{"id":144,"date":"2023-07-28T13:24:45","date_gmt":"2023-07-28T13:24:45","guid":{"rendered":"https:\/\/opera.education\/?p=144"},"modified":"2023-07-30T13:18:01","modified_gmt":"2023-07-30T13:18:01","slug":"health","status":"publish","type":"post","link":"https:\/\/opera.education\/zh\/2023\/07\/28\/\u5065\u5eb7\/","title":{"rendered":"\u5065\u5eb7"},"content":{"rendered":"<p class=\"wp-block-paragraph\">I thought to write a little about health. After talking to most of my singer friends, I found they didn\u2019t get the same information from their specialists. These are some tips and some ideas I have gathered \u2013 my translation of what I\u2019ve heard from numerous doctors and colleagues over the years.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><a href=\"http:\/\/www.lauraclaycomb.com\/yac\/health.htm#doctor\">\u9009\u62e9\u60a8\u7684\u533b\u751f<\/a><br><a href=\"http:\/\/www.lauraclaycomb.com\/yac\/health.htm#drugs\">Drugs to avoid when you\u2019re a singer<\/a><br><a href=\"http:\/\/www.lauraclaycomb.com\/yac\/health.htm#rinse\">\u9f3b\u8154\u51b2\u6d17<\/a><br><a href=\"http:\/\/www.lauraclaycomb.com\/yac\/health.htm#gerd\">GERD \u2013 REFLUX<\/a><br><a href=\"http:\/\/www.lauraclaycomb.com\/yac\/health.htm#hiatial\">\u98df\u7ba1\u88c2\u5b54\u759d<\/a><br><a href=\"http:\/\/www.lauraclaycomb.com\/yac\/health.htm#allergies\">\u8fc7\u654f<\/a><br><a href=\"http:\/\/www.lauraclaycomb.com\/yac\/health.htm#women\">Women\u2019s particular problems<\/a><br><a href=\"http:\/\/www.lauraclaycomb.com\/yac\/health.htm#oedema\">\u6d6e\u80bf<\/a><br><a href=\"http:\/\/www.lauraclaycomb.com\/yac\/health.htm#plane\">\u98de\u673a<\/a><br><a href=\"http:\/\/www.lauraclaycomb.com\/yac\/health.htm#trip\">\u65c5\u884c\u51c6\u5907<\/a><br><a href=\"http:\/\/www.lauraclaycomb.com\/yac\/health.htm#arrival\">\u62b5\u8fbe\u76ee\u7684\u5730<\/a><br><a href=\"http:\/\/www.lauraclaycomb.com\/yac\/health.htm#hotel\">\u9152\u5e97<\/a><br><a href=\"http:\/\/www.lauraclaycomb.com\/yac\/health.htm#emergency\">\u7d27\u6025\u63aa\u65bd<\/a><\/p>\n\n\n\n<h3 class=\"wp-block-heading\">\u9009\u62e9\u4f60\u7684\u533b\u751f<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Find an Ear-Nose-and-Throat doctor who has a stroboscope (with video) IN HIS\/HER office and uses it on all singers. If you are nervous if \u201cit\u2019s ok to sing or not\u201d and he\/she does NOT look at your vocal chords with this contraption (either with the hard metal tube through your mouth, or the teensy fiber-optic one through your nose), then the doctor is not a serious \u201copera singer\u201d doctor. I have had doctors tell me they \u201csee opera singers all the time\u201d and \u201cthey can tell if the chords are swollen without that machine\u201d etc etc. and I have found it patently A BIG FAT EGOTISTICAL LIE. My throat has been totally pristine white (no redness) and yet my chords have been swollen. If it feels hoarse, trust your instinct. But go to someone who has specialised in the singing voice, NOT JUST SOME ENT (Ear\/Nose\/Throat doctor) WHO\u2019S FRIENDS WITH SOMEONE AT THE OPERA HOUSE OR WHO JUST LOVES OPERA.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">One of my favorite ENT\u2019s (Ear \/Nose\/Throat doctor) \u2013 \u2013 Dr. Richard Stasney in Houston, Texas, has a website. Check out the advice on the <a href=\"http:\/\/www.texasvoicecenter.com\/advice.html\" target=\"_blank\" rel=\"noreferrer noopener\">\u5fb7\u514b\u8428\u65af\u8bed\u97f3\u4e2d\u5fc3<\/a> \u3002\u5b83\u6709\u5f88\u591a\u6709\u7528\u7684\u5efa\u8bae\uff0c\u6765\u81ea\u4e00\u4f4d\u51fa\u8272\u7684\u533b\u751f\uff0c\u4ed6\u662f\u4e00\u4f4d\u6b4c\u5267\u8ff7\u3002<br>\u6211\u5c06\u4ece\u6240\u6709\u6b4c\u624b\u90fd\u9700\u8981\u4e86\u89e3\u7684\u4e00\u4e9b\u8bdd\u9898\u5f00\u59cb\u3002\u5176\u4e2d\u8bb8\u591a\uff08\u53ef\u80fd\u662f\u5168\u90e8\uff01\uff09\u4e3b\u9898\u90fd\u6db5\u76d6\u5728 <a href=\"http:\/\/www.classicalsinger.com\/\">\u53e4\u5178\u6b4c\u624b\u7f51<\/a> :<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">DRUGS TO AVOID WHEN SINGING \u2013 AND ALTERNATIVES<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">\u2013 <a href=\"http:\/\/www.ncvs.org\/\" target=\"_blank\" rel=\"noreferrer noopener\">\u67e5\u770b\u672c\u7f51\u7ad9\u7684\u58f0\u97f3\u63a5\u6536\u90e8\u5206<\/a><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\u963f\u53f8\u5339\u6797\/\u5e03\u6d1b\u82ac\uff0c\u5927\u591a\u6570\u975e\u5904\u65b9\u975e\u753e\u4f53\u6297\u708e\u836f\u4f1a\u5bfc\u81f4\u8110\u5e26\u51fa\u8840\u3002\u76f8\u53cd\uff0c\u5c1d\u8bd5\u4f7f\u7528\u6cf0\u8bfa\u6216\u4e0d\u4f1a\u964d\u4f4e\u8840\u5c0f\u677f\u529f\u80fd\u7684\u975e\u7c7b\u56fa\u9187\u6297\u708e\u836f\u3002\u5e02\u573a\u4e0a\u81f3\u5c11\u6709\u4e24\u79cd\uff08\u901a\u5e38\u4e3b\u8981\u4f5c\u4e3a\u5173\u8282\u708e\u836f\u7269\u51fa\u552e\uff0c\u4ec5\u51ed\u5904\u65b9\u9500\u552e\uff0c\u4f8b\u5982\u897f\u4e50\u8446\u548c\u4e07\u7edc\uff09\u3002<\/li>\n\n\n\n<li>systemic decongestants \u2013 dries out mucous membranes and your throat! Instead try local (spray) decongestants like Afrin, etc. for short periods. (They can be addictive)<\/li>\n\n\n\n<li>systemic antihistamines \u2013 dries out mucous membranes and your throat! Instead try local (Spray) antihistamine<\/li>\n\n\n\n<li>systemic cortazones \u2013 enables you to \u201cwalk on a broken leg\u201d on your cords\u2026 Makes you more vulnerable to infections. Instead try local (spray) cortisone sprays in your nose to bring down the swelling, and maybe an anti-inflammatory. (Although anti-inflammatory drugs can create other problems. See below)<\/li>\n\n\n\n<li>strong prescription anti-inflammatory drugs \u2013 usually can have <a href=\"https:\/\/woowoomommy.com\/2017\/02\/07\/how-i-cured-myself-from-gerd-acid-reflux-disease\/\">&nbsp;\u80c3\u9178\u53cd\u6d41<\/a> &nbsp;as a side-effect; as a precaution, always use Gaviscon and even Prilosec (if you have it) in conjunction with these drugs. Ask your throat doctor about it when he prescribes the anti-inflammatory if he doesn\u2019t already give you the precautionary reflux prescriptions. Instead try topical anti-inflammatory drugs (Like simple afrin, which shrinks blood vessels) sprayed in nose and even throat while you\u2019re breathing in, to get them on the cords where they\u2019re needed.