According to experts, snoring is called snoring in medicine and is a major clinical manifestation of sleep apnea syndrome. It can not only cause drowsiness and fatigue of daytime snorers, but also be related to some respiratory diseases and cardiovascular diseases such as hypertension, coronary heart disease and cerebrovascular accidents.
Experts say that if you snore at night with the following symptoms, it is a dangerous signal from your body and you need to go to the hospital immediately: snore while sleeping, breathe with your mouth open, and stop breathing frequently; Repeated sleep, restless sleep and epilepsy; Sleepiness, daytime sleepiness, sleepiness; Blood pressure rises after waking up; Shallow sleep, headache after waking up; Night sleep angina pectoris, arrhythmia; Nocturnal enuresis and nocturia increased; Memory loss, slow response, and decreased work and study ability; I seem to sleep during the day, and I can't help falling asleep at work, meetings and meals. Impotence, decreased libido; Alzheimer's disease
In addition to going to the hospital for treatment, the following measures can be taken in daily life to alleviate snoring symptoms: sleeping in the lateral position, changing the habit of sleeping in the supine position; Try not to drink alcohol before going to bed, don't drink strong tea or coffee, and don't take certain drugs, because alcohol, sedatives, sleeping pills and antiallergic drugs will make breathing shallow and slow, make muscles more relaxed than usual, and lead to pharyngeal soft tissue blocking the airway more easily; Develop the habit of regular exercise, lose weight and enhance lung function.
Experts also specially reminded that snorers should quit smoking immediately if they have the habit of smoking. Because only by keeping the nasopharynx unobstructed can snoring be reduced, and the stimulation of smoking on nasal mucosa will only make the blocked nasal cavity and respiratory tract more serious. In addition, snorers should also prevent colds and treat nasal congestion in time.
1, how is your sleep quality?
Some people may ask, "I still feel sleepy after sleeping for more than ten hours, while some people feel refreshed after sleeping for four or five hours." Why? " This is the problem of sleep quality. The quality of sleep mainly depends on the amount of deep sleep in stages 3 and 4. If you sleep for a short time or even very little in Stage 3 and Stage 4, but mainly for more than ten hours in Stage/kloc-0 and Stage 2, you will still feel very tired and sleepy. If 1 and stage 2 sleep for a long time and sleep less, even if you sleep for only five or six hours, you can still be energetic and healthy. So sleep is about quality, not time.
If you want to know your sleep quality, you can use polysomnography for detailed monitoring.
2. Under what circumstances should sleep disorders be considered?
Unhealthy sleep conditions include snoring, breathing with your mouth open, and even temporarily stopping breathing. Repeatedly awake during sleep, restless sleep. Nocturnal angina pectoris and arrhythmia often occur. Headache and dizziness after waking up, and high blood pressure after getting up in the morning. Fatigue and fatigue during the day, drowsiness, drowsiness, and even falling asleep at work meetings or driving. Memory decline, slow response, work and study ability decline. Sexual dysfunction, impotence, etc. If the above manifestations appear, sleep-related diseases or obstructive apnea syndrome should be highly considered. First of all, we should go to the otolaryngology department to check the pharynx and have a polysomnography.
Snoring is also a disease.
Snoring patients used to think it was a kind of deep sleep, but now people gradually realize that it may be a pathological condition. Snoring people are often complained by others, and their relationship with roommates or spouses becomes extremely tense, which makes them very angry. However, snoring is more harmful to apnea. The airway of snorers is narrower than that of normal people. In severe cases, the airway can be completely blocked and apnea occurs. When apnea occurs, gas cannot enter the lungs, resulting in hypoxia and carbon dioxide retention in the body. Severe cases can lead to hypertension, heart disease, arrhythmia, cerebrovascular accident, diabetes, nephropathy, hypothyroidism, etc., and even sudden death in sleep.
4. What is the mechanism of snoring?
The airway of snorers is usually narrower than that of normal people. When awake during the day, the muscles of the larynx contract compensatively to keep the airway unblocked. However, when sleeping at night, the nerve excitability decreases, the muscles relax, the pharyngeal tissue is blocked, and the upper airway collapses. When the airflow passes through the narrow part, it produces eddy current, causing vibration and snoring. In severe cases, you can temporarily stop breathing, thus affecting people's health. In addition, a small number of people are due to central reasons.
