Sleep apnea

Sleep apnea can occur due to a problem in the central nervous system (Central Sleep Apnea) or a blockage of the airways (Obstructive Sleep Apnea). Sometimes these two conditions coexist (Compound Sleep Apnea). In the evaluation of this disease, not only the respiratory arrest (apnea) but also the decrease in respiration (hypopnea) are taken into consideration.
Problems such as high blood pressure, noisy snoring, fatigue, excessive irritability, depression, forgetfulness, lack of concentration, morning headache, uncontrollable obesity, sweating during sleep, frequent urination, and heartburn may result from sleep apnea. Patients may have one, more or all of these problems, depending on the level of the disease.
Sleep apnea, which is accepted as one of the most important diseases of our age, can result in death unless precautions are taken. It is not well known in the community that the disease has such serious consequences. The majority of people who are infected do not usually go to the doctor because they do not recognize or care about the disease.
Respiratory arrest (apnea) or decreases (hypopnea) can be repeated hundreds of times during the night, and only a few of them are recognized by the relatives of the patient. For these reasons and in terms of its consequences, sleep apnea is described as an insidious progressive disease by experts.
Sleep apnea is a vital disease that requires immediate treatment. If it cannot be treated in time, it causes problems such as heart attack, stroke, impotence, irregular heartbeat. It also causes excessive daytime sleepiness, which can lead to accidents, inefficiencies and social problems. Studies have shown that daytime sleepiness also leads to traffic accidents.
Medically seriously accepted sleep apnea is high in society. Although sleep apnea is more common in adults, men, snoring, menopausal women, the elderly, and overweight, this disease is also found in children, young women and weak people. In short, sleep apnea is a disease that can be seen at any age.
It occurs in at least 2% of women and 4% of men. These figures show that the disease is as common as asthma and diabetes.
Sleep apnea in children may be due to large tonsils and nasal flesh. In addition, alcohol and cigarette addicts, sleepers in the wrong sleep position, overweight, those with lower jaw developmental retardation, short neck height, allergies, anti-histaminic, muscle relaxants or tranquilizers who use drugs such as sleep apnea risk is high.

Although sleep apnea is a serious illness that can cause vital health problems, it is very difficult for the patient to recognize the symptoms of sleep apnea. The patient is usually aware of abnormal conditions in sleep when his spouse or relatives notice. The following are the most important symptoms of the disease:

Irregular breathing: The most important symptom of sleep apnea is sudden breathing pauses, very noisy snores and sighs during night’s sleep. These breathing disorders are different from soft and mild snoring in most people. In most snoring people, this type of snoring occurs more often when sleeping on your back. Snoring as a result of sleep apnea can occur in any position. The patient with sleep apnea tries to sleep uncomfortably with hand and arm movements.

Stopping breathing during sleep: Irregular breathing may occur in many people during sleep, waking or dreaming, depending on the situation. On the other hand, patients with sleep apnea often have recurrent long-term respiratory arrest. These respiratory pauses are one of the most important symptoms of sleep apnea. Respiratory pauses in patients with apnea, starting from 10 seconds, can last for more than one minute. Sleep and oxygen deficiency occurs in people who struggle more than 10 times per hour during their sleep and suffocate with breathing stops for 10 to one minute. As a result, major problems are encountered in patients.

Excessive daytime drowsiness: Patients who feel tired during the day due to poor sleep quality at night may be asleep while reading books or watching television. This is especially important for patients driving. Patients with sleep apnea have an 8-fold higher risk of traffic accidents. This results in unbelievable fatigue and inability to concentrate.

There are three basic types of sleep apnea:
It is obstructive, connected to the center, ie the respiratory center in the brain, and a mixture of the two. According to studies, approximately 84% of patients have obstructive sleep apnea, 1% central sleep apnea and 15% compound sleep apnea.

Obstructive Sleep Apnoea (OSA): Obstructive Sleep Apnea (OSA) occurs as a result of relaxation of the muscles in the throat to close the area where air will pass. These muscles belong to soft palate, small tongue, pharynx and tongue. When these muscles relax, the airway narrows during breathing and stops breathing for a while. As a result, the amount of oxygen in the blood decreases, the brain senses this decrease and tries to re-open the airway by decreasing the depth of sleep or waking the person. Following a decrease in the depth of sleep, breathing is resumed by one or two short breaths in some people and by severe snoring and swallowing sounds in others. When this level of sleep apnea is not possible to go to deep sleep at all, the person sleeps in a breathing effort and needs to sleep during the day. People with sleep apnea are often unaware that their sleep is interrupted and think they sleep well.

Central Sleep Apnea (CSA): Central Sleep Apnea (CSA) is much less common and occurs when the brain does not send signals to the muscles that control breathing. The person wakes up as a result of the increase in carbon dioxide and the decrease in oxygen in the blood. Patients with central sleep apnea remember their waking periods more than those with obstructive sleep apnea.

Mixed Sleep Apnoea (MSA): In patients with Compound Sleep Apnea (MSA), apnea first shows signs of obstructive sleep apnea. The patient experiences approximately 20 to 30 occlusions per hour. After treatment of obstructive type of apnea, the disease center shows signs of sleep apnea more prominently. Although this type of apnea has been observed for many years, it has been categorized as a separate species by experts in recent years.

