{"id":7045,"date":"2017-06-19T13:19:37","date_gmt":"2017-06-19T11:19:37","guid":{"rendered":"https:\/\/bio.paissangroup.com\/patologie\/apnee-notturne\/"},"modified":"2023-08-25T09:26:28","modified_gmt":"2023-08-25T07:26:28","slug":"apnee-notturne","status":"publish","type":"page","link":"https:\/\/bio.paissangroup.com\/en\/patologie\/apnee-notturne\/","title":{"rendered":"Sleep apneas"},"content":{"rendered":"<div class=\"wpb-content-wrapper\"><p>[vc_row top_margin=&#8221;page-margin-top&#8221; el_position=&#8221;first last&#8221;][vc_column width=&#8221;2\/3&#8243;][vc_custom_heading source=&#8221;post_title&#8221; font_container=&#8221;tag:h1|font_size:30%20px|text_align:left&#8221; use_theme_fonts=&#8221;yes&#8221; el_class=&#8221;up&#8221;][vc_column_text el_class=&#8221;pagine-interne&#8221;]<em>The contents of this page have been produced by a team of physicians and experts of the Italian Institute of Telemedicine in compliance with the recommendations of the latest medical and scientific guidelines. Institutional communication not subject to authorisation pursuant to the Ministerial Decree 23\/02\/2006. <\/em><\/p>\n<h2><strong>What are sleep apneas?<\/strong><\/h2>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"wp-image-4425 alignleft\" src=\"https:\/\/bio.paissangroup.com\/wp-content\/uploads\/2017\/06\/Apnee-01.jpg\" alt=\"\" width=\"400\" height=\"265\" srcset=\"https:\/\/bio.paissangroup.com\/wp-content\/uploads\/2017\/06\/Apnee-01.jpg 600w, https:\/\/bio.paissangroup.com\/wp-content\/uploads\/2017\/06\/Apnee-01-270x179.jpg 270w, https:\/\/bio.paissangroup.com\/wp-content\/uploads\/2017\/06\/Apnee-01-500x331.jpg 500w\" sizes=\"auto, (max-width: 400px) 100vw, 400px\" \/><\/p>\n<p><strong>Obstructive sleep apnea<\/strong>\u00a0is a condition characterized by <strong>repetitive and recurrent pauses in breathing<\/strong>\u00a0(notably apneas) during the night sleep, lasting at least 10 seconds, accompanied by the reduction of the\u00a0<a href=\"https:\/\/bio.paissangroup.com\/en\/tholomeus\/teleossimetria\/?lang=en\">content of oxygen in the blood<\/a> (desaturation).<\/p>\n<p>Obstructive sleep apnea by itself is not a disease and is often considered a phenomenon not particularly dangerous and rather common. However, when sleep apneas become frequent and a significant <strong>desaturation of the blood<\/strong> is observed, with the arising of diurnal symptoms (usually somnolence), we speak of a true <strong>Obstructive Sleep Apnea Syndrome (OSAS)<\/strong>.<\/p>\n<h2><strong>Sleep apneas in figures<\/strong><\/h2>\n<p>OSAS affects up to 6% of the population and is twice as frequent in males than in females, particularly in old age (peak between 55 and 60 years). OSAS, if left untreated, evolves in a pejorative sense and can cause <a href=\"https:\/\/bio.paissangroup.com\/en\/patologie\/ipertensione-arteriosa\/?lang=en\">hypertension<\/a> and severe <a href=\"https:\/\/bio.paissangroup.com\/en\/patologie\/malattie-cardiovascolari\/?lang=en\">cardiovascular diseases<\/a> (myocardial infarction,\u00a0<a href=\"https:\/\/bio.paissangroup.com\/en\/patologie\/fibrillazione-atriale\/?lang=en\">cardiac<\/a> arrhythmias, heart failure and stroke).<\/p>\n<h2><strong>The causes of sleep apneas: snoring<\/strong><\/h2>\n<p>Sleep apneas are caused by airway obstruction due to relaxation of the body during sleep: in this phase the palate tends to collapse and cause the typical snoring.