What is the reason why adult women sleep, snore, grind waistcoats and sweat?

Snoring is called snoring in medicine, which is the main clinical manifestation of sleep apnea syndrome. It can not only cause drowsiness and fatigue of daytime snorers, but also be related to some respiratory diseases and cardiovascular diseases such as hypertension, coronary heart disease and cerebrovascular accidents. If you snore at night and have the following symptoms, this is a dangerous signal from your body and you need to go to the hospital immediately: snore while sleeping, breathe with your mouth open, and stop breathing frequently; Repeated sleep, restless sleep and epilepsy; Sleepiness, daytime sleepiness, sleepiness; Blood pressure rises after waking up; Shallow sleep, headache after waking up; Night sleep angina pectoris, arrhythmia; Nocturnal enuresis and nocturia increased; Memory loss, slow response, and decreased work and study ability; I seem to sleep during the day, and I can't help falling asleep at work, meetings and meals. Impotence, decreased libido; In addition to going to the hospital for treatment of Alzheimer's disease, the following measures can be taken in daily life to alleviate snoring symptoms: sleeping in the lateral position, changing the habit of sleeping in the supine position; Try not to drink alcohol before going to bed, don't drink strong tea or coffee, and don't take certain drugs, because alcohol, sedatives, sleeping pills and antiallergic drugs will make breathing shallow and slow, make muscles more relaxed than usual, and lead to pharyngeal soft tissue blocking the airway more easily; Develop the habit of regular exercise, lose weight and enhance lung function. Snoring people should give up smoking immediately if they have the habit of smoking. Because only by keeping the nasopharynx unobstructed can snoring be reduced, and the stimulation of smoking on nasal mucosa will only make the blocked nasal cavity and respiratory tract more serious. In addition, snorers should also prevent colds and treat nasal congestion in time. 1. How is your sleep quality? Some people will ask, "I still feel sleepy after sleeping for more than ten hours, while some people are full of energy and refreshed after sleeping for four or five hours." Why? " This is the problem of sleep quality. The quality of sleep mainly depends on the amount of deep sleep in stages 3 and 4. If you sleep for a short time or even very little in Stage 3 and Stage 4, but mainly for more than ten hours in Stage/kloc-0 and Stage 2, you will still feel very tired and sleepy. If 1 and stage 2 sleep for a long time and sleep less, even if you sleep for only five or six hours, you can still be energetic and healthy. So sleep is about quality, not time. If you want to know your sleep quality, you can use polysomnography for detailed monitoring. 2. Under what circumstances should we consider the unhealthy sleep conditions of sleep diseases, including snoring, breathing with your mouth open, and even temporarily stopping breathing. Repeatedly awake during sleep, restless sleep. Nocturnal angina pectoris and arrhythmia often occur. Headache and dizziness after waking up, and high blood pressure after getting up in the morning. Fatigue and fatigue during the day, drowsiness, drowsiness, and even falling asleep at work meetings or driving. Memory decline, slow response, work and study ability decline. Sexual dysfunction, impotence, etc. If the above manifestations appear, sleep-related diseases or obstructive apnea syndrome should be highly considered. First of all, we should go to the otolaryngology department to check the pharynx and have a polysomnography. Snoring is also a disease. Snoring patients used to think that it was the smell of sleep, but now people gradually realize that it may be a pathological condition. Snoring people are often complained by others, and their relationship with roommates or spouses becomes extremely tense, which makes them very angry. However, snoring is more harmful to apnea. The airway of snorers is narrower than that of normal people. In severe cases, the airway can be completely blocked and apnea occurs. When apnea occurs, gas cannot enter the lungs, resulting in hypoxia and carbon dioxide retention in the body. Severe cases can lead to hypertension, heart disease, arrhythmia, cerebrovascular accident, diabetes, nephropathy, hypothyroidism, etc., and even sudden death in sleep. 4. What is the mechanism of snoring? The airway of snorers is usually narrower than that of normal people. When awake during the day, the compensatory contraction of laryngeal muscles keeps the airway open and unobstructed. However, when sleeping at night, the nerve excitability decreases, the muscles relax, the pharyngeal tissue is blocked, and the upper airway collapses. When the airflow passes through the narrow part, it produces eddy current, causing vibration and snoring. In severe cases, you can temporarily stop breathing, thus affecting people's health. In addition, a small number of people are due to central reasons. 