How do you say?

Author:  //  Category: Otorhinolaryngology (ENT)

According to recent statistics, hearing loss suffered every tenth person. The main cause of this disease are age-related changes.Also at the hearing loss is affected by other factors such as noise in the subway and on the streets, discos, listening at high volumes, the complications of past infectious diseases and others.

On this issue, advises the physician-audiologist Scandinavian Medical Center Avdiyenko Elena.

Loss of hearing each person individually manifested. It can be expressed as the loss of volume and distortion. Peculiarity of the development of hearing loss is that it is not immediately possible to notice, because it develops slowly, and the body gradually adapts to the problem. But at the same time, advanced forms of hearing loss are difficult to restore, and sometimes simply impossible. Brain for a long time not receiving sound stimulation, "lose the habit" to distinguish one sound from another. Even if you subsequently returned all the world’s diversity of sounds, will be very difficult to re-learning to hear. Therefore, as soon spotted the first signs of hearing loss, should not delay access to the doctor and undergo Audiology examination (diagnostics and treatment of hearing impairment).

To determine the causes of hearing loss will need to assess auditory function. To do this, the physician must conduct the tonal threshold audiometry. This is a hardware test hearing, during which the estimated function of the audio signal structures outside the middle and inner ear. Audiometer can generate pure tones of varying frequency and intensity. The patient, in turn, pushed the button tells the doctor that the sound is heard.

An important component of the examination of patients with reduced hearing loss and speech audiometry. This is one of the more common methods of subjective hearing test, which determines the percentage of words that can make out people with different volume and playback. Ideally, speech audiometry should be conducted before and after treatment.

When necessary, impedansometriya (Tympanometry) – the study of pathologies of the auditory tube, electro and Otoacoustic emission.

Remember! Timely treatment by a qualified specialist, audiologist will help not only keep listening, but at some point to restore it.

To the doctor to ask for help in case if I have the following problems:

  • barely hear the phone and the doorbell;
  • difficult to make out what they say on the phone;
  • have to turn his head to his companion and strain to hear his words;
  • often have to ask the interlocutor to repeat them;
  • difficult to understand what is said in a noisy environment;
  • receive comments on that too loud TV or radio.
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    Nasal bleeding: causes

    Author:  //  Category: Otorhinolaryngology (ENT)

    Nasal bleeding frequency are the most common spontaneous bleeding, and make up according to different sources of 3-5% of the total number of hospitalized in ENT hospitals.

    Differences in the number and nature of nasal bleeding, ceteris paribus, between the male and female sex were observed.

    Nosebleeds usually occur suddenly and may be accompanied by significant blood loss. At the heart of epistaxis is a violation of the integrity of the vascular wall or clotting disorder. Nasal bleeding can be spontaneous or induced by various injuries. Causes of nasal bleeding taken to separate local and general.

    The local causes include:

  • with superficial vascular plexus in the nasal septum is easily damaged, and that becomes the most frequent cause of nasal bleeding (90% of cases);
  • trauma, which may be of different strengths – from the most seemingly harmless habit of picking his nose up to considerable accompanied by fractures of the facial skeleton;
  • foreign bodies in the nasal cavity, which can provoke bleeding, directly injuring the mucous membrane, or causing inflammation at the site of their long stay. This is especially true for young children, who often put their nose in various subjects, and then forget about it or hide from adults. In this case, accompanied by a purulent bloody discharge with an unpleasant smell;
  • various benign and malignant tumors of the nasal cavity (in children the most frequent benign Education);
  • curvature of the nasal septum, which, along with recurrent bleeding in most cases will be observed difficulty in nasal breathing;
  • anomalies of the vascular system of the nasal cavity – with different localization expansion of the arteries and veins;
  • changing the structure of the mucous membranes in various infections (tuberculosis, syphilis, diphtheria) and chronic rhinitis;
  • nosebleeds in children may arise from the fact that the air in the room dry. Dried mucous membrane of the nasal septum by shrinking the blood vessel wall, and they lose their elasticity and strength. As a result, when sneezing, blowing noses, etc., the dried mucous membrane cracks and dried-up tears with her blood vessel.
  • The causes of nasal bleeding should include the general nature of the disease or condition accompanied by violations of the phasing properties of blood and their combination in violation of the permeability of the vascular wall:

  • blood disorders (eg, hemophilia – congenital abnormality characterized by absence or deficiency of one of the clotting factors);
  • increased vascular permeability during inflammation (vasculitis), resulting in severe infections such as measles, influenza and so on;
  • with a deficiency of vitamin C (hypovitaminosis C);
  • with hereditary diseases characterized by disturbances in the structure of the vascular wall;
  • chronic liver disease (hepatitis, cirrhosis);
  • chronic inflammatory diseases of the nasal cavity and paranasal sinuses;
  • state, accompanied by the rise in blood pressure (renal hypertension – elevated blood pressure in renal disease, exercise, sunstroke, overheating).
  • Nasal bleeding can start suddenly, often during sleep. The bleeding is unilateral or directly from the two halves of the nose. Bleeding are of varying intensity and duration. In some cases, the blood flows slowly and stopped spontaneously, while others poured blood stream, the bleeding may continue for a long time and does not stop spontaneously.

