How to get rid of snoring
Snoring is a noisy breathing during sleep caused by vibrations of different tissues in the pharynx (soft palate) within its partial overlapping. This happens because the muscular pharynx frame loses its tone and is relaxed during sleep, and the muscles are unable to maintain the required diameter of the airways. The depth and severity of respiratory disorders are completely different in all patients; accordingly, the risks of complications of these disorders will be different. When a person snores, significant changes in intrathoracic pressure appear in the chest and this often leads to disorders of cardiac activity after a certain time.
There are 2 types of snoring and they have to be differentiated - this is rhonchopathy and the syndrome of obstructive sleep apnea (OSA)
Ronchopathy is a breathing disorder
In Ronchopathy, the patient makes sounds when sleeping, but there are no breath stops (apnea). This situation is typical for problems with nasal breathing (nasal septum deformity, polyposis rhinosinusitis, vasomotor or allergic rhinitis), hypertrophy of palatine tonsils, deformities of the upper or lower jaw, tongue’s root hypertrophy|, stretching of the soft palate. When a patient has rhonchopathy, his internal organs do not suffer and there is no risk for his life or health; patients do not suffer from excessive daytime sleepiness. They just snore. There is no danger to life and health.
The syndrome of obstructive sleep apnea (OSA)
Loud snoring can be an independent symptom, and can be combined with respiratory arrests. The presence of snoring is directly related to the onset of obstructive sleep apnea syndrome (OSA). OSA is a breathing disorder during sleep, when snoring is accompanied by respiratory arrest (apnea). In this case, snoring becomes a "marker" of reducing respiratory activity - apnea, gipapnoe, which results in a decrease in oxygen that enter lungs. Moreover, this is dangerous for the patient's life. Frequent episodes of apnea lead to interruptions in the cardiovascular system and sometimes to cardiac arrest. In addition, nocturnal, systematic hypoxia leads to the development of chronic fatigue syndrome, headaches, decreased potency. According to the latest data, 80% of accidents in the USA occur through the fault of snoring drivers with OSA, who fall asleep behind the wheel. However, it will therefore take some time before the development of such a dangerous phenomenon. As a rule, a person has been snoring for a long time before the symptoms of cardiac disorders appear. Episodes of respiratory arrests become more frequent and permanent over time.
The severity of snoring can be associated with a number of factors and their combination. One of the main factors is overweight. Excess weight not only interferes with the movement of the diaphragm, but also is often accompanied by excess tissue and subcutaneous adipose tissue in the neck and root of the tongue, which leads to pressure on the upper respiratory tract under the force of attraction.
Alcohol and hypnotics lead to an additional pharynx muscles relaxation, which can lead to tragic consequences.
When diagnosing snoring, it is important to determine whether there is apnea (respiratory arrest) or not. If so, then what is the severity? If a mild apnea and sometimes of moderate flow is diagnosed and does not lead to severe hypoxia and heart rhythm disturbances (significant tachy or bradycardia), then surgical treatment in different volumes is indicated. The amount of intervention depends on the severity and anatomical structure of the oropharynx and intranasal pathology.
When breathing stops in a sleep, accompanied by severe hypoxia, a high risk of cardiovascular complications, surgical interventions in the oropharynx are excluded! Only an operation to restore nasal breathing is performed. In this situation, the only solution to the problem is to select a CPAP therapy with a simultaneous decrease in body weight.