Simptomele includ:<\/p>\n
- \n
- Sfor\u0103it de mare intensitate;<\/li>\n
- Oprirea respira\u021biei, observat\u0103 de o alt\u0103 persoan\u0103;<\/li>\n
- Inspira\u021bie g\u00e2f\u00e2it\u0103 \u0219i dificil\u0103;<\/li>\n
- Senza\u021bie de gur\u0103 uscat\u0103 la trezire;<\/li>\n
- Dureri de cap la trezire;<\/li>\n
- Insomnie;<\/li>\n
- Somnolen\u021b\u0103 diurn\u0103 excesiv\u0103 (hipersomnie<\/a>);<\/li>\n
- Probleme de aten\u021bie \u00een timpul zilei;<\/li>\n
- Stare de iritare<\/li>\n
- Probleme cognitive pe termen lung.<\/li>\n<\/ul>\n
![\"\"](\"https:\/\/roneuro.ro\/blog\/wp-content\/uploads\/2025\/04\/simptome-apnee-scaled.jpg\" "\\"\\"")
<\/p>\nPe l\u00e2ng\u0103 acestea, pot fi observate \u0219i alte simptome, datorate hipopneei [2] (deoarece este asociat\u0103 frecvent cu apneea):<\/p>\n
- \n
- Stare de oboseal\u0103 neobi\u0219nuit\u0103 \u00een timpul zilei;<\/li>\n
- Stare de oboseal\u0103 imediat dup\u0103 trezire chiar \u0219i dup\u0103 un somn nocturn de durat\u0103 normal\u0103;<\/li>\n
- Stare de sufocare la trezire;<\/li>\n
- Trezire nocturn\u0103 frecvent\u0103.<\/li>\n<\/ul>\n
De\u0219i nu to\u021bi cei care sfor\u0103ie \u00een somn au apnee, sfor\u0103itul puternic poate sugera prezen\u021ba unei forme de AS [3]. Programa\u021bi-v\u0103 la o consulta\u021bie de specialitate dac\u0103 ave\u021bi oricare din simptomele de apnee \u00een somn enumerate!<\/strong><\/p><\/blockquote>\n
Care sunt cauzele apneei obstructiv\u0103 \u00een somn?<\/h2>\n
Cauzele apneei \u00een somn depind de stilul de via\u021b\u0103 \u0219i afec\u021biunile preexistente. Astfel, cauzele apneei obstructive \u00een somn (AOS)<\/strong> [4] includ diverse probleme legate de stilul de via\u021b\u0103 (fumatul, alcoolismul), probleme anatomice de la na\u0219tere, sau ap\u0103rute ulterior, precum \u0219i \u00eenaintarea \u00een v\u00e2rst\u0103.<\/p>\n
- \n
- Obezitatea<\/strong> (datorit\u0103 depunerilor de gr\u0103sime din jurul c\u0103ilor respiratorii superioare);<\/li>\n
- Anomalii anatomice<\/strong> (amigdale m\u0103rite sau adenoide, devia\u021bie de sept);<\/li>\n
- \u00cemb\u0103tr\u00e2nirea<\/strong> (tonusul muscular scade cu varsta);<\/li>\n
- Predispozi\u021bie genetic\u0103<\/strong> (c\u0103i respiratorii mai mici sau alte probleme structurale);<\/li>\n
- Fumatul <\/strong>(deoarece produce inflama\u021bie \u0219i reten\u021bie de lichid \u00een c\u0103ile nazale);<\/li>\n
- Alcoolismul \u0219i sedativele<\/strong> (deoarece relaxeaz\u0103 exagerat mu\u0219chii g\u00e2tului);<\/li>\n
- Congestie nazal\u0103<\/strong> (dificultate la inspira\u021bie, de exemplu rinit\u0103 cronic\u0103) [5-11].<\/li>\n<\/ul>\n
![\"\"](\"https:\/\/roneuro.ro\/blog\/wp-content\/uploads\/2025\/04\/cauze-apnee-scaled.jpg\" "\\"\\"")
<\/p>\nCare sunt cauzele apneei centrale \u00een somn?<\/h2>\n
Cauzele apneei centrale \u00een somn (ACS)<\/strong> pot include diverse probleme neurologice, cardiovasculare, sau de mediu, precum \u0219i utilizarea narcoticelor.<\/p>\n
- \n
- Probleme neurologice<\/strong> (disfunc\u021bie \u00een capacitatea creierului de a regla respira\u021bia [12]);<\/li>\n
- Insuficien\u021b\u0103 cardiac\u0103<\/strong><\/a> (care printre altele perturb\u0103 \u0219i func\u021bia respira\u021biei [13]);<\/li>\n
- AVC sau leziuni cerebrale<\/strong><\/a> (datorit\u0103 \u00eentreruperii semnalelor respiratorii de la creier [14]);<\/li>\n
