About Sleep apnea syndrome

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For those who have trouble sleeping

Sleep apnea syndrome is a condition in which you temporarily stop breathing while you sleep.
No one knows what you are doing while you sleep. Most of the patients say they noticed apnea while sleeping for the first time after being pointed out by their family.

In fact, it is a disease with many potential patients who have not been tested and treated. The scary part of the disease is that it not only makes you very sleepy and has headaches during the day, but also causes complications such as arteriosclerosis, myocardial infarction and stroke . If you think, “Maybe sleep apnea syndrome?”, Please consult a medical institution immediately. The director of this hospital is a specialist in respiratory medicine, which specializes in sleep apnea, so we can perform appropriate tests, diagnoses, and treatments.

“Inspection can be done at home”

Inspection of sleep apnea syndrome is, in general, and simple test to do with the sensor in the nose and finger at home, but there is a polygraph test that measures the brain waves in the hospital, in our hospital, at home the simple test You can do it . A simple test attaches a fingertip and breathing sensor to measure oxygen in the blood and the state of breathing. This makes it possible to diagnose the number of apneas / hypopneas for 10 seconds or longer and the state of low oxygen. In addition, this test is covered by health insurance .

What kind of illness is sleep apnea syndrome?

Sleep apnea syndrome is a disease in which the airways become obstructed while you sleep, causing you to stop breathing many times .
It is said that there are more than 3 million potential patients nationwide.

The scary part of this illness is that it is quite common for family members to notice apnea, not the person, in the absence of subjective symptoms .
Sleep apnea syndrome is a disease that can cause daytime sleepiness, headaches, and lifestyle-related diseases.

What are the main symptoms?

Symptoms when sleeping

  • Snoring
  • Snoring stops and begins to snore again with a big breath
  • Breathing stops
  • Sleeping sweat
  • Wake up many times

Symptoms when waking up

  • Sleepy, refreshing wake up is not
  • my head hurts

happening symptoms at the time are

  • there is a strong sleepiness
  • languid and concentration force is not followed always tired-

other symptoms

  • that it has been pointed out that breathing stops during sleep there
  • obesity and diabetes
  • high blood pressure

What Causes Sleep Apnea?

There are two main causes of breathing arrest during sleep.

The first is “the path of breathing (airway) is physically narrowed”, and the second is “abnormality of the respiratory center”.

    1. Most patients with sleep apnea have an airway obstruction (obstructive sleep apnea type) . Causes of narrowing of the airways include fat deposits around the neck and throat and enlarged tonsils. This is also related to the size of the natural skeleton. I often hear patients say that they snore when they lie on their backs, but stop snoring when they lie on their backs, which is evidence that their airways are narrowed when they lie on their backs.
    2. Respiratory center abnormalities (central system sleep apnea type) This is an abnormality in which the brain does not give a command to breathe, and is a rare type of sleep apnea syndrome. Unlike the obstructive sleep apnea type, the airways remain open and there are no symptoms of striving to breathe or difficulty breathing. Let’s do a
      self-check Q.

Is there anything like this?

  • □ Always snoring
  • □ I have been pointed out that I have stopped breathing during sleep
  • □ I am not awake
  • □ I am always sleepy / dozing
  • □ I am tired / tired
  • □ I cannot concentrate on my work
  • □ I have more headaches when I wake up

If ☑ is true for the item, you may have sleep apnea.

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Flow until receiving a simple inspection

  1. ① Clinic consultation → Interview and propose an examination if there is a possibility of sleep apnea.
  2. ② Send the inspection equipment directly or by mail to your home . At home, at night, attach sensors under the nose and fingers to check for possible sleep apnea from snoring and breathing conditions during sleep.
  3. ③ Return the tester
  4. ④ Explain the test result to the hospital (3 days to 1 week later

Treatment when the test result is judged to be sleep apnea syndrome (AHI value is 40 or more in the test result) It will be the start of. If the AHI number is less than 40, a polygraph test can be performed. Since you need to be hospitalized and have an examination, we will introduce you to a nearby affiliated hospital. If the polygraph test shows an AHI value of 20 or higher, treatment is started.