5. Common causes of snoring and apnea Respiratory tract stenosis caused by various reasons, mainly the upper respiratory tract stenosis above the tracheal plane can cause snoring and even apnea, including nasal septum deviation and nasal polyps. Pharyngeal stenosis: tonsil hypertrophy, slack throat and long uvula. Tongue hypertrophy, tongue root tumor and tongue root suffix lead to pharyngeal cavity stenosis. Maxillofacial dysplasia, such as micrognathia and obesity. Children are mostly due to tonsil hypertrophy, and the adenoids are enlarged. 6. What about snoring? If a snorer wants to know his sleep quality, how many times he pauses during sleep, how long he pauses each time, the oxygen content in his blood during sleep, and the change of his heart rate during sleep, you only need to do polysomnography monitoring for one night, and polysomnography has been considered as an important examination for snorers. You can dynamically observe the EEG, ECG, EMG, nasal and oral airflow, blood oxygen saturation and heart rate during sleep, so as to understand the influence of snoring on the body. 7, children snoring should be alert to children snoring patients are mostly due to nasopharyngeal adenoids and tonsil hypertrophy or craniofacial structural malformations. Due to obvious airway obstructive lesions, apnea is prone to occur, leading to hypoxia, which affects the normal development and learning of children. It is reported that severe snoring can lead to dementia in children. Therefore, if a child snores at night, has inattention, lethargy, poor memory and poor academic performance in class, he should first go to the ENT department to check his nasopharynx and tonsils. If hypertrophy is obvious, corresponding treatment should be carried out. 8. Generally, snoring patients should be treated differently according to different reasons. The choice of treatment method is the most important factor to determine the therapeutic effect. We will talk about the main methods of treating snoring in four times. Let's talk about general treatment first. Weight loss: Obesity is one of the factors leading to pharyngeal stenosis. Losing weight can reduce the degree of airway obstruction. Smoking cessation wine: Smoke can stimulate inflammation of the pharynx, causing edema and stenosis of the pharynx. Wine can relax muscles, shrink the base of the tongue and aggravate obstruction. In addition, not taking sedative sleeping pills before going to bed, sleeping on the side is good for snoring. 9. The surgical treatment of snoring should choose different surgical methods according to the obstruction plane. Patients with nasal congestion should undergo nasal surgery to make the nasal passages unobstructed. Patients with pharyngeal stenosis can undergo velopharyngoplasty, which is the most commonly used surgical method to treat snoring and sleep apnea by removing part of the uvula and tonsils and increasing the pharyngeal space. Its success depends on the choice of surgical patients. In addition, patients with small mandible tend to lean backwards, and orthognathic surgery can be done. 10, snoring plasma cryoablation technology plasma cryoablation technology is the latest patented technology in the United States, and it is a very developed minimally invasive treatment. It can melt the pharyngeal tissue, reduce the volume and reduce the hypertrophy of the tongue. Because it is hypothermia treatment, the local reaction is small, basically painless, no bleeding or less bleeding, and the operation time is short. It can be treated in outpatient department, mainly suitable for patients with nasal and pharyngeal stenosis and tongue hypertrophy. At present, the Department of Otolaryngology of Nanjing Bayi Hospital has treated many patients with plasma ablation technology and achieved good results. 1 1, continuous positive pressure ventilation and oral appliance The main principle of continuous positive pressure ventilation (cpap) in the treatment of snoring is to wear a small cpap machine during sleep, so that the mask is connected to the ventilator, which is similar to the principle of blowing balloons to enlarge the narrow part of the pharynx. Every patient needs different pressures, so doctors need to use polysomnography to determine an appropriate pressure. Cpap machine can obviously increase the oxygen content in blood, which is suitable for patients with moderate and severe snoring and other treatment failures. 12, Conclusion Snoring and apnea syndrome can cause serious consequences, including systemic multiple systems, affecting people's health. Polysomnography is the main means to check and diagnose snoring. Different treatment methods should be selected according to the specific situation of patients. At present, the Sleep and Respiratory Disorder Center of the Otolaryngology Department of Bayi Hospital has carried out all the above treatments. Including surgery, radio frequency, cpap machine and snorer. Basically, 95% of snorers can achieve satisfactory results through different treatment methods. Patients who have failed in other treatments. ◆ Habitual grinding while sleeping or unconscious grinding while awake is called bruxism. The etiology of night molars is still unclear, and it is considered to be related to many factors such as spirituality, emotionality, odontogenesis, systematicness, professionalism and spontaneity. 