Cihan Sleep Clinic


QUALITY LIFE = QUALITY SLEEP

Snoring is usually taken gently in the community due to excessive fatigue or weight. Usually it is not considered to go to a specialist. However, if you have complaints such as fatigue and drowsiness during the day and in the morning, you may have sleep apnea.

 

WHAT ARE THE SYMPTOMS OF SLEEP APNEA?

  • Snore
  • Respiratory arrest during sleep
  • Morning fatigue
  • Drowsiness during the day
  • Frequent urination at night
  • Night sweating
  • Dry mouth
  • Reflux
  • Headache
  • Forgetfulness
  • Concentration disorder
  • Depression
  • Erectile dysfunction in men, menstrual irregularity in women


WHAT ARE THE RESULTS OF SLEEP APNEA?

Atherosclerosis, arrhythmia, heart attack, heart failure, pulmonary hypertension, systemic hypertension, stroke, insulin resistance, metabolic syndrome, obesity, traffic accidents, impaired cognitive functions, depression, decreased libido, work and marriage problems and so on.

 

HOW IS SLEEP APNEA DIAGNOSED?

To determine the diagnosis and the degree of sleep apnea, a sleep test called “polysomnography” is performed. According to the results of this test, treatment is shaped. One should spend the night in the sleep laboratory. The patient's brain activity and respiratory events are recorded overnight. During sleep, brain waves, eye movements, mouth and nose air flow, snoring, heart rate, leg movements and oxygen levels are measured. The cables are connected to various points of the body during the test. Signals received from these cables are recorded in computer environment. By examining these records taken until the morning, many parameters such as severity of snoring, how many times the breathing stops during sleep, how long it stops, how much oxygen drops when it stops, and how heart rate is affected and sleep phases are examined. As a result, a report is prepared; Is there any disease, if any, what degree is determined.

 

WHAT IS SLEEP APNEA TREATMENT?

First of all, it is necessary to eliminate the risk factors in the development of the disease. It is the first thing to do to lose weight, change sleep position (increase the risk of lying on your back), avoid alcohol, sedatives and hypnotics, avoid smoking and smoke, and treat comorbidities. All patients are informed about general precautions. The patient should be evaluated by the Otorhinolaryngologist for upper respiratory tract stenosis for surgical intervention. Patients to be operated should be carefully selected. The disappearance of snoring does not mean that sleep apnea is healed and complaints can be repeated after surgery. According to the test results, the CPAP device is recommended to give positive air pressure to patients with mild sleep apnea and cardiovascular disease or drowsiness throughout the day. In the treatment of moderate to severe sleep apnea, the patient should use a CPAP device. It is necessary to lie in a second sleep laboratory to determine which apparatus is suitable for the patient, adjust the pressure of the device and see if the apneas have disappeared or have fallen to a minimum. In case of difficulty in using the CPAP device or in mild cases, the intraoral device can be used during sleep. With these apparatus, the lower jaw can be brought forward to prevent the tongue from falling back and obstructing the upper airway.

WHAT IS CPAP TREATMENT?

It is the most effective and most common form of treatment for sleep apnea. CPAP devices consist of a nose mask, a hose to supply air to this mask, and a type of air compressor that generates continuous positive pressure. It creates positive pressure and prevents tissues from loosening and narrowing the airway, allowing the airways and larynx to remain open during sleep. Thus, apnea and snores are eliminated. Patients who use the device for the first time that they sleep so well and have rested expressed. Within a few days sleep becomes completely normal and the symptoms caused by the disease disappear in a short time. CPAP devices are small and very silent devices that can be placed in the head-end during sleep and fit into a bag. Thanks to their small size, patients can easily carry their devices with them when traveling.

If you answer yes to 2 or more of the following questions, you should consult a physician specialized in sleep disorders.

 

Does your snoring disturb anyone around you?
Is it said to stop breathing during sleep?
Do you wake up at night without breathing?
Do you wake up in the morning, could not rest, could not sleep?
Do you wake up with a headache from sleep?
Do you often wake up at night? Do you sweat at night?
Do you often need to go to the toilet at night?
Do you have dry mouth in the morning?
Does your blood pressure rise when you wake up at night or in the morning?
Do you sleep when you drive?
Do you sleep when reading newspapers and books?
Are you having trouble falling asleep?
Is there a feeling of restlessness that creates the need to move your legs when you go to bed?
Do you wake up from sleep with a feeling of splashing in your legs?
Do you feel that your heart rhythm is irregular at night?
 

In our hospital, sleep test is performed within the chest diseases department. If you have any complaints about sleep, we are waiting for you