21 March is World Sleep Day. When Winter Olympic champion Gu Ailing said that her "secret weapon" was to "sleep for 10 hours a day", Brother Wu, who lives in The Shangcheng District of Hangzhou City, disagreed, "I go to bed every day from morning to night, not only do I have no good spirits, but I am getting more and more tired." ”
Regardless of the time and occasion, I said that I would sleep and almost died
Brother Wu is 48 years old and has a nickname "Lei Gong" - snoring like thunder. When he reached middle age, his figure was also like blowing a balloon, and he was 1 meter 7 tall and weighed 196 pounds.
He also has a "superpower" - regardless of the time and occasion, he says that he sleeps and can fall asleep in just a few seconds. From morning to night, he is in a state of "shutdown" at any time, going to work for meetings to fall asleep, looking at documents to fall asleep... The most dangerous thing is that you can fall asleep while driving. At one point, he fell asleep within seconds of waiting for the red light, and the driver's horn behind him did not wake him up until someone knocked on the glass window.
The more dangerous one was that Brother Ang was driving and actually fell asleep, and there was a rear-end collision! Fortunately, the situation was not serious and there were no casualties.
Brother Wu's wife was puzzled, obviously her husband slept soundly around him every night, and his purring was so loud that he was still sleepy during the day? So he urged him to hurry to the hospital to see.
Drowsiness is actually lack of sleep
When he came to the Department of Otorhinolaryngology of the First People's Hospital of Hangzhou, Li Yong, director of the Department of Otorhinolaryngology, suggested that Brother Wu do a sleep monitor. After the results came out, both mouths panicked, and in an hour, the apnea was more than 45 times, the longest time was suspended for more than a minute, and the lowest blood oxygen saturation was only more than 60.
The reason why Brother Wu was sleepy all day was found, it turned out that he slept in a "false sleep", on the surface, the purring was loud, and he slept soundly, but in fact, most of the time he was in a light sleep. In fact, he is seriously sleep deprived, and for a long time, it is only a matter of time before his memory declines and his reaction is sluggish.
After consultation and examination, Li Yong found that his bilateral lower turbinates were hypertrophied, his soft palate was low and sagging, his cavity was narrow, and he had a crooked nasal septum and hypertrophy at the base of his tongue... Multiple factors add up to leave his nasopharyngeal cavity with only a slit, making it difficult to breathe. Based on the results of this series of examinations, Li Yong judged that Brother Wu suffered from "obstructive sleep apnea hypopnea syndrome".
Due to the serious situation of Brother Wu, under the arrangement of Dr. Li Yong, he first put on a non-invasive ventilator and chose a day of surgery.
The 3-in-1 procedure opens the channel at once
After careful and detailed preparations, Brother Ng was pushed into the operating room. Airway obstruction varies from patient to patient, and the procedure must be "customized".
To this end, Director Li led the medical team to carefully formulate the treatment and surgical plan, fully assessed the risk of surgery, and decided to complete it at one time for him from the nose to the pharynx to the soft palate.
The main goal of surgery is to increase the oropharyngeal space by correcting the distortion of the nasal septum and removing part of the delayed tissue, thus achieving the effect of enlarging the pharyngeal cavity and contacting the obstruction of the respiratory tract.
With years of clinical experience and superb technical level, Li Yong combined three surgeries at one time and successfully opened the occluded nasopharyngeal cavity. After more than 1 hour, the operation ended smoothly, and there was very little intraoperative bleeding.
After recovering from the hospital, Brother Wu did not feel like holding his breath when he lay down, and slept until dawn. More than half a month later, Brother Wu, who came to the clinic, seemed to have changed a person, and he said happily: "Now every day is full of energy, and I am not sleepy at all." ”
Snoring is also a disease
The rate of sudden death has increased dramatically
Studies have shown that patients with untreated severe sleep apnea syndrome have a 3.8-fold higher case fatality rate than the general population.
The cause of obstructive sleep apnea hypopnea syndrome is upper respiratory tract stenosis or obstruction. Normal people breathe through their noses during sleep. And such patients, due to narrowing or blockage of the upper respiratory tract, will make the air flow up to the nose, then they can only breathe through the mouth, there will be snoring, open mouth breathing. Changes in the structure of the respiratory tract, nasal obstruction, influence on sleeping posture, drinking, staying up late, obesity... can be the cause of snoring.
Especially in obese people, the pharyngeal wall is often hypertrophied, the soft palate is hypertrophied, the suspension is thick, the tongue is widened, and the pharyngeal cavity is narrow, which will cause the gas to fail to pass normally, which will cause apnea.
In the long run, it will also cause hypertension, coronary heart disease, cerebrovascular disease, cognitive dysfunction and so on.
The phrase "a purr causes a sickness" is not an exaggeration at all. If it reaches a severe level, a noninvasive ventilator or even surgery is needed to improve the situation.
Li Yong said that if sleeping and snoring is serious, and you are sleepy during the day, you must go to a professional hospital to find a professional doctor for diagnosis and treatment. Endoscopic or image CT, magnetic resonance to determine whether there is a blocked plane, and then through sleep monitoring to determine the nature of snoring, so as to carry out targeted treatment.
Orange Persimmon Interactive City Express Yu Xixi
Correspondent Li Xu