r

Sleep apnea

Perhaps your sleep is disturbed. This can have a variety of causes - including medical.

SLEEP APNEA – DISTURBED SLEEP FOR MEDICAL REASONS

Apnea is a common problem characterized by successive respiratory arrests during sleep caused by narrowing of the upper part of the airway. Because of this, the body is under significant strain, blood pressure can rise significantly, and sleep is fragmented and not at all restful.

There are two types of sleep apnea: obstructive sleep apnea and central sleep apnea. The symptoms of both types are similar, but the causes lie elsewhere.

OBSTRUCTIVE SLEEP APNEA (OSA OR OSAS)

In obstructive sleep apnea, the airways are temporarily blocked by the tongue, tonsils, soft palate or larynx.

Since breathing is not possible, an alarm signal is sent to the brain. This signal alerts the brain, so that the airways are unblocked. Breathing continues and the brain continues to rest. A person who sleeps does not notice all this, but if the brain receives an alarm signal several times during the night, it causes a very disturbed sleep.

CENTRAL SLEEP APNEA (CSA)

Central sleep apnea is less common. CSA occurs when the respiratory muscles do not receive a signal from the brain to move. There is no blockage of the airways, but breathing still does not take place. Thus, there is apnea and, as with OSA, this leads to severely disturbed sleep.

CSA often occurs in diseases such as heart failure, cerebral infarction, neurological muscle diseases or with the use of narcotic drugs. However, it also occurs in ‘normal’ healthy people, and we mostly see it in children or the elderly.

RECOGNIZE SLEEP APNEA

It can be difficult to identify and diagnose sleep apnea as such.

Symptoms – such as persistent fatigue, drowsiness and morning headaches – unequivocally indicate sleep apnea. Therefore, sleep apnea is often diagnosed late.

How can you recognize sleep apnea?

  • Loud snoring
  • Episodes of breath-holding, panting, or choking
    during sleep, or respiratory arrest during
    sleep witnessed by people sleeping
    next to you
  • Night sweats
  • Dry mouth after waking up.
  • Morning headaches
  • Difficulty sleeping (insomnia)
  • Increased fatigue during the day
  • Trouble paying attention while awake
  • Irritability

If you have a partner, he or she can help you determine if you may be suffering from sleep apnea.

They may notice that you are snoring loudly or sleeping restlessly.

The clear recognition of sleep apnea is the cessation and then resumption of breathing when the brain has sent an alarm signal to the respiratory muscles due to lack of oxygen.

Often this is accompanied by an attempt to catch your breath, as if choking, or very loud snoring. Does your partner recognize such symptoms? Then it is wise to go to the doctor to be examined by him if you are suffering from sleep apnea.

What if you are single? Then it will be more difficult to recognize sleep apnea.

You will have to watch out for the combination of fatigue and daytime sleepiness with restless sleep. For example, do you sometimes wake up feeling suffocated, do you suffer from restless legs or suffer from nightmares? Are you tired and often sleepy during the day? Then there is a strong possibility that you may have sleep apnea

Then it is wise to go to the doctor so that a sleep study can be performed.

WHY IS APNEA A DANGEROUS CONDITION?

Apnea can have a significant impact on your personal and professional life.

Untreated or improperly treated moderate to severe apnea triples the risk of death.

The accumulation of excess weight triggers a vicious circle: excess weight helps the development of obstructive sleep apnea syndrome. It can also cause exacerbation of obstructive sleep apnea syndrome, as well as increase the likelihood of developing type 2 diabetes – diabetes mellitus and other diseases.

If left untreated, apnea increases the risk of developing:

  • Hypertension
  • Stroke
  • Cardiac arrest
  • Dyslipidemia
  • Diabetes mellitus
  • Obesity
  • Car accidents
  • Migraine
  • Depression

What do our patients say about us?

