Treatment Options for Sleep Apnea
Central sleep apnea (CSA) is a state where the brain fails to signal the muscles to breathe due to instability in the respiratory control center. This is normally due to an underlying cause like kidney failure, damage to the brainstem, hypothyroidism, stroke, etc. In some cases, CSA could be narcotic-induced or even high altitude-induced periodic breathing. Due to the absence of clear symptoms in some cases, central sleep apnea is discovered after polysomnography. There are no guidelines as to when or whether to treat CSA. The decision to treat the condition is an evaluation to be made on an individual basis. When the symptoms are present, the following treatments may be warranted: 1. Breathing strips The first line of treatment is to lose weight and then maintain a healthy weight. Avoid alcohol and sleeping pills since they constrict the airways during sleep. If you have sinus or nasal congestion, the use of breathing strips or nasal sprays is encouraged. Avoid sleep deprivation and sleep on the side instead of sleeping on your back. 2. CPAP machine Continuous positive air pressure (CPAP) is one initial method applied, especially if the patient has a history of heart failure. The supplemental oxygen improves ejection fraction.