Sleep Apnea : First Learning about OSA & CPAP

What is Sleep Apnea ? And What are the Signs and Symptoms of Sleep Apnea & OSA?

Sleep apnea is a sleep disorder in which the affected person experience breathing interruptions during the sleep. OSA or sleep apnea disorder could lead to repeated stopping of breathing during the course of sleep which leads to poor quality of sleep, heart problems and reduction in the supply of oxygen to the vital organs. In sleep apnea, the suffering person’s partner also gets affected due to the loud noise of snoring.

Broadly sleep apnea could be categorized into two types as the first one is obstructive sleep apnea generally called OSA and  another one are Central Sleep Apnea. Obstructive sleep apnea (OSA) is the most common form of the condition and generally responds to treatment. Central sleep apnea, in which there can be brain or nerve damage, is often not as responsive to treatment. In these cases, you may need to treat them with drugs that stimulate your breathing.

What is sleep apnea and OSAThe signs and symptoms of both the sleep apneas overlap one another. If you feel a loss of breathing for 10 or more seconds at a time and sometimes more than ten times an hour during sleep, and you snore, you could have exactly what has actually been commonly diagnosed as Sleep Apnea. Many individuals, who are overweight battle an endless fight with uneasy sleep at night as well as feel themselves tired and  sleeping throughout the day. If you left without breath for a little while  during sleep, your brain receives a signal informing you to get up. The more times you wake from a deep sleep,  a lot more troubled you come to be. In the morning you stir up only to discover that you seem like you never sleep at all.

If you believe that you have Sleep Apnea, consult your healthcare service company  who will certainly send you to a sleep physician or sleep technician  who could make the further  medical diagnosis to ascertain the actual disease conditions. A person without treatment or therapy could experience the following sleep apnea symptoms.

Sleep Apnea Symptoms

  • In central sleep apnea, there is shortness of breath with abrupt awakening.
  • In obstructive sleep apnea snoring that is usually loud and bothers other people trying to sleep near you.
    what-is-sleep-apnea
    What is sleep Apnea
  • Snoring can come and go through the night.
  • Gasping or choking sounds
  • Breathing pauses observed by someone watching you sleep.
  • Sudden or jerky body movements
  • Restless tossing and turning
  • Frequent awakenings from sleep Common symptoms you may have while awake
  • Wake up feeling like you have not had enough sleep, even after sleeping many hours
  • Morning headache
  • Dry or a sore throat in the morning from breathing through your mouth during sleep
  • Sleepiness during the day
  • Fatigue or tiredness through the day
  • Mood swings and difficulty getting along with others
  • Problems with poor memory or inability to concentrate

 

Sleep Apnea is an instead significant problem as it obstructs the throat and creates the pause in the breath of sleeper for numerous seconds. Consequently, you stir up several times during your sleep aiming to capture your breath. Such breaks and snoring  in your sleep  pattern could lead to substantial wellness issues. Gradually snoring could lead to various other problems such as diabetes, high blood pressure, heart troubles, and also stroke and in some extreme cases even fatality. Other signs of the sleep problem Sleep Apnea consist of choking/gasping while sleeping, early morning migraines, as well as exhaustion during the day, mood changes, memory impairment, poor concentration, inadequate judgment, the state of mind swings, recent weight gain, polyuria, and erectile dysfunction. The indications to watch out for are weight problems, senility, tension (consisting of anxiety as well as clinical depression), hypertension, heart arrhythmia, ischemic heart disease, hypothyroidism, and also acromegaly, disjointed temporomandibular joint and neuromuscular illness. Tonsillar Hypertrophy is the most common cause  of Sleep Apnea in youngsters.

Why You Need To Know About Sleep Apnea & Snoring

All over the globe, each night numerous no of individuals are having a lousy goodnight sleep caused by this infamous dreaded sleep enemy, sleep disorder. Every night we all look forward to a peaceful goodnight’s sleep and every night like clockwork we obtain a call from that dreaded challenger in the form of our companion or partner. This leads to sleep deprival. Snoring could be much more significant compared to the root cause of irritation and also sleep disruption. Snoring can potentially be a symptom of a more major sleep disorder condition called Sleep Apnea.

