SLEEP APNEA

SLEEP APNEA

Mediniq is a leading respiratory care and sleep therapy specialist product supplier in Oman.

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WHAT IS SLEEP APNEA?

Obstructive Sleep Apnea (OSA) occurs when your airway temporarily collapses during sleep. You continue to make efforts to breath but are unable to move air in and out of your lungs because of the obstruction at the back of your throat. During the collapse, which can last from 10 seconds to over a minute, your breathing muscles continue to work with a progressive effort until you awaken and resume normal breathing. After a few breaths, your oxygen levels return to normal. You fall back to sleep and the airway obstruction occurs again. This cycle may continue throughout the night, disrupting your normal sleep pattern. As a result, you may complain of un-refreshing sleep and excessive daytime sleepiness.

COMMON SIGNS AND SYMPTOMS ?

For many sleep apnea patients, it is usually their partner or family members that suspect something is wrong. They may complain about their snoring and apparent struggle to breath at night. The typical sleep apnea patient may have the following symptoms:

  • Excessive daytime sleepiness (EDS)
  • Loud irregular snoring
  • Witnessed apneic or choking periods
  • Morning headaches
  • Frequent awakenings during the night
  • Rapid onset of sleep
  • Leg cramps
  • Weight gain
  • Sleepiness while driving
  • Frequent need to urinate at night
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Sleep apnea comes with an array of symptoms that can impact you. These symptoms can have an impact on your life as a whole and not just your ability to get a good night’s sleep. If you, or someone you love, experience the following symptoms it may be time to consult a doctor to see if you have sleep apnea:

  • Frequent and loud snoring
  • Gasping or choking while you sleep
  • A pause in breathing during sleep
  • Headaches, particularly in the morning
  • Insomnia
  • Difficulty staying awake during the day
  • Sore throat or dry mouth upon awakening
  • Change in mood, such as an increase in irritability or depression
  • Troubles with your memory or learning of new skills
  • Unable to concentrate
  • Waking up often to use the bathroom throughout the night

CYCLE OF SLEEP APNEA

The cycle of OSA starts with snoring and continues until the airway collapses or closes off. The person tries to breathe but is unable to get air into their lungs through the collapsed airway and an apnea (cessation of breathing) occurs. The brain realizes that it is not getting enough oxygen and fresh air so it wakes the person from a deep level, to a lighter level, of sleep. The airway then opens and normal breathing resumes. The person falls back into a deeper sleep, begins snoring again and the cycle repeats.

SLEEP APNEA IS COMMON

  • 1 in 15 people have moderate to severe OSA
  • 9% women and 25% men in the middle-aged working population have OSA
  • Sleep apnea is as common as diabetes and asthma.
  • Most OSA sufferers remain undiagnosed and untreated.
  • 50% of patients with Type II Diabetes have OSA
  • 35% of patients with high blood pressure have OSA 6

CAUSES OF THE AIRWAY TO COLLAPSE DURING SLEEP ?

  • Extra tissue in the back of the airway such as large tonsils
  • Decrease in the tone of the muscles holding the airway open
  • The tongue falling back and closing off the airway
  • Abnormal anatomy such as a recessed jaw

SLEEP APNEA TREATMENT OPTIONS

A number of medical treatments can be used to treat your sleep apnea and you should consult your doctor to find the treatment that will work best for you. What treatment should be used will depend on the type and severity of your sleep apnea.

CPAP TREATMENT

Continuous Positive Airflow Pressure (CPAP) is a common treatment for sleep apnea, especially in moderate to severe cases of obstructive sleep apnea. The CPAP is a machine hooked up to a mask that provides a consistent stream of airflow that keeps your airways open while you sleep and ensures you are getting enough oxygen.

It is important that your CPAP machine is correctly set for your comfort. If it is incorrectly set, you may experience some bloating or discomfort wearing the mask. Some people have reported having headaches, dry mouth, irritated skin on the face, or a dry or stuffy nose. If you are experiencing any of these effects, speak with your doctor about tuning the machine to reduce these discomforts.

This technology is being updated all the time so if you have tried this treatment in the past and was unsatisfied with it, consult with your doctor and our sleep experts about the new advancements that will increase your comfort.

TYPES OF SLEEP APNEA

WHAT KINDS OF SLEEP APNEA ARE THERE?

There are three types of sleep apnea:

  • Obstructive
  • Central &
  • Complex

If you have obstructive sleep apnea, it is caused by the muscles of the your throat relaxing while sleep. When this occurs, the muscles provide less support to the tonsils, the uvula (the triangular piece of tissue that hangs from your soft palate), and the side walls of the throat. When these areas get less support, it narrows your airway and you can’t get an adequate breath in.

If you have central sleep apnea, your brain is not sending the correct signals to the muscles that control your breathing. This causes you to have shallow breathing or to stop breathing for intervals of time. This type of apnea is more common after a stroke, with heart disease, or with narcotic or sedative use. Complex sleep apnea is a combination of the obstructive and central forms.

RISK FACTORS FOR SLEEP APNEA

  • Anyone can get sleep apnea including women, men, and children. There are a number of things that do increase your risk of sleep apnea such as:
  • Age. Sleep apnea tends to be more common in adults older than 60
  • Excess weight. Thin people develop sleep apnea as well but anyone who has excess fat around the upper airway is at increased risk of having their breathing obstructed
  • Neck thickness. Anyone who has a thicker neck tends to have a narrower airway, making it easier to become blocked
  • Narrowed Airway. If you have inherited a naturally narrow throat or your tonsils or adenoids are enlarged, this can block your airway
  • Smoking. Anyone who smokes is three times more likely to have obstructive sleep apnea as smoking can increase the inflammation and fluid retention of your upper airway
  • Family history. Sleep apnea is often found in families
  • Nasal congestion. If you suffer from allergies or any anatomical nasal issue, you are more likely to develop sleep apnea