Sleep-related breathing disorder
An SRBD is a sleep disorder in which abnormalities in breathing occur during sleep which may or may not be present while awake. According to the International Classification of Sleep Disorders, sleep-related breathing disorders are classified as follows:
- Sleep apnea, including the more specific disorders of obstructive sleep apnea and central sleep apnea
- Central hypoventilation syndromes
- Obesity hypoventilation syndrome
- Sleep-related hypoxemia disorder
- Sleep-related hypoventilation due to a medication or substance, or due to a medical disorder
- Isolated symptoms produced by breathing during sleep, including snoring and catathrenia.
Severity of sleep apneas
The most severe of the sleep apneas is obstructive sleep apnea. Apnea is obstructive only when polysomnography reveals a continued inspiratory effort, evidenced by abdominal and thoracic muscle contraction. Sleep apnea is measured by the apnea-hypopnea index. An AHI is determined with a sleep study.AHI values for adults are categorized as:
- Normal: AHI<5
- Mild sleep apnea: 5≤AHI<15
- Moderate sleep apnea: 15≤AHI<30
- Severe sleep apnea: AHI≥30
Treatments of sleep apnea
The most common treatment for sleep apnea is the use of continuous positive airway pressure with a CPAP machine. A CPAP machine pushes air through the nose and/or mouth, which applies air pressure to keep the throat open while asleep. This prevents pauses in breathing. This is helpful in the sense of people with more severe sleep apnea related problems. This CPAP machine is usually the first line of treatment and one of the most effective ways to treat the disease. This machine can help with the quality of sleep someone receives when using it and also lowering their blood pressure and other medical-related problems one might have when being diagnosed with this disease.Other forms of treatment to consider are oral appliances. An oral appliance helps keep the jaw forward and the tongue relaxed. There are a number of surgical treatments available. There are many surgical procedures for sleep apnea. The most common of these is called a uvulopalatopharyngoplasty. One can also consult their doctors about losing some weight which can also help in most cases.