<\/p>\n<p>There are special conditions that predispose to frequent sleep apneas that then flow into OSAS.<\/p>\n<p>Risk factors of OSAS<img loading=\"lazy\" decoding=\"async\" class=\"alignright wp-image-7360\" src=\"https:\/\/bio.paissangroup.com\/wp-content\/uploads\/2018\/06\/russamento_ENG.png\" alt=\"\" width=\"400\" height=\"197\" srcset=\"https:\/\/bio.paissangroup.com\/wp-content\/uploads\/2018\/06\/russamento_ENG.png 800w, https:\/\/bio.paissangroup.com\/wp-content\/uploads\/2018\/06\/russamento_ENG-270x133.png 270w, https:\/\/bio.paissangroup.com\/wp-content\/uploads\/2018\/06\/russamento_ENG-500x246.png 500w, https:\/\/bio.paissangroup.com\/wp-content\/uploads\/2018\/06\/russamento_ENG-300x148.png 300w, https:\/\/bio.paissangroup.com\/wp-content\/uploads\/2018\/06\/russamento_ENG-768x378.png 768w, https:\/\/bio.paissangroup.com\/wp-content\/uploads\/2018\/06\/russamento_ENG-600x296.png 600w\" sizes=\"auto, (max-width: 400px) 100vw, 400px\" \/><\/p>\n<ul>\n<li>Old age<\/li>\n<li>Male<\/li>\n<li><a href=\"https:\/\/bio.paissangroup.com\/en\/patologie\/obesita\/?lang=en\">Obesity<\/a><\/li>\n<li>Anatomical factors (conformation of the palate, pharynx and larynx)<\/li>\n<li>Supine position during sleep<\/li>\n<li>Large meals before going to sleep<\/li>\n<li>Alcohol<\/li>\n<li>Smoking<\/li>\n<li>Use of sedatives<\/li>\n<\/ul>\n<h2><strong>How to diagnose the sleep apneas?<\/strong><\/h2>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignleft wp-image-4428 size-medium\" src=\"https:\/\/bio.paissangroup.com\/wp-content\/uploads\/2017\/06\/Apnee-03.jpg\" alt=\"\" width=\"300\" height=\"236\" \/><\/p>\n<p>Unfortunately, OSAS may be present for years but not recognized. Although a diagnosis of OSAS is more appropriately performed through a complex examination, called polysomnography, in a hospital environment and in a specialized contest, there are currently alternatives for a quick screening in the community, without long waiting lists.<\/p>\n<p>The simplest test is the\u00a0<a href=\"https:\/\/bio.paissangroup.com\/en\/tholomeus\/teleossimetria\/?lang=en\"><strong>oximetry<\/strong><\/a>,\u00a0<strong>or pulse oximetry,\u00a0<\/strong>a method for the\u00a0<strong>direct, <\/strong>non-invasive and continuous <strong>measurement<\/strong> of the percentage of oxygen saturation of the circulating arterial blood haemoglobin, by means of a device called\u00a0<strong>oximeter or pulse oximeter<\/strong>. The most common type of pulse oximeter consists of a &#8220;gripper&#8221; or &#8220;thimble&#8221; sensor applied to the fingertip that detects the oxygen percentage bound to the blood haemoglobin circulating through the finger.<\/p>\n<p>The\u00a0<strong>pulse oximetry<\/strong> provides indirect information on the <strong>oxygenation status of the blood<\/strong> and is generally used to evaluate the efficiency of <strong>respiratory ventilation<\/strong>. What is measured is the amount of oxygen bound to the <strong>circulating haemoglobin<\/strong>, expressed as a percentage (also called SpO<sub>2<\/sub> or percentage saturation of oxygen in the blood).<\/p>\n<p>In case of normal blood oxygenation,SpO<sub>2<\/sub>\u00a0varies between 96 and 98%, while it falls below these values \u200b\u200bif the lungs do not adequately oxygenate the blood.