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Sleep Apnea
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What are the treatments for the condition?
Treatment is focused on reducing airway blockage and increasing the amount of oxygen in the body. The first step is often a serious attempt at losing weight. It is also crucial to avoid alcohol and sleeping pills.
If these measures do not help, the person may need a continuous positive airway pressure, or CPAP, machine. The individual wears a mask over the nostrils or mouth that pumps in pressurized air. This increases the amount of oxygen entering the lungs. It also relieves the symptoms of obstruction. The technique can be used with or without supplemental oxygen.
Dental appliances may be used to reposition the tongue and lower jaw. Uvulopalatopharyngoplasty, or UPPP, is a type of surgery that removes excess tissue at the back of the throat. If all other methods fail, a tracheostomy may be done. This involves cutting a small hole in the neck through which the person can breathe.
Medicines may be needed to increase respiratory function while the person
sleeps. Antidepressants may be prescribed. These reduce the amount of time a
person spends in deep sleep.
What are the side effects of the treatments?
Medicines may cause stomach upset, irritability, difficulty sleeping, or allergic reactions. Surgery poses a risk of bleeding, infection, or allergic reaction to the anesthesia.
What happens after treatment for the condition?
If the sleep apnea is improved by weight loss, it's important that the individual keep the excess weight off. Some treatments, such as the use of a CPAP machine, are lifelong.
How is the condition monitored?
Any new or worsening symptoms should be reported to the healthcare provider.
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Author: Eileen McLaughlin, RN, BSN Reviewer: Adam Brochert, MD Date Reviewed: 07/11/01
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