The sound of snoring is caused by the airways in your nose and throat being partially or completely blocked. It causes problems for both the snorer and anyone who sleeps with or near them.

Sleep apnea is a more serious condition that occurs when the air blockage causes you to stop breathing at least 5 times an hour, for over 10 seconds each time. Sleep apnea is a dangerous condition that can ultimately lead to death.

If you’re suspected of suffering from sleep apnea, your doctor will arrange for you to have your nose and throat examined to find any obvious causes of obstruction. This could include an anatomical abnormality or nasal polyps. The exam is handled with either an endoscopic exam or a CT etc.

After the initial diagnosis is done you’ll be sent to a sleep lab where you will undergo a study of your sleeping patterns.

A Sleep Study

A Sleep study monitors your body while you sleep. Some of the measurements that will be tracked include:

  • Blood oxygen levels
  • Blood pressure
  • Heart rate
  • Airflow
  • Chest & diaphragm movement
  • Brain activity

You’ll stay overnight in a special sleep lab where these tests will be done with equipment that is attached to you while you sleep. (It’s not as bad as it sounds – you will be able to sleep!). If you are interested to learn more about sleep study test and titration study just go on and visit here .

If you’re diagnosed with sleep apnea, you’ll probably be told to avoid any kind of sleep medications and alcohol. If you’re overweight, you’ll be advised to lose the extra weight. You may also be told to start sleeping on your side.  These three simple things can sometimes be enough to solve the problem.

If this is not enough to remedy the problem, you may undergo other sleep apnea treatments such as positive pressure ventilation therapy generally called Continuous Positive Air Pressure (CPAP) therapy- CPAP and Bi-level Positive Air Pressure therapy –BIPAP therapy  in which you will be given a tightly fitting nasal mask through which air is pumped into throat. The increased air pressure can help to keep your airways open.

If these treatments still don’t solve the problem, you may have to undergo surgery.

 

Sleep Apnea Treatment Options

The idea behind Sleep Apnea treatment is to keep the respiratory tract open and also prevent interruptions in breathing during sleep. Numerous approaches made use of to minimize Sleep Apnea which consists of :

  • Behavior modification, which needs to include avoiding alcohol as well as CNS downers near bedtime, Weight Loss and sleep pose modification, Use of sleep apnea pillow.
  • Tracheostomy, where a little opening is made in the throat or windpipe listed below the point of blockage and a little tube is placed. This tube is only opened up throughout resting hours, so that air is able to move openly and directly right into the lungs, by bypassing the blockage that takes place in the throat during sleep.

Surgical Treatment Such as UvuloPalatoPharyngoPlasty (UPPP).

UPPP is the most typical kind of surgical procedure used to treat Sleep Apnea. It removes all the redundant tissue from the vocal cords.

An additional fairly new procedure in the therapy of the Sleep  problem Sleep Apnea is radiofrequency ablation (RFA), that makes use radio frequency energy to remove cells from the Uvula, soft taste and also tongue consequently assisting treat Sleep Apnea. The elimination of enlarged Tonsils or Adenoids is one of the most practical options in the therapy of Sleep Apnea in youngsters and also teenagers.

Laser-assisted Uvulopalatoplasty (LAUP)

Laser-assisted Uvulopalatoplasty (LAUP) is a treatment which is done by a professional in his/her office. It includes making use of a laser to eliminate a component of the soft taste, reduce the Uvula (the soft cells that hang from the roofing system of your mouth at the entrance to your throat) and get rid of excess tissue from the Pharynx.

Oral home appliances might be utilized to reposition the reduced jaw and also tongue, hence opening up the throat to allow air to flow easily while aiding treat Sleep Apnea. There are different gadgets used to prevent the tongue from dropping back over the airway.Continuous Positive Air Pressure (CPAP) Therapy.

Continuous Positive Air Pressure (CPAP) Therapy.

Continuous Positive Air Pressure (CPAP) therapy, which is an effective noninvasive clinical treatment to eliminate snoring and also stop Sleep Apnea. The machine carefully strikes pressurized air flow through the nasal  at a stress which is high sufficient to stop falling down of the airway in throat  throughout during sleep.

