{"id":2815,"date":"2018-03-11T15:49:08","date_gmt":"2018-03-11T12:49:08","guid":{"rendered":"http:\/\/www.cpapmerkezi.com\/?p=2815"},"modified":"2018-03-11T15:49:08","modified_gmt":"2018-03-11T12:49:08","slug":"apap-auto-cpap-otomatik-cpap","status":"publish","type":"post","link":"https:\/\/www.cpapmerkezi.com\/blog\/apap-auto-cpap-otomatik-cpap.html","title":{"rendered":"APAP – AUTO CPAP (Otomatik CPAP)"},"content":{"rendered":"

OSAS’\u0092l\u0131 hastalar\u0131n hastal\u0131k \u015fiddeti ve tedavide ihtiya\u00e7 duyduklar\u0131 bas\u0131n\u00e7l\u0131 hava deste\u011fi bir \u00e7ok fakt\u00f6r taraf\u0131ndan etkilenmektedir. Obezite, alkol kullan\u0131m\u0131, g\u00fcnd\u00fcz aktiviteleri, ek hastal\u0131klar, nazal konjesyon, yat\u0131\u015f pozisyonu, uykunun evreleri, gibi fakt\u00f6rlere g\u00f6re bu ihtiya\u00e7 azal\u0131p artmaktad\u0131r.<\/span><\/p>\n

Non – REM evresinde, v\u00fccudun \u00fcst k\u0131sm\u0131n\u0131n y\u00fcksek oldu\u011fu durumda, lateral pozisyonda ihtiya\u00e7 duyulan CPAP bas\u0131nc\u0131 % 50 oran\u0131nda azal\u0131r. Alkol al\u0131nd\u0131\u011f\u0131nda ise CPAP<\/strong> bas\u0131nc\u0131 yetersiz kalabilmektedir. Yani optimal CPAP bas\u0131nc\u0131 geceden geceye hatta bir gece boyunca saatten saate de\u011fi\u015fkenlik g\u00f6sterebilmektedir. Bu nedenle; ototitrasyonlu CPAP’lar, evde uzun s\u00fcreli CPAP tedavisi i\u00e7in de \u00f6nerilebilmektedir.<\/span><\/p>\n

APAP\u0092ta sabit bir bas\u0131n\u00e7 yoktur. Bas\u0131n\u00e7 zaman zaman apne olu\u015fumunu engellemek i\u00e7in y\u00fckselir. Gece boyunca bas\u0131n\u00e7 de\u011fi\u015fir. Bu aletle gerekmedi\u011fi s\u00fcrece d\u00fc\u015f\u00fck bas\u0131n\u00e7 uyguland\u0131\u011f\u0131 i\u00e7in y\u00fcksek bas\u0131nc\u0131 tolere edemeyenlerde komplians\u0131n artt\u0131\u011f\u0131 g\u00f6sterilmi\u015ftir. Olumlu etkilerinin tersine baz\u0131 ot\u00f6rler aletin, apne geli\u015ftikten sonra artan rezistans\u0131 alg\u0131layarak bas\u0131nc\u0131 y\u00fckseltti\u011fini dolay\u0131s\u0131yla yeterince etkin olmad\u0131\u011f\u0131n\u0131 savunmaktad\u0131rlar. Sabit bas\u0131n\u00e7l\u0131 CPAP’a g\u00f6re yeterli avantaj\u0131 g\u00f6sterilememi\u015ftir. Uzun s\u00fcreli kullan\u0131mda sonu\u00e7lar\u0131 bilinmemektedir. Pahal\u0131 olmas\u0131 da dezavantajd\u0131r.<\/span><\/p>\n

