A diario más gente consulta por problemas de sueño, y cada vez estamos diagnosticando más casos de apnea. Lo primero que refieren es la presencia de cansancio, dificultad para realizar actividades habituales y, sobre todo, la ausencia de un sueño reparador, que está asociado a graves problemas de salud, si no lo tratamos a tiempo. Y además se trata de un problema multidisciplinar, es decir, que atañe a muchos especialistas (cardiólogos, neumólogos, otorrinos, internistas, neurólogos, neurofisiólogos, etc)
¿Qué síntomas son típicos de la apnea del sueño?
- Apnea, es decir, paradas o pausas en la respiración, dejar de respirar súbitamente y durante varios segundos (más de 10 segundos), acompañado de un sueño no reparador independientemente de la duración del sueño
- Ronquidos, a veces muy sonoros, irregulares y molestos para quien comparte cama contigo, incluso en otras habitaciones.
- Rechinar de dientes o bruxismo, como forma de descargar la tensión acumulada de todo el día.
- Dolor de cabeza, molestias a lo largo de todo el día que hace difícil concentrarse, y tener problemas de memoria.
- Sueño a lo largo del día, en cualquier sitio se dormirían, incluso conduciendo, lo cual es un riesgo muy alto para ti y para los demás.
- Cansancio marcado, no tienen ganas de hacer nada, el día se hace tedioso y largo. Refieren aumento de la fatiga incluso siendo de perfil sedentario.
- Irritabilidad importante, no aguantan nada, se suman los problemas y no hay fuerzas para continuar las tareas diarias. Finalmente, refieren presencia de estrés y depresión, día a día rinden menos y el nivel de energía está bajo mínimos, se suman en la tristeza y entran en un círculo vicioso muy peligroso.
- Nicturia, es decir, se levantan a orinar mas de lo habitual por la noche.
- Boca seca al despertar, debido al empleo de respiración por boca en vez de nasal.
- Habitualmente obesidad o sobrepeso, aunque uno puede padecer de apneas con un peso adecuado o ligeramente elevado. Sí que es típico que haya un aumento de la circunferencia del cuello (hombres> 43.2 cm; mujeres,> 38,1 cm).
Existen, fundamentalmente, tres tipos de apneas:
- Obstructiva: Ocurren a nivel faríngeo. Durante el sueño, disminuye el tono muscular e incluso desaparece durante la fase activa, con diferencias entre la actividad muscular del diafragma y de vías respiratorias superiores, e inestabilidad de dichas vías. La obstrucción nasal parcial que induce apnea obstructiva a nivel faríngeo, con congestión de la mucosa nasal y de secreciones acumuladas.
- Central: ausencia de señal respiratoria y ausencia de esfuerzo respiratorio (no se detectan movimientos toraco-abdominales). El sistema nervioso deja de enviar estímulos a los músculos respiratorios.
- Mixta: apnea que habitualmente comienza como central y termina con un componente obstructivo. El 50% de los episodios de apnea son de este tipo.
¿Hay solución? Lo primero es hacer un diagnóstico a través de una prueba que se conoce con el nombre de POLISOMNOGRAFIA NOCTURNA. El paciente se lleva un pequeño equipo a su domicilio para dormir con el y detectar las apneas.
Si los resultados confirman que hay una apnea del sueño, y de origen obstructivo, la solución es emplear una CPAP, un equipo que emplea una Presión Positiva Continua en la vía aérea, muy sencillo y fácil manejar, que se considera una terapia de primera línea para la apnea obstructiva del sueño sintomática o moderada a severa. El equipo realmente es un compresor, que genera una presión de aire que se transmite a través de un tubo hasta una mascarilla que, al tener una presión positiva, vence la obstrucción o cierre de la vía respiratoria y evita las pausas respiratorias o apneas.
¿Cómo medimos las apneas o hipoapneas? El número de apneas e hipopneas por hora de sueño se denomina índice de apnea-hipopnea (IAH), en el que la presencia de apnea obstructiva del sueño se define como un IAH de 5 o más eventos por hora. El IAH se usa para clasificar la gravedad de la enfermedad; Se considera que las personas con un IAH de 5 a 15 tienen una apnea leve, de 16 a 30 de grado moderado, o más de 30 eventos por hora tienen apnea obstructiva del sueño grave.
¿Hay otras terapias? El uso de terapias alternativas (dispositivos de férulas mandibulares y opciones quirúrgicas) para pacientes que rechazan o no pueden usar CPAP debe considerarse de forma personalizada, con respecto a la naturaleza de la obstrucción, los factores específicos del paciente y las preferencias del paciente.
