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- Sleep apnea
- Central sleep apnea
- Obstructive sleep apnea
- Childhood sleep apnea
- ADHD and sleep apnea
- Sleep apnea cause
- Sleep apnea symptoms
- Sleep apnea treatment
- Sleep apnea machine
- Sleep apnea mask
- Sleep apnea CPAP
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Sleep apnea
Sleep apneaOne of the most common, yet most risky sleep disorders, sleep apnea consists in the breathing stops that occur along a certain time interval. During such episodes, too little air gets to the lungs through one's mouth and nose, which is why the oxygen level in the blood may drop alarmingly. The resuming of the normal breathing pattern is announced by a loud snort or a sound similar to choking.
The immediate consequence of sleep apnea is the lack of energy and the drowsiness felt the day after a troubled night, we could actually say that sleep apnea and proper rest exclude each other as a matter of fact. Only close monitoring and detailed medical investigation could help your doctor decide whether you suffer from sleep apnea or not, particularly since it is common to make the mistake of taking snoring for sleep apnea.
Though sometimes people who snore also show signs of sleep apnea, this is not a general rule: there are plenty of people with sleep apnea that do not snore. Moreover, the most likely to suffer from this condition are overweight people, however, we can't make this observation a general rule either, since there are cases of thin people touched by it too.
The first to notice the signs of sleep apnea are family members or bed partners, as the person who actually suffers from it, may very seldom be aware of the problem. Once identified, the affection requires proper medical observation and treatment since it increases the risk of developing a heart problem and suffering a stroke or a heart attack. Studies have also revealed the relationship between sleep apnea and diabetes, as well as the connection between this sleep disorder and driving accidents.
Sleep apnea occurs when the throat muscles prevent the proper passage of the airflow towards the lungs; which would explain why the full name of the affection is obstructive sleep apnea. The condition generally appears when the muscles and the tongue relax more than they should. Moreover, tonsillitis may also be identified at the root of the problem as well as a deficient bone structure of the neck and the head that creates a smaller airway in the area could also be blamed.
Snoring is usually related to obstructive sleep apnea, but we should mention one other form of the disease that is triggered by the improper brain control over the breathing function. This is called central apnea and it is considered a lot more severe than the obstructive form; snoring never occurs for this type of affection variation.
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Central sleep apnea
Though the obstructive form is more common than central sleep apnea, the latter is definitely a lot more dangerous. It has a lower incidence rate as only very disparate cases of central sleep apnea are usually signaled, but it is nevertheless a condition that can bring a lot of discomfort and trouble to people who suffer from it. Unlike obstructive sleep apnea that is usually caused by some throat problems such as tonsillitis, deformed bones or fatty tissues in the area, central sleep apnea is generated by a dysfunction of the thalamus area in the brain. This part of the central nervous system is the one responsible for the breathing function.Among the potential causes of sleep apnea, we could mention health problems like poliomyelitis, encephalitis and stroke. Sometimes, this sleep disorder could also appear as a consequence of some neuro-vegetative affection, radiation treatments and surgical interventions at the level of the cervical spine. During central apnea episodes, breathing may cease for short periods of time on a repetitive basis. Thus, the number of breathing insufficiency moments can vary between a few times to hundreds of times per night; the person who suffers from the disease will most likely experience frequent awakenings and extended tiredness during the day.
Snoring is seldom an issue for people who suffer from central sleep apnea, but there may appear voice changes and swallowing difficulties that sometimes indicate a underlying affection of the central nervous system. Though usually signaled by bed mates, central sleep apnea can be further diagnosed by means of complex medical tests that include polygraphic studies and other advanced procedures that also cover the determination of the underlying causes of the problem. Patients who suffer from the affection require close monitoring from a health care provider since complications and risks are likely to appear.
Heart disease, hypertension, poor concentration ability, irritability and drowsiness are among the most frequent consequences of central sleep apnea. The treatment of the affection consists in the administration of specific drugs that increase the need to breathe and in certain special cases medication can be completed by the use of low doses of oxygen. Sometimes central sleep apnea can carry a combined form with obstructive sleep apnea which is all the more risky for the person who suffers from it; the same thing stays valid for the type of central sleep apnea known as ondine's curse, characterized by inadequate breathing throughout the sleep period.
