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00:01:25What are the symptoms of rhinitis and how can they be detected in time?
00:01:30What factors in life may cause rhinitis? Once
00:01:33rhinitis is diagnosed, how should we respond scientifically ? In today's program
00:01:37, Liu Zheng , Party Committee Secretary of Zhongnan Hospital of Wuhan University and Chief Physician of Otorhinolaryngology and Head and Neck Surgery
00:01:41, will provide comprehensive health care for you
00:01:45. Please pay attention to this issue of Life Circle
00:01:48.
00:01:52A Chinese memory .
00:01:55Preferred member
00:01:59.
00:04:16day . Hello, audience friends
00:04:20. Welcome to today's Life Circle . Classic Chinese
00:04:24Thirteen Spices, this program is exclusively sponsored by China's time-honored brand, Wangshouyi Thirteen Spices .
00:04:28Every time it changes seasons
00:05:13. Party Secretary Er Biyan Hou Tou Jing Department of Surgery Chief Physician Liu Zheng. Let's talk about the topic of nasal health
00:05:17together . Hello, Dr. Liu
00:05:21.
00:05:24Welcome to the Life Circle
00:05:25.
00:05:29It seems that some friends around me have this problem. Of course,
00:05:33everyone is most concerned about. Please tell us about this disease. What is its current
00:05:37incidence in our country ? Are there really a lot of people getting sick? Yes
00:05:41. Many people feel that there are always friends around them
00:05:45with stuffy noses . According to the current
00:05:49epidemiological survey in our country , there are over 100 million chronic rhinitis
00:05:52patients in our country. So you feel that there are always some colleagues
00:05:56and friends around us with stuffy noses . That's really
00:06:00true.
00:06:05But not everyone goes to the hospital to see a doctor and diagnose
00:06:09themselves with this problem . Yes, although
00:06:13we have such a large population, most people
00:06:17regard rhinitis as a minor illness . They think it's just a stuffy nose
00:06:20, runny nose, sneezing, and it will pass . So few patients
00:06:24seek help from doctors in the early stage of the disease
00:06:28. This leads to many patients developing chronic rhinitis
00:06:32, or even nasal polyps growing in the nasal cavity, which seriously affects the quality of life, and then they will seek help from doctors
00:06:35. So it seems that rhinitis is indeed a disease that everyone should pay attention to
00:06:39. So where exactly are these sinuses located on our
00:06:43face, and how do they develop? Today, we see Dr. Liu
00:06:47also brought a prop . Can you explain it to us in combination with this
00:06:50half-face prop? You can see that this is a
00:06:54prop of a facial bone. This is our external
00:06:58nose, and this is our eyes. If we look at it from the side
00:07:01, this is our nasal cavity. The sinuses
00:07:05are some hollow cavities around the bone of the nasal cavity
00:07:09. From this model, we can clearly see
00:08:50. So we talked about the number of sinuses, the location of sinuses, and the unique functions of sinuses. So how does rhinitis come about? Regarding rhinitis , everyone, look, our nasal
00:08:54cavity, as everyone knows, our nasal discharge usually comes out of the nasal cavity, so generally
00:08:58nasal discharge flows out of the nasal cavity . So why does rhinitis occur
00:09:02? Everyone sees this is the frontal sinus
00:09:04.
00:09:10The secretions of the frontal sinus
00:09:42lead to the ineffective clearance of these secretions
00:09:46, followed by severe accumulation , and then the occurrence of disease. Understood
00:09:50. So we say that flowing water does not stagnate. If its passage is
00:09:54unobstructed, right? Normal sound and air can enter, and secretions can also
00:09:57come out, then there will be no problem. But once it is blocked, it becomes stagnant water
00:10:01.
00:10:08Understood. So, as you just said, all four of them may produce this kind of problem
00:10:26. The most important symptoms are stuffiness, and then various types of thick nasal discharge, and then difficulty breathing, etc.
00:10:30So everyone often treats it as a cold , with similar symptoms
00:10:34, a small problem that can be overcome by enduring it . But it's really not like that
00:10:38. Because if rhinitis continues to develop, a series of more serious conditions may occur
00:10:42, affecting other organs or systems of our head and face. Let's look at the big screen
00:10:45. What parts of us will be affected ? We invite Dr. Lin to give us a detailed analysis
00:10:49. Because our nasal sinus, as we just talked about its anatomy
00:10:53.
00:11:55So, the more serious impact.
00:11:59In the process of treating patients, I once encountered a middle-aged woman who experienced a decline in her vision and had been seeing an ophthalmologist for a long time. However, it was later discovered that she had a specific infection of the nose that had spread to her eye socket and nerves. So, after we
00:14:25The air will go from the nasal cavity to the middle ear. The outer
00:14:28door of the middle ear is our eardrum .
00:14:32That is our ear canal
00:14:33.
00:14:37So from the middle ear, air also comes through the Eustachian tube , which maintains the pressure balance
00:14:41of our eardrum . Yes
00:15:29. Classic Chinese spice, authentic Thirteen Spices. This column is sponsored by the time-honored brand
00:15:32, Wang Shouyi Thirteen Spices . As we just said
00:15:36.