- Schimbarea de altitudine<\/strong> (deoarece \u00een zonele montane aerul are con\u021binut de oxigen mai sc\u0103zut);<\/li>\n
- Utilizarea de opioide sau narcotice<\/strong> (deoarece interfereaz\u0103 cu semnalele respiratorii);<\/li>\n<\/ul>\n
\u00cen cazul ACC, cauzele sunt mixte (ACS \u0219i AOS).<\/strong><\/p><\/blockquote>\n
Resurse \u0219i suport pentru pacien\u021bi<\/h2>\n
Dac\u0103 crede\u021bi c\u0103 ave\u021bi o tulburare a somnului, prezentati stare de somnolen\u021b\u0103 diurn\u0103, oboseal\u0103 sau dureri de cap la trezire diminea\u021ba, programa\u021bi-v\u0103 acum la o consulta\u021bie\u00a0<\/span>contact\u00e2nd recep\u021bia Institutului RoNeuro<\/strong> la num\u0103rul de telefon<\/span> 0374 46 2222<\/a><\/b>, luni \u0219i mar\u021bi \u00eentre orele 08:00 – 19:00<\/strong>, iar de miercuri p\u00e2n\u0103 vineri \u00eentre orele 08:00 – 18:00<\/strong>.\u00a0<\/span><\/p>\n
La momentul program\u0103rii, pute\u021bi opta \u0219i pentru consulta\u021bie neurologic\u0103 gratuit\u0103, decontat\u0103 prin Casa Na\u021bional\u0103 de Asigur\u0103ri de S\u0103n\u0103tate.\u00a0<\/span><\/p>\n
Program\u0103ri online neurologie<\/a><\/p>\n
Locui\u021bi \u00eentr-o zon\u0103 izolat\u0103 sau nu v\u0103 pute\u021bi deplasa la clinic\u0103? Institutul RoNeuro ofer\u0103 \u0219i op\u021biunea de <\/span>telemedicin\u0103<\/a>.<\/b><\/p>\n
Tratamente pentru apneea \u00een somn<\/h2>\n
\u00cen func\u021bie de severitatea AS, a afec\u021biunilor preexistente \u0219i a stilului de via\u021b\u0103, tratamentele trebuie s\u0103 aib\u0103 \u00een vedere modificarea stilului de via\u021b\u0103, iar dac\u0103 aceasta nu e suficient, atunci pot fi recomandate folosirea temporar\u0103 a unor medicamente decongestionante sau chiar dispozitive medicale [15]. Dac\u0103 nici acestea nu sunt suficiente sau dac\u0103 exist\u0103 probleme anatomice, din na\u0219tere sau dob\u00e2ndite pe parcurs, atunci pot fi recomandate mai multe op\u021biuni chirurgicale.<\/p>\n
- \n
- Modific\u0103ri ale stilului de via\u021b\u0103<\/strong> (evitarea obezit\u0103\u021bii, renun\u021barea la fumat \u0219i alcool, dormitul pe o parte [16]);<\/li>\n
- Medicamente decongestionante<\/strong> (spray-uri nazale [17]);<\/li>\n
- Dispozitive medica<\/strong>le<\/strong> (men\u021binerea c\u0103ilor nazale deschise, ajustarea presiunii aerului la inspira\u021bie \u0219i expira\u021bie, aparate orale pentru repozi\u021bionarea maxilarului sau a limbii);<\/li>\n
- Terapia CPAP <\/strong>(Presiune Pozitiv\u0103 Continu\u0103 \u00een C\u0103ile Aeriene)<\/li>\n
- Op\u021biuni chirurgicale<\/strong> [18];\n
- \n
- \u00cendep\u0103rtarea amigdalelor sau adenoidelor m\u0103rite,<\/li>\n
- \u00cendep\u0103rtarea excesului de \u021besut din g\u00e2t,<\/li>\n
- Repozi\u021bionarea maxilarului,<\/li>\n
- Opera\u021bie pentru devia\u021bie de sept,<\/li>\n
- Crearea unei c\u0103i respiratorii directe (traheostomie, \u00een cazuri severe).<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n
Pe l\u00e2ng\u0103 acestea, \u00een func\u021bie de problemele de s\u0103n\u0103tate preexistente ale pacientului, pot fi recomandate terapii neurologice, terapie cognitiv-comportamental\u0103 sau terapii alternative [19].<\/p>\n
- \n
- Terapii neurologice<\/strong><\/a> (pentru \u00eenl\u0103turarea cauzelor neurologice ale apneei \u00een somn):<\/li>\n
