Covid 19 Loves Insomnia…

Sleep; It is defined as a temporary state of unconsciousness that can be awakened. It is as important a process as eating and drinking in terms of a healthy life, which covers about 1/3 of human life. It is impossible to live without sleep.

Good quality of life and good quality sleep, which has a great role in general body health, also strengthens the immune system and acts as an important shield that protects the body from infections.

Why is sleep important?

during sleep ; resting the body, repairing the nervous system that is tired and worn out during the day, removing the accumulated toxic substances, sorting and storing the information acquired during the day in the brain. Many hormones involved in the regulation of growth, development and activities are secreted during sleep. Adequate sleep time varies from person to person, genetic structure and environment, but it is between 6-10 hours per day. The quality of sleep is as important as or even more important than the duration of sleep.

What are the periods of sleep?

A quality sleep has different periods such as light sleep and deep sleep, which are consecutive and repeated in one night.

*NREM period is the period when eye movements are slow or disappear. In the deep sleep period, the heart and breathing rate decreases, brain activities slow down.

During the REM period, eye movements are rapid. Brain activity increases. Intermittent rapid contractions occur in the eye muscles. At first, neck muscles relax, pulse accelerates, respiratory rate and blood pressure vary. Dreams are more common during this period. Dreams are seen many times in a quality uku. Only dreams seen close to waking can be remembered.

What is sleeping sickness?

‘ Sleep apnea’ is when breathing stops for more than 8-10 seconds during sleep. is called. The decrease in the amount of oxygen in the blood during sleep is vitally important. After the brain notices the decrease in oxygen level, a short awakening occurs and the airway is opened with a strong respiratory effort. The recurrence of apneas more than 5-7 times per hour in the form of attacks during the night is considered as “sleep apnea disease”. It is estimated that there are more than 2 million sleep apnea patients in our country. Early application is made when the respiratory pauses that occur during sleep with the sudden cessation of the sound between snoring are noticed by the careful spouses. In other conditions, waking up with a feeling of suffocation, and in the advanced stages, when the quality of life is greatly affected, only a doctor is consulted, so the diagnosis of the disease is delayed.

What are the effects of sleep apnea?

  • Severe dry mouth in the morning with severe snoring,
  • Waking up restless, tired,
  • Headache, excessive daytime sleepiness

*Being more irritable, intolerant, stress, increased anxiety compared to the past

  • Difficulty maintaining concentration
  • Decreased school performance in children

*Forgetfulness

  • Waking up to the toilet one or more times a night, even though it wasn’t before

*Night sweats that become more pronounced than in the past and cannot be explained by climatic conditions

  • Decreased sexual desire

Diseases caused and increased by sleep apnea

*Hypertension

  • Heart rhythm disorder, palpitations

*Diabetes

  • Decreased sexual desire, impotence

*reflux disease

*Lung bronchitis, asthma

*Heart failure, sleep heart attack, cardiovascular diseases

  • Hypertension in the veins from the heart to the lungs (pulmonary hypertension)

*Cerebral vascular occlusions, stroke

*Sudden death in sleep

What is a sleep test ?

The whole night sleep test, called polysomnography, should be performed in a natural sleep and sleep laboratory as much as possible, without the use of drugs or any substance that may affect sleep quality. During sleep, many functions related to the body, respiratory status, occlusion, heart and brain status, pulse-heart rhythm changes are recorded and examined in detail. The home sleep test, on the other hand, can be applied at home with fewer electrodes than the polysomnographic sleep test performed in the sleep laboratory, for more screening and control purposes.

What is Sleep Endoscopy?

Today, in addition to the standard polysomnographic sleep test to plan the treatment of patients with sleep apnea, the interventional ‘ Sleep Endoscopy’ method is used to support the diagnosis and determine the location of apnea and snoring for the application of more accurate surgical-treatment methods . This should be done by experienced anesthesiologists and ENT specialists. Processing time is 15-20 minutes. Under the operating room conditions, the patient is put to sleep with a light narcosis at a level that will reveal snoring and apnea, accompanied by a monitor that monitors the sleep level of the brain. It is entered through the nose with a flexible endoscopic camera that can be bent. The areas that cause snoring and apnea and cause obstruction in the nasal, uvula, soft palate, tongue root, larynx are determined by viewing in detail.

Treatment in Sleep Apnea

CPAP -BPAP masks and devices, oral and nasal appliances

Masks are devices used to keep the airway open at night in patients with a certain level of obstructive sleep apnea. It creates a continuous or variable positive pressure in the throat and nasal cavity, keeping the airway open and ensuring that the body receives enough oxygen. A wide variety of appliances are also used that expand the nasal airways, pulling the tongue and lower jaw forward.

Surgeries

In addition to laser, radiofrequency, classical or robotic surgery, nose, throat, palate, tongue nerve or root, lower and upper jaw surgeries are performed.