Not apnea. Obstructive and central non-apnea.

As a rule, paciєnti may have characteristic calls of a viglyad:
- tovsta short shiya;
- of a red, or a red-cyanotic, color of denunciation.
Chropinnya is a typical manifestation of the head osteoarthritis. The name of the patient himself does not mean chropinnya. Navkolishnі characterize yak yak guchny, so it is practical to appear immediately when zasipannya. Nezabarom at the ailing rapta zupinyatsya dikhannya. In the whole hour, there is no sensitive dichal noises, chropinnya to cringe. However, the ailments become dyhati, which can be seen from the ruffs of the breast and the black wall. Approximately 15-60 seconds later, the ludic voice humbly and beat a few small breaths and vidihiv, behind which I know the zupinka dikhannya.
The sleep of the patients is restless, in the presence of sleep they are susceptible to excessive activity (often turning over from the side to the side).
Visibility of bad growth during sleep, є perception of rank and growth during sleep.
Sleepiness throughout the day, strength to sleepiness before an hour of a break in the robot, before an hour of driving.
Ranks of headaches.
Advancing an arterial (blood) vice (even at night and in the ranks of the year).
Accelerated nichne sechovipuskannya (> 2 times per nich).
Potential reduction.
Depression, gratitude, decrease in the concentration of respect and memory.
Accelerated heart rate (tachycardia), broken heart rhythm ().

form

The basic classification of OSAS behind the severity level is based on the meaning of the apnea index (IA). Apnea - povna zupinka dikhannya not less than 10 seconds.
Apnea Index (IA) - the frequency of apnea attacks in 1 year of sleep.

Easy overrun: ІА - 5-14.
Medium-heavy overrun: ІА - 15-29.
An important break: ІА - 30 or more. In case of important forms, up to 300-500 per hour sleep can be spared, in the sum of trivial up to 3-4 years.

cause

Weakness of the tone of the throat mucosa, during which time to sleep, there is a decline in the wicked nobles from the ruins of their weakness.
Anomalous development, which can be produced to the utmost of dichal nobles (for example, a small size of the lower slit, a great language).
Anatomical defects in the nasal cavity and pharynx (for an increase in the size of the dysplasia, adenoids (pathological growth of the nasopharyngeal migraine), puffiness).
Endocrine discomfiture: for example, (wiklikє swelling of the pharyngeal structures), - all the same to the normal passage along the dichny paths.
Neurological ailment, which leads to a decrease in the muscular tone (insult - a deterioration of the cerebral blood circulation from the bend of the cerebral tissue ;,).
Deterioration of the tone of the pharyngeal mucosa due to the infusion of alcohol, drugs (sleep, tranquilizers).
Chronic obstructive sickness legends - characterized by the sound of ecstatic nobles and the destruction of the sickness (, (COPD)).
Kurinnya.
Allergy.

Treatment of obstructive sleep apnea syndrome

Decrease in oil consumption is a decrease in low calorie content, which is rich in vitamins for children because of significant amounts of fat and carbohydrates.
Do not live 3-4 years before bedtime.
Vidmova from drinking and alcohol 2 years before bedtime.
Preservation of normal food and hypoallergenic conditions in the bedroom (do not wear pillows and down pillows, cover kilims, etc.).
Ensuring the optimal position of the head and sleep before sleep. Damaged behavior is the greatest turn when people are put on their backs, fragments are seen as close as possible to the structures of the mental paths. It is necessary to sleep on the boats. For reaching the mid-patchy area of the sleeping area, people can sew on a swish and insert into a new tennis ball. A good deal of non-handiness is delivered after an hour of sleep, or, after 3-4 days, a stiff reflex of sleep on the boat will begin to play.
It is also recommended to have a spati with a raised head end lazhka. However, it is not possible to vikoristovuvati high pillows, fragments tse strongly vikrivlya ridge and can ruin the deterioration of the environment. The pillow is guilty of being low for the safety of the head and ridge on the same line. When the head is positioned, it can be reached with a walk when the head is placed on the head, the beams are close to 10 cm in height.
Protection of vіlnogo nasal dichannya - registration of special stickers or plates, scho to admit the nasal walk in an open position. Given the attachment of ineffective in the presence of anatomical defects and pathological fixations in the empty nose (such patients need surgical correction).
Zastosuvannya of special internal prisosuvan (for patients, in some OSAS, the pathology of the lower slit).
There is a fence of sleepy and tranquilizers (anti-alarming problems), some of the stench will weaken the throat, including the throat muzzle, which is responsible for the decline of the sleepy noses.
Operational involvement on the soft sky (laser or radio frequency) appears to be effective only in patients with a wide lumen of the pharynx and cob raises the tongue. In some cases, the procedure gives insignificant results, some of the diminishing returns are seen on the back of the river, not only for the part of a little child. Besides, the method can be accelerated by the sound of the pharynx, which will lead to an even greater destruction of the sound.
Surgical treatment - correction of anatomical defects and pathological fixations on the nose and throat (reduction of the nasal septum, enlargement of the dysplasia).
The main method of recruiting for a given moment is additional ventilation of the legends with a permanent positive grip before an hour of sleep (CPAP therapy, CPAP therapy). For tso vikoristovutsya special apparatus, which is given in a mask, shіlno push on to expose a sick person, wіth a positive grip. The principle of the method of sowing on the extended turn-by-side paths is forced by the grip, so that it’s overwhelmed. In important cases, the device needs to be cleaned of the skin. In case of a slight overrun of the disease, it is possible to periodically store the apartment (4-5 times per day). Zasosuvannya apparat not vilikovuyu lyudin, ale will get a normal sleep, improve the quality of life and prevent serious delays.

