Ms. Sun has been irritable because of sleep problems
I feel irritable every day
I am also listless when I go to work
I have extremely low work efficiency
I am about to fall asleep
I am awakened by "thunder"
The culprit of this problem is actually
Her husband!
Ms. Sun's husband, Mr. Li, is 170cm tall and weighs 100 kilograms. He has always considered himself to be broad-minded and fat, and looks "rich". But recently, he had inexplicably developed fatigue and dizziness. No matter how long he slept at night, he was very sleepy during the day. After a little exercise, he would feel chest tightness and shortness of breath, and even panting when climbing the stairs on the third floor. Every night, he snored loudly, and his wife, Ms. Sun, hasn't had a good rest for a long time.
At first, Mr. Li didn't take it seriously, thinking that he was only 33 years old, and he was young and strong. What big problems could he have? Maybe I'm too tired from work, I'll just have a few days off. However, as the days passed, Mr. Li's problems not only did not relieve them but became more serious, but even had swelling on both feet. Mr. Li came to the hospital for examination with his family.
young
indicators seriously exceed the standard!
won’t know if you don’t check it, you’ll be shocked when you check it! Mr. Li's blood pressure was 160/100mmHg high, and cardiac color ultrasound found that the double atrium was enlarged, the left ventricular systolic function was reduced, and the pulmonary artery moderate high pressure was found. Regular urine suggests 3 plus signs of urine protein. At a young age, several indicators have seriously exceeded the standard and are at risk of worsening the condition at any time.
After falling asleep, the monitor emits an alarm
, it is seriously hypoxia!
At the suggestion of Wu Haiyan, director of the Department of Respiratory and Critical Care Medicine, Mr. Li connected to the electrocardiogram monitoring and oxygen saturation monitor. At around 11 o'clock in the evening, Mr. Li fell asleep. At this time, the monitor began to emit an alarm sound. The number "60%" on the display screen kept flashing, and the value of normal people was above 95%. 60% like Mr. Li had already indicated severe hypoxia! Long-term severe hypoxia will cause irreversible damage to the organs of the body! The doctor on duty woke Mr. Li and immediately put on him the non-invasive ventilator . Mr. Li finally had a good night's sleep and the monitor never called the police again.
Further subsequent examinations found that Mr. Li also had obvious symptoms of nighttime apnea, hypoxia, and liver insufficiency. Sleep monitoring also confirmed that Mr. Li suffered from a disease called " obstructive sleep apnea hypoventilation syndrome ". It was this initiator that caused Mr. Li, who was only 33 years old, to have problems such as blood pressure instability, heart pulmonary heart disease, cardiac insufficiency, and liver and kidney dysfunction!
"Obstructive sleep apnea hypoventilation syndrome"
?
The small "snoring" problem, is
really such a big harm?
The doctor introduced that "obstructive sleep apnea hypopnea syndrome" refers to the patient's repeated apnea and hypopnea during sleep. Clinically, it can be manifested as snoring, loud and irregular snoring, suffocation or wake-up at night, sleepy eyes disorder, drowsiness during the day, memory loss, and in severe cases, cognitive function decline and behavioral abnormalities. There are great individual differences in the occurrence of symptoms, one or more, or asymptomatic.
"Obstructive sleep apnea hypoventilation syndrome" is a systemic disease and is an independent risk factor for hypertension . It is closely related to coronary heart disease , cardiac extinction, arrhythmia , and diabetes . It is also an important cause of sudden death and road traffic enemies.
"Obstructive sleep apnea hypoventilation syndrome"
What are the main causes?
Abnormal or lesions of the upper airway
●Narrowth of the nasal cavity and nasopharyngeal
●Oral and laryngeal cavity stenosis
●Dysplasia, deformity
Upper airway dilation muscle tone
Respiratory center Abnormal regulation function
systemic factors or disease
induced factors
"Obstructive sleep apnea hypoventilation syndrome"
What are the typical symptoms of?
How to screen yourself if you have
"Obstructive sleep apnea hypoventilation syndrome"?
STOP- Bang Questionnaire can help us screen people who may be sick.
If the score exceeds 3 points, it is necessary to consider the high risk factors for obstructive sleep apnea. You should seek medical consultation as soon as possible, and the doctor will judge whether professional sleep monitoring examinations are needed to further confirm the diagnosis.
polysomnography (PSG) is the most important test to diagnose sleep apnea hypoventilation syndrome. Through the monitoring of indicators such as continuous breathing at night, arterial oxygen saturation, EEG , ECG, heart rate , etc., we can understand whether the patient has apnea, the number of pauses, the time of pauses, the minimum arterial oxygen value when pauses occur, and the degree of impact on physical health. It is an internationally recognized gold standard for diagnosing sleep apnea hypoventilation syndrome. The Department of Respiratory and Critical Care Medicine of our hospital has long launched this project.
has "obstructive sleep apnea hypoventilation syndrome". How should
be treated?
Currently, obesity is considered to be an independent risk factor for "obstructive sleep apnea hypoventilation syndrome", so all confirmed overweight and obese people should effectively control their weight, including diet control and strengthening exercise. Avoid alcohol, quit smoking, use sedative and hypnotic drugs and other drugs that may cause or aggravate. Sleep on the side when sleeping; among them, non-invasive positive airway pressure ventilation treatment is the first choice and initial treatment method for adults.
After a period of treatment in the hospital, Mr. Li has been discharged from the hospital for more than a month. After returning home, he has been strictly controlling his diet every day, working hard to exercise and control his weight, and has lost 7 kilograms in a month. At the same time, he wears a non-invasive ventilator every night when he sleeps as directed by the doctor. At present, the symptoms of fatigue, dizziness, chest tightness and shortness of breath have basically been alleviated after exercise, and his blood pressure has dropped to about 140/80mmHg.
Doctors remind : Obstructive sleep apnea-hypopulation syndrome should be detected early, diagnosed and treated early, which is extremely important for improving symptoms and preventing complications, especially for high-risk groups (such as middle-aged men, obese people, family history, hypertension, atherosclerosis, diabetes, etc.), and regular screening should be carried out. Patients with unexplained daytime drowsiness, refractory hypertension, and patients with risk factors should be screened early, early detection, early diagnosis, and early treatment to prevent the development of moderate to severe.
Source/Subscribe number of the First People's Hospital of Xiaoshan District, Hangzhou City
Editing/Ding Jiabing
Editor/Lu Liping
Review/Liu Binyun
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