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Søvnapné

Sist oppdatert: Sist revidert:
Sist revidert av:
Definisjon:
Obstruktiv søvnapne er karakterisert ved episoder av fullstendig eller delvis øvre luftveisobstruksjon under søvn
Forekomst:
Prevalens er minst 10-20% blant menn og 3-10% blant kvinner i 30-60 års alder, økende over 60 år, 1-2% hos barn
Symptomer:
Symptomene er unormal pusting under søvn med økt kraftbruk for å overvinne obstruksjon. Medfører gjerne gjentatte oppvåkninger, oppstykket søvn, nattlig hypoksi, hodepine og tretthet/søvnighet om dagen
Funn:
Ofte foreligger overvekt, kort og kraftig hals, høyt blodtrykk, ev. obstruktive forandringer i orofarynks
Diagnostikk:
Diagnosen stilles etter objektiv registrering av respirasjonen under søvn. Mest brukt i Norge er respiratorisk polygrafi, som inkluderer helnatts pulsoksimetri
Behandling:
Kontinuerlig overtrykksbehandling (CPAP) regnes som den beste behandlingen for de fleste, ev. vektreduksjon ved overvekt
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  • Bjørn Bjorvatn, professor dr.med., Institutt for global helse og samfunnsmedisin, Universitetet i Bergen, og leder av Nasjonal kompetansetjeneste for søvnsykdommer, Haukeland Universitetssykehus
  • Tor André Johannessen, lege, redaktør NEL

Tidligere fagmedarbeidere

  • Morten Lindbæk, førsteamanuensis, spesialist i allmennmedisin, Institutt for allmennmedisin og samfunnsmedisinske fag, Universitetet i Oslo
  • Per Møller, spesialist i øre/nese/hals, overlege ØNH-avdelingen Haukeland sykehus og professor ved Universitetet i Bergen