n dreaming a fruitful human life

Sleep disorder such as apnea is defined as a cessation of airflow for longer than 10 seconds. Sleep apnea may result from central nervous system causes andor peripheral airway obstruction. Obtructive sleep apnea occurs when there are 30 or more episodes of no airflow through mouth and nose for at least 10 seconds despite respiratory effort during 6 hours of sleep. In adults Alexander Steen Hat , pharyngeal hypotonia is the most common cause, although any airway narrowing may lead to apnea however Sleep Disorder Cure Indianapolis is available. Nasoseptal deviation is also a common cause of obstructive sleep apnea in adults. Obstructive sleep apnea should be suspected in obese adult patients who complain of loud snoring and daytime hypersomnolence (the pickwickian syndrome). In children, obesity and daytime hypersomnolence are not prominent features. A history of mouth breathing and interrupted breathing during sleep is usually elicited from parents. In all age groups, pulmonary function tests strongly suggest the diagnosis if a "sawtooth" sign is present on a flow-volume loop Brayden Schenn Hat , but this is an infrequent finding. The diagnosis of obstructive sleep apnea is made by a sleep study (polysomnoram). Polysomnography evaluates, documents, and quantitates any apnea present. Simultaneous recording of airflow along with respiratory effort and arterial oxygen tensions during sleep can establish the diagnosis.

Obstructive sleep apnea has life-threatening complications. More than 80% of patients demonstrate cardiac arrhythmias during the apneic episodes. Patients are at risk of sudden death. It is hypothesized that infants with sleep apnea who progress to sudden death have a deficient sleep arousal response to asphyxia. In adults, sudden death is thought to originate from cardiac arrhythmias or ischemia those results from the asphyxia. Diurnal hypersomnolence is a frequent feature of sleep apnea. Because of frequent dozing during the day Scottie Upshall Hat , patients are at a higher risk for accidents while driving. Patients with sleep apnea are involved in approximately 58,000 motor vehicle accidents in the United States each year. Tests of patients in an advanced driving simulator showed decreased performance compared with controls and an improvement in performance after surgical treatment. Other long-term complications include pulmonary or systemic hypertension and corpulmonale.

The Sleep Disorder cure Indianapolis of obstructive sleep apnea can be conservative or surgical. Conservative strategies include weight loss, lateral decubitus sleep posture, drug therapy Joel Edmundson Hat , nasal continuous positive airway pressure (CPAP), and the use of an intraoral prosthesis. Surgical measures include nasal septoplasty, uvulopalatopharyngoplasty (UPPP) to reduce redundant oral tissues, and tracheotomy. Tracheotomy is the surest way to treat obstructive sleep agnea Carl Gunnarsson Hat , but it is reserved for those with life-threatening complications and those who have failed all other treatments. Nasal CPAP is the treatment of choice for many patients with obstructive sleep apnea, but compliance can be a problem and patients must use nasal CPAP every time they sleep. UPPP involves resection of the tonsils and part of the soft palate in an attempt to stop pharyngeal closure of the airway, but it is successful in only 50% of adult patients. Adenotonsillectomy is almost always curative in children with obstructive sleep apnea.
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