[豬郎中談健康]耳石是啥?

因最近又開始暈眩與嘔吐發冷。
看了我熟悉的台灣耳鼻喉科主任，才明白我在大陸的嚴重暈眩+嘔吐+腹瀉+盜汗等，並不是什麼胃炎、腸炎。

醫生要我上網查一下姿勢性暈眩(POSITIONAL VERTIGO)，研究了一下，完整名稱是良性陣發性頭位眩暈症(BENIGN PAROXYSMAL POSITIONAL VERTIGO)。

耳石是啥？為何耳朵有石頭？我也會有嗎？要拿出拿嗎？
一連疑問，上網查了資料我就放心多了。

讓我先把耳石與暈眩介紹清楚。

俗稱的耳石異位症，它的致病機轉，認為是患側內耳橢圓囊的耳石脫落，飄流到三半規管的內淋巴液中，剌激到三半規管而誘發眩暈。耳石脫落的原因以頭部外傷為最多，其次為老化，此外噪音傷害、藥物中毒、慢性中耳炎、耳科手術等等耳部傷害，都可能造成耳石異位。

PS:耳石，不是耳朵跑石頭進去喔，每個人的內耳橢圓囊都有耳石。但耳朵裡面確實是有[石頭]，不過非常微小，要在顯微鏡下才能看見。廣州醫學院第二附屬醫院耳鼻喉科主任張建國介紹說：「耳石的大小隻有20-30微米，這些灰色的微細碳酸性物質，黏附在內耳中的前庭內，主要功能是讓人體感應直線加速度。舉例說，我們坐車的時候即使打瞌睡，但仍然能感受到急剎車，就是耳石在傳遞信息。」

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在Youtube找到了耳石復位術的操作方法，若你也有相同的困擾，跟著一起做吧！

整理了好幾篇醫療報導，請參考延伸閱讀。
延伸閱讀：
BENIGN PAROXYSMAL POSITIONAL VERTIGO
http://www.tchain.com/otoneurology/disorders/bppv/bppv.html

讓「良性陣發性頭位眩暈症」不藥而癒的「耳石復位術」衛署新竹醫院 葉大偉 醫師
http://hospital.kingnet.com.tw/essay/essay.html?category=%E9%86%AB%E8%97%A5%E7%96%BE%E7%97%85&pid=16597


眩暈之復健 高醫復健科 黃茂雄 主任
http://www.kmuh.org.tw/www/kmcj/data/9506/16.htm

告別天旋地轉 國立陽明大學物理治療系暨研究所物理治療師
http://www.libertytimes.com.tw/2004/new/nov/20/life/medicine-1.htm

頭轉動就出現炫暈 原來是耳石異位所致
http://hospital.kingnet.com.tw/essay/essay.html?category=%E9%86%AB%E8%97%A5%E7%96%BE%E7%97%85&pid=5430

前庭功能復健 暈眩症新療法 台北榮總復健醫學部 高崇蘭 醫師
http://www.psychpark.org/news/new/0001123.htm

良性陣發性姿勢變換性眩暈 台北榮總耳鼻喉部耳科 王懋哲 醫師
http://www.epochtimes.com/b5/5/12/19/n1159718.htm

良性陣發性姿勢性暈眩
http://www.wretch.cc/blog/nancyhsu/6448261

本網誌所呈現的內容，包括但不限於文字、圖片、影像、動畫、音效、音樂、資料庫及應用程式等，皆屬著作本人或其內容提供者所有，並受中華民國及其他國家著作權及相關法令所保護。

打噴嚏也是有方法的

打噴嚏竟然也有方法

資料來源：OtoRhinolounsburgology
http://www.coughsafe.com/
http://www.youtube.com/watch?v=ao7eyqoiIYs&feature=player_embedded

看完這Video發覺這方法真的比較好
傳統用手掩住口鼻，雖可以防止飛沫不會噴出去
但病菌都在手上，沒洗手隨手摸了其他地方...還是一樣把病菌到處傳播
現在H1N1這樣流行
推薦大家都，若不得已要打噴嚏...改用這方法吧
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資料來源：http://www.coughsafe.com/
Many diseases are spread by poor coughing and sneezing techniques. Most people put their hands in front of their mouths and noses to stop germs from getting into the air. Unfortunately, this technique puts the germs on their hands. The germs are then spread to telephones and doorknobs and many other surfaces from which they are then picked up by the next user. This is how colds spread quickly through schools and workplaces, and how the flu spreads quickly through entire cities. It would be very easy to cut this mode of infection drastically by simply getting people to cough and sneeze properly.

The Centers for Disease Control and Prevention of the U.S. and of several states have put forth posters and public service announcements trying to get people to change the way they cough and sneeze. Only a small fraction of the population has adopted safe techniques. With colds always around the corner, with tuberculosis on the rise, and with swine flu threatening to impair the health and welfare of the nation, all citizens should adopt proper coughing and sneezing techniques.

This five minute video was designed to encourage people to cough and sneeze according to the infection control guidelines put forth by the Centers for Disease Control and Prevention. It is aimed at the common citizen. Its message is serious, but it is presented with humor in such a way that it engages the viewer's attention for a full five minutes while the message is repeated in interesting new ways. It can be enjoyed by individuals, but it is even more fun to watch in groups, resulting in community reinforcement. It has been used in hospitals and schools with great success. It actually makes people change the way they cough and sneeze.

This video was produced with the assistance of three infectious disease doctors, two hospitals, and the Maine Medical Association, to whom the author is grateful. The author, Ben Lounsbury MD, is an Ear, Nose and Throat physician.

本網誌所呈現的內容，包括但不限於文字、圖片、影像、動畫、音效、音樂、資料庫及應用程式等，皆屬著作本人或其內容提供者所有，並受中華民國及其他國家著作權及相關法令所保護。