Što je Sindrom Opstruktivne Apneje tijekom Spavanja?

Sindrom Opstruktivne Apneje tijekom Spavanja je stanje u kojem dolazi do nehotičnih prekida disanja tijekom spavanja. To se obično događa zbog suženja dišnog puta u stražnjem dijelu grla. Razdoblja u kojima disanje prestaje nazivaju se apneje ili apneične epizode.
 

Kliknite na video s desne strane kako biste saznali više o Sindromu Opstruktivne Apneje tijekom Spavanja i kako ona može utjecati na vaš san i opće zdravlje.

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Sleep apnoea causes

There are two main types of sleep apnoea: Obstructive Sleep Apnoea (OSA) and Central Sleep Apnoea (CSA). 85% of people with sleep apnoea have OSA, and a sleep test will help your doctor determine which one you have.

Obstructive sleep apnoea is caused by the muscles in the back of your throat relaxing and interfering with your breathing while you sleep.

The picture on the left shows air flowing through the nose and mouth during breathing in a person without sleep apnoea. Click to scroll and see what happens during sleep apnoea.

or be completely blocked many times per night without you being aware of it.  This constant narrowing and blocking of the airway reduces oxygen to the brain, making you feel sleepy and without energy the next day.

Blocked airway

When your airway is completely blocked, your brain responds to the low oxygen level in your blood by briefly waking you from sleep so that you can take a breath. Your partner may notice that you make a gasping or choking sound when this happens. Constantly being woken up during the night means you don't get into a deep sleep, so you don't wake up feeling refreshed and energetic.

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Sleep apnoea signs

Snoring is the most common reason why most people go to their doctor to discuss their sleep. Often, this is at the direct request of their sleeping partner!

Other signs that you may have OSA include:

A feeling of being poorly rested after sleep is common, along with the need to take afternoon or daily naps. Because the sleep apnoea events result in repeated sleep interruptions throughout the night, for many people the quality of sleep is affected more than the quantity, in particular deep sleep and rapid eye movement sleep (REM). Loss of sleep during these stages cause the greatest degree of daytime sleepiness. This can affect many aspects of your life including your social life, work life and your ability to drive safely.

If you regularly wake during the night gasping for air, this may be cause for concern. Sometimes your bed partner will be the one who notices a pause in breathing, as though you are holding your breath for several seconds before a loud gasp.

Research suggests that there is a link between obstructive sleep apnoea and erectile dysfunction.

When we stop breathing, we automatically move around, trying to get into a position where the airway is more open. You may feel like you never reach a deep, restorative sleep. This coupled with other symptoms could be a sign of sleep apnoea

Studies reveal that when people fail to get enough sleep, concentration, coordination, memory, and mood suffer. Without restorative sleep, brain power suffers.

If the airway collapses during inspiration (a breath in) while sleeping, the effort of the diaphragm pulling up to breath can create negative pressure in the chest. This pressure can in turn lead to narrowing of the oesophagus, causing it to act like a straw, pulling the contents of the stomach up through the oesophagus and throat, creating the acid burning feeling of gastric reflux in the chest and throat.   

Airway obstruction can result in significant changes within the bloodstream along with increased carbon monoxide. The headaches affect both sides of the head and usually resolve within thirty minutes of waking, because once you’re awake, the lungs move air in and out more efficiently and the carbon dioxide level returns to normal.

Many people with sleep apnoea sleep with their mouths open so this is the likely culprit of a dry mouth or a sore throat.

Many important functions take place in your body while you sleep.  Without necessary rest, hormone levels that play a role in how hungry you feel can be disrupted. Feeling tired can have you reaching for sugary treats or caffeinated drinks, often loaded with calories, to help you wake up and to satisfy your increased hunger. Unfortunately, this can cause a vicious cycle as those extra calories will lead to weight gain which in turn leads to further sleep disruptions.  This is due to the extra weight pressure on your throat causing further collapse of the airway.

Untreated sleep apnoea

Sleep apnoea is a serious and relatively common condition. More than 1 billion people around the world may have sleep apnoeic, and up to 80% of these patients may not be treated. Untreated sleep apnoea has been linked to:

• High blood pressure
• Heart disturbances or arrhythmias
• Diabetes
• Heart failure
• Car and truck accidents
• Work accidents
• Stroke

The good news is that diagnosis, and successful sleep apnoea treatment can relieve the symptoms and reduce the long-term risks to your health.

 

Measuring Blood Pressure

Iskustva pacijenata

Michaelovo iskustvo

Koristim svoj SomnoMed® uređaj oko dvije godine. Neizmjerno je poboljšao kvalitetu mog sna i, posljedično, određene aspekte mog života, na bolje. U rijetkim slučajevima kada zaboravim staviti uređaj, kvaliteta mog sna se instantno pogoršava. Neprocjenjiv je.

Lizino iskustvo
 
Nakon što sam mjesecima patila od bolova u čeljusti i zubima te nakon nekoliko posjeta svom liječniku opće prakse i redovnom zubaru bez ikakvog poboljšanja, zamolila sam April (stomatolog) za drugo mišljenje. Nakon pažljivih konzultacija, April mi je sugerirala da bi apneja i škripanje zubima mogli stajati iza ovih problema te mi je preporučila upotrebu SomnoMed® uređaja tijekom noći.

Simovo iskustvo

Moje ime je Simon Wilsdon, i ja sam doktor dentalne medicine u Yorku. Tijekom nekoliko godina, iskusio sam blagu apneju u snu i, na muku moje supruge, glasno hrkanje. Tijekom godina sam isprobao nekoliko različitih uređaja za pomak donje čeljusti. Svi oni su pružili početno poboljšanje, ali ništa trajno, a s vremenom su postali i neudobni za nošenje.
 
Nakon istraživanja različitih opcija, odlučio sam isprobati novi SomnoMed® Avant uređaj za dentalnu medicinu.

Mohammedovo iskustvo

Mohammedu je dijagnosticirana teški Sindrom Opstruktivne Apneje tijekom Spavanja 2018. godine.
 
Tijekom prve godine nakon dijagnoze, imao sam CPAP uređaj kod kuće, ali stvarno sam se borio s njim zbog anksioznosti uzrokovane nošenjem maske na licu tokom cijele noći. Na pregledu mi je rečeno da ne bih smio voziti, moja vozačka dozvola sada je opozvana već više od 2 godine. Imam obitelj, četvero djece pa nedostatak vozačke dozvole osjetno utječe na našu svakodnevnicu. Male stvari poput kupovine hrane i izlazaka su puno teže

 

Royevo iskustvo

Kao i mnogi, postao sam svjestan svog hrkanja tokom noći i jutarnjeg umora nakon spavanja. To me navelo da se obratim svom liječniku opće prakse koji je posumnjao da imam Sindrom Opstruktivne Apneje tijekom Spavanja i uputio me u bolnicu na dodatne pretrage. Tamo su mi dali Epworth Sleep Study upitnik za ispunjavanje, koji je pokazao da patim od "dnevne pospanosti", ali ništa ozbiljno. Ipak, bilo je potrebno odraditi dodatne pretrage, pa je dogovoreno da provedem noć u bolnici, gdje mi je obavljena kompletna analiza spavanja.

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