1. Mental factors The oral cavity has the function of expressing tension. Patients with fear, anger, hostility, conflict and other emotions, especially anxious patients, try to relieve their inner depression by grinding their teeth for some reason. These patients have frequent contact with teeth for a long time. These psychological factors may be one of the important causes of bruxism. 2. Occlusal factors In neurotic individuals, any occlusion interference may be the trigger of bruxism; The occlusal factors of bruxism patients are mostly the mismatch between the median relationship and the median occlusion, and the premature contact of the non-working side during lateral occlusion; Moreover, the clinical occlusal adjustment method has successfully cured some bruxism. Occlusal factor is an important factor of oral health, but whether it causes bruxism is still controversial. When changing teeth, the jaw-biting relationship is disordered, which leads to the movement disorder and spasm and contraction of the progenitor muscles; 3. Central Nervous Mechanism At present, there is a tendency to think that grinding teeth, like sleepwalking, enuresis and nightmares, is an involuntary subconscious action, a symptom of partial awakening of the brain during sleep, a central sleep disorder related to daytime emotions, and is caused by internal or external, psychological or physiological sleep interference stimulation. 4. Other systemic factors, such as gastrointestinal dysfunction related to parasites, nutritional deficiency in children, blood sugar and calcium concentration, endocrine disorders, allergic reactions, etc., may become the pathogenic factors of bruxism. Some cases have genetic factors. In addition, hyperuricemia, hyperthyroidism, allergy and bladder stress may all be related to bruxism. 5. Professional factors, such as drivers and athletes, and jobs that require high precision, such as clockmakers, are easy to be worn out. The most serious harm is to grit your teeth and grind your teeth at night. Nocturnal molars are more common in children. Although there is no pain in grinding teeth at night for the time being, it will cause serious wear and tear on the occlusal surface and adjacent surface of teeth after a long time, and all kinds of diseases mentioned above will be very complicated. Refractory bruxism can lead to periodontal tissue destruction, tooth loosening or displacement, gingival recession and alveolar bone loss. During the day, when we chew food, we also rub our teeth, but the damage to our teeth is very small. This is because when we chew, the food between our upper and lower teeth is like a cushion, and there is enough saliva to make our teeth smooth, so it is not easy to wear. It seems that I chewed for a long time while eating, but I moved up and down most of the time. Some people have studied that the real direct contact between teeth is only about 4 minutes. If you grind your teeth at night, the situation will be very different. There is no food in the mouth, and the secretion in the mouth is also reduced. Your teeth don't get the necessary lubrication, so they form a "dry grinding". It's really like pushing an empty grinder This kind of tooth wear is very serious, and the consequences are quite serious. At this time, the worn teeth often have different procedures of acidity or pain, and sometimes cause temporomandibular joint dysfunction, destroying the shape and function of the occlusal system. It can also cause masticatory muscle dysfunction, such as masticatory muscle hyperactivity, spasm, fatigue and pain. Unbalanced muscle contraction, abnormal occlusion, change of vertical height between jaws and imbalance of disc process position also directly affect the normal shape and function of temporomandibular joint, which is manifested as pain at the joint, joint snapping and limited mouth opening. Pain is depressing and depressing, especially when you get up in the morning. People who grind their teeth at night will affect others' sleep. Prevention and control; Don't do it when it's lighter. Pay attention to rest. Psychotherapy can remove pathogenic factors, adjust occlusion and treat systemic diseases related to bruxism. Avoid excessive excitement during the day. Relax before going to bed and don't watch exciting TV movies. Go to the hospital to check intestinal parasitic diseases (parasitic peristalsis stimulates nerves, causes nerve reflex and grinds teeth), and expel worms under the guidance of doctors. Stubborn cases should be made into mandibular pads and put on before going to bed. Can prevent teeth from being directly worn. This will not only make it possible not to grind your teeth at night, but also get a better rest, which is good for work, study and health. Bruxism is mainly manifested in my inability to control my grinding and grinding activities. Due to long-term continuous grinding, teeth wear is serious, periodontal tissue