Sleep Respiratory Disease (Obstructive Sleep Apnea Syndrome)
Recurrent respiratory disorders (apnea, apnea, hypopnea: hypopnea) develop as a result of obstruction of the throat during sleep.
It causes sleep interruption due to the complete interruption of breathing or a considerable decrease in sleep during sleep, and causes a decrease in the proportion of oxygen in the body. Breathing ends with waking, breathing starts again. When alertness occurs in the nervous system, the effect of the relevant nervous system on the heart and vessels causes the blood pressure to rise. Degradation of sleep affects metabolism and sexual functions. Obstructive sleep apnea syndrome is therefore an important health problem that affects many body systems.
Patients often disgrace in a noisy way, have not received their morning sleep, wake up unrestrained. With the cause of insomnia, disturbances in mental ability and sleepiness during the day can develop.
Excessive weight, causes in the throat tightness, alcohol intake in the evening, some drugs aggravate respiratory arrest in sleep. The use of non-prescription medicines can be detrimental to the use of medicines related to sleep without knowing the underlying problem.
Obstructive sleep apnea syndrome is diagnosed in the sleep laboratory for sleep and respiratory changes. It is also necessary to work in sleep laboratories to regulate treatment in patients who will undergo pressure therapy
The prospect of community health can be summarized in three main sections:
Sleep disordered breathing is a common condition in the community: The most common cause of excessive sleepiness is known as sleep apnea syndrome (obstructive sleep apnea syndrome). It has been shown in studies that obstructive sleep apnea syndrome is present in 4% of men and 2% of women in adulthood. Up to 3% of cases have been reported in studies conducted in children. However, very few of the patients are diagnosed. It is estimated that only 1/10 of the patients can be diagnosed in USA where sleep laboratories are common.
Obstructive sleep apnea syndrome leads to major health problems (illness and death). Clinical consequences such as sleep disturbance, decreased oxygen, increased hypertension in patients with sympathetic nervous system hypertension, respiratory and cardiac insufficiency, stroke, impaired cardiac rhythm, and overweight (obesity) may develop. Insomnia can lead to accidents in people who use vehicles that require careful attention. Patients' compliance with their surroundings may deteriorate, job performance and quality of life may decrease. Studies have shown that the life expectancy of patients with obstructive sleep apnea hypopnea syndrome is reduced compared to the non-ill persons due to the mentioned disease outcomes and the expectation of life expectancy by treatment can be increased. Increased cardiovascular disease in these patients may result in fatal outcomes. This suggests the importance of obstructive sleep apnea syndrome in terms of community health.
Obstructive sleep apnea syndrome is a treatable disease. In obstructive sleep apnea syndrome, efficacy has been shown for today, it is a pressure therapy applied through mask in the form of treatment. The purpose of the treatment is to keep the upper airway, which has increased tendency to close during sleep, by giving positive pressure from the outside. Surgical treatment may be appropriate for patients with moderate disease who are not overweight and have anatomic stenosis in the upper airway. The other treatment that can be selected in these patients is oral devices (oral appliance). It can be said that treatment can reduce or eliminate the negative consequences of obstructive sleep apnea syndrome.
In summary, obstructive sleep apnea is an important public health problem threatening the quality and duration of the hypopnea syndrome. It needs to be recognized and treated appropriately in terms of patient and community health. Diagnosis and treatment are possible when referring to health centers, sleep laboratories related to the subject.
PSYCHOLOGICAL FACTORS
Insomnia tendency: Some people have more insomnia than other people in stressful periods. Others respond to stress by headache or stomach pain. Knowing that the person is prone to insomnia and that it will not last too long is useful when you deal with it when you develop insomnia.
Persistent stress: Family problems can be attributed to a child with a serious illness or to an unsatisfactory job sleeping problem. Learning to deal with stress helps to treat your sleeplessness.
LIFE STYLE
Reminders: Caffeine keeps people awake. Even if you drink coffee at night and do not block your sleep, your sleep will be less relaxing. Nicotine keeps people awake, smokers fall asleep for longer than gore drinkers. Many drugs contain stimulants. These drugs include weight loss and allergy and asthma medications. Some cold medicines also contain stimulants.
Alcohol: You may think that a glass of wine before bedtime helps you sleep. Alcohol, however, causes you to wake up briefly in the sleep all night long, as well as providing you with a quick night sleep.
Working hours: If you are working on a shift, you are more likely to have a sleeping problem. This includes people whose working hours are constantly changing. It also includes employees at night or early in the morning. Even on weekends it is important to keep the same program constant. This helps to schedule your body to sleep at certain times and to remain awake at other times. Wake up every morning at the same time is a way to stabilize your sleeping pattern. It is important to have a routine.
Exercise: You may think that resting and a calm lifestyle prevents you from sleeping. In fact, people who do little or no exercise experience the difficulty of falling asleep at night. Regular exercise allows people to sleep better. The best time to exercise is after lunch. Do not exercise close to bedtime. Leave at least two hours between bedtime and slowing heart rate after exercise.
Sleeping pills: Sleeping pills should be used to control your doctor. Some sleeping pills, if used every day, become useless after a few weeks. On the other hand, if you stop using it suddenly, your sleep will get worse for a while. This problem can be reduced by slowing down the sleeping pills.
ENVIRONMENTAL FACTORS
Sound: Keep the bedroom as quiet as possible. Nearby traffic, airplanes, television and other sounds can wake your sleep without causing you to wake up.
Light: Use a canopy or thick curtains to keep the bedroom dark. The light reaches your eyes even if your eyes are closed. Light can dissipate your sleep.
If you feel tired at night if you think that you are going all night without interruption, all these factors should be watched.
WHEN I NEED TO CALL HELP?
If you are sleeping longer than a month, and if your daily function is disrupted, it is time to seek help. Ask your doctor and talk to a sleeping specialist. Your medical history, physical examination, and some blood tests are useful in establishing some of the causes of insomnia. Your bed partner and other family members may have valuable information about your sleep. Ask them whether you have snored or not snored or if you have been restlessly sleeping. Your health care professional will also want to know whether sleeplessness makes you sleepy or depressed during the day, or whether it affects your other forms of life.
Sometimes insomnia can only be improved by providing information and training. Some people naturally sleep less than others. Everyone needs to sleep for eight hours. Counseling can help with insomnia related to poor sleep accomodation. In other cases, evaluation may be recommended at the center of drugs or a sleep disorder.
If you are told that you need to be assessed at the center of a sleep disorder, you may be asked to sleep for one or two weeks and to keep a sleep log showing your awake periods.
Can sleeping pills help?
Sleeping pills are not curable for insomnia. Sleeping pills can sometimes mask or reverse problems caused by other diseases. For example, sleeping pills affect sleep-related respiratory distress in the worst way. Insomnia should be recognized correctly and treatment options should be discussed with a sleep specialist before the drug is started.
Many sleeping pills are available, including some without prescription. Different types of medicines have some advantages and disadvantages. For example, some are 'short-acting' and are best suited to situations where sleeping is difficult. Others are 'long-acting' and provide sleep all night. Talk to a sleep specialist to determine which is the best medicine for you.
Sleep test, or polysomnography, brainwave during the night's sleep, eye movements, respiratory activities, the amount of oxygen in the blood and muscle activity are examined by measuring.