Prevention of obstructive sleep apnea syndrome

Struggle with (not low-calorie, rich in vitamins for children with significant intercourse in place of fat and carbohydrates; physical activity).
Vidmova vіd kurіnnya і implantation to alcohol, especially 2 years before bedtime.
Vidmova was seen by the receptionist 3-4 years before bedtime.
Sleep on the boat, the head and the backbone of the guilt are known on the same line.
The food in the bedroom is normal.
Surgical correction of anatomical defects and pathological fixations on the ryvnya of the nose and pharynx (reduction of the nasal septum, abnormalities of the dysplasia).
Early appearance and illusion of illness, which can serve as a background for the development of SOAS (endokrinny, neurological ailments, Zahvoryuvannya organіv dikhannya, allergy).

dodatkovo

The diagnosis of OSAS is tied to the weak tone of the throat mucosa, as long as it is an hour to sleep, there is a decline in the dysfunctional nobles from the wreckage of the wickedness. Yak inheritance, wineryє deficiency of sourness and overwhelming accumulation of carbon dioxide in the blood, until the transition from a deep sleep to a greater surface phase, when you move the tone of the throat and mouth, go through Gas exchange is normalized, I know the infusion of a phase of deep sleep before the onset of apnea (suffocation).

apnea- a pause in dichanna during sleep is characteristic, as it is characterized by a significant change in the flow of energy less than ten seconds at a level of mouth emptying and nose. Timchasova zupinka dikhannya is a singing process of a decreased oronasal flow of a dikhalnykh rukhiv by thirty miles per view from the outgoing thoracoabdominal rucks in a span of 10 seconds, when the saturation decreases, the sourness drops by as much as ten seconds. Bagato respirators can last from 10 to 30 seconds, but sometimes they can be more difficult.

The most common type of apnea: obstructive, central and disturbances. Obstructive apnea is characterized by zakritta. top shlikhiv dikhannya at the moment of inhalation, if there is an oronasal urge, and at the same time, dichannes are dichotomous.

Apnea to the central character of the disease in case of non-stable respiratory stimuli, and in the case of a sudden onset of oronasal flow and mental illness. In case of a change in type, the combination of obstructive and central forms of the onset of dichotomy, and on the other hand, is a combination of obstructive apnea. The last episode ends with activation. In general, there will be a transit country with a short hour brain activity in the period of non-sleep, but in the main, there are no more behavioral awakenings.

apnea cause

The pathological camp is given to become the most popular and develop in any vikov group. Alle, as a rule, at the beginning of the growing season, it is possible to create new patterns, but practically 5% of people suffer from apnea from thirty to sixty rockets. At the same time, the decision of the team's zupinka is proportionally growing in terms of maturity and age.

In addition, obstructive sleep apnea in the middle of the population in the middle of the day is three times more significant in the middle of the day. It took a trivial hour to pour in an overwhelming mass of people in the middle of the day. But in the last ten years, they brought it obstructively apnea often to be seen in people who had been kidnapped to see young people. In addition, for the senior group in the development of apnea, the role of the introduction of the statute is insignificant, in general, in the superconduct of the minimal symptomatic picture.

As a rule, there are no reasons for apnea diagnostics. Up to the main reason, it is possible to bring the process of significant sounding of an abnormal decline in the education of the upper paths of life on the ryvnі of the pharynx. At the moment of speedy dichannia, m'äke pidnebinnya, like being in the hanging position, I will try to finish it often in the prototype, de pass by the hour, and such a rank is chronology. First, the middle class, which is injected into the development of apnea, takes another step and the third. As a rule, the children from the center screw up the group and get ready for the qualified assistance in even more important forms of apnea, I want the vag to gain a trivial hour. And the axis of alcohol and strong sleep, which may have a muscle relaxant character on the central nervous system, wicks pauses in the process of dying in trivial vigilantes and frequent zupins.

Falling as a pryazhennya cause formation, apnea can be anatomical and functional. Before anatomical reasons, apnea is introduced, which provoke the organic physical sound of education. Especially, in the first place, obesity and the establishment of fatty deposits near the pharynx in adenoids, which are involved in a significant pathological child's life. At the tsei moment, there is a more sour hunger at the link with chropinnya and insignificant zupinka dichotomy, which can lead to the problem of growth, the formation and destruction of the child's intellectual development.

The pathology of the pharynx and nose is found to be in the middle of the ethiological officials development of apnea. Before them, it is possible to bring the voskity of the pharynx and nasal passages; pidneblinny language with deyakim podvizhenny and instigation; a small, backward slit, which is damaged by the bite (retrognathia, micrognathia).

Among other reasons, the nasal septum is crooked, the mucus bulges on the background and the lower nasal concha is growing. In addition, to induce the dream itself to induce relaxation of the dichotomous muscles and to the condition of apnea. At the onset of menopause, or at damaged robots thyroid gland Apnea can also occur as a result of daily sleep or lack of hormones, which are infused into the muscular tone of a weak day. In some cases of sleep apnea, it is necessary to learn to live in the middle of the young generation, in those who are all out of the way of anomalies, so that you can provoke the time spent drinking alcohol before going to bed and smoking cigarettes.

In addition, as a result of sleeplessness, sleepiness may be caused by a decrease in the tone of the pharynx, and the price is apnea.

apnea symptoms

Apnea is a syndrome of obstructive dysfunction during sleep, which is characterized by a great number of symptoms. Pislya awakening, wicked by Zupinka, tobto apnea syndrome, people restlessly collapse with their hands and feet. It’s not possible to see as a result of unstable sourness and during the period of sleepy phase, to bring about increased sleepiness during the day, to change the mood, to lose memory. Even more often people with apnea syndrome put the wrong diagnosis - sleeplessness. Similarly, sleep apnea develops practically asymptomatically, which is why the sickness of ailments is increased to become familiar with old organisms.

Patients, with the appearance of a little sleep apnea, skip on every day badness during sleep, they have a rank in volume and loss during the night. With a lot of stench, I constantly see myself with exhaustion and sleepy stretching of the day. In addition, such ailments should fall asleep for an hour on the robot and behind the kerm of the car. There is a beat in the head, as it relapses in the afternoon at the time of the day. The majority of patients with apnea are very dramatic, they have a labile emotional character, their memory decreases. Such ailments also tend to have aches in the meat, tobto; decrease in the amount of stretching і develop the weakness of the statistic character.