Debemos resaltar la necesidad de realizar modificaciones en el estilo de vida incluyen asesoramiento sobre pérdida de peso en pacientes con sobrepeso y obesidad, evitando medicamentos y sustancias que promueven la relajación de la vía aérea superior (p. ej., Alcohol, benzodiacepinas y analgésicos opiáceos).
¿Y por qué es importante tratar la apnea del sueño? Se ha comprobado que se asocia con un mayor riesgo de enfermedad cardiovascular. Las personas con este problema son más propensas a padecer hipertensión, accidente cerebrovascular, problemas coronarios o insuficiencia cardíaca, también tienen un mayor riesgo de arritmias relacionadas con el sueño (p. ej., bradicardia sinusal y bloqueo auriculoventricular), fibrilación auricular y taquicardia ventricular no sostenida.
Así pues, si sospechas que puedes tener este problema, ¡acude al médico porque tiene solución!
REFERENCIA
Obstructive Sleep Apnea in Adults.
Veasey SC, Rosen IL.
N Engl J Med 2019; 380:1442-1449.
Hello there, just became alert to your blog through Google,
and found that it is truly informative. I am gonna watch out
for brussels. I will be grateful if you continue this in future.
Many people will be benefited from your writing. Cheers!
Escape roomy lista
Very interesting points you have noted, regards for posting.?
I really like looking through a post that can make people think. Also, many thanks for allowing me to comment.
I blog quite often and I really appreciate your content. The article has really peaked my interest. I am going to bookmark your website and keep checking for new information about once a week. I opted in for your Feed too.
Oh my goodness! Incredible article dude! Many thanks, However I am experiencing problems with your RSS. I don’t understand the reason why I cannot subscribe to it. Is there anyone else having identical RSS issues? Anyone that knows the answer will you kindly respond? Thanks.
Having read this I believed it was really informative. I appreciate you taking the time and energy to put this informative article together. I once again find myself personally spending a lot of time both reading and commenting. But so what, it was still worthwhile.
Having read this I thought it was extremely enlightening. I appreciate you finding the time and effort to put this information together. I once again find myself personally spending a significant amount of time both reading and posting comments. But so what, it was still worth it.
I really like it when folks come together and share opinions. Great website, stick with it.
You have made some really good points there. I looked on the web for additional information about the issue and found most individuals will go along with your views on this site.
I was able to find good advice from your content.
Saved as a favorite, I really like your blog!
I truly love your site.. Very nice colors & theme. Did you build this amazing site yourself? Please reply back as I’m wanting to create my own site and would love to know where you got this from or exactly what the theme is called. Kudos!
Hi, I do believe this is a great blog. I stumbledupon it 😉 I will come back yet again since i have book-marked it. Money and freedom is the greatest way to change, may you be rich and continue to help other people.
I blog often and I genuinely appreciate your information. This great article has really peaked my interest. I am going to book mark your blog and keep checking for new details about once a week. I subscribed to your RSS feed too.
I must thank you for the efforts you have put in writing this website. I am hoping to view the same high-grade content by you later on as well. In truth, your creative writing abilities has inspired me to get my own, personal blog now 😉
There is definately a great deal to know about this subject. I like all of the points you’ve made.
Good post. I learn something new and challenging on blogs I stumbleupon on a daily basis. It will always be interesting to read through content from other writers and practice a little something from other websites.
That is a really good tip especially to those fresh to the blogosphere. Simple but very accurate information… Thank you for sharing this one. A must read article!
I used to be able to find good advice from your blog posts.
I blog quite often and I seriously thank you for your content. The article has really peaked my interest. I’m going to book mark your website and keep checking for new information about once a week. I opted in for your Feed as well.
Very good post. I’m facing a few of these issues as well..
Having read this I believed it was rather enlightening. I appreciate you taking the time and effort to put this information together. I once again find myself spending a lot of time both reading and commenting. But so what, it was still worth it!
It’s hard to find knowledgeable people for this topic, however, you sound like you know what you’re talking about! Thanks
I used to be able to find good advice from your blog articles.
Spot on with this write-up, I absolutely believe that this site needs a great deal more attention. I’ll probably be returning to read through more, thanks for the info!
There is definately a lot to learn about this subject. I really like all the points you made.
