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Diagnosis of Sleep Apnea

January 30th, 2010
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Sleep apnea is a sleep disorder that is one of the hardest to diagnose. No doctor could easily and accurately tell if you are suffering from one with just one consultation or even a series of blood tests. Sleep apnea symptoms appear when you are asleep so the best way to know if you have one is to ask your bed partner or roommate about the noise you make when you are asleep and the presence of any period when breathing seems to pause or stop for a while.

Aside from that, most doctors also run several other forms of diagnosis to support your suspicion and the testimony of your bed partner or roommate. The primary care doctor would evaluate symptoms before going further. There are three diagnostic measures to take after: an analysis of family and medical history, physical examination, and sleep studies.

Be prepared when the doctor starts asking you about your own as well as your family’s medical history. It would be best if you would be as honest as you could. It would help if you would start keeping a sleep diary even for just a week or two. In the diary, list the number of hours of sleep you get every night and how sleepy you get at different times of the day. One of the symptoms of sleep apnea is sleepiness during daytime due to lack of sleep (induced by sleep apnea). Your roommate or bed partner would also be asked about how loud and how often you gasp or snore during sleep. It would be better if you would tell him of any sleep apnea record of any of your family. The disorder is hereditary.

The next option or step to diagnosis of sleep apnea is physical examination. Your nose, mouth, and throat would ne checked and analyzed for any presence of large or extra tissues. The doctor would also check out the bone structure in your head and neck as it could affect airway passage. Physical exam along with a rundown of family history could be enough to diagnose presence of sleep apnea in children.

Sometimes the most important aspects of a subject are not immediately obvious. Keep reading to get the complete picture.

As for adults, there could be enlargement of the soft palate or uvula. Soft palate is the roof-like structure at the back of your throat. The uvula is a small tissue that hangs conveniently from the back of your mouth’s middle section. In some cases, enlarged tonsils are checked out.

Finally, sleep study is so far the most accurate diagnostic test for sleep apnea detection. It could capture your breathing pattern as you sleep. Needless to say, it is conducted as you sleep within a sleep lab or a sleep center. You may be asked to stay overnight in the hospital’s sleep lab for observation. A polysomnogram is at type of specific sleep study for sleep apnea detection. It is able to record brain activity, heart rate and breathing pattern, eye movement, muscle activity, blood oxygen level, and air passage to the lungs as you sleep.

Do not worry because polysomnogram is usually painless. You would be induced to sleep, though there would be sensors attached to your face, limbs, fingers, chest, and scalp. This sleep apnea test is done within a sleep study in a hospital sleeping lab overnight.

It could reveal any presence of the disorder, the type, and even severity of the condition.

About the Author
By Anders Eriksson, author of this Free Adsense eBook — make sure to claim your free adsense ebook download!

Sleep Apnea

Obstructive Sleep Apnea Surgery: The Solution

January 24th, 2010
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The best course of action to take sometimes isn’t clear until you’ve listed and considered your alternatives. The following paragraphs should help clue you in to what the experts think is significant.

Obstructive sleep apnea, which is literally the stoppage of breaths during sleep, happens when there is an obstruction in the airway. Although the breath pauses normally last for 10 to 30 seconds, they happen on average 30 times an hour. The effects obstructive sleep apnea has on health put people in great danger. This is why necessary treatments, including sleep apnea surgery, have been designed to correct the obstructions in the airway, which involve the jaws, tonsils, soft palate, and tongue.

Surgical operations are normally done to treat severe sleep apnea, although a few are developed for mild to moderate cases. The severity of the case, however, dictates the degree of the invasiveness of the surgical procedure. The more severe sleep apnea is, the more invasive the surgery is.

The cause of sleep apnea is a major consideration in determining which surgery to perform. Yet, the personal preference and medical condition of the patient are also factors. Though some surgeries can stand alone as a treatment, a few are best combined with other surgical procedures in a series of treatment.

Following are only some of the sleep apnea surgical options from which surgeons, upon diagnosis and careful study of the patient’s condition, choose the most appropriate and effective.

See how much you can learn about Sleep Apnea when you take a little time to read a well-researched article? Don’t miss out on the rest of this great information.

1. Uvulopalatopharyngoplasty (UPPP)
Aimed at widening and keeping the air passage open, UPPP removes the tissue from the back of the throat that might be the cause of airway obstruction. It can be some parts of the soft palate, throat tissue, tonsils and adenoids, and uvula (the soft tissue that hangs from the back of the mouth). UPPP is considered helpful in eliminating snoring, although sleep apnea may still occur after the surgical procedure. In this case, the use of continuous positive airway pressure (CPAP) is necessary. UPPP is normally recommended to people with severe obstructive sleep apnea. Patients need several weeks to recover.