The characteristic symptoms of some scarg are: a stronger recovery from sleepiness due to sleep activity and bruxism, swelling from sleep, from some to some kind of awakening, some to be discouraged. It is important to remember that in case of apnea, chropinnya is characterized by periodicity and when periods of chropinnya occur without sound and apnea.

With a pre-observational character, arterial hypertension of an independent ethology appears. Allowing, instead of reducing the sourness in the tissues and organs, by stimulating the chemoreceptors of the arteries and veins, making the nervous infusion of neurons and feverish when the nerves are infused into the arteries and arteries.

Nothing apnea often contradicts the heart rhythm in the superconduct. At the same time, 95% of ailments develop sinus arrhythmia, 35% -, and 25% - atrioventricular and sinoauricular block.
Signs of tachycardia, shlunochkovoi and often spared in people who have been kidnapped with pathological heart problems. Bagatioh patients develop an insult on a small apnea, and an rapt death... When developing a legacy hypertension, an hour of listening to the heart reveals the emphasis of another tone on the aircraft.

So, since they are often ill with apnea diagnostics, they suffer from an overwhelming mass of tila, then they have Pikvik's syndrome in patients with day hypoxemia and hypercapnia, arterial hypertension, Politics, Legendary heart, Hypotolamic obesity. When there is an increase in the community, there is a risk of SSA (sleep apnea syndrome).

To diagnose apnea at night, use the Rovinsky method.

Apne uvі cnі

Such a pathological camp is called zupinka dikhannya. As a rule, it’s not safe, as it’s self-sufficient to tweak the dichotomy if necessary. For example, lyudin is not renowned in the camp of not dikhati mayzhe forty seconds. And the axis of apnea uvі snі - there is still no evidence of a response. In the middle, it can be up to thirty seconds, and sometimes it’s just three seconds. In the case of bagatech patients, such a zupinka effect becomes 10-15 times during one year of sleep. And the symptoms of apnea uvі snі reappear, the same syndrome of the given stan is victorious.

Avoid sleep apnea may be of the central type, when the brain in the whole period for a ten hour they didn’t give a signal to the sound, it doesn’t smell, but it doesn’t smell.

The obstructive type of apnea begins to develop at the moment when a signal arrives in the brain, and then it is overwhelmed as a result of a sound enlightenment.

With a change in type, a central apnea occurs with a central apnea, which can become obstructive.

It’s sick from apnea it’s hard to sleep, it’s bad to see it in the head, it’s a drop in praise, it’s stench to see itself with weariness, when it’s full of weariness, I’m respecting that memory, I want to sleep in the afternoon, I want to spend it ... All of this is meant during the period of lack of sleep, and in case of sleep apnea, it manifests itself in strong chills, no enuresis, nikturiyu, bruxism, swelling during sleep, in the legs, shaking, and in some cases of pain, somnambulism.

This apnea can be the reason for the development of an infarction, an insult, a disruption to the rhythm of the heart and a rapid development of death.

People older than sixty rockets can use the risk factor. It will be explained by the fact that the elasticity of the soft tissues of the pharynx is gradually absorbed. In addition, the zupinka dikhannya often suffers from the people, and in women with apnea, they tend to be in the period of menopause. As a rule, the price is tied to the level of progesterone. One of the reasons for the development of apnea is obesity (70%), so as the muffs, thrashing in the environment, as well as taking part in the process of the dyhanna itself, and the throat of the mouth emptying and the throat is curved with fat water, functional deterioration lungs mobility. In such a rank, dyshal lack of development develops, and occasional apnea is not only partly, but even more important, it is more important to prevent the Danish syndrome on the background of the overwhelming vagi.

Destruction in the endocrine system when malignant with alcohol, tranquilizers, sleep and sedative diseases, deformities, as well as pathology of the mouth emptying, throat and nose, will cause apnea symptoms.

This pathological criterion is given as a result of the examination of the patient, as well as for the additional carrying out of a complex polysomnographic dosage, which includes a pulse oximeter, oxycapnography, impedance electrophysiography, pneumotachograph

It is not safe to store it in the hypoxia. At the same time, the trick is coming back, but the sadness is lacking in blood, and the people, like only chirp, calmed down, and then the blue began. As a result of ailments, it will gradually pass through, and it will ruin the uniformity of sleep, so that before the hour of the phase of deep sleep it is meant to relax the muscles, decrease the arterial grip and vibrate the singing hormones. And often the awakening does not give the organism's capacity to fall asleep and see for nothing.

In addition, є letting go, how to establish hypoxia, cracking the grip of the middle of the breasts, waking up in case of apnea, awakening or the superficial phase of sleep є causing significant activation nice to see nervous system, Spasm of the vertebral artery vise.

For the cob to treat the syndrome of apnea from sleep, skate with sleep, sedation, as well as alcohol and living before going to bed, and if necessary, reduce the excess vagu. The non-repudiation result will show the method behind the aid of the apparatus of the post-positive grip in cheerleaders... This method is easy to practice in home minds, if you want or not to become ill in case of apnea, but not to renew sleep and to be taken up to prophylaxis, I will slow down this camp. If necessary, the device is victorious to treat ailments.

In case of anatomical defects of the pharynx and nose, it should be inserted to the surgical method of treatment.

obstructive apnea

Obstructive apnea for the ailment of a zupinka dikhannya before going to sleep for an hour to get ready in the period of a rapt shaving chropinnya with a lyakayucha zupinka dikhannya, when people say that a man is a guchne chropinnya, winners start spinning, and dying In some cases of obstructive sleep apnea can occur up to 350 times in one night, as well as damage to the sleep of a sick person. To that the non-spirits of a man will be guilty of the appearance of new headaches, persistent drowsiness, a decrease in respect, memory, potential for people, and also a strong sense of pity.

People with obstructive sleep apnea do not remember, as the stench is permeated at night. This pathological camp is involved in the most widespread disagreement, as it develops when the soft tissues of the back of the pharynx fall off and the twisted shorts are curled, as a result of which it is not the snake of eating in the legend. All are seen through the relaxation of the pharyngeal mucosa.

