CPAP or Constant Positive Airway Pressure is actually a mode of artificial ventilation of the respiratory system with the development of positive pressure inside the airways after exhalation. Currently, CPAP-treatment therapy is employed for the treatment of snoring, apnea treatment, arterial hypertension, cardiovascular diseases, daytime sleepiness, obesity, impote-nce, insomnia, and depression. Just how can 睡眠窒息症 cure numerous conditions? It is thought that all of these disorders are closely connected with a disturbance of normal sleep.
The reason why Sleep essential?
Sleep helps the body to chill out from your stress in which one is faced every day. While sleeping, hormonal regulation takes place in your body. Some hormones secrete only while sleeping, plus some hormones secrete only after sleep. Therefore, if sleep is impaired, it leads to a disturbance of the hormonal balance and nervous system transmitters, which ultimately causes the growth of various psychological and physical diseases. The key reason for disturbance of normal sleep is apnea.
Sleep apnea is surely an absence of pulmonary ventilation while asleep for more than 10 seconds, which is described as decreasing of oxygen saturation inside the blood (SaO2) by 4% or more. Usually, obstructive sleep apnea lasts for 20-half a minute, nevertheless, in severe cases it may last for 2-3 minutes. The amount of instances of obstructive sleep apnea may sometimes be as much as 60% from the total nighttime sleep. Regular obstructive sleep apnea (usually not under 10-15 times within an hour) is referred to as obstructive obstructive sleep apnea syndrome. The main symptoms of the obstructive obstructive sleep apnea syndrome are daytime sleepiness, deterioration of memory and intelligence affecting ability to work along with a constant feeling of fatigue.
The main reason for obstructive apnea syndrome is an obstruction from the upper airways. Obstruction in the upper airways signifies that air cannot enter into the lungs and there is oxygen deprivation in the whole organism.
CPAP – The reason why it Used?
Constant positive airway pressure (CPAP) is an efficient approach to treating obstructive apnea syndrome. CPAP-therapy was exposed to clinical practice in 1981 by an Australian physician and Professor. Colin Sullivan for the management of obstructive apnea syndrome.
The mechanism of action of the CPAP device is fairly simple. A little compressor is utilized for creating constant air-flow under a certain pressure in the airways during exhalation via a flexible tube and a nose mask. It is additionally used a humidifier that provides moisturizing and heats air which enters the airways. This product will not allow the upper airways to be obstructed due to the constant positive air pressure and eliminates the key cause of the obstructive sleep apnea syndrome.
CPAP-therapy for patients with obstructive sleep apnea syndrome is now universally accepted. Before prescribing CPAP-therapy, a Polysomnography is required or quite simply a Sleep Study. Polysomnography is a medical examination of a patient’s sleep by using specialized computer systems. Polysomnography allows calculating the apnea index and determining the seriousness of the condition.
The apnea index is the frequency of apnea episodes during one hour of sleep. Apnea index determines the degree of the obstructive apnea syndrome. The apnea index is recognized as pathologically qtzdwy if there are more than 20 apnea episodes hourly, regardless of the presence or absence of clinical symptoms. Incidentally, much more than 5 attacks of apnea episodes are regarded as threatening for a person with a gradual development of daytime drowsiness, memory impairment, psycho-emotional disorders, insomnia, development of cardiovascular diseases (arterial hypertension, coronary cardiovascular disease or stroke), and disturbance of cardiac rhythm.
CPAP – How will it be Used?
The first session of CPAP-treatments are performed on the next night after having a diagnostic polysomnography. The purpose of the very first CPAP session is to pick the minimum air pressure that eliminates obstructive apnea, snoring along with other respiratory disturbances in all positions of the body and then in all stages of sleep. Throughout the first session of CPAP-therapy, the minimum group of parameters will likely be recorded: electroencephalography, electrooculography, electromyography, chest and abdominal movements, body position, snoring, electrocardiography, blood saturation. These parameters allow you to determine the job in the brain and the stage of sleep, which excludes the chance of insufficient air pressure through undiagnosed wakefulness episodes.
The “golden rule” is to apply CPAP machine each night during the entire time of sleep. Patients often follow this recommendation in severe forms of obstructive sleep apnea. In cases like this, there is an improvement in the caliber of sleep and daytime activity. Inside the mild and moderate kinds of the disease, the irritating effect in the mask and airflow may sometimes decrease the standard of sleep, nevertheless, there exists a clear positive impact on daytime activity and on a number of other symptoms. One of many important features of CPAP-treatment therapy is the lack of side effects.
Needless to say, sometimes initially, as with every way of treatment, there could be side effects. One of the most common complaints, this can be irritation of the skin under the mask (about 50%), dryness of the mucous membrane of the nose and pharynx (about 30%), nasal congestion or rhinorrhea (about 25%), eye irritation (about 25%). However, these symptoms usually are not serious, they eventually disappear and never interfere with the continuation of treatment. Using more comfortable masks and heating moisturizers effectively eliminates all these negative effects.
Also, there are some recommendations the best way to eliminate these unpleasant effects within the treatment:
1. To utilize CPAP-therapy each day throughout the first 4-5 hours of sleep. During this time of your time, you have the deepest dream and side effects from CPAP-therapy do not disturb the individual. Then within the other 50 % of sleep when the dream becomes superficial and the mask or airflow begins to interfere, the mask can be taken off and slept without one. It is important to admit the positive effect of treatment – reducing the intensity of snoring and decreasing the quantity of apnea episodes continues during the rest of the night.
2. To make use of CPAP-therapy with short breaks for 1-2 days. It is an intermittent use of CPAP-therapy. It is strongly recommended to use CPAP-therapy at the very least 70% in the nocturnal time. It is strongly recommended if there is hypertension or any other cardiovascular diseases. Also, CPAP-therapy needs to be performed in case a significant dose of alcohol or perhaps a sleeping pill was taken before sleep.
Despite the presence of such minor side effects, 睡眠窒息症 is easily the most effective way of treating obstructive apnea syndrome.
Using CPAP-therapy has created a huge contribution to solving the problem of treatment of cardiovascular disorders as well as other diseases and contains led to a dramatic improvement in the quality and prognosis from the humans’ life.