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When you are snoring
如果你打呼嚕
it gets to the point where you stop breathing
這是因為你這時的呼吸停止了
and have a little bit of apnea spell
出現了輕度的睡眠呼吸障礙
your brain wakes up to get the oxygen go in again
為了吸收氧氣 你的大腦蘇醒了過來
You might thresh a little bit
你可能還會出現輕微的抽搐
because if you are obstructing your airway
因為如果你的呼吸系統受到了阻礙
you are kicking and moving
那么你就會踢腿 動來動去
and you might wake up
可能會醒過來
feeling choked
感覺喘不過氣
or feeling like someone strangling you
或者有什么掐著你的脖子
or you might feel like you are coughing or choking
或者感覺咳嗽或窒息
So it could be a sleep disorder problem
這些都屬于睡眠障礙
If you are waking up because of acid in your throat
如果你因為喉嚨里返酸而醒來
you taste the acid
你嘗到了口腔中的酸味
it could be some esophageal reflux
有可能是食管反流引起的
and sleeping at a higher angle might be helpful
那么墊高枕頭可以幫助緩解這種情況
But we don't know, when you are asleep
當你睡著之后
you really don't know what's waking you up
你其實并不清楚自己為什么醒來
When you wake up
但當你醒來時
and you think, well, I'm awake
你就會想 我都已經醒了
I guess maybe I have to go to the bathroom
可能我應該上個廁所
so you get up to go to the bathroom
于是你就去上了廁所
but you normally during the night
但是在夜間
you don't wake up to go to the bathroom
人們不會因為想上廁所而醒來
Your kidney function is much much lower at night
夜間腎臟的功能被降到了最低
you shouldn't be waking up to pee
你不會因為想尿尿而醒來
That's not a good reason
這不是醒來的原因
But when you are lying there and awake
但如果你醒著躺在床上
thinking why I'm awake
思考為什么我醒了
I might as well get up and go to the bathroom just in case
為了以防萬一 我最好還是上個廁所
So awakening during night is a real issue
所以夜間醒來是個現實問題
If you have a bed partner
如果有人和你睡在一起
ask them if you snore
問問他們你是否打呼嚕
if you stop breathing
是否出現過呼吸中斷的情況
We've had women in the past
過去有一位女性找到我們
who before sleep apnea got well-known
當時人們對睡眠呼吸障礙還知之甚少
would come into the clinic ad say
她找到我們診所說
do something with him
你們幫幫他吧
If you don't put a hole in his throat
如果你們不在他的喉嚨上開個口子
I will
那么我來開
Because the only treatment in those days for sleep apnea
因為當時治療睡眠呼吸障礙的唯一方法
was tracheotomy
就是氣管切開術
Women were so desperate
這些女性感到很絕望
they lie there waiting for him to breathe again
她們躺在床上等著伴侶再次呼吸
and it's frightening. It's very scary
很嚇人 很令人害怕
So they are not getting any sleep either
所以她們自己也睡不著
So I would have them take record
所以我讓她們去錄像