    It is important to understand that emerged nosebleeds, even in case of injury, may be the first sign of terrible diseases (eg, blood diseases), and subsequently have a debilitating recurring (recurring) course. In all cases of nasal bleeding should consult a specialist, and should begin the survey by visiting the Children’s ENT doctor, who will examine the nasal cavity, radiography appoint the paranasal sinuses.

    If the cause of nasal bleeding, local, and in particular – superficial vessels in the nasal septum, a specialist may carry out their cauterization (coagulation) in various ways: electricity, laser (electro-or laser coagulation) or liquid nitrogen (kriovozdeystvie). Indications for cauterization of vessels are recurrent nosebleeds (sometimes they are repeated several times a week and bring considerable inconvenience to the patient), unsuccessful attempts to stop bleeding in other ways; pronounced bleeding, the development as a result of repeated bleeding, anemia (anemia), and exhaustion. In the presence of foreign bodies in the nasal passages, the polyps showed deleting them, etc. If common causes of bleeding, it will be assigned to various surveys, for example, blood tests, as well as additional consultation with other professionals: haematologist (a doctor for the treatment of blood diseases), pediatrician, etc.

    Chronic bleeding is the cause of slowly growing depletion of the organism, the formation of anemia. If anemic immunity – reduced resistance to pathogens and constantly changing environmental conditions. Chronic anoxia causes the appearance of the pathological state, at which the irreversible changes in structure and function of most organs. Blood loss in a large volume leads to severe consequences for the organism, and in some cases to death. Bleeding can be acute or chronic. Acute hemorrhage causes rapid deterioration of the patient and in a short period of time can lead to loss of consciousness resulting from acute oxygen starvation of the brain, and in failing to stop – to death.

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    Nose drops – a dangerous drug?

    Author:  //  Category: Otorhinolaryngology (ENT)

    It begins simply: runny nose, which makes it difficult to breath, irritated skin around the nostrils and prevent restful sleep. In such a situation, most people will go to the store and acquire a drop or spray of nasal congestion.

    Usually when it comes to dependence on any drug, is meant addicted to drugs. Definitions of such a state known – this irrepressible urge to use drugs, search for any opportunities to acquire and, of course, the illegality of any activity related to the desired substance.

    But there is light at the drug dependence, does not fit under one of these definitions. This is the constant use of nose drops, or, in medical terms, decongestants.

    The problem, at first glance, and the problem of something called a language does not turn – think of it, drops without a prescription at any pharmacy. Besides, few people had occasion from time to time to use them as a runny nose – a piece everyday.

    However, it is a simple search on the internet, and the number of relevant articles and discussion forums eloquently shows that the problem of "replanting" of nose drops for real.

    It begins simply: runny nose, which makes it difficult to breath, irritated skin around the nostrils and prevent restful sleep. In such a situation, most people will go to the store and acquire a drop or spray of nasal congestion.

    Medications are working well: just ten minutes breathing through the nose becomes free. And after the termination of the medication is enough to drip again and again, life being established.

    After several days of constant use is that in the absence of the drug nasal congestion quickly resumed. Frustrated by the prolonged colds people continue to resort to means-tested, and after some time noticed that the drops do not work eight hours and six, then – four, and then the bottles with the drug starts to find everywhere – in the bathroom, the bedroom, in the car, in pockets at work.

    And the hand is drawn to him as usual, as the hand of a smoker – a pack of cigarettes. And when you try to abandon the usual nose drops is laid down in a few hours.

    That’s all you have arrived: there are dependent on decongestants, it – medical rhinitis.

    How does this happen?

    First and foremost it must be noted that the relationship did not cause all the drops in the nose, but only those active substances which belong to the so-called alpha-agonists: that is, Oxymetazoline, phenylephrine, ksilometazolin etc.

    They act on blood vessels of the nasal mucosa, like adrenalin, that is, narrowing them. This reduces swelling and decreases the production of mucus, which leads to nasal congestion. However, the sensitivity of vessels to the drug very rapidly declining, and to achieve the same effect to increase the dose.

    Besides decreasing the sensitivity of the vessels and to the most adrenaline. Therefore, in the absence of drugs vessels dilate, increasing their permeability, therefore, swells the mucous membrane of the nose and produces excessive amounts of mucus. It makes a person constantly use drops that closes the "vicious circle" of drug addiction.

    How to prevent this?

