Author/Editor     Bombek, Marko; Regvat, Jurij
Title     Motnje dihanja v spanju - diagnostika in zdravljenje
Translated title     Sleep related breathing disorders - diagnosis and treatment
Type     članek
Source     In: Hojs R, Krajnc I, Pahor A, et al, editors. Zbornik predavanj in praktikum 23. srečanje internistov in zdravnikov dru inske medicine Iz prakse za prakso; 2012 maj 25-26; Maribor. Maribor: Univerzitetni klinični center,
Publication year     2012
Volume     str. 63-7
Language     slo
Abstract     Diagnostic testing is necessary in any patient who snores and has excessive daytime sleepiness, which is assesed with simple objective questionaire Epworth Sleepiness Scale. Polysomnography is the gold standard diagnostic tests for sleep related breathing disorders. Positive airway pressure is the mainstay therapy for OSAS with different modes available, fixed continuous positive airway pressure (CPAP) as first line therapy for most patients. However, behavior modification is also extremely important, especially losing weight in overweight patients, exercising, changing the sleep position, abstaining from alcohol and avoiding certain medications.
Summary     Diagnostika motenj dihanja v spanju je potrebna pri vsakem bolniku, ki smrči in navaja prekomerno zaspanost čez dan, ocenjeno s pomočjo vprašalnika Epworth Sleepiness Scale. Polisomnografija je zlati standard med preiskavami motenj dihanja v spanju, zdravljenje s pozitivnim tlakom v dihalnih poteh pa temeljna oblika zdravljenja. Kontinuiran pozitivni tlak v dihalnih poteh (CPAP) je zdravljenje izbora za večino bolnikov, možni so še številni drugi načini. Sprememba življenjskega sloga je izjemno pomembna, predvsem izguba telesne teže pri prekomerno težkih in debelih, telesna vadba, sprememba položaja spanja in izogib alkoholu in določenim zdravilom.
Descriptors     SLEEP APNEA SYNDROMES