2023-05-09 10:31:31
In the midst of being busy preparing for work in the early morning, 119 came into the apartment with the sound of an urgent siren. I looked out the window indifferently, but the sight was not unusual. A young woman crying and blowing and not knowing what to do. She was a daughter’s friend’s mother. The person lying on the stretcher covered in a haan cloth was the daughter’s friend’s father. She left her young daughters, regarding 10 years old, so devastated.
There was no usual disease. He works out a lot and he is so good at managing his health that I mightn’t believe it. He was in a relationship with me and had a drink from time to time. He had good self-control, to the point of holding on to the end with a glass of beer. However, I usually snored badly, so I slept alone. “Brother, please make me a snoring device too. We also want to sleep together as a couple.” “I will make a prescription following a sleep test.” It was only a month or two ago when he said that.
No one might have imagined that something like that would happen to that friend. I still remember the smiling face of a person. What’s even more heartbreaking is that she mightn’t show her father’s last face to her young daughters. It was because he became a corpse with such a painful face. I can’t imagine the pain and fear of how much I struggled to live and breathe. He says the dead don’t speak.
Taking this opportunity, we decided to register it as a medical device that can be purchased freely without a prescription at the hospital. I thought that becoming a medical device would naturally become health insurance. After many twists and turns, the clinical trial was completed and safety and efficacy were recognized, and it was registered as a newly developed medical device. It was also named Life Guard Bio-Guard. However, more than 10 years later, health insurance has not yet been applied.
Most people who die in their sleep are those who sleep alone. Even if you live with your family, there are many cases where you share a room because of snoring. No one would have watched someone who died while sleeping. He probably struggled to catch his breath and, of course, would have shaken him awake if he had been with him. Maybe it might have saved a life.
In case of sudden death during sleep, the cause of death must be determined. Most often, it is called a heart attack or myocardial infarction. A heart attack occurs when blood supply to the heart stops due to strenuous exercise or extreme stress, and the heart stops beating. However, it is not a situation where you can do heavy exercise or be extremely stressed while sleeping. That is, it is not a common situation. If you understand the process of how you can die in your sleep, you will be able to prevent absurd deaths. A brief explanation of how this is possible is necessary.
fall asleep The deeper you sleep, the more your muscles relax. stretches under the influence of gravity lower jaw droops tongue stretches The neck is also sagging. breathing narrowed. shortness of breath Open your mouth. more short of breath Breathe harder. throat is dry I swallow dry saliva to moisten my throat. The tongue is sucked into the throat. can’t breathe Most wake up in this situation with surprise or nightmares. If I can’t wake up here, I’ll struggle, choking on my breath. Because of the lack of oxygen, the heart beats violently. Without oxygen, the heart can no longer beat. The heart stops.
Among the counseling clients at our center, people who have experienced this kind of fear sometimes talk regarding their experiences. I was so surprised that I immediately went to the hospital and was diagnosed with sleep apnea. Because I woke up, I looked for the hospital and was able to meet me.
I think the boundary between life and death is the breathing hole, that is, the throat. throat and breath. Life is a symbol of life.
Sleep is said to be medicine, but many people find that sleep is poison. The medical community estimates that there are between 1.5 and 2 million sleep apnea patients who need urgent treatment. They are dangerous people with potential sudden death. Of these, the rate of receiving treatment is far less than 5%. More than 95% of patients are neglected.
It has already been confirmed medically how many problems sleep apnea can cause or exacerbate. OSAS (obstructive sleep apnea) is accompanied by frequent snoring and wakefulness during sleep, and also causes problems such as gastroesophageal reflux and nocturia. In addition, excessive daytime sleepiness, fatigue, and cognitive impairment appear during the daytime, which leads to an increase in traffic accidents and workplace accidents. The longer OSAS persists, the higher the risk of developing cardiovascular disease and the risk of sudden death.[출처:journal of Sleep Medicine 200021 국민건강보험급여화에 따른 수면무호흡증 관련 진료 현황].
There are three treatments approved by the medical community. These include positive airway pressure (PAP) treatment, mandible advancement device (MAD) treatment, and surgical treatment. The goal of these treatments is to prevent narrowing of the airways during sleep and to keep breathing smooth.
Positive airway pressure is considered to be the most effective in improving sleep apnea if it is well adapted, regardless of whether it is severe or not. Since the performance of the product is almost leveled, the success or failure of treatment depends on the user’s adaptation rather than the machine. On the other hand, surgical or oral airway expanders have different results depending on the skill of the operator. Since each person’s structure, situation, and condition are different, there is a big difference in how to approach it. If the treatment is not successful, the patient is responsible for the positive airway pressure device, but in the case of an oral device or surgical treatment, the manufacturer or doctor is responsible.
However, health insurance related to sleep apnea is applied only to surgery and positive airway pressure device rental. Positive airway presses have been covered by health insurance since 2018, and the prescription rate has increased significantly, but it is too cumbersome, inconvenient, and difficult for users to continue for a long time. The question is, what time do you take off the positive air pressure device? In particular, apnea becomes more severe at dawn, and if a positive airway pressure device does not play a role at this time, an alternative is needed. Insurance eligibility is maintained if you use it for more than 2 hours a day. This is the biggest problem. An alternative is needed.
On the other hand, an oral appliance can have a very excellent effect if it is properly made, but it is simpler and more adaptable than a positive airway pressure device, so the long-term treatment success rate is high. It is sufficient as an alternative for sleep apnea patients who are not accustomed to positive airway pressure.
While 95% of positive air pressure devices are imported products, 98.5% of oral devices are domestic products.[출처 : 2020년 의료기기 생산 및 수출입실적 통계자료. 식품의약품안전처] With the application of health insurance, imports of positive air compressors increased more than 10 times. As oral appliance was excluded from health insurance, it was reduced to 1/5. It is also bringing regarding very unreasonable results in terms of industry.
There is a problem if the treatment developed with support from the state is not covered by health insurance. In addition to being necessary for people’s comfortable and quiet sleep, it is essential to expand health insurance for the treatment of sleep apnea using an oral airway dilator in that it can prevent numerous diseases and accidents.
Nearly 2 million sleep apnea patients are waiting for health insurance.
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