Initially, doctors will recommend changing behavior. For those with mild snoring, such as weight loss, avoid alcohol, especially during the time before going to bed. Change the position from supine to sleeping on the side, etc. For those who have severe snoring or cause snoring from sleep apnea The doctor may have the following treatment guidelines.
Using the device helps reduce snoring. Will be used in cases where snoring cannot be alleviated by changing behavior such as
Nasal snoring device To help increase the respiratory area in the nose, such as the Nasal Strip. It is a small adhesive tape that is placed on both sides of the nose.
Sleep Test or Polysomnography
Sleep health examination is Important tests used to analyze the operation of different systems Of the body during sleep, such as the respiratory system, blood oxygen levels Brain wave function Electrocardiogram And muscles as well as studying some behaviors that occur while sleeping At present, it is considered an international standard (Gold standard) for diagnosing various diseases related to sleep. Especially at obstructive sleep apnea (OSA), including various muscle spasms And abnormal behavior during sleep etc.
When should I take a sleep test? Important indications of sleep test are those who have abnormal snoring problems. Or having drowsiness, daytime disorders, even though having adequate sleep, those who have difficulty breathing And suspected of having sleep apnea or those with other sleep disorders such as sleep, limbs, twitching, bruxism or sleepwalking, nightmares, waking up, etc. Direct sleep Or a doctor in a related field, such as an ear, nose and throat, an intern, or a pediatrician who specializes To inquire about history And a thorough physical examination before and after the examination To consider different treatment and treatment options
Oral snoring devices, such as the Chin Strip, have a sheet or tape that is placed under the chin to prevent mouth opening while sleeping.
The Mandibular Advancement Device: MAD helps to increase the back area of the neck and prevent narrowing of the airway, which will cause the tongue to vibrate while breathing and snoring.
The surgery is used in cases where it is not possible to relieve snoring by changing behavior or using devices to reduce snoring, such as
Surgery to tighten the tissues around the soft palate, uvula and pharyngeal wall (Uvulopalatopharyngoplasty: UPPP). In some cases, surgery may include tonsils and adenoids. May cause the patient to have a speech disorder after surgery Or other serious side effects that may occur about 1%, such as excessive bleeding, lung infections, heart failure, cerebrovascular disease, etc.
Surgical dressing of soft tissue and uvula using lasers (Laser-Assisted Uvulopalatoplasty: LAUP) is an alternative, but in the long term, results may not be as good as surgery, tightening tissue around the soft palate, uvula and pharyngeal walls.
Soft ceiling surgery To increase the strength of the tissue and reduce the vibration of the soft palate while sleeping Can do many methods such as radio frequency surgery (Radiofrequency Ablation: RFA) by using radio waves to strengthen the tissue Or the implantation of Pillar Procedure by injecting polyester fibers in soft ceilings
The use of drugs to treat snoring causes, such as anti-histamine drugs (Antihistamine) to relieve swelling and irritation in the nose of allergic rhinitis Or nasal decongestant, but should not be used continuously for more than 7 days because it may make the symptoms worse
Complications of snoring
Snoring, in addition to creating an annoyance to the person on the side of the bed, may cause health problems such as sleep apnea. Including other complications as follows
Temporarily stop breathing May last for a few seconds or as long as a minute while sleeping Caused by some or all of the airway blocked
Not sleep well Woke up at night several times That may be aware and unconscious Makes you feel sleepy during the day Affecting the life and efficiency of driving vehicles
Risk of high blood pressure, heart disease and stroke If a sleep apnea occurs for a long time
Prevention of snoring
Snoring at mild levels can be alleviated and preventable. By changing behavior And follow the following guidelines
- Lose weight, especially those who are overweight Will help reduce snoring
- Sleeping on the side, lying on the back, increasing the chance of the tongue to block the airway. Then put the tennis ball down If worried about coming back to sleep during sleep
- Sleep on a high pillow using a pillow to give the head a height of up to 4 inches
- Use the nose patch or nose specimen while sleeping. Will help increase the respiratory area in the nose Makes breathing easier
- Reduce the blocking of the respiratory tract in the nose. In patients with allergies or nasal septum walls, breathing through the nose is inconvenient and therefore must breathe through the mouth. Thus increasing the chances of snoring
- Reduce the amount or avoid drinking alcohol For at least 2 hours before going to bed Or avoid using sleeping pills and sedatives To reduce the chance that the neck muscles relax and block the airway
- quit smoking Because smoking causes nasal congestion And not breathing easily
- Enough sleep Preschool children should sleep about 11-12 hours per day. Children in school age should sleep at least 10 hours per day. Adolescents should sleep about 9-10 hours a day. And adults should sleep at least 7-8 hours a day