<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">many others coming soon\u2026.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">\u4f60\u53ef\u4ee5\u505a\u7684\u4e8b\u60c5\uff1a<\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>STEAM \u2013 THE BEST MEDICINE OUT THERE FOR YOUR THROAT AND NOSE! Soothes irritated membranes, and helps facilitate healing.<\/li>\n\n\n\n<li>nose congestion \u2013 spray decongestants<\/li>\n\n\n\n<li>swelling in the nose from allergies \u2013 light corticoid-based inhaler<\/li>\n\n\n\n<li>particulating drugs in an \u201caerosol machine\u201d so that antibiotics, cortisone, etc\u2026 are inhaled directly into the lungs affected (for a bad chest infection)<\/li>\n\n\n\n<li>Swollen vocal cords, throat \u2013 \u2013 arnica tablets under the tongue (at the health food stores \u2013 brings down swelling)<\/li>\n\n\n\n<li>Guaifenisin \u2013 Humibid, etc\u2026 Can help thin out your mucus. Dr. Stasney says that most people who think they have too much mucus usually have too little, and it\u2019s just too gunky (technical term, there\u2026) MAKE SURE you drink TONS of water (and\/or Gatorade) with this, so the medicine has something to hydrate WITH.<\/li>\n\n\n\n<li>DRINK lots of water. Ever wonder why singers drink so darn much? Just breathing loses so much moisture every day \u2013 and we\u2019re singing, releasing lots of hot air out of our body with its moisture attached. It is best to drink all day, and if you feel dry or dehydrated, try a sports drink (without caffeine!) that has salts in it and minerals, to help keep the water in your body. Sometimes drinking TOO MUCH water can just flush your system out, and you don\u2019t retain it in your body. Gatorade and other products like it can help. Stay away from the ones that promise you \u201cenergy\u201d or \u201cpep\u201d \u2013 they usually have some kind of drying stimulant in them, as well.<\/li>\n\n\n\n<li>Wash out your nose with a \u201cNetty pot\u201d (found in whole foods stores, etc\u2026) \u2013 lean head to the side, pour warm salt water (with a pinch of non-iodized salt) in one nostril, allowing it to drain out the other nostril; sounds gross, but if you do one \u201cpot\u201d per nostril, it will loosen up \u201cold\u201d mucus in there and help you on your way to recovery from a cold, allergies, etc.<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">\u8981\u5f7b\u5e95\u51b2\u6d17\u9f3b\u7aa6\uff0c\u8981\u4e48\u662f\u4e3a\u4e86\u907f\u514d\u611f\u5192\uff0c\u8981\u4e48\u662f\u4e3a\u4e86\u7ed9\u7ec4\u7ec7\u8865\u5145\u6c34\u5206\uff0c\u8bf7\u4ef0\u9762\u8eba\u5728\u5e8a\u4e0a\uff0c\u5c06\u5934\u5782\u5728\u4e00\u4fa7\uff0c\u5c3d\u53ef\u80fd\u5411\u540e\u503e\u659c\u3002\u7528\u76d0\u6c34\u51b2\u6d17\uff0c\u8ba9\u5b83\u5728\u4e0a\u9f3b\u7aa6\u4e2d\u9759\u7f6e 2-5 \u5206\u949f\uff0c\u7136\u540e\u5750\u56de\u539f\u4f4d\uff0c\u5c06\u5176\u5410\u51fa\u6216\u5439\u51fa\u3002\u8fd9\u6709\u52a9\u4e8e\u5230\u8fbe\u9f3b\u7aa6\u7684\u4e0a\u90e8\uff0c\u90a3\u91cc\u6709\u8bb8\u591a\u7ec6\u83cc\u4e0d\u53d7\u63a7\u5236\u5730\u751f\u957f\uff0c\u56e0\u4e3a\u5b83\u5f88\u5bb9\u6613\u53d8\u5e72\uff0c\u5e76\u4e14\u4e0d\u80fd\u603b\u662f\u901a\u8fc7\u7ad9\u7acb\u7684\u76d0\u6c34\u51b2\u6d17\u6765\u91cd\u65b0\u6c34\u5408\u3002<\/p>\n\n\n\n<h4 class=\"wp-block-heading\">\u76d0\u6c34\u51b2\u6d17\u9f3b\u5b50\u7684\u914d\u65b9\u6765\u81ea DR.\u65af\u5854\u5c3c<\/h4>\n\n\n\n<p class=\"wp-block-paragraph\">\uff08\u7f13\u51b2\u9ad8\u6e17\u76d0\u6c34\u9f3b\u8154\u51b2\u6d17\uff09<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u597d\u5904<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\u5f53\u4f60\u7528\u76d0\u6c34\u548c\u5c0f\u82cf\u6253\u7684\u6df7\u5408\u7269\u51b2\u6d17\u9f3b\u5b50\u65f6\uff0c\u5b83\u4f1a\u6d17\u6389\u9f3b\u5b50\u4e0a\u7684\u786c\u76ae\u548c\u5176\u4ed6\u788e\u7247\u3002<\/li>\n\n\n\n<li>\u54b8\u6c34\u53ef\u4ee5\u5c06\u80bf\u80c0\u7684\u9f3b\u819c\u4e2d\u7684\u6db2\u4f53\u5438\u51fa\u3002\u8fd9\u53ef\u4ee5\u7f13\u89e3\u9f3b\u5b50\u7684\u5145\u8840\u5e76\u6539\u5584\u6c14\u6d41\u3002\u8fd9\u4e0d\u4ec5\u4f7f\u547c\u5438\u66f4\u5bb9\u6613\uff0c\u800c\u4e14\u6709\u52a9\u4e8e\u6253\u5f00\u9f3b\u7aa6\u901a\u9053\u3002<br>\u7814\u7a76\u8868\u660e\uff0c\u8fd9\u79cd\u6d53\u76d0\u6c34\u548c\u5c0f\u82cf\u6253\uff08\u78b3\u9178\u6c22\u76d0\uff09\u7684\u6df7\u5408\u7269\u6709\u52a9\u4e8e\u9f3b\u5b50\u66f4\u597d\u5730\u5de5\u4f5c\uff0c\u66f4\u5feb\u5730\u5c06\u7c98\u6db2\u4ece\u9f3b\u5b50\u4e2d\u6392\u51fa\u3002<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">\u98df\u8c31\uff1a<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\u4ed4\u7ec6\u6e05\u6d01\u5e76\u51b2\u6d17 1 \u5938\u8131\u7684\u73bb\u7483\u7f50\u3002\u5c06\u5e72\u51c0\u7684\u7f50\u5b50\u88c5\u6ee1\u84b8\u998f\u6c34\u3002<\/li>\n\n\n\n<li>Add 2 or 3 heaping teaspoons of \u201cpickling\/canning\u201d salt. <em>\u4e0d\u8981 <\/em>\u4f7f\u7528\u542b\u6709\u4e0d\u9700\u8981\u7684\u6dfb\u52a0\u5242\u7684\u98df\u76d0\uff0c\u4e5f\u4e0d\u8981\u4f7f\u7528\u6d77\u76d0\u3002\u60a8\u53ef\u4ee5\u5728\u6742\u8d27\u5e97\u7d22\u8981\u814c\u5236\u76d0\/\u7f50\u88c5\u76d0\u3002<\/li>\n\n\n\n<li>\u6dfb\u52a0 1 \u5706\u8336\u5319\u5c0f\u82cf\u6253\uff08\u7eaf\u78b3\u9178\u6c22\u76d0\uff09\u3002<\/li>\n\n\n\n<li>\u6bcf\u6b21\u4f7f\u7528\u524d\u6405\u62cc\u6216\u6447\u5300\u3002\u5ba4\u6e29\u4fdd\u5b58\u3002\u4e00\u5468\u540e\uff0c\u5012\u51fa\u5269\u4e0b\u7684\u6df7\u5408\u7269\uff0c\u5c06\u7f50\u5b50\u653e\u5165\u6d17\u7897\u673a\u4e2d\u6e05\u6d17\uff0c\u7136\u540e\u5236\u4f5c\u65b0\u7684\u98df\u8c31\u3002<\/li>\n\n\n\n<li>If the mixture seems too strong, use less salt \u2013 \u2013 try 1 1\/2 to 2 teaspoons of salt. For children it is best to start with a weaker salt solution. Then gradually increase to using 2 to 3 heaping teaspoons of salt, or whatever the child will accept. Warm in microwave to body temperature for nose wash \u2013 take a few seconds only. make sure it is not too hot!Adapted from a treatise on \u201cChronic Sinusitis\u201d by David S. Parsons in The Otolaryngologic Clinics of North America; vol. 29. #1. Feb. 1996 and modified by C. Richard Stasney, M.D.