    Like any other addiction, drug rhinitis easier to prevent than to cure. To do this, just use the drops in the nose correctly, that is something like this:

  • not use these drugs unless absolutely necessary. If you are at home, it is better to fight with a runny nose nasal lavage with sterile isotonic salt solution (0.9% solution of sodium chloride) or drugs based on natural salt (sea, etc.). Decongestants can take before you leave home and before bedtime;
  • In no case can not exceed the dose and frequency of use drops. To this need did not arise, to seek to maximize evenly distribute the drug on the nasal mucosa. It is better to lie down, to throw back his head, to drip into each nostril in the specified number of drops and instructions to lie in that position for two minutes;
  • if the background of continued cold drops more than 3-4 days, should stop using them and consult your doctor – you may need more targeted treatment. Decongestants only relieve symptoms, not acting on the cause of disease;
  • with allergic rhinitis should be preferred antihistamines recommended by a doctor;
  • can not use someone else’s drops or give their – it facilitates the transfer of infection. If the relationship has evolved
  • If you have not had time to read this before you get carried away by drops in the nose, and without them no longer can, you should not continue to self-medication, and refer to ENT doctor. The specialist will choose treatment, corresponding to a particular case. It will depend on the original causes of rhinitis, the drug, as well as the overall duration and frequency of its use.

    Typically, a good effect makes a change decongestants for regular flushing of nasal passages with saline water, followed by the introduction of local steroid hormones.

    Modern steroids for topical use have few side effects and help restore the sensitivity of vessels to adrenalin under a short course with the gradual abolition.

    If the nasal mucosa, as modified by the constant application of drops, was a hotbed of chronic infection, the doctor will appoint appropriate course of antibiotics.

    In some cases, a phasing out of decongestants. You can either reduce the number of drops per introduction, or increase the intervals between infusions, or diluted with a drop of a growing volume of sterile distilled water, or combine these methods.

    More rarely requires long-term application of various ointments, cauterizing blood vessels or other laser treatments.

    And last (for the account, but not least): if you have noticed that some of your friends for a long time has not parted with drops of cold – let him read this.

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    In cave doctor Sinusitis

    Author:  //  Category: Otorhinolaryngology (ENT)

    What kind of disease – sinusitis? And how to fight it? The history of medicine has not preserved the name of the author of the famous aphorism: "If you treat a cold, it will be held for a week, and if not – for seven days."

    The author was wrong. First, the abundance and availability of drugs for a cold there are few willing to speak through the nose and sniff as much a week. And secondly, if the cold is not treated, after seven days will come no cure, and sinusitis.

    The main symptom – lack of sneeze

    If you believe that the body itself to cope with their problems, and colds can argue and clearly did not intend to leave you even for a second week, while a head ache a little, I will be honest – you play the game: you do not have a runny nose, and inflammation of the mucous membrane of one and even several paranasal nasal cavities (in medically – sinus).

    Prolonged, intense inflammation of the lining of the nose may spread into the maxillary or maxillary sinus, adjacent to the nasal cavity on both sides. Typically, these sinuses are filled with air, but through the nasal ducts that connect the nose and sinuses and is easily penetrate pathogens. As a result, we have soiled handkerchiefs at least 3 weeks, that is 3 times longer than the common cold.

    We sinusitis is one sure sign: the absence of exhausting sneeze. And from the nasal passages is allocated a thick yellowish mucus. When colds mucous discharge are generally more liquid and colorless. It is for this reason otolaryngologist always wondered color and texture that flows out of our nose.

    Inflammation of the sinuses can manifest itself in a few days or even weeks after the passage of the acute symptoms of colds.

    The source of infection – patients teeth

    In fairness, we note that there are two pathways of infection in the maxillary sinus. This inflammation of the upper jaw. The inflammatory process at the root of the tooth quickly passes on periodontal tissue – periodontitis. And then – in areas of mucous membrane of the maxillary sinus. It develops adontogenny sinusitis. In severe cases, sinusitis is accompanied by a fetid odor from the mouth, fistula formation in the gums.

    If time does not refer to a specialist, the infection can get into the middle ear, soft tissue of the orbit, even in the brain, causing severe complications: meningitis, orbital phlegmon or abscess, osteomyelitis of flat bones of the skull … So do not pull the time!

    Another type of sinusitis – rhinogenous – triggered by inflammatory processes in the nasopharynx. It develops as a complication from the flu, catarrh of the upper respiratory tract, measles, scarlet fever, when the microbes are spread from the bloodstream.

    Implicit symptoms

    How is the disease manifests itself, moreover, that does not want to sneeze and ache a little head?

    In mild cases, patients complain of a feeling of pressure in the sick sinus. In more severe – align headaches in the forehead, temple, sometimes they occupy half of the face. There is a sharp nasal congestion. In the most severe, complicated cases may be swelling of the cheeks and lower eyelids on the affected side. One of the common signs of a fever.

    Additional research

    To establish a definitive diagnosis of the doctor prescribes additional survey. The most informative is the X-ray. In recent years, the ENT-offices began to appear ultrasound devices for the paranasal sinuses – ehosinusoskopy. The use of these devices makes it possible to determine the degree of inflammation maxillary sinuses, the presence of liquid level, edema.These devices can reduce the number of X-ray images (and, consequently, X-ray irradiation), and in some cases to avoid diagnostic maxillary sinus puncture.

