Recognizing Obstructive Sleep Apnea, Sore Snoring Disease

Contents:

Medical Video: Sleep Apnea

Everyone spends 30% of his life sleeping. There are some people who have bad habits during sleep that are very disturbing to the surrounding people, namely snoring or snoring. But, do you know, that the habit of snoring is a health disorder?

Yes, so far the general public has considered that snoring is just a form of habit that comes from physical exhaustion. However, in the medical world, snoring habits are included in the symptoms of the disease. Many studies were carried out involving many fields, including the field of pulmonology (pulmonary expert), cardiology (cardiologist) and ENT.

The habit of snoring according to Random House Dictionary of English Language is breathing during sleep in a hoarse voice caused by the vibration of the palate. The International Classification of Sleep Disorder defines the habit of snoring as a loud sound in the upper respiratory tract when sleeping without it respiratory arrest (apnea) or hypoventilation (lack of air breathing). And, one of the snoring diseases is called Obstructive Sleep Apnea or OSA.

What is obstructive sleep apnea (OSA)?

Obstructive sleep apnea is a state of cessation of air flow for 10 seconds which causes a decrease in air flow of at least 30-50% so that a decrease in blood oxygen levels. In OSA, a person's airway experiences total or partial obstruction, which occurs repeatedly during sleep. OSA can occur in various phases of sleep, both during non-REM or REM. Because of this obstacle, the air flow to the lungs is choked up. Imagine when you sleep, the oxygen that comes in stops. Scary, isn't it? So, don't assume trivial snoring.

The obstruction in the airway causes a person to wake up suddenly with a rage. And usually he does not dare to go back to sleep because of the sensation of suffocation during the phase of apnea (breathing stops). Apnea events occur for 10-60 seconds and extreme OSA can occur repeatedly every 30 seconds.

The trigger factor for obstructive sleep apnea

There are many things that can trigger a person to develop this disease. In addition to factors that cannot be changed, there are also many factors that are actually preventable. The American Academy of Sleep Medicine divide it into two, namely:

Unchangeable factor

  • Age reported the number of cases and the degree of OSA increased according to age.
  • Gender the risk of men suffering from OSA is 2 times higher than women until menopause.
  • The shape and size of an abnormal airway:
    • Craniofacial structure (cleft palate, mandibular retroposition)
    • Micrognathia (small jaw)
    • Macroglossia (big tongue)
    • Enlargement of adenotonsillar or tonsils
    • Small trachea (narrow airway)

Factors that can be changed

  • Disease factors, namely all diseases associated with failure or respiratory disorders, including:
    • Emphysema and asthma
    • Neuromuscular disease (polio, myasthenia gravis, etc.)
    • Nasal obstruction (breath obstruction)
    • Hypothyroidism, acromegaly, amyloidosis
    • Vocal cord paralysis
    • Congenital abnormalities such as Marfan's syndrome and Down syndrome
  • Lifestyle factors such as smoking, alcohol consumption, use of sleeping pills and obesity. The fatter a person is, the greater his tendency to experience OSA. A study says the number of OSA cases in obese people is 42-48% in men and 8-38% in women.

Symptoms of obstructive sleep apnea

The American Academy of Sleep Medicine mention symptoms of OSA consist of symptoms at night (ie when the person sleeps) and symptoms during the day (as a result of lack of sleep). These symptoms include:

Nighttime symptoms

  • The main symptom is snoring
  • Dry mouth
  • Sleep is not sound / awake during sleep
  • Visible stop breathing while sleeping by his sleep partner
  • Removing saliva while sleeping (drooling)
  • Choking or shortness of breath during sleep

Symptoms of morning or afternoon

  • Sleepy
  • Waking up feels not fresh
  • Can't concentrate
  • Decreased libido
  • Dizzy when I wake up in the morning
  • Depression
  • Impotence
  • Gastroesophageal reflux or elevation of stomach acid to the mouth, usually begins with a feeling of nausea or like colds

Treatment of obstructive sleep apnea

There are 3 choices that can be chosen by an OSA sufferer. However, treatment also depends on the severity of OSA. The more severe, then a combination of treatments may be needed to keep the air flow in the lungs during sleep. The choices are:

  • Lifestyle changes. Lose weight, avoid alcohol and auxiliary drugs to sleep, avoid extreme fatigue, reduce caffeine consumption, and stop smoking.
  • Surgery. Nasal surgery is plastic surgery for the palate, uvula, and pharynx. In severe cases, the respiratory tract, the trachea, must be punctured through a tracheostomy procedure.
  • Artificial tools
    • Tool for keeping the position of the jaw and preventing the tongue from falling backwards (maintaining the position of the tongue)
    • Cervical collars or neck pillows
    • Continuous positive airway pressure (CPAP) air mask during sleep

READ ALSO:

  • What is the Relationship between Obstructive Apnea and Stroke?
  • How to Regulate a Healthy Sleep Cycle If You Don't Have Enough Time
  • Ihan Indulgence 'during sleep, this is the medical explanation
Recognizing Obstructive Sleep Apnea, Sore Snoring Disease
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