<\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\">\u5173\u4e8e\u7ef4\u751f\u7d20 C \u6444\u5165\u91cf\u7684\u91cd\u8981\u4fe1\u606f\uff1a<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Although some people advocate taking enormous amounts of Vitamin C per day for longevity, staving off a cold, etc\u2026 Please use with caution, as use of more than 1000mg per day can affect muscle coordination (in your throat, especially.) The gist of the matter is that it affects the firing of the nerves if you take more than 1000mg per day \u2013 so muscle coordination is not at its optimal if you have taken more than 1000mg. If you\u2019re going to use more than 1000mg per day, you should not do it on a day you are performing. If you\u2019re on a day off and feel a cold coming on, be my guest to tank up on Vitamin C. Beware that it can have gastric repercussions, as well. If you get diarrhea, then you have taken too much ascorbic acid. I advise Zinc lozenges, as well, as these seem to have a big effect on getting rid of colds more quickly. Never take Zinc or vitamin C on an empty stomach. They can upset your stomach and make you feel nauseous by themselves. Beware of the ZINC FARTS, too \u2013 they can be especially lethal. \ud83d\ude42<\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h2 class=\"wp-block-heading\">ACID REFLUX, GERD (GASTRO-ENTESTINAL-REFLUX-DISEASE), HIATIAL HERNIA AND THE REFLUX\u2013ALLERGY CONNECTION<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">\u6211\u8ba4\u8bc6\u7684\u5927\u591a\u6570\u4e13\u4e1a\u6b4c\u624b\u90fd\u6709\u80c3\u9178\u53cd\u6d41\u6216\u8fc7\u654f\u7684\u95ee\u9898\u3002\u8bf7\u7ee7\u7eed\u9605\u8bfb\uff0c\u4e86\u89e3\u4e24\u8005\u4e4b\u95f4\u7684\u8054\u7cfb\u4ee5\u53ca\u5982\u4f55\u5e94\u5bf9\u3002<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">\u4ec0\u4e48\u662f\u80c3\u9178\u53cd\u6d41\uff1f<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Acid Reflux &nbsp;happens when the stomach either makes too much acid, and it seeps up the aesophagus, and\/or the valve at the top of the stomach does not close as it should and allows stomach acid to flow back up the aesophagus, washing stomach acid up over the back of the throat and around the vocal cords. Eating certain foods (read below) seems to open up that valve and allow the acid to backwash up. Dr. Stasney is convinced many singers have reflux problems AS THEY\u2019RE SINGING, not necessarily while they sleep or are reclining. I tend to agree with him. Symptoms: burping up stuff, hoarseness, feeling of a lump in the throat in the morning or when you swallow, a dry cough, dryness of the throat (in the evening and morning especially), bad taste in mouth, and redness and swelling of the chords. and heartburn. Most doctors won\u2019t think it\u2019s that big of a deal, because it\u2019s just a little gas! But it is a big deal for your throat, and usually should preclude singing on it for at least 48 hours. (This is my experience, coupled with a few friends\u2019 experiences: you could be the miraculous one who heals more quickly, but I doubt it.) It can be light or intermittent reflux and still have huge repercussions on a singing voice. You could only have one or two of the symptoms but still have reflux. I am also convinced that there does not have to be actual ACID liquid flowing up, but that the gas from burping can contain enough acid to damage your throat. After all, this is the acid that digests your steak dinner \u2013 why shouldn\u2019t it digest your throat, too, if it comes into contact with it?<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u70ed\u3001\u8f9b\u8fa3\u6216\u6cb9\u817b\u7684\u98df\u7269\u5f80\u5f80\u4f1a\u52a0\u5267\u8fd9\u79cd\u60c5\u51b5\uff0c\u5982\u679c\u8eba\u7740\uff0c\u66f4\u5bb9\u6613\u901a\u8fc7\u58f0\u5e26\u5411\u4e0a\u4f20\u64ad\u3002 \uff08\u5e9f\u8bdd\uff01\uff09 \u56e0\u6b64\uff0c\u5728\u8eba\u4e0b\u4e4b\u524d\uff0c\u80c3\u9178\u5c3d\u53ef\u80fd\u5c11\u662f\u6709\u5e2e\u52a9\u7684\u3002\u7761\u89c9\u65f6\u4fdd\u6301\u4e0a\u534a\u8eab\u62ac\u9ad8\u4e5f\u6709\u5e2e\u52a9\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><a href=\"http:\/\/www.bgsm.edu\/voice\/reflux_voice.html\" target=\"_blank\" rel=\"noreferrer noopener\">\u6709\u5173\u58f0\u97f3\u969c\u788d\u548c GERD\uff08\u80c3\u9178\u53cd\u6d41\uff09\u7684\u66f4\u591a\u4fe1\u606f<\/a><\/p>\n\n\n\n<h3 class=\"wp-block-heading\">HISTAMINE\u2019S ROLE IN ACID (OVER-)PRODUCTION:<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">The body sometimes uses one substance for two different purposes. Histamine is what your body puts out when you have an allergic reaction (- thus, anti-histamines calm down the effects of histamine.) Your stomach\u2019s cue to release acid for digestion is also the release of histamine into your system. It needs a very small amount \u2013 micrograms \u2013 of histamine to be released in order to make enough stomach acid to digest your food. BUT when you are having an allergic reaction, you are releasing MILLIGRAMS into your system (so no wonder people with allergies can have big problems with Acid Reflux.) Proton-pump inhibitors like Nexium and Prilosec (Losec) inhibit the release of histamine into your body. Antacids such as Zantac, and non-prescription Maalox and Gaviscon neutralise the acid that\u2019s already in the stomach.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">\u5982\u679c\u60a8\u6000\u7591\u81ea\u5df1\u6709\u80c3\u9178\u53cd\u6d41\uff0c\u8bf7\u9075\u5faa\u4ee5\u4e0b\u826f\u597d\u89c4\u5219\uff1a<\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\u907f\u514d\u8f9b\u8fa3\u3001\u6cb9\u817b\u7684\u98df\u7269\u3001\u78b3\u9178\u996e\u6599\u3001\u98df\u54c1\u548c\u996e\u6599\u4e2d\u7684\u67d1\u6a58\u3001\u9152\u7cbe\u3001\u5de7\u514b\u529b\u3001\u8fa3\u6912\u3001\u897f\u5170\u82b1\u3001\u751f\u852c\u83dc\u548c\u5496\u5561\u56e0\uff08\u5305\u62ec\u975e\u82b1\u8349\u8336\uff01\uff09<\/li>\n\n\n\n<li>Do not eat 2-3 hours before going to bed or lying down, so you will have digested and won\u2019t have more stomach acid in your stomach.<\/li>\n\n\n\n<li>Elevate the entire head of your bed \u2013 put phone books under the legs of the top of the bed. (Don\u2019t just use lots of pillows, as that only cranes your HEAD, not your entire upper body, and doesn\u2019t really help that much.)<\/li>\n\n\n\n<li>\u7761\u524d\u670d\u7528\u4e00\u4e9b Gaviscon \u4ee5\u4e2d\u548c\u80c3\u4e2d\u53ef\u80fd\u6b8b\u7559\u7684\u9178\u3002<\/li>\n\n\n\n<li>INSTEAD \u2013 eat whole foods, grilled veggies, baked meats, al dente cooked veggies, DRINK herbal teas (verbena, camomille, etc,) still water, Sprite or 7Up if you really need a carbonated beverage.