Learn more

J.Lj.

s s s s s
I did rhinoplasty along with face tight treatment and the results were more than satisfactory. The guys (Boris and Peter) did everything at the same time, very professionally and in the shortest possible timeframe. I was out of tampons in 2 days, and my bruise recovery does not take longer than 7 days. Very gentle approach. Without unnecessary arrivals, with kind and friendly staff and arranging payments where flexibility was at an enviable level, the impression of service in this clinic is for every recommendation. Of course, I don’t even have to mention that my breathing is better now than before, and my facial skin is smooth and tight without any invasive method. Guys, you are the best. :)

A.P.

s s s s s
I had unwittingly been suffering from hypopnea for nearly a decade. I did some research and I selected this clinic because it was located in a country where I have many friends. I had already been treated for this by a different physician in Canada, a surgery was done in my nose to remove an obstruction and believed it was better, but I was wrong. The Canadian doctor proposed dealing with the problem by CPAP or further surgeries. Their solution was to remove the first obstacle they find, see if that helps, if not, then remove the next obstacle etc. I had been using caffeine to stay awake, but my physical and mental performance was severely impacted by chronic sleep deprivation. At my first meeting, I was surprised to actually meet Dr. Filipovic, I presumed I would be looked after by an associate Doctor. I explained my suspicions and situation and told him, I do not want to go through multiple procedures to find one that worked. He listened, looked into my nose and proposed that I schedule and undergo a general anaesthesia, where he would be able to insert a camera and record what happens when I actually sleep. In addition I took home a wearable monitor for the night. After these diagnotics, it was found that a mandibular advancement device or CPAP would work for me. CPAP is not good for me because my young children would tear it apart. I had to leave Croatia earlier than planned, when I told his team. They moved heaven and earth to rush the casting, production and shipping of the device to me in Canada. Once I arrived here, his dentist responded to my emails to ensure I had proper guidance on how to adjust and use the device. It works wonderfully and with the clarity of thought that comes from regular sleep, I realized I should have a backup mandibular advancement device made, to use if my device is destroyed by my children. His team again did a wonderful job of using the casting I sent back to produce a 2nd set and ship it to Canada. I have tested the second device for a week now and it works as well as the first. I would highly recommend this team for their professional, courteous and effective effort. If, time & money allows and vanity demands, I would go to this team for a rhinoplasty in the future. Thank you all for improving my quality of life and work performance.

M.K.

s s s s s
For so long I was dissatisfied with the breathing and the appearance of my nose. Of course the first step was to google rhinoplasty and read comments on forums of the people who did it in Croatia. That did not help because the amount of negative experiences only scared me. But I also read that the most important thing is to find a great surgeon so I finally went to meet with dr. Filipović. I met him, he explained the procedure and answered all my questions. On that first meeting I felt so confident that I even reserved a date for my surgery. Finally in November 2020 I had septorhinoplasty performed by dr. Filipović. They arranged that I stayed in the clinic for one day after the procedure. That really meant a lot, and I'm grateful for that. Recovery went fast and well, I almost had no bruising at all. I'm quite sensitive, so I felt some pain in the first 3 days after, but nothing too bad. It is now 2 months post-op and I look and feel better than ever. The result looks really natural, and it fits my face perfectly. The only regret that I have is that I didn’t do it sooner. Dr. Filipović is a miracle worker, and I will forever be grateful to him and his team.

M.G.

s s s s s
I've done plasma skin regeneration and skin boosting treatment there. Clinic is beautiful, stuff is very friendly, young and with great knowledge and experience. I would recommend it to anyone who is looking high quality in every aspect. Thank you!

M.S.

s s s s s
A month ago, I was on a lip lift with Dr. Filipović. The result is fantastic, as was the experience of consultation and surgery. The doctor and nurses are professional and approachable and inspire confidence. The lip lift turned out great and looks natural, but it's a big enough change that it affected the look of the whole face. The swelling subsided after about a week, and the scar under the nose is visible a month later, but it is not overly conspicuous.
×