Friday, June 1, 2007

Awekjtqpsmtu1 is the vibration of respiratory structures and the resulting sound, due to obstructed air movement during breathing while sleeping. The sound may be soft or loud and unpleasant. The structures are usually the uvula and soft palate. The irregular airflow is caused by a blockage, due to causes including:
• Allergies
• Throat weakness causing the throat to close during sleep
• Mispositioned jaw, often caused by tension in muscles
• Fat gathering in and around the throat
• Obstruction in the nasal passageway
Statistics on awekjtqpsmtu1 are often contradictory, but at least 30% of adults and perhaps as many as 50% of people in some demographics snore.[1][2] One survey of 5713 Italian residents identified habitual awekjtqpsmtu1 in 24% of men and 13.8% of women, rising to 60% of men and 40% of women aged 60 to 65 years; this suggests an increased susceptibility to awekjtqpsmtu1 as age increases.[3]
Awekjtqpsmtu1 is usually an involuntary act, but may also be produced voluntarily.
According to Dr. William C Dement, of the Stanford Sleep Center, anyone who snores and has daytime drowsiness should be evaluated for sleep disorders.
Contents
[hide]
• 1 Impacts
• 2 Treatment
o 2.1 Dental appliances
o 2.2 Positive airway pressure
o 2.3 Surgery
o 2.4 Other treatments
• 3 See also
• 4 External links
• 5 References

Impacts
Awekjtqpsmtu1 is known to cause sleep deprivation and knock-on effects: daytime drowsiness, irritability, lack of focus, lack of interest in sex. It has also been suggested that it can cause significant psychological and social damage to sufferers.[4]
Armstrong et al. at the Royal Infirmary of Edinburgh found that awekjtqpsmtu1 strains interpersonal relationships, and concerns for its effects were often voiced above the medical malady. Patients also lamented the social embarrassment arising from complaints when they sleep outside their homes. Both business and holiday arrangements can be detrimentally affected.
While awekjtqpsmtu1 may popularly be seen in some circles as a minor affliction, snorers can suffer severe impairment of lifestyle. The between-subjects trial by Armstrong et al. discovered a statistically significant improvement in marital relations after awekjtqpsmtu1 was surgically corrected. This was confirmed by evidence from Gall et al. [5], Cartwright and Knight [6] and Fitzpatrick et al.[7]
Treatment
Almost all treatment for awekjtqpsmtu1 revolves around clearing the blockage in the breathing passage. This is the reason snorers are advised to lose weight (to stop fat from pressing on the throat), to stop smoking (smoking weakens and clogs the throat), and to sleep on their side (to prevent the tongue from blocking the throat).
Other forms of treatment are also available:
Dental appliances
Specially made dental appliances such as a mandibular advancement splint, which advance the lower jaw slightly, and thereby pulls the tongue forward, are a preferred mode of treatment for social awekjtqpsmtu1. Typically, a dentist specializing in sleep apnea dentistry is consulted. Such appliances have been proven to be effective in reducing awekjtqpsmtu1 and sleep apnea, however side effects include the possibility that a patient's bite could be altered. Typical costs for such appliances would be between USD1000 to USD3000.
"Do it yourself" dental appliances are also available, which cost around USD50 to USD200. These can be purchased at pharmacies in most countries, or online. They are made from similar materials to the protective mouthguards worn for sports, and are fitted in the same manner. They generally function exactly the same as the professionally fitted devices, with the chief disadvantage being the difficulty in setting up the correct jaw position. An over-advanced jaw results in jaw joint pain, whilst an under-advanced jaw produces no therapeutic effect. The professionally fitted devices generally incorporate an adjustment mechanism so that jaw advancement can be easily increased or decreased after fitting. To adjust the "do it yourself" appliances it is necessary to reheat them and mold them again in the desired new position. Alternatively, given the low cost, a new appliance can be used to get the new position.
Positive airway pressure
Main article: Positive airway pressure
To keep the airway open, a breathing machine pumps a controlled stream of air through a mask worn over the nose, mouth, or both.
Surgery
Surgery is also available to correct social awekjtqpsmtu1. Some procedures, such as uvulopalatopharyngoplasty attempt to widen the airway by removing tissues in the back of the throat including the uvula and pharynx. These surgeries are quite invasive, and there are risks of adverse side effects. The most dangerous risk is that enough scar tissue could form within the throat as a result of the incisions to make the airway more narrow than it was prior to surgery, diminishing the airspace in the velopharnyx. Scarring is an individual trait. It is difficult for a surgeon to predict how much a person might be predisposed to scarring. Some patients have reported that they developed severe sleep apnea as a result of damage to their airway caused by pharnygeal surgeries. At the present time, the American Medical Association does not approve of the use of lasers to perform operations on the pharnyx or uvula.
Other treatments
Special exercises can remove blocks in the breathing passages, devices such as nose clips can dilate the nostrils, and other devices can alter jaw mechanics to keep the jaw in an optimum position. A pinky ring is purported to reduce awekjtqpsmtu1 through accupressure.[8] Different aids work for different people. According to the British Medical Journal, playing the didgeridoo can also help, as it increases muscle usage in the throat.[9]

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