<\/li>\n\n\n\n<li>Many stomach doctors will not say that you have reflux, because they are not looking for the subtle vocal changes that even the lightest reflux can cause. They are looking for bleeding in your esophagus, etc\u2026 and other violent signs. Some people have reflux even without feeling heartburn or even noticing that they are burping up acid. For some singers, even the vapors of acid gas can affect their voices. IF you have two or more symptoms of Acid Reflux, especially dryness in the morning and unexplained hoarseness, ask your THROAT SPECIALIST if you should try something against reflux. You can try over-the-counter remedies and behavioral (and eating) modification and see if it makes a difference.<\/li>\n\n\n\n<li>With Acid Reflux, there is a telltale pinkness or redness around one end of the chords (the side where esophagus is closest to pharynx). Your throat doctor should know this. If he doesn\u2019t know about it, change throat doctors. If your doctor tells you that you definitely have &nbsp;Acid Reflux, treat it AGGRESSIVELY already from the beginning. Do not \u201ctry out\u201d any lesser drugs to see if you can get by with them. Stomach acid is what digests your food, and the longer you wait to treat it aggressively, the longer it is digesting your vocal cords and sinuses. Take a proton-pump inhibitor such as Prilosec or Losec (omeprazole 40mg) or <a href=\"http:\/\/www.purplepill.com\/\">\u8010\u4fe1<\/a> (esomeprazole magnesium 40mg) or Prevacid once a day, plus an antacid like Gaviscon before bedtime. . Actually Nexium gave me diarrhea, so I wouldn\u2019t personally recommend it. It is the active part of the ingredient in Losec, extra strength. I might add that the most important thing is staying on a very aggressive treatment (strong enough dosage, and sticking to eating rules) for a LONG enough period (4-6 months!) If you quit too early, once symptoms seem to have disappeared, you risk that your digestive system is not totally healed and the condition can creep back. Also, some friends recommend not going off of a proton-pump inhibitor \u201ccold turkey\u201d \u2013 to gradually diminish your dosage as you\u2019re finishing off your therapy. It make sense \u2013 your body hasn\u2019t made this stuff (histamine, acid) in a long while; it may need to be \u201cweaned\u201d off the medicine so it doesn\u2019t start acid production with a vengeance the minute you\u2019ve quit the therapy.<\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\">\u98df\u7ba1\u88c2\u5b54\u759d<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Also involved with your Acid Reflux could be a hiatial hernia. Your diaphragm is bisected by your aesophagus, which goes through the middle like a tube through a tight hole. Sometimes, the \u201chole\u201d around the aesophagus gets \u201cstretched out,\u201d to put it in layman\u2019s terms, and when the diaphragm goes down, it presses the stomach up through the gap now around the tube\u2026 To use a very scientific term, this squishes the stomach\u2019s contents back up the aesophagus and backwashes acid into the throat. Singers tend to be prone to this, as we are overextending our diaphragms all the time with singing. There are also certain diets that can exacerbate a hiatial hernia. However, most stomach doctors will not think there is a problem unless there is a GROSS problem of tons of acid washing up on your chords, and the hernia is obvious, and heartburn is extremely painful. You can have hiatial hernia (and reflux, for that matter) without having heartburn. There used to be simple drugs to take for a hiatial hernia, to close up the space, also drugs to help \u201ctighten\u201d the valves at the top of the aesophagus. I don\u2019t know if they\u2019re still available, as they found they had side effects. I thought it worked very well for mine, years ago, and didn\u2019t have any side effects. (yet?) In more extreme cases, a small surgery can be done to fix the problem.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u6709\u65f6\uff0c\u65e0\u6cd5\u89e3\u91ca\u7684\u95ee\u9898\u5e76\u975e\u7531\u80c3\u9178\u53cd\u6d41\u5f15\u8d77\u3002\u6709\u65f6\u4f1a\u51fa\u73b0\u5e72\u71e5\u3001\u58f0\u97f3\u5636\u54d1\u4ee5\u53ca\u4e0e\u8377\u5c14\u8499\u53d8\u5316\u548c\u5931\u8861\u6709\u5173\u7684\u548c\u5f26\u6c34\u80bf\uff08\u7531\u4e8e\u6000\u5b55\u3001\u907f\u5b55\u836f\u3001\u8377\u5c14\u8499\u5931\u8861\u3001\u7532\u72b6\u817a\u95ee\u9898\u3001\u751f\u6d3b\u7684\u6539\u53d8\uff0c\u751a\u81f3\u2026\u2026\uff09\u5982\u679c\u79ef\u6781\u7684\u53cd\u6d41\u6cbb\u7597\u5728\u51e0\u4e2a\u6708\u540e\u6ca1\u6709\u4efb\u4f55\u6548\u679c\uff0c\u67e5\u627e\u95ee\u9898\u7684\u5176\u4ed6\u539f\u56e0\u3002<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">\u8fc7\u654f\u548c\u80c3\u9178\u53cd\u6d41\u7684\u6076\u6027\u5faa\u73af\uff1a<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Singers take in more air than \u201cnormal\u201d people when we sing, in dusty, moldy old buildings most of the time. So we end up breathing in more air, and thus, more pollutants and allergens than others. And we lose more moisture from singing all the time. And we notice the effects that allergens and pollutants have on our voice, whereas most average people do not. Singers may not necessarily be more prone to allergies (although I think they do because of my \u201cmore air theory,\u201d but you can agree or not \u2013 it\u2019s just an idea, not proven\u2026) but we do notice it more! Combine with allergies, the effects that a histamine reaction has on your stomach and its overproduction of acid: it will make even more acid, wash up even more over the cords and sinuses, thus creating even more irritation, which then creates more histamine\u2026 What a vicious circle! Cut the circle by treating &nbsp; Acid Reflux with an aggressive treatment of behavior modification (when you eat and what you eat) and drugs (proton-pump inhibitors and antacids). And maybe even find an antihistamine that works for you without drying you out too much. My favorite throat doctor recommends a sinus spray called \u201cNASONEX\u201d (mometasone furoate monohydrate) Nasal Spray, 50 \u00b5g, to keep irritation down in my nose, to try and stem the vicious circle. Or take a Clarityn in the evening before bed, if that doesn\u2019t dry you out too much. Or use NasoChrome sinus spray. Steam with a warm vaporiser (a cheapo 15$ at Walgreen\u2019s) and if you even suspect acid to be a problem, glug a bit of Gaviscon before going to sleep. If acid is a problem, at least that way, some of it will be neutralised.