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Central Sleep Apnoea

It is a sleeping disorder that impacts your breathing, forcing it to constantly stop and start during sleep. This health problem develops when the brain stops sending signals to the muscles that control breathing. Also, this type of sleep apnoea is different from obstructive sleep apnoea, which prevents you from breathing due to upper airway obstruction.

Another common reason for central sleep apnoea is sleeping at a high altitude. However, if you struggle with this issue, treatment for central sleep apnoea is available, which can help you live a normal life.

Symptoms

Generally, central sleep apnoea patients do not experience noticeable symptoms. They usually learn about their problem after visiting a health expert. When symptoms get noticeable, they are usually related to abnormal oxygen levels in the blood and fragmented sleep. Some common symptoms are as follows:

  • Impact on quality of sleep
  • Tiredness
  • Waking up with shortness of breath
  • Insomnia
  • Headaches in morning
  • Chest discomfort during the night

Causes

There are several types of central sleep apnoeas. And all of them have different causes, which are discussed below.

  • Cheyne-Stokes breathing- In this case, your breathing speed increases, decreases, and completely stops, then starts again. Each cycle will take 30 seconds- 2 minutes. Cheyne strokes breathing happens to people with stroke or heart failure.
  • Nicotic-induced central sleep apnoea- Medications like oxycodone, morphine, and codeine can impact your breathing.
  • Primary to idiopathic central sleep apnoea- There are no clear reasons for this condition.
  • Treatment-emergent apnoea- Approximately 5 to 15 percent of patients with sleep apnoea get positive airway pressure treatment, usually for obstructive sleep apnoea.
  • High altitude periodic breathing- Many patients who struggle while breathing go to high elevations, around more than 2,5000 meters, can develop this condition.

Reference Articles

Diagnosis & Complications

When you visit the health expert, they will take your medical history and ask for symptoms. They will also give a referral overnight sleep study and conduct a physical exam. The professionals often begin the diagnosis process by asking the patient and their caregiver or partner about their symptoms.

Your health provider will ask about conditions related to central sleep apnoea, like trouble breathing and breathlessness when lying down. Since there is no set method to diagnose the condition with physical assessment, an exam can provide signs of problems associated with central sleep apnoea.

Untreated central sleep apnoea can lead to several complications. Therefore, you must consult an expert when you notice any signs. Some common risks are:

  • Obesity
  • Stroke
  • Diabetes
  • High blood pressure
  • Uneven heartbeat
  • Heart failure or heart attack

Treatment & Prevention

Your health professional will advise you on various treatment methods and medications, including:

  • Providing CPAP or continuous positive airway pressure
  • Undergoing BPAP or bilevel-positive airway pressure
  • Using supplemental oxygen
  • Reduction of opioid medications

You can prevent central sleep apnoea by maintaining a healthy weight, trying yoga, avoiding drinking and alcohol, using oral appliances, using a humidifier, and altering your sleeping position. Obese or overweight people are more likely to develop central sleep apnoea. Around 12.8% of adult women over 18 are overweight, and 4.5% of adult men are obese, leading to the risk of developing central sleep apnoea. For this, you need to start working on losing enough weight to maintain a healthy weight.

 
 
 

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