Name: 耳鼻喉科醫生揭穿11個耳鼻喉科誤區｜揭穿 (ENT Doctors Debunk 11 Ear And Nose Myths | Debunked)
Uploaded: 2022-10-29T17:12:56.000Z
Duration: 14 min 46 s

to stop a nosebleed, pinch the bridge of your nose and tilt your head back.

為了阻止流鼻血，捏住鼻樑並將頭向後仰。

That's the exact opposite of what you should do.

It's okay to use Q tips to clean your ears.

使用Q型耳塞來清潔耳朵是可以的。

Taping your mouth shut will stop your story.

用膠帶封住你的嘴會阻止你的故事。

所以，我是埃裡克-瓦萊特醫生。

I'm an otolaryngologist, head, neck surgeon.

我是一名耳鼻喉科醫生，頭部、頸部外科醫生。

I'm an associate professor of otolaryngology at N.

我是北京大學耳鼻喉科的一名副教授。

I've been in practice for over 20 years and I am dr Jackie jones.

我已經執業20多年了，我是Jackie Jones醫生。

I'm an associate professor of otolaryngology while Cornell medicine and I've been in practice for almost 31 years now.

我是康奈爾大學醫學部耳鼻喉科的副教授，我已經執業近31年了。

We're specialists and ear, nose and throat.

我們是專家，也是耳鼻喉科專家。

So our field actually the real title is Oto rhino laron, golly gee photos, rhinos, nose larynx, isla Realogy.

是以，我們的領域實際上真正的標題是奧托犀牛拉龍，天哪，照片，犀牛，鼻子喉部，伊斯拉-瑞爾吉。

So we sort of think of it as one continuous passage from your nose down into your lungs.

所以我們把它看作是一個連續的通道，從你的鼻子到你的肺部。

So everything is interconnected and today we will be debunking myths of your nose and throat.

是以，一切都相互關聯，今天我們將揭開你的鼻子和喉嚨的神話。

我認為一個小噴嚏是可以憋住的。

But if you're generating one of those big snow, you don't want to hold it in, all of that pressure is going to back up into your ears, into your throat, into your lungs.

但是，如果你產生的是那種大雪，你就不要憋著了，所有的壓力都會倒流到你的耳朵裡，到你的喉嚨裡，到你的肺裡。

我們的鼻子，是一切的過濾器。

We're breathing in so you're breathing in pollen.

我們在呼吸，所以你在呼吸花粉。

You're breathing in germs, you're breathing in particles and dust that builds up in our mucus.

你吸入的是細菌，你吸入的是堆積在我們粘液中的微粒和灰塵。

And then a sneeze is the reflex to get that material out.

然後打噴嚏是把這些物質弄出來的條件反射。

But sneezing is overall a good thing because you're clearing out your nose.

但總的來說，打噴嚏是一件好事，因為你在清理你的鼻子。

But again, cover up cover up, it's okay to use Q tips to clean your ears.

但還是那句話，遮遮掩掩，用Q版小貼士來清潔耳朵是可以的。

So this is a box of cotton tip applicators and there is a warning on here.

所以這是一盒棉頭塗抹器，上面有一個警告。

I don't think I can see this, Jackie, I brought a magnifying glass just to demonstrate.

我不認為我可以看到這個，傑基，我帶了一個放大鏡只是為了演示。

There is a warning label on there and it says, and I quote, do not insert swab into ear canal but see how small that is.

上面有一個警告標籤，上面寫著，我引用一下，不要把棉籤插入耳道，但看看這有多小。

It really should be in big bold letters here, but we're telling, you don't do it.

它真的應該在這裡用大字標明，但我們要告訴，你不要這樣做。

So this is a plastic model of an ear, this is called the pinna and this is the outer ear and you can use a cotton tip applicator to clean the outside the little grooves.

所以這是一個耳朵的塑膠模型，這叫耳廓，這是外耳，你可以用棉尖塗抹器來清潔外面的小溝。

You can see some people do have as their waxes coming out, they can clean that outer portion, that's okay.

你可以看到有些人確實有作為他們的蠟出來，他們可以清潔那個外面的部分，那是可以的。

But you do not want to go putting this in here like this because you're gonna push your wax in, you're gonna braid the surfaces and you're gonna cause damn some of the things that I recommend on cleaning the ear is drop some alcohol in the air and again, as long as you don't have any ear problems or hole in your ear, you can use hydrogen peroxide that tends to bubble a bit but can be used.