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u67e5\u770b <a href=\"https:\/\/woowoomommy.com\/2017\/02\/07\/how-i-cured-myself-from-gerd-acid-reflux-disease\/\">Rachel Cobb\u2019s Acid Reflux Page<\/a>.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><p>&nbsp;<\/p>\n<h3>\u4f60\u7684\u810a\u9ad3\u80bf\u80c0\uff01 &nbsp;<\/h3>\n<p>\u4e34\u5e8a\u4e0a\u79f0\u4e3a &nbsp;<em>\u6d6e\u80bf<\/em>\uff1b\u5982\u679c\u8110\u5e26\u4e0d\u4e00\u5b9a\u662f\u7ea2\u8272\u7684\uff0c\u4f60\u600e\u4e48\u77e5\u9053\u8110\u5e26\u80bf\u80c0\u4e86\uff1f<\/p>\n<p>Your vocal cords can be swollen, full of water (much like a blister on your heel when you\u2019ve walked in shoes that are too tight for too long) and YET not be red. Most doctors will look down in your throat and say \u201cyou\u2019re fine to sing, your cords are not even pink.\u201d This is misleading, as the pink may have gone away, or your cords could be swollen with water because of hormonal changes, etc.. without ever having been red. If you feel hoarse, the voice does not warm up no matter how long and how slowly you warm it up, you have a big break in your voice when you slide down supporting, you feel a lump in your throat or like you need to clear your throat all the time (this could also be due to Acid Reflux) and you have air escaping in your voice that is not normally there, you may have swelling on your cords. It is usually in the same place about a third of the way up the cords, on both sides. This could be called a PRE-NODE, or a SOFT NODE. Very scary words, and most singers think their careers are over. They are not, but care must be taken to let the swelling go down, and to get to the root of the problem that has caused it so it doesn\u2019t happen again. Most of the time, it is from too heavy a schedule, and it was caused by singing while sick.<\/p><\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<p class=\"wp-block-paragraph\">I also find swelling to be a big problem for me after air travel. I\u2019m trying more and more to have at least one to two days of rest in my destination before having to sing. ESPECIALLY trans-Atlantically. My new rule is that if the flight is over 3 hours, I have to wait two days until I sing. And I try to SHUT UP talking when I get there, as speaking is the hardest thing on my voice.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">When we\u2019re sick, the right kind of mucus is not protecting our throats, and we are more prone to injury. Sometimes oedema is not visible, however, with a normal laryngyscope, but only when the doctor makes a film of your cords while you\u2019re singing with a strobe light to slow down the beats of the cords recorded on the video. Sliding slowly down a fifth in a few places in your range should give the doctor enough to see. If the chords, instead of \u201ckissing\u201d each other symetrically, \u201cdance\u201d with each other (i.e. not meeting up but moving autonomously on each side), there is water in the cords. Sometimes a soft node or swelling is only seen on a sliding scale because it is on a part of the cord that is not easily visible on one note, but will show up when you slide. Strange but true. &nbsp;<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><p>The best remedy for oedema is VOCAL REST and small vocal therapy exercises. This means absolutely no singing and very minimal talking, if any. NO whispering, as that\u2019s worse for the voice than talking. No laughing, as that is so percussive on your cords. I know this is a toughie. Crying ain\u2019t too great either.I know lots of professional singers who have had this problem, usually for reasons above, not necessarily because they were singing ill-suited repertoire or that their technique was bad. Because they dreaded that phrase \u201cJaney\u2019s having VOCAL PROBLEMS,\u201d they did not tell people that they had oedema. Nobody forgets how to sing overnight, but oedema can make you feel like you no longer have vocal technique all of a sudden!<\/p>\n<p>You can mess up your voice overnight if you\u2019re sick, are singing on a cold or on reflux, or are singing too much, no matter how well you sing. There should be no stigma, but for some reason there is the implication that they don\u2019t have a good technique if a singer has oedema. It can even be caused by hormonal changes (especially in women), so I don\u2019t see why there is this stigma attached. It should be as valid and innocuous a reason not to sing as a cold or the flu, but since you don\u2019t end up with a red nose and outward signs, I guess it seems suspect. It should not. Nobody tells a runner or a tennis player they have bad technique if they pull a muscle while running: it is an injury. However, if you let it go, and do not address the problem head-on with vocal rest and therapy\u2026 I would say it is your own fault!<\/p>\n<h4>\u6c34\u80bf\u953b\u70bc\uff1a<\/h4>\n<p>\u6c34\u80bf\u7684\u4e3b\u8981\u95ee\u9898\u662f\u4f60\u53ef\u80fd\u9700\u8981 <em>\u6c34\u5408<\/em>. Vocal cords, if they lack the requisite protection on their outer layer, will send out messages to produce very thick mucous to try and protect themselves &#8211; &#8211; &nbsp;and if that doesn&#8217;t work, they will send out for water (swelling) to protect the area. &nbsp;Many times, the body&#8217;s overreaction is what messes up all our plans. &nbsp;If we had just hydrated and\/or listened to our body&#8217;s needs, perhaps our body wouldn&#8217;t have overreacted. &nbsp;So first, drink hydrating drinks (not caffeinated or alcoholic). &nbsp;Then, breathe in steam, if you can. &nbsp;Steaming works wonders!! &nbsp;THEN, do these forced-hydration exercises.