Navegando por Assunto "Apnéia obstrutiva do sono"

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Perfil epidemiológico e as repercussões sistêmicas dos respiradores orais infantis do Centro Universitário do Estado do Pará
(Centro Universitário do Estado do Pará, 2022-11-08) Sanjad, Carlyne Souza Lamego; Costa, Francisca Jullyanna Silva da; Nunes, Leonardo Mendes Acatauassú; http://lattes.cnpq.br/3512764081076675; Cal, Renato Valerio Rodrigues; http://lattes.cnpq.br/9362044691690331; Força, Mariana Tótola; http://lattes.cnpq.br/4000323182108455
A mouth breather is defined as any individual who breathes through the mouth as a result of pathological adaptation. The nasal cavity is important in respiratory physiology, influencing facial growth and the development of dental occlusion. Therefore, it is known that mouth breathing can cause several anatomical changes and its repercussions can impair the quality of life of patients with this syndrome, which especially affects the pediatric age group. Within this context, the present study aims to characterize the clinical profile of mouth breathing patients treated at the Medical Specialty Center – CESUPA (CEMEC). The study has a descriptive, exploratory, cross-sectional, qualitative and quantitative character, carried out at the Centro de Especialidades Médicas do Cesupa with patients aged 2 to 14 years treated at the allergy and otorhinolaryngology outpatient clinics. The research was carried out by consulting the data contained in the patients' medical records and applying the OSA-18 questionnaire to assess quality of life and sleep disturbance. Data from 31 children were examined from August to September 2022. The mean age was 8.4 ± 2.7 years. 38.7% of the patients were female and 61.2% were male. Of the patients analyzed, twenty-three (74%) had an established diagnosis of rhinitis. On physical examination, the most prevalent alteration was nasal turbinate hypertrophy, present in 64.5% of patients. The impairment of the impact on quality of life represented by the mean OSA-18 score presented the moira in the sample with a small impact on quality of life, 58.1%, moderate in 32.3%, and large in 9.7%. The study allowed us to conclude that mouth breathing has an effect on the maintenance of the individual's well-being, and requires public health initiatives. We understand that the quality of life is compromised, as we found that the categories most affected by the OSA - 18 questionnaire are: "Concern of those responsible" followed by "emotional suffering" and "physical suffering" and need intervention.
Sintomas da síndrome da apneia obstrutiva do sono em mulheres gestantes do Centro de Especialidades Médicas do CESUPA
(Centro Universitário do Estado do Pará, 2019-11-18) Guedes, Danielle Veloso Marinho; Nascimento, Raíssa Andrade do; Nunes, Leonardo Mendes Acatauassú; Luz, Marília Gabriela Queiroz da; http://lattes.cnpq.br/7318301499873546; http://lattes.cnpq.br/3512764081076675; Força, Mariana Tótola; http://lattes.cnpq.br/4000323182108455; Neves, Dilma Costa de Oliveira; http://lattes.cnpq.br/7230812534416350
Context: Obstructive Sleep Apnea Syndrome (OSAS), main sleep-disordered breathing, is currently considered a public health problem, due to its cardiovascular and metabolic complications. Pregnancy is associated with anatomical, mechanical and hormonal changes that modify sleep quality and patterns, which may exacerbate or increase the chances for pregnant women to develop obstructive sleep apnea syndrome. Purpose: Assess the prevalence of symptoms of obstructive sleep apnea syndrome in pregnant women attended at Prenatal Care Ambulatory of Medical Specialties Center of Cesupa between October 2018 and March 2019. Method: Cross-sectional observational study was conducted by analyzing the filling of questionnaire and scales by 50 patients attended at Prenatal Care Ambulatory of Medical Specialties Center of Cesupa between October 2018 and March 2019, and in a second phase, by data collection from respective medical records. Results: The most denounced symptom (78%) by the participants was tiredness during the day. 48.9% of the patients reported excessive daytime sleepiness and 40%, snoring. No significant correlation was found between excessive daytime sleepiness and snoring. The most prevalent age group was 21 to 25 years, while 50% of pregnant women were nulliparous and 40% were in the third trimester. There was no relationship between symptoms presented and alteration of body mass index or systemic blood pressure. Conclusion: There was a significant presence of symptoms of obstructive sleep apnea syndrome in the pregnant women evaluated, however, not of the most specific ones. It is possible that by factors such as modest sample size and cross-sectionality of study the results may not have reflected the importance of an improved analysis of this syndrome in pregnancy, given its underdiagnosis and harmful consequences, both for the mother and for the fetus.