    Puncture and lavage

    In cases of purulent sinusitis maxillary sinus puncture carried out by washing the cavity with special solutions and the introduction of antibiotics. Sometimes, when the risk of relapse suppuration, during the first puncture of maxillary sinus injected polyethylene pipe. Through it you can repeatedly wash and to introduce drugs. The effectiveness of treatment while significantly increased and the patient less nervous: no need to psychologically adjust to two or three puncture.

    Lives of such a stereotype that if you make a puncture once, then have to be subjected to it many times. This is a myth! When festering in her maxillary sinus puncture (which is performed under local anesthesia) with the introduction of drugs (antibiotics, enzymes, hormones, etc.) may relieve painful symptoms and promote early recovery. Relapse of sinusitis also depends on the held puncture, as re-imposed break from the once gypsum.

    But sometimes we come to the doctor in such a state that not only conservative treatment is pointless, but a puncture will not save – needs a serious operation. It even such extremely severe cases, when due to sinusitis occur intracranial complications (meningitis, encephalitis), whereas surgical treatment is carried out in conjunction with neurosurgeons.

    After such a warning in the most time to learn how to prevent it to extremes.

    Preventive

    Since acute sinusitis usually develops on the background of SARS, do not try to carry these diseases on their feet. We have to start treating coryza with the very first days. Very efficient washing of the nasal cavity of a 1% solution of sodium chloride, warmed to body temperature. At 0.5 liters of water takes 1 tsp salt. We need a syringe or an ordinary 20-gram syringe with worn it or silicone rubber tube.

    The tip of the syringe or the end of the rubber tube type shallow in advance of the nose and, leaning over the sink, rinse each half of the nose 3-4 times. The procedure should be done 2 times a day, morning and evening. After washing can spoil vasoconstrictor drops. Thoroughly, but gently blow your nose.

    Very good help when starting cold to hot foot bath, tea with honey or raspberry, burying his nose in the juice of garlic, breathing exercises.

    Important as quickly as possible to ensure the outflow of pus from the sinuses. To do this you need vasoconstrictor drops (check with your doctor, what to choose: some of them are addictive – they should use no more than 5 days). It is better to use a drop of oil-based – they are staying longer in the nasal cavity and do not cause addiction. Do not interfere, and anti-histamines, anti-inflammatory drugs, some herbs.

    Surprisingly, not everyone knows how to bury the drugs in the nose. If you just do it, throwing her head back, then they shall flow together in the right nasopharynx, it had no serious impact on the nasal cavity. To effect was maximal, the drop has to be entered in the right half of the nose, his head bent to the right shoulder and the left – to the left.

    Our reference

    Nasal sinuses are four pairs: maxillary, frontal, fundamental (wedge) and lattice. The most famous – maxillary, named in honor of the English anatomist Sinusitis. These sinuses are the largest, the volume of each of them – about 30 cubic meters. see they are in the thick of the body of the upper jaw. Form maxillary sinus resembles a three-sided pyramid. Its inner wall, adjacent to the nasal cavity has a hole that opens in the middle course of the nasal cavity.

    A sinus in Latin means "cavity". And school geometry that word has nothing to do.

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    Tonsils: to be or not to be?

    Author:  //  Category: Otorhinolaryngology (ENT)

    Most of us belongs to a runny nose and sore throat quietly: did not happen? Otolaryngology frivolity patients do not share. Many of those on the nose and throat diseases given up, then turn out on a hospital bed.

    Seven times measure, one cut it

    Doctors do not tire of repeating: monitor the state of the throat and nose should be very careful. But at the other extreme fall advise.For once popular in our country operations to remove the adenoids or tonsil specialists today the ratio is ambiguous. Before deciding on this step, it is useful to weigh what more you eventually get: benefit or harm.

    Especially when it comes to child. In memory of doctors many instances when surgery only aggravates the suffering of the child.It’s no secret that located in the arch of nasopharyngeal adenoids (or more precisely – pharyngeal tonsil), as well as perched between the arches of the soft palate tonsils (palatine tonsils), play an important role in the formation of immunity and are the original gate to the path of incoming air infection. Moreover, in the depths of these lymphoid formations "mature" immunocompetent cells, the opposing attackers us microbes and viruses. Doctors are unanimous: without a good reason to five or six years of adenoids and tonsils is better not to touch.

    Another thing, if the tonsils with its protective role not cope, becoming a hotbed of chronic inflammation, provoking the development of sinusitis (purulent inflammation of the paranasal sinuses), laryngitis, bronchitis and pneumonia. Or so increase in size, that (in the case of adenoids) obstruct the rear openings of the nose – hoany, causing breathing difficulties. For children’s nose is a serious test. Due to constant nasal congestion and open your mouth it could conceivably come to the deformation of the facial skeleton in violation of the structure of teeth and malocclusion.

