Mustafa KARA, Taylan ONAT, Emre BAŞER, Ethem Serdar YALVAÇ

GEBELİKTE OBSTRÜKTİF UYKU APNESİ

Gebelikte uyku ile ilgili solunum bozukluklarının prevalansı giderek artmaktadır. Gebeliğe bağlıfizyolojik ve hormonal değişiklikler uyku sırasında apne periyotları oluşması için predispozisyonoluşturur. Gebe kadınlarda obezite prevalansındaki artış nedeniyle, obezite ile ilişkili olan vegebeliği komplike eden durumlar giderek daha sık görülmektedir. Obstrüktif uyku apnesi (OSA),bu durumlardan biridir ve uyku sırasında herhangi bir efor olmaksızın apne gelişimi ile karakterizedir. Bu apne atakları ve üst solunum yolu obstrüksiyonu hipoksiye ve maternal ve fetalkomplikasyonlara yol açar. OSA’nın tanı ve tedavisi gebelerde ve gebe olmayanlarda aynıdır.Gebelikteki OSA ile ilgili bilgilerimiz vaka sunumları, vaka serileri, küçük kohort çalışmalar vebazı küçük longitudinal çalışmalara dayanmaktadır.

Obstructive Sleep Apnea in Pregnancy

The prevalence of sleep-disordered breathing in pregnancy is ever increasing. The physiologic and hormonal changes due to pregnancy could lead to a predisposition for apneic episodes during sleep. Because of the increased prevalance of obesity in pregnant women, the prevalence of obesity-related comorbid conditions complicating pregnancy is also increasing. Obstructive sleep apnea (OSA) is one of these conditions and characterized by apnea during sleep without any effort. These apnea episodes and upper airway obstruction lead to hypoxia and maternal and fetal complications. The diagnosis and management of OSA are similar in pregnant and nonpregnant women. The data addresseed OSA in pregnant women come from case studies, case series, small cohort studies, and a few small longitudinal studies.

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