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Apneja u spavanju

Možda je vaš san poremećen. To može imati različite uzroke - uključujući medicinske.

APNEJA U SNU – POREMEĆEN SAN IZ MEDICINSKIH RAZLOGA

Apneja je učestali problem kojega karakteriziraju uzastopni zastoji u disanju za vrijeme spavanja uzrokovani sužavanjem gornjeg dijela dišnog puta. Organizam je zbog toga pod nevjerojatnim pritiskom, krvni tlak može značajno porasti, a san je rascjepkan i nimalo spokojan.

Dvije su vrste apneje tijekom spavanja: opstruktivna apneja u snu i centralna apneja u snu. Simptomi obje vrste su slični, ali uzroci leže negdje drugdje.

OPSTRUKTIVNA APNEJA U SNU (OSA ILI OSAS)

U opstruktivnoj apneji za vrijeme spavanja, dišni putovi su privremeno blokirani jezikom, krajnicima, mekim nepcem ili grkljanom.

Budući da nije moguće disanje, mozgu se šalje signal alarma. Ovaj signal upozorava mozak, tako da se dišni putovi deblokiraju. Disanje se nastavlja i mozak se nastavlja odmarati. Osoba koja spava sve to ne primjećuje, ali ako mozak primi signal alarma nekoliko puta noću, to uzrokuje jako poremećen san.

CENTRALNA APNEJA U SNU (CSA)

Rjeđa je središnja apneja za vrijeme spavanja. CSA se javlja kada respiratorni mišići ne dobivaju signal od mozga da se kreću. Nema začepljenja dišnih putova, ali još uvijek se ne odvija disanje. Dakle, postoji apneja i, kao i kod OSA, to dovodi do snažno poremećenog sna.

CSA se često javlja kod bolesti poput zatajenja srca, cerebralnog infarkta, neuroloških bolesti mišića ili uz uporabu opojnih droga. No, javlja se i kod ‘normalnih’ zdravih ljudi, a uglavnom je vidimo kod djece ili starijih osoba.

PREPOZNAJTE APNEJU ZA VRIJEME SPAVANJA

Može biti teško prepoznati i dijagnosticirati apneju za vrijeme spavanja kao takvu.

Simptomi – poput trajnog umora, pospanosti i jutarnjih glavobolja – nedvosmisleno ukazuju na apneju u snu. Stoga se apneja u snu često dijagnosticira kasno.

Kako možete prepoznati apneju u snu?

  • Glasno hrkanje
  • Epizode zadržavanja daha, dahtanja ili gušenja
    za vrijeme spavanja ili zastoji u disanju tijekom
    spavanja kojemu svjedoče osobe koje spavaju
    pokraj Vas
  • Noćno znojenje
  • Suha usta nakon buđenja
  • Jutarnje glavobolje
  • Poteškoće sa spavanjem (nesanica)
  • Povećani umor tijekom dana
  • Problemi s pažnjom dok ste budni
  • Razdražljivost

Ako imate partnera, on ili ona mogu vam pomoći utvrditi patite li možda od apneje u snu.

Može primijetiti da glasno hrčete ili nemirno spavate.

Jasno prepoznavanje apneje u snu je prestanak, a zatim i nastavak disanja kada je mozak poslao signal alarma respiratornim mišićima zbog nedostatka kisika.

Često je to popraćeno pokušajem da uhvatite dah, kao da se gušite ili jako glasnim hrkanja. Prepoznaje li takve simptome vaš partner? Tada je pametno otići liječniku kako bi ga pregledao patite li od apneje u snu.

Što ako ste slobodni? Tada će biti teže prepoznati apneju za vrijeme spavanja.

Morat ćete pripaziti na kombinaciju umora i dnevne pospanosti s nemirnim snom. Primjerice, probudite li se ponekad s osjećajem gušenja, patite li od nemirnih nogu ili patite od noćnih mora? Jeste li umorni i često pospani danju? Tada postoji stvarna šansa da patite od apneje u snu.

Tada je pametno otići liječniku kako bi se mogla izvesti studija spavanja.

ZAŠTO JE APNEJA OPASNO STANJE?

Apneja može imati značajan utjecaj na vaš privatni i profesionalni život.

Neliječena ili nepravilno liječena umjerena do teška apneja utrostručuje rizik smrtnosti.

Nakupljanje viška kilograma pokreće začarani krug: prekomjerna težina pomaže razvoju sindroma opstruktivne apneje u snu.  Može uzrokovati i pogoršanje sindroma opstruktivne apneje u snu kao i povećati vjerojatnost razvoja dijabetesa tipa 2 – dijabetesa mellitusa i drugih bolesti.

Ako sada ne tretirate apneju, povećava se rizik od:

  • Hipertenzije
  • Moždanog udara
  • Zastoja srca
  • Dislipidemije
  • Dijabetesa mellitusa
  • Pretilosti
  • Automobilske nesreće
  • Migrena
  • Depresije

Što kažu naši pacijenti?

Pročitaj sve

J.Lj.

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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.

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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.

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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.

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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.

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Prije mjesec dana bila sam na lip liftu kod dr. Filipovića. Rezultat je fantastičan, kao što je bilo i samo iskustvo konzultacija i operacije. Doktor i sestre profesionalni su i pristupačni i ulijevaju povjerenje. Lip lift je ispao super i izgleda prirodno, ali je dovoljno velika promjena da je utjecala na izgled cijelog lica. Oteknuće je splasnulo nakon otprilike tjedan dana, a ožiljak ispod nosa se mjesec dana poslije vidi, ali nije pretjerano upadljiv.
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