    And there to otitis far. Due to the peculiar anatomical structure of eustachian tube connecting the ear cavity with the nasopharynx (the malyshni it is much wider and shorter than in adults), to get there pernicious microbes piece of cake. Most microbial infection enters the tympanum of the nasopharynx. Should child zashmygat nose, ear and start suffering. And then the hearing impairment. When germs get inflammation of the mucous membrane of the middle ear sometimes swells to such an extent that closes the ear canal, disrupting air between the middle ear cavity and pharynx, which creates a perfect environment for bacteria to grow.

    Without pain and complications

    In adults, inflamed, swollen tonsils (either tonsils or adenoids) – a rare phenomenon. With age, when the immune processes in the body gradually calms down, lymphoid tissue atrophies. And to fulfill its function of tonsils decrease in size. That is why in old age in yesterday suddenly begins to undergo chronic bronchial asthma or symptoms of allergic rhinitis.

    And yet very much of the old problem of patients not to leave. Some suffer from permanent angina, others from maxillary sinusitis (acute inflammation of the paranasal sinuses). In such cases, two opinions can not be: inflamed, enlarged tonsils should be removed. Common concerns about the meaninglessness of such a procedure (say, cut out the adenoids were not killed, then grow up anyway) from experts raise a smile. In leading clinics and adenoids and tonsils removed in new ways. Not blindly, as before, when tied to a chair to the patient under local anesthesia almost feel cut off hapless lymphoid tissue, part of which often remained, growing and inflamed again. Now this operation done, as in the whole civilized world, under anesthesia, under the control of modern equipment, through which the doctor appeared one hundred percent review is intended to clear the ill-fated from the tonsil area.

    An extensive study of patients after the blind and visually controlled and adeno-tonsillectomy, surgeons were shocked: 68-69% of recurrences occurred in the case where a man was operated on the old. And only 16-18%, when under anesthesia. Also along the way the doctor is not worth anything now apart from the tonsils to save man from other troubles – from the cyst, for example.

    However, when it comes to surgery, experienced doctors advise not to rush. The operation – is the final stage of treatment. Before you go under the surgeon’s knife, you need to try all conservative treatments for tonsil and adenoids. In memory of many doctors when skillfully conducted after treatment operation is simply not needed: inflamed edematous amygdala decreased in size. This pattern is often observed in people with allergies. Enough to treat human antihistamines, and the problem disappears.

    To the finish

    And even better before the operation itself does not bring. How? Very simple: a burning fire or a snotty nose, throat should be treated correctly. What, according to the doctors, the vast majority of citizens is just not able. Take the same angina. Insidious disease often masquerades as diphtheria, SARS, or mononucleosis. Moreover, at the very sore throat and there are at least several varieties, which require specific treatment. Without an experienced here can not do.

    For the treatment of Bluetongue, folikulyarnoy and most dangerous – lacunar tonsillitis need antibiotics (depending on whether pathogenic flora due to illness). Good effect (especially in the initial stage of the disease) may bring and use of local antibacterial agents: faringosepta, gramicidin, ingalipta, bioparoksa. But fungal angina, associated not with bacterial infection, as with the problems of immunity, can not be treated with antibiotics. In this case, you only strengthen the indolent inflammatory process. The main means of combating a sore throat – antifungal agents. It is important to immediately start gargling. And do it as often as possible. Every 30-60 minutes. This may be a saline solution containing a few drops of iodine, and ready-made pharmacy disinfectant solutions.

    Certain rules are in the treatment of nasal congestion. Any, even the most innocuous at first glance, the drop does not bury his nose over a week, maximum – ten days. First, use a vasoconstrictor, and then (to reduce the secretion of mucous glands) to reliance on bonding agents – kolargolu, protorgolu. Drops of oil-based good for subatroficheskom or atrophic process (with swelling and dryness). But they should not be abused.

    Get rid of a cold can not resorting to the drops. With the distractions procedures: mustard plaster on the soles and calf muscles, foot and hand (the elbow), hot baths, inhalations with menthol, validol (two tablets in half-liter of water), Eucalyptus. If you do not feel better and, despite all the measures that you continue to squelch the nose, the board of one: go to a specialist!

    Popularity: unranked [?]

    Sound young

    Author:  //  Category: Otorhinolaryngology (ENT)

    The voice gives us the true age as well as the neck, hands and eyes. But now he learned how to rejuvenate. Yesterday, the frogs were croaking, and now burst into a bell – who does not inspire you to exploit?

    The beauty and strength of tone depend on the structure of the vocal apparatus and the state of the vocal cords. With age, ligament weakening, shrinking, they formed nodules, which do not allow them to link up to the end. Voice becomes weak and begins to "chatter", the range of its decline.

    The rate of decay depends on many things: from genetics, stress, lifestyle … But there are several ways to make sure that you have again started to be confused with her daughter on the phone.

    Fitness for the diaphragm

    The easiest way – do teach voice with a doctor-Phoniatrics or vocal coaches – phonopedy. With the help of special exercises, you learn how to breathe correctly diaphragm, connected resonators, increase your range.

    Someone to "resound", will monitor the bearing.