<\/p>\n<p>For the <strong>diagnosis of OSAS<\/strong>, a prolonged pulse oximetry is usually performed during night sleep. In the presence of a significant number of <strong>desaturation<\/strong> episodes (at least 5 episodes per hour in which SpO<sub>2<\/sub> drops by at least 4% for at least 10 sec) it is possible to make an OSAS diagnosis.<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-7892 alignleft\" src=\"https:\/\/bio.paissangroup.com\/wp-content\/uploads\/2019\/02\/polisonnografia_05-300x235.jpg\" alt=\"\" width=\"300\" height=\"235\" srcset=\"https:\/\/bio.paissangroup.com\/wp-content\/uploads\/2019\/02\/polisonnografia_05-300x235.jpg 300w, https:\/\/bio.paissangroup.com\/wp-content\/uploads\/2019\/02\/polisonnografia_05-270x212.jpg 270w, https:\/\/bio.paissangroup.com\/wp-content\/uploads\/2019\/02\/polisonnografia_05-500x392.jpg 500w, https:\/\/bio.paissangroup.com\/wp-content\/uploads\/2019\/02\/polisonnografia_05-768x602.jpg 768w, https:\/\/bio.paissangroup.com\/wp-content\/uploads\/2019\/02\/polisonnografia_05-600x470.jpg 600w, https:\/\/bio.paissangroup.com\/wp-content\/uploads\/2019\/02\/polisonnografia_05-960x750.jpg 960w, https:\/\/bio.paissangroup.com\/wp-content\/uploads\/2019\/02\/polisonnografia_05.jpg 1000w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/>A more thorough test is represented by the <strong>cardiorespiratory polysomnography<\/strong> (also called polygraphy), which is performed using a simple portable device able to record the air flow and snoring at the nasal level, thoracic respiratory efforts and the blood saturation from the finger (pulse oximetry) during the physiological nocturnal sleep. This device is able to more accurately recognize the characteristics and the frequency of apnea episodes during the night sleep and to associate them with possible daytime sleepiness.<\/p>\n<h2><\/h2>\n<h2><\/h2>\n<h2><strong>When can we suspect of suffering from OSAS?<\/strong><\/h2>\n<ul>\n<li><strong>Intermittent night <\/strong>snoring<\/li>\n<li><strong>Daytime sleepiness<\/strong><\/li>\n<li>Night additional symptoms such as awakening with feelings of &#8220;suffocation&#8221;, excessive movement in bed, excessive sweating in sleep, excessive nocturnal diuresis<\/li>\n<li>Diurnal additional symptoms such as headaches upon awakening, difficulty in concentrating, irritability, sexual problems<\/li>\n<\/ul>\n<h2><strong>How to correctly measure the <u>blood oxygen percentage saturation<\/u>\u00a0(Sp0<sub>2<\/sub>)\u00a0<\/strong><\/h2>\n<ul>\n<li>Perform the detection in a sitting position (if at rest) or lying (in case of prolonged night detection), in a quiet environment, not too bright, with a comfortable temperature<\/li>\n<li>The test should be carried out away from meals and cigarette smoke as far as possible<\/li>\n<li>Quietly breathe during the test<\/li>\n<li>Place the sensor preferably on the index finger of your right hand<\/li>\n<li>Make sure the finger is clean and there is no nail varnish or false nails<\/li>\n<li>During the test the hand must remain motionless, preferably resting on a rigid support (e.g. table), to avoid movement artefacts<\/li>\n<li>The resting measurement should be performed preferably in a three-minutes time frame, by using the average Sp0<sub>2<\/sub>\u00a0of the period<\/li>\n<\/ul>\n<p>[\/vc_column_text][vc_column_text el_class=&#8221;pagine-interne&#8221;]<\/p>\n<h2><strong>WHAT CAN THOLOMEUS\u00ae DO FOR YOU<\/strong><\/h2>\n<p>The\u00a0<strong>amount of oxygen present in the blood<\/strong>\u00a0is a fundamental indicator for the possible arising of sleep apneas. By using <strong>validated oximeters<\/strong>, Tholomeus\u00ae supports your\u00a0<strong>measurement of the oxygen saturation in the blood<\/strong>\u00a0thanks to our\u00a0<a href=\"https:\/\/bio.paissangroup.com\/en\/tholomeus\/teleossimetria\/?lang=en\">Teleoximetry<\/a> service. Tholomeus\u00ae also makes available a professional Telepolysomnography service for monitoring cardiorespiratory activity during night sleep, in order to asses sleep apneas.