Obstructive apnea is a chain episode, which is characterized by a daily flow of more than ten seconds. The sound of the upper dysfunctional paths of the sleep provokes the development of obstructive apnea. In some cases, the process of blocking the process is unbelievable, so it develops obstructively, and then leads to an uninterrupted, general and superficial dichotomy.

Obstructive apnea decrease instead of sourness in the blood, and the whole thing becomes the cause of its failure in the legends. At the same time, there may come a moment of choking the sick person with signs of a firk sound. The pathological camp is characterized by five or more episodes of apnea in one year of sleep of a sick person with significant sleepiness in the afternoon.

On the diagnosis of obstructive apnea, infuse deyaki characteristics of the shia, the skull and revealing. For example, when there is a widespread occurrence, there is a risk of obstructive apnea. Likewise, abnormalities of the skull and disclosures in the eyes of micrognathia, retrognathia, higher upper slit, malignant movement, migdalin and infantile symptoms can form obstructive apnea.

And the axis is the weakness of the muscles, which make you feel good about the energy, or the pathology, sometimes leads to obstructive sleep apnea.

To the factors of the risk of a given pathological state, it is possible to bring to, for example, genetic frailty, obesity, alcohol malignancy, and malnutrition. As a rule, it’s more common to learn more often in men, alergic symptoms of apnea from growing up in women during menopause. In addition, it is important to establish in the main among the grown-ups from forty to sixty rockies, or to be able to visit the new generation. And the axis of obesity is the main factor in the establishment of a given pathology. The price is poured into the tissues of the throat with fat deposits.

It is also possible to detect deyakis of obstructive apnea. Before them are admitted: gastroesophageal reflux ailments and polycystosis of the disease.

The symptomatology of obstructive apnea is due to drowsiness, headache, vrance, dysfunction, impairment of psycho-social function and chronicity. Tse, as a rule, is the result of an interrupted sleep. Moreover, the winery is mainly due to the smell or the difficult action in the position on the back. In addition, it is often necessary to end up awakening a sick person during a night's sleep.

symptoms given to the syndrome it is not possible to mention, that for confirmation of diagnosis it is necessary to use additional methods of reading, such as polysomnography or split-nich polysomnography.

Apnea for children

In children, raptus is insignificant in the hour of sleepiness during sleep, it is called apnea syndrome. Rukhi dikhannya in a moment to be pinched for ten seconds. In times easy form the pathological process is updated automatically. At the same time, through the instability in the blood, the stable life of the child's organisms is destroyed. At the same time, children grow up blidim, they have blue fingers and lips, the beat of the heart grows and the tone of the mouth drops. The very act of provoking the loss of testimony, as it can be the cause of a lethal result in case of medical aid... As a rule, it’s worth seeing at night, if the dad can sleep and maybe just don’t mind the zupinki dichannya.

Apnea of new people is characterized by a physiological stance, as a result of a kind of dysfunctional change at the time of the people. The price is explained by the overworldly bit of sourness in the blood. Apnea can develop in children, who were born anyway earlier, since the central nervous system did not go through the process of development, so it cannot be adequately controlled.

Have children apnoe can booty viclicano for different reasons... The main part of them is destroyed by the robot of the central nervous system. As a result, a signal from the brain does not come to the muzzle of the dichal nobles and the insistence of the dichotomy. Yak, as a rule, to eat with premature nemovlyat. In addition, it is also the cause of infectious genesis, injuries spinal cord for the internal skull, likarski zasobi, Sepsis, improvement of dysplasia, adduction of bilirubin, obesity and infusion on apnea coverage.

For renewal of dikhannya inodі zasosovuyutsya device ShVL, and in case of obstruction - tracheostomy.

When a child is diagnosed with apnea syndrome in the first place, they learn the reason, she took the diagnosis of a rapid reaction, and then proceed to the disease. For the whole, if necessary, see the blinkers, carry out the correction of the arrhythmia or anemia (for the indicated). In the event of a diagnosis, the court shall prescribe drugs that stop їх.

In addition, as a result of the education of obstructive sleep apnea, children can develop rosy development, and in general it can lead to problems in school with success. It is also very often that there is also a deterioration in the behavior during sleep and the development of accelerated development in the robot S.S. This is given a pathological stance in children of a thermic treatment, so that they do not allow non-turning processes.

For any need to protect the child, the position of the head and head, with any stench, will be known at one level. Consider the use of drugs for stimulating the organs of the body, using the PPVD method and oxygen therapy.

It is important to vrahovuvati, which is apnea in children, who were born full-term, to pass independently. At the same time, if the zupinka dikhannya pass without hypoxia, then the price is normal.

apnea lіkuvannya

In the Danish hour effective methods lіkuvannya apnoe uvі sіnіnі attachments, up to which in the first place CPAP is introduced. I will permanently secure a positive grip in the path of the dichotomy and to be involved in the most beautiful system of treatment of this pathological camp. CPAP is effective and safe for children. The whole device will change the day's sleepiness, reduce the memory and concentration, change the power to appear vise... As a rule, the CPAP will last for about seven years and last for a night, and it will eliminate nasal congestion and dryness in the mouth when empty, the modern equipment is equipped with food and moisture.

An important role in the treatment of ill health is introduced by the position of therapy, as it is the position of pouring in on the severity of the apnea. Practically twice as often, the zupinka performance is promoted when the body is on the boat. The chain can be pummeled by the ringing of the tissues of the larynx, and the axis, when placed on the back of the back of the ring, the dichotomy often changes. I would like to lay down some of the physiological features of the skin ailment. For the ear, it is necessary to change the position of the ear. And the axis with the overwhelming vase, we must start before the change, but it’s not so bad, but the attack is demanded, then we need to sleep vertically, so that we will allow us to reach the high level of sourness for us.

