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A common sleep problem, sleep apnea may need to be diagnosed by a sleep study. Learn more in the following article. If you or a loved one may be suffering from sleep apnea or other problems, call us at 847.674.3600 for a sleep consultation. What is Sleep Apnea? Sleep apnea occurs when you regularly stop breathing for 10 seconds or longer during sleep. It can be mild, moderate, or severe, depending on the number of times in an hour that your breathing stops (apnea) or becomes very shallow (hypopnea). Apnea episodes may occur from 5 to 100 times an hour. More than five apneas per hour is abnormal. More than 30-40 per hour is considered severe sleep apnea. There are three types of sleep apnea: obstructive sleep apnea, central sleep apnea, and mixed sleep apnea, although obstructive sleep apnea—also called OSA—is by far the most common. NEWS ITEM See our expanded ad in Good Housekeeping, Redbook and Woman’s Day: “Sleep apnea? My child?” What causes Obstructive Sleep Apnea? A blockage or narrowing of the airways in your nose, mouth, or throat generally causes obstructive sleep apnea (OSA). This usually occurs when the throat muscles and tongue relax during sleep and either completely or partially block the airway. Sleep apnea can also occur if you have bone deformities of the jaw or face or larger than normal tissues in your nose, mouth, or throat. For example, you may have large tonsils. During the day when you are awake and standing up, this may not cause problems. However, when you lie down at night, your tonsils can press down on your airway, narrowing it and causing sleep apnea. Other factors that make sleep apnea more likely include being obese, using certain medicines or alcohol before bed, and sleeping on your back. What are the symptoms of Sleep Apnea? The main symptoms of sleep apnea are loud snoring and feeling very sleepy during the day, although, many patients, even those with severe OSA deny daytime sleepiness. Your bed partner may notice periods when you stop breathing during sleep. Other symptoms may include tossing and turning during sleep, frequent awakenings during the night, waking up with a headache, and feeling irritated and unrested. What are the health consequences of untreated Sleep Apnea? Sleep apnea causes a great disruption in sleep and keeps you from reaching and maintaining the deeper stages of sleep. When you stop breathing or breathe very shallowly during your sleep, it may result in less oxygen in your blood. Over time, this lack of oxygen can lead to serious health problems. Also, every time you stop breathing, your brain is alerted to the problem and cause you to wake up briefly (usually so briefly that you don’t remember) and this in turn activates your adrenalin system which raises your blood pressure and heart rate. If you have sleep apnea, you are 2-3 times more likely to get high blood pressure (hypertension), high blood pressure in your lungs (pulmonary hypertension), abnormal heart rate, heart failure, coronary artery disease (CAD), and stroke. You also have a higher risk of dementia, sexual dysfunction, obesity and diabetes. If you have sleep apnea, you may have difficulty concentrating and feel tired throughout the day. Therefore, you may have poor work performance. You may fall asleep during a conversation or while you are driving or working. There is increasing awareness that drowsy driving can be as dangerous to you and others as drunk driving. You are also at higher risk for depression. Who is affected? Anyone from age 2 to 92 can suffer from obstructive sleep apnea. It was commonly thought to be a disorder of over-weight, middle-aged men, but sleep specialists are revising their opinion. Thin people often have a long narrow pharynx and that predisposes them to sleep apnea. Children have tonsils that are large relative to their small throats and they can have sleep apnea. Post-menopausal women have the same risk as men. If you are sleepy during the day despite adequate sleep time, then sleep apnea should be investigated, especially if you’re told that you snore or stop breathing at night. Studies report that anywhere from 4%-24% of men suffer from OSA, and 2–15% of women. Both sexes over the age of 65 have a rate of 20–25%. ONE PATIENT’S STORY “I was diagnosed with sleep apnea two years ago and have been using the CPAP machine ever since. I have not gone one night without the machine and would find it difficult to ever sleep now without it. Treating my sleep apnea fundamentally changed my life — physically, emotionally and mentally. I was recently accepted into several top law schools, and I do not know how I would have been able to move forward with this career path without this treatment. “Since [my diagnosis], I have urged friends who display similar symptoms to visit your clinic. I believe at this point I have referred about 3 or 4, and all of them had sleep apnea. I know I’m part of a demographic — young, male, active weightlifter, mid-20s, non-smoker, etc. — that does not believe sleep apnea affects them, since sleep apnea is commonly ascribed to the elderly or obese. Everyone whom I tell about my sleep apnea are shocked I have it. I have witnessed firsthand the miraculous effects of relieving my sleep apnea, and I have heard so many positive things from other friends who got treated at my behest, that I would love to continue passing the buck.” ~ Richard Scinteie How is Sleep Apnea diagnosed? Your doctor will examine you and ask you and possibly your bed partner questions about your lifestyle, snoring, sleep behavior, and how tired you feel during the day. If your doctor thinks you may have sleep apnea, he or she may suggest a sleep study. Sleep studies find out how often you stop breathing or have shallow breathing and how much oxygen you have in your blood during sleep. An overnight sleep study is the only way to determine if snoring is benign or it is a sign of obstructive sleep apnea. To help get to sleep more quickly, try keeping lights lower throughout the house at least one hour before bedtime. See more Tips >> How is Sleep Apnea treated? If you have mild sleep apnea, you may be able to treat it on your own by losing weight, developing good sleep habits, and avoiding alcohol and certain medicines before bed. If you have mild or moderate sleep apnea you may be a candidate for a mouthpiece. Only a sleep specialist can help you decide what is appropriate for you. If you have moderate to severe sleep apnea, you may need to use a breathing device called a CPAP (continuous positive airway pressure) that prevents your airway from closing during sleep. Removing tonsils and adenoids is often a curative procedure for children with OSA. However, this rarely helps adults. There is a more radical surgery whereby all or part of soft palate is removed. This entails a lengthy, painful recovery period and less than 40% of patients will have their sleep apnea cured by these throat surgeries. If you have questions or would like a consultation, … …please give us a call at 847.674.3600. We can help you find out if you or someone you love has sleep apnea or another disorder that may benefit from treatment.
