Sleep Apnea - A Sleep
Disorder That Can Be Fatal
Sleep Apnea is a serious sleep disorder
that can be life threatening and at times fatal. People with
sleep apnea often fall asleep normally; however, once asleep
their ability to breathe is blocked. Usually this inability to
breathe is caused by the muscles in the throat relaxing too
much and collapsing into the airway. The body then sends a
signal to the brain that breathing has temporarily been
blocked. This causes the person to wake up and start breathing
again.
The cycle of interrupted breathing can occur many times
throughout the night. These episodes can occur up to 50 times
an hour and last for ten seconds or longer. Often the person
that suffers from this sleep disorder is unaware that anything
is happening to them. They can not understand why they always
feel tired during the daytime.
The most common form of this sleep disorder is obstructive
sleep apnea, known as OSA. Some sufferers of obstructive sleep
apnea also suffer from cental sleep apnea. This sleep disorder
is then called mixed sleep apnea.
It is believed that obstructive sleep apnea affects between
18 - 20% of the adults in the United States. If this sleep
disorder is left untreated in can become life threatening and
in rare cases fatal. It is the underlaying cause of illnesses
such as heart disease, stroke, pulmonary hypertension and
systemic hypertension.
There are several method of treatments for sleep apnea, both
surgical and noninvasive. The first line of therapy for someone
suffering from moderate to severe sleep apnea is called
positive airway pressure. Known as PAP, positive airway
pressure is a noninvasive form of treatment. A machine delivers
a constant flow of air through a mask that is worn while
sleeping. The force of the air flow must be determined by a
sleep technician during an overnight sleep study. There are
three types of positive air pressure therapy, CPAP, BiPAP and
AutoPAP.
Dental devices are also used to treat this sleep disorder in
mild to moderate cases. Dental devices fall into two general
categories: mandibular, or lower jaw, advancing devices or
tongue retaining devices. Mandibular devices are used most
often. They attach to the upper jaw and pull the lower jaw and
base of the tongue forward. This shift in position keeps the
airway open.
Medications are generally not a successful form of treatment
for most people with sleep apnea. However, many of them do take
antidepressants and mondafinal.
Supplemental oxygen is often used in conjunction with a PAP
machine. Oxygen alone can not prevent the collapse of the
airway or sleep fragmentation. However, oxygen can prevent the
drop in the level of blood oxygen that occurs when the airway
collapses.
There are also surgical treatments for obstructive sleep
apnea that may be an option for some sufferers of this sleep
disorder. These include uvulopalatophrayngoplasty, somnoplasty,
corrective jaw surgery, palatal implants and tracheostomy.
People with this sleep disorder generally find that their
quality of life can improve with the proper treatment.
|