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UARS Upper Airway Resistance Syndrome

As you know, if you are diagnosed with this condition, the upper respiratory tract against the syndrome "apnea" (also known as obstructive sleep apnea) to imitate, because the symptoms are almost identical, is sleepy during the day and excessive difficulties arising in the morning. Snoring is also a very common symptom, often in both the upper airway sleep apnea syndrome and resistance.


Sleep apnea is different from the upper airway resistance syndrome in this case, however, in the "apnea" or "hypopnea" that often occur at night in a standard polysomnography (often referred to as a sleep study) is shown. "Apnea" means that the patient experienced episodes occur with little or no exchange of air to breathe, when trying to sleep in, mostly due to the release language, and other soft tissues and into the back of the throat collapse and limit air movement. These are the "obstructive" is part of the term "obstructive sleep apnea." causes poor oxygenation during sleep, when he learns that the body and brain fatigue the next day.


Although the symptoms of sleep apnea and upper airway in patients against the syndrome, upper respiratory tract against the syndrome does not mean that the results are significant apnea or hypopnea, as specified in the standard sleep studies. Upper respiratory tract against the syndrome usually does not include language in the obstruction caused by collapsing the back of the neck, as well as sleep apnea. However, against diseases of upper respiratory syndrome, respiratory tract, leading to a not yet fully understood in the medical world, with ventilation and oxygen leads to a reduction of sleep at night.


Sleep arousal in the form of mini-(or mini-wake cycle), which can be seen on the electroencephalogram (EEG), which is a tool used in routine sleep studies to be measured. Again, like sleep apnea is a sleep and poor oxygen supply in the upper airway resistance syndrome, the experience of the body and brain fatigue the next day.


If a patient who underwent a sleep study were diagnosed with upper respiratory syndrome, to sleep, many doctors recommend that patients with regard to the typical experimental treatment for sleep apnea and CPAP, oral devices or cleft palate surgery. This treatment is not always effective for upper airway resistance syndrome, but it is often a problem to cover the medical expenses of upper airway resistance syndrome associated with many insurance companies, in the absence of correct diagnosis of sleep apnea.


Detection and upper respiratory tract syndrome from history: a physician and medical researcher at the prestigious Stanford University Program in Sleep, Dr. Christian Guilleminault, who also has French nationality, to light with an upper respiratory syndrome to be credited in the medical community. Dr. Guilleminault is a researcher in the field of sleep medicine from 1970 to today. He was the first "sleep-related breathing 'state as a" syndrome of the upper airway resistance ", in many medical journal articles he wrote and published a co-author in the early 1990s to recognize. Expression sleep disordered breathing refers to a group of related conditions including snoring, upper airway resistance syndrome, respiratory and sleep apnea, among others.


A key part of the upper airway resistance syndrome is a "cause of excessive daytime sleepiness: the upper airway resistance syndrome," Dr. Guilleminault the chest Journal published together. This is the official journal of the American Academy of pulmonary physicians, and the article can be found in 1993, Dada volume 104, pages 781-787. Http: / / www.chestjournal.org/cgi/reprint/104/3/781: link, where you can read online if you are interested in is located.


Before Dr. Guilleminault published results, that patients with symptoms of upper respiratory syndrome usually resistance as their physicians' hyersomniacs idiopathic "means that the medical term for patients who are too tired during the day, but where the cause is unknown. A common treatment for these patients were treated with "encouraging" such as amphetamines.


Dr. Guilleminault note that they have a stimulating role in the treatment of fatigue during the truly "idiopathic" and not because of any discernible cause. But it recommends the use of stimulants was not ideal for long-term treatment of patients with sleep-related breathing disorders diagnosed conditions.


Early in his research on the upper airway resistance syndrome, identified by Dr. Guilleminault study group of patients who are "idiopathic hypersomniacs" than the doctor. Dr. G. noted that a subgroup of patients showed a series of very short time to arousal during sleep study of them. He found that the excitement associated with an abnormal increase in the work of breathing during sleep. In other words, seeing that these subgroups of patients, we try to touch longer, until the mini is gone. He determines by means of a device for measuring pressure in the esophagus the patient. The esophagus is the tube that food has on the back of the throat to the stomach when you swallow food. Dr. G. noted that the mini-awakening prevents the maximum inspiration pressure in the esophagus.


To this day, many sleep specialists when patients discuss their upper respiratory tract against the syndrome, it is stated that "esophageal pressure monitoring" (abbreviated as PES), together with sleep study is needed to definitely diagnose upper respiratory tract against the syndrome. This is the result of work by Dr. G. 'S and its knowledge about the properties of esophageal pressure, transient awakening that came out at night in patients with syndrome of upper airway resistance in advance.


Nevertheless, esophageal pressure monitoring is not routinely used in sleep research and measure these systems are rarely available, perhaps with the exception of studies conducted by Dr. G.. Upper respiratory syndrome is usually against the "diagnosis of exclusion." Diagnosis is usually on the "alleged" Once, when a patient has symptoms of sleep apnea, but studies show that there were no cases of sleep apnea, which is really the evening.


Regarding treatment, Dr. G. proposed that some patients suffering from syndrome of the upper airway resistance successfully treated with nasal CPAP for some time, and in some cases can help the operations floor, too. At the end, but admitted that long-term panacea for the upper airway resistance syndrome was found.

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