what is SNORING ? Causes of snoring and treatement and remadies of SNORING ; ( from internate;s writings)
( আজ বিশ্ব নাক ডাকা দিবস ৷ তাই নাক ডাকা বা Snoring বিয়ষে কিছু তথ্যাদি ইনটারনেট থেকে সংগ্রহ করে আগ্রহী পাঠকদের জন্যে এই লেখাটি প্রস্তুত করা হয়েছে ৷ )
Snoring ;
Snoring is a sound made during sleep. It is the sound of the
throat vibrating as air flows through it.
throat vibrating as air flows through it.
Air should be able to move easily through your mouth, nose, and
throat. Sometimes, during sleep, air cannot move through these areas easily.
This turbulent airflow makes the roof of the mouth vibrate. This is what causes
the snoring sound. Smaller airways can lead to louder snoring. Airflow may be
obstructed by:
·
Weak muscles in the
tongue and throat
·
Enlarged tonsils,
adenoids, or other obstructions such as a tumors or cysts
·
Excessive tissue around
the throat due to obesity
·
Structural factors:
·
A long, soft palate
·
A long uvula
·
Deformities of the nose
or nasal septum
·
Small chin, overbite, or
high palate
·
Congested nasal passages
from a cold, flu, sinus infection, or allergies
Being over 50 years old and male increase the risk of snoring.
Other factors include:
·
Being overweight
·
Family history
·
Use of drugs (central
nervous system depressants) or alcohol that act as respiratory depressants
·
Lying on back while
sleeping
·
Nasal obstruction (due to
a cold, sinus infection, allergy, enlarged adenoids, or injury that has displaced the
nasal cartilage or bones)
The main symptom of snoring is noisy breathing during sleep.
Snoring may be associated with a sleep condition called sleep
apnea. Snoring with sleep apnea may cause these symptoms:
·
While sleeping:
·
Gasping
·
Choking
·
Long pauses in breathing
·
Frequent awakening
·
While awake:
·
Sleepiness and fatigue
during the day
·
Slowness in mental
functioning
·
Headaches
When Should I Call My Doctor?
Call your doctor if you snore and you have other symptoms of
sleep apnea. Talk to your doctor if you have regular snoring that is bothering
you or your partner.
If your child is snoring regularly, talk to their doctor.
If your snoring is severe, the doctor will want to make sure you
do not have obstructive sleep apnea. Diagnosis may involve:
·
Physical exam of the
throat, neck, mouth, and nose
·
A sleep study in a
laboratory—to help determine how much the snoring is disrupting your sleep
In cases of snoring without sleep apnea, lifestyle changes may
alleviate symptoms. More severe cases may require surgery or devices.
Lifestyle Changes
Changes that may help stop snoring include:
·
If you are overweight, lose weight.
·
Exercise to improve
muscle tone.
·
Avoid drinking alcohol or
taking sedatives
.
·
Establish regular sleeping patterns.
·
Sleep on your side rather
than on your back.
·
Treat causes of nasal congestion,
such as allergies or colds.
·
Raise the head of the bed
up about four inches. Use extra pillows or put something under the mattress.
Surgery
Surgery may be done to remove excess tissue in the nose or
throat. During surgery, a laser or scalpel will remove the tissue that is
blocking the airway. Treatment by laser surgery requires a series of surgeries.
These surgeries are usually reserved for severe and disruptive cases of
snoring.
Another procedure is to try to stiffen the roof of the mouth.
Devices
Devices that can open airways during sleep include:
·
Continuous positive airway pressure (CPAP)—airway is propped
open by a continuous flow of air. The air passes through a mask-like device
that you wear during sleep. It is more commonly used for people with
obstructive sleep apnea.
·
Mouthpieces—to help
position the soft palate and tongue for better breathing
To reduce the chances of snoring, take these steps:
·
Maintain a healthy body
weight.
·
Treat cold and allergy
symptoms.
·
Avoid drinking alcohol or
taking sedatives for several hours before bedtime.
