How to determine sleep apnea syndrome

If you have 7 hours of sleep at night, appearing 30 times longer than the 10 known respiratory arrest, which may be due to hypoxia and frequent arousal, constitute a health hazard, there was a series of clinical manifestations, medically known as sleep apnea apnea syndrome. The main manifestations are as follows: daytime clinical manifestations: lethargy; fatigue, sleep did not understand fatigue; memory loss, decreased ability to work, poor academic performance; excited irritability; morning headache, dizziness, dry mouth; impotence, loss of libido. The clinical manifestations of the night: snoring; frequent apnea; abnormal movements during sleep; insomnia, dreams, nightmares; polyuria, enuresis, hold your breath. If you find your family or friends have more abnormal, treatment should be positive.

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Sleep apnea syndrome in a special performance

1) during the day and fatigue, patients often feel fine dried fatigue, sleep does not recover from fatigue, especially in the morning or after lunch break last. And we usually feel fatigue after exertion is different, after a rest or even sleep after no significant improvement, and some actually worsened. 2) memory loss, mainly in recent memory loss, just said in the blink of an eye or just done something to forget, while still capable of childhood memories or old things up. Unresponsive, work, decreased learning ability, student achievement decreased. 3) After getting up early in the morning headache, dizziness, eye pain, and elevated carbon dioxide at night caused by hypoxia and hypercapnia on early morning blood pressure, rest well at night also have a role. 4), personality changes, with increased exacerbations. Irritability, emotional irritability; sometimes intermittent depression, manifested as depressed, not interested in things around, do not want to relate to people, when patients do not realize that they are sick, to persuade them to seek medical treatment more difficult. Although this apnea caused by the oxygen and carbon dioxide retention, but the family and social factors such as psychological stress caused by more important. Such as: sexual dysfunction or because the noise impact caused by the couple separated; snoring often make fun of my colleagues will become an object; travel, travel is limited; impact due to illness, decreased work capacity, error-prone. 5) sexual dysfunction, impotence. We have encountered several patients have been effectively treated, sleep apnea disappeared after about a month or so, sexual function returned to normal. We can see, sleep apnea syndrome, complex and diverse clinical manifestations, symptoms of varying severity, and the lack of specificity, can easily be mistaken for neurasthenia, it is noteworthy. As I have sleep apnea patients caused by hypoxia and repeated awakenings caused by a strong tolerance to sleep disorders, or even to sudden death at night will not feel any discomfort, particularly in the case of existing heart and lung disease, even more so.

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Abnormal movements during sleep is the performance of sleep apnea

Abnormal movements during sleep is the performance of sleep apnea syndrome

Abnormal movements during sleep and other anomalies: 1) hold your breath at night, late in the apnea, patients are often arousal, and even sat up suddenly, so that patients feel a sense of suffocation is fear. This is the treatment of patients with a common cause. Because of its cardiac insufficiency with paroxysmal nocturnal dyspnea appear very similar, which may be mistaken for heart disease and wrong treatment. 2) a small number of patients also frequently swinging limbs, tapping bed with people, some falling from the bed, sound asleep on the floor. 3) limb twitching, mostly for the law of unilateral lower limb or upper limb twitching, some neurological diseases caused by some effective treatment of sleep apnea syndrome disappear. 4) sweat, often wet pajamas, sheets, not because the room is too hot or the temperature is too high, but because of suffocation, forced breathing, hypoxia. 5) sometimes seen purple lips and extremities. 6) nocturia and nocturnal enuresis. Normal sleep at night to urinate more than 2 times those small, and some patients with sleep apnea syndrome urine 3 to 5 times. We have seen one case of female patients with no previous history of diabetes and a history of urinary tract infections, urinate during sleep as much as 1 hour, after the effective treatment of sleep apnea after night sleep, urinate into 1. Overseas studies suggest that increased frequency of urination and some blood can increase the diuretic hormone secretion. Occasionally, bed-wetting at night, may be associated with the reaction of the urine decreased ability to stimulate the bladder, it is worth noting that it may be due to hypoxia-induced seizures and urinary incontinence, or caused to be carefully identified. 7) Some patients take special sleeping position, such as the prone position, sitting, can reduce the breath. 8) grand mal epilepsy can be induced by hypoxia, but also the night of sleep epilepsy occurs, therefore, should be through the system of checks and effective treatment to clear seizures with apnea and hypoxia occurred in the relationship.