If people who suffer from apnea, smoke, live alcohol or drug addiction, then it is not uncommon to see shkіdlivyh ringtone, Scho pidsilyut zupinku dikhannya. And for those who do not take alcohol for chotiri years before bedtime, sedative and sleep.

Medication therapy in the main in case of apnea does not apply to the corian type of treatment, but in some cases it is simply necessary. Before the preparation, Modafinil is prescribed in the standard CPAP therapy. And the axis of the narcotic group of drugs is stagnant for the treatment of symptoms of drowsiness.

For the treatment of obstructive apnea, consider corticosteroids of intranasal power. And the axis of the preparation, as well as tranquilization, cannot be victorious in the therapeutic treatment of the pathological camp.

In some cases, when CPAP is contraindicated for the treatment of zupinka, it is necessary to fix the dental technique, to attach or attach a dental authority. The stench, as a rule, becomes stagnant with a slight world of severity of obstructive apnea.

The method of orthodontic treatment allows you to expand upper slot and with such a rank, to preserve the dichannya, and that means to set the grip on it.

Before surgical methods Treatment of apnea is carried out: uvulopalatopharyngoplasty, uvulopalatoplasty behind the aid of a laser, stopping of neonatal implantation and tracheostomy. I see the first person m'yak_ fabric, Roztashovani on the posterior stage of the pharynx, as well as the onset of the dysplasia. For the help of the given operation, to increase the width of the sound paths with an open throat, tidy up a part of the sound, turn the sound, turn the ruff, and the curl of the soft day. However, uvulopalatopharyngoplasty is characterized by a number of accelerated and relapsed apnea.

Uvulopalatoplastіyu behind the aid of a laser stasis in order to change the chronology of a sick person. In general, the number of tissues from the back of the pharynx is insignificant; the red method of treatment does not guarantee the development of any apnea. With a tsiom tsei view surgical treatment I do not recommend viconuvati as planned, since the operation was given only if the symptomatology of the disease was poured.

Non-invasive surgery in the lungs, as well as the middle stage of severity, is characteristic of the stoop of infantile implantation. The center of respect for the given procedure is the process, as a result of which chropinnya changes. The implant significantly reduces the vibrations and the roof of the sky. For the application of the method, microscopic anesthesia is used, as it changes the bill and for a short term it is necessary to renew the body. However, there is not enough evidence to justify the positive effect of the type of treatment.

And the axis of the tracheostomy is sogodnі zasosovuyut in the edge of the rіght, only for shown, in conjunction with medical and psychological problems. In some cases, radio frequency ablation and genoplasty can be victorious.

The term is usually not apnea, when every hour of sleep, the ventilation of the legends will creep back. і triva tsya zupinka for about 10 seconds.

Not apnea: causes

Triviality of apnea reach і 30 seconds, і 2 hilini in important cases.

see:

obstructively
central apnea

Obstructive apnea is a stun, when people feel sleepy, the upper dichotomy sounds like a wobble. Pidnimannya thoracic cells are saved one hour at a time from dichanna. Supravujutsya apnea with large inhales and weak.

Causes of obstructive sleep apnea:

Difficulty passing through the upper airway with a weakened throat and throat mucus. Control over these groups of minds is saved specifically for the brain, which can be damaged in the event of anomalies, such as the sound of the radii of the upper dichally lymphatic universities, The appearance of pukhlin or cyst, the expansion of the embankment-ignition processes.
Difficulty passing through the upper dykhalny way at.
Making it difficult to drink in the upper spirits when taking tranquilizers or alcohol.
The difficulty of passing through the upper dysfunctional paths is promoted by people who have been abducted.
Central apnea is a stun, when a person starts to feel sleepy. The development of a breast cancer is not associated with a one-hour affair. Supports sleep apnea with low awakenings and daytime sleepiness.

Central apnea causes:

Difficulty of dyshally ruffles of the breast tissue. Control over these groups of mutations is taken into account for special damage to the brain, for any damage caused by anomalies, craniocerebral trauma, ignition processes, and organ damage.
Complication of the dysfunctional ruptures of the breast tissue as a lack of dichotomy in the center. Destruction of the muscular organism is sour, connected with the problem of transporting gases from the lungs, tissues and cells to the organism. Agnosia is susceptible to a change in blood saturation with hemoglobin, in order to interchange enzymes on the blood cell.

The causes of obstructive and central apnea are similar and lie in the normalization of the functions of groups of languages, which are responsible for these processes of behavior. injuries, ignition processes That is the breakdown in the robotic organism leads to apnea.

Not apnea for children

Sleeping children are mentally ill until a short zupinka dikhannya, and for them it is not safe for them. The child's similarity is not childish, and it is tied to the immaturity of the mechanisms, which leads to the normalization of the mental center. Apnea clogs premature babies, newborn babies and children with catarrhal heat, hematomas of the upper dysfunctional paths.

Evidence of spontaneous sleep apnea in newborns and infants is not associated with a developed central nervous system as well as loss of heat loss or overheating.

Newborn children show both central and obstructive (changes) syndromes of spontaneous apnea.

For healthy babies, catching up for 15 seconds is a frequent phenomenon. Yakshto also trap, it is necessary to touch the child with a lower dot, to break the sternum abo piece dikhannya... Win zdrignetsya and dichannya to be renewed.

It’s as if the baby is not apnea, not too tired, the children overgrow their camp and the body is overwhelmed. To lull the apnea, the room needs to be cleaned, the baby should not overheat and lay the bed without a pillow (first rick).

As soon as the child remembered the apnea of the child, mean the frequency of occurrence and the triviality of the child's reaction. Agnosia supervises blades, heartbeats, bluish lips and fingers, reflexive speed of muses, second testimony.

Discuss the folding with the pediatrician. Apnea to produce serious damage in the behavior of the baby, in the development of the child. Likar can help you know the nutritional status. In the first place, the inheritance can be non-gate, or the result is fatal.

No blame for apnea in children. As soon as your baby has a problem, you need to be well informed by it.

Dodatkov's information about the child's apnea will provide you with knowledge from the proponated video.