The next time I read a blog, I hope that it won’t fail me just as much as this one. I mean, Yes, it was my choice to read through, but I truly believed you’d have something helpful to say. All I hear is a bunch of whining about something that you could possibly fix if you weren’t too busy looking for attention.
I couldn’t refrain from commenting. Well written!
Everything is very open with a precise description of the challenges. It was truly informative. Your site is very helpful. Thank you for sharing.
I needed to thank you for this very good read!! I absolutely enjoyed every little bit of it. I’ve got you book marked to check out new stuff you post…
Can I simply say what a relief to uncover a person that truly understands what they are discussing online. You definitely realize how to bring an issue to light and make it important. More and more people should look at this and understand this side of your story. It’s surprising you are not more popular because you surely possess the gift.
Oh my goodness! Amazing article dude! Thank you so much, However I am going through problems with your RSS. I don’t know why I can’t join it. Is there anybody having similar RSS issues? Anyone that knows the solution can you kindly respond? Thanx!!
This is the perfect blog for everyone who wishes to understand this topic. You know so much its almost tough to argue with you (not that I actually would want to…HaHa). You definitely put a brand new spin on a topic which has been discussed for a long time. Wonderful stuff, just great.
Nice post. I learn something new and challenging on websites I stumbleupon every day. It will always be useful to read content from other authors and use a little something from other sites.
Hi! I just wish to give you a big thumbs up for the excellent information you’ve got here on this post. I will be coming back to your site for more soon.
Excellent site you have here.. It’s difficult to find excellent writing like yours nowadays. I seriously appreciate individuals like you! Take care!!
Right here is the perfect site for anyone who really wants to find out about this topic. You realize so much its almost hard to argue with you (not that I personally will need to…HaHa). You definitely put a brand new spin on a topic that’s been discussed for years. Wonderful stuff, just excellent.
I was able to find good advice from your blog articles.
This blog was… how do you say it? Relevant!! Finally I have found something which helped me. Thanks a lot!
I’m impressed, I must say. Seldom do I encounter a blog that’s both educative and amusing, and without a doubt, you’ve hit the nail on the head. The issue is something that too few men and women are speaking intelligently about. I am very happy I stumbled across this during my search for something concerning this.
Good article. I will be experiencing many of these issues as well..
Next time I read a blog, I hope that it doesn’t disappoint me just as much as this one. After all, Yes, it was my choice to read through, however I really thought you would probably have something useful to talk about. All I hear is a bunch of moaning about something you can fix if you were not too busy seeking attention.
Can I simply say what a comfort to find somebody that truly understands what they’re talking about on the net. You definitely realize how to bring an issue to light and make it important. More people have to look at this and understand this side of your story. I can’t believe you are not more popular given that you definitely have the gift.
After looking over a few of the blog articles on your web page, I honestly appreciate your way of blogging. I saved as a favorite it to my bookmark webpage list and will be checking back in the near future. Take a look at my website as well and tell me what you think.
Way cool! Some very valid points! I appreciate you penning this post and the rest of the site is really good.
I’m impressed, I must say. Seldom do I encounter a blog that’s both equally educative and entertaining, and let me tell you, you’ve hit the nail on the head. The issue is something which too few folks are speaking intelligently about. Now i’m very happy I found this in my search for something concerning this.
Pretty! This has been a really wonderful post. Many thanks for supplying this info.
I absolutely love your blog.. Great colors & theme. Did you build this amazing site yourself? Please reply back as I’m attempting to create my own personal blog and want to find out where you got this from or exactly what the theme is named. Cheers.
You made some good points there. I looked on the web for more info about the issue and found most individuals will go along with your views on this website.
Way cool! Some very valid points! I appreciate you writing this article and also the rest of the site is also really good.
I seriously love your blog.. Pleasant colors & theme. Did you build this website yourself? Please reply back as I’m attempting to create my very own website and would love to find out where you got this from or just what the theme is called. Cheers!
After looking into a handful of the articles on your web page, I seriously appreciate your technique of writing a blog. I saved it to my bookmark website list and will be checking back soon. Please visit my website too and let me know how you feel.
I couldn’t resist commenting. Well written.
I like reading an article that can make men and women think. Also, thanks for permitting me to comment.
Can I simply just say what a relief to find someone that truly knows what they are discussing on the web. You actually realize how to bring a problem to light and make it important. More and more people need to look at this and understand this side of your story. I was surprised that you aren’t more popular since you definitely have the gift.
