انقطاع النفس أثناء النوم

Overview 

Sleep apnea is a potentially serious sleep disorder where breathing repeatedly stops and starts during sleep. It affects how well your body gets oxygen, disrupting restful sleep and leading to daytime fatigue, mood changes and long-term health issues. There are different types, but obstructive sleep apnea (OSA) is the most common. Many people remain undiagnosed because the signs appear during sleep, making awareness and testing essential.

Types of Sleep Apnea 

• Obstructive Sleep Apnea (OSA): Most common form caused by throat muscles relaxing and blocking airflow.
• Central Sleep Apnea (CSA): Occurs when the brain fails to send proper signals to the breathing muscles.
• Complex Sleep Apnea Syndrome: A combination of both obstructive and central types, sometimes noticed after CPAP treatment.
• Pediatric Sleep Apnea: Found in children, often due to enlarged tonsils or obesity.

Symptoms of Sleep Apnea

• Loud, chronic snoring
• Gasping or choking during sleep
• Excessive daytime sleepiness or fatigue
• Morning headaches or dry mouth
• Difficulty concentrating or memory issues
• Mood swings, irritability or depression
• Restless sleep or frequent awakenings
• Night sweats
• Decreased libido

Causes of Sleep Apnea

• Obesity and excess body weight
• Anatomical issues like a narrow airway, large tonsils, or small jaw
• Aging and muscle tone loss in the throat
• Genetic predisposition
• Use of alcohol or sedatives that relax throat muscles
• Smoking and nasal congestion
• Neurological conditions (for central sleep apnea)

Complications in Sleep Apnea

• High blood pressure and cardiovascular disease
• Type 2 diabetes and insulin resistance
• Liver problems and abnormal liver function
• Complications during surgery and anesthesia
• Increased risk of stroke and heart attack
• Daytime fatigue leading to accidents
• Worsening of ADHD or depression
• Sleep-deprived partner due to loud snoring

Risk Factors of Sleep Apnea

• Age over 40, especially in men
• Excess weight or obesity
• Neck circumference over 17 inches (men) or 16 inches (women)
• Family history of sleep apnea
• Smoking or alcohol consumption
• Use of sedatives or tranquilizers
• Nasal congestion or structural abnormalities
• Hormonal disorders like hypothyroidism or PCOS

Preventions of Sleep Apnea

• Maintain a healthy weight through diet and exercise
• Sleep on your side rather than your back
• Avoid alcohol and sedatives before bedtime
• Establish a regular sleep schedule
• Quit smoking to reduce inflammation
• Treat nasal allergies or obstructions
• Avoid late meals and heavy food before sleep

Diagnosis of Sleep Apnea

• Polysomnography (Sleep Test): A full overnight sleep study monitoring brain, heart, breathing, and movement.
• Home Sleep Apnea Test (HSAT): Simpler, portable version for selected patients.
• Apnea-Hypopnea Index (AHI): Measures severity of apnea; moderate = 15–30 events/hour, severe = over 30.
• Epworth Sleepiness Scale: Questionnaire to assess daytime sleepiness levels.
• Endoscopy or Imaging: To evaluate upper airway blockages.

Treatments of Sleep Apnea

• CPAP Machine: Continuous Positive Airway Pressure; the most common therapy.
• Oral Appliances: Custom mouthpieces to keep airways open.
• Inspire Sleep Apnea Implant: FDA-approved device that stimulates airway muscles.
• Lifestyle Changes: Weight loss, sleep hygiene, quitting smoking.
• Positional Therapy: Changing sleep position to reduce obstruction.
• Surgery: For severe cases—tonsillectomy, nasal surgery, or jaw repositioning.
• Medications: To manage underlying causes or central sleep apnea.
• Supportive Therapies: Counseling, weight management programs, or oxygen support.

Prognosis of Sleep Apnea

• With proper treatment, most people experience major symptom relief.
• Untreated sleep apnea may lead to life-threatening heart and brain issues.
• Consistent use of therapy (CPAP or oral devices) greatly improves sleep quality.
• Lifelong monitoring and adjustments are often needed, especially in moderate to severe cases.