Obstructive sleep apnea
Statistics presently show alarming numbers of people who suffer from obstructive sleep apnea; only in the United States there are around twelve million patients facing this health problem, showing breathing difficulties every night. Obstructive sleep apnea is characterized by the breathing cessation for a specific period of time due to the blockage of the airways either because of muscular failure, deformities or other throat deficiencies.Swollen adenoids and tonsils are often a cause for obstructive sleep apnea, but polyps and jaw defects, whether congenital or accidental, are other issues that explain the appearance of the affection. The consequences of obstructive sleep apnea for the overall health status are of major importance. To understand how seriously obstructive sleep apnea can affect one's entire body system, we need to stress the fact that in the most serious of cases, sleep apnea prevents oxygen from getting in the blood flow by the breathing cessation for a whole minute.
And these gaps in breathing occur repeatedly up to fifty times per hour. Hence, it is obvious why obstructive sleep apnea can lead to stroke, heart failure, increased blood pressure and limb swelling. Since most of the symptoms of obstructive sleep apnea are usually recognized by a bed mate, one should definitely require some form of monitoring system to get a correct professional diagnosis.
The signs of obstructive sleep apnea include choking and gasping, snoring, headaches both at night and at daytime, tiredness and sleepiness in the most inappropriate of moments. Sometimes, swelling of the legs has been reported in the case of overweight people, not to mention that heartburn, frequent night urination and inability to concentrate can also accompany this sleep disorder. Heavy sweating and mouth dryness may also appear in association with breathing cessation. According to the severity of the condition, there are several kinds of treatments for obstructive sleep apnea.
In case the obstructive sleep apnea disorder is caused by tonsils or adenoids, surgical procedures are the most reliable for such cases. Nevertheless, several interventions may be required, and there are adverse reactions following surgery such as pain, pulmonary edema and even bleeding. The most popular treatment of obstructive sleep apnea caused by muscular deficiencies of the respiratory tract consists in the use of special continuous positive pressure masks that send a regularized air flow in the lungs.
Masks are used on the long term and the variety of models enables one to find a comfortable item to sleep with. Sleep apnea pillows and dental appliances are two other ways of dealing with obstructive sleep apnea; yet, the final recommendation should come form the health care provider who is the best person to suggest one treatment course or another.
Childhood sleep apnea
Although typically known as a condition that affects mainly adults, sleep apnea is also found in children. The majority of childhood sleep apnea cases have been signaled between the ages of two and six, and only very seldom, infants and adolescents are diagnosed with the affection. The most common cause for childhood sleep apnea is the large size of adenoids and tonsils that prevent the correct passage of the air flow towards the lungs.Other, though rarer, causes underlying childhood sleep apnea include allergies, cleft palate, obesity or a receding chin; researchers also ring an alarm bell where the children with Downs syndrome are concerned, since they have a higher risk of developing obstructive sleep apnea. There are certain symptoms of childhood sleep apnea that parents can identify, and they aren't too different from the adult cases. Thus, snoring, heavy sweating, frequent wake ups, bed wetting, restlessness and night terrors are usually the main signs that indicate a disorder such as children sleep apnea.
If left untreated or simply ignored, children sleep apnea could influence brain development leading to the appearance of behavioral problems and attention deficit disorders. Mental development tests have pretty alarming results when it comes to the investigations performed for small children. Any parent who suspects that his or her child suffers from a sleep disorder should turn to the health care provider right away in order to get a correct diagnosis.
The most common treatment for childhood sleep apne is the surgical removal of tonsils and adenoids that are the main factors responsible for airway blocking. The complications of such surgical procedures often make them difficult to choose particularly for very small children: there is poor oral intake, post-surgical pain, respiratory problem and even pulmonary edema following the intervention. If enlarged tonsils and adenoids are not the causes underlying childhood sleep apnea, then the use of CPAP treatment is usually recommended.
The CPAP sleep apne treatment consists in the use of an oxygen mask that sends a regular, continuous air flow into the respiratory tract of the child. This is a long-term treatment of childhood sleep apnea and it usually requires a constant medical monitoring of the patient's condition. Older children usually tolerate the air mask better than younger ones. The latter very often need the use of desensitization techniques, but it is entirely up to the doctor to establish the steps necessary to such therapeutic approaches.
