What's wrong with snoring with difficulty breathing when the nasal septum is deviated?

Question
Hello doctor,
Currently, I have a deviated nasal septum 20 years ago. Before, it didn't cause shortness of breath, but for the past 2 years, I have had difficulty breathing and snore a lot. I had my tonsils removed 10 years ago. I checked at the ENT hospital, the results showed that the airways were blocked, the sleep polysomnography test results were as follows:
Sleep quality: 62.9. Vi wakes up 75.1 times/hour. Apnea index AHI 74.4 times/hour. Record SpO2 < 90%, 2 hours 57 minutes. Move your legs 23.7 times/hour. Snoring time 3 hours 39 minutes. So the doctor asked me if I snore with difficulty breathing when my nasal septum is deviated? What is the treatment, doctor? Thank you.
Anonymous customer
Answer
Answered by Dr., Doctor Le Thi Huong - Department of Examination, Vinmec Times City International General Hospital.
Hello,
With the question “Is it okay to snore with difficulty breathing when the nasal septum is deviated? ", the doctor would like to answer as follows:
Sleep apnea syndrome is a common disease today, potentially dangerous and even fatal complications. However, this syndrome is often undiagnosed, most patients do not know they are sick because apnea occurs only during sleep.
Sleep apnea is a type of sleep disorder in which the patient has episodes of complete cessation of breathing at least 10 times during sleep and repeatedly during the night. There are three types of sleep apnea: Obstructive Sleep Apnea (OSA), Central Sleep Apnea (CSA) and Mixed Sleep Apnea (MSA). Obstructive apnea is the most common condition, affecting about 4% of men and 2% of women. However, it is believed that only about 10% of patients with obstructive sleep apnea seek medical attention while most patients go undiagnosed.
Obstructive sleep apnea is repeated episodes of partial or total airway obstruction during sleep. During sleep, the pharyngeal muscles rest, the tongue and pharyngeal soft tissues relax and cause partial or complete airway obstruction. When breathing stops, air through the blocked area is restricted, reducing oxygen levels in the blood. The lack of oxygen sends out a signal to wake up part of the brain to command the body to breathe. Because the diaphragm and chest muscles need to work harder to force air through the narrow area, breathing is usually gasping, snorting, or snoring. Once breathing returns to normal, the brain goes back to sleep and the process begins again. This process can happen several times or hundreds of times a night depending on the severity of the disease.
Causes of sleep apnea:
In obstructive sleep apnea, apnea occurs because the upper airways are partially or completely blocked during sleep (due to the tongue, tissues in the back of the throat being too tight). large or abnormal jawbone). Centralized sleep apnea is when the brain fails to send the proper signals to control the respiratory muscles, in cases where the patient has brain damage. Fat. Enlarged VA, tonsils or tongue Sinus problems. Central apnea is often caused by pre-existing conditions that lead to an imbalance in the brain's breathing control center during sleep, such as heart failure or neurological disease. Subjects have symptoms suspected of sleep apnea syndrome:
Snoring accompanied by apnea, asphyxiation Lots of sleep during the day Waking up many times during the night Urinating many times during the night Morning headaches Decreased memory, reduced concentration Overweight, obesity, abnormalities in the maxillofacial region. Treatment-resistant hypertension The signs of sleep apnea syndrome, patients should go to the respiratory specialists to examine them as soon as possible to be treated as soon as possible. Experts warn that if not diagnosed and treated early, sleep apnea syndrome will contribute to dangerous complications such as cerebrovascular accident, angina, myocardial infarction, and accidents. traffic, occupational accidents, memory loss, loss of concentration, sudden death in the night.
Sleep apnea syndrome in children can cause hyperactivity, aggression, decreased school performance, bedwetting.
If you have sleep problems, it is recommended to see a doctor and consult a Respiratory specialist. Your treating doctor may do a more in-depth sleep test to make a diagnosis, called: Polysomnography. This test will confirm if you have sleep apnea and which category you have. Your doctor may also do other tests to see if you have other medical conditions that you don't know about, such as heart failure, chronic respiratory disease, neurological disease, or hormone disease.
Clinical examination of Respiratory. Clinical examination of ENT. Normal electrocardiogram. Record respiratory polygraph. Treatment for sleep apnea has many treatment methods and will be prescribed depending on the medical condition of each person. Your doctor may need to consult with other specialists such as ENT specialists, cardiologists, nurses and technicians. Your treatment plan may include the following treatments:
Continuous positive airway pressure therapy. Wear a jaw brace. Surgery. Weight loss. Lifestyle change. You should visit a Respiratory specialist for a comprehensive assessment and specific advice from your doctor.
If you still have questions about difficulty breathing when the nasal septum is deviated, you can go to a hospital of Vinmec Health System for further examination and advice. Thank you for trusting and sending questions to Vinmec. Wishing you lots of health.
Best regards!