Why do some people snore so loudly Alayna Vaughan

A leather mask that clamps the mouth shut.

A cannonball sewn
into a soldier’s uniform.

And a machine that delivers
sudden electrical pulses.

These old items were all
intended treatments

for a problem that has haunted humanity
for millennia:

snoring.

It might seem harmless, but snoring can
be a sign of something more dangerous.

So, what exactly causes snoring?
And when does it become a problem?

A snore’s quality can range from a
gentle mew to a stuttering chainsaw—

but all snores originate
from the respiratory tract,

which is lined with soft tissues.

During sleep, the muscles
around these tissues relax,

narrowing the airway.

Many factors, including congestion,
anatomical features,

and the position you’re sleeping in,

can further constrict this passage
and lead to or exacerbate snoring.

The narrower the respiratory tract is,
the stronger the airflow,

and the more those relaxed tissues
may vibrate,

producing sound.

Most of us will snore at some point
in our lives.

But loud, chronic snoring is one sign
of a sleep disorder

known as obstructive sleep apnea.

It affects about a quarter of all adults,

but it’s estimated that around 80%
of people who suffer from it

aren’t aware they have it.

This is especially troublesome because it
can lead to serious cardiovascular issues.

Obstructive sleep apnea is usually
caused by blockages in the airway

and is mainly characterized by pauses
in breathing during sleep.

There’s one other kind of sleep apnea
called central sleep apnea,

which occurs when the brain temporarily
fails to regulate the body’s breathing.

This condition isn’t as common,

and snoring is usually
a less prominent feature—

though you can have both.

If you’re experiencing
obstructive sleep apnea,

you might stop breathing for 10 or more
seconds before waking,

sometimes without realizing it,
to catch your breath.

In doing so, you might make
a snorting or a choking sound.

This may happen five times an hour,

though in severe cases,
it could occur more than 30.

And it’s a problem because your tissues
are getting less oxygen.

As you experience periods
of low oxygen intake,

your body releases stress hormones.

And your blood vessels constrict to get
oxygenated blood to your vital organs.

This increases your blood pressure
and puts additional stress on your heart.

And this is why obstructive sleep apnea
can be linked to hypertension

and other cardiovascular problems.

Your difficulty breathing and poor-quality
rest may also lead to headaches,

decreased concentration,
and chronic fatigue.

So what puts someone at risk of developing
obstructive sleep apnea?

Features like larger tongues,
thicker necks, and smaller jaws

can make people more susceptible.

Older people are more at risk
because, as we age,

our soft tissues loosen,
further narrowing our airways.

Drinking alcohol before going to sleep
can cause excessive relaxation

of our throat and jaw muscles.

And one of the main contributors
to obstructive sleep apnea is weight gain

because more tissue around the neck
can constrict the airway.

Many researchers see weight loss
as a solution to obstructive sleep apnea.

Certain behavioral shifts, like limiting
your alcohol consumption before bed,

elevating your head, and avoiding
sleeping on your back may also help.

For people who have a milder condition,

mouth and throat exercises have been shown
to alleviate obstructive sleep apnea

in some preliminary trials.

But these approaches,
and devices like oral appliances,

may not always be sufficient.

Sleep apnea can be reliably
treated using CPAP machines,

which keep the airway open by delivering
a constant stream of pressurized air.

Doctors will usually aim to remedy sleep
apnea with non-invasive treatments

like these first, but if they don’t work,
they may consider surgery.

Snores can be silly.

But intense ones are well-worth
investigating with a doctor.

After all, everyone needs a chance
to catch their breath—

and some z’s…

一个能把嘴夹住的皮面罩。

一个缝
在士兵制服上的炮弹。

还有一台可以发出
突然电脉冲的机器。

这些旧物品都是
为了

解决一个困扰人类
数千年的问题:

打鼾。

它可能看起来无害,但打鼾可能
是更危险的迹象。

那么,究竟是什么原因导致打鼾呢?
什么时候会成为问题?

打鼾的质量可以从
轻柔的喵喵声到结结巴巴的电锯不等——

但所有的鼾声都起源
于呼吸道,呼吸道

内衬有软组织。

在睡眠期间,
这些组织周围的肌肉会放松,从而

使气道变窄。

许多因素,包括充血、
解剖特征

和你睡觉的位置,

都会进一步限制这个通道
并导致或加剧打鼾。

呼吸道越窄,
气流越强,

那些松弛的组织就越
振动,

产生声音。

我们大多数人都会在生活中的某个时刻打鼾

但响亮的慢性打鼾是一种

称为阻塞性睡眠呼吸暂停的睡眠障碍的迹象。

它影响了大约四分之一的成年人,

但据估计,大约 80%
的患有这种疾病的

人并不知道他们患有这种疾病。

这尤其麻烦,因为它
会导致严重的心血管问题。

阻塞性睡眠呼吸暂停通常
由气道阻塞引起

,主要表现为
睡眠时呼吸暂停。

还有另一种
称为中枢性睡眠呼吸暂停的睡眠呼吸暂停

,当大脑暂时
无法调节身体的呼吸时发生。

这种情况并不常见

,打鼾通常是
一个不太突出的特征——

尽管你可以两者兼得。

如果您遇到
阻塞性睡眠呼吸暂停,

您可能会在醒来前停止呼吸 10 秒或更长时间

有时甚至没有意识到,
以屏住呼吸。

这样做时,您可能会
发出鼾声或窒息声。

这可能每小时发生五次,

但在严重的情况下,
它可能会发生超过 30 次

。这是一个问题,因为您的
组织获得的氧气较少。

当您
经历低氧摄入期时,

您的身体会释放压力荷尔蒙。

您的血管会收缩,以便将
含氧血液输送到您的重要器官。

这会增加您的血压
并给您的心脏带来额外的压力。

这就是为什么阻塞性睡眠呼吸暂停
与高血压

和其他心血管问题有关。

呼吸困难和休息质量差
也可能导致头痛、

注意力下降
和慢性疲劳。

那么是什么让某人有患
阻塞性睡眠呼吸暂停的风险呢?

更大的舌头、
更粗的脖子和更小的下巴等特征

会使人更容易受到影响。

老年人的风险更大,
因为随着年龄的增长,

我们的软组织会松弛,
进一步缩小我们的气道。

睡觉前喝酒会导致

我们的喉咙和下巴肌肉过度放松。

阻塞性睡眠呼吸暂停的主要原因之一是体重增加,

因为颈部周围更多的组织
会收缩气道。

许多研究人员将减肥
视为阻塞性睡眠呼吸暂停的解决方案。

某些行为转变,例如
限制睡前饮酒、

抬高头部和避免
仰卧睡觉也可能有所帮助。 在一些初步试验中

,对于病情较轻的人来说,

口腔和喉咙锻炼已被证明
可以缓解阻塞性睡眠呼吸暂停

但这些方法
以及口腔器具等设备

可能并不总是足够的。 使用 CPAP 机器

可以可靠地治疗睡眠呼吸暂停

该机器通过
提供恒定的加压空气流来保持气道畅通。

医生通常会首先通过此类
非侵入性治疗来治疗睡眠呼吸暂停

,但如果它们不起作用,
他们可能会考虑手术。

打鼾可能很愚蠢。

但强烈的值得
与医生一起调查。

毕竟,每个人都需要一个
喘口气的机会——

还有一些…