Sleep Respiratory Disease (Obstructive Sleep Apnea Syndrome)
Recurrent respiratory disorders (apnea, apnea, hypopnea: hypopnea) develop as a result of obstruction of the throat during sleep.
It causes sleep interruption due to the complete interruption of breathing or a considerable decrease in sleep during sleep, and causes a decrease in the proportion of oxygen in the body. Breathing ends with waking, breathing starts again. When alertness occurs in the nervous system, the effect of the relevant nervous system on the heart and vessels causes the blood pressure to rise. Degradation of sleep affects metabolism and sexual functions. Obstructive sleep apnea syndrome is therefore an important health problem that affects many body systems.
Patients often disgrace in a noisy way, have not received their morning sleep, wake up unrestrained. With the cause of insomnia, disturbances in mental ability and sleepiness during the day can develop.
Excessive weight, causes in the throat tightness, alcohol intake in the evening, some drugs aggravate respiratory arrest in sleep. The use of non-prescription medicines can be detrimental to the use of medicines related to sleep without knowing the underlying problem.
Obstructive sleep apnea syndrome is diagnosed in the sleep laboratory for sleep and respiratory changes. It is also necessary to work in sleep laboratories to regulate treatment in patients who will undergo pressure therapy
The prospect of community health can be summarized in three main sections:
Sleep disordered breathing is a common condition in the community: The most common cause of excessive sleepiness is known as sleep apnea syndrome (obstructive sleep apnea syndrome). It has been shown in studies that obstructive sleep apnea syndrome is present in 4% of men and 2% of women in adulthood. Up to 3% of cases have been reported in studies conducted in children. However, very few of the patients are diagnosed. It is estimated that only 1/10 of the patients can be diagnosed in USA where sleep laboratories are common.
Obstructive sleep apnea syndrome leads to major health problems (illness and death). Clinical consequences such as sleep disturbance, decreased oxygen, increased hypertension in patients with sympathetic nervous system hypertension, respiratory and cardiac insufficiency, stroke, impaired cardiac rhythm, and overweight (obesity) may develop. Insomnia can lead to accidents in people who use vehicles that require careful attention. Patients' compliance with their surroundings may deteriorate, job performance and quality of life may decrease. Studies have shown that the life expectancy of patients with obstructive sleep apnea hypopnea syndrome is reduced compared to the non-ill persons due to the mentioned disease outcomes and the expectation of life expectancy by treatment can be increased. Increased cardiovascular disease in these patients may result in fatal outcomes. This suggests the importance of obstructive sleep apnea syndrome in terms of community health.
Obstructive sleep apnea syndrome is a treatable disease. In obstructive sleep apnea syndrome, efficacy has been shown for today, it is a pressure therapy applied through mask in the form of treatment. The purpose of the treatment is to keep the upper airway, which has increased tendency to close during sleep, by giving positive pressure from the outside. Surgical treatment may be appropriate for patients with moderate disease who are not overweight and have anatomic stenosis in the upper airway. The other treatment that can be selected in these patients is oral devices (oral appliance). It can be said that treatment can reduce or eliminate the negative consequences of obstructive sleep apnea syndrome.
In summary, obstructive sleep apnea is an important public health problem threatening the quality and duration of the hypopnea syndrome. It needs to be recognized and treated appropriately in terms of patient and community health. Diagnosis and treatment are possible when referring to health centers, sleep laboratories related to the subject.