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SNOARING..DoIhaveObstructiveSleepApnea?.

Inthismodernstressfullife,physicalexerciseislimitedandeasyaccesstorichhighcaloriediet
causingalarmingrateofobesityinIndiaaswellasworldwide.Unconsumedandunburnt
caloriesisconvertedtoexcessfatdepositinneck,chestwall,abdomencausingrestrictionfor
lungstoexpandandobstructiontoairflowintolungs.Thiswillleadtospectrumfromsnoringin
nighttofrequentcessationofairflowtolungs,eitherpartialorcomplete,causingfrequent
awakeningfromsoundsleep.Apneameansnotbreathing.Obstructiontobreathduring
sleepingiscalledOSAsyndrome.Frequentapneascancausemanyproblems.Withtime,ifnot
treated,serioushealthproblemsmaydevelop.

WhoisatrisktodevelopOSA;
1. Asmentionedearlier,Obesityistheleadingculprit
2. Morecommoninmen
3. Womenaftermenopause
4. Agemorethan65years
5. Largeadenoidsortonsilscausingobstruction
6. Micrognathia(smalljaw)orretrognathis(pulledbackjaw)

WhatarethesymptomsofOSA?.
YoumaynotbeawarethatyouhaveOSA,butthesesymptomsareusuallynoticedbyspouses,
orotherfamilymembers.

Commonsymptomsyoumayhaveduringsleep
Loudsnoringthatbothersotherpeoplesleepingneartoyou
Gaspingorchockingforairorstoppingbreathingonandoff
Suddenjerkybodymovements
Frequentawakeningsfromsleep
Tossingandturninginbed

Thesewillleadtodaytimesymptomswhenyouareawake
Wakinguptiered,feelinglikenotsleptwellevenaftersleepingformanyhours
GotoSleepeasilyduringdaytimewhileworkingorwatchingTVorevenwhiledriving
vehicle
Feelingfatigueandtirednessalldayasthoughnothavinganyenergy
Morningheadache,feelingdryinmouthbymouthbreathingatnight
Problemswithpoormemoryorinabilitytoconcentrate
Personalitychanges,suchasmoodswingsanddifficultygettingalongwithothers
WhatarethelongtermhealthproblemsifyouhaveOSA
Lackofsleepatnightwithorwithoutgettingoxygenfromobstructiontoairflowwillplace
strainonheartpumpingcausinghighbloodpressure(Hypertension),heartdisease,strokeor
evenearlydeath.Thislackofsleepcanleadtoroadtrafficaccidentsfromfallingasleepduring
driving.
HowcanwediagnoseOSA?.
IfyouhavesymptomssuggestiveofOSA,youseekformedicaladvice.OSAcanbediagnosedby
sleepstudycalledPolysomnogram(Sleeptest).Thisstudyisgenerallydoneatnighttimewhen
yougotosleepwithmachinemonitoringyourairflow,chest,abdominalmovement,oxygen
levels,heartrateandsleepstatusandgradesleepapneaseverityasmild,moderateandsevere
categories.

Howisobstructivesleepapneatreated?.
Ifyoursleepapneaismild,simplemeasureslikeloosingweight,avoidingdrinkingalcohol4
hoursbeforesleeping,usingappropriatepillowsandmakinghabitofsleepingonsidenoton
backside.Ifmoderatetosevere,thenyouneedtogoonContinuousPositiveAirwayPressure
(CPAP).Thisdevicewillforceairintoyourairwaysviamaskthatsnuglyfitsyourmouthornose
andthisairpressureactslikeasplinttoopenyournarrowedairwaysatnight.Theairpressure
isadjustedaccordingtoonesseveritytostopfrequentapneas.

Therearealsocustommadeoraldevicesandsurgeriesavailabletorectifysometypesof
apneas.
Courtesy;AmericanThoracicSociety(ATS),patientinformationseries

Dr.Mohan,K.T.
ConsultantPulmonolgist,ABMH
MBBS,MD(Medicine,Cornell/NYHUniversity,U.S.A.)
MD(ChestMedicine/Pulmonology,TulaneUniv,U.S.A.)
MD(Intensivist/CriticalCareMedicine,TulaneUniv,U.S.A.)
SpecialistinSleepMedicine
FellowofAmericanCollegeofPhysician(FACP,USA)
FellowofAmericanCollegeofCehstPhysician(FCCP,USA).

ForAppointments:CallMobile8805013931

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