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Saturday, September 26, 2020

What is OHS? Obesity Hypoventilation Syndrome Defined

What is OHS? Obesity Hypoventilation Syndrome Defined
OHS is a sleep apnea state in a number of fatty people, where bad respiration show the way to increased CO2 and decreased O2 in the blood levels.

Reasons of OHS

The actual reasons of obesity hypoventilation syndrome are obscure. However, the research scientists consider that OHS outcomes because of the deficiency in the controlling power of brain, which it has over the breathing process. The excessive mass adjacent to the wall of the chest as well creates difficulty to breathe in deeply and briskly.  For that reason, the level of CO2 increases and O2 decreases in the blood.

Warning Signs and Symptoms of OHS

The lack of sleep due to OHS creates symptoms, which comprises:

§  Fatigue

§  Headaches

§  Depression

§  Daytime drowsiness

§  Sleep apnea

§  Reduced quality of sleep

The chronic hypoxia (low levels of oxygen in the blood) can as well takes place. The symptoms consist of small breaths and/or getting exhausted even after doing small amount of work.

Examination of OHS

Normally, OHS people are obese and their examination manifests the following:

Extreme drowsiness

The OHS patients show symptoms of heart failure of the right side, which is recognized as “cor pulmonale”, for instance small breaths, getting exhausted even after a small amount of work, inflamed feet or legs.

Redness in the skin

Blue shade in the toes, fingers, lips or skin, as condition known as “cyanosis”

A number of tests carried out to find out and to verify OHS

§  Polysomnography consists of a sleep study

§  ECG (Electrocardiogram) commonly known as the heart’s ultrasound

§  Pulmonary/lung function test

§  CT scan or x-ray of chest

§  Arterial blood gas

The medical professionals may diagnose OHS if the patient is suffering from OSA (obstructive sleep apnea) as the level of CO2 increases in the person, while he is wakeful.

Curing OHS

§  The curing requires particular breathing devices such as:

§  CPAP (continuous positive airway pressure) or BiPap (bi-level positive airway pressure), which requires a mask that is worn over the mouth and nose, particularly for getting better sleep

§  Cure from providing enough oxygen

§  Sometimes, in serious cases, an opening for breathing purposes is made in the neck, known as tracheotomy. Therapy can be initiated as an in-door or out-patient capacity.

§  Several other options are available, which targets at losing excessive weight in order to overturn OHS.

Viewpoint

In case OHS is not treated, it can show way to severe issues in the blood vessels or the heart, cause serious disability or even cause death.

Probable impediments

Probable impediments due to short of sleep or weightiness can consist:-

 

§  Pulmonary hypertension (high blood pressure in the lungs)

§  Cor pulmonale (right side heart failure)

§  Issues with sex and affection

§  At work slip-ups, elevated chances of accidents

§  Irritability, agitation and/or depression

 

Time to Get in touch with a Doctor

Get in touch with your doctor, in case you feel exhausted throughout the daytime simply after a small amount of work or observe several other warning signs, which advocate OHS.

How to Prevent OHS malady

You just need to retain a suitable weight and keep away from bulkiness. Keep using your continuous positive airway or bi-level positive airway pressure device as recommended by your doctor.

Substitute Identity

Obesity hypoventilation syndrome is also identified as Pickwickian syndrome.

References:

https://en.wikipedia.org/wiki/Obesity_hypoventilation_syndrome

https://www.atsjournals.org/doi/full/10.1164/rccm.201008-1280ci

https://emedicine.medscape.com/article/304381-overview

https://patient.info/doctor/obesity-hypoventilation-syndrome

https://www.uptodate.com/contents/treatment-and-prognosis-of-the-obesity-hypoventilation-syndrome

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