Insomnia due to pausing breathing (sleep apnea)

The big topic of Sleep disorder covers many topics. Please also note all other topics related to daytime sleepiness on :

  • insomnia
  • Difficulty falling asleep
  • Difficulty sleeping through the night
  • Sleepwalking
  • Twitching in sleep
  • Sleep Apneu Syndrome (Causes of Internal Medicine)
  • Sleep disorders (neurological cause)

definition

Breath failure insomnia is divided into two major groups. Namely, on the one hand, the breath pauses with obstruction and the breath pauses without obstruction.

Sleep-related pauses in breathing without obstruction

Sleep-related Breathing disorders without obstruction means that no narrowing of the upper airways present.
These breathing disorders are based on disorders of breathing regulation and breathing mechanics.
They can be divided into two groups again,

  1. the central Sleep apnea syndromesthat stop breathing
  2. and the sleep-related poor ventilation syndromes (hypoventilation syndromes) and the syndromes in which too little oxygen is taken up (hypoxemia syndromes).

Both groups can occur without a previous illness, i.e. primary or as a consequence of an illness, i.e. secondary.

Central sleep apnea syndromes

The central sleep apnea syndromes are characterized by an interrupted decreased or increased respiratory drive during sleep.
There is a constant change when there is more and less ventilation.
In the primary form of the central sleep apnea syndrome in adults, symptoms such as daytime sleepiness, difficulty falling asleep and staying asleep and awakening occur with Shortness of breath on.
There can be up to 5 pauses in breathing per hour. The central sleep apnea syndromes due to other diseases occur much more frequently.
To be mentioned here is once Cheyne-Stokes breathing which are often due to a Heart disease, one Stroke or one Nieren disease arises. Here there are up to ten pauses in breathing per hour, so that the symptoms are significantly worse during the day. A central sleep apnea syndrome can also occur with drug and drug abuse.
Staying at great heights can also lead to central sleep apnea syndrome.
As Symptoms can additionally Schnnarench, Difficulty concentrating and decreased performance.

Hypoventilation syndromes and hypoxemia syndromes

The sleep-related poor ventilation syndromes (Hypoventilation syndromes) and the syndromes with reduced oxygen uptake (hypoxemia syndromes) are defined by a longer reduced lung ventilation.
The decisive factor here is that the partial pressures of the blood gases oxygen and carbon dioxide decrease or increase, which leads to a reduced oxygen content in the blood.
These sleep disorders / insomnia often arise as a result of a previous one Lung disease, from obesity or breast deformations (e.g. Funnel breast) and exhaust the respiratory muscles.
Muscular diseases, neurological muscle diseases and neurological diseases lead to weakness of the Respiratory muscles, so that insufficient ventilation syndromes arise.
In the early phase, patients experience fewer symptoms associated with shortness of breath.
More common are:

  • onesleep problems
    and
  • Difficulty sleeping through the night
  • morning a headache
  • Daytime sleepiness
  • Difficulty concentrating
    and
  • limited performance.

The symptoms often occur as part of one of the primary illnesses mentioned above.

Sleep-related breathing disorders with obstruction

Both Breathing pauses with obstruction it concerns diseases with insufficient ventilation due to a narrowing of the upper airways.
The symptoms can be divided into three groups. On the one hand, there are the directly sleep-related symptoms, which are loud, irregular snoring, noticeable irregularities of the breathing up to the respite, a general restlessness and heavy sweating during the night (sweating at night).
On the other hand, complaints related to unrefreshing sleep such as:

  • increased Daytime sleepiness
  • Poor concentration
  • decreased performance
    and
  • Lack of drive.

Finally, secondary symptoms can also be observed through corresponding secondary diseases.
Patients often report unwanted sleep phases during the day, daytime sleepiness, non-restful night sleep, and fatigue insomnia. You wake up with pauses in breath, gasping for air, or attacks of suffocation. In addition, the bed partner reports loudly Snoren and / or Breathing pauses during sleep.