is damaged, and all components of the entire oral and maxillofacial system are damaged. The principle of treatment is to block the cause and reduce the damage. The first is symptomatic and comprehensive treatment of the cause. Clinically, first relieve jaw muscle spasm, block occlusal interference, eliminate or alleviate bruxism, and then carry out other treatments. (1) Psychotherapy: Bruxism patients do have the effect of psychological factors, which make the mandibular muscles overstretch. Such as emotional tension, anxiety, anxiety or fear of bruxism. It is very important to comfort and enlighten these patients and relieve their ideological concerns for establishing confidence in treating diseases. (2) Muscle relaxation therapy: excessive mandibular muscle tension is one of the causes of bruxism, and relieving excessive muscle tension during treatment is a necessary means to control bruxism. The commonly used methods are: using muscle relaxation instrument; Physical therapy, training the physiological function of masticatory muscles; Massage; Audio-visual suggestion and other methods. (3) Application of bite plate. (4) occlusal adjustment therapy: through adjusting and polishing a small amount of tooth tissue, the occlusal interference and early occlusal contact can be relieved, and the occlusal balance relationship of natural teeth can be established, so as to achieve the physiological balance among occlusion, masticatory muscles and temporomandibular joint and eliminate bruxism. (5) Bruxism can also be treated symptomatically, and patients with malocclusion should be treated with orthodontics first. Some need to repair or treat periodontal tissue diseases. Sleep molars, or molars, refer to the rhythmic contraction of masticatory muscles during sleep, and the upper and lower teeth tightly bite and slide, making a loud creaking sound. People won't wake up at this time. Even if they wake up, they don't know their teeth. Only roommates know. Sleep molars generally occur in the shallow sleep stage (the second stage). Molar won't appear in dreams. At this time, only physical activity and heart rate increase. When I wake up the next day, I often feel cheek pain and headache, sometimes accompanied by periodontal tissue damage. The incidence of sleeping molars in children and adolescents is high, which can reach about 15% according to medical statistics. With the growth of age and the gradual improvement of brain function, its attack rate will decrease year by year and heal itself when it grows up. However, if a child suffers from ascariasis, some neurological symptoms will appear after the toxins and metabolites produced by ascariasis are absorbed by the human body, and grinding teeth is one of the symptoms. Therefore, if a child is found to have ascariasis, it is necessary to use drugs to repel intestinal worms, such as Clivia, Melia azedarach root bark, betel nut and other traditional Chinese medicines have the best insecticidal effect. Traditional Chinese medicine believes that the brain is the house of Yuan God, and all spirits are integrated. Sleep is related to the movement of yin and yang. If you sleep well, but you have abnormal behavior (including grinding your teeth) during sleep, it is all related to the role of the brain. It is advisable to tonify the kidney and marrow, strengthen the brain and soothe the nerves. Give you a good prescription: Radix Rehmanniae 1, Rhizoma Alismatis 3, Radix Glycyrrhizae 3, Mume 3, Fructus Corni 4, Yun Zhi 3, Cortex Moutan 3, Rhizoma Dioscoreae 4, Fructus Schisandrae 3, Rhizoma Cyperi 5, Ganling Magnetite 1, (decocted first) Juncus Junci 2, (induced medicine) (decocted). When the treatment is mild, do not deal with it and pay attention to rest. Psychotherapy can remove pathogenic factors, adjust occlusion and treat systemic diseases related to bruxism. Avoid excessive excitement during the day. Relax before going to bed and don't watch exciting TV movies. Go to the hospital to check intestinal parasitic diseases (parasitic peristalsis stimulates nerves, causes nerve reflex and grinds teeth), and expel worms under the guidance of doctors. Stubborn cases should be made into mandibular pads and put on before going to bed. Can prevent teeth from being directly worn. This will not only make it possible not to grind your teeth at night, but also get a better rest, which is good for work, study and health. 1. Keep your oral health at rest during the day, that is, keep your teeth loose, preferably with your lips together and your teeth apart. Biting apples or raw radishes will make your upper and lower jaws tired, which can calm your mouth. 3. Hot compress on your upper and lower jaws can relax your occlusal muscles and reduce the chance of headache. 4. You can buy a mouthguard in a sporting goods store, which helps to prevent grinding your teeth at night. 5. Grinding teeth has the greatest relationship with stress. So relaxing is the best way. 6. Reduce the intake of caffeine and refined carbohydrates. 7. Take a hot bath. 8. Be tolerant of yourself. 9. Learn relaxation methods, such as meditation or gradual relaxation.