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Function: require_once

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Line: 315
Function: require_once

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File: /home/sonopapcom/public_html/application/controllers/Page.php
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Function: __construct

File: /home/sonopapcom/public_html/index.php
Line: 315
Function: require_once

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File: /home/sonopapcom/public_html/application/controllers/Page.php
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Function: __construct

File: /home/sonopapcom/public_html/index.php
Line: 315
Function: require_once

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Function: __construct

File: /home/sonopapcom/public_html/index.php
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Function: __construct

File: /home/sonopapcom/public_html/index.php
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Function: __construct

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Function: __construct

File: /home/sonopapcom/public_html/index.php
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Function: __construct

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Function: __construct

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Function: __construct

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Function: __construct

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Function: __construct

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Function: __construct

File: /home/sonopapcom/public_html/index.php
Line: 315
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Function: __construct

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Function: __construct

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Filename: drivers/Session_files_driver.php

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File: /home/sonopapcom/public_html/application/controllers/Page.php
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Function: __construct

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File: /home/sonopapcom/public_html/application/controllers/Page.php
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Function: __construct

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Filename: drivers/Session_files_driver.php

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File: /home/sonopapcom/public_html/application/controllers/Page.php
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Function: __construct

File: /home/sonopapcom/public_html/index.php
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Filename: drivers/Session_files_driver.php

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File: /home/sonopapcom/public_html/application/controllers/Page.php
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Function: __construct

File: /home/sonopapcom/public_html/index.php
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Function: require_once

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Filename: drivers/Session_files_driver.php

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Backtrace:

File: /home/sonopapcom/public_html/application/controllers/Page.php
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Function: __construct

File: /home/sonopapcom/public_html/index.php
Line: 315
Function: require_once

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Filename: drivers/Session_files_driver.php

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Backtrace:

File: /home/sonopapcom/public_html/application/controllers/Page.php
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Function: __construct

File: /home/sonopapcom/public_html/index.php
Line: 315
Function: require_once

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File: /home/sonopapcom/public_html/application/controllers/Page.php
Line: 7
Function: __construct

File: /home/sonopapcom/public_html/index.php
Line: 315
Function: require_once

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File: /home/sonopapcom/public_html/application/controllers/Page.php
Line: 7
Function: __construct

File: /home/sonopapcom/public_html/index.php
Line: 315
Function: require_once

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Backtrace:

File: /home/sonopapcom/public_html/application/controllers/Page.php
Line: 7
Function: __construct

File: /home/sonopapcom/public_html/index.php
Line: 315
Function: require_once

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Backtrace:

File: /home/sonopapcom/public_html/application/controllers/Page.php
Line: 7
Function: __construct

File: /home/sonopapcom/public_html/index.php
Line: 315
Function: require_once

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Backtrace:

File: /home/sonopapcom/public_html/application/controllers/Page.php
Line: 7
Function: __construct

File: /home/sonopapcom/public_html/index.php
Line: 315
Function: require_once

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Backtrace:

File: /home/sonopapcom/public_html/application/controllers/Page.php
Line: 7
Function: __construct

File: /home/sonopapcom/public_html/index.php
Line: 315
Function: require_once

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File: /home/sonopapcom/public_html/application/controllers/Page.php
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Function: __construct

File: /home/sonopapcom/public_html/index.php
Line: 315
Function: require_once

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File: /home/sonopapcom/public_html/application/controllers/Page.php
Line: 7
Function: __construct

File: /home/sonopapcom/public_html/index.php
Line: 315
Function: require_once

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File: /home/sonopapcom/public_html/application/controllers/Page.php
Line: 7
Function: __construct

File: /home/sonopapcom/public_html/index.php
Line: 315
Function: require_once

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File: /home/sonopapcom/public_html/application/controllers/Page.php
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Function: __construct

File: /home/sonopapcom/public_html/index.php
Line: 315
Function: require_once

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File: /home/sonopapcom/public_html/application/controllers/Page.php
Line: 7
Function: __construct

File: /home/sonopapcom/public_html/index.php
Line: 315
Function: require_once

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File: /home/sonopapcom/public_html/application/controllers/Page.php
Line: 125
Function: view

File: /home/sonopapcom/public_html/application/controllers/Page.php
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File: /home/sonopapcom/public_html/application/controllers/Page.php
Line: 125
Function: view

File: /home/sonopapcom/public_html/application/controllers/Page.php
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File: /home/sonopapcom/public_html/application/controllers/Page.php
Line: 125
Function: view

File: /home/sonopapcom/public_html/application/controllers/Page.php
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Line: 125
Function: view

