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Sleep apnea - La clinique du sommeil

Obstructive sleep apnea

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The obstructive sleep apnea (OSA) is a breathing disorder that occurs during sleep and can be life threatening. The term simply refers apnea and obstructive respiratory pause which means there is a blockage in the flow of air.

It is the breathing disorder sleep most common. The upper airway (larynx) are blocked, because the language and throat muscles relax during sleep and, therefore, cause respiratory arrest (apnea) or shallow breathing (hypopnea) and sleep little repairman . Lack of sleep leads to chronic sleepiness during the day. The upper airways (larynx) are blocked, because the tongue and throat muscles relax during sleep and, consequently, causing respiratory arrest (apnea) or a low breathing (hypopnea) and sleep of little repair . Lack of sleep leads to chronic sleepiness during the day. 

Signs and symptoms of sleep apnea   

* please note that a person with sleep apnea rarely presents any symptoms listed below and even, on occasion, very few symptoms.   

The most common symptoms   

Loud snoring, snoring with breathing pauses, excessive sleepiness during the day, with choking arousals during sleep.   

Other symptoms   

Frequent comings to the bathroom at night, insomnia and unrefreshing sleep, morning headaches, difficulty concentrating, memory loss, irritability, depression, intellectual capacity problems, gastroesophageal reflux, nocturnal angina, decreased libido, overweight, obesity.   

If you have the following medical conditions, you also have a higher risk of suffering from sleep apnea: Hypertension (high blood pressure) angina and arrhythmia depression myocardial infarction atrial fibrillation (abnormal heart rhythm) paralysis, diabetes, high cholesterol, hypothyroidism, wide neck: men: 17 inches or 43 cm, the woman 16 inches or 40.5 cm   


The long-term consequences are diverse high blood pressure (hypertension) disease in the arteries of the heart (coronary) heart attack (myocardial infarction) power flow problem at the heart (atrial fibrillation) Stroke (cerebrovascular accident) problem of blood flow to the heart (cardiac insufficiency). 


Which test should be done for confirmation of obstructive sleep apnea (OSA)? 

Confirmation for diagnosis of Obstructive Sleep Apnea based on complete polysomnography and respiratory polygraphy.


CPAP (Continuous positive airway pressure) or PPC (continuous positive airway pressure) 

The most common treatment for sleep apnea, in which the airway remains open during sleep, can correct your apnea, reduces arousals and regulates your levels of oxygen in the blood and pulse . Allows a longer and deeper sleep. 

CPAP is a breathing apparatus silent, which blows air through the nose, leaving the airway open during sleep. CPAP prevents upper airway collapse. 

  • Abolition of apneas and hypopneas.
  • Decreased arousals.
  • Stabilizes the blood oxygen.
  • Stabilizes the pulse (prevents high blood pressure).
  • Decrease in daytime sleepiness.
  • CPAP prevents upper airway collapse.

The airways are blocked in obstructive sleep apnea. Whether snoring, resistance of the upper airways, hypopneas or apneas, there are always events such respiratory events. These events are in the form of pulse rise and fall of oxygen in the blood resulting in arousals. These fragment and disturb our sleep cycles and stages of our sleep. It follows unrefreshing sleep and daytime sleepiness. 

Weight loss 

Obesity is not conducive to proper breathing during sleep. Most obese people complain of fatigue in the morning and unrefreshing sleep. 

Surgery (UPPP - Uvulo-pharyngo-plasty-palatho)

This surgery is performed by an otolaryngologist (ENT) in very special cases. It involves removing the uvula and soft palate part to clear the upper airways. Polysomnography is required before surgery. 

It can also be laser LAUP (Laser Assisted uvulopalatoplasty)  

Therapy with oral prosthesis 

Prosthesis oral therapy is used in cases of snoring and mild obstructive sleep apnea syndrome sleep. Its effect is to increase the space of the oropharynx by advancing the mandible and lower language, which helps to keep the upper airway open during sleep. 

Any treatment must be prescribed by your doctor.


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