但是你不要像這樣把這個放進去，因為你會把你的蠟推進去，你會把表面編成辮子，你會造成該死的一些東西，我建議在清潔耳朵時，在空氣中滴一些酒精，同樣，只要你沒有任何耳朵問題或耳朵上的洞，你可以使用雙氧水，往往會有一點保麗龍，但可以使用。

And a warm wet washcloth that you wring out well and used to clean the outside of your ear.

還有一塊溫熱的溼毛巾，把它擰乾，用來清潔耳朵外面。

We really don't want you to over clean your ear.

我們真的不希望你過度清潔你的耳朵。

Because no matter how clean you are, those bugs could climb into your bed first of all.

因為不管你有多幹淨，那些蟲子首先可能爬到你的床上。

蟲子不希望在你的耳朵裡出現。

Their private so cockroaches, spiders they don't want but every once in a while they'll meander in.

他們的隱私，所以蟑螂、蜘蛛他們都不想要，但每隔一段時間就會蜿蜒而入。

I've seen actually a spider who's made a web inside of someone's ear canal.

我曾見過一隻蜘蛛在別人的耳道里結了一張網。

And the thing about the cockroaches they go in but they can't turn around once they're in there there's not enough space for them to turn around and get out.

關於蟑螂的事情，他們進去了，但他們不能轉身，一旦他們在裡面，沒有足夠的空間讓他們轉身出去。

So what they do is they keep clawing forward against the eardrum and I don't know if you've ever seen cockroaches legs under a microscope, but it's like hairs and their hooks.

是以，它們所做的是不斷向前抓取耳膜，我不知道你是否在顯微鏡下看過蟑螂的腿，但這就像毛髮和它們的鉤子。

And so then they're scratching the eardrum and as they're scratching the ear drum, the sound that's generated is horrendous and the pain that's generated is horrendous.

於是他們就抓撓耳膜，當他們抓撓耳膜時，產生的聲音是可怕的，產生的疼痛是可怕的。

So the person starts scratching at their ear and their ears start bleeding.

所以這個人開始抓撓他們的耳朵，他們的耳朵開始出血。

Ripping their ear off and so I immediately know from across the room cockroach in the ear.

扯掉他們的耳朵，於是我立刻從對面的房間裡知道耳朵裡有蟑螂。

So what we do is we try to calm the person down.

是以，我們所做的是試圖讓這個人平靜下來。

And then you can put rubbing alcohol in the ear or mineral oil in the ear or some liquid that will actually kill the bug and then you can suction it out cockroaches about the grossest thing that we see.

然後你可以在耳朵裡放上酒精，或在耳朵裡放上礦物油，或一些能真正殺死蟲子的液體，然後你可以把它吸出來，蟑螂是我們看到的最噁心的東西。

But you can get flying insects in the same sort of thing.

但你可以在同類事物中得到飛蟲。

But you know you don't have to be phobic, it's pretty gross but we don't see it that frequently.

但你知道你不必有恐懼症，這很噁心，但我們沒有那麼頻繁地看到它。

But if it happens to you at home, try not to panic and just put rubbing alcohol or mineral oil in your ear and then go to the doctor, stop a nosebleed, pinch the bridge of your nose and tilt your head back.

但如果你在家裡發生了這種情況，儘量不要驚慌，只需在耳朵裡塗抹酒精或礦物油，然後去看醫生，停止流鼻血，捏住鼻樑，把頭往後仰。

And this is not an offense to the school nurse.

而這並不是對學校護士的冒犯。

They're classically told pinch up here and hold your head back and that's the exact opposite of what you should do.

他們被經典地告知捏住這裡，把頭向後仰，這與你應該做的完全相反。

First off the nose has a tremendous blood supply, the blood supply to the nose has five arteries that meet up here in the front.

首先，鼻子有巨大的血液供應，鼻子的血液供應有五條動脈，在前面這裡匯合。

It's called kissel box plexus and Kissel box plexus have arteries and veins that meet together.

它被稱為Kissel box plexus，Kissel box plexus有動脈和靜脈交匯在一起。

So if you pinch the front of your nose The sidewall against the Septum and hold it for five minutes and you stay upright and lean forward a little bit so that you can, if some of the blood is going down the back, you can spit it out.

是以，如果你捏住你的鼻子前部，側壁靠著鼻中隔，保持5分鐘，你保持直立，身體向前傾一點，這樣你就可以，如果有些血從後面流下來，你可以把它吐出來。

But if you pinch your nose for five minutes you will stop 90% of nosebleeds.