File: /home/sonopapcom/public_html/application/controllers/Page.php
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File: /home/sonopapcom/public_html/application/controllers/Page.php
Line: 125
Function: view

File: /home/sonopapcom/public_html/application/controllers/Page.php
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File: /home/sonopapcom/public_html/application/controllers/Page.php
Line: 125
Function: view

File: /home/sonopapcom/public_html/application/controllers/Page.php
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File: /home/sonopapcom/public_html/application/controllers/Page.php
Line: 125
Function: view

File: /home/sonopapcom/public_html/application/controllers/Page.php
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Line: 125
Function: view

File: /home/sonopapcom/public_html/application/controllers/Page.php
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File: /home/sonopapcom/public_html/application/controllers/Page.php
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Function: view

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Line: 125
Function: view

File: /home/sonopapcom/public_html/application/controllers/Page.php
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Line: 125
Function: view

File: /home/sonopapcom/public_html/application/controllers/Page.php
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Function: view

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Function: view

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Line: 125
Function: view

File: /home/sonopapcom/public_html/application/controllers/Page.php
Line: 80
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File: /home/sonopapcom/public_html/index.php
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Tratamento | SONOPAP

Tratamento

Medidas gerais: medidas de higiene do sono e comportamentais como evitar privação do sono, perda de peso, retirada de álcool e medicações sedativas e evitar decúbito dorsal, tratar doenças otorrinolaringológicas e exercício físico devem ser incentivadas.

Higiene do Sono: Sempre indicado, mesmo em conjunto com outro tratamento;

Algumas Recomendações e Sugestões:

  • O quarto deve estar climatizado (quartos quentes devem ser resfriados e quartos frios devem ser esquentados);
  • O quarto deve ser um local agradável, confortável e ventilado (com renovação do ar);
  • O quarto deve estar o máximo de silêncio possível. Som acima de 52 decibéis torna o sono superficial;
  • O colchão deve ser na densidade correta para seu peso;
  • O travesseiro deve ser da altura do comprimento do ombro (evite os altos e os baixos);
  • Dê preferência para dormir de lado. Dormir de barriga para cima favorece a apneia (exceto pra quem está usando CPAP).
  • Dê preferência para iluminação indireta (abajur) com lâmpadas amarelas (evite as brancas ou misture-as). A ideia é induzir ao sono;
  • O quarto serve exclusivamente para dormir e fazer sexo (evite trabalhar, estudar, comer e outras atividades);
  • Evite ter a TV no quarto (os eletroeletrônicos interferem no sono produzindo ionização positiva do ambiente);
  • Se você chegou tarde de um trabalho ou estudo intenso e que lhe causa preocupação, não durma imediatamente, pois a tendência é que esta preocupação prossiga em sonhos. Anote em um papel ou caderno quais são essas preocupações, os medos e ansiedades ligadas a elas. Se você não for adepto deste tipo de terapia, tome um bom banho, e inicie alguma atividade relaxante (não vale ir para a geladeira);
  • Em fases na vida quando o ritmo do trabalho for intenso, procure intercalar com atividades que lhe tragam prazer e relaxamento. Permita-se fazer estas pausas, elas aumentarão sua produtividade;
  • Para estimular o ritmo circadiano: Procure se expor ao sol (preferencialmente pela manhã); Faça atividades físicas regularmente, sempre associadas à luz do dia; Procure dormir e levantar em horários regulares;
  • Evite exercícios físicos intensos à noite. se necessário, à noite, dê preferência para exercícios de alongamento ou caminhadas (4 horas antes de dormir);
  • Evite ingerir álcool, cafeína antes de dormir (mínimo 6 horas). Deixe para beber em dias que você poderá acordar mais tarde;
  • Evite comer e beber líquidos antes de deitar (mínimo 2 horas);

Redução de peso: Reduz IAH e aumenta oxi-Hb

Aparelhos intra-orais: Sempre indicados para pacientes com apneia leve;


Aparelhos de pressão Positiva – CPAP E BIPAP: É o mais importante tratamento não cirúrgico com alta aceitação(em torno de 60-90%)

Cirúrgico: Exige diagnóstico preciso e anatomia favorável (septoplastia, turbinectomia, radiofrequência, uvulopalatofaringoplastia, adeno-amigdalectomia, avanço maxilo mandíbula, traqueostomia

Nenhum tratamento medicamentoso é eficaz para o tratamento da SAOS e é importante destacar que a maioria dos procedimentos cirúrgicos ainda contam com taxa de sucesso inferior aos demais tratamentos acima citados.