- WHICH PATIENTS ARE ADMITTED TO THE SLEEP LABORATORY?
Especially those with suspected sleep apnea are admitted to the sleep laboratory. In addition, those with suspected Narcolepsy, which causes them to fall asleep as soon as possible during the day, and more rarely; Patients who are suspected of having periodic leg movements during sleep, which also cause daytime fatigue and sleepiness, are hospitalized.
- WHAT COMPLAINTS DO SLEEP APNEA PATIENTS APPLY TO THE SLEEP LABORATORY?
The most common disease among sleep-related respiratory disorders is Obstructive Sleep Apnea Syndrome (OSAS). Obstructive sleep apnea syndrome is a disease characterized by recurrent complete (apnea) or partial (hypopnea) upper airway obstruction during sleep.
- Obstructive sleep apnea disease should be strongly considered in patients presenting with all three of these complaints: SNORING, SLEEPING BREATHING AND EXCESSIVE DAYTIME SLEEPNESS
and polysomnography, which is the gold standard in diagnosis, must be performed. These three complaints may be accompanied by frequent urge to urinate at night, waking up with a headache in the morning, difficulty concentrating, memory loss, sexual reluctance, and tension complaints.
Some diseases are at high risk for the development of Obstructive sleep apnea disease. These diseases are: Obesity, heart failure, a type of rhythm disorder called atrial fibrillation, diabetes, stroke and pulmonary hypertension
The risk of hypertension, stroke, heart attack and traffic accident is increased in patients with obstructive sleep apnea but not treated.
- WHAT IS DONE IN THE SLEEP LABORATORY?
A sleep test called polysomnography (PSG) is performed in the sleep laboratory. Patients are hospitalized in the sleep laboratory for one night for PSG examination.
Polysomnography; During sleep, the patient; brain electrode (EEG), eye movement electrode (EOG), jaw muscle tension electrode (jaw EMG), lying position recordings, air flow entering through the nose while breathing, chest and abdominal movements detected while breathing, blood oxygen level, cardiac radiography (ECG). ) is defined as the simultaneous and continuous recording of leg muscle contractions electromagnetic (leg EMG) parameters throughout the night.
Ha While the trainees are sleeping during the examination, they are monitored by the sleep technician from the recording room. There is an audio and video connection that will enable communication between the two rooms when the patient feels the need. The next day, these records are evaluated by the physician dealing with sleep medicine, taking into account the pathologies that occurred at night and the patient's complaints. If the patient is diagnosed with sleep-related breathing disorder (sleep apnea) as a result of the evaluation, the patient must stay in bed for one more night in order to determine the device (CPAP, BIPAP, etc.) that should be given for the treatment of the disease and to make pressure adjustment (titration).
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