Curs de instruire in somnologie

2 Septembrie, 2010 - 23:00

Eveniment

European Sleep Research Society impreuna cu Societatea Romana de Pneumologie, Universitatea de Medicina si Farmacie V. Babes Timisoara, Colegiul Medicilor Timisoara si Spitalul de Boli Infectioase si Pneumoftiziologie Victor Babes Timisoara organizeza in perioada 18.11.2010 – 20.11.2010 “Central Europe Sleep Training Course”, ce se va desfasura in cadrul Medicover Timisoara si Aula Magna UMF V. Babes.

Cursul va aborda aspecte teoretice legate de apneea in somn precum epidemiologie, comorbiditati, elemente de diagnostic pozitiv si tratament, cat si aspecte practice legate de diagnosticarea prin somnografie a tulburarilor respiratorii din timpul somnului. Lectorii straini si romani sunt personalitati cunoscute cu preocupari in somnologie. Cursantii sunt medici romani interesati in organizarea si dezvoltarea unul laborator de somnologie jogos casino online.

Limbile oficiale de desfasurare a cursului vor fi Romana si Engleza Bonus Fara Depunere

Oxigen Plus impreuna cu partenerul sau Philips Respironics a initiat in anul 2004 proiectul de somnologie pe care l-a dezvoltat constant si care in prezent numara 23 de laboratoare.

Dintre acestea 5 laboratoare sunt echipate complet de catre Philips Respironics la cel mai inalt nivel mondial, cu polisomnograf si somnograf plus echipamente de titrare, 12 laboratoare sunt echipate de catre Oxigen Plus la nivelul de baza cu somnograf si echipament de titrare si alte 6 laboratoare sunt echipate tot la nivel de baza prin investitii private.

Studiul somnului sau somnologia are ca scop depistarea si tratamentul tulburarilor de somn, cu scopul ameliorarii simptomatologiei si cresterea calitatii vietii pacientilor.

Sindromul de apnee in somn (SAS)

Sforăi noaptea?
Eşti foarte adormit în cursul zilei?
Ai o stare de oboseală permanentă?

Este posibil să ai SINDROMUL DE APNEE IN SOMN!

SINDROMUL DE APNEE IN SOMN este o boală subtilă, necunoscută, care atinge 4% din persoanele cu vârsta peste 40 ani. La fel de răspândită ca astmul sau diabetul zaharat, poate duce la accidente rutiere şi de muncă şi la complicaţii precum hipertensiunea arteriala rezistentă la tratament.

Tulburarile respiratorii in cursul somnului, printre care forma cea mai severa este sindromul de apnee in somn (SAS), reprezinta o importanta problema de sanatate publica prin consecintele sale. Prevalenta depinde de definitia acceptata si prezenta factorilor de risc.

Sindromul de apnee in somn este definit ca episoade recurente de obstrucţie parţială/totală a căilor respiratorii superioare cu întreruperea ventilaţiei normale şi a somnului.

SAS poate apărea la orice vârstă. Aproximativ 4% din populatia adulta sufera de aceasta boala iar la copii prevalenta sforaitului raportat de parinti este 7,45% iar SAS pe studii diagnostice 1 - 4%.

Persoanele obeze sunt afectate in proportie de 70% de apneea obstructiva in somn.

Adormirea la volan determina 20% din accidentele de circulatie, iar sindromul de apnee in somn reprezinta una din afectiunile medicale care se coreleaza cu acest tip de accident.

Despre somn

Somnul este o necesitate fiziologică majoră. Tulburarile respiratorii din timpul somnului au consecinta dubla:
- determina modificari ale somnului
- modificari ale arhitecturii somnului
- microtreziri
- determina un somn neodihnitor
- stress permanent pentru organism
Simptomele care apar ca urmare a acestor modificari:

ZIUA
Somnolenţă excesivă
Scăderea performanţei de lucru / şcolare
Cefalee matinală
Deteriorare intelectuală:
tulburări de atenţie
afectarea capacităţii de concentrare
afectarea memoriei
Depresie
Dureri precordiale
HTA

NOAPTEA
Sforăit
Apnei raportate
Somn agitat
Insomnii
Tresăriri nocturne
Microtreziri repetate
Nicturie
Enurezis
Scăderea libidoului
Impotenţă
Transpiraţii
Aritmii cardiace

La copii cele mai importante simptome sunt reprezentate de efectele neurocomportamentale şi neurocognitive ale OSAS (Dayyat E. Sleep Med Clin 2007):
Hiperactivitate
Întârziere uşoară în dezvoltare
Dificultăţi de învăţare / performanţă şcolară redusă
Enurezis
Somnolenţă diurnă excesivă

SAS: informare, diagnostic si tratament

De ce tratăm?

Ameliorare comportamentală – disparitia somnolentei

Reversibilitatea profilului de risc cardiovascular

Îmbunătăţirea calităţii vieţii

Astfel pacientii la care anamneza identifica:
- prezenţa sforăitului
- respiraţie dificilă
- somn neliniştit
- apnee
- nicturie
pot urma urmatorul algoritm al depistării tulburărilor somnului, asa cum este recomandat de Dr. Dan Mihăicuţă, Preşedintele Secţiunii de Somnologie al Societatii Romane de Pneumologie, membru in Comitetul Executiv al European Sleep Research Society:
- screening prin medicii de familie şi medicii specialisti din teritoriu
- examinarea în laboratoarele de studiu al somnului şi stabilirea tratamentului în clinici de specialitate
- supravegherea în ambulator şi controlul afecţiunii prin cooperarea medicilor generalişti, a medicilor specialisti din centrele acreditate

Medicul specialist va utiliza pentru confirmarea sau excluderea tulburarilor respiratorii nocturne, inregistrarea polisomnografica realizata in laboratoare specializate. Laboratoarele de polisomnografie sunt dotate cu somnografe si polisomnografe.

Acestea exploreaza somnul, respiratia, saturatia oxigenului in sangele periferic si inregistreaza frecventa cardiaca. Deasemenea se poate realiza si titrarea adica stabilirea presiunii optime de tratament. Tratamentul de referinta este reprezentat de ventilatia nazala cu presiune poziva continua (CPAP).

Pe langa acest tratament se recomanda pacientilor obezi sa slabeasca, sa evite sedativele, alcoolul si fumatul.

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