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Early morning eye pain is the performance of sleep apnea

Early morning eye pain is the performance of sleep apnea syndrome

Early morning eye pain: early morning eye swollen, the pain that many patients with sleep apnea syndrome symptoms, examination found that many patients with the highest IOP in the morning. Canada has been reported, a two generations of people, his mother and nine children in the four existing sleep apnea and glaucoma in combination, suggesting that apnea-induced changes in venous pressure and pleural pressure is caused by the causes of elevated intraocular pressure . However, the exact relationship between the two remains to be further confirmed. Also check that patients with sleep apnea syndrome fundus of the optic disc edema. We have seen one case of apnea per hour, 79 male patients, the carbon dioxide in the blood during the day to 6.40 kPa (48 mmHg), nighttime sleep of carbon dioxide in exhaled gas was 6.27 kPa (47 mmHg), are far much higher than the normal 6 kPa (45 mm Hg) below the level of sleep eye examination revealed conjunctival edema is very obvious.

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Stop mouth breathing at night is the performance of sleep

Stop mouth breathing at night is the performance of sleep apnea syndrome

Nighttime mouth breathing: a lot of conscious morning dry mouth in patients with snoring, get up at night to be drinking water, dry yellow tongue, lips chapped and permanently. These are related to the mouth breathing during sleep. Mouth breathing, nasal airflow without the temperature of the wet and dry air directly to the airway through the mouth into the throat, the long-term repeated stimulation, causing discomfort. Mouth breathing during sleep because a lot of people, which has long been mistakenly think that this is the normal performance during sleep, it is not. When supine sleep, tongue after the fall, often blocked airway, apnea, mouth, the lower jaw forward, along with tongue forward, respiratory expand easily through the air, showing that mouth breathing during sleep is a sleep apnea kind of compensatory response. We found that application of mechanical positive airway pressure treatment of sleep apnea, mouth breathing during sleep and discomfort caused by a series of performance all but disappeared. Patients had a very typical, in the treatment, due to the treatment of pressure is not high enough to set, so there airway obstruction and mouth breathing, increased pressure on the ventilator, the mouth breathing disappeared.

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Frequent respiratory arrest is the performance of sleep apnea syndrome

Frequent respiratory arrest is the performance of sleep apnea syndrome

Frequent respiratory arrest: in sleep, breathing person is not an absolute rule, for example, just go to sleep or wake up in time, a brief breathing occasionally intermittent, especially in the dream, the depth of breathing often uneven, which are is a normal physiological change. However, sleepiness apnea syndrome is different, frequent apnea, and will continue to tens of seconds or even minutes. According to the different conditions, apnea occurs time is different, some sleep as long as the specific period or supine position there, while others continued all night. Most of the patients I am ignorant in all sleep; some patients, although it will be repeated arousal, but do not know the reasons for waking up, often complained about his insomnia. Apnea is most commonly found in the patient’s spouse, common life got used to each other’s breathing, suddenly no sound but do not sleep this is not practical, so whenever there apnea, snore stop, his wife would wake up , saw her husband struggling, even Biede lips purple, covered with sweat, until with a loud snoring, her husband returned to ventilation, they will be relieved. Some will be awakened by her husband, in order to avoid unexpected. Careful record of her husband’s wife will be the number of seconds to stop breathing. Accompanied by the fear that every night, and often tried to persuade her husband to become his wife, the reasons for treatment. And vivid picture of his wife, doctors often provide useful clues to the diagnosis, according to research, according to the families of patients with an accurate description, the preliminary diagnosis accuracy rate of 90%.

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Sleepiness is the performance of sleep apnea syndrome

Sleepiness: mainly fall asleep during the day can not be suppressed, regardless of the time, place, in a meeting, car, watching TV, reading, and lectures will also involuntary sleep, snoring loudly. The most serious illness and even talking with people will sleep soundly. About the patient’s normal sleep time up to 10 hours, if conditions permit, you can all day long lethargy. You might ask, “sleep so long, why does he fall asleep?” The reason is that although they sleep a long time, but the poor quality of sleep. Deep sleep is normal, only the deep sleep in order to reduce fatigue, keep a clear head during the day, and sleep apnea syndrome patients because of frequent apnea, often from sleep arousal, rarely into deep sleep. Day after day, year after year, they will feel that they have never slept a good sleep. Application of scientific examination methods also found that they feel is right. Excessive sleepiness is often moderate to severe sleep apnea syndrome in patients with a performance, we analyzed 80 patients diagnosed with sleep apnea syndrome in patients with clinical symptoms found in 40 per hour, apnea more than 23 cases of severe patients, 22 had a history of daytime sleepiness can not be suppressed, and the hourly apnea less than 10 times in 20 patients, only 1 case of lethargy history. Sleepiness is a common cause of patient treatment. It is noteworthy that some patients with sleep apnea syndrome, sleep did not realize that they have any questions, because there sleepiness is a gradual process, can take years, decades of progress in performance was only the more obvious , and the number of tolerance for the lack of sleep is also larger, so mild drowsiness is often mistaken for changes due to age, fatigue, mental stress and other reasons, failed to timely diagnosis and treatment. In addition, the drowsiness may be a number of other diseases and sleep-related performance, such as sleep, cataplexy syndrome, or because of short sleep duration, sleep phase change, abnormal movements during sleep, the influence of drugs, etc., must be carefully identified.