ADHD and sleep apnea
Recent studies have revealed that there is a close connection between sleeping problems and attention deficit hyperactivity disorder or ADHD. More frequent in children, the association of ADHD and sleep apnea is both hard to treat and difficult to recognize; we should actually say that ADHD is a consequence of sleep apnea since children who suffer from sleep deprivation have a slower growth rate. Low concentration levels and the impossibility to focus on a task for a moderate period of time are among the symptoms associated with both ADHD and sleep apnea. Therefore, most specialists warn parents not to neglect snoring episodes in children as they are crucial in sleep apnea diagnosis.The immediate consequence of repeated sleep apnea episodes is tiredness, and when sleep deprivation accumulates, the person finds it impossible to concentrate or pay attention. When carried on for a longer period of time ADHD and sleep apnea get closely connected and only the improvement in the sleep quality could bring a chance of recovering from ADHD. It has been noticed that 60% of the children who suffer from ADHD and sleep apnea, are very likely to carry the affection into adult age. Therefore, treatment should be followed without delay to prevent behavioral disturbances.
To fully understand how ADHD and sleep apnea are interconnected, it is important to stress out how impulsive a person who doesn't get enough sleep really is. Both children and adults who get to suffer from this disorder are unable to focus so as to realize what the consequences of their actions may be. Furthermore, hyperactivity is also likely to result from lack of sleep, and whoever has had to deal with an over-tired child knows what this means. Hence, monitor your children's sleep carefully, and talk to the doctor right away if you notice any uncommon recurring pattern in their sleep pattern.
The risk of both ADHD and sleep apnea is that of causing a lot of social and behavioral trouble for those affected by the condition. Such health problems interfere with the performance in the work place and affect the relationships with other people: someone that suffers from both ADHD and sleep apnea may find it difficult to maintain friendship or to get a normal family. Consequently, the sooner one gets to treat the sleep disorder, the higher the chances of resuming or developing a normal life style really are, and if proper measures are taken in the young age, then it is all the better.
Sleep apnea cause
Both a breathing and a sleep disorder, sleep apnea consists in the partial breathing cessation during sleep, for a regular period of time. According to the severity of the condition, one may stop breathing from five to even fifty times per hour, which may lead to very serious health problems owing to the deprivation of oxygen in the tissue and in the blood flow. In order to develop a correct and efficient treatment for this disorder, the sleep apnea cause needs to be identified by a health care provider. Several tests and close sleep observations are required to make the correct diagnosis.One major sleep apnea cause consists in the presence of unwanted tissue at the level of the upper respiratory tract: polyps, enlarged adenoids and tonsils are very often at the root of the problem. For such cases, surgical treatment is the only one acceptable, but polyps, for instance, can re-grow, requiring other surgical procedures. Once the sleep apnea cause is identified and dealt with, the person can resume a normal night rest with or without the help of special therapeutic devices. In case of sleep apnea triggered by obesity, losing weight is the first step towards solving the sleep problem.
Another sleep apnea cause is a congenital deformation of the jaw, neck or throat structure; for such a situation there may either be a medical solution to solve the problem or a way to keep the condition under control and prevent further deterioration. Presently, there are all sorts of devices especially designed to solve the discomfort and health issues created by sleep apnea regardless of its nature. Depending on the type of sleep apnea cause, we can actually identify two types of apnea: the obstructive form and the central one; the latter is the most serious since the breathing cessation occurs due to poor brain control.
The main central sleep apnea cause is a dysfunction at the level of the thalamus area; and this dysfunction is rooted in a stroke, or a severe disease like poliomyelitis and encephalitis. Furthermore, another possible cause hiding behind central sleep apnea is the surgical intervention at the level of the cervical spine or the possible radiation treatments. For such cases of breathing deficiency and sleep disorder, doctors recommend solutions that can solve the external part of the problem: the insufficient oxygen level. Yet, there is not much to be done when it comes to the internal aspect responsible for the condition in the first place.
Sleep apnea symptoms
Among the sleep disorders most frequently signaled with virtually all group ages, sleep apnea is one of the most common. Passing usually unnoticed when one sleeps alone, sleep apnea is mainly signaled when a relative or a bed mate notices it; yet there are some sleep apnea symptoms that one could also distinguish by close observation of the sleep-wake pattern. Among the sleep apnea symptoms that are not easily noticed by the person in cause, we include snoring and breathing cessation during sleep. However, snoring is not considered a relevant symptom for the diagnosis of sleep apnea, as there are people who snore without suffering from this disorder.It is true that when snoring only a small amount of oxygen reaches the lungs, but this is not a rule. If you know to have a snoring problem, ask for a doctor's advice and see what you can do to learn more, and see whether you have other sleep apnea symptoms or not. If the two are associated, then the health issue is very serious given the fact that by the obstruction of the airways, the tissues don't get enough oxygen, a condition that can result in brain damage, stroke, heart failure and so on. It is therefore recommended that you analyze your sleep pattern carefully and see whether snoring and sleep apnea go hand in hand or not.