Prof.Dr.Mehmet Karada\u011f ‘dan al\u0131nt\u0131d\u0131r<\/span><\/p>\n

KAYNAKLAR<\/span><\/p>\n

1- Lugaresi E, Coccagna G, Mantovani M, Brignani F. Effects of tracheotomy in hypersomnia with periodic respiration. Rev Neurol (Paris). 1970 Oct;123(4):267-8 2- Sullivan CE, Issa FG, Berthon-Jones M, Eves L. Reversal of obstructive sleep apnoea by continuous positive airway pressure applied through the nares.Lancet. 1981 Apr 18;1(8225):862-5. 3- Alex CG, Aronson RM, Onal E, Lopata M. Effects of CPAP on upper airway and respiratory muscle activity. J Appl Physiol 1987; 62: 2026-30. 4- Mortimore IL, Whittle AT, Douglas NJ. Comparison of nose and face mask CPAP therapy for sleep apnoea. Thorax. 1998 Apr;53(4):290-2. 5- Arzt M, Young T, Finn L et al. Association of Sleep-disordered Breathing and the Occurrence of Stroke. Am J Respir Crit Care Med 2005; 172 (Sept): 1447-1451 6- Reichmuth KJ, Austin D, Skatrud JB and Young T. Association of Sleep Apnea and Type II Diabetes. Am J Respir Crit Care Med 2005; 172 (Sept): 1590 \u0096 1595 7- McEvoy RD, Thornton AT. Treatment of obstructive sleep apnea syndrome with nasal continuous positive airway pressure. Sleep. 1984;7(4):313-25. 8- Mazza S, P\u00e9pin J-L , Na\u00ebgel\u00e9 B. Driving ability in sleep apnoea patients before and after CPAP treatment: evaluation on a road safety platform Eur Respir J 2006; 28:1020-1028 9- Senn O, Brack T, Russi EW and Bloch KE. A Continuous Positive Airway Pressure Trial as a Novel Approach to the Diagnosis of the Obstructive Sleep Apnea Syndrome. Chest. 2006;129:67-75 10- Loube DI, Gay PC, Strohl KP, Pack AI, White DP, Collop NA. Indications for positive airway pressure treatement of adult obstructive sleep apnea patients. A consensus statement. Chest 1999; 115(3): 863-6. 11- 32. Littner M, Hirshkowitz M, Davila D, Anderson WM, Kushida CA, Woodson BT, Johnson SF, Merrill SW; Standards of Practice Committee of the American Academy of Sleep Medicine. Practice parameters for the use of auto-titrating continuous positive airway pressure devices for titrating pressures and treating adult patients with obstructive sleep apnea syndrome. An American Academy of Sleep Medicine report.. Sleep 2002; 25 (2): 143-7.<\/span><\/p>\n","protected":false},"excerpt":{"rendered":"

OSAS’\u0092l\u0131 hastalar\u0131n hastal\u0131k \u015fiddeti ve tedavide ihtiya\u00e7 duyduklar\u0131 bas\u0131n\u00e7l\u0131 hava deste\u011fi bir \u00e7ok fakt\u00f6r taraf\u0131ndan etkilenmektedir. Obezite, alkol kullan\u0131m\u0131, g\u00fcnd\u00fcz aktiviteleri, ek hastal\u0131klar, nazal konjesyon, yat\u0131\u015f pozisyonu, uykunun evreleri, gibi fakt\u00f6rlere g\u00f6re bu ihtiya\u00e7 azal\u0131p artmaktad\u0131r.<\/p>\n","protected":false},"author":1,"featured_media":2653,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_relevanssi_hide_post":"","_relevanssi_pin_for_all":"","_relevanssi_pin_keywords":"","_relevanssi_unpin_keywords":"","_relevanssi_related_keywords":"","_relevanssi_related_include_ids":"","_relevanssi_related_exclude_ids":"","_relevanssi_related_no_append":"","_relevanssi_related_not_related":"","_relevanssi_related_posts":"","_relevanssi_noindex_reason":"","_jetpack_memberships_contains_paid_content":false,"footnotes":""},"categories":[1825],"tags":[1960,1961,1880,1962,1823,1963,1964,1965,1824,1966,1967,1834,1968,1969,1970,1971,1972,1973,1974,1975,1976,1884],"class_list":["post-2815","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-cpap-cihazlari","tag-aasm","tag-airway","tag-apne","tag-bilevel","tag-bipap-2","tag-bpap","tag-cepap","tag-continuous","tag-cpap-1","tag-obsruktif","tag-osa","tag-osas","tag-oto","tag-otomatik","tag-positive","tag-pressure","tag-sipap","tag-sleep-apnea","tag-titrasyon","tag-usy","tag-usye","tag-uyku-apne"],"aioseo_notices":[],"jetpack_featured_media_url":"","jetpack_sharing_enabled":true,"_links":{"self":[{"href":"https:\/\/www.cpapmerkezi.com\/blog\/wp-json\/wp\/v2\/posts\/2815","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.cpapmerkezi.com\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.cpapmerkezi.com\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.cpapmerkezi.com\/blog\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.cpapmerkezi.com\/blog\/wp-json\/wp\/v2\/comments?post=2815"}],"version-history":[{"count":0,"href":"https:\/\/www.cpapmerkezi.com\/blog\/wp-json\/wp\/v2\/posts\/2815\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.cpapmerkezi.com\/blog\/wp-json\/"}],"wp:attachment":[{"href":"https:\/\/www.cpapmerkezi.com\/blog\/wp-json\/wp\/v2\/media?parent=2815"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.cpapmerkezi.com\/blog\/wp-json\/wp\/v2\/categories?post=2815"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.cpapmerkezi.com\/blog\/wp-json\/wp\/v2\/tags?post=2815"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}