·
Sleep on your side.
Last reviewed May 2013 by Brian Randall, MD
Please be aware that this information is provided to supplement
the care provided by your physician. It is neither intended nor implied to be a
substitute for professional medical advice. CALL YOUR HEALTHCARE PROVIDER
IMMEDIATELY IF YOU THINK YOU MAY HAVE A MEDICAL EMERGENCY. Always seek the
advice of your physician or other qualified health provider prior to starting
any new treatment or with any questions you may have regarding a medical condition.
More story about snoring ;
Snoring
Snoring
occurs when the muscles of the airway relax too much during sleep and vibrate
(creating noise) when air we breathe passes in and out. Most people will snore
at some time, however loud or chronic snoring can disrupt sleep-quality and
disturb others. Particularly when loud, it is often associated with other
sleep-related breathing disorders, such as obstructive sleep apnoea (OSA).
Common
causes of snoring:
§
Allergies
§
Eating too much at night
§
Nasal congestion
§
Deformity of the nose
§
Consumption of alcohol close to bed-time, especially if the
amount is large
§
Being overweight or obese
§
Pregnancy
§
Swelling of the muscular part of the roof of the mouth
§
Swollen adenoids or tonsils, especially in children
§
Medications, including sleeping tablets
§
Sleep position – sleeping on your back may cause your throat
muscles and tongue to relax; the tongue is then more likely to fall back and
compress the airway, causing snoring or making snoring louder.
An
overnight sleep study can be performed to assess the nature and severity of
snoring, and to check for other sleep-disorders that often accompany snoring,
especially obstructive sleep apnoea (OSA).
Treatment
The
most appropriate treatment for snoring varies according to the severity of
snoring, presence of sleep apnoea, age, body-weight, degree of daytime
sleepiness, alcohol-consumption, medical history and the anatomy of the upper
airway. A Sleep Physician is a doctor who specialises in treating patients with
snoring and other sleep-disorders, and who is qualified to help sufferers make
an informed decision about which treatment is the most appropriate.
Snoring
Treatment options
Provent Therapy
Provent
is a new device available for the treatment of snoring and obstructive sleep
apnoea. The treatment uses disposable, adhesive devices that cover the
nostrils. Microvalves control the amount of airflow in and out of the
nasal passage, increasing the air-pressure inside the airways. This
prevents the airway from collapsing and vibrating to create snoring sounds.
Click here to
visit our Provent Therapy information page.
Theravent
TheraventTM Snoring
Therapy is available Australia
Theravent
is an effective treatment for many patients with troublesome snoring,
particularly when combined with other conservative snoring treatments
(including lateral sleep and weight-reduction).
Further
information can be found on the Theravent website here.
Exclusively Lateral
Sleep
Exclusively
lateral sleep can be an effective, non-invasive treatment of snoring and
obstructive sleep apnoea. It achieves this by preventing the tongue, soft
palate and uvula from falling backwards under the effect of gravity, thereby
causing the pharyngeal airway to be restricted. This in turn results in an
increased speed of air-flow through the narrowed airway, causing an increase in
soft-tissue vibration and resultant snoring. A variety of simple measures
can be implemented to encourage exclusively lateral sleep, such as the use of a
bolster pillow placed lengthwise in the bed (to lean against) or pinning tennis
balls (or the like) to the back of a pyjama top. As the tennis ball
causes discomfort to the wearer when supine, it typically causes the wearer to
turn back to a lateral position. Within a few weeks, most people learn
the habit of sleeping laterally and will no longer require tennis balls or
similar measures. Exclusively lateral sleep is limited however in its
effectiveness, particularly in sufferers with severe obstructive sleep
apnoea. In this case alternative treatments are required.
