CPAP: Making the most of it
If you’ve been diagnosed with Obstructive Sleep Apnoea (OSA) and need treatment, the most effective option for managing the condition is CPAP.
People with OSA can benefit from CPAP in many different ways, although some benefits may not be apparent right away. Studies have shown that CPAP can improve blood pressure and diabetes. A reduction in heart disease and stroke risk have also been found. Following CPAP use, many people feel much better and enjoy life more. They feel more refreshed in the morning and are less sleepy throughout the day. They are able to concentrate better, feel more energetic, and accomplish more. Their mood improves, and they may regain their libido. When CPAP is used by someone with OSA, the bed partner is often able to sleep better. It is not uncommon for partners to worry about their loved one’s breathing pauses during the night and they’ll stay awake to ensure everything is ok. With CPAP, the person with OSA breathes throughout the night and is no longer keeping their bed partner awake with their snoring and restless sleep.
What can I do if I notice that my sleep Apnoea symptoms are returning?
After using CPAP for some time, some people notice that their original symptoms are returning. Snoring occurs again, you feel fatigued or you have difficulty concentrating during the day. In this case, you should see a sleep specialist. There could be many reasons for your symptoms returning. Your sleep apnoea may just be changing. You may need to adjust the machine pressure settings or your mask may be malfunctioning. You should contact your sleep specialist for assistance. They are experienced in handling these problems and once the treatment is adjusted, you will be on your way again.
Why might pressure need to be changed?
- You are in control of the treatment and can remove the mask and stop the machine whenever you want. Your therapy can go as far as you like. However, keep in mind that this treatment is the best option at this time and it only works when it is used.
- Feel comfortable handling your mask and get used to it. This is a crucial step in learning to use CPAP. You can even use your CPAP mask when you’re watching TV. This will help you get used to wearing it. Making CPAP a part of your daily routine is key to making it something you do every night, like brushing your teeth.
- Most CPAP machines come with a ramp. Using it allows you to start off with less pressure. Pressure will gradually build-up to the level you need, sometimes not reaching full strength until after you have fallen asleep. Your CPAP machine may be more convenient to use on a regular basis if you have a ramp.
- On modern CPAP machines, there are many options for improving comfort. The newer machines are quieter, smaller, and have ways of reducing pressure sensations. In some models, the pressure is automatically adjusted throughout the night, finding the lowest effective force for your sleep position and type of sleep. Other models will lower the pressure when you breathe out.
- Masks come in a variety of styles including some very small and lightweight models. CPAP suppliers can help you choose the right one for you.
- Your mask may be off when you wake up. CPAP users often experience this problem. You may need to adjust the pump pressure or your mask. Consult your doctor or sleep physician about this. You may still experience it occasionally after improving what you can. The important thing is what you do next if you continue to wake up with the mask off. Refit your mask and gently and slowly drift back to sleep as the CPAP works.
- A “night off” is not a good idea as it can often lead to “two or three nights off”. You might end up only using it one or two nights per week. Snoring or your health won’t benefit from this treatment pattern!