How is Sleep Apnea Revealed When Lying On The Back in Deep Sleep?

How is Sleep Apnea Revealed in Deep Sleep?

How is Sleep Apnea Revealed in Sleep? - Sleep Apnea Symptoms, Diagnosis, Treatment - Polysomnography (Sleep Test)
Sleep apnea is more than 10 seconds of breathing stop during sleep. It is mostly due to airway obstruction and this is called "obstructive sleep apnea". Cessation of breathing due to failure of the respiratory center of the brain is called "central sleep apnea".

Below you can watch a beautiful animated video that shows how the tongue root and soft tissues are spreading backwards and how the airway closes and where the sleep apnea emerges.

Sleep apnea means that the person stops breathing during sleep or slowing down during sleep. Sleep apnea should be treated. Obstructive sleep apnea (OSA) is a condition in which breathing is stopped unintentionally during a short period of time during sleep. Normally, air always flows smoothly through the mouth and nose into the lungs. The periods when breathing stops are called apnea or apnea episodes. In obstructive sleep apnea, normal airflow is stopped repeatedly during the night. As the airway space in the Bosphorus area is very narrow, the air flow stops. Snoring is a symptom of sleep apnea.

Sleep Apnea Symptoms

In the case of dystocia, the most important symptom of sleep apnea is the cessation of breathing during sleep.

List of the symptoms of sleep apnea as follows;
  • Excessive sweating
  • Restlessness during sleep transition and sleep
  • Do not urinate frequently during sleep
  • Intense headache
  • Dry mouth (snoring)
  • Gastric disorders such as reflux
  • Weakness and tiredness
  • Problems with caution
  • Depression and mental tension
  • Continuous sleepiness problem during the day
These symptoms are among the symptoms of sleep apnea. People with such problems should always consult with a specialist.

Sleep apnea is a major discomfort. Depending on the sleep apnea, the person may experience various disorders.

Some of these disorders;
  • Sudden death during sleep
  • Heart attack and heart failure problems
  • Difficulty in losing weight (especially if the patient is obese)
  • Stroke or stroke
  • Loss of sexual desire
  • Respiratory failure in lung patients
The above disturbances are serious disturbances caused by sleep apnea. In these cases, people must consult with a specialist who is interested in sleep medicine and be treated.

Who Is At Risk of Obstructive Sleep Apnea?

The risk of OSA increases if you have conditions or features that narrow the upper airway. The risk factors of OSA include:

  • children with swollen tonsils and adenoids
  • men with collar size 17 inches or more
  • women with collar size 16 inches or more
  • big tongue
  • the lower jaw is shorter than the upper jaw length is retrognati
  • a narrow palate or airway that may collapse more easily
Heart disease is more common in obese people and obesity is a risk factor for heart disease, high blood pressure and sleep apnea.

How is Obstructive Sleep Apnea Diagnosed?

The diagnosis of sleep apnea begins with a thorough history and physical examination. Daytime drowsiness and snoring history are important clues. Your doctor examines your head and neck to determine any physical factors associated with sleep apnea. Your doctor may ask you to complete a questionnaire about daytime sleepiness, sleep habits and sleep quality. The Polysomnography test that can be performed.

What is the polysomnography test?

Polysomnography is a test for the diagnosis of sleep disorders. Often; Although it is used to investigate the presence of sleep-disordered breathing as a result of sleep breathing and sleep snoring, it is also used to detect more rare conditions such as sleep disturbances, sleep terror, sleep paralysis, narcolepsy and parasomnia. The chest physician or ent doctor will ask for polysomnography if you suspect that you have sleep apnea syndrome.

When you wake up in the morning, all connections are removed and you can return to your home or work. Your doctor will then review your records and prepare a polysomnography report. The required treatment method will be determined according to the test result. If you have a sleep problem and your doctor has advised you to have a polysomnography, you can learn the cause of your sleep disorder by taking this test and have a healthy sleep as a timely treatment. A healthy sleep means a healthy life.

What is the purpose of the polysomnography test?

Polysomnography, also called sleep test, is a test used to diagnose sleep disorders. Polysomnography records blood oxygen levels, brain wave movements, breathing, heart rate and eye and leg movements during sleep testing.

How is polysomnography done?

Polysomnography, also known as sleep testing, is usually performed in a hospital in the "Sleep Disorders Unit" or in the Sleep Center. The sleep test usually takes place during the night so that we can sleep at night and save your sleep pattern. But it can also be done during the day for workers working with a sleeper system during the day.

Polysomnography (sleep follow-up test) should not be used in patients with severe psychiatric disorders, those with intellectual disabilities and those with high fever. This test is a test that measures your breathing, brain waves, heartbeats, body movements, snoring, oxygen levels in the blood during the night. For this, electrodes must be placed in some parts of your body. Small recipients are placed on your head, mouth and nose, chest, neck, fingertips and legs. This is a painless procedure. After the receivers are placed, you are expected to sleep on your bed according to your normal sleep time.

Rooms should be prepared to provide comfort for the patient. In order to facilitate the placement of the electrodes, it is necessary for the patients to take a shower before they arrive, the men should be shaved. The connecting cables are adjusted so that they do not disturb the patients, so patients can sleep comfortably. No medication is given for you to sleep. During the night, a sleep technician will follow you and all your records. Therefore, in case of any need, the technician will help you by coming to your room.

Polysomnography where to do? Is polysomnography done at home?

Polysomnography (sleep test) can be performed at home with a trained technician for patients who cannot be comfortable in a sleep center or sleep test. The technician installs the portable polysomnography device and connects you to the device, and when the test is finished, your test results are analyzed in the Sleep Center or Sleep Disorders Unit.

Why polysomnography test be done?

Polysomnography test can be performed to diagnose the following sleep problems
  • While diagnosing sleep disorders,
  • Sleep apnea
  • Request to sleep during the day
  • Breathing and stopping at sleep
  • Narcolepsy
  • Involuntary leg movements during sleep
  • REM behavior disorder

Sleep Apnea Treatment

Sleep apnea test should be done to determine whether the person has sleep apnea. In the treatment of advanced sleep apnea, lifestyle change, physical activity should be increased, surgery should be performed in patients who are suitable for surgery and the diameter of the upper airways should be increased and positive air pressure (CPAP) treatment should be applied.

Polysomnography called sleep apnea test; When sleeping, eye movements, heart rate leg movements, measurement of oxygen levels, measurement of brain waves, snoring, such as to measure situations. In order to perform a sleep apnea test, the person must spend one night in the sleeping room in the hospital. At the time of testing, cables are connected to various parts of the person's body and through the cables connected, the person's waves are transferred to the computer during the night. These records are used to measure the sleep parameters of the person. In this way, it can be measured whether the person has sleep apnea and how they function during sleep.

How to Prevent Sleep Apnea

In fact, simple measures may be sufficient to prevent sleep apnea. The most important is weight control. If the person is obese, he must lose weight. The person may have improved the sleep apnea by almost half.
  • Avoid alcohol and smoking
  • Not lying on his back
  • Avoiding sleep medications
  • Muscle relaxant drugs, antidepressants to avoid
  • Using tapes or spray for nasal clearance may reduce snoring, but not sleep apnea
  • People with sleep apnea should always refer to a specialist
Murat Enoz, MD, Otorhinolaryngology, Head and Neck Surgeon - ENT Doctor in Istanbul

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Address: İncirli Cad. No:41, Kat:4 (Dilek Patisserie Building), Postal code: 34147, Bakırköy - İstanbul
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