<\/p>\n<ol>\n<li>\u62ff\u4e00\u5757\u7eb1\u5e03<\/li>\n<li>\u5c06\u7eb1\u5e03\u653e\u5165\u4e00\u676f\u6e05\u6c34\u4e2d\uff0c\u7136\u540e\u62e7\u5e72\u5927\u90e8\u5206\u6c34<\/li>\n<li>\u5c06\u7eb1\u5e03\u6342\u4f4f\u5634\u548c\u9f3b\u5b50\uff0c\u6df1\u547c\u5438\u4e09\u6b21<\/li>\n<li>&#8220;Massage&#8221; the hydration into you cords by:&nbsp;Using a half-full glass or bottle of water, put a straw (optimally, a straw 1cm diameter and 30cm long) in about 3cm in the water and do the following two exercises, one each after the 3x hydration breaths:\n<ul>\n<li>\u5728\u6c34\u4e2d\u5439\u6ce1\u6ce1\uff0c\u7136\u540e\u540c\u65f6\u547c\u5438\uff0c\u7f13\u6162\u5730\u3001\u6beb\u4e0d\u8d39\u529b\u5730\u5531\u51fa\u97f3\u57df\u4e2d\u95f4\u7684\u4e2d\u7b49\u67d4\u548c\u97f3\u7b26\uff0c\u5e76\u53d1\u51fa\u975e\u5e38\u67d4\u548c\u7684\u58f0\u97f3\uff08\u9010\u6e10\u53d8\u5927\u76f4\u5230\u4e2d\u97f3\uff0c\u4e0d\u518d\u66f4\u5927\u58f0\uff0c\u7136\u540e\u5c3d\u53ef\u80fd\u4e0d\u8d39\u529b\u5730\u9010\u6e10\u51cf\u5f31\uff09\uff0c\u6700\u540e\u53ea\u5269\u4e0b\u6ce1\u6ce1\u3002&nbsp;<\/li>\n<li>blow bubbles in the water, then in the same breath slide down a fifth, in an easy part of your voice without strain&#8230;&nbsp;<\/li>\n<\/ul>\n<\/li>\n<li>&nbsp;After doing Number 3 (gauze hydration breathing in 3 times) &#8211; &#8220;Massage&#8221; the hydration into your cords by doing either of these following exercises:<br>\n<ul>\n<li>doing a &#8220;vocal fry&#8221; inhale&nbsp;<\/li>\n<li>slide down to a &#8220;vocal fry&#8221; from each vowel (a, e, i, o, u) in the middle of your range &#8211; Such as &#8220;ah&#8221; in middle of range followed in the same breath with an &#8220;ah&#8221; in vocal fry, then &#8220;e&#8221; in middle range followed by &#8220;e&#8221; vocal fry, etc&#8230;&nbsp;<\/li>\n<\/ul>\n<\/li>\n<\/ol><\/p>\n\n\n<h3>\u884c\u4e1a\u63d0\u793a\uff1a\u58f0\u97f3\u5636\u54d1\u7684\u7d27\u6025\u6551\u52a9<\/h3>\n<p>from water or swelling on\/around cords \u2013 when you have a cold and know that you just have to sing and that swelling is the direct culprit for your hoarseness: Use the decongestant \u201cAFRIN 12-hour decongestant\u201d in the burghundy box \u2013 not any other brand or with any other additives. Inhale while spraying it in your MOUTH, trying to get it on your cords (if it makes you cough a little, you\u2019re doing it right). This will bring down swelling temporarily, but you will need to see a doctor and SHUT UP after the concert. The stuff tastes horrible, by the way.<\/p>\n<p>If you have a very important engagement and there is no way to cancel \u2013 you must sing, and hopefully you have some time afterwards to recover: you can use <strong>\u7532\u6c27\u6cfc\u5c3c\u677e<\/strong>. You should discuss the repercussions with your doctor. It is a prescription medicine and needs to be used sparingly in your entire career (if at all) and with much caution. Steroids like this will take down swelling, but can open you up to injury (like running on a broken leg), open you up to infection, and slow down the actual healing process your vocal chords need. If the swelling is not just from a too-busy schedule or an illness, and is instead from incorrect singing, you are risking a lot by singing on steroids. This steroid, taken orally 30 minutes before you need to sing, can temporarily bring down swelling. HOWEVER, I can not recommend its continued use, nor would I really recommend using it at all, unless it is really dire straights and you have to sing. You can not sustain a career and good singing if you need steroids in order to keep your schedule. I would not recommend using this for the OPENING of a run of shows, as I think you need lots of quiet time after having used steroids to let your body heal itself properly. In using steroids, you\u2019ve slowed down that process in some ways. I have used it a few times in my career in my over-30-year career, when I could not get swelling down any other way, and needed to sing. &nbsp;Almost every professional singer I know has used it at least once. &nbsp;But all my friends also have a healthy wariness of using it, and used it only when they had no other choice but canceling, and were super careful afterwards. &nbsp;<\/p>\n\n\n<p class=\"wp-block-paragraph\"><h3>\u957f\u9014\u98de\u884c<\/h3>\n<p>Long plane rides (and sometimes even short ones) can have detrimental effects on the voice. The plane is an environment drier than a desert, so adding humidity to your throat and sinuses is a must. The plane can also be a great breeding ground for bacteria and virus \u2013 \u2013 you are stuck in a box with many people for hours\u2026 If you are seated next to a sniffing, coughing person, ask them if they\u2019re sick or coming down with a cold (it could be their allergies), and then ask to be moved! &nbsp; WEAR A MASK. &nbsp;This is the best thing that has come from the stupid Pandemic &#8211; the ability to wear a mask and not seem like a total crazy person. &nbsp;<\/p>\n<p>You are not being rude \u2013 you can not afford to be sick once you get to your destination. A cold has a gestation period of about 10 days, so you may be fine once you get there, but come down with a nasty bug your second week of rehearsals. I have also always been a big goober and bring a hospital mask with me on long flights. I also bring spray salt water (Sterimar in Europe \u2013 great stuff) and mist my face, nasal cavity and the inside of the mask with it periodically (about once an hour) , and wear it to keep the humidity in. There is also a thing called the <a href=\"https:\/\/humidiflyer.com\">\u52a0\u6e7f\u5668<\/a> that some of my colleagues rave about, but I can&#8217;t vouch for it, having never used it. &nbsp;It&#8217;s worth a try. &nbsp;<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-medium wp-image-172\" src=\"https:\/\/opera.education\/wp-content\/uploads\/2023\/07\/mask_women.png-300x236.webp\" alt=\"\u52a0\u6e7f\u5668\u9762\u7f69\" width=\"300\" height=\"236\" srcset=\"https:\/\/opera.education\/wp-content\/uploads\/2023\/07\/mask_women.png-300x236.webp 300w, https:\/\/opera.education\/wp-content\/uploads\/2023\/07\/mask_women.png-768x603.webp 768w, https:\/\/opera.education\/wp-content\/uploads\/2023\/07\/mask_women.png-15x12.webp 15w, https:\/\/opera.education\/wp-content\/uploads\/2023\/07\/mask_women.png-100x79.webp 100w, https:\/\/opera.education\/wp-content\/uploads\/2023\/07\/mask_women.png-150x118.webp 150w, https:\/\/opera.education\/wp-content\/uploads\/2023\/07\/mask_women.png-200x157.webp 200w, https:\/\/opera.education\/wp-content\/uploads\/2023\/07\/mask_women.png-450x354.webp 450w, https:\/\/opera.education\/wp-content\/uploads\/2023\/07\/mask_women.png-600x471.webp 600w, https:\/\/opera.education\/wp-content\/uploads\/2023\/07\/mask_women.png.webp 840w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/p>\n<p>I also drink at least one small bottle of water every hour, to try and hydrate from the inside out. Do NOT drink alcohol or any kind of caffeinated drinks (this includes tea and even green tea). They actually suck the water out of your system. Carbonated drinks do not hydrate well, so avoid them, too. Avoid milk products, as they tend to thicken mucus membranes. Water, water, gatorade, HERBAL teas (ask for Camomille tea \u2013 they usually have it.) Try to get up every now and then and walk around to keep your circulation going, or do exercises in your seat.