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Sleep apnoea

Sleep apnoea

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What is sleep apnoea?

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Sleep apnea (apnea - from Latin for lack of breathing, cessation of breathing) is a common condition characterized by episodes of cessation of breathing during sleep. Breathing stoppages can last from a few seconds to minutes and occur 5 to 30 or more times per hour. After a time , normal breathing returns, and may be accompanied by loud snoring or choking sounds.

Sleep apnea is one of the commonly seen chronic diseases that disturbs sleep 4 or more times a week.

This leads to poor sleep quality and fatigue during the day. Sleep apnea is one of the main causes of sleep deprivation, lack of quality sleep and daytime tiredness and fatigue.

The problem in diagnosing the disease is that it only manifests itself at night, which is why the person often does not know about it. A family member and/or bed partner may notice its first signs.

Sleep apnea often cannot be diagnosed in a routine medical examination. For this purpose, there are special devices that record heart, breathing and brain activity during sleep. The information they accumulate is then relied upon by a specialist who should recommend a further course of treatment.

What are the risk factors andcauses for  sleep apnoea?

Risk factors for obstructive sleep apnea include:

-male gender

-high blood pressure

-obesity

-smoking

-old age

-use of narcotics, sleeping pills or alcohol

-neurological diseases

DIabetes

What are the symptoms ?

Symptoms of obstructive sleep apnea include:

-heavy snoring

-waking accompanied by gasping

-morning headache

Insomnia

daytime sleepiness

-concentration disorders

-high blood pressure difficult to control

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How is sleep apnea diagnosed?

Previously, the main way to diagnose sleep apnea was so-called Polysomnography, which was only performed in the laboratory. In this examination, you sleep overnight in the laboratory, during which time machines are attached to you that monitor organ function, breathing patterns, and leg and arm movements. Advances in medical technology now allow sleep apnea diagnosis to be done entirely at home, without having to leave the comfort and convenience of your home. This is possible with the help of modern portable sleep and breathing disorder screening devices. These devices perform complete respiratory monitoring of vital parameters that indicate the presence of sleep disturbances without having to change your daily routine.

 

Treatment methods for obstructive sleep apnea?

 

Промени в начина на живот:

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smoking cessation

stopping alcohol use or not drinking alcoholic beverages a few hours before sleep

losing weight

avoid sleeping on your back

Sleep apnea machine treatment:

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-CPAP mask (Continuous Positive Airway Pressure). This is the most widely used method of treating sleep apnoea (obstructive or central) and involves wearing a mask around the nose during sleep. The mask is connected to a machine that generates pressurized air, thus preventing the airway from closing.

-BPAP mask (Bilevel Positive Airway Pressure - Positive Airway Pressure at two levels) - unlike CPAP, which maintains a constant supply air pressure when you inhale and exhale, BPAP machines send air at a higher pressure when you inhale and at a lower pressure when you exhale. The purpose of this type of treatment is to help weak breathing. Some BPAP machines automatically supply air when they sense that you have not breathed over a certain number of seconds.

oxygen therapy - The machine supplies extra oxygen to your respiratory system while you sleep. This therapy has shown effectiveness in some cases of sleep apnea.

-rTMS (repetitive transcranial magnetic stimulation) Transcranial magnetic stimulation is a new non-invasive method of modulating the activity of the central nervous system. The idea of the method is to achieve an overall improvement of the condition without the use of drugs, but entirely naturally. It is used for insomnia, burnout syndromes, depression, memory and concentration disorders, after strokes and other brain damage.

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What complications can sleep apnea cause?

Untreated sleep apnea increases the risk for:

The development of high blood pressure, heart attack, stroke, obesity and diabetes;

The development or worsening of heart failure;

The development of cardiac arrhythmias;

Fatigue - due to frequent awakenings at night and can lead to reduced concentration at work or while driving, which can lead to serious accidents

Clinic of Sleep Medicine and Sleep Apnea at SanaMedic Medical Center Varna

The office has state-of-the-art equipment - electro-encephalograph (EEG), electrocardiograph (ECG), electromyograph (EMG), transcranial magnetic modulator (rTMS). сънна апнея