The News Herald (Willoughby, OH)

Breathing easier about CPAP treatment

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People who routinely toss, turn, snore, and wake up feeling less than refreshed in the morning may have more to worry about than simply not getting a good’s night sleep. They may be experienci­ng a relatively common yet largely undiagnose­d condition that can contribute to long-term risk for various diseases. Sleep disorders have become a significan­t health issue. Sleep apnea, which affects an estimated 22 million people in the United States, can contribute to difficulty sleeping. Sleep apnea causes periods defined by an inability to breathe. The American Sleep Apnea Associatio­n says sleep apnea comes in three types: obstructiv­e, wherein a blockage of the airway is usually caused by the collapse of the tongue or soft palate; central, when the brain fails to signal muscles to breathe; and complex, which is a combinatio­n of the two conditions. Over time, sleep apnea can be a risk factor for heart attack, stroke, diabetes, and other serious conditions, says the Cleveland Clinic. That is why symptoms that may begin as mildly agitating snoring sessions should be brought to a doctor’s attention. When sleep apnea is identified, one of the more successful treatments is widely referred to as “CPAP.” According to the National Heart, Lung and Blood Institute, CPAP, or continuous positive airway pressure, is a treatment that uses mild air pressure to keep breathing airways open. A CPAP machine includes a mask or other device that fits over the nose or nose and mouth. The mask is connected to a machine via a tube, through which humidified air is blown. In cases of obstructiv­e sleep apnea, or OSA, CPAP can reverse the complete blockages or narrowing of upper airways. When used correctly, CPAP may be the only treatment necessary to address OSA. Sleep apnea is usually confirmed by an overnight sleep study known as a polysomnog­ram, or PSG, conducted in a lab or at home. According to the American Sleep Apnea Society, a PSG is often followed by with a CPAP titration study. Individual­s who will require CPAP can choose among masks and equipment that meet the prescripti­on and maximize comfort levels. Many people become accustomed to using CPAP devices right away, while others may need a month or more to transition. Problems like uncomforta­ble masks or air leakage can be tweaked until users grow comfortabl­e. CPAP needs to be employed under the guidance of a sleep specialist. The mask and tube should be cleaned daily and be replaced when necessary for the treatment to work effectivel­y. More informatio­n about sleep apnea and CPAP is available at www.amsleep.org.

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