Snoring, also known as sleep apnea syndrome. Generally speaking, snoring occurs mostly in men and is often associated with obesity. It will affect the rest of the bedmates.
The medical definition of snoring:
The loudness of the snoring sound of the patient increases by more than 60dB after being asleep, which hinders the gas exchange during normal breathing. It is called snoring. 5% of patients with snoring have different degrees of snoring during sleep, which is called obstructive sleep apnea syndrome, which has serious clinical manifestations. Snoring, holding breath, nocturnal apnea, sleepwalking, enuresis, and daytime sleepiness. It can also be accompanied by cardiovascular and respiratory complications, such as high blood pressure, cardiac hypertrophy, and arrhythmia. 30% of patients have chronic lung injury with varying degrees of lung function examination In addition, there are emotional depression and forgetfulness.
How to make the people for snoring?
Narrowing or blockage of any anatomical part of the upper airway can lead to obstructive sleep apnea.
(1) The nasal cavity
The nasal cavity, pharynx, and larynx lesions are stenosis or atresia of the nostril, deviated nasal septum, nasal polyps, hypertrophic rhinitis, allergic rhinitis, various benign or malignant tumors of the nasal cavity; nasopharyngitis, adenoid hypertrophy, nasopharynx Atresia or stenosis, large tonsils, uvula overgrowth or hypertrophy, pharyngeal tumors, pharyngeal muscle paralysis; epiglottitis, epiglottic cysts, epiglottic tumors, supraglottic edema, vocal cord paralysis, angina, laryngeal cartilage softening; And the neck goiter and other primary or metastatic mass compression.
(2) Oral disease
The impact of tongue lesions is even worse, such as megatongue disease, tongue tumors, ectopic thyroid at the base of the tongue, enlarged tongue secondary to mucinous edema, and some patients with crotch repair using pharyngeal flaps.
(3) Certain congenital facial deformities
①Piene-Robin syndrome is characterized by a small jaw, a cracked neck, a hard waist and a high arch, and a drooping tongue.
② Prader-Willi syndrome, mainly manifested as dysphagia, obesity, facial deformities, low sexual function, mental retardation and so on.
②Down syndrome, with low nose bridge, imperfect upper hair, small round lower collar, high waist arch, mental retardation and waiting point.
④Treacher-C011ins syndrome, manifested by hypoplasia of the mandible and facial bone, such as the following dangerous defects, supraorbital rim deformity, small jaw, inverted frontal bone, lumbar fissure, epiglottis and ear deformities.
⑤ Crouzon syndrome, mainly including craniofacial hypoplasia, low and wide nasal bridge, hook-shaped nostril, narrow nasal cavity, deviated nasal septum, depressed upper collar, shortened upper lip, high arch of hard crotch, large and prominent mandible, etc.
⑥Hurler-Scheie syndrome, its clinical features are between Hurler syndrome and Scheie syndrome, characterized by receding cheeks (small jaw), symptoms include mental retardation, trophication, various bone hypoplasia, corneal opacity, deafness, etc. .
(4) Systemic diseases
Acromegaly causes tongue enlargement, mucinous edema caused by hypothyroidism, chronic lymphocytic leukemia angina, postmenopausal endocrine disorders and obesity in women, all of which can easily lead to OSAS. Obese people may be prone to OSAS due to:
1. Such patients have thick tongue, and excessive fat deposits in the soft, uvula, and pharyngeal walls, which can easily cause airway obstruction.
2. The openness of the pharyngeal cavity is related to changes in the volume of the lungs. Obese people can significantly reduce lung volume, resulting in obese lung hypoventilation syndrome; this sign may be that the increase in abdominal fat leads to an increase in its volume, which causes the Increased, because the fat deposits in the septal muscles and intercostal muscles, reducing the strength of the breathing action, it is easy to cause intrinsic symptoms.
Fairbanks (1987) believes that there are four main reasons for snoring or obstructive sleep apnea:
1. The tension of the palatine muscle, tongue muscle and pharyngeal muscle is insufficient, and the airway cannot be kept open during the inspiratory phase of the respiratory cycle.
2. The soft palate and uvula are too long, and the nasopharyngeal airway is narrowed and vibrated when breathing.
3. There are space-occupying lesions in the pharyngeal cavity. Thus encroaching on the pharyngeal airway.
4. The nasal cavity has limited ventilation, which can make the collapsible airway part produce greater negative pressure during the inhalation period.
How to cure and relieve the snoring?
1. Conservative therapy Weight loss therapy; improve the sleeping position, avoid lying on the back and head forward; device therapy, such as nasal valve dilator, self-flowing tongue depressor, etc.
2. Surgical therapy is suitable for conservative therapy, the snoring loudness is greater than 60dB, the duration of each breath holding during sleep is more than 10-20s, the sleep apnea is at least about 10 times per hour, the head is swollen in the morning, and the daytime sleepiness is confirmed by instrument inspection. Those with suffocation and hypoxemia during sleep, typical family members’ reaction symptoms, and narrow pharyngeal cavity on examination,
3.Drug therapy. Medical research now confirms that the main causes of snoring are stenosis and obstruction in the nose and nasopharynx, oropharynx, soft palate, and tongue base. In addition, the soft tissues of the pharynx are loosened during sleep and the tongue base falls back and causes airflow. Can not freely pass through the airway of the pharynx.
4. Diet: Diet and life Eat more light foods, such as vegetables and fruits, smoke less, and don’t drink alcohol. Go to bed early and get up early. Sports can alleviate the symptoms of snoring.
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