5. Common causes of snoring and apnea.
Respiratory tract stenosis caused by various reasons, mainly upper respiratory tract stenosis above tracheal plane, can cause snoring and even apnea, including nasal septum deviation and nasal polyps. Pharyngeal stenosis: tonsil hypertrophy, slack throat and long uvula. Tongue hypertrophy, tongue root tumor and tongue root suffix lead to pharyngeal cavity stenosis. Maxillofacial dysplasia, such as micrognathia and obesity. Children are mostly due to tonsil hypertrophy, and the adenoids are enlarged.
6. What about snoring?
If a snorer wants to know his sleep quality, how many times he pauses during sleep, how long he pauses each time, the oxygen content in his blood during sleep, and the change of his heart rate during sleep, you only need to do polysomnography monitoring for one night, and polysomnography has been considered as an important examination for snorers. You can dynamically observe the EEG, ECG, EMG, nasal and oral airflow, blood oxygen saturation and heart rate during sleep, so as to understand the influence of snoring on the body.
7, children should be vigilant when snoring.
Most children snore because of adenoids and tonsil hypertrophy in the nasopharynx, or because the craniofacial structure is deformed. Due to obvious airway obstructive lesions, apnea is prone to occur, leading to hypoxia, which affects the normal development and learning of children. It is reported that severe snoring can lead to dementia in children. Therefore, if a child snores at night, has inattention, lethargy, poor memory and poor academic performance in class, he should first go to the ENT department to check his nasopharynx and tonsils. If hypertrophy is obvious, corresponding treatment should be carried out.
8. General treatment of snoring
The treatment of snoring patients should be based on different reasons, and the choice of treatment method is the most important factor to determine the treatment effect. We will talk about the main methods of treating snoring in four times. Let's talk about general treatment first. Weight loss: Obesity is one of the factors leading to pharyngeal stenosis. Losing weight can reduce the degree of airway obstruction. Smoking cessation wine: Smoke can stimulate inflammation of the pharynx, causing edema and stenosis of the pharynx. Wine can relax muscles, shrink the base of the tongue and aggravate obstruction. In addition, not taking sedative sleeping pills before going to bed, sleeping on the side is good for snoring.
9. Surgical treatment of snoring
Different surgical methods should be selected according to the obstruction plane. For example, patients with nasal congestion should undergo nasal surgery to make the nasal passages unobstructed. Patients with pharyngeal stenosis can undergo velopharyngoplasty, which is the most commonly used surgical method to treat snoring and sleep apnea by removing part of the uvula and tonsils and increasing the pharyngeal space. Its success depends on the choice of surgical patients. In addition, patients with small mandible tend to lean backwards, and orthognathic surgery can be done.
10, snoring plasma low temperature ablation technology
Plasma cryoablation is the latest patented technology in the United States and a very developed minimally invasive treatment method. It can melt the pharyngeal tissue, reduce the volume and reduce the hypertrophy of the tongue. Because it is hypothermia treatment, the local reaction is small, basically painless, no bleeding or less bleeding, and the operation time is short. It can be treated in outpatient department, mainly suitable for patients with nasal and pharyngeal stenosis and tongue hypertrophy. At present, the Department of Otolaryngology of Nanjing Bayi Hospital has treated many patients with plasma ablation technology and achieved good results.
1 1, continuous positive pressure ventilator and oral orthosis to treat snoring.
The main principle of continuous positive pressure ventilation (CPAP) is to wear a small CPAP machine when sleeping, so that the mask can be connected to the ventilator, which is similar to the principle of blowing balloons to enlarge the throat stenosis. Every patient needs different pressures, so doctors need to use polysomnography to determine an appropriate pressure. CPAP machine can obviously increase the oxygen content in blood, which is suitable for patients with moderate and severe snoring and other treatment failures.
12, concluding remarks
Snoring and apnea syndrome will lead to serious consequences including multiple systems in the whole body, affecting people's health. Polysomnography is the main means to check and diagnose snoring. Different treatment methods should be selected according to the specific situation of patients. At present, the Sleep and Respiratory Disorder Center of the Otolaryngology Department of Bayi Hospital has carried out all the above treatments. Including surgery, radio frequency, CPAP machine and snorer. Basically, 95% of snorers can achieve satisfactory results through different treatment methods.
Patients who have failed in other treatments.