medical road high rise

Chapter 404 Depression Caused by Breathing Problems

Chapter 4 Depression due to breathing problems

In the afternoon, Qin Feng was still in the outpatient clinic, while Yue Meng kept calling.

A middle-aged woman walked in with her daughter. Her daughter looked like she had just graduated from college, but she was just a little fat.

"What's going on?" Qin Feng raised his head and asked.

The patient's mother said: "Doctor, my daughter has been snoring quite loudly recently, and she even snores during naps. I read online that snoring plus obesity may be a disease. I will bring my daughter over to have a look."

Qin Feng nodded.

Snoring is indeed a disease, and it is more common in obese people, but the reason for snoring is that the airway is blocked, which makes the sound when breathing.

Blockage of the airway may naturally lead to death from suffocation. So sometimes when you hear people around you snoring as if they are dying, you need to pay attention.

Qin Feng looked at the patient. The patient's face was expressionless the whole time, and there was no light in his eyes.

It is conceivable that there is no light in the eyes of a young man.

"Did she not sleep well last night? She looks a little haggard." Qin Feng asked.

"Well, my daughter is a bit depressed and autistic, so she looks haggard." The patient's mother said sadly.

depression?
Although this condition is very common now, really common, most young people have mild symptoms of depression.

But snoring and feeling sluggish have nothing to do with depression.

"Can you tell me about it? I also have research on depression." Qin Feng said.

Because Qin Feng feels that the patient's illness may not be that simple, there should still be something hidden, especially this kind of mental illness.

"That's right, my daughter..."

The patient's mother spoke out.

The patient before graduating from university was a lively and cheerful girl who was proficient in dancing and playing the piano.

But after graduating from university, he encountered obstacles in job hunting. After several consecutive obstacles, the patient suffered a great setback, and the whole person became decadent.

After all, children who come out of college, everyone has their own fantasies, especially those who have never had a part-time job. They don't know the cruelty of the outside world at all. They still absolutely believe that they are the trendsetters of the times.

Once I went out, the salary of [-] was too little, and I felt that my monthly salary was at least [-].

However, as time goes by, every job cannot last long, and you gradually become confused and even start to doubt yourself. If there is no one to guide you at this time, you will suffer from depression and become a flat person.

This kind of lying down is not the kind of lying down at work, but lying down like the master Sanhe.

And from the previous talkativeness to silence, from having countless friends in the past, I became a lonely widow, and began to stay at home, not talking, and silent.

The longer it takes, if you can come out by yourself, then you have come out, if you can't come out, it will be difficult.

Qin Feng looked at the patient seriously. The patient's current obesity should be related to taking medicine.

Once parents know about depression, they will think about suicide, seek medical treatment, and prescribe medicines, and those medicines will cause a beautiful girl to become fat and greasy.

As for the patient's snoring, Qin Feng speculates that some tissues in the patient's throat are too thick and fat, especially if the patient is still so fat, when these tissues relax during sleep, they will directly block the airway, and the airflow in and out of the airway becomes more difficult. Difficulty will snore.

"And my daughter's mood is getting more and more irritable. Sometimes she will yell at us when she is not satisfied. We are also very tired as parents." The patient's mother couldn't help wiping her tears.

Qin Feng said: "Well, I suggest to do a sleep test first, go through the admission process, and do a few checks by the way."

"Okay, I'll trouble the doctor." The patient's mother said.

They are not afraid of spending money, they are afraid that something will happen to their daughter.

At around three o'clock in the afternoon, the patient fell asleep while lying on the hospital bed.

Then everyone in the ward looked over, and Qin Feng was also shocked.

"Doctor Qin, this patient..." The doctor in charge came over trembling.

What is snoring like thunder, Qin Feng finally knows.

Then the sleep breathing test results are also terrible. Every time the patient has apnea, the longest apnea is nearly 40s.

What is this concept?This means that the patient has no oxygen supply for 40 seconds. One 40 seconds is fine, but if it lasts for a long time, once the brain is hypoxic, the patient may not be able to wake up.

Even every time they wake up, the patient will feel that he has not slept well and wants to continue sleeping. This is a sign of brain hypoxia. At this time, he should drink more water and go for a walk. Never stay on the sofa. Or lying in bed.

"Doctor, how is my daughter?" the patient's mother asked worriedly.

"It's quite serious, it should be sleep apnea hypopnea syndrome." Qin Feng said seriously.

At the same time, Qin Feng is still thinking about a question, that is, whether the patient is really depressed, or whether the quality of sleep is not good.

The haggard state of the patient is likely to be related to the quality of sleep, and may not have much to do with depression.

"Doctor, what should we do?"

"There are two ways, the first is surgical resection, to cut off the tissue that blocks the airway after fat, and the second is to sleep with a non-invasive ventilator."

Non-invasive ventilator is a device that can provide continuous positive airway pressure. Patients only need to wear a mask to sleep, which can effectively improve respiratory obstruction and clinically treat sleep apnea syndrome and related diseases.

The patient's mother was reluctant when she heard about the operation, but she also felt that it was not good to let her daughter sleep with the machine on all the time.

Qin Feng didn't continue talking, but recalled the disease.

The clinical manifestations of this disease are hypoxia and snoring during sleep, lethargy, lack of energy, fatigue, fatigue, inattention, memory loss and so on when awake.

Even when you go to the psychiatrist to see depression, you will be diagnosed with depression or other mental illnesses.

Because of sleep breathing problems, it will lead to brain ischemia and hypoxia. After a long time, people's emotions will change, anxiety, depression, etc. will appear.

Therefore, the patient's depression is most likely caused by sleep breathing problems. As long as the sleep breathing problems are solved, the patient will be normal.

"And your daughter probably isn't suffering from depression, but is caused by other conditions." Qin Feng said.

Upon hearing that it was not depression, the patient's mother instantly widened her eyes.

"Doctor, is what you said true?"

"Let me ask you a few questions first, has your daughter ever snored long before?"

(End of this chapter)