2. Tracheostomy
This procedure involves making a hole in the neck to the windpipe (trachea) and inserting a tube in the opening. The tube then makes way for the free flowing of air when the patient is asleep. At daytime, the tube is closed using a valve to allow the patient to breathe and speak normally. The effectiveness of the procedure is remarkable, although it can present medical problems and emotional issues that normally involve self-image. Because of the associated risks, tracheostomy is only performed to treat severe sleep apnea or if it is the only appropriate surgery for the patient.

3. Tonsillectomy and adenoidectomy
These procedures are performed if there is an enlargement of the tonsils and adenoids. Tonsillectomy and adenoidectomy are usually the first-line of treatment among children since enlarged tonsils and adenoids are the usual causes of their sleep apnea. These procedures are also effective among adults.

4. Maxillary or maxillomandibular advancement (MMA)
In this sleep apnea surgery, the surgeon repositions the upper or lower jawbone forward. Based on the diagnosis, some surgeons choose MMA as an auxiliary or phase II operation for patients with persistent sleep apnea. In other instances, MMA is performed as the main and sole surgical operation. This is if the patient has certain medical conditions that may not benefit from multiple surgeries or if he personally chooses to undergo a single operation. Though it can significantly change the facial structure, MMA is a consistently effective treatment.

About the Author
By Anders Eriksson, feel free to visit my latest acquisition: Free Google Traffic System and make sure to visit my bonus site!

Sleep Apnea

Treatment for Sleep Apnea

January 15th, 2010
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Do you ever feel like you know just enough about Sleep Apnea to be dangerous? Let’s see if we can fill in some of the gaps with the latest info from Sleep Apnea experts.

Sleep apnea could be a risky and pressing health concern especially if it gets further worse as the days go by. People affected by this form of sleep disorder should not worry too much. That is because there are different types of treatments that are readily available. The sufferer only needs to go to the doctor who specializes in such health problems.

It is important to note that there are two major goals for the treatment of obstructive sleep apnea. First, it is aimed at restoring regular breathing especially during sleeping hours. Second, treatment for sleep apnea is basically intending to relieve basic symptoms like daytime sleepiness and loud snoring during sleep. It is also a delight to most sleep apnea sufferers that available treatment for the condition could also significantly help treat medical problems that are directly linked to the sleeping disorder. Such diseases include hypertension, diabetes, and heart ailments.

Basic treatment options against sleep apnea include mouthpieces, breathing devices, lifestyle changes, and surgery. There are still no regulatory approved medicines that are specifically for sleep apnea treatment. As mentioned, the best first step to attain an effective treatment for the sleep disorder is to approach a sleep specialist or doctor and discuss the most suitable treatment option available for you.

Mouthpiece for sleep apnea is often called oral appliance. It could specifically help sufferers of mild sleep apnea. Such instruments are usually recommended to people who snore very loudly, whether they have sleep apnea or none. Orthodontists and dentists could custom-make plastic mouthpieces to treat sleep apnea. The object would help adjust the lower jaw as well as the tongue so that airways could be kept open even during sleep. However, a patient may not be spared from any pain or discomfort caused by the device. Periodic visits to the doctor would be necessary.

Think about what you’ve read so far. Does it reinforce what you already know about Sleep Apnea? Or was there something completely new? What about the remaining paragraphs?

There are specific breathing devices available for treatment of sleep apnea. Severe cases in adults could call for the use of CPAP or continuous positive airway pressure. It is a special machine that uses a mask so it could fit over the nose and the mouth. It would gently blow air into the throat. This air would press against the airway wall. Air pressure would then be adjusted so that narrowing of the airway would be prevented and blockage problems could be eliminated. CPAP is ideally setup and installed by a technician.

To treat sleep apnea effectively, you would also be asked to brace several lifestyle changes, especially habits and daily activities. Here are some of the common changes. Rule out intake of alcohol and sleeping pills as such substances could make it harder for the throat to remain open during sleep.

Second, lose weight especially if you are obese or overweight. Third, be used to sleeping on the side instead of on the back as doing so could help keep throat open for breathing. Stop smoking. And lastly, keep nasal passages wide open all night through nose sprays and allergy medicines.

The last treatment option is the least liked by sleep apnea sufferers. Surgery is performed to further widen a person’s breathing passages. Such an operation usually comprises of shrinking, stiffening, and removing excess tissue located in the throat or mouth as well as resetting the lower jaw. In some cases, tonsils are also removed.

There’s a lot to understand about Sleep Apnea. We were able to provide you with some of the facts above, but there is still plenty more to write about in subsequent articles.

Sleep Apnea