A real breathing problem during sleep can be diagnosed when there are other sleep apnea symptoms that characterize the night rest pattern. Thus, a person that experiences breathing cessation repeatedly over a determined period of time is very likely to wake up choking and gasping when he or she doesn't get enough air to the lungs. Then, awakenings to restart breathing are also very common for patients who suffer from sleep apnea, and they can be accompanied by headaches, mouth dryness and sore throat in the morning. Moreover, daytime drowsiness with the inability to concentrate on daily tasks is another immediate consequences of a chronic sleep deficiency.
Besides these very general sleep apnea symptoms that are usually present with the majority of patients, there are more subtle signs that can indicate a sleep affection. Sleep apnea triggers excessive swelling of the legs for overweight people; then, there could also appear sweating, chest pains and unpleasant taste in the mouth when you wake up in the morning. There are also patients who claim heartburn at night and memory problems during the day.
Sleep apnea treatment
Sleep disorders are generally known for the fact that they often require a personalized type of treatment, meaning that all the individual details of the condition are significant for finding the right way to improve the health status. Thus, sleep apnea treatment is no exception to this rule, particularly since any diagnosis is based on the medical history of the patient, the minute physic examination and the results of advanced tests meant to identify the causes and the severity of the affection. The sleep apnea treatment based on oxygen administration is considered both popular and controversial at the same time.On the one hand, there have been patients who have responded very well to the oxygen-based sleep apnea treatment, but on the other, special conditions and particularities have made the overall outcome of the intervention impossible to predict. Personal response differs from one case to another; hence, even after a certain course of medical action has been established, the efficiency of the selected treatment needs to be carefully monitored. One form of sleep apnea treatment includes behavioral therapy, thus the patients are advised to avoid consuming alcohol, smoking or taking sleeping pills since such substances cause the airways to collapse during sleep.
For overweight people, the sleep apnea treatment that relies on behavioral therapy requires a weight loss of at least ten percent. Studies have revealed that a weight closer to the average value diminishes significantly the number of apneic episodes per hour. Moreover, for such cases people are encouraged to use anatomically designed pillows that enable them to assume a comfortable side posture during sleep. The success of the therapy is noticeable in the level of morning freshness and the overall sensation of well being that usually results from good night's rest. Experts claim that behavioral therapy is efficient in superficial to moderate sleep apnea cases, since the more advanced conditions require intensive medical care.
The most effective sleep apnea treatment that has shown great results even in the most serious of conditions is the nasal continuous positive airway pressure or CPAP. The procedure requires the use of a mask through which air is forced in the airways and the lungs so that apnea episodes are prevented. The air pressure is adjusted to a level that prevents the collapse of the throat muscles during sleep; hence, when you turn to such a sleep apnea treatment it is good to check the continuity and consistency of the air pressure before actually buying the device.
Sleep apnea machine
With the possibility of using a sleep apnea machine, the risk of developing hypertension, heart problems or getting a stroke has been dramatically lowered for the patients who suffer from this kind of sleep disorder. The Bi-level positive airway pressure or the BiPAP is a device that sends an adequate air quantity to the patient's lungs by previously determining the oxygen level he or she needs. This type of sleep apnea machine is very useful for overweight people or for those who suffer from various neuro-muscular disorders, but it is also used as an alternative for the cases when the more popular CPAP sleep apnea machine is not tolerated.Besides the use of all sorts of tongue retainment and jaw advancement devices, the automatic PAP equipment is another sleep apnea machine widely used for dealing with sleep and breathing disorders. It basically provides a minimum air pressure after identifying a whole range of parameters; the PAP device actually operates an adjustment of the pressure according to the air intake specific to the patient by operating the modification to the normal air quantity per inhalation. Before starting the treatment with such a device it is absolutely necessary that you seek professional medical advice.
Then, there is the very popular CPAP sleep apnea machine (continuous positive airway pressure device) that owes its reputation to the fact that it is completely non-invasive and very easy to use at home. It provides a continuous amount of oxygen that passes through a tube and a mask towards the lungs; one important thing here is that the mask be well fitted to the patient's face shape and size, otherwise leakage is possible and the efficiency is definitely diminished. The CPAP sleep apnea machine is used in the treatment of both types of sleep apnea: obstructive and central.
