissolved

也可以使用該注射筒吸入及推出以加速粉的溶解

you may also use the syringe to withdraw and expel the liquid to aid the dissolving process

吸取約莫30cc量的混合液

Withdraw 30cc of mixed liquid into the syringe

以此手式抓注射筒

Hold it with this fashion at the end of the syringe

水平傾斜頭部 並以口呼吸

Tilt your head horizontally and breath through your mouth

慢慢將一半的注射器前端插入鼻孔

Slowly advance the syringe tip half way into one side of the nostril 

注射器高過鼻孔 輕輕的壓出洗鼻液

With the syringe above the nostril, gently flush out the liquid

輕壓注射器會使洗鼻液從另一鼻孔流出

the nose rinsing liquid will come out from the other side of the nostril

 

完全用完注射器中的洗鼻液後, 以手指頭壓住同側鼻孔然後輕輕地從另一側擤鼻子。

以相同方法重複洗另一側一直到所有洗鼻液用完, 大約每側有5次沖洗。

我都儘量一天洗鼻兩次, 晚上洗澡前及早上刷牙後, 用來洗去由一整天的呼吸所積載鼻腔中的髒污, 及早上起床後由溫度變化所來的鼻塞。

After the syringe is fully flushed, press the same side of the opening of the nostril and sneeze very gently.

Repeat the same method for the other nostril, take turn for both sides until all the liquid is used (roughly 5 time each side).

It is best to do this twice a day – before going for a shower at night to rinse away the debris from breathing the whole day, and after brushing your teeth following the morning meal.

Poor oral hygiene provides a breeding ground for bacteria that can lead to infection and tonsillitis. If you are not doing a good enough job at keeping your mouth clean and free of harmful bacteria, your tonsillar crypts may become more frequently filled with bacteria. This can cause the tonsils to become swollen, inflamed, and infected.

正常側扁桃腺

Normal tonsil

 

 

右側扁桃腺腫脹 長膿泡

right side tonsil stone

兩側扁桃腺腫脹 

Tonsil swelling both sides

患者右側扁桃腺大腫脹, 左側扁桃腺小腫脹

Tonsil swelling larger on right side