An interesting discussion is worth comment. I think that you need to publish more about this topic, it may not be a taboo subject but generally folks don’t talk about these topics. To the next! Many thanks.
Hello there! This article couldn’t be written any better! Going through this article reminds me of my previous roommate! He continually kept talking about this. I’ll forward this information to him. Fairly certain he’ll have a good read. Thank you for sharing!
I blog frequently and I seriously thank you for your information. This article has really peaked my interest. I’m going to take a note of your website and keep checking for new details about once per week. I subscribed to your Feed too.
After I initially left a comment I appear to have clicked the -Notify me when new comments are added- checkbox and now each time a comment is added I receive four emails with the exact same comment. Perhaps there is a means you can remove me from that service? Cheers.
Hi, I do believe this is an excellent web site. I stumbledupon it 😉 I am going to revisit once again since I bookmarked it. Money and freedom is the greatest way to change, may you be rich and continue to guide other people.
After looking over a handful of the articles on your web site, I truly like your way of writing a blog. I saved it to my bookmark webpage list and will be checking back in the near future. Take a look at my web site as well and let me know how you feel.
Spot on with this write-up, I seriously believe this website needs a lot more attention. I’ll probably be back again to read through more, thanks for the info!
It’s hard to find educated people for this subject, but you sound like you know what you’re talking about! Thanks
Hi, I do believe this is a great website. I stumbledupon it 😉 I may return once again since I saved as a favorite it. Money and freedom is the greatest way to change, may you be rich and continue to guide others.
After looking over a handful of the articles on your web page, I honestly appreciate your way of writing a blog. I book marked it to my bookmark webpage list and will be checking back in the near future. Please visit my web site too and let me know how you feel.
I couldn’t refrain from commenting. Exceptionally well written.
I could not resist commenting. Well written!
I like it when people get together and share thoughts. Great website, stick with it!
Hello!
This post was created with XRumer 23 StrongAI.
Good luck 🙂
After going over a handful of the blog articles on your website, I seriously like your technique of writing a blog. I book-marked it to my bookmark site list and will be checking back soon. Please visit my website too and let me know your opinion.
I used to be able to find good info from your content.
I enjoy looking through a post that will make men and women think. Also, many thanks for allowing for me to comment.
I was able to find good information from your content.
I was very happy to find this website. I want to to thank you for your time due to this wonderful read!! I definitely loved every little bit of it and i also have you bookmarked to see new stuff on your website.
Everyone loves it when individuals come together and share views. Great blog, stick with it!
Excellent blog post. I certainly appreciate this website. Stick with it!
Great web site you have here.. It’s hard to find high-quality writing like yours nowadays. I honestly appreciate people like you! Take care!!
I wanted to thank you for this very good read!! I certainly loved every bit of it. I’ve got you book-marked to check out new things you post…
I’m very happy to uncover this great site. I wanted to thank you for your time due to this wonderful read!! I definitely enjoyed every part of it and i also have you saved as a favorite to see new things in your blog.
Oh my goodness! Awesome article dude! Many thanks, However I am having problems with your RSS. I don’t know the reason why I can’t subscribe to it. Is there anybody getting identical RSS problems? Anyone who knows the answer will you kindly respond? Thanks!
bookmarked!!, I really like your web site.
I blog often and I seriously appreciate your content. This article has really peaked my interest. I’m going to take a note of your blog and keep checking for new information about once per week. I opted in for your RSS feed too.
Good write-up. I certainly love this site. Thanks!
Hello there, I do think your web site might be having internet browser compatibility problems. Whenever I take a look at your website in Safari, it looks fine however when opening in IE, it has some overlapping issues. I merely wanted to give you a quick heads up! Besides that, wonderful website.
Good post. I definitely love this site. Thanks!
I truly love your website.. Very nice colors & theme. Did you develop this website yourself? Please reply back as I’m wanting to create my own personal blog and would love to find out where you got this from or just what the theme is called. Cheers.
Good article. I definitely love this website. Keep writing!
This is a very good tip especially to those new to the blogosphere. Simple but very precise info… Thank you for sharing this one. A must read post.
I like looking through an article that can make people think. Also, many thanks for allowing for me to comment.
This is the perfect blog for anybody who hopes to understand this topic. You understand a whole lot its almost tough to argue with you (not that I personally will need to…HaHa). You certainly put a new spin on a subject that has been discussed for decades. Great stuff, just wonderful.