Not apnea: symptoms

Damage, suppression with no apnea:

hypoxemia
fragmenting sleep

Hypoxemia is a decrease in the amount of necessary acidity in the blood plasma of a person, in case of a deterioration in blood circulation, in the case of an extraordinary need for acidity in tissues (loan of a blood pressure), a decrease in gas exchange in the blood cells of the blood in the case of

Iakscho nichne apnea trivial lasting 15 seconds, hypoxemia. The mozok of the people, who fell into a camp, is guilty of the regulation, and the Vinik Stan is guilty. In other words, if there is a decrease or a lack of concentration of sourness in people's blood warehouses, the brain is guilty of transferring the organism to a higher point (phase) of sleep, when the tone of the mucus increases and there is an increase in availability. As soon as the guardian will snore in a voice, it will snort and spur the decline.

In patients with apnea, there is a wrinkle in repetitions, fragmentarily stretching out over the course of the night. Rose zanuruyutsya in more gliboki points of sleep and virgin.

A similar situation creates a glib and superficial stage of sleep in the body, pouring into the level of pink health, lowering the memory and bringing the sick person into the whole. Wants to change arterial vise, Make sure you have a little bit of heart, for a reason, in the middle of a day.

In patients with apnea, the secretion of hormone growth is disrupted, the vagina is gaining, the synthesis of hormones in the heart is disrupted, the frequency of heart rate decreases, and the rate of heart rate decreases, and until the breakdown of stimulation of the phases of hemostasis and the establishment of heart disease. In ailments with low apnea, due to a decrease in the synthesis of testosterone, a decrease in the state of activity.

Characterize skargi suffering from apnea uvі sі can be as follows:

Skargi for triviality, overwhelming sleepiness. A patient an hour every hour wants to sleep;
Skargi on mіgrenі throughout the day and a headache vrance. Supravodzhuyutsya migraine pains in the wide and feasible.
Skargi to fail in. Lyudin is not a memory, but if he is shy, it means deja vu.
Skargi for flexibility and superb efficiency. The patient shvidko is involved in self-control, not a tempter.
Skargi on m'yazi at the feet. The patient has to break the tassels and try to spite in the meat.
Skargi for reductions in libido and visibility of statistic activity. Lyudin's inclination and primitiveness.

Nichne apnea - unsatisfactory mill, Scho lead to a number of serious illnesses.

diagnostics

Krim skarg suffers from apnea, in terms of skarg of relatives and friends:

long-term chronology and visibility
rozmovi uvі snі
often awakened during the night
scratch
partly go to the toilet during the night

The identification of a person with apnea requires contact with the loved ones and loved ones of the sick person and their presence in the precedent of the day.

In the practice of outpatient diagnostics, the method of Professor Rovinsky is stagnant;

When looking around, there are vaga and stages of obesity in patients, diameter and indicators of arterial clutch.

Patients with apnea are recognized to be consulted by faculty in the field of otolaryngology for the manifestations of pathologies of ENT organs. Chronic rhinitis and nasal sinusitis, nasal septum cartilage reduction, tonsillitis are not common.

Diagnostics of the nasopharynx is carried out beforehand with the help of a nasal attachment-phibroendoscope. Pharyngoscopy can help the lykar to look around the pharynx, laryngoscopy - the larynx through the empty mouth and rhinoscopy - the empty nose.

I will get a picture of the obviousness and development of the apnea will establish a trivial (8-year) low polysomnographic dosage. Pre-treatment includes in itself the fixation of electrical impulses in the brain (EKG, EEG) and immediately respiratory activity (passing through the mouth and nis, dysfunctional causes of blood pressure, breast cancer, blood pressure)

With polysomnographic analysis, there is a triviality and number of phases of an apnea in the absence of a change and may occur at a time.

It is important to quickly and correctly adapt the methods of treatment, it is important to determine the character and cause of apnea, and without diagnostics it is important to develop.

Lіkuvannya nіchnoi apnea

Likuvannya nichny apnea includes the use of new methods, injecting into the cause of the disease:

non-medicinal
lykarsky
operational

Spati with a raised head. If the pillow is low, or just with raised edges (20 cm wide). Sleep on the back.
Zakapuvati on nіch drops Galazolin for prevention of dyhannya by the nose, gargle the throat and mouth empty with a rosette.

For an hour I sleep with oral anesthesia, so that I can help you to go to sleep.
Lіkuvati obvoryuvannya ENT organs (chronic rhinitis, sinus sinusitis). Viklyuchiti z ratsіon sodіynі drugs i alcoholic drinks, Znijuvati wagu.
Vikoristovuvati technical CPAP-therapy (ventilation), which additionally helps to create a permanent positive grip of the respiratory nobility, and allows you to give the grace to the social process in the daytime. The method is especially promising and effective from the beginning.
Appointment of the drug theophilin - a way for ailments with obstructive apnea and acetazolamide - for patients with central.
In a number of vipads, nasal cartilage is not damaged, and the cause of sleep apnea syndrome is increased. Operations for fixing the upper palate are carried out in case of important anomalies.

The increase and triviality of the manifestations of certain people, apnea, occur at the end of an hour and lead to severe disability or death. Likuvannya can be used to help you to unify the inherited inheritance.

prophylaxis

Prophylaxis of acute apnea is not specific і clicks before the need for involvement in the treatment of all kinds of medical problems: a neurologist, cardiologist, otolaryngologist and pulmonologist.

Prophylaxis of polyagus in decreased vagi, in the form of and in the introduction of alcohol, sleep preparations, in the pathology of the nasopharynx, in the elimination of ENT diseases and in the prevention of concomitant background illnesses.