The biggest risk factor in sleep apnea is being overweight. Our overweight can narrow the upper airways and force air passage, which causes sleep apnea.
Age is another determining risk factor. With age, muscle mass decreases. Decreasing muscle mass replaces fat. This oil narrows the airway.
Gender is also a determining factor in sleep apnea. Protects female hormones from apnea Men are at greater risk than women.
Anatomical disorders; for example, having the lower jaw behind increases the risk of sleep apnea.
Excessively large tonsils and nasal flesh are the main cause of apnea, especially in children.
Sleep apnea does not show genetic inheritance However, if others have apnea in the family, this increases the risk.
People who use alcohol or sedatives are at risk.
Smoking inflates and narrows the upper airways. Narrowed upper airways cause apnea.
Few studies of thyroid glands, vocal cords paralysis, Down syndrome, Marfan syndrome, Acromegaly are at special risk for some diseases.
In patients with nasal obstruction, sleep apnea is at risk.
Recent studies have shown that patients with heart attacks are at risk for sleep apnea.

The effects of sleep apnea can be listed as follows:
High blood pressure: Sleep apnea alone is an independent risk factor for high blood pressure.
Noisy snoring: Snoring increases in proportion to the constriction of the upper respiratory tract, usually in the area behind the tongue. Not every snoring person has sleep apnea, but if the snoring is irregular, with occasional breathing difficulties, there is a possibility that the person may have apnea and the expert opinion should be sought.
Irregularities in heart enlargement and heart rate: Irregularities in the heart rhythm, especially in older ages, cause sudden cardiac arrest and cause sudden death during sleep.
Frequent urination
Excessive sweating during sleep
Insomnia and restless sleep
Tiredness in the morning, tiredness during daytime and sleepiness: Fatigue persists all day, most of the patients sleep or sleep when they have the opportunity. Patients with advanced sleep apnea have been reported to fall asleep for a short time at traffic light.
Excessive and rapid weight gain: Due to sleep apnea, people who cannot fully rest at night will have a slow metabolism during the day. This causes patients to spend less energy and gain weight. Patients with sleep apnea have difficulty in losing weight.
Difficulty in concentration: Studies have shown that drowsiness during daytime and lack of concentration also lead to traffic and work accidents.
Depression and behavior disorders
Sexual reluctance, inadequacy
Morning headache and dry mouth
Heartburn
Hyperactivity in children
Insulin resistance: Patients with sleep apnea are more likely to develop diabetes.
Stroke and heart attack: Stroke and heart attack rates are higher in these patients. In the long term, this disease causes serious problems such as heart attack, stroke and brain and vascular blockages.
Pulmonary hypertension: These patients may also have high pressure in the lung vessels.

Can’t you get up in the morning?
Are you tired?
You Horluyormus?
Failure to sleep adequately as a result of deterioration of sleep in terms of quality, duration and timing causes serious health problems. Sleep often interrupted and completed without rest causes fatigue, weakness, forgetfulness, difficulty concentrating, stress and loss of labor. It also increases the likelihood of accidents and mistakes.
Sleep Apnea is one of the most common sleep probes. Sleep Apnea causes serious health problems as well as deterioration in quality and efficiency of sleep.
If you have any of the following complaints, it would be appropriate to do your sleep apnea examination:
Feeling sleepy during the day, sleepless as you stay empty
They say you snore violently at night
It is said that your snoring is stopped by breathing.
He wakes to go to the bathroom a few times at night
Sweating on your chest, head or neck at night
Feeling extremely tired and sluggish during the day
If you have forgetfulness
If you get angry quickly and easily
If you have high blood pressure
You gain weight continuously and uncontrollably

The effects of sleep apnea can be listed as follows:
High blood pressure: Sleep apnea alone is an independent risk factor for high blood pressure.
Noisy snoring: Snoring increases in proportion to the constriction of the upper respiratory tract, usually in the area behind the tongue. Not every snoring person has sleep apnea, but if the snoring is irregular, with occasional breathing difficulties, there is a possibility that the person may have apnea and the expert opinion should be sought.
Irregularities in heart enlargement and heart rate: Irregularities in the heart rhythm, especially in older ages, cause sudden cardiac arrest and cause sudden death during sleep.
Frequent urination
Excessive sweating during sleep
Insomnia and restless sleep
Tiredness in the morning, tiredness during daytime and sleepiness: Fatigue persists all day, most of the patients sleep or sleep when they have the opportunity. Patients with advanced sleep apnea have been reported to fall asleep for a short time at traffic light.
Excessive and rapid weight gain: Due to sleep apnea, people who cannot fully rest at night will have a slow metabolism during the day. This causes patients to spend less energy and gain weight. Patients with sleep apnea have difficulty in losing weight.
Difficulty in concentration: Studies have shown that drowsiness during daytime and lack of concentration also lead to traffic and work accidents.
Depression and behavior disorders
Sexual reluctance, inadequacy
Morning headache and dry mouth
Heartburn
Hyperactivity in children
Insulin resistance: Patients with sleep apnea are more likely to develop diabetes.
Stroke and heart attack: Stroke and heart attack rates are higher in these patients. In the long term, this disease causes serious problems such as heart attack, stroke and brain and vascular blockages.
Pulmonary hypertension: These patients may also have high pressure in the lung vessels.

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