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Renji Hospital Pro Wang. Obstructive Sleep Apnea- Hypopnea Syndrome (OSAHS). (International Classification of Sleep Disorders, 2 nd Edition American Academy of Sleep Medicine, 2005). 1. 2.

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Obstructive Sleep Apnea- Hypopnea Syndrome (OSAHS)

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Renji hospital pro wang

Renji Hospital Pro Wang

Obstructive Sleep Apnea-Hypopnea Syndrome (OSAHS)


Obstructive sleep apnea hypopnea syndrome osahs

(International Classification of Sleep Disorders, 2nd EditionAmerican Academy of Sleep Medicine, 2005)

1

2

3Sleep related hypoventilation/hypoxemia


Definitions

Apnea – a temporary absence or cessation of breathing

Definitions


Definitions1

OSAHS – a condition in which a person experiences repeated episodes of apnoea because of a narrowing or closure of the pharyngeal airway during sleep, resulting in daytime symptoms, especially excessive sleepiness

Definitions


Definitions2

Apnea-hypopnea index (AHI)

Definitions

-Numbers of apneas and hypopneas/ 1 sleeping hour


Obstructive sleep apnea hypopnea syndrome osahs

  • Severity of sleep related breathing disorders:

  • (2009.2)

  • Normal: AHI<5/h

  • Mild: AHI: 5-15/h

  • Moderate: AHI:16-30/h

  • Sever: AHI>30/h


Osahs symptoms

Daily

  • Excessive daytime sleepiness

  • Unrefreshing sleep

  • Memory disturbances

  • Morning headache

  • Depression

  • Decreased libido

  • Stomach ache

OSAHS: symptoms


Osahs symptoms1

Nightly

  • snoring

  • apneas

  • choking, gasping

  • arousals

  • sweating

  • dry mouth

  • palpitation

  • nycturia

OSAHS: symptoms


Osahs diagnostic criteria

(1. or 2.) and 3.

OSAHS: diagnostic criteria


Risk factors of osahs

  • Obesitas

  • Age

  • Male gender

  • Pozitive family history of OSAHS

  • Alcohol consumption before bedtime

  • Race

  • Smoking

  • Sedatives

  • Craniofacial anomalies

  • Hypothyroidism, acromegaly

Risk factors of OSAHS


Treatment

  • Lifestyle management, including weight loss& alcohol withdrawal

  • Position training

  • Nasal, pharyngeal surgery (UPPP)

  • Oral appliances

  • CPAP – continuous positive airway pressure

treatment


Cpap technology

CPAP technology


Cpap technology1

CPAP technology


Treatment uppp

Treatment:UPPP


Treatment uppp1

Treatment:UPPP


Thank you

Thank you !


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