- Terapia cognitiv-comportamental\u0103<\/strong> (care ajut\u0103 la reducerea insomniei \u0219i a altor tulbur\u0103ri de somn);<\/li>\n
- Terapii alternative<\/strong> (exerci\u021bii de respira\u021bie pentru \u00eent\u0103rirea mu\u0219chilor respiratori).<\/li>\n<\/ul>\n
![\"\"](\"https:\/\/roneuro.ro\/blog\/wp-content\/uploads\/2025\/04\/tratamente-apnee-scaled.jpg\" "\\"\\"")
<\/p>\nConcluzii<\/h2>\n
Apneea \u00een somn, indiferent de tipul acesteia, poate reprezenta un factor de risc pentru s\u0103n\u0103tatea cardiovascular\u0103 \u0219i cerebral\u0103. Rezolvarea afec\u021biunilor nazale poate reduce semnificativ severitatea apneei \u00een somn. Dac\u0103 suspecta\u021bi c\u0103 aceste afec\u021biuni v\u0103 afecteaz\u0103 somnul, consultarea unui specialist ORL sau a unui specialist \u00een somn v\u0103 poate oferi solu\u021bii specifice.<\/p>\n
Dac\u0103 nu este tratat\u0103, apneea \u00een somn poate favoriza o reducere semnificativ\u0103 a integrit\u0103\u021bii fibrelor substan\u021bei albe, \u00een mai multe zone ale creierului. Aceste leziuni ale creierului sunt de obicei \u00eenso\u021bite de tulbur\u0103ri ale cogni\u021biei, dispozi\u021biei \u0219i vigilen\u021bei din timpul zilei.<\/p>\n
Este important ca planul de recuperare \u0219i tratament s\u0103 \u00eenceap\u0103 c\u00e2t mai cur\u00e2nd posibil, deoarece promptitudinea interven\u021biei medicale poate avea un impact semnificativ asupra rezultatelor pe termen lung pentru s\u0103n\u0103tatea dumneavoastr\u0103.<\/p>\n
Referin\u021be<\/h2>\n
- \n
- MNT, Healthline Media UK Ltd, Brighton, UK., What you need to know about sleep apnea.<\/a><\/li>\n
- Healthline Media LLC, Symptoms of sleep hypopnea. Available at: https:\/\/www.healthline.com\/health\/hypopnea#symptoms<\/a><\/li>\n
- Mayo Foundation for Medical Education and Research, When to see a doctor. Available at: https:\/\/www.mayoclinic.org\/diseases-conditions\/sleep-apnea\/symptoms-causes\/syc-20377631<\/a><\/li>\n
- Jennifer M. Slowik; Abdulghani Sankari; Jacob F. Collen., Obstructive Sleep Apnea. Available at: https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK459252\/<\/a><\/li>\n
- Bonsignore MR. Obesity and Obstructive Sleep Apnea. Handb Exp Pharmacol. 2022;274:181-201. doi: 10.1007\/164_2021_558. Available at: https:\/\/pubmed.ncbi.nlm.nih.gov\/34697666\/<\/a><\/li>\n
- Passali D, Spinosi MC, Passali FM. Sindrome delle Apnee Ostruttive nel Sonno (OSAS): aspetti diagnostici e terapeutici otorinolaringoiatrici [Ear nose and throat (ENT) aspects of Obstructive Sleep Apnea Syndrome (OSAS) diagnosis and therapy]. Med Lav. 2017 Aug 28;108(4):288-292. Italian. doi: 10.23749\/mdl.v108i4.6424. Available at: https:\/\/pubmed.ncbi.nlm.nih.gov\/28853427\/<\/a><\/li>\n
- Pinilla L, Santamaria-Martos F, Ben\u00edtez ID, Zapater A, Targa A, Mediano O, Masa JF, Masdeu MJ, Minguez O, Aguil\u00e0 M, Barb\u00e9 F, S\u00e1nchez-de-la-Torre M. Association of Obstructive Sleep Apnea with the Aging Process. Ann Am Thorac Soc. 2021 Sep;18(9):1540-1547. doi: 10.1513\/AnnalsATS.202007-771OC. Available at: https:\/\/pubmed.ncbi.nlm.nih.gov\/33662230\/<\/a><\/li>\n
- Kaparianos A, Sampsonas F, Karkoulias K, Spiropoulos K. Obstructive sleep apnoea syndrome and genes. Neth J Med. 2006 Sep;64(8):280-9. Available at: https:\/\/pubmed.ncbi.nlm.nih.gov\/16990691\/<\/a><\/li>\n