00:25:50It can still help us distinguish these three types of diseases and choose
00:25:54the correct treatment method. Understood
00:25:55.
00:26:01Classic Chinese Spice. Authentic Thirteen Spices. This program is sponsored by the time-honored brand
00:26:05, Wangshouyi 13 Spices , exclusively
00:26:09. Now let's talk about it again. Many rhinitis patients will have such a question. Why do I
00:26:12get rhinitis, especially those with acute rhinitis
00:26:15. Similarly, let's look at the big screen again, and let's analyze
00:26:19what are the causes . Hmm, infection, allergy
00:26:23, structural abnormalities, and environmental factors. Dr. Liu, please explain
00:26:27them to us one by one
00:26:27.
00:29:02But there are some other anatomical structural abnormalities of the sinuses
00:29:06, which can also lead to, for example, after a cold , our nasal mucosa will swell
00:29:10. Due to your structural abnormalities, the swelling of your nasal mucosa is not easy to subside
00:29:14, so you are more prone to prolonged conditions than others. In addition
00:29:18, another thing is our overall body. Our basic
00:29:21immunity is very important . Yes
00:29:25, so we say that if your work pressure is too high, you are over-fatigued, lacking physical
00:29:29exercise, and your diet is not very balanced
00:30:36. This is very normal logic. Because we just talked about acute rhinitis
00:30:40. In the early stages, for example, a cold can cause acute
00:30:44rhinitis, which is actually a viral infection. At this time, it is obviously not
00:30:47suitable to use antibiotics. Because we know that most viral infections are self-limiting
00:30:51. By increasing our resistance, it can improve
00:30:55. There is no need to use antibiotics, because at this time bacteria have not yet arrived. So
00:30:59after chronic rhinitis , in many cases
00:31:52, blindly using antibiotics is definitely not scientific. Let's talk about blowing your nose hard
00:31:56. Because you just said that the most important symptom is nasal discharge
00:32:00, and it's thick nasal discharge. You can't let it flow down by itself, right
00:32:03?
00:32:09You can't blow it clean
00:32:10.
00:33:45The method of sniffing backwards .
00:33:49That's also fine . Try to avoid
00:33:52pressing both nostrils together. So the correct method and technique are what everyone should master
00:33:56. You just mentioned that the secretions in our other sinuses can also be brought
00:34:00down by blowing our nose ? Or can we only wait for them to slowly
00:34:04flow into our nasal cavity, and then through blowing our nose, discharge them
00:34:08? So the secretions inside the sinuses usually, as we said, this nasal spray
00:34:11, or using saline to rinse helps us. To assist. Because for the secretions in the sinuses
00:34:15to flow out, first, the swelling of its sinus opening
00:34:19must subside . So at this time
00:34:23, in many cases, if it's natural, its passage must be blocked. Maybe we need
00:34:27to use a nasal spray to make the swelling
00:34:31, whether it's the contraction of the nasal mucosa or the subsidence of inflammation caused by hormones,
00:34:34rebuild this drainage . Then after the sinus secretions flow
00:34:38out, then its color can subside. What we
00:34:42talked about, like saline nasal irrigation, is actually this effect. For example, what you just mentioned
00:36:15. Yes, so in clinical practice , we will encounter one thing, which is the use of this simple
00:36:19decongestant. Most people should explain it clearly, that is to say
00:36:23, the general use time should not exceed 5 to 7 days, but many
00:36:27of our, about the same. So a bottle like this can hold up to 500 milliliters. So 25 to 500 is fine. Generally, we recommend that patients lower their heads slightly, and then insert the nozzle into our nose. But this head is relatively large, so you won't insert it too deeply. Generally, it's enough to put it at the front of the nose. Don't insert it too deeply, or we will feel uncomfortable. Usually, we just pinch it and wash it. Because we just talked about the nose, its entire position in our nasal cavity is not a uniform position, so
00:40:28So the body's absorption is relatively high . So in this case
00:40:31, we certainly cannot use technology blindly. It must be under the guidance of a doctor
00:40:35. Usually, it is short-term use. Long-term
00:40:39use will bring some side effects. But we
00:40:43don't need to worry about the technology of treating rhinitis
00:40:47. Because we use nasal spray . After the nasal spray is sprayed into the nasal cavity
00:40:50, it mainly acts locally on our nasal mucosa
00:40:54. The concentration that is actually absorbed into our blood is
00:40:59very, very low. In fact, there are studies that report that if you have a patient who has been spraying for a long time
00:41:03with hormones, and then you draw some blood to check if there are
00:41:06any hormone components, basically it is undetectable . So we
00:41:10don't need to worry about this . Generally, under the guidance of a doctor,
00:41:14it is not a problem. From the perspective of our doctors , we have many
00:41:18such, for example, we have treatment guidelines for rhinitis
00:41:22. Whether in our country or
00:41:25abroad, it is