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Uyku Apnesi Belirtileri ve Tedavisi Uyku Apnesi Belirtileri ve Tedavisi Bu içeriğimizde sizlere horlama ve ona eşlik eden uyku apnesi hastalığından bahsetmek istiyoruz. Eğer horlama problemleriniz bulunuyorsa, sabahları yorgun uyanıyorsanız, gün içinde uykululuk haliniz devam ediyorsa bu içeriğimizi dikkatlice okumanızı tavsiye ederiz. Çocuklarda ve erişkinlerde sıklıkla görülen horlama şikayeti tıkayıcı uyku apnesi hastalığının habercisi olabilmektedir. Tıkayıcı uyku apnesi hastalığı nedir diye tanımlayacak olursak; uyku esnasında horlamayla beraber solunumun belli sürelerde durması ve kan oksijenin de buna paralel olarak düşmesidir. Bunun sonucunda ise kişilerde; – Gece sık sık idrara çıkmak – Uykudan yoğun hava isteğiyle uyanma – Sık sık terleme – Sabahları yorgun uyanma – Uykuya doyama gibi şikayetler uyku apnesi olan kişilerde mutlaka var olan belirtiler arasında bulunmaktadır. Bu saydığımız uyku apnesi belirtileri bazı hastalarda çok ciddi boyutlara ulaştığı takdirde kalp ritim bozuklukları ortaya çıkabilmektedir. Ayrıca hastanın uykuda kalp krizi geçirebilmesine kadar varabilen ciddi tehlikeleri bulunmaktadır. Bu şekilde ciddi rahatsızlıklar ortaya çıkarabilen uyku apnesi hastalığı ilk olarak basit horlama ile kendini gösterebilmekte ve zamanla ilerleyebilmektedir. Gün İçinde Görülen Uyku Apnesi Belirtileri Sabahları yorgun bir şekilde uyanmak uyku apnesi hastalığının gün içinde görülen ilk belirtisidir. Ardından işinize konsantre olamama, ayrıcı bütün gün boyunca sürekli kendinizi uykulu hissediyorsanız. Uyku apnesi hastalığına sahip olup olmadığınızı öğrenmek için mutlaka bir doktora görünmeniz gerekmektedir. Uyku apnesi için 3 farklı bölüme gittiğiniz takdirde size yardımcı olabileceklerdir. Kulak burun boğaz uzmanı, nöroloji uzmanı ve göğüs hastalıkları uzmanlarının üçüde bu hastalığa teşhis koyabilmekte ve uyku apnesi tedavisi konusunda size yardımcı olabilmektedirler. Uyku Apnesi Teşhisi Nasıl Konur? Uyku apnesi süphesiyle hastaneye gittiğiniz zaman kulak burun boğaz muayenesi ve göğüs akciğer muayenesinden geçirilirsiniz, ayrıca duruma göre nörolojik muayeneden geçmeniz gerekebilir. Bunların yanında ise hem laboratuvar testleri hemde gece uyku testi yapılır. Uyku apnesinin kesin teşhisi için ise polisomnografi testi uygulanır. Polissomnografi testi uyku apnesi belirtileri görülen kişilere mutlaka yapılmaktadır. Test için hasta bir gece uyku odasında uyutulur ve bir gece boyunca uyku sırasında meydana gelen apne durmalarının sayısı, kan oksijen miktarı, tansiyon düzeyi vb. çeşitli durumlar düzenli olarak bir bilgisayara kaydedilir. 6-7 saat süren bu uykunun sonunda kayıtlar incelenerek hastalığınızın ne düzeyde ve ne kadar ciddi olduğu ortaya konur ve ardından uyku apnesi tedavisi başlar. Uyku Apnesi Tedavisi Bu hastalığın tedavisi cerrahi uyku apnesi tedavisi ve tıbbi uyku apnesi tedavisi olarak iki gruba ayrılmaktadır. Tıbbı Tedavi; Özel cpap denen cihazlar gece uyku boyunca takılır sizin rahat nefes almanızı, kan oksijeninizin düşmemesini sağlar. Bir süre sonra ise hastalık kendiliğinden düzelir. Cerrahi Tedavi; Boğazda hava yolunu tıkayan problemler, burundaki tıkanıklıklar, boğazda bademciklerin irileşmesi ve üst solunum yolu darlığı cerrahi uyku apnesi tedavisi ile açılarak bu hastalık ortadan kaldırılır. Bu tedavi yöntemleri uygulandıktan sonra ortaya çıkan hastalığa bağımlı tüm rahatsızlıklar ve farklı riskler ortadan kalkmış olur. Tedavi sonunda hastanın yaşam kalitesi aşırı derecede yükselmiş olur. Bir önceki makalemiz olan Saç Uzaması ve Bakım İçin Bitkisel ve Doğal Yöntemler isimli makalemizi de okumanızı tavsiye ederiz.