This is the perfect website for anyone who hopes to understand this topic. You understand a whole lot its almost hard to argue with you (not that I really would want to…HaHa). You definitely put a fresh spin on a topic that’s been written about for many years. Wonderful stuff, just wonderful.
Good day! I could have sworn I’ve visited this website before but after going through some of the posts I realized it’s new to me. Nonetheless, I’m certainly happy I discovered it and I’ll be book-marking it and checking back regularly.
Hello! I could have sworn I’ve been to this blog before but after looking at some of the articles I realized it’s new to me. Regardless, I’m certainly happy I discovered it and I’ll be bookmarking it and checking back frequently!
Hey there! I just wish to offer you a big thumbs up for your great info you’ve got right here on this post. I’ll be coming back to your blog for more soon.
I was extremely pleased to uncover this website. I wanted to thank you for ones time for this particularly fantastic read!! I definitely appreciated every part of it and i also have you book marked to see new stuff on your blog.
Hi, I do think this is an excellent website. I stumbledupon it 😉 I’m going to revisit once again since I book-marked it. Money and freedom is the greatest way to change, may you be rich and continue to help other people.
I was able to find good information from your content.
Having read this I believed it was extremely informative. I appreciate you finding the time and effort to put this short article together. I once again find myself personally spending way too much time both reading and commenting. But so what, it was still worthwhile.
I could not resist commenting. Exceptionally well written.
Spot on with this write-up, I absolutely believe this site needs far more attention. I’ll probably be returning to see more, thanks for the advice.
Переходите на страничку с самым лучшим казино онлайн – [b]https://bestslots-online777.com/[/b]
There is definately a great deal to find out about this subject. I love all of the points you’ve made.
Great article! We are linking to this particularly great post on our site. Keep up the good writing.
You ought to take part in a contest for one of the most useful websites on the web. I’m going to recommend this site!
I was able to find good advice from your blog articles.
There is definately a great deal to know about this topic. I like all of the points you made.
The very next time I read a blog, Hopefully it won’t fail me as much as this particular one. After all, I know it was my choice to read through, but I really thought you would have something helpful to talk about. All I hear is a bunch of crying about something you can fix if you were not too busy looking for attention.
I needed to thank you for this great read!! I certainly loved every little bit of it. I’ve got you saved as a favorite to look at new stuff you post…
Having read this I believed it was very enlightening. I appreciate you spending some time and effort to put this short article together. I once again find myself personally spending a significant amount of time both reading and leaving comments. But so what, it was still worthwhile!
Everything is very open with a very clear clarification of the issues. It was truly informative. Your website is very helpful. Thanks for sharing!
Hello there! This blog post could not be written any better! Looking at this post reminds me of my previous roommate! He always kept preaching about this. I will forward this post to him. Fairly certain he’s going to have a good read. Thank you for sharing!
This is a topic that is near to my heart… Thank you! Exactly where are your contact details though?
After looking over a number of the blog articles on your web page, I honestly appreciate your technique of writing a blog. I added it to my bookmark webpage list and will be checking back soon. Please check out my website as well and tell me how you feel.
An interesting discussion is worth comment. I believe that you need to publish more on this topic, it may not be a taboo matter but generally folks don’t discuss these issues. To the next! All the best!
You need to be a part of a contest for one of the most useful websites on the internet. I most certainly will recommend this site!
After looking at a handful of the articles on your blog, I honestly appreciate your technique of blogging. I saved it to my bookmark website list and will be checking back soon. Please check out my website too and tell me what you think.
Hello there! This article could not be written any better! Looking through this article reminds me of my previous roommate! He continually kept talking about this. I’ll forward this information to him. Fairly certain he’s going to have a very good read. I appreciate you for sharing!
I quite like reading through an article that will make men and women think. Also, thank you for permitting me to comment.
I need to to thank you for this excellent read!! I definitely enjoyed every bit of it. I have got you book marked to check out new stuff you post…
I couldn’t resist commenting. Exceptionally well written.
The next time I read a blog, Hopefully it does not fail me as much as this one. After all, Yes, it was my choice to read through, nonetheless I truly believed you would probably have something interesting to say. All I hear is a bunch of crying about something you could fix if you were not too busy looking for attention.
Spot on with this write-up, I actually feel this site needs much more attention. I’ll probably be back again to see more, thanks for the advice!
Nice post. I learn something new and challenging on sites I stumbleupon everyday. It’s always helpful to read through articles from other authors and use something from other sites.
Very good article! We will be linking to this particularly great article on our website. Keep up the good writing.