Tom 4, Nr 4 (2023)
Artykuł przeglądowy
Opublikowany online: 2024-02-12
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321
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Centralny bezdech senny — praktyczne aspekty dotyczące klasyfikacji i postępowania
1, 1, 12
DOI: 10.5603/pp.98216
Pneum Pol 2023;4(4):135-144.
Streszczenie
Centralne zaburzenia oddychania w czasie snu są podstawowym kryterium rozpoznania centralnego bezdechu sennego (CBS). Rozpoznaje się go na podstawie badania snu i obrazu klinicznego. Zgodnie z Międzynarodową Klasyfikacją Zaburzeń Snu (ICSD, International Classification of Sleep Disorder) wyróżniamy: CBS związany z zespołem Cheyne’a–Stokesa, CBS związany z innymi chorobami, CBS spowodowany cyklicznym oddychaniem na dużej wysokości, CBS spowodowany przez leki lub inne substancje, pierwotny CBS, pierwotny CBS u niemowląt, pierwotny CBS u noworodków urodzonych przedwcześnie, CBS pojawiający się w trakcie leczenia wspomaganiem oddychania za pomocą dodatniego ciśnienia w drogach oddechowych. Leczenie powinno obejmować chorobę podstawową, która predysponuje do wystąpienia centralnych bezdechów w czasie snu, oraz obecne zaburzenia
oddychania.
Słowa kluczowe: centralny bezdech sennyzaburzenia oddychania w czasie snubezdechpolisomnografiapoligrafiadodatnie ciśnienie w drogach oddechowychCPAPserwowentylacja adaptacyjnaASVdwupoziomowe dodatnie ciśnienie w drogach oddechowychBPAP
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