Following are the Parts of a CPAP machine.

  • A mask which covers the mouth and nose.
  • A tube which connects the mask and the pump.
  • Prongs which covers the nose and mouth.
  • A pump to increase the positive flow of air into the lung
  • A mask which only covers the NASAL or NCPAP (Nasal Continuous Positive Airway Pressure).

There are other options also available for like CPAP for mouth breathers Nasal, Hybrid, Full face, Nasal Pillow, Nasal Prong, Oral and total face.

To make the CPAP machine more congruent with the user, BiPAP is also available in the market with two airway passage iPAP for inhalation of air and ePAP for exhalation of air which supports the breathing process both in and out of the lungs. The only difference between the BiPAP and CPAP is CPAP has only inhalation hose.

CPAP and BIPAP Machine Settings

CPAP Settings
If CPAP is used, start with low pressures (5 cmH2O) and increase in increments of 2 cmH2O as tolerated by the patient. Respiratory goals may include an exhaled tidal volume greater than 7 mL/kg, a respiratory rate of less than 25, oxygen saturation greater than 90%, and perhaps most important, patient comfort.

BiPAP Settings 

With BiPAP, the IPAP setting may range from 4-24 cmH2O, while the EPAP setting may vary from 2-20 cmH2O. Typical initial settings for BiPAP are levels of 8-10 cmH2O IPAP and 2-4 cmH2O EPAP. These settings presume that the lower pressures will allow patient tolerance and training. When using BiPAP, remember that the inspiratory pressure must be maintained higher than the expiratory pressure at all times to ensure bi-level flow. Flow must be synchronized with patient respiratory efforts.

Bubble CPAP for Infants with Respiratory Distress Syndrome.

Bubble CPAP is a non-invasive ventilation strategy for newborns with infant respiratory distress syndrome (IRDS). It is one of the methods by which continuous positive airway pressure (CPAP) is delivered to a spontaneously breathing newborn to maintain lung volumes during expiration.

Benefits and Side Effects of using a CPAP

Well, there are pros and cons involved in using the CPAP or sleep apnea machine it could work wonders for some and at the same time may not work for someone. The user of CPAP should always consult a doctor before using the PAP therapy machines and also consult for the type of PAP machine suitable to one’s needs and level of adjustment with the BIPAP and CPAP treatments.

Benefits for using a CPAP Machine

  • The CPAP therapy has a way advantage over surgery and nonsurgical treatment for obstructive sleep apnea.
  • Reduction in the daytime sleepiness as the quality of sleep is enhanced by using the CPAP machine.
  • The partner of the patient of obstructive sleep apnea may sleep better due to soundless sleep.
  • May reduce in heart ailments as the air supply is positive and also the soundness of sleep gives better rest to the body and mind.
  • May Increase energy levels and rejuvenation in the body due to improved quality of sleep.
  • Improvement in cognition function and better focus during daytime activity.

Following are some of the initial side effects involved in using a CPAP Machine for Sleep Apnea.

  • The use of CPAP Device  may lead to excessive dreaming during the early use.
  • Some may experience dry nose and sore throat.
  • Due to the use of CPAP sleep apnea machine, may experience sneezing, runny nose and nasal congestion.
  • There is a rare chance of nose bleeding in the CPAP Machine users.
  • May lead to abdominal bloating or air in the stomach.
  • Some might experience irritation while using the mask and nasal prongs.

You should always check with the health care provider before the initiation of the CPAP Machine therapy and should discontinue using it in the case of long-term occurrence of discomfort and side effects. You can read here about CPAP side effects and pressure adjustment here.

CPAP brands and Manufactures.

There is wide range of big electronic giant’s manufacturing the CPAP machines which gives you a wide range of options and price range from which you could choose from, these companies are Resmed, Philips, Fisher and Paykel, DeVilbiss, Transcend, Aeiomed, Probasics and Puritan Bennet. You always go with the machine which suits your need and budget. You can find the CPAP Machine comparison and Reviews here

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