- Zeng X, Ren Y, Wu K, Yang Q, Zhang S, Wang D, Luo Y, Zhang N. Association Between Smoking Behavior and Obstructive Sleep Apnea: A Systematic Review and Meta-Analysis. Nicotine Tob Res. 2023 Feb 9;25(3):364-371. doi: 10.1093\/ntr\/ntac126. Available at: https:\/\/pubmed.ncbi.nlm.nih.gov\/35922388\/<\/a><\/li>\n
- Ko J, Lim JH, Kim DB, Joo MJ, Jang YS, Park EC, Shin J. Association between alcohol use disorder and risk of obstructive sleep apnea. J Sleep Res. 2024 Aug;33(4):e14128. doi: 10.1111\/jsr.14128. Epub 2023 Dec 19. Available at: https:\/\/pubmed.ncbi.nlm.nih.gov\/38112217\/<\/a><\/li>\n
- Young T, Finn L, Kim H. Nasal obstruction as a risk factor for sleep-disordered breathing. The University of Wisconsin Sleep and Respiratory Research Group. J Allergy Clin Immunol. 1997 Feb;99(2):S757-62. doi: 10.1016\/s0091-6749(97)70124-6. Available at: https:\/\/pubmed.ncbi.nlm.nih.gov\/9042068\/<\/a><\/li>\n
- Broderick M, Guilleminault C. Neurological aspects of obstructive sleep apnea. Ann N Y Acad Sci. 2008 Oct;1142:44-57. doi: 10.1196\/annals.1444.003. Available at: https:\/\/pubmed.ncbi.nlm.nih.gov\/18990120\/<\/a><\/li>\n
- Peker Y, Akdeniz B, Altay S, Balcan B, Ba\u015faran \u00d6, Baysal E, \u00c7elik A, Dursuno\u011flu D, Dursuno\u011flu N, F\u0131rat S, G\u00fcnd\u00fcz G\u00fcrkan C, \u00d6zt\u00fcrk \u00d6, Ta\u015fbakan MS, Aytekin V. Obstructive Sleep Apnea and Cardiovascular Disease: Where Do We Stand? Anatol J Cardiol. 2023 Jul 3;27(7):375-389. doi: 10.14744\/AnatolJCardiol.2023.3307. Epub 2023 Jun 7. Available at: https:\/\/pubmed.ncbi.nlm.nih.gov\/37284828\/<\/a><\/li>\n
- Jehan S, Farag M, Zizi F, Pandi-Perumal SR, Chung A, Truong A, Jean-Louis G, Tello D, McFarlane SI. Obstructive sleep apnea and stroke. Sleep Med Disord. 2018;2(5):120-125. Epub 2018 Nov 30. Available at: https:\/\/pubmed.ncbi.nlm.nih.gov\/30680373\/<\/a><\/li>\n
- Calik MW. Treatments for Obstructive Sleep Apnea. J Clin Outcomes Manag. 2016 Apr;23(4):181-192. Available at: https:\/\/pubmed.ncbi.nlm.nih.gov\/27134515\/<\/a><\/li>\n
- Gottlieb DJ, Punjabi NM. Diagnosis and Management of Obstructive Sleep Apnea: A Review. JAMA. 2020 Apr 14;323(14):1389-1400. doi: 10.1001\/jama.2020.3514. Available at: https:\/\/pubmed.ncbi.nlm.nih.gov\/32286648\/<\/a><\/li>\n
- An Y, Li Y, Kang D, Sharama-Adhikari SK, Xu W, Li Y, Han D. The effects of nasal decongestion on obstructive sleep apnoea. Am J Otolaryngol. 2019 Jan-Feb;40(1):52-56. doi: 10.1016\/j.amjoto.2018.08.003. Epub 2018 Aug 23. Available at: https:\/\/pubmed.ncbi.nlm.nih.gov\/30243839\/<\/a><\/li>\n
- Holty JE, Guilleminault C. Surgical options for the treatment of obstructive sleep apnea. Med Clin North Am. 2010 May;94(3):479-515. doi: 10.1016\/j.mcna.2010.02.001. Available at: https:\/\/pubmed.ncbi.nlm.nih.gov\/20451028\/<\/a><\/li>\n
- De Dios JA, Brass SD. New and unconventional treatments for obstructive sleep apnea. Neurotherapeutics. 2012 Oct;9(4):702-9. doi: 10.1007\/s13311-012-0146-5. Available at: https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC3480568\/<\/a><\/li>\n<\/ol>\n","protected":false},"excerpt":{"rendered":"