Iakshcho є problems with sleep, speed up the propositions:

Consider nikotin and alcoholic beverages
Sleep on a hard mattress, low pillows and gradually reduce the amount of money
In the evening, drip the decalcoma with salty water specks
During the day, exercise, warm up, stretch, however, before going to bed, try to take
At the room, it was innocent of butti dzherela noise or a dzherela light

Dotrimannya a number of rules, hovering below, in addition to unique zupinok dikhannya:

Sleep on the boat, on a spring feather bed, without a pillow, in a ventilated area
Odyag's bedroom is guilty of butti vilna i vidkrita
Have regular walks or warm-ups on a fresh occasion

For the prevention of apnea in small children:

Regular cleaning of the room. Malyuk is guilty of continually perebuvati on a fresh turn, like on the streets, as well as at home.
Zakutuvati ditini is categorically neglected.
Laying the baby down to the fate of life without a pillow.
Struggle with illnesses. Yakshcho malyuk is not sick, I will not be busy with prophylactics.
Breast birth and sleep of a child in a room with a mother.

Fathers should remember that, in the normal state of mind, a baby can be quick and quick, and hopeful, and in a healthy child, we can admit a bit of a dichotomy, and an irregular rhythm.

Nichne apnea is not a lazy breakdown, but a disruption to the body. Apnea vimagає sparing, treatment and prevention.

not apnea in medicine, it is considered to be obstructive apnea syndrome. But for simple people, people can simply say more simply - "no apnea". To that, in the statute, I will name the syndrome, so I don’t miss the text in medical terms. In my previous article, I wrote about the physiology of sleep and about the endocrinology of sleep. In the danіy statti mova pіde, yak і obіtsala, about the breakdown of sleep, tied with obesity.

You, melodiously, think that nothing is apnea - sick, about how and say something unnecessarily, if I want to change you, it’s not like that. Read to the end, and you will know more about the syndrome of apnea nabagato.

It's also okay for apnea

Nichne apnea is a tsestan, which is characterized by repeated episodes of obstruction (blockages) of the dyshly paths during sleep, when the blood is sour, that is, E. Vinikak hypoxia. In some words, uvі sіnі the people zupinyatsya dikhannya. Tell me about the pathology of dikhannya when, I will briefly explain, how dyhaє lyudin goes to sleep for an hour in the norm.

Vzagal, the irregularity of the response with the norm and with the great people... For example, it’s just an hour of sleepiness, for in the period of a quick sleep, people can experience unstable dichanna (often dichannya), as they change with different dichotomy. The triviality of the "physiological" is the breakdown of the response in the norm from 10 to 40 seconds, and the delay in less than 10 seconds for a night apnea does not get involved.

For the purpose of establishing the norms of abnormal conditions of mental retardation, the index of apnea is used, which is the index of apnea, which is in the middle of a period of sleep. In the given hour, pathological patients get into the index of apnea, even if I change 5 episodes per year.

slightly expanded given pathology? In this day, there are no Russian statistics, there is a very low number of centers in our country in the region, which specialize in diagnostics of problems in sleep, as well as the lack of sleep doctors. But in the light of the statistics, there is not much statistics, like talking about those who may have given the problem more often than women (6-8: 1). It has been shown that the middle of obese children grow up 55% higher, lower in the population as a whole.

Klіnіka zupinki dikhannya uvі snі

The most common symptom of this pathology is chronology after an hour of sleep.

Chropinnya is a whole sound phenomenon, which is caused by the colony of the throat, the tongue, the arch and the soft dullness with the singing frequency.

Not long ago, the lor-likarians have propounded bulo to nazivat chropinnyam winkayut every hour to sleepsounds like coming from the upper dichal nobles. Most of the time it takes to sleep for an hour with an open mouth. When inhaling, the child is seen to be shown to the back of the throat, which is supervised by the decompression of the empty mouth with a characteristic sound.

The main factor in the decline of the upper spinal paths is a decrease in the tone of the pharyngeal mucosa during clogging. At the same time, there is a change in the configuration of the pharyngeal appearance of the upper respiratory paths and the turbulent flows of the inhaled supine occur, which are transformed into the climate.

Chim wіdrіznyаєtsya hropіnnya in obese and low apnea patients? Chropinnya zazvychay fatty, even more often the patients themselves see it, how they can smell their powerful snoring, or even come out of it. It is altogether, more often than not, chropinnya turbines of old and close people, it’s awkward. If you have possessed such a spying human race, you can take note of it, but it will be periodically interrupted by periods of quiet, as it can take tens of seconds. At the same time, there are not a few sounds, ale chest wallі live prodovzhuyut pіnіmatisya і sink, like when dikhanna.

You can see the chaotic ruffs as dazzling, that is, so hard, how can you get a whole lot of blows in the hands of the dreamers. At the end of the episode, the guchne was buried, the dekhto seemed to say, "Yak the pipe broke," for which the spirit is introduced, but the chropin is trivial. During the period of silence, and during the period of time, there is a lack of apnea.

When the walls of the dichny nobles fall, the proper sourness should be leaned back and the level of the growth is falling, and the level of CO2 is growing. Further, an increase in the concentration of CO2 in the blood є by a straining stimulus for the central nervous system, which is to bring about a full awakening, even before the activation on the EEG appears. Inspiration of the tone of the words is being introduced, it is enlightening to emerge, and once again coming to the legend. And sleep will be lost in an hour, and everything will repeat itself.

Descriptions of an episode of apnea can be repeated in a patient up to hundreds of times a day, and they grow up for a pet to a doctor, most often after a storm of loved ones. It’s not enough to think about your problem, but only 30% of them mean periodical awakening from an unsettled week.

People who suffer from this syndrome are diagnosed with misery: lack of satisfaction with sleep and daytime sleepiness. During the given day, sleepiness in the daytime means up to 90% of the population. In some cases, drowsiness is of an imperative nature. Sleepiness is often difficult to feel during sleepiness and memory. It is considered as an automatic behavior, if the routine robot is displayed automatically.

Sleepiness is especially significant for automobiles. It is shown in Chergovy Doslidzhenny, that car accidents often go to sleep with people suffering from apnea.

