Excessive adrenaline exposure during sleep causes various effects in the brain and other tissues of the body. This condition manifests itself differently in adults and children.
In adults;
–Cardiovascular system:Cardiac disease such as hypertension, coronary artery disease, heart attack, atrial fibrillation. rhythm irregularities and even sudden deaths
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Nervous system: Brain strokes, headaches, depression
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Hormonal system:It causes heart rhythm disorders such as sexual reluctance, increased insulin level, susceptibility to sugar, hand tremors, waking up with palpitations in the morning, and atrial fibrillation.
In children;
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Development delay in children due to decrease in growth hormone,
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Night bedwetting
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Eating disorder/Weight gain
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ADD / ADHD (Attention Deficit Disorder/Attention Deficit Hyperactivity Disorder)
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Lower academic performance at school
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Irritability
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Headaches
CPAP (Continuous Positive Airway Pressure) device is used to keep nasal breathing and airways open. This device keeps the airways open by applying positive pressure through the nose/full face mask.
But unfortunately CPAP tolerance is generally not very good. According to large data studies, most patients generally use this device for less than 4 hours per day.
Interestingly, patients with OSA/SDB are generally unaware of the obstruction in their nasal airways/ways. There are two reasons for this situation.
1. Positional nasal congestion: The human body relieves nasal congestion by reducing nasal blood flow by using the advantage of gravity while standing, but when it is in a lying position, the advantage of gravity disappears. In this case, nasal congestion occurs 30-90 minutes after lying down. Most patients are not even aware of nasal congestion as they fall asleep in less than 30 minutes.
2. subjective awareness inadequacy:This is especially true for pediatric patients. By definition, we need an experienced reference to determine whether a concept is normal or not. Patients with nasal and airway obstruction in early childhood perceive nasal and airway obstruction as normal because they have no reference to normal breathing. This situation is similar to hearing loss and vision loss seen in childhood. Hearing screening tests performed after birth or vision screening tests performed in primary school are used to diagnose hearing loss and vision loss seen in childhood. If children are born with little hearing or little vision, they will perceive this as normal and this is called subjective unawareness. The patient is not aware of his disease, but it is possible to diagnose it with screening tests.
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