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寝る男
寝る男

睡眠時無呼吸症候群を定期的に検査することの大切さ

寝る男

「もう、本当にびっくり。あなた昨晩、突然息が止まったようだったわ」。さわやかな朝、食卓の席に似つかわしくないこんな会話が交わされたことありませんか。これはまさしく睡眠時に無呼吸の時間帯があり、それに気づいてもらえた人の話。しかし誰しもそんなことに気づいてもらえるラッキーな立場とは限りません。

これは睡眠時無呼吸症候群といって、睡眠中に約10秒以上の呼吸停止が幾度となくおきてしまう病気なのです。心肺機能に負担をかけるため高血圧や心疾患などの生活習慣病をさらに併発させます。さらに日中の居眠り運転などや、労働災害を誘発し今や社会問題ともなっているのです。

そこで本記事では睡眠時無呼吸症候群の怖さを認識していただき、発見のための検査、治療、などをご紹介していきます。さわやかな朝を迎え元気に一日を過ごせるよう本記事と一緒に考えていきましょう

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なぜ睡眠時に呼吸がとまってしまうのでしょうか

睡眠時無呼吸症候群の原因はひとことで言えば、なんらかの理由で気道がふさがってしまうからです。 いったい何が体の中でおきてしまっているのでしょうか。

睡眠時無呼吸症候群。日中の生活の中での気づき

睡眠時無呼吸症候群とは、睡眠中に10秒以上の呼吸の停止が1時間に5回以上、またはひと晩7時間のうちに30回以上繰り返される病気です。
本人がそうと気づくきっかけは、

  • 昼間のひどい眠気
  • 熟睡感がない
  • 起床時の頭痛

または、ひどいいびきなど、家族からの指摘もその大事なひとつとなります。無呼吸が原因で死んでしまうことはありません。脳はこの無呼吸の状態を危険と察して反応をおこし呼吸を再開させます。

しかしこの状態が何度も繰り返されることで睡眠が足りず日中とても眠くなり、注意力散漫となります。また心肺機能に負担がかかり、血管にもストレスがかかり高血圧や心疾患に結びついてしまうのです。睡眠時無呼吸症候群の方は睡眠中に呼吸量がたりないため身体に十分酸素が行き渡りません。まるでエベレストの山に登った時のような低血中酸素濃度になってしまうこともあるのです。人生の1/3を占める睡眠の時間。無呼吸によるこの障害が日々の生活に深く影響を及ぼす。これがこの睡眠時無呼吸症候群の怖さです。

睡眠時無呼吸症候群のいろいろな原因

医師

肥満の方の場合、首のまわりの脂肪の増加により、舌根が上気道(空気の通り道)を閉塞することによりおこると考えられます。肥満の方のほかにも、顎が小さい、太くて短い首、鼻炎、扁桃肥大の方でも閉塞する可能性はあります。(よって、もともと心不全、脳卒中後の患者などに生じる中枢性睡眠時無呼吸症候群と区別して、閉塞性睡眠時無呼吸症候群と呼ばれます。)

成人病の検査のひとつとして、睡眠時無呼吸症候群

睡眠に不満を感じず、日中の眠気もそう気にならない。さらに家族からの指摘もない。けれど、睡眠時に無呼吸の時間帯を知らずに経験してしまっている人たちがいることがわかっています。最近の社会問題ともなっている居眠り運転による交通事故の社会的影響は、気づかなかったと済ますには、あまりにも大きいのです。

加害者、そして被害者どちらにもなりうるこんな不幸を防ぐためにも、本記事では成人病検査時に、睡眠時無呼吸症候群の検査を受けることを提案したいと思います。

検査は基本、夜に病院に行き、終夜睡眠ポリグラフィーという器械を装着し呼吸の有無を調べます。また血液中の酸素濃度を測定するセンサーを使い、翌朝器械を外して終了。よって会社など休まず検査は可能です。また自宅で簡易にできるものもあるようです、呼吸器科や耳鼻咽喉科のある病院にて詳しく確認してみましょう。

睡眠時無呼吸症候群の治療のはじまりへ

睡眠時無呼吸症候群と診断されたら、機械やマウスピースを使って呼吸を回復させたり、
生活習慣を改善し減量に取り組みます。または原因によって、歯科装具、扁桃摘出術などの治療へと選択を行うことになります。

ネルネル 21回用 (口閉じテープ)
三晴社 (2006-06-05)
売り上げランキング: 124

まとめ:睡眠時無呼吸症候群に気づくことの大切さ

ここまでで

  • 睡眠時無呼吸症候群の原因
  • 睡眠時無呼吸症候群の怖さ
  • 発見ための検査の必要性
  • 治療方法

などをご案内してきました。人生の約1/3を占める大事な睡眠。知らずに経験しているかもしれない睡眠時の無呼吸な時間帯を御理解していただけたでしょうか。

家族とのさわやかな朝を、自信をもって迎えるためにも。今日の仕事をこなし、一日を元気に過ごすためにも。今回の記事を参考に睡眠時の無呼吸の状況があるなら、はやく気づき治療へと結び付けるようになさってください。

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