About treatment

As for the treatment method for sleep apnea syndrome, which treatment method is not always superior, and the treatment method is selected according to the severity and cause.
At this hospital, a pulmonologist will propose the optimal treatment method according to the symptoms and condition of each patient. Since sleep apnea is often treated for a long period of time, it is important to talk to your doctor and get your family’s understanding.
There are two types of treatment: symptomatic treatment, which relieves symptoms, and radical treatment, which removes the underlying cause. In each case, we propose treatment according to the individual patient’s condition.

CPAP treatment (continuous positive airway pressure at home)

This is the most common treatment method in Japan. It is an acronym for Continuous Positive Airway Pressure and is called CPAP (Continuous Positive Airway Pressure).
While sleeping, a mask is worn on the nose and the airway is kept open by continuing to send air from the CPAP device to the airway.
If you are diagnosed with sleep apnea as a result of the test, we will lend you the equipment under insurance. You may not be able to sleep well until you get used to CPAP treatment, but it may be improved by changing the device settings or re-wearing the mask. Regular visits are required to receive CPAP treatment (about once a month). If you have any problems or anxieties after starting treatment, please consult directly at the time of regular consultation.

Mouthpiece treatment

If the symptoms of sleep apnea are mild, treat with a mouthpiece. When worn while sleeping, the lower chin is fixed so that it protrudes forward, and the airway is kept wide, which is effective in suppressing the symptoms of snoring and apnea. Mouthpieces will be created by a professional dentist or, if possible, by the patient’s family dentist.
It is easier than CPAP treatment because it only involves attaching a mouthpiece, but it is also a treatment method in which there are large individual differences in how the effect appears. We will propose the optimal treatment method based on the symptoms and test results.

Surgery

It is a treatment that seeks to fundamentally eliminate the cause of sleep apnea syndrome, and surgically removes the area that blocks the airways. In many children and some adults, if the cause of sleep apnea is “adenoid”, “tonsil hypertrophy”, or “throat shape”, we suggest surgical treatment. I don’t have surgery because I’m seriously ill. Since surgery is not possible at this hospital, we will introduce you to a nearby hospital.

Lifestyle improvement advice

Obesity is one of the causes of sleep apnea syndrome. If you are overweight, you may have fat around your neck and throat, narrowing your airways. Therefore, a registered dietitian provides dietary guidance and nutritional guidance to improve obesity. We also give advice on improving lifestyle and weight loss.

Characteristics of our treatment

Our clinic is a clinic of respiratory medicine specialists specializing in sleep apnea syndrome .

We will propose the most suitable treatment according to the patient’s condition and symptoms. If you have any changes in your physical condition, anxiety or problems since you started treatment, please feel free to contact us. Checking for slight changes in physical condition, treatment status, its effects, and symptoms will also be useful for future treatment methods.
Treatment for sleep apnea is often long-term. I think that understanding of the illness will be deepened by having the family attend the medical examination if possible.
With proper treatment, not only can you eliminate symptoms such as daytime sleepiness and tiredness, but you can also prevent or improve complications such as high blood pressure . If you are worried that you may not be sleeping, we recommend that you visit us as soon as possible.

About other sleep disorders

Besides sleep apnea, there are several causes of insomnia.

  • Restless legs syndrome
    When you try to sleep, you may feel itching or discomfort in your legs, and you may not be able to fall asleep. If you have any idea, let’s go to the clinic.
  • Periodic limb movement disorder
    It is a symptom that you cannot sleep deeply because your feet and hands are stuck and you wake up many times during night sleep regardless of your intention.
  • Hypersomnia
    Despite sleeping at night, it causes intense drowsiness during the day, making it difficult to get up.
  • Parasomnia
    Phenomenon that occurs during sleep or falling asleep, such as sleepwalking (also known as sleepwalking), sleepwalking (suddenly awakening during sleep and becoming confused), and REM sleep behavior disorder (during REM sleep). Dreams appear as actions).
  • Insomnia with physical and mental illness
    Insomnia may occur due to physical or mental disorders such as headache, arthralgia, neuralgia, itch, infection, and depression. If you are aware of the cause of the disorder, seek medical attention early.
  • Sleep environment problems
    Poor sleeping environments and incorrect sleeping habits can interfere with sleep.
    ◎ Sleep environment Noise, watching your smartphone for a long time before going to bed, sleeping with the lights on, sleeping with the TV or radio on, etc.
    ◎ Sleep habits Oversleep on holidays. It is desirable to live in the same rhythm of the day every day.
    ◎ Luxury items Drinking, smoking, caffeine such as coffee, etc.
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