Night Shift Device
Night
ShiftTM is a new lateral sleep position aid that assists
patients to sleep exclusively on their side. Many patients have
obstructive sleep apnoea that is significantly worse (or only present) when
sleeping on their back (the supine position). The device accurately
monitors sleep-position and vibrates when supine sleep is detected, helping
many patients with position-related airway disorders to avoid other OSA
treatments. It records positional data and snoring volumes that can be
downloaded, either to provide you with information on your sleep, or to provide
to your Sleep Physician to monitor the progress of your treatment.
Night
Shift can also be used in conjunction with other OSA treatments, including
Provent Therapy. Patients who require CPAP can use Night Shift as well to
lower their nightly CPAP setting.
For
ethical reasons, we do not sell Night Shift or any other treatment device, but
our doctors may recommend a trial based on the results of your sleep
study.
More
information on the Night Shift device can be found here.
Weight-loss
Weight
loss will generally decrease the severity of snoring, although not all people
who snore are overweight, but weight gain will typically make existing snoring
even worse. Losing even a little weight can reduce fatty tissue in the
back of the throat and decrease snoring. In some patients, weight loss may
not cure snoring, but can significantly reduce its loudness (sometimes to such
an extent that other treatments are not required).
Cessation of Tobacco
Smoking
In
addition to causing cancer and being a major health risk, tobacco smoke causes
the walls of airways to retain fluid and swell (this is called oedema). This
causes the airway to narrow, worsening snoring (and sleep apnoea). Smokers are
4 to 5 times more likely than non-smokers to suffer from snoring and
obstructive sleep apnoea. Nicotine also contributes to insomnia and poor
sleep-habits.
Mandibular
Advancement Splint (MAS)
A
Mandibular Advancement Splint is a small device (a type of dental splint) which
is placed in the mouth during sleep, causing the lower jaw and tongue to be
held more forward than usual. This in turn opens the pharyngeal airway,
resulting in a lower rate of air-flow. This minimises vibration of the tissues
at the back of the pharynx, thereby reducing the volume of snoring. However,
there are a number of problems which can occur for users of a MAS, including a
build-up of excessive amounts of saliva, discomfort of jaws and teeth, problems
with the gums and other oral tissues with certain types of MAS, particularly if
fitted incorrectly and in a significant percentage of patients, permanent
repositioning of the teeth and an altered bite over a period of years.
AveoTSD®
The
AveoTSD® is a tongue-stabilising device which can be used to hold the tongue
forward, with a consequent opening of the pharyngeal airway. This product is
made from a soft silicone and uses a simple suction mechanism to attach itself
to the tongue, enabling it to be pulled forward. This treatment has
certain limitations, and is best discussed by your treating Sleep Physician.
Continuous Positive
Airway Pressure (CPAP)
As
for obstructive sleep apnoea (OSA), CPAP is currently the most effective
treatment for simple snoring. CPAP involves the use of a compact air pump to
deliver a continuous flow of pressurized air (via a mask) to an individual’s
airway. This pressurised air acts as a pneumatic splint and prevents the airway
from collapsing, which in turn causes snoring to cease. Each individual’s
pressure-requirement differs, depending on a variety of factors, including
weight and severity of snoring. These and other details of
CPAP
therapy are discussed in the CPAP section of this website.
Nasal Steroids and
Allergy Treatments
Naso-pharyngeal
congestion from allergies can also contribute to a narrowing of the
airways. Nasal congestion limits the amount of air a person can breathe
through their nose while asleep. This can be caused by the presence of an
allergen in an individual’s immediate environment, resulting in an inflammatory
response and mucosal swelling, which blocks the nose. Mouth-breathing is then
the only available means to ensure that sufficient oxygen is delivered to the
body. Nasal steroids can be an effective way to combat the underlying allergic
reaction, eg, with prescription agents such as ‘Nasonex’. Certain over-the-counter
nasal steroids are also available from pharmacies.