<\/p>\n<p>All uploaded data can be viewed in <a href=\"https:\/\/play.google.com\/store\/apps\/details?id=it.biotechmed.atholomeus&amp;hl=it\">AppTholomeus\u00ae<\/a> <a class=\"scarica\" href=\"https:\/\/play.google.com\/store\/apps\/details?id=it.biotechmed.atholomeus&amp;hl=it\" target=\"_blank\" rel=\"noopener noreferrer\"><img loading=\"lazy\" decoding=\"async\" class=\"google-testo\" src=\"https:\/\/bio.paissangroup.com\/wp-content\/uploads\/2017\/10\/google-play-badge.png\" alt=\"\" width=\"100\" height=\"32\" \/><\/a> after\u00a0<strong>signing in for free<\/strong>\u00a0to\u00a0<a class=\"registrati\" href=\"https:\/\/www.tholomeus.net\/RegisterPatient.aspx\" target=\"_blank\" rel=\"noopener noreferrer\">Tholomeus\u00ae<\/a>[\/vc_column_text][vc_separator css=&#8221;.vc_custom_1502198227564{padding-top: 25px !important;padding-bottom: 25px !important;}&#8221;][vc_widget_sidebar sidebar_id=&#8221;prodotti-top&#8221;][vc_basic_grid post_type=&#8221;post&#8221; max_items=&#8221;-1&#8243; item=&#8221;5131&#8243; grid_id=&#8221;vc_gid:1692948376334-ab993ccb5056ded5203f5c9076f65373-2&#8243; taxonomies=&#8221;14&#8243;][vc_separator css=&#8221;.vc_custom_1502198227564{padding-top: 25px !important;padding-bottom: 25px !important;}&#8221;][vc_empty_space height=&#8221;30px&#8221;][vc_widget_sidebar sidebar_id=&#8221;prodotti-bottom&#8221;][vc_empty_space height=&#8221;50px&#8221;][rev_slider_vc alias=&#8221;banner-bottom&#8221;][\/vc_column][vc_column width=&#8221;1\/3&#8243;][vc_widget_sidebar sidebar_id=&#8221;sidebar-home-right&#8221; el_position=&#8221;first last&#8221;][\/vc_column][\/vc_row][vc_row top_margin=&#8221;page-margin-top&#8221; el_position=&#8221;first last&#8221;][vc_column width=&#8221;2\/3&#8243;][\/vc_column][\/vc_row]<\/p>\n<\/div>","protected":false},"excerpt":{"rendered":"<p>[vc_row top_margin=&#8221;page-margin-top&#8221; el_position=&#8221;first last&#8221;][vc_column width=&#8221;2\/3&#8243;][vc_custom_heading source=&#8221;post_title&#8221; font_container=&#8221;tag:h1|font_size:30%20px|text_align:left&#8221; use_theme_fonts=&#8221;yes&#8221; el_class=&#8221;up&#8221;][vc_column_text el_class=&#8221;pagine-interne&#8221;]The contents of this page have been produced by a team of physicians and experts of the Italian Institute of Telemedicine<\/p>\n","protected":false},"author":2,"featured_media":0,"parent":6975,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"template-home.php","meta":{"jetpack_post_was_ever_published":false,"footnotes":""},"class_list":["post-7045","page","type-page","status-publish","hentry"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v26.5 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Sleep apneas - Biotechmed<\/title>\n<meta name=\"description\" content=\"Biotechmed Srl offre servizi di Telemedicina con l&#039;obiettivo di favorire lo scambio tra medici e pazienti. 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