The health care provider is the one to determine the air pressure level of the sleep apnea machine; usually the value ranges between four and twenty centimeters, but the required amount depends on the severity of the patient's condition. All in all, though a sleep apnea machine can presently be ordered on the Internet, it is wise to get all the medical information and run the necessary medical tests before purchasing one. The doctor may also recommend the type of mask that is the most appropriate for your condition: oral, nasal or a combination of the two. With or without straps, the headgear that accompany the sleep apnea machine needs to be carefully considered too, before making the choice.
Sleep apnea mask
The use of a sleep apnea mask is sometimes the best solution available for a person who suffers from obstructive sleep apnea and runs the risk of developing an even more serious health condition. A quality sleep apnea mask will comfortably fit to the shape of the face, so that wearer isn't even aware of its presence during the night's rest. Most models include adjustable features, silicon seals and straps with a reduced pressure at the face level. There are few things one needs to be careful about when choosing a sleep apnea mask, and the first important worth mentioning here is size.If you get a look at the wide offer of products available on the Internet, you'll definitely notice that the most advanced model of sleep apnea mask is the size adjustable one that prevents leakage and allows comfortable sleeping in a variety of positions without mask dislodging. Moreover, one also has to check the cleaning features, since a good sleep apnea mask needs to be easy to clean as well. Last but not least, when purchased for children or infants who suffer from central sleep apnea for instance, the mask needs to be designed according to the doctor's specifications.
The sleep apnea mask allows an uninterrupted sleep period of seven or even eight hours per night, which is the normal rest period of an adult person. The benefits of the device will also be felt in the overall state of well being, since once the sleep quality improves, daily activities are more easily carried on without the excessive tiredness that would usually follow a disturbed night's sleep. The model of the sleep apnea mask can be chosen according to personal preference and the severity of the condition; some patients prefer the oral form, some others the nasal one, whereas, the popularity of the combined oral-nasal mask is also remarkably high.
Many of those who get to order a sleep apnea mask online are usually motivated by privacy reasons; yet, there is the risk that the mask won't fit properly. Hence, you need to provide the supplier with the correct specifications, and ask your doctor to assist you in the effort of jotting down the most important features. There are sites that offer customized molded masks, meaning that you will adjust it to the face and nose shape. Moreover, look for the designs that include padded straps and special headgear, so that you have an increased comfort level during sleep.
Sleep apnea CPAP
Sleep apnea CPAP devices are considered some of the most efficient in the treatment of breathing deficiencies associated with sleep: besides apnea, respiratory failure and chronic pulmonary diseases patients also benefit from the extended use of such machines. Sleep apnea is usually triggered by the failure of the superior respiratory tract part to open enough so as to allow a right air quantity to be inhaled in the lungs. The deficiency can be caused by swollen adenoids and tonsils, obesity, muscular rigidity, jaw deformity, too large a tongue, polyps and so on. By the invariable and continuous air supply, the sleep apnea CPAP eliminates such distress by opening the throat and ensuring enough room for air passage.The face mask used by the sleep apnea CPAP machine is probably the most important element in the design of the device: an improper mask size would actually ruin the efficiency of the treatment by causing leakage or discomfort. Hence, a sleep apnea CPAP device should be custom-made in order to fit perfectly to the user's face shape. Furthermore, there are other items to be considered for increased comfort: cushions, straps, seals and so on. The prices for the more advanced and well-equipped models will definitely be higher, but most people say that the money is definitely worth paying.
The main disadvantages of the sleep apnea CPAP device come from the fact that it has several side effects one has to cope with. The machine can cause irritation of the skin in the mouth and nose areas, there may appear dryness of the soft membranes, one can get a stuffy nose and wake up because of the discomfort. Specialists warn patients that it is normal that within the first few day of usage discomfort be experienced regardless of whether the sleep apnea CPAP machine was custom-made or not, but symptoms are mild and transitory.
Certain sleep apnea CPAP models have advanced design features that allow auto-adjusting; this means that the pressure level is modified according to the snoring intensity. The main benefit of such a feature is that the patient's comfort is increased, not to mention that the bed partner no longer suffers because of the noise. In order to make the right choice in terms of sleep apnea CPAP treatment, medical tests are an absolute must before and during the usage of the machine as such, since the doctor needs to determine how successful the device has been for a specific case.
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