Non-Steroidal
Over-The-Counter Nasal Sprays and Other Anti-Allergy Treatments
Other
over-the-counter treatments may also be beneficial in patients prone to nasal
allergies or troublesome nasal congestion at night-time. The most common
cause of nasal congestion is temporary swelling of nasal passages due to colds
or allergic reactions to pollen, dust, mould, animals or some foods. These can
cause the lining of the nasal membrane to become inflamed, and mucus to thicken
and become acidic. There are a number of over-the-counter nasal sprays that can
be helpful in the short term, eg, FESS® Nasal Spray, a non-medicated saline
nasal spray. Nasal sprays like Afrin, Neo-Synephrine, NasalCrom (Cromyln) and
anti-histamines can also be useful as decongestants. However the use of such
sprays for more than 72 hours can cause a rebound, negative effect.
Allergy desensitization treatments will sometimes be recommended by a Sleep
Physician, Allergist or General Practitioner.
ENT Interventions and
Surgery and Other Procedures on the Soft Palate
When
narrowing is due to structural abnormality, ENT surgery can be very helpful as
a means of opening the nasal passages, thereby improving nasal air-flow and
eliminating the sufferer’s need for mouth-breathing.
Surgical
procedures which have been used in the hope of reducing snoring include uvulopalatopharyngectomy (UPPP), radio frequency uvulopalatopharyngectomy
(RFUPPP) and laser-assisted uvuloplasty (LUAP). These
treatments tend to be painful and expensive, and they often fail to cure
snoring, especially when this is loud. They have no place as a treatment
for snorers who also suffer from moderate or severe OSA (and in fact, can
complicate later treatment of OSA with CPAP).
Injection
snoreplasty is a nonsurgical treatment for snoring whereby the soft palate is
injected in front of the uvula with a hardening agent. This creates an
inflammatory reaction and results in scar tissue, which in turn stiffens the
soft palate and ultimately reduces the amount of palatal tissue ‘flutter’.
When this is the cause of snoring, the treatment can result in reduced
snoring volume. Unfortunately, a number of other pharyngeal tissues can vibrate
and cause snoring and this technique cannot assist when this is the case. Also,
this is presently a new treatment, with limited long-term evidence of its
effectiveness.
External Nasal Strips
Nasal
strips such as ‘Breathe Right’ appear to reduce snoring in some patients
through opening the nasal passages, but there are no published scientific
studies which definitely prove that these strips do in fact assist
significantly with snoring. These strips probably have their main place
in the 5-10% of individuals whose nostrils collapse during inspiration.
Nocturnal Sedatives
and Alcohol
Nocturnal
sedatives (such as sleeping pills) and alcohol (especially in large quantities)
can cause narrowing of the pharynx as a result of relaxation of pharyngeal
muscles, with a resulting increase in soft-tissue vibration and snoring.
Reducing the intake of these agents commonly therefore helps to reduce snoring
volume.
How
to Reduce Snoring/Sleep Apnea with a Simple Juice
Source: organichealth.co
How
to Reduce Snoring/Sleep Apnea with a Simple Juice
Snoring is one of the best ways to start a fight with your
partner. Good sleep is essential, and we are all aware of its benefits.
However, if you cannot sleep well or your partner’s snoring keeps
you awake all night, you will not only be frustrated, but also go through a
real struggle that will affect not only your relationship, but your health as
well.
What causes snoring?
Excess mucous is one of the reasons that make you snore. Reduce the
amount of mucous buildups in your throat and nasal passengers
to free up the airways. This will help you reduce or even prevent snoring.
Juicing is one of the easiest way to stop snoring. Check this
recipe, and try it yourself, or
you can just make your partner some nice and
healthy juice.
Ingredients:
- 2 apples
- 2 carrots
- 1/4 lemon
- a
thumb-size piece of ginger
Preparation:
Juice all of the ingredients together.
If possible, always use organic ingredients. Many foods and
products make snoring worse,
so you may want to avoid these:
- Excess
alcohol
- Too much
chocolate
- Too much
fried food
- Heavily
floured food
- Processed
food
Eliminate these foods from your diet or reduce their intake. Drink
fresh juice made from raw
ingredients. This will help you reduce the mucus in
your airways, alleviate snoring, and
improve your overall health.
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