﻿WEBVTT

00:00:02.541 --> 00:00:04.041
Sleep apnea is a breathing

00:00:04.041 --> 00:00:05.500
disorder that affects 6%

00:00:05.500 --> 00:00:07.500
to 8% of the population.

00:00:07.500 --> 00:00:09.458
There are two main types of sleep

00:00:09.458 --> 00:00:10.166
apnea

00:00:10.166 --> 00:00:11.125
obstructive sleep

00:00:11.125 --> 00:00:13.583
apnea and central sleep apnea.

00:00:13.583 --> 00:00:15.166
Obstructive sleep apnea,

00:00:15.166 --> 00:00:17.125
or OSA, is more common

00:00:17.125 --> 00:00:17.958
than central sleep

00:00:17.958 --> 00:00:18.708
apnea

00:00:18.708 --> 00:00:19.750
and is characterized

00:00:19.750 --> 00:00:22.000
by breathing interruptions during sleep

00:00:22.000 --> 00:00:23.041
due to a collapsed

00:00:23.041 --> 00:00:25.416
or obstructed upper airway.

00:00:25.416 --> 00:00:27.083
Because sleep apnea results

00:00:27.083 --> 00:00:28.750
in a decreased amount of oxygen

00:00:28.750 --> 00:00:30.333
in the brain and body,

00:00:30.333 --> 00:00:32.000
sleep apnea is a serious,

00:00:32.000 --> 00:00:34.416
potentially life threatening condition.

00:00:34.416 --> 00:00:36.041
Your risk of obstructive sleep

00:00:36.041 --> 00:00:37.583
apnea can be increased

00:00:37.583 --> 00:00:39.208
by a number of factors,

00:00:39.208 --> 00:00:41.791
including obesity, advanced age,

00:00:41.791 --> 00:00:43.875
smoking, alcohol use,

00:00:43.875 --> 00:00:45.708
the use of sedative hypnotics

00:00:45.708 --> 00:00:46.416
like sleeping

00:00:46.416 --> 00:00:48.625
pills, nasal congestion,

00:00:48.625 --> 00:00:51.625
a large neck size, a large tongue,

00:00:51.791 --> 00:00:54.541
or enlarged tonsils and adenoids.

00:00:54.541 --> 00:00:55.958
Men are twice as likely

00:00:55.958 --> 00:00:58.333
as women to have sleep apnea.

00:00:58.333 --> 00:00:59.958
Because sleep apnea causes

00:00:59.958 --> 00:01:01.666
interruptions in your breathing,

00:01:01.666 --> 00:01:02.666
it can also result

00:01:02.666 --> 00:01:04.541
in a number of other symptoms.

00:01:04.541 --> 00:01:06.416
If you suffer from sleep apnea,

00:01:06.416 --> 00:01:08.500
you may experience symptoms like frequent

00:01:08.500 --> 00:01:10.375
snoring, morning headaches,

00:01:10.375 --> 00:01:11.833
gasping or choking during

00:01:11.833 --> 00:01:12.583
sleep,

00:01:12.583 --> 00:01:14.291
clouded memory, excessive

00:01:14.291 --> 00:01:15.750
daytime drowsiness,

00:01:15.750 --> 00:01:18.166
irritability and personality changes,

00:01:18.166 --> 00:01:21.041
and fragmented, non refreshing sleep.

00:01:21.041 --> 00:01:23.500
When not properly treated, sleep apnea

00:01:23.500 --> 00:01:24.791
can contribute to a number

00:01:24.791 --> 00:01:27.000
of serious health problems as well,

00:01:27.000 --> 00:01:28.791
including high blood pressure,

00:01:28.791 --> 00:01:31.083
fatigue, weight gain, stroke,

00:01:31.083 --> 00:01:34.083
diabetes, depression, liver problems,

00:01:34.166 --> 00:01:36.166
heart failure, memory loss,

00:01:36.166 --> 00:01:37.208
and heart disease.

00:01:38.250 --> 00:01:39.708
Because sleep apnea is a

00:01:39.708 --> 00:01:41.541
potentially serious condition,

00:01:41.541 --> 00:01:42.916
it is important to properly

00:01:42.916 --> 00:01:45.333
treat it. For children with sleep apnea,

00:01:45.333 --> 00:01:47.458
a tonsillectomy performed by a doctor

00:01:47.458 --> 00:01:49.833
is often the primary treatment method.