    It depends on the posture breathing and, therefore, the volume, clarity and accuracy of "getting into the sound." These classes all assists to solve problems with diction. A month later become noticeable results. Regular exercise also, according to specialists, help in lifelong learning to keep young and sonorous voice.

    Stone instead of songs

    If your regular workout phoniatric you do not have enough to do the voice of younger and prettier help some tricks:

  • Sutra try not too straining ligaments. Do not scream or even just talk loudly: the voice must be given time to "wake up". Start your day with a workout – yawn from the soul and mychite melodies with your mouth closed;
  • monotone speech is not too well affects the timbre of his voice. Bundles of smaller deterioration, if the voices are different modulation. Every day, perform this exercise: Stand in front of the mirror, exhale, then inhale and pronounce the sounds: "and, er, a, a, y". Each sound should pull up until you have enough breathing;
  • improves bad sounding voice postanyvanie. Relax, keep my head straight. Try to publish a light groan with the letter "m". This sound should pass freely through the throat. Then go to the stretching (the lips must be a bit ticklish). Connect to the consonant "m" vowels "a, o, u, e, and s". Pronounce the vowels gently, without pushing, slightly opening the mouth;
  • importance to the deepening of the voice that we eat. Turn the menu foods containing vitamins B and C (especially sprouted wheat, bran, liver, veal, rice, eggs, bell pepper, rose, colored and white cabbage, oranges, spinach, potatoes);
  • tales that professional singers drink raw eggs may contain a basis. If the eggs do not raise your meal, change their milkshakes with fresh carrot juice.
  • Call hormones

    If suddenly you have changed the timbre of voice, go to the endocrinologist and make sure everything is okay with the hormonal background. Changes in rates may be associated with thyroid disease, as well as with hormonal drugs and oral contraceptives. In this case, from the rejuvenating operations will not be confused.

    Teflon binder

    Among those who dislike the long hard work with a voice that is very requested by another method for rejuvenation – plastic surgery.

    Plastic on the ligaments hold the two scenarios. The first option – introduce them to the different fillings: a special gel, collagen, fat, Botox, Teflon. This helps to cope with nesmykaniem ligaments, a frequent cause of hoarseness. This ligament become massive, timbre – below. So this method is suitable for men, dreams of a manly voice, but not women – except that with sex-change operation.

    Plastic on the second scenario just makes his voice above: with the help of a number of manipulations ligament "pull", and timbre becomes higher, thinner and younger. Sounds great, right? In practice, however, more difficult.

    5 rules beautiful voice

  • load on the voice should correspond to the degree of its trenirovannosti: do not try to shout down the speaker and do not try To take the second octave, if you viola;
  • Get rid of the habit of clearing his throat clearing his throat. This leads to microtraumas ligaments, they formed "knots screamers" who do not give voice was pure and in full force. Whispers in large numbers to vote, too bad;
  • during colds preserve his voice is especially important. Do not run out into the cold overheated, use a humidifier;
  • not get carried away soda, alcohol, nuts, seeds, coffee, fried, greasy, and pereperchennoy peresolennoy food. Quit smoking;
  • harmful to a lot of talk after a heavy meal – diaphragm at this time "fixed" the stomach, the breath becomes short, and the chances of damaging ligaments increases.
  • Or maybe a therapist?

    Alas – plastic cords mainly do abroad, in the United States, for example. Our experts are more conservative and prefer to "sharpen the voice of" only in the case of vocal tract diseases that can not be cured by another route. So naturally change on alto or soprano, tenor, bass will not work. Resort to "face lift" to vote and after operations, which gave a complication of folds (eg, thyroid surgery, removal of the tumor in the larynx).

    The reason for these restrictions – in the possible complications after surgery. Still, this is a serious surgery (a few hours in the operating room under general anesthesia), there may be reaction to the material. In addition, some types of rejuvenating substances, for example, Botox or collagen, eventually dissipate. Accordingly, the effect is only temporary.

    Any surgeon before flogging sends the patient’s insistence on a consultation with a therapist. As the scope of practice, the desire to radically change the voice, as well as change the appearance, in 90% of cases have psychological reasons.

    Popularity: unranked [?]

    Nose drops: benefit or harm?

    Author:  //  Category: Otorhinolaryngology (ENT)

    Even the healthiest person at least once in your life suffered from a cold. And very often in such situations, we go to the drugstore and buy nasal drops without consulting your doctor. Why is it dangerous?

    Rhinitis occurs because the action of microorganisms on the nasal mucosa, which leads to inflammation and the exit of liquid through the walls of blood vessels. Appear nasal discharge, in addition increases in the amount of mucosa through the accumulation of leukocytes in it (our cells defenders who are trying to cope with inflammation). Because of these changes is difficult nasal breathing.

    Trying to overcome these unpleasant symptoms, we use the drops in the nose. And very often we buy naftizin and similar drugs from their uncontrolled use.

