11/26/2012

Sleep hypertension treatment key: correction of airway

Hypertension in the elderly is a kind of common disease, what factors lead to the occurrence of hypertension? Got hypertension should be how to treat hypertension? What type? We know have essential hypertension, secondary hypertension, and hypertension in pregnancy. In fact there is a nocturnal hypertension, how to understand sleep hypertension?

The hypertension in sleep or wake up with elevated blood pressure. Its pathogenesis may be related to sleep when slow shallow breathing, pause, heart rate, oxygen saturation decreased fluctuations, increased concentrations of carbon dioxide due to increased sympathetic activity. In obstructive sleep apnea syndrome in patients with snoring associated with sleep apnea.

As a result of the upper airway during sleep secretion or obstruction, causing decreased saturation of blood oxygen, carbon dioxide concentration, resulting in enhanced sympathetic activity.

Sympathetic activity and hyperthyroidism can cause peripheral resistance arterioles occurring compensatory changes, cause wall thickening, luminal stenosis of constrictive vasoactive substances, increased reactivity to appear, elevated blood pressure, and blood gas changes because of various cardiac arrhythmias and other concurrent blood Guan Jibo

To sleep in the treatment of hypertension, mainly is the correction of airway obstruction induced apnea.

Generally in the airway obstruction, the majority of the patients blood pressure decreased significantly, and even returned to normal. Therefore, sleep should be taken from the right lateral decubitus, try to avoid or reduce snoring, suffocation, lest the apnea due to elevated blood pressure. Simultaneously should also pay attention to bedtime do not smoking, not drinking, not sleeping pills, keep the nasal passage patency, not mouth breathing.

Once the occurrence of sleep hypertension, we must promptly to the hospital for treatment. Operation excision of hypertrophic tonsil, pharyngeal wall of excess adipose tissue or uvula velopharyngeal angioplasty, expand the pharyngeal airway, can achieve the purpose of smooth airflow.



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