Levent ALBAYRAK, Sadiye YOLCU, Sevcan LEVENT, Pervin SARIKAYA

ACİL SERVİSTE FARKINDALIĞI ARTAN BİR TANI: OBSTRÜKTİF UYKU APNE SENDROMU

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 eksikliğigörülür. 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 dahafazla 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. Buderlemede; uyku apnesinin birçok hastalığa neden olarak acil servise başvuru nedeni olabileceğive acil servise ani ölümle gelen hastalarda tanı ve ayırıcı tanıda uyku apnesinin düşünülmesiningerektiği vurgulanmaya çalışılmıştır.

A Diagnosis With Increased Awareness in Emergency Service: Obstructive Sleep Apnea Syndrome

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.

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