    What does it lead? "If we carefully read the annotation to the drug and are doing everything correctly, there are no unpleasant consequences will be, and the cold will pass. But prolonged use of drops, repeated during the day of their use leads to a vicious circle: a runny nose appears again in a short period of time or develop a permanent disturbance of nasal respiration. Speaking of medical terminology, develop chronic hypertrophic or atrophic rhinitis.

    Why is this happening? "Virtually all the drops in the nose is a vasoconstrictor. Speaking figuratively, they act on the nasal mucosa, as a whip. First, they help reduce emissions and improve nasal breathing due to an increase in the lumen of the nasal cavity. But if you ever beat whip, then any damage. Here and there is chronic inflammation of the nose.

    What can we do? To drop still of benefit, you must follow these rules:

  • use a drop of mild, they now are many pharmacies. In the annotation of such drops is written that they can be applied up to 7 days;
  • never use a drop of more than a week and more often 3 times a day;
  • not use the drop in young children;
  • Try not to engage in self-treatment, consult your doctor.
  • And the best way to avoid unpleasant consequences – to cure a cold in its first clinical stage. Symptoms of it are: discomfort, tickle, and dryness in the nose, weakness, malaise. Once you have these symptoms, do the following: Take a hot bath or foot overall, drink tea with raspberries or milk with honey, wrapped in a blanket and sleep. In this case you do not have to worry about the usefulness or harmfulness of drops, because they simply do not need you.

    If, after the frequent use of drops you through some period of time there were unpleasant symptoms: you become difficult to breathe through his nose, you have a constant nasal discharge – please refer to the ENT doctor. These symptoms may indicate the presence of chronic rhinitis, which may require surgical intervention.

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    8 ways not to get sick without vaccinations and medicines

    Author:  //  Category: Otorhinolaryngology (ENT)

    Autumn – season of colds and exacerbation of chronic sores. Cure all, of course, would be drugs. But there are simple tools, the use of which can significantly speed up recovery.

    Cheerful disposition. Irritability increases the healing time. Observations showed that the same wounds inflicted by the participants of the experiment, the most irascible probability that the healing will take more than four days, was increased in 4,2 times. It does not matter, clearly a man expresses his discontent or accumulates negative in itself. Scientists believe that the cause of raising the level of the hormone cortisol, which slows healing.

    Vera. Believers recover almost twice as fast, and the number of complications they have several times less than that of atheists.People who had undergone heart surgery, who were praying for themselves or whose relatives were praying, recovered faster.Among them, 25% fewer deaths and had postoperative complications. When diseases and injuries of musculoskeletal system because atheists good results were achieved on average for 18-22-th day from the start of treatment, and the believers – to 9-12-th day. Of the 300 atheists postoperative complications were observed in 51 individuals (17%), and from 300 believers – in 12 patients (4%).

    Color. Color walls or bed linen can relieve neurosis and fatigue. Headaches deliver blue. Orange will improve the functioning of kidneys, urinary bladder. Yellow will facilitate detoxification, removal of edema and cellulitis, help with anemia and chronic bronchitis. Blue will reduce the pressure subside headaches, appetite. Green will help heart problems, those who suffer from neurosis and fatigue.

    Music. Correctly selected melody accelerate recovery. People who listened to music after a stroke, recovered faster: verbal memory at "audiophiles" 90 days after stroke improved by 60% among those who listened to the book, was the best at 18%. It is even less than those who did not listen to anything (they have the same figure was 29%). Brahms heal from fatigue."Pictures at an Exhibition" by Mussorgsky in pacifying anger, Tchaikovsky’s music will reduce irritability. When headache include Polonaise Oginsky, with migraines – "Spring Song" Mendelssohn, "Humoresque" Dvorak’s "American in Paris" by Gershwin. Suite "Peer Gynt" by Grieg normalizes sleep pressure rate will "Wedding March" by Mendelssohn.

    Sleep. Daytime sleep accelerates healing, promotes rapid healing of wounds, fractures. In the dream, man is recovering, no wonder because one of its main functions – the replacement.Sleep allows us to correct damage to the body, including at the cellular level, adjusts the immune system to active. When lack of sleep increases the release of the stress hormone cortisol and slower recovery.

    Laughter. Risible people need fewer drugs, and in the hospital, they spend less time. Researchers found that 10 minutes of laughter can give the patient an additional two hours of sleep without pain. Laughter reduces the level of the hormone cortisol, which is released during stress and reduces sensitivity to pain. Half an hour of laughter a day beneficial impact on blood pressure and reduce the likelihood of a heart attack. In some countries, even developed the association of humor therapy, and in the hospitals of hospital clowns. Appeared even a concept – a therapeutic humor.

    Flowers. Excrete phytoncides destroying pathogenic microbes in the room. The best way to clear the air Chlorophytum, ivy and Spathiphyllum. Aloe (aloe) generally reduces the amount of harmful microbes almost 4 times. Antifungal properties (reduce the number of molds in the air) have a fig tree, laurel, ivy, lemon myrtle. Geranium removes depression and improves vision.

