ACİL SERVİSTE FARKINDALIĞI ARTAN BİR TANI: OBSTRÜKTİF UYKU APNE SENDROMU A Diagnosis With Increased Awareness in Emergency Service: Obstructive Sleep Apnea Syndrome

Yıl 2018, Uyku Hastalıkları Özel Sayı, 100 - 103, 27.04.2018

Sevcan Levent Levent Albayrak Pervin Sarıkaya Sadiye Yolcu

Öz

ÖZET

Obstrüktif uyku apne sendromu (OUAS), uykuda başlayan ve tekrarlayan üst solunum yolu obstrüksiyonları

ve beraberinde oksijen satürasyonunda azalmalar ile karakterize bir hastalıktır.

Buna bağlı olarak gelişen serebral disfonksiyon ile gündüz uyku hali ve konsantrasyon eksikliği

görülür. Yapılan çalışmalarda, tedavi edilmemiş uyku bozukluklarının, kardiyovasküler hastalıklar,

ani ölüm, inme ve metabolik ve nörokognitif bozukluklar ve trafik kazaları ile ilişkili olduğu görülmüştür.

Uyku bozuklukları, morbidite ve mortalitenin önemli bir nedeni olarak giderek daha

fazla önem kazanmaktadır. Bu nedenle, tedavi edilmemiş uyku bozukluklarının varlığı hem kişi,

hem de toplum hayatını olumsuz yönde etkilemektedir. Hastalığın erken tanınması ve uygun tedavi

için yönlendirilmesi açısından acil servislerde çalışan hekimler kritik bir role sahiplerdir. Bu

derlemede; uyku apnesinin birçok hastalığa neden olarak acil servise başvuru nedeni olabileceği

ve acil servise ani ölümle gelen hastalarda tanı ve ayırıcı tanıda uyku apnesinin düşünülmesinin

gerektiği vurgulanmaya çalışılmıştır.

Anahtar Sözcükler: Obstrüktif uyku apnesi sendromu; Acil servis; Ani kardiyak ölüm

ABSTRACT

Obstructive sleep apnea syndrome (OSAS) is a disease characterized by sleep-onset and recurrent

upper respiratory obstructions and concomitant decreases in oxygen saturation. As a result,

daytime drowsiness and concentration deficits are seen with developing cerebral dysfunction.

Studies have shown that untreated sleep disorders are associated with cardiovascular disease,

sudden death, stroke, and metabolic and neurocognitive disorders and traffic accidents. Sleep

disturbances are becoming increasingly important as a crucial cause of morbidity and mortality.

For this reason, the presence of untreated sleep disorders affects both personal and community

life negatively. Emergency service physicians have a critical role in the early recognition of the

disease and the orientation to appropriate treatment. In this review; it was tried to emphasize

that sleep apnea can cause many illness as emergency service admission reason, and the

necessity of considering sleep apnea in the diagnosis and the differential diagnosis of the

patients with sudden death in the emergency service.

Keywords: Obstuctive sleep apnea syndrome; OSAS; Emergency service; Sudden cardiac death.

Anahtar Kelimeler

ACİL SERVİSTE FARKINDALIĞI ARTAN BİR TANI: OBSTRÜKTİF UYKU APNE SENDROMU A Diagnosis With Increased Awareness in Emergency Service: Obstructive Sleep Apnea Syndrome

Kaynakça

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