但如果你捏住鼻子5分鐘，就能阻止90%的鼻血。

Absolutely think of it as if you had a cut on your skin, you see the blood, what do you do?

絕對是這樣想的，就像你的皮膚上有個傷口，你看到了血，你會怎麼做？

You put pressure on pressure stops bleeding because it allows the flow to stop and then your own clotting mechanism to kick in, taping your mouth shut will stop your story.

你把壓力放在壓力上可以止血，因為它可以讓血流停止，然後你自己的凝血機制就會啟動，把你的嘴貼上會讓你的故事停止。

Okay, this another one I'm ripping up, never tape your mouth shut.

好吧，這又是一個我撕掉的，永遠不要用膠帶封住你的嘴。

I don't know how that's out there because when you're asleep you need to breathe and let's just say your nose gets blocked and congested and you've got your mouth taped shut, how are you breathing?

我不知道那是怎麼出來的，因為當你睡覺的時候，你需要呼吸，我們就說你的鼻子被堵住了，充血了，你的嘴被綁住了，你怎麼呼吸？

So never snoring comes from many different places, not just snoring from your mouth.

是以，從來沒有打鼾是來自許多不同的地方，而不僅僅是來自你的嘴的打鼾。

Snoring comes from the turbulent flow of air through the respiratory system.

鼾聲來自於空氣在呼吸系統中的湍流。

And that turbulent flow can come from your nose, it can come from your mouth, you can come from lower down in your throat.

而這種湍流可以來自你的鼻子，可以來自你的嘴，可以來自你的喉嚨下部。

So just taping your mouth closed is not going to fix that problem for a lot of people.

是以，對很多人來說，僅僅用膠帶封住嘴是無法解決這個問題的。

It's very dangerous and not recommended, only loud music causes hearing loss.

這是非常危險的，不建議這樣做，只有大聲的音樂才會導致聽力損失。

How about anything loud can cause hearing loss.

任何響亮的東西都會導致聽力損失，這一點如何？

There's different ways you can get damaged.

有不同的方式可以讓你受到損害。

So let's say a firearm or a firework near the ear.

是以，假設耳朵附近有火器或煙花。

Then there's a cumulative effect where you might have noise that say 90 decibels or 100 decibel over time, that also will start harming those cells.

然後有一個累積效應，即你可能有90分貝或100分貝的噪音，隨著時間的推移，這也將開始傷害這些細胞。

So I'm speaking about 35 to 40 decibels right now.

是以，80至90分貝的聲音是相當大的。

The more war some losses, that cumulative loss, because people don't even realize it's happening.

更多的戰爭一些損失，那累積的損失，因為人們甚至沒有意識到它的發生。

You know, you go on the subways, you walk around in the city can be really loud, construction sounds, factory noises, sirens, all of those things can cause hearing loss.

你知道，你去坐地鐵，你在城市裡走動可能真的很吵，建築聲音，工廠噪音，警報器，所有這些東西都可能導致聽力損失。

So, I think of loud noise as if you're looking up into the sun, you don't do it right.

所以，我認為響亮的噪音就像你抬頭看太陽一樣，你做得不對。

Same thing, loud noise blasting in your ear.

同樣的事情，巨大的噪音在你耳邊炸響。

It harms those little inner hair cells and causes permanent hearing walls.

它傷害了那些小的內毛細胞，導致永久性的聽力牆。

Once it's gone, it's gone, we cannot do really anything to get your hearing back once it's gone.

一旦它消失了，它就消失了，一旦它消失了，我們就無法真正做任何事情來恢復你的聽力。

So, thinking about your hearing early on in life is an important factor.

是以，在人生的早期就考慮到自己的聽力問題是一個重要因素。

All right, well, many people swim, it's a very common human activity.

好吧，很多人都會游泳，這是一項非常普遍的人類活動。

Not everybody gets an ear infection, but there is an entity called swimmer's ear, swimmer's ear is when you get an overgrowth of either bacteria or fungus in the outside ear canal, one of the main culprits from swimmer's ear is over cleaning of your ear.

不是每個人都會得中耳炎，但有一種實體叫做游泳耳，游泳耳是指細菌或真菌在外耳道過度生長，游泳耳的主要罪魁禍首之一是過度清潔耳朵。

When you look at the ear canal, this is the outer ear, your canal is about an inch and a half long.

當你看一下耳道，這是外耳，你的耳道大約有一英寸半長。