    Situation. The rate of recovery affect the beautiful view from the window, cozy atmosphere. Chilled pillows will help you quickly and soundly asleep. Aquarium with fish reduces stress.Communicate with animals contributes to a more rapid recovery.

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    "Sulfur problems" with the ears

    Author:  //  Category: Otorhinolaryngology (ENT)

    If you notice that you have any problems with the ear, the reason for this may be sulfur caps, which should be removed. But, do it yourself not as a rule, such independence has dire consequences.

    The fact that the ear passage, from the ear and ending with the eardrum, has many bends, provided by nature to prevent the ingress of foreign bodies.

    So, these twists and become an obstacle for self-removal of these bodies, not excluding sulfur caps. In most cases, we are creating these plugs themselves in pursuit of the purity of the ears, when a cotton swab cleans the auditory canal, and thus forcing sulfur inside.

    But the external auditory canal itself is an excellent cleaner ears from it.

    Sulfur is, in turn, prevents the formation of the passage of insects and small foreign bodies, for this reason, we should not artificially interfere with the natural process.

    If you do not touch the ear canal, it will remain clean and healthy.

    Exception may be cases where the sulfur in its composition sticky and dark in color, then it is able to create a picture of a dirty ears.

    The skin of the auditory canal is different subtlety and therefore it is very easy to injure the slightest wrong move. And, therefore, to remove sulfur caps should be only with the help of special tools, but to do so can only physician. It is an appointment with him and you should go in case of education in the ears of sulfur jams.

    Popularity: unranked [?]

    Spring. Warm. Rhinitis

    Author:  //  Category: Otorhinolaryngology (ENT)

    Cough, runny nose, hoarse voice, a tickle in my throat – alas, does not leave us this disaster and in the spring. All winter, "disengaged" citizens, deceived warm breeze, lose vigilance – and …

    - One of the unwanted "guests" – the symptoms of viral pharyngitis: dryness, tickle, feeling a lump in my throat and dry cough, – says otolaryngologist highest category Alexander Sorokin. - When the disease on the back of the throat mucus accumulates, so the desire to clear his throat becomes almost obsessive.

    Constant companion of pharyngitis – a runny nose. Draining secretions from the back of the throat, excessive use of vasoconstrictive drops, switch to mouth breathing not only create additional discomfort, but also aggravate the inflammation. Take the hospital with pharyngitis not accepted – it usually takes place without an increase in temperature, but the treatment must necessarily.

    Do not place high expectations on lozenges and tablets for dispersal – it is only aids that can be used as an emergency, for example, if the cough being besieged in a public place. Throat of course, they do not cure, but the discomfort at any time withdraw – at the expense they contain antiseptics and essential oils "sosalki" soften the throat and makes breathing easier.

    Much more effective for pharyngitis rinse, steam inhalations and sprays. Each method – its advantages.

    Rinse disinfect and soften the throat. Usually used infusions of herbs, antiseptics – furatsilinom, yodinol, hlorofillipta and soda solution.

    Steam inhalation drug charges are indispensable when you cough – they contain essential oils reduce inflammation and liquefy mucus.

    Sprays formed on the surface of the throat protective film – medical components with the fall "just-in-goal, removing the swelling and providing germicidal and antibacterial effects.

    Features masking

    "We must remember that pharyngitis usually occurs without temperature and lasts no more than three – five days – says Alexander Sorokin. - If the sore throat does not subside, you should see a doctor. To let things drift dangerously pharyngitis. First, it can become chronic – thinned mucous, sore throat becomes constant, and cough – your business card. And secondly, under the throat may be masked by other, more dangerous diseases.

    Severe pain in the throat accompanied by increased temperature (up to 38 degrees) may be a manifestation of angina. Other distinguishing features of the disease – pain, intensifying with swallowing, enlarged tonsils, gray plaque in the throat. When suspected angina should see a doctor – without antibiotics in its treatment will not do, besides leaving angina can give serious complications – myocarditis (inflammation of the heart muscle), rheumatic fever – an inflammatory disease of the joints and pyelonephritis (kidney disease).

    Silence – gold

    Often when pharyngitis inflammatory process "down" on the throat and starts laryngitis – inflammation of the vocal cords. They cease to vibrate, the voice becomes hoarse, coughing – barking, you may experience headache and fever.

    Typically, light laryngitis unsettle for 7-10 days, and heavy may be prolonged for a month or more. And all this time will not talk, do not smoke and eliminate those annoying food dishes – the sharp, hot and cold. They irritate and aggravate the inflammation in the throat.

    According to Alexander Sorokin, laryngitis at home to comply with treatment and be treated intensively – every 2-3 hours to make steam inhalations, hot compress on his neck, hot foot baths. Doctors recommend drinking plenty of warm alkaline: milk with soda, heated mineral water – it not only displays an infection from the body, warms and softens the throat, but also promotes the discharge of phlegm.

    If the voice disappeared completely, should consult a doctor. In this case, you need to deliver drugs precisely "to its destination – on the vocal cords.

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