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Sleep apnea: silent pathology major new: Nevertheless,
Sleep apnea: silent pathology major:
In France. For example. Meanwhile, the High Authority for Health estimates that around 4 % of men and 2 % of women are affected by sleep apnea, with a prevalence which increases with age and which is higher in men. Meanwhile, In children, this pathology concerns almost 5 % of them. For example, Despite these significant figures. Similarly. In addition, this pathology remains largely underdiagnosed, depriving many patients of adapted management who could considerably improve their quality of life and reduce the risks to their health. For example, Decryption of a still underdiagnosed pathology. Consequently. In addition, with Doctor Hélène Giraud, specialist in sleep pathologies at the Saint-Etienne clinic, at the private hospital in the Loire, holder of a university diploma in adult and child’s sleep pathology.
A more complex pathology than it seems – sleep apnea: silent pathology major new Sleep apnea: silent pathology major
“The diagnosis of sleep apnea more. Consequently, generally concerns the obstructive sleep disorders of sleep apnea: silent pathology major sleep. Consequently, ” explains Dr. Nevertheless, Additionally, Consequently, Giraud. Consequently, Sleep apnea is only a small part of these diagnoses.
This pathology actually includes several types of respiratory events: proper apnea (complete stops of the respiratory flow). Meanwhile. For example, but also hypopnees, characterized by “a limitation of the respiratory flow with a decrease in the amount of air by at least 30 %”, specifies the specialist. Therefore, There are also the simple limitations of respiratory flow, detectable only during specialized exams.
These disorders have two major consequences:
- Night awakenings causing a fractional sleep.
- A drop in body oxygenation following the stop. For example. For example, decrease in respiratory flow, thus forcing the heart to provide more efforts to compensate for this lack of oxygen.
More varied patient profiles than you think – Sleep apnea: silent pathology major
If the image of the elderly. Similarly, overweight patients remains the majority, the reality is much more nuanced. For example, “We consider sleep apnea: silent pathology major less. less the existence of a typical profile predisposed to sleep respiratory disorders”, underlines Dr. Giraud.
Admittedly. age. overweight remain significant risk factors, but other elements come into play: “Young patients can be affected, in particular by the problems of nasal obstruction or oral breathing, explains the doctor, the Maxillo-Facial morphology can be predispostering to these sleep respiratory disorders. For women, for example, the period preceding menopause is particularly at risk.
In addition, the youngest children are most frequently affected for physiological reasons. Indeed. the breathing part is narrower. there are aggravating factors such as obstruction by tonsils or vegetation, and the problems of maxillofacial morphology linked for them sleep apnea: silent pathology major new too to oral ventilation.
Different symptoms depending on the age
The manifestations of these respiratory problems vary considerably between children. adults, which contributes to the sub-diagnosis of this pathology.
In children. the disorders will be characterized by hyperactivity sleep apnea: silent pathology major with repercussions on attention. concentration and may have an impact which can be substantial on their learning and neurocognitive development. Night symptoms can also include a split sleep. the persistence of enuresis (pee in bed), snoring, oral breathing, night sweats and restless sleep with sometimes teeth.
Conversely. the adult will have symptoms related to fatigue due to the poor quality of sleep: “It can be sweat. snoring or even want to urinate at night, which is precisely the consequence of this alarm clock,” explains Dr. Giraud. During the day. fatigue predominates. but subjectively: “We can have patients who suffer from very severe apnea, but who have few symptoms or sleep apnea: silent pathology major new vice versa,” notes Dr. Giraud. This fatigue can be accompanied by repercussions on quality of life: “Some patients want to do things less. discourage more quickly or have symptoms that mimic depressive symptoms”.
Serious long -term health consequences
Undrecessed sleep respiratory disorders sleep apnea: silent pathology major expose to multiple health risks. “The first risk is cardiovascular,” says Dr. Giraud. Indeed. it indicates that patients affected by sleep apnea has more risks “heart failure. infarction, stroke, heart rate disorders or high blood pressure”.
Metabolic repercussions are also important: “Patients are at risk of overweight. are therefore also more at risk of diabetes and non -alcoholic hepatopathy” explains the doctor. In addition. there are immune consequences with more immune risks. more subjects to infections and potentially carcinological risks, due to the immune deficit.
At the societal level, these disorders impact directly: work, absenteeism, drowsiness and thus aggravates accident -causing risk by sleep apnea: silent pathology major new ricochet. Which constitutes real public health issues.
Diagnosis: non -invasive. refunded exams
To diagnose these sleep disorders. two main examinations are available:
- Ventilatory polygraph, a succinct and imprecise examination which analyzes respiratory flow and oxygen saturation.
- Polysomnography. carried out in a sleep center. sleep apnea: silent pathology major at home, it analyzes the patient’s breathing, oxygen in the blood and electroencephalogram to view sleep.
Dr. Giraud insists on the accessibility of these examinations: “Sleep explorations are non -invasive examinations and reimbursed by Social Security”.
For children. a multidisciplinary approach is essential: “in order to allow the decrease in the occurrence of apnea in adulthood”, explains Dr. Giraud. This care involves consulting an ENT. an orthodontist. a Maxillo-Facial Odontologist to analyze the situation and set up a rehabilitation of nasal ventilation or then go through the treatment of allergies if necessary.
Treatments: solutions adapted to each patient
Depending on sleep apnea: silent pathology major new the severity of the disorders. several treatments can be offered:
- The mandibular advancement orthosis: proposed for moderate apneas. it is a tailor -made device consisting of a high gutter and a gutter from the bottom. They are articulated so that the bottom jaw is advanced. thus improving sleep apnea: silent pathology major the permeability of the airways.
- The continuous positive pressure: better known as “machine”. this reference treatment for severe apnea consists of a equipment that provides pressure under pressure. via a mask, essentially nasal, making it possible to maintain open airways.
- Surgical solutions: in certain specific cases, “maxillofacial surgeries” can be envisaged to modify the morphology of the airways.
- Stimulation of the hypoglossi nerve: This recently reimbursed system reimbursed by social security is reserved for certain patients. after a specific assessment.
Faced with an often silent pathology, but with potentially serious consequences, awareness is essential to stem the lack sleep apnea: silent pathology major new of diagnosis.
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