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Snoring is the performance of sleep apnea syndrome

snoring: sleep snoring is a common phenomena of life, sleep apnea syndrome is the most common and typical symptoms. Snoring is due to air flow through the vibration of the soft palate after a narrow airway, the soft tissue around the throat generated. In general, the louder the snoring marked airway, the more obvious, but important to note that not snoring sleep apnea syndrome, the greater the more serious condition. In addition, sleep apnea syndrome is different from the ordinary snorers snoring snoring. 1) sleep apnea syndrome and not the law of loud snoring, intermittent, voice fluctuated, often the “whirring” few times tends to silence, tens of seconds after the loud snoring. The general snorers snoring is uniform and regular. 2) a serious condition of sleep apnea syndrome lateral position or supine position, whether, even in the meeting, when the car will be snoring loudly, but also in the process will sleep all night continuously. In other words, they are habitual snorers. And more than ordinary snoring snoring patients sleep in the supine position, after the fatigue and alcohol or worse. A small number of patients with sleep apnea syndrome, snoring history denies. Usually found in the following situations: patients themselves often do not know their snoring, which asked whether the snoring, it will also not hesitate to say “no”, and its love or friends you can often provide accurate situation. The best way is to use the recorder to the patient’s snoring recorded. If the patient has respiratory failure occurred or while suffering from neuromuscular disorders, respiratory muscle weakness, not strength enough to make the air flow speed through the narrow airway, snoring naturally much smaller or even disappear. apnea in some patients is due to brain lesions such as brain tumors, cerebral ischemia or heart failure due to central sleep apnea, central nervous system because of poor respiratory drive, the occurrence of nerve impulses enough to produce an effective muscle contraction, and therefore can not produce high-speed airflow, snoring is not so loud. Some of these patients is due to ENT surgery can channel around the vibration of the soft tissue (such as the soft palate, uvula, etc.), and therefore, although the occurrence of apnea, but no snoring occurs. As the loud snoring often causes patients to seek treatment, surgery snoring away, the patient’s family members are often mistaken for a successful operation while ignoring the still frequent occurrence of apnea, the patient dying in silence, this is a very dangerous the situation.

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Sleep apnea syndrome, performance characteristics

A night of sleep, breathing stops more than 10 seconds duration are considered apnea, decreased oxygen in the blood at this time, the body in a hypoxic state. If the apnea occurs frequently, more than 5 times per hour – or 7 hours of sleep for more than 30 times, Jinian after year, no effective treatment, it will cause serious consequences, a series of pathophysiological changes, can be diagnosed with sleep apnea syndrome. It is different from a certain kind of simple diseases, is caused by a variety of clinical syndromes. Because apnea occurred, interrupted breathing air, oxygen, and patients with recurrent awakenings from sleep, endanger various body systems, complex and diverse clinical manifestations. The main clinical manifestations such as snoring, apnea, abnormal limb movements during sleep occurs at night so sleep, I have generally not aware of patients; the wife, children or friends, although often encounter patients with the occurrence of apnea, suffering noise disturbance, in fear and worry to spend a sleepless night after another, but it is difficult with these patients daytime drowsiness, irritability, and memory impairment associated with, some mistakenly believe that the sleeping snoring performance; due to limited knowledge, even if the individual were thus four visits, it is often misdiagnosed as heart disease, neurosis, and even some doctors a cold “or snoring disease?” and turned away. All this makes the understanding of sleep apnea syndrome, the main symptoms, coupled with careful observation, without the aid of instruments to help, you can roughly estimate your family, friends, or whether you may be suffering from sleep apnea syndrome, for further medical treatment for an accurate diagnosis, treatment, provide clues. Since 1989 to carry out the diagnosis of sleep apnea syndrome and treatment, we have been through the self-designed questionnaire statistics of the clinical symptoms of hundreds of people, through the instrument of accurate diagnosis, analysis found that the frequency of symptoms and see the next article, consistent with the foreign reports. The most important clinical manifestations of sleep snoring, daytime sleepiness and frequent apnea.

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Sleep apnea syndrome, performance characteristics

loud and uneven snoring. stop breathing during sleep phenomenon. abnormal movements during sleep. daytime sleepiness, watching television, meetings, car, lectures irresistible sleep. daytime fatigue, weakness, head groggy. obesity. morning dry mouth, headache, dizziness. memory loss, slow, poor academic performance, personality changes. male sexual dysfunction. nocturnal enuresis. Of course, not every patient with clinical features of the above, especially in the mild, the patients themselves are often unaware, his wife, children, friends are often the best opportunity to observe the onset of apnea patients, their observations and narrative can often provide valuable diagnostic clues. Visible, sleep apnea syndrome is a higher prevalence of harmful diseases, the medical profession know it has gone through a long process, until recent years to have a better understanding.

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