Breathe and suspend _ general knowledge of syndrome in sleep

Breathe and suspend _ general knowledge of syndrome in sleep
Sleep breathe, suspend the intersection of syndrome and common the intersection of one and a related to sleep one relatively at being clinical and have potential serious disease of complication. Can cause the organism to form hypoxemia disease and high carbonic acid blood disease, it is disorderly that lung worry, hypertension, night rhythm of the heart take place more, even dies suddenly. Clinical the intersection of general and sleep breathe, suspend syndrome, divide into three type: ( a) Obstructive type, although yes breathe sports, the nasopharyngeal department air current is blocked; ( b) The centre type, skin of diaphragm and intercostal muscle movement stop and a nose air current is cut off; ( c) Phenotype, centre type and obstructive type to breathe, delay, store in meanwhile, it is the centre type at the beginning, it is obstructive type later. Mostly obstructive type and phenotype among them.

1,Cause of disease and mechanism

It is still not very clear to breathe the mechanism of delaying taking place in centre type sleep, it is generally acknowledged, may reflect the low or central nervous system and exhale with breathing the centre and put through the abnormal state of the mechanism and have something to do when inhaling. The obstructive sleep is breathed and suspended except that unusually have something to do with anatomy of angry way of going, also there is a close relation with the function of getting on the angry way. Patient is during sleep,it if you can't if you can't lie, for sphincter by the uvulas, palates of the levels, swallow /or root of the tongue is limp to last wall after swallowing, therefore produced the angry way to block.

2,Clinical manifestation

Sleep breathe, suspend syndrome, snore show as more sleep, fraud wake up it has to be unusually acting and illusion night often, have a liking for, sleep and not getting serious to often doze off while having a meal, driving, talking with people or watching TV too sleepy daytime, from morning headache, it is dizzy, intelligence fail or drop memory,increase weight, enuresis, sexual impotence,etc. behave. These patients often display the mouth to swallow smaller than normal people, the uvula is thick and long, or the trailing of root of the tongue that the tongue is loose, hupertrophy of tonsils,etc., some can amalgamate the diaphragm in the rhinitis, nasal polyp, nose crookedly, contracting, little jaw deformity,etc. behind a few patients have short and thick or amalgamate the lower jaw neck.

3,Diagnosis

Diagnostic standard mean in 7 hour sleep, break out, breathe, delay more than 10 seconds each time generally, the number of times is here 30 or more times to break out, breathe and suspend the index (breathe and suspend the number of times in sleep namely per hour) in or the sleep Exceed 5 or more times, should combine clinical manifestation and oxygen degree of saturation and drop the intensity and consider to this standard. Use and lead more appearances to monitor to contribute to diagnosis and dividing type to this disease.

4,Treat and attend to

Besides treating and having illness coming on to the therapeutic principle of this disease originally actively, should adopt different therapeutic method according to the severity of its type and disease. Can use stimulant of breath and diaphragm skin pace maker to suspend to breathe in centre type.

( 1) Generally attend to:

Keep on a diet. Should advise him to keep on a diet to the excessively fat patient which cause a disease.

Give up smoking and drinking. Studies have suggested, alcohol can inhibit breathing, smoking can make mucomembranous resistance of the respiratory tract drop, cause the lung blood vessel to shrink at the same time, aggravate the artery high pressure of lung, reduce the function of the lung.

The suitable one lies in the location. Advise patient adopt, lie on one's side fall asleep, and half lie in the location, in order to lighten and block symptom, breathe and suspend the number of times in reduction.

( 2) Drug therapy:

Fit the progesterone of palace. Yes excitement is breathed.

Application of vasoconstrictor. The patient drips and uses vasoconstrictor, the negative pressure of swallowing department when can lighten and have a stuffy nose and inhale to having a stuffy nose, relieve and block symptom.

General Luo takes the place of forest and chlorine imipramine. Can reduce the sleep and breathe and suspend the number of times, breathe suspended time, lighten hypoxemia disease in shortening, but also can raise the skin activity of tongue of chin, the angry way is opened on contributing to.

( 3) Pressing one to keep in touch with (CPAP) continuously : Calming the anger in the way and keeping in touch with and treating and treating the obstructive sleep to breathe and suspend continuously with the nose face guard, can relieve the intersection of patient and the intersection of sleep and angry blockade of dish breathe, dispel the intersection of hypoxemia and disease, improve symptom. Generally by pressing 0.686- 0.981kPa (7- 10cmH2O) continuously . Using the face guard should cover the nose tightly, close and shut up, breathe with the therapentic instrument synchronously, prevent the air current from leaking from the mouth.

( 4) To the guardianship breathing: Patient happen, breathe, suspend frequently night, in relieve, breathe, suspend before the phenomenon, should especially attend to the patient. Want, observe, snore, breathe suspend, the intersection of fraud and the intersection of angry, cyanosis,etc. and symptom after the patient falls asleep, if breathe, suspend time to be too long, should wake patient up in time, so as to avoid, suffocate due to oxygen deficiency dies suddenly. There should be tongue depressor, tongue pincers, tracheostomy wrapping up, oxygen, respirator,etc. to rescue articles by the bed, so that when serious, cooperate with the doctor to take and rescue the measure. Conditional should guard continuously the blood and oxygen saturation lever monitoring instrument, in order to observe patient's oxygen deficiency situation, grasp and handle the opportunity.

( 5) The guardianship of the circulatory system: Because the arrhythmia will take place in serious hypoxemia disease, so should observe the changes of pulse, heart rate, rhythm of the heart. From mid-night to will it be this period of times early morning, the intersection of patient and most incident arrhythmia, should make lasting the intersection of heart and electricity, guard.

( 6) Tracheostomy and attending to. (see the tracheostomy of basic nursing to attend to)

( 7) The treatment of surgery: Tonsil excise, uvula palate swallows the method of having a facelift, excise a part of too many soft tissue of throat, can make mouth swallow, expand, lighten, block, make, snore symptom lighten or disappear. Hyoid bone suspend in midair or excise, inferior maxilla slip skill forward, to contract behind the lower jaw, little the intersection of jaw and deformity person, because the trailing of root of the tongue causes the narrow one curative effect of angry way of going better, but need certain apparatus condition.

In order to guarantee effective keeping in touch with, the ones that must keep respiratory tract are unobstructed, remove the secretion of angry way. When patient's fraud is angry to have the fidgets, forbid morphine ands barbital
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