For mild and some moderate cases of
sleep apnea, doctors may recommend only lifestyle changes, such as
losing weight or quitting smoking if applicable. Another suggestion
may be be using supports to help you sleep in your side. If these
suggestions don't improve your signs and symptoms then you may be
required to use the equipment for moderate to severe sleep apnea. As
a last resort, you will be assessed for different types of surgery.
Treatments for moderate to severe sleep
apnea include:
Continuous positive airway
pressure (CPAP). If you have moderate to severe sleep apnea,
you may benefit from a machine that delivers air pressure through a
mask placed over your nose while you sleep. With CPAP (SEE-pap), the
air pressure is somewhat greater than that of the surrounding air,
and is just enough to keep your upper airway passages open,
preventing apnea and snoring.
Although CPAP is the most common and
reliable method of treating sleep apnea, some people find it
cumbersome or uncomfortable. Many people give up on CPAP, but with
some practice, most people learn to adjust the tension of the straps
to obtain a comfortable and secure fit. You may need to try more
than one type of mask to find one that's comfortable. Some people
benefit from also using a humidifier along with their CPAP system.
Also see my blog here for an accessory that will help prevent air
leaks and allow for slightly less strap tension.
Don't just stop using the CPAP machine
if you experience problems. Check with your doctor to see what
modifications can be made to make you more comfortable.
Additionally, contact your doctor if you are still snoring despite
treatment or begin snoring again. If your weight changes, the
pressure settings may need to be adjusted.
There are other equipment options.
Adjustable airway pressure
devices. If CPAP continues to be a problem for you, you may
be able to use a different type of airway pressure device that
automatically adjusts the pressure while you're sleeping. For
example, units that supply bilevel positive airway pressure (BPAP
BiPAP) are available. These provide more pressure when you inhale
and less when you exhale.
The other types of positive airway
pressure machines are:
CPAP – Continuous Positive Airway
Pressure
APAP – Auto Adjust Positive Airway Pressure
BiPAP – Bi-level Positive Airway Pressure
VPAP – Variable Positive Airway Pressure
Auto-titrating Continuous Positive Airway Pressure
APAP – Auto Adjust Positive Airway Pressure
BiPAP – Bi-level Positive Airway Pressure
VPAP – Variable Positive Airway Pressure
Auto-titrating Continuous Positive Airway Pressure
Expiratory positive airway
pressure (EPAP). This is the most recent treatment approved
by the Food and Drug Administration (FDA). These small, single-use
devices are placed over each nostril before you go to sleep. The
device is a valve that allows air to move freely in, but when you
exhale, air must go through small holes in the valve. This increases
pressure in the airway and keeps it open. The device helped reduce
snoring and daytime sleepiness when compared to a sham device And,
it may be an option for some who can't tolerate CPAP. Read this for
further explanation =
http://www.directhomemedical.com/30-DAY-PROVENT-therapy-sleep-apnea-treatment.html#.U9bW6bH8DFE
.
Oral appliances.
Another option is wearing an oral appliance designed to keep your
throat open. CPAP is more reliably effective than oral appliances,
but oral appliances may be easier to use. Some are designed to open
your throat by bringing your jaw forward, which can sometimes relieve
snoring and mild obstructive sleep apnea.
A number of devices are available from
your dentist. You may need to try different devices before finding
one that works for you. Once you find the right fit, you'll still
need to follow up with your dentist at least every six months during
the first year and then at least once a year after that to ensure
that the fit is still good and to reassess your signs and symptoms.
One option not found in any of the
medical articles is this device. Now
that you have digested all of this, consider if you want a mask and
check out this site. https://www.nomask.com/index.cfm
This needs to be considered by some people. Not everything works for
every person. There could be medical reasons making this more
important than the masks.
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