<\/p>\n<p>The plane\u2019s pressurized cabin also has detrimental effects on your soft tissues \u2013 it makes them swell (guess what your cords are \u2013 soft tissue). AND the air quality is oxygen-poor because of the altitude and re-circulation, so get as much fresh air as possible once you get to your destination. I\u2019ve had good results with an \u201cair-ionizer,\u201d one of those snazzy gadgets from Sharper Image. I find that I feel more refreshed after a flight wearing one, but maybe it\u2019s psychological. I always bring it on long-haul flights. I also goop up my face with moisturizer on a flight, and put vaseline or chapstick on my cuticles, nails and the base of my nose. Those are body parts that seem to really dry out on the plane. Boy, am I a fun passenger to watch! Who cares if they think you\u2019re a total weirdo? And I usually keep my blanket over my entire seat and head and just try to sleep and to keep moisture in the air I breathe. I\u2019m a real fun row-mate to have, obviously. But who cares? My main objective is to be in good shape when I get there. I also do some of those little isometric exercises in my seat to keep my blood moving. Heck, after all that, who has time to get bored on a long flight? I am also the big geek on the plane who wears a surgical mask.<\/p>\n<p>Most of all, DO NOT TALK on a flight \u2013 tell the enthusiastic, nosey lady next to you that you\u2019re a plumber or something, so you don\u2019t have to tell her ALLLLL about your \u201cFascinating Career!\u201d ARGH. Talking in that loud and dry of an environment is horrible for your voice.<\/p>\n<h3>\u79bb\u5f00\u4e4b\u524d<\/h3>\n<ul>\n<li>\u6765\u4e00\u4e9b <a href=\"http:\/\/www.nojetlag.com\/\" target=\"_new\" rel=\"noopener noreferrer\">\u201cNO JET-LAG<\/a> ,\u201d these magical herbal pills that you will chew once an hour on a flight that immensely help reduce swelling and get your clock back in order once you\u2019re there.<\/li>\n<li>Set your watch for the NEW timezone when you get on the plane, and stick to the NEW schedule. i.e. if it is 2a.m. at your destination, SLEEP with your eyes covered until it is a decent hour to get up. Resist eating airplane food on their timetable (which is always the timetable of where you come from, not the destination.) It\u2019s not that great, anyway. When it\u2019s daytime at your destination, open the shade, and get light in your eyes\u2026 Get a bit of sun on your arms and the backs of your knees, as well.<\/li>\n<\/ul>\n<p><a name=\"arrival\"><\/a><\/p>\n<h3>\u5230\u8fbe\u90a3\u91cc\u540e<\/h3>\n<p>\u6211\u5efa\u8bae\u4f60\u4e0d\u8981\u5728\u5230\u8fbe\u7684\u5f53\u5929\u6216\u7b2c\u4e8c\u5929\u5531\u6b4c\uff0c\u56e0\u4e3a\u98de\u884c\u4f1a\u5bfc\u81f4\u80bf\u80c0\u3002\u5982\u679c\u5728\u80bf\u80c0\u7684\u58f0\u5e26\u4e0a\u8fc7\u65e9\u5531\u6b4c\uff0c\u4f60\u53ef\u80fd\u4f1a\u803d\u8bef\u4e00\u5468\u7684\u65f6\u95f4\u3002<br>\u65f6\u5dee\uff01<\/p>\n<p>Jet lag is when your inner body clock doesn\u2019t understand what time it is. You need to get it on the right schedule. If you arrive in the morning, go out during the day and get some sun \u2013 in the places you have receptors exactly for your clock \u2013 \u2013 in your eyes, on the back of your knees (yup!), and get some exercise. Try valiantly to stay awake at least until the sun goes down, and then DO NOT get up when you wake up at 5 a.m. the next morning \u2013 stay in bed with the lights off and tough it out until at least 7 a.m. If you get there in the evening, it\u2019s easier \u2013 eat a light meal and go to bed. If you have trouble sleeping, I bring along Melatonin, which I buy in the U.S. It is the substance your body starts to make in the absence of light to tell your body to go to sleep. Take one small tablet at sundown. And then stay out of the LIGHT! Act like Dracula or something\u2026<\/p>\n<p><a name=\"hotel\"><\/a><\/p>\n<h3>\u5728\u4f60\u7684\u9152\u5e97\u623f\u95f4<\/h3>\n<p>Hotel rooms are notoriously DRY. You can usually buy a cheapie humidifier at a drugstore, if you\u2019re going to be there very long, or you can leave wet towels hanging over the gas radiator to add some humidity in the room. (Don\u2019t leave them there all day \u2013 could start a fire!) I usually run myself a bath by stopping up the tub, turning on the SHOWER with only hot water to steam up the place, then add cold water to the mix out of the regular spicket. Soaking in a tub is also great for you to recapture some moisture after a long flight \u2013 your largest organ is the skin, after all. Moisturize afterwards to keep in the moisture!<\/p><\/p>\n\n\n\n<h2 class=\"wp-block-heading\">\u5973\u6027<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">IVF \u2013 TAKING HORMONES TO HAVE A BABY \u2013 I can not stress enough the huge and mostly irreperable damage to your cords that can be caused by the flood of hormones required by most clinics to do in-vitro fertilization. Hormones can totally change the structure of your vocal apparatus. (Think men that have had sex change operations!) I don\u2019t know any singers who have done these rounds of hormones who have not had problems with their voices as a result. Please think about your priorities, and know that you could lose your voice in order to have a baby with this method. If it is that important, then of course, do it (although I think there must be other repercussions on your overall health as a result of this flood of hormones that doctors have not fully addressed in their rush to fulfill a wish that is very lucrative for them.) If singing is also important for you, or your only livelihood, think about adopting! Some foreign countries have more streamlined and simplified adoption procedures than the U.S. and maybe shorter waiting periods \u2013 adopting there can have its benefits, and there are certainly many needy children who need loving homes.