The MAG Vietnam Vol 7 March 2017 | Page 24

Medical Opinion

Answers

False Sleep apnea can cause loud snoring, but just because you snore doesn ' t mean you have sleep apnea. Some 45 % of men and 30 % of women snore regularly. Most cases are harmless. But anyone who snores nightly and has other symptoms –– like pauses in breathing at night or daytime sleepiness –– should talk to a doctor to rule out sleep apnea.
All It ' s important to treat sleep apnea, and not just because of daytime sleepiness. When oxygen levels in the blood drop, your body responds by releasing stress hormones and partially waking you up –– as many as 400 times a night. Over time, exposure to those hormones increases the risk of high blood pressure, heart attack, and stroke. The chronic exhaustion caused by sleep apnea increases the risk of depression. Daytime sleepiness is also a leading cause of car accidents.
Playing the didgeridoo One study found that practicing the Australian wind instrument called the didgeridoo –– for about 25 minutes a day six days a week –– improved sleep apnea symptoms like daytime sleepiness. Researchers speculated that playing the instrument strengthened the muscles around the airways, preventing them from collapsing during sleep.
Both Obesity is clearly linked with the risk of obstructive sleep apnea. As fat builds up in the throat, it narrows the airways, making airway obstruction more likely. But it seems that sleep apnea itself –– and the fragmented sleep it causes –– triggers hormonal changes that make you hungrier and increase the risk of weight gain.
Blows air to keep the airways open during sleep CPAP uses a constant gentle stream of air through the nose to stop the airways from collapsing while you breathe. A small device with a fan pushes the air through a tube and facemask. Although CPAP can take some getting used to, it ' s worth the effort. CPAP can ' t cure sleep apnea – you have to keep using the machine –– but it dramatically reduces the symptoms. It can also help reduce your risk of heart disease, stroke, and diabetes, health problems that are associated with sleep apnea. True
As you get older, the brain has a harder time keeping the muscles in the airways tight during sleep. During the night, they ' re more likely to sag, closing off the airways and momentarily cutting off the oxygen supply. Treating OSA is important because it ' s linked with other medical problems like high blood pressure, heart disease, heart failure, and atrial fibrillation. According to experts, at least one in 10 people over age 65 have sleep apnea. People stop using it For the majority of people with sleep apnea, CPAP improves their symptoms and their sleep. But it only helps as long as you use it-- if you stop, symptoms come back. And according to studies, 50 % of people give up on treatment within a year, most of them in the first month. Why? They don ' t give themselves a chance to get used to the treatment. If your CPAP isn ' t working for you, don ' t give up. Talk to your doctor. If you ' re not using CPAP as recommended, talk to your doctor. There are different kinds of machines and masks, and you may be able to switch to one that you ' re more comfortable using.
All of the above While CPAP is the standard treatment, losing weight if you are overweight often helps, too. Sleeping on your side may help, since airway collapse and obstruction tend to be worst when sleeping on your back. Some people prop themselves on their side using special pillows or wear something that makes sleeping on their backs uncomfortable. And there are devices you can wear in your mouth that push your jaw forward to help keep the airway open. For some people, having surgery to widen the airway may help. A surgeon might remove the tonsils or excess tissue from the back of the throat or stiffen the area by implanting a plastic insert.
Overnight sleep study Although your doctor will ask questions about your symptoms and will check your mouth, nose, and throat for excess tissue, the only definitive test for sleep apnea is an overnight sleep study. It can be done at a sleep clinic or sometimes at home using portable equipment. It doesn ' t hurt – a technician places sensors on your head, face, chest, arms, legs, and finger and records the information. Although people may worry they won ' t sleep during the test, most people sleep enough so that the technician gets the information that ' s needed.
24 The MAG Vung Tau