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PANGUM LANGHAYATÄ GIRIM

YATKRIPÁ TAMAHAM VANDÄ

PARAMÁNANDA SÁGARAM

PRAYER

Name of the disease & terminologiesEtiologyHistoryPhysical examination InvestigationTreatment according to allopathic medicineOther therapiesYoga practicesBooks and journals for reference

INTRODUCTION A rough, rattling, inspiratory noise produced

by vibration of the pendulous palate, or sometimes of the vocal cords, during sleep or coma. See Also: stertor, rhonchus.

To breathe noisily, or with a snore. Loud and frequent snoring can be more than

just a nuisance to patient’s partner. This nighttime annoyance may indicate a

serious health condition, and it can disrupt household and strain relationships.

Snoring is common. More than one-third of adults snore at least a few nights each week.

Snoring occurs when air flows past relaxed tissues in the throat, causing the tissues to vibrate as patient breathe, creating hoarse or harsh sounds.

To restore peace and quiet as well as domestic harmony, lifestyle changes, such as losing weight or sleeping on one side, can help stop snoring.

In addition, surgery is available that may reduce disruptive snoring.

However, surgery isn't suitable for everyone who snores.

People with obstructive sleep apnea, a potentially serious disorder characterized by episodes of loud snoring followed by periods of silence when breathing briefly stops, aren't always good candidates for surgery.

CAUSES As patient doze off and progress from a lighter

sleep to a deep sleep, the muscles in the roof of the mouth (soft palate), tongue and throat relax.

If the tissues in the throat relax enough, they vibrate and may partially obstruct the airway.

The more narrowed airway, the more forceful the airflow becomes.

Tissue vibration increases, and snoring grows louder.

Snoring may be an occasional problem, or it may be habitual.

What contributes to snoring A variety of factors can lead to snoring,

including: Mouth anatomy. Alcohol consumption. Nasal problems. Sleep apnea.

Snoring occurs when air flows past relaxed tissues as patient breathe. The sagging tissues narrow the airway, causing these

tissues to vibrate.

WHEN TO SEEK MEDICAL ADVICE Patient may not be aware that he snores, but bed

partner likely is. Snoring may indicate another health concern, such

as obstructive sleep apnea, nasal obstruction or obesity.

If child snores, ask pediatrician about the problem. Children, too, can have obstructive sleep apnea, though most don't.

Nose and throat problems, such as enlarged tonsils, and obesity often underlie habitual snoring in children.

Treating these conditions could help the child sleep better at night.

SCREENING & DIAGNOSIS Physical examination and Medical history. His partner may need to answer some questions

about when and how he snore to help doctor assess the severity of the problem.

Parents are asked about the severity of a child's snoring.

Ear, nose and throat (ENT) – otolaryngologist or sleep specialist for additional studies and evaluation will be helpful.

This may require that to stay overnight at a sleep center to undergo an in-depth analysis of sleep habits by a team of specialists.

COMPLICATIONS Habitual snoring may be more than just a

nuisance and a cause of daytime sleepiness. Untreated, persistent snoring caused by

obstructive sleep apnea may raise lifetime risk of developing such health problems as high blood pressure, heart failure and stroke.

In children, obstructive sleep apnea may increase their risk of attention-deficit/hyperactivity disorder (ADHD).

TREATMENT First recommends lifestyle changes, such as losing

weight, avoiding alcohol close to bedtime and changing sleeping positions.

If lifestyle changes don't eliminate snoring: Oral appliances. Traditional surgery / uvulopalatopharyngoplasty

(UPPP). Laser surgery. Radio frequency tissue ablation (somnoplasty). Continuous positive airway pressure (CPAP).

Continuous positive airway pressure (CPAP) machine to eliminate snoring and prevent sleep apnea. A CPAP machine

delivers just enough air pressure to keep the upper airway passages open.

Heavy snorers have their air flow impeded by the structures at the back of the mouth and nose (A and B), which can be alleviated by surgery.

In UPPP, the patient's uvula, soft palate, and tonsils are removed (C and D).

SELF-CARE To prevent or quiet snoring, try these tips: Losing weight – Being overweight is a

common cause of snoring. Loose throat tissues are more likely to vibrate as patient breathe, and extra bulkiness in the throat narrows airway.

Sleep on one side. Nasal strips. Treat nasal congestion or obstruction. Limit or avoid alcohol and sedatives.

YOGA PRACTICES

YOGA IS BALANCE (SAMATVAM)I A Y T CORRECTS

IMBALANCESAIMS :• STRESS REDUCTION• RELIEF OF PAIN• MEDICATION REDUCTION

INTEGRATED YOGA MODULE FOR SNORING

Breathing practices Hands stretch breathing Dog breathing Tiger breathing Tongue massaging Tongue in and out Tongue rotation Bhramari Lip stretch

Karna sakti vikasaka Mukha dhouti Laughter Mouth twisting Tongue twisting Head rolling Vaksakti vikasaka

Yogasanas Ardhakati cakrasana Ardha cakrasana Padahastasana Bhujangasana Salabhasana Viparita karani Sarvangasana Halasana Matsyasana Deep relaxation technique (DRT)

Pranayama Kapalabhati Vibhaga pranayama Nadi suddhi Ujjyi pranayama Bhastrika pranayama Bhramara / Bhramari pranayama Chanting (Maha mrityunjaya mantra, songs & bhajans) Simha MudraMeditation (Dhyana & Dharana) Nadanusandhana OM meditation

KriyasJala NetiSutra NetiVaman Dhouti

SPECIFIC PRACTICES Suryanamaskara Shirshasana Sarvangasana Pachhimottanasana Shavasana Pranayama