Wednesday, March 11, 2015

Clinical manifestations In patient assessment hal The history of Patients close and personal hal wi

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The symptoms hal of obstructive sleep apnea (obstructive sleep apnea syndrome, OSAS) is a group of symptoms that occur due to the obstruction of the passage. Sleep apnea Breathing is such Is associated with snoring. And hypoxia Intermittently at the same time. Apnea ends The erection of the brain (arousals) was brief. The sleep interrupted intermittently. As a result, the That causes excessive daytime sleepiness (excessive daytime sleepiness), and also as a result. Abnormal thinking (cognitive dysfunction) with the epidemiological study found. The incidence of sleep apnea population. Very high that most often asymptomatic in patient assessment should take into account the patient's part. Especially drowsiness, unusual then called. The sleep apnea syndrome. If a cause Due to obstruction of the upper airway is to be. Diagnosis of sleep apnea syndrome. Obstructive above It is now established that. Breathing seemed to slow down but not completely stop breathing if effect. Sleep interruption or oxygen saturation in the blood, it has the same effect as breathing completely. Likewise, one This syndrome is sometimes hal referred to as a group. Symptoms of respiratory / breathing hal faintly of obstructive sleep apnea (obstructive sleep apnea / hypopnea syndrome) There is also a group of patients with OSAS, but when the symptoms like sleep. (Polysomnography, PSG) was not found to be slightly out of breath or breathing, breathing tests showed that the patients in the exercise. Breathing resistance, the resistance of the respiratory tract. Top increasing while asleep and awake brain frequently. While asleep, as well as those found in patients hal with OSAS patients treated with respiratory distress. Regular sleep as well, called upper airway resistance syndrome (UARS) 2 has been defined officially by the American Academy of Sleep Medicine (AASM) 3 for the diagnosis of patients with OSAHS or OSAS must include the 3 questions. The following A very unusual drowsiness. Can not be explained by other causes. Have at least two in five of the following symptoms.
Primary education is the study of the Wisconsin Cohort Study, which studied in men and women. Working age range 30-60 years, the sleep is found in men and women aged above. An index of respiratory / breathing faintly. (Apnea / hypopnea index, AHI) during sleep than or equal to 5 times / hour up to 24 percent and 9, respectively, if you count only those with symptoms, the prevalence is reduced by 4 percent and 2 respectively 4 apnea found. as well as many of the high. Age, but also know the importance of clinical service. In this age group However, there is evidence to indicate that if. This condition is related to the weather is bad, though rarely have much time 5. In children, it is a problem Sleep apnea as well The adult prevalence rate is less than And there are some differences from adults, mainly from the Moscow Dean Boyd and tonsils, which can grow. Better be cured by surgery, such glands.
Pathogenesis Patients with upper respiratory airways narrower than usual channels are narrower than usual strong demand. Buoyancy of the neck muscles than normal fact, patients with OSAS have muscle is stronger than men. Generally already I found that while the muscles of the neck. Patients than in normal operation. In order to overcome I breathe waiting hal to pull off into the throat tissue. But while sleeping buoyancy are greatly reduced as follows. Physiology of normal sleep As a result of buoyancy The patient's neck muscles are not strong enough to overcome. While breathing in the fresh Cause an obstruction of the airway during sleep 8. Nevertheless, it is found that even while sleeping. Throat muscles of patients with OSAS is still a lot of work. Than normal, anyway conclusion was blocking the corridor. Upper respiratory tract in patients unlikely due to weakness. The muscles around the neck But most likely caused by an imbalance. The negative hal pressure suction to keep the throat collapse and tension from the muscles of the neck brace to keep the throat hal open. There is evidence that patients with OSAS are fault in the circuit response of the skin in the neck, which is consistent. The study found that if the surface of the channel. Upper respiratory tea can induce OSAS is 6.
Promoting factor Factor in the occurrence hal of OSAS are summarized in Table 1. These factors may contribute to structural or physiological factors. Encouraging throat Flattening off easily than normal In general, the structure hal factor Affects the upper respiratory tract. Or throat narrower than the normal physiological factor muscles. Open the airway to reduce the tension of the wall or around the neck less puncture seal.
Clinical manifestations In patient assessment hal The history of Patients close and personal hal with the opportunity to observe the symptoms. Sleep of patients hal Because many symptoms That occur during sleep apnea syndrome patients, even it may be. Knowing that the symptoms are summarized in Table 2.
Symptoms that occur during the night while sleeping. Snoring is a symptom that occurs in almost all patients, because this is an indication hal of the pharynx. Narrower than the common man The basic mechanisms of disease in a population of men and women in general are snoring. Routines to 25 percent and 15, respectively, but if you only see in the age group 41-65 years, the prevalence of snoring in men and women is a recurring increase to 60 percent and 40 respectively 7 snoring. more information Reflected in the age group most likely to have trouble stopping. hal Sleep apnea more in this age group as well. Noticed that the patient is not breathing intermittently during sleep (witnessed apnea) p.

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