Through parts of awakening, a decrease in the representation of poor sleep is brought about, as well as the infusion of hypoxia on the brain, which can lead to intellectual and emotional problems. It should be shown clinically:

drativlivistyu
troublesome
sleeping aggression
depressive camps

In addition, ailments in patients with apnea syndrome are indicative of:

dryness at roti pid hour awakening
headache pains, jimovirno, hypoxia to the brain
parts of the cut (niktur_ya) and nontrivial cut (enurez)
oven, as you can winicati through gastric reflux, provoked by the snake of the intracranial vise
p_dvischeny pіdlivіst, as i see more than 60% of patients

Endocrine disruption in apnea syndrome

As I already said in my previous article, sleep and the secretion of hormones are still tightly linked. At the same time, when given the disease, chronic deprivation of sleep occurs, then the secretion of basic hormones will also be destroyed. First for everything, the growth hormone - somatotropic hormone hypophysis (STH) - is worth it. For an hour until the end of the day, there was a decrease in the level of sleep (delta sleep). Even though they were only able to sleep normally, a low peak in the secretion of STH was also introduced.

And as I already said, the hormone for growth is not only important for a child's body, but for an older person, but a major anabolic hormone for an organism. As a result of this deficiency in children, the growth of flowers and meat is broken, and as they grow up, they see a decrease in pracetability, an increase in weight, stamina, a change in strength in the meat. This is not the whole reversal of problems that arise with STH deficiency. Mozhlivo, I like-nebud tell you about those divovyzhny hormones in the framework of the "elective", I recommend that, do not miss them.

Last but not least, apnea leads to stimulation of the sympathetic nervous system and catecholamines (adrenaline, norepinephrine). Activation of the central system and can accept development vegetative dystonia for hypertensive ailments.

It is indicated that the given syndrome is infused with testosterone, the head hormone, which can be used to kill a person. With frequent apnea, there is a decrease in the synthesis and production of testosterone, moreover, the decrease in testosterone levels is straightforward because of the severity of the disease and does not lie in the blood. However, the success of the main ailment is to produce testosterone to the level of renewal. The very fact, with the manifestation of the disorder, the childish see the trust of the statutory maturity.

Disruption of the secretion of cortisol, glucagon, T4 and TZG at this disease did not appear. injected ruin dikhannyathe synthesis and secretion of insulin is also not detected. Hyperinsulinemia can be found in more advanced patients, but it is possible for viclikan, sooner, for obesity, since K. As a result, apnea normalization of the concentration of insulin and glucose is not present.

Folded apnea

The number of times it is necessary to bring about the turn of the activation of the sympathetic nervous system. That, given that, the main target organs become organ heart-vascular system ... Approximately 40-90% of patients suffer from hypertensive ailments. With a lot of hypertensive ailments in such people characteristic features Often it is only a distant grip ("lower" grip), even if it is even more disgusting to fall in love, the grip often moves against and goes down until evening.

Through sympathetic activity, the deterioration of the electrical stability of the heart is seen, which manifests itself in the development of different types of arrhythmias. Rizik of infarction of myocardium and strokes of growth in 2-3 times.

Another accelerated condition, like supervascular apnea, is a legeneva hypertension. Legeneva hypertension develops in 20% of patients.

Yak likuyut nichne apnoe

SIPAP therapy

In this hour, the method of vibor in the treatment of apnea syndrome SIPAP - the goal of lіkuvannya to the stems without interruptions in the grip of the upper dichally. There are a lot of additional ventilation legends from the stems of an uninterrupted positive grip of a twist.

The attachment for SIPAP-therapy is a compact compressor with a dull hose, which can be used to supply the room with a small grip into the mask on the face of the patient. Already in the first night of the visit, there is a clear change: there is a lack of chronology, an increase in activity, a failure to get into the toilet. Vrantzi patients do not even see headaches, and sleepiness during the day significantly changes.

Farther away, the device can be used to produce symptoms of apnea syndrome. Memory and respect will grow, the frequency of anxiety and depression will decrease, and there will be a state of pulling. Deyaki authorization means a decrease in arterial grip.

The appointment is made to last for 2 days after the purchase. Such a rank, which is required for a greater triviality of treatment, is a regression of all pathological stances. In order to individually admit the grip of the power, it is necessary to titrate the grip in the minds of the Somnologichesky laboratory. At the same time, as a rule, it was only one night, when Lyudin nabuvat went to the stores of medical technology and started to get overwhelmed. Evaluate the effect from the test in 6-12 months by polysomnography and MRI. The regression of the given syndrome on the lіkuvannya explain to the decrease in tissue swelling in the pharynx and to the improvement and education.

surgical treatment

To achieve a stable effect of apnea, to perform UPFP operation - Uvulopalatopharyngoplasty. At the same time, the hanging part of the soft baby with the tongue and the visual infantile migdalin from the onset of overlapping seams, to pull the back of the throat.

Shown for carrying out this operation є:

podovzhene meak pіdnebіnnya
oversized growth of throat
hypertrophy of migdalin

Lykarsky methods of lykuvannya

In the Danish hour lykarsky methods recognized as ineffective. I’ll look at how progesterone is beneficially infused into the energy, lіkаlіsya lіkuvatіvаnja їм, аlе dаnу about the efficiency іn superlativeness, аnd in the cholovіkіv often developed іmpotency. The decrease in the frequency of apnea epizodes reached the consumption of antidepressants. In the last hour, there is an ongoing debate about the possibility of taking apnea for the supplementary fluoxetine and paroxetine - the ingibitoris of the vocal accumulation of serotonin.

Інші methods of treatment

Prior to these methods, there are special orthodontological attachments, for example, the appearance of the lower slit or the removal of the movable. Vikoristannya podibnykh zobіv vimagає retailer race for the participation of orthodontists.

I’ll look around at the factories, where I’ll take the development of the breakdown for an hour to sleep, it is recommended to use the method of “intercourse shkodi”, which includes recommendations on the into the intestine on the back). Ale nayeffektivn_shoyu s methods of "intercourse shkodi" є, oskilki є uneasy connection between obesity and no apnea.

That's all for me. I don’t say goodbye to you, some of you are checking stories about their sleep deprivation in obesity.