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OBSTRUCTIVE APNEA OF THE SLEEP | |
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 DEFINITION YOU CAUSE PREVENTION SYMPTOMS ANALYSIS TREATMENT SPECIALIST PREDICTED COMPLICATIONS TO CONSULT |
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It is named apnea from the sleep to the episodes of cessation of the respiration during the sleep that last 10 seconds or more.
During the sleep, the relaxation of m&uac·os of the base of the gullet causes an obstruction for the step of the air, and provokes an extremely high snoring and a very difficult respiration. When the air entry is blocked completely, the respiration for. The obstruction of the respiration prevents the person from bringing in in deeper sleep stadiums what causes drowsiness symptoms during the day. The apnea of the sleep appears more often in obese men and of medium age. They contribute to these factors the use of alcohol or sedatives to sleep, the anatomy of the nostrils, the increase of the tonsils or adenoids, and the arterial or pulmonary hypertension with the expanded right ventricle. The incidence belongs to 6 affected persons of every 100. The most classic presentation of the obstructive apnea of the sleep is the snoring appearance just after falling asleep. The snoring continues a regular rhythm in a period of time, often it becomes higher, but it is interrupted suddenly by a period of silence during which there is no respiration (apnea). The apnea is interrupted by a panting or snort of big sound that little by little returns to his normal sound. This behavior can recur often during the night. During the periods apnéicos the oxygen level in low blood. These low oxygen levels (hipoxia) persistent cause the symptoms that appear during the day. If this circumstance is very severe a pulmonary hypertension can develop and the patient can develop a cardiac mistake of the right side (cor pulmonare) or miocarditis.
The weight reduction and to avoid the ingestion of alcohol and sedatives can help to diminish the risk. The children with adenoiditis and tonsils hypertrophy they can develop an obstructive apnea of the sleep that can provoke diverse problems, by what an amigdalectomía must be realized and adenoidectomía.
ADDITIONAL SYMPTOMS THAT COLLABORATE WITH THIS ILLNESS
Other tests (for neumólogo) include:
The target of the treatment is to establish, or to support open sea, the step of the air to prepare episodes apnéicos during the sleep. The control of the weight (or deliberate loss of weight) and to avoid the consumption of alcohol and sedatives in the night they can help in the results. If these measurements do not yield the awaited fruits of stopping the apnea of the sleep and continuous the obstruction prescribes a special mask, which puts itself on the nose and the mouth during the night. There is studied a mechanical device that is inserted inside the mouth in the night, to support the jaw ahead. In some cases a therapy with oxygen can improve the results. When there are anatomical causes surgery is needed:
The treatment not always is successful. Also often to the patients it is impossible to reduce weight and they do not fulfill the treatment. Deprivation of the sleep. Call his doctor if there appear symptoms of obstructive apnea of the sleep. If he endures this problem call to request an appointment, especially if the symptoms do not improve or if new symptoms develop. The decrease of the conscience, drowsiness carries to extremes, hallucinations, changes of personality and persistent confusion can indicate an emergency situation. |
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DEFINITION
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