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u5c3d\u7ba1\u5982\u6b64\uff0c\u5982\u679c\u4f60\u51b3\u5b9a\u8fdb\u884c\u8bd5\u7ba1\u53d7\u7cbe\uff0c <strong>\u770b\u770b\u4f60\u662f\u5426\u53ef\u4ee5\u907f\u514d\u4e0b\u8c03\uff01<\/strong>! &nbsp;They act like it&#8217;s a necessary part of the therapy, but it is NOT. The nice term &#8220;down-regulation&#8221; means they give you hormones that put you into a fake menopause by taking away all your estrogen for a month. &nbsp;Besides having hot flashes, etc. and other menopausal symptoms, it can screw up your vocal cords forever. &nbsp;Yes, change the structure of your vocal cords. &nbsp;Estrogen is one hormone that keeps your soft tissue lubricated. (Throat, what are you made of? &nbsp;Soft tissue.) Estrogen is also what gives your cords the elasticity to stretch up to high notes. &nbsp;Take that away, and what do you get? &nbsp;Other hormones in your body which can thicken your cords while you have no estrogen. &nbsp;And leave them thickened. &nbsp;<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">I tell you this from my own personal experience. &nbsp;I had two perfect kids finally at 48 and 50 after years of IVF, and I DID NOT DOWN-REGULATE! Doctors want you to do it because it&#8217;s &#8220;best practice,&#8221; they can put ALL their patients on the same cycle, and it gives them a better database for their results if all their patients are doing the exact same protocol. &nbsp;But, cluephone here, what&#8217;s good for one person may not be what&#8217;s best for you. !!!! I finally found doctors that thought about my singular case and needs, and found the right protocol for my needs. &nbsp;And now I have two beautiful children. &nbsp;Woohoo. &nbsp;I still felt some hormonal fluctuations during IVF, but definitely nothing near what could&#8217;ve happened to me if I had down-regulated. &nbsp;<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">\u6fc0\u7d20<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">&nbsp;(i.e. the pill) \u2013 Ask your THROAT doctor what effects it can have on your voice, not your gynecologist, who will say \u201cof course not\u201d because he\/she doesn\u2019t sing. I DO believe they can have adverse effects on the singing voice. Try to take the lowest dosage possible without \u201cbleed-through\u201d and avoid the mini-pills that only have progesterone. Pills with synthetic progesterone can cause darkening in the voice \u2013 \u2013 it metabolises down to a testosterone analogue in your body. Instead try barrier methods and\/or IUD together with rhythm to be extra sure. Meanwhile, <a href=\"http:\/\/operamom.com\/\">\u67e5\u770b OPERAMOM.COM <\/a>Advice most of all \u2013 for (prospective) singer moms but also some advice for singers trying to avoid pregnancy. &nbsp;There are some lovely groups on Facebook that other singers may be involved in that can be helpful. &nbsp;Seek them out, ask your friends, and join up. &nbsp;Finding people who have been in your same shoes and seeing what solutions they have come up with can be very helpful and reassuring. &nbsp;I think people are becoming more open to being realistic about our lives and helpful to others. &nbsp;It&#8217;s nice when we realize we&#8217;re all in this together and help one another out!&nbsp;<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><em>\u514d\u8d23\u58f0\u660e\uff1a\u672c\u7f51\u7ad9\u4e0a\u7684\u6240\u6709\u4fe1\u606f\u5747\u7531\u975e\u4e13\u4e1a\u4eba\u58eb\u63d0\u4f9b\uff01\u8fd9\u4e9b\u662f\u5bb6\u5ead\u7597\u6cd5\u3002Laura Claycomb \u5bf9\u672c\u7f51\u7ad9\u5efa\u8bae\u9020\u6210\u7684\u635f\u5bb3\u4e0d\u627f\u62c5\u4efb\u4f55\u8d23\u4efb\uff0c\u4e5f\u4e0d\u627f\u62c5\u4efb\u4f55\u6cd5\u5f8b\u8d23\u4efb\u3002\u5982\u679c\u51fa\u73b0\u4e25\u91cd\u7684\u5589\u5499\/\u9f3b\u5b50\u95ee\u9898\uff0c\u8bf7\u54a8\u8be2\u5065\u5eb7\u4e13\u5bb6\uff01<\/em><\/p>","protected":false},"excerpt":{"rendered":"<p>I thought to write a little about health. After talking to most of my singer friends, I found they didn\u2019t get the same information from their specialists. These are some tips and some ideas I have gathered \u2013 my translation &hellip;<\/p>\n<p class=\"read-more\"> <a class=\"more-link\" href=\"https:\/\/opera.education\/zh\/2023\/07\/28\/\u5065\u5eb7\/\"> <span class=\"screen-reader-text\">\u5065\u5eb7<\/span> Read more \u2192<\/a><\/p>","protected":false},"author":1,"featured_media":164,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[19],"tags":[],"class_list":["post-144","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-yac"],"jetpack_featured_media_url":"https:\/\/opera.education\/wp-content\/uploads\/2023\/07\/Unknown.jpg","_links":{"self":[{"href":"https:\/\/opera.education\/zh\/wp-json\/wp\/v2\/posts\/144","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/opera.education\/zh\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/opera.education\/zh\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/opera.education\/zh\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/opera.education\/zh\/wp-json\/wp\/v2\/comments?post=144"}],"version-history":[{"count":6,"href":"https:\/\/opera.education\/zh\/wp-json\/wp\/v2\/posts\/144\/revisions"}],"predecessor-version":[{"id":174,"href":"https:\/\/opera.education\/zh\/wp-json\/wp\/v2\/posts\/144\/revisions\/174"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/opera.education\/zh\/wp-json\/wp\/v2\/media\/164"}],"wp:attachment":[{"href":"https:\/\/opera.education\/zh\/wp-json\/wp\/v2\/media?parent=144"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/opera.education\/zh\/wp-json\/wp\/v2\/categories?post=144"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/opera.education\/zh\/wp-json\/wp\/v2\/tags?post=144"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}