Snoring Obstructive Sleep Apnea and Treatment Animation
Snoring and sleep apnea.In normal breathing, air enters the nostrils and goes through the throat and the tracheato the lungs. In people who snore this airway is partiallyobstructed by excess tissue of the throat, such as large tonsils, large soft palate ortongue. Another common cause of obstruction is the dropping of the tongue into the throatdue to over relaxation of tongue muscles during sleep. Air currents competing throughnarrow spaces in the throat cause the soft palate essentially a piece of soft tissuehanging in the throat to vibrate. This vibration is the source of the noise we hear when someoneis snoring.
Sleep apnea happens when the airway is completelyobstructed, no air can go through and the person stops breathing. This cessation ofbreathing triggers the brain to respond by waking up the person just enough to take abreath. This repeats itself again and again during the course of the night and may resultin sleep deprivation. Snoring and mild sleep apnea may be treatedwith a mandibular advancement device. This device is designed to move the lower jaw andthe tongue slightly forward and thus making the space in the back of the throat larger.
How to Treat Sleep Apnea Naturally
Hi, my name is Troy Giles. I am a of Chiropractic and a Natural Internist. Today I wanted to talk to you a little about apnea,and sleep apnea. This is a major issue in the world. People are having trouble sleepingand there are many reasons for apnea. One is neurologic, where the nerves, the brain,the connection to the lung is not working correctly. Also, thyroid we find, thyroiddysfunction, where low thyroid. Thyroid is what helps you control your breathing patternswhile you are asleep. If you have low thyroid, the thyroid affects the heart and the rhythmof breathing. So low thyroid can affect it as well. But, apnea is when you can't breathwell. Your sleeping and you just stop breathing.
There can be constrictive apnea as well, whereyou have enlarged tonsils, or your throat is closed down. I had a patient that had,this has been probably ten years ago, had a roto rooter, if you will, where they went in down on thetrachea, the throat, removed the tonsils and literally removed and widened the trachea,all the way down through his neck, through his throat. Extremely painful, literally hewished he could have died. That ultimately, still didn't help any. He can get better air,bit still he is on a CPAP machine. The treatment for it, medically, is to use a CPAP or a ByPAPmachine, which helps to force air into you and helps you to breathe during the evening.Another issue is that many times its body
habitus, enlarged gut. If you are laying onyour side and you have a larger tummy, you have to push your tummy up while you are breathing,sleeping at nighttime. Literally, you are having to lift up your tummy all night long.After a couple of hours or so, you become fatigued. The diaphragm becomes fatigued oflifting, pushing. So you just stop breathing for a minute. You can go 30 seconds, a minute,2 minutes. Finally, you gasp for air. This happens over and over and over. The CPAP helpsto force the air in you are just basically breathing easier. The sense of breathing isthere, but you are now lifting with forced air, in the abdomen, and in to your lungs.So to treat this, naturally, we want to look
at supporting the lung tissue. We want tosupport anything that is going to help you to get rid of inflammation through the throat.We want to treat the thyroid and the adrenal glands to have them up and running the waythey should so they are giving good information to the heart and to your breathing pattern.We would do this through supplementation. The supplementation we would want to looktowards would be the adrenal glands first, Adrenex. We would support the adrenals withAdrenex. Thyroiden to support the thyroid tissue. Thyroid again, we want to get itsmetabolism and its function the way that it should. Permalung helps to bring clarity,helps to remove sluggishness of the lungs,
bronchial congestion, mucus. A lot of timesthere is a mucus build up throughout the lung. Even with that we would want to look towardsleaky gut syndrome because when you have leaky gut, you are actually leaking toxins throughthe gut and they overwhelm the liver and its ability to detoxify. So a lot of the overalltoxins will come up and out through the lung. So you will have a lot of increased amountof toxin and production of mucus, so you will tighten up as well. So, asthma and apnea alsowork together. So, you want to see if you can't get rid of some of that tightness andcongestion that you feel. I would work with the diet, just helping, just eating more greenleafy vegetables. It is so vital to eat green
leafy vegetables every meal. So how do eatgreen leafy vegetables for breakfasté I would encourage you to get a significant blender,Vitamix is a good one, Blendtec is another one, Montel Williams I think has one thatis a good like two horsepower motor, that you can put in all the kinds of fruits thatyou want, green leafy vegetables, like kale, baby spinach, literally any vegetable thatyou want can go in there as well. If you make it correctly, it tastes very good. You haveall your fruits. You can get some of the big box stores have frozen fruit. You can putthat with a banana, maybe a protein powder of some type. The one we carry here is calledLepterra. That helps make it smoother and
ESC TV 2015 Congress by Topic Heart Failure
The study is called SchlaHF XT, which means sleep and heart failure We were able to rule out sleep apnea in only 25 % of the patients so that is meaning that 75 % of the patients will have sleeplessness or breathing of one or other type or severity and about half of them are, let us sayroughly 45 %, will present with moderate to severe obstructive or central sleep apnea we see that with including now HFPAF patients into the registry, we see much more obstructive sleep apnea compared tocentral sleep apnea before sleep breathing disorder is very prevalent in heart failure either HFRAFand HFPAF
it is, all the data out say that it has a prognostic impact, you can treat it and I think my key messages is, screen your patients for prevalence of sleep disorder breathing and look for data out there iftreatment changes anything in prognostic prognosis of them or quality of life, and we have to clearly differentiate I think at that point, from obstructive andcentral sleep apnea In SERVEHF, 1 325 systolic heart failure patients presenting with central sleep apnea were randomised to receive either adaptive servoventilation or medicalmanagement alone, median followup was 31 months
We found actually there was no difference in outcome at all and surprisingly, which has taken both respiratory physicians and cardiologists completely by surprise we found an increase inmortality, and if you look at cardiovascular mortality it was up 34 %,so not only does it not make any difference to the patients with systolicheart failure but it actually increases the risk of them dying, so this is a realgamechanger trial, really important All of the available patients who wererandomised in trials, we put those patients together from individual patient dataand so we were able to do something that
has not been done before which is to lookat age as a continuous variable and look at the benefits of betablockerscompared to placebo across all ages and gender and what we found was that patients who were older got exactly the same benefit from beta blockers as youngerpatients, if they were in sinus rhythm with an absolute risk reduction ofaround 4 % whether you are 50 or whether you are 75, looking at the results for gender, women had less mortality as you would expect but actually again they got exactly the same benefit that men got from beta blockers, so this suggestsvery importantly that the practice that
seems to be out there that women andolder patients get less beta blockers is something that we should not do, andreinforces the need for all of these patients to get guidelines' recommendedtreatments The ESC heart failure longterm registry is a general registry under the European observational research programme of the ESC, and the aim is to know theepidemiology and management of adult patients with heart failure in ESC countries orMediterranean countries
this registry has started in 2011, so far we have enrolled more than 24 000 patients from 31 ESC countries and 320 active centres participating, according to KaplanMeier survival curves the mortality at one year is 23.6 % for acute heart failure patients and around 6 % for chronic heart failure patients mortality for acute heart failure is still high while mortality for chronic heart failure is lower and this might reflect that there have been no new therapies in the last years for the