Friday, May 4, 2012

Snoring will bring out asthma

Snoring will bring out asthma
Snoring will bring out asthma
Shanghai Communications University subsidiary respiratory medicine of Rui Jin hospital Li Qingyun forest lustrous and transparent girl usually said snore in disease in nore, it is a kind of general phenomenon in the sleep course, it is very common in adult and children. Produce the vortex when the air current of respiratory tract is limited, the high speed of air current is through the narrow position of the upper respiratory tract, will cause the big and heavy and loud sound of snoring when the oral cavity or adjacent place of soft tissue of throat shakes. When the air current in the respiratory tract is oppressed to certain extent, will cut off obvious breath, called the sleep to breathe and suspend. Happen serious upper angry way block, can appear intermission to feel suffocated, suppress, wake up, cough, have palpitation, similar to symptom that asthma break out night, may be misdiagnosed as asthma. Then, what kind of connections are there between snore and asthma? One show about the intersection of asthma and statistical data of patient, easy to snore than non- irritated crowd crowd these. Originally, it is apt to cause angry dish of chronic inflammation that repeated asthma broke out, the structure such as being again thick of angry dish of mucous membrane edema changed at causing, it is apter to collapse to get on angry way muscles during sleep. In addition, often can present nasal obstruction, nasopharynx and secrete things partly and increase etc. in the asthma patient while sleeping with anaphylactic rhinitis, nasal sinusitis, cause the angry way of going to be narrow or stop up, and then cause the sleep to breathe and suspend. To children, easy kindling asthma of airway infection, breaking out repeatedly will lead to the fact immunity drops, even cause the chronic hupertrophy of tonsils, bring out children's nore. The asthma patient accompanies and takes place the sleep to breathe and suspend night asthma of easy kindling. Nasal cavity filter of lung, dry air enter throat portion, can reduce to angry stimulus of dish through warm wet nasal cavity. A mouth breathing appears in the sleep course of the persons who snore easily, especially more common in the rhinitis, nasal sinusitis patient. The dry cold air enters throat department and trachea directly, stimulates patient's originally fragile and sensitive air way of asthma, thus bring out the outbreak of asthma at night. Meanwhile, the sleep is in breathing the suspended course, the patient inhales to make the negative pressure of thorax further increase hard, the sphincter steps and presses difference to increase under the esophagus, when it exceeds the sphincter tension under the esophagus, can make the stomach content thing flow to the throat department instead because of sucking function, stimulate the trachea, initiate bronchospasm. In addition, the excitability of parasympathetic nerve is strengthened, cause the smooth muscle of bronchus to shrink while sleeping. On this basis, the negative pressure of thorax increases when the sleep is breathed and suspended, the nervus vagus of excitement, cause the smooth muscle of bronchus to further shrink. Go to the air way to block and the vibration of the soft tissue repeatedly, stimulate the neural receptors of glottis and throat, can also cause the diastaltic bronchus to shrink. The common function that increase and bronchus of the angry dish of amazing things shrink strongly can bring out the asthma outbreak of night, in this case, the regular therapeutic effect of asthma often can't be satisfactory. So, treating regularly, symptom still can't be improved, especially send to the patient of asthma frequently at night, should consider whether to amalgamate nore at the same time, and go to see doctor in time. Only the relation between them of correct understanding, carry on the rational and effective treatment, could improve the patient's prognosis and existence quality.


|

No comments:

Post a Comment