Apneea \u00een somn – care sunt principalele semne? Apneea \u00een somn (AS) poate fi dificil de recunoscut, deoarece diferitele tipuri de apnee au simptome asem\u0103n\u0103toare care se suprapun. \u00cen majoritatea cazurilor, aceste semne pot fi observate at\u00e2t de c\u0103tre persoana afectat\u0103, c\u00e2t \u0219i de cei din jur [1]. Simptomele includ: Sfor\u0103it de mare intensitate; Oprirea […]<\/p>\n","protected":false},"author":2,"featured_media":1687,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"jnews-multi-image_gallery":[],"jnews_single_post":{"subtitle":"","format":"standard","override":[{"template":"6","parallax":"1","fullscreen":"1","layout":"no-sidebar","sidebar":"default-sidebar","second_sidebar":"default-sidebar","sticky_sidebar":"1","share_position":"floatbottom","share_float_style":"share-normal","show_share_counter":"1","show_view_counter":"1","show_featured":"1","show_post_meta":"1","show_post_author_image":"1","show_post_date":"1","post_date_format":"default","post_date_format_custom":"Y\/m\/d","show_post_category":"1","show_post_reading_time":"1","post_reading_time_wpm":"300","post_calculate_word_method":"str_word_count","show_zoom_button":"1","zoom_button_out_step":"2","zoom_button_in_step":"3","show_post_tag":"1","show_popup_post":"1","number_popup_post":"3","show_post_related":"1","show_inline_post_related":"0"}],"image_override":[{"single_post_thumbnail_size":"crop-500","single_post_gallery_size":"crop-500"}],"trending_post_position":"meta","trending_post_label":"Trending","sponsored_post_label":"Sponsored by","disable_ad":"0"},"jnews_primary_category":[],"jnews_override_counter":{"view_counter_number":"0","share_counter_number":"0","like_counter_number":"0","dislike_counter_number":"0"},"footnotes":""},"categories":[9],"tags":[],"class_list":["post-1681","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-pneumologie"],"_links":{"self":[{"href":"https:\/\/roneuro.ro\/blog\/wp-json\/wp\/v2\/posts\/1681","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/roneuro.ro\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/roneuro.ro\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/roneuro.ro\/blog\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/roneuro.ro\/blog\/wp-json\/wp\/v2\/comments?post=1681"}],"version-history":[{"count":2,"href":"https:\/\/roneuro.ro\/blog\/wp-json\/wp\/v2\/posts\/1681\/revisions"}],"predecessor-version":[{"id":1700,"href":"https:\/\/roneuro.ro\/blog\/wp-json\/wp\/v2\/posts\/1681\/revisions\/1700"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/roneuro.ro\/blog\/wp-json\/wp\/v2\/media\/1687"}],"wp:attachment":[{"href":"https:\/\/roneuro.ro\/blog\/wp-json\/wp\/v2\/media?parent=1681"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/roneuro.ro\/blog\/wp-json\/wp\/v2\/categories?post=1681"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/roneuro.ro\/blog\/wp-json\/wp\/v2\/tags?post=1681"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}
- Healthline Media LLC, Symptoms of sleep hypopnea. Available at: https:\/\/www.healthline.com\/health\/hypopnea#symptoms<\/a><\/li>\n
- Terapia cognitiv-comportamental\u0103<\/strong> (care ajut\u0103 la reducerea insomniei \u0219i a altor tulbur\u0103ri de somn);<\/li>\n
- Terapii neurologice<\/strong><\/a> (pentru \u00eenl\u0103turarea cauzelor neurologice ale apneei \u00een somn):<\/li>\n
- Medicamente decongestionante<\/strong> (spray-uri nazale [17]);<\/li>\n
- Insuficien\u021b\u0103 cardiac\u0103<\/strong><\/a> (care printre altele perturb\u0103 \u0219i func\u021bia respira\u021biei [13]);<\/li>\n
- Anomalii anatomice<\/strong> (amigdale m\u0103rite sau adenoide, devia\u021bie de sept);<\/li>\n
- Obezitatea<\/strong> (datorit\u0103 depunerilor de gr\u0103sime din jurul c\u0103ilor respiratorii superioare);<\/li>\n