00:01:49.833 --> 00:01:51.416
If that is not sufficient,

00:01:51.416 --> 00:01:52.583
your doctor may recommend

00:01:52.583 --> 00:01:55.291
an upper arch expansion. For adults,

00:01:55.291 --> 00:01:56.250
a number of treatment

00:01:56.250 --> 00:01:57.750
options are available.

00:01:57.750 --> 00:01:58.583
Common treatments

00:01:58.583 --> 00:02:00.041
for obstructive sleep apnea

00:02:00.041 --> 00:02:02.250
may include oral appliances,

00:02:02.250 --> 00:02:03.791
continuous positive airway

00:02:03.791 --> 00:02:06.000
pressure devices, or CPAP.

00:02:06.000 --> 00:02:07.666
Expiratory positive airway

00:02:07.666 --> 00:02:09.625
pressure devices or EPAP.

00:02:09.625 --> 00:02:11.250
Adjustable continuous airway

00:02:11.250 --> 00:02:14.250
pressure devices, or a APAP. Or surgery

00:02:14.375 --> 00:02:15.500
which is often aimed

00:02:15.500 --> 00:02:17.041
at removing excessive tissue

00:02:17.041 --> 00:02:18.625
or repositioning the jaw.

00:02:18.625 --> 00:02:20.250
The goal of each of these treatments

00:02:20.250 --> 00:02:21.416
is to allow you to breathe

00:02:21.416 --> 00:02:23.375
continuously as you sleep.

00:02:23.375 --> 00:02:23.916
An oral

00:02:23.916 --> 00:02:25.000
appliance is a small,

00:02:25.000 --> 00:02:26.291
custom made mouthpiece

00:02:26.291 --> 00:02:27.208
that is used to treat

00:02:27.208 --> 00:02:29.041
obstructive sleep apnea.

00:02:29.041 --> 00:02:30.625
This oral appliance is designed

00:02:30.625 --> 00:02:31.791
to fit over your teeth

00:02:31.791 --> 00:02:33.541
and be worn while you sleep.

00:02:33.541 --> 00:02:35.166
Keeping your airway open

00:02:35.166 --> 00:02:37.375
so you can breathe continuously.

00:02:37.375 --> 00:02:39.375
An oral appliance may be appropriate

00:02:39.375 --> 00:02:41.250
if you suffer from mild to moderate

00:02:41.250 --> 00:02:44.333
obstructive sleep apnea. CPAP, or

00:02:44.333 --> 00:02:45.541
continuous positive

00:02:45.541 --> 00:02:46.250
airway pressure

00:02:46.250 --> 00:02:47.875
therapy uses a machine

00:02:47.875 --> 00:02:49.250
to increase air pressure

00:02:49.250 --> 00:02:51.083
in your throat while you sleep

00:02:51.083 --> 00:02:53.500
so that your airway does not collapse.

00:02:53.500 --> 00:02:56.000
EPAP or expiratory positive airway

00:02:56.000 --> 00:02:57.583
pressure therapy creates

00:02:57.583 --> 00:02:59.666
pressure during exhalation

00:02:59.666 --> 00:03:01.583
to stabilize the airway.

00:03:01.583 --> 00:03:03.083
APAP or adjustable

00:03:03.083 --> 00:03:05.125
continuous airway pressure therapy

00:03:05.125 --> 00:03:06.208
adjusts the pressure

00:03:06.208 --> 00:03:07.583
to the optimal level to

00:03:07.583 --> 00:03:09.208
maintain an open airway.

00:03:10.916 --> 00:03:12.500
Surgery may be recommended if

00:03:12.500 --> 00:03:13.750
less invasive treatment

00:03:13.750 --> 00:03:14.958
methods do not produce

00:03:14.958 --> 00:03:16.791
satisfactory results.

00:03:16.791 --> 00:03:18.083
Sleep apnea surgery

00:03:18.083 --> 00:03:20.791
usually focuses on enlarging the airway

00:03:20.791 --> 00:03:22.583
by removing soft tissues

00:03:22.583 --> 00:03:24.375
or expanding the jaw structures

00:03:24.375 --> 00:03:27.000
to eliminate restrictions in the airway.

00:03:27.000 --> 00:03:28.541
Your doctor will help you determine

00:03:28.541 --> 00:03:29.500
which treatment method

00:03:29.500 --> 00:03:31.291
is best suited to your personal needs

00:03:31.291 --> 00:03:32.583
and preferences.

00:03:32.583 --> 00:03:33.833
To learn more about sleep

00:03:33.833 --> 00:03:35.625
apnea and treatment options,

00:03:35.625 --> 00:03:37.083
please contact your doctor.
