서울대병원 수면전문의, "코골지 않고 깊게 자려면 '이 3가지'만 기억하세요." (이유진 교수 3부)

If your spouse or family is snoring, you must check it. If you have a snoring disorder that disturbs the sleep of the person next to you, you can easily suffocate. It can cause problems in the main organs such as the heart and brain. It is the most severe sleep apnea in the posture of looking straight at the ceiling. Some people almost disappear when they sleep sideways. In fact, I can tell you that this alone is not a complete cure. The first and most important treatment is snoring. The amount of air we need to go to Sangido is this much. It's the sound of a narrow road. So having a snoring disorder can be a major symptom of sleep apnea such as closed sleep apnea. The problem with the body is that the snoring itself interferes with sleep. I wake up to my own snoring. So, as an important symptom of sleep apnea, if you have sleep apnea, it interferes with sleep and affects your health. Sleep apnea is closely related to physical diseases. The most common example is high blood pressure, heart disease, and cerebral infarction. In other words, sleep apnea is when we take a deep breath and take more than 10 seconds to breathe. That's snoring. It is evaluated and diagnosed by a sleep apnea test on how many times it comes out per hour. That's why you keep breathing in and out like this. And the first thing is intermittent hypothyroidism. You'll run out of oxygen because you don't breathe. So these things cause physical problems. When we're asleep, our blood pressure drops by about 10% compared to when we're awake. Because we're resting. But if you keep breathing in and out, Then there's no low blood pressure that drops by about 10%. Then your blood pressure is much higher than others. If you run slowly and quickly, your heart can repeat hundreds of times a day. This causes problems in the cardiovascular system. You can lose weight. If you lose weight, your snoring will decrease. Snoring is usually from fat to the outside. In a way, if you have an upper airway, you push it in. That's why the road is narrow. Because the flesh comes in from the outside. The subcutaneous fat goes inside. It could be because the road is narrow. There are various causes. Some people have narrow airways because they have a small chin. In addition, lung capacity and other physical functions are also related. This is a non-hematological cause. For example, if you want to snore, you have to lose weight. You don't drink. If you drink, people who don't snore snore. If you drink a lot, your body droops. Like that, your muscles droop. So it's easy to suffocate. Losing weight and not drinking is the most representative way to reduce sleep apnea and snoring. It's not just that. Some people have surgical treatment in the ophthalmology department. Especially for young people. Sleep apnea is not very severe. So I'm going to do a surgery that expands the airway in the upper airway. These days, through an endoscopy, You can check which part is clogged or closed. Because you do individual surgery. The surgery method has improved a lot. However, sleep apnea above moderate level. When you do an endoscopy, Sleep apnea is observed more than 15 times per hour. For patients with sleep apnea above moderate level, The first and most important treatment is to use a pressure washer. In English, it's called air splint. So it's like pouring air. It's like spreading your legs out like this. You get sleep apnea because your upper airway keeps getting narrower. So you have to put air in it like blowing a balloon. Wearing a mask on your nose like this. So to speak, if there's a long balloon, If there's no air coming in, it's going to shrink like this. If the air keeps coming in, It's like a balloon spreading out. It's a treatment method that seems to be pouring into the upper airway. Pressure washer treatment is like glasses. Do you get better eyes with glasses? It's a way to breathe well while using a pressure washer. For those with sleep apnea above moderate level, You have to take active treatment. The most important of the active treatment methods is the pressure washer. There are some people who can't get used to the pressure washer. It's called a mouthpiece. It's like a mouthpiece in your mouth. When you lie down to sleep, The tongue goes back like this. It makes you more breathless. So you pull your chin and tongue forward a little bit. You can use a mouthpiece like that. For those of you who are uncomfortable with the pressure washer treatment, It's not being implemented in Korea yet. There's a thing called Seolah nerve stimulation. It stimulates the Seolah nerve, which slightly relaxes the tongue. It's a way to keep your upper respiratory tract from clogging. It's not being implemented in Korea yet. It's being used abroad. However, one of the symptoms of people with sleep apnea is Not everyone is like that, but There are times when you breathe out. You're sleeping with your mouth open. So my mouth is dry in the morning. My throat is dry, my mouth is dry, and I'm uncomfortable, so I wake up. In fact, I don't use a pressure washer, but I only put a tape on my mouth. But it's more uncomfortable when you open your mouth. There's a study that it actually worsens sleep apnea. Actually, I opened my mouth to breathe. There's a problem with just blocking it. So when you put a mouthpiece on your mouth, You have to put your mouth on while using a pressure washer. Posture can affect sleep apnea. The most severe sleep apnea is in the posture of looking straight at the ceiling. People who sleep a little less when they sleep sideways. Some people almost disappear when they sleep sideways. However, there are cases of positional therapy. For example, you put a tennis ball on your back. You put it on your pajamas and sleep. You can't sleep on purpose. I keep sleeping sideways without realizing it. Or in foreign countries, there's a medical device like this on your back. But now, in fact, it's because of that. My back hurts, my shoulders hurt. There may be people like this. So now, if you can't help it, you can do it. In fact, this alone is not a complete treatment. I can tell you that. If your spouse or family is snoring, Go to the hospital and get tested. It's the first step to check if there's a significant amount of sleep apnea. And then there's the sound. There are some people who don't have severe sleep apnea. In that case, it's hard for the spouse to sleep together. There are times when it gets in the way. Because of that, some people consider some surgical methods. The standard is not accurate. It's quite subjective. For example, if you sleep in the same room. Oh, this person snores. If you know that, we call it a snoring. If it's a snoring that disturbs the sleep of the person sleeping in the same room next to you, it's a moderate degree. And then when you sleep in the room, you can hear it in the living room. In other words, if you can hear it in another space, it's a very severe case. So, if you have a snoring that disturbs the sleep of the person next to you, You need to get a sleep-inducing test. In the case of snoring, Likewise, it makes it very difficult for those who sleep together. But the effect it has on you is The teeth are bruised and the jaw joint. Snoring can be the cause of jaw joint disease. So most of the time, those who have snoring visit the dentist. If you look at the dentists like this, If you look at the bruised teeth, Oh, this person must have done a lot of work. They know. So we do something like braces. To prevent tooth decay.