Difficulty in sleeping and coming up for air may be related to diseases such as chronic obstructive pulmonary disease, left heart failure and mandibular retraction deformity, etc. According to the cause of the disease and the characteristics of the disease, medication, surgical treatment, and non-invasive positive pressure ventilation and oral orthodontic device treatment should be selected.
1. Chronic Obstructive Pulmonary Disease (COPD): This disease is usually associated with airway and/or alveolar abnormalities caused by significant exposure to harmful particles or gases. Early on, it appears during more strenuous activities and gradually worsens to the point where shortness of breath is felt during daily activities and even at rest, and the airways are obstructed by bouts of coughing or sputum expectoration at night. Salbutamol, ipratropium bromide and budesonide are commonly used for airway inhalation treatment.
2. Left heart failure: this disease has a history of heart disease, often with panic, shortness of breath, cough, lower extremity edema. It is manifested as rapid respiration, dyspnea and panic aggravated after labor, severe cases can not lie down, and there may be nocturnal episodes of dyspnea. Continuous positive airway pressure ventilator treatment is feasible, and systemic use of uradil, furosemide and dobutamine treatment.
3. Mandibular retraction deformity: this disease can cause the tongue root to fall back against the posterior pharyngeal wall during sleep, resulting in upper airway obstruction and the above symptoms. It can be treated with mandibular advancement surgery, non-invasive positive pressure ventilator treatment and oral orthodontic treatment to expand the airway and promote ventilation.
Difficulty in sleeping and not being able to breathe can also be caused by other reasons such as enlarged tonsils, nasal diseases, etc. It is necessary to actively consult a doctor for a systematic examination, a clear diagnosis, and standardized treatment in accordance with the doctor’s instructions.