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When you are snoring
如果你打呼噜
it gets to the point where you stop breathing
这是因为你这时的呼吸停止了
and have a little bit of apnea spell
出现了轻度的睡眠呼吸障碍
your brain wakes up to get the oxygen go in again
为了吸收氧气 你的大脑苏醒了过来
You might thresh a little bit
你可能还会出现轻微的抽搐
because if you are obstructing your airway
因为如果你的呼吸系统受到了阻碍
you are kicking and moving
那么你就会踢腿 动来动去
and you might wake up
可能会醒过来
feeling choked
感觉喘不过气
or feeling like someone strangling you
或者有什么掐着你的脖子
or you might feel like you are coughing or choking
或者感觉咳嗽或窒息
So it could be a sleep disorder problem
这些都属于睡眠障碍
If you are waking up because of acid in your throat
如果你因为喉咙里返酸而醒来
you taste the acid
你尝到了口腔中的酸味
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
那么垫高枕头可以帮助缓解这种情况
But we don't know, when you are asleep
当你睡着之后
you really don't know what's waking you up
你其实并不清楚自己为什么醒来
When you wake up
但当你醒来时
and you think, well, I'm awake
你就会想 我都已经醒了
I guess maybe I have to go to the bathroom
可能我应该上个厕所
so you get up to go to the bathroom
于是你就去上了厕所
but you normally during the night
但是在夜间
you don't wake up to go to the bathroom
人们不会因为想上厕所而醒来
Your kidney function is much much lower at night
夜间肾脏的功能被降到了最低
you shouldn't be waking up to pee
你不会因为想尿尿而醒来
That's not a good reason
这不是醒来的原因
But when you are lying there and awake
但如果你醒着躺在床上
thinking why I'm awake
思考为什么我醒了
I might as well get up and go to the bathroom just in case
为了以防万一 我最好还是上个厕所
So awakening during night is a real issue
所以夜间醒来是个现实问题
If you have a bed partner
如果有人和你睡在一起
ask them if you snore
问问他们你是否打呼噜
if you stop breathing
是否出现过呼吸中断的情况
We've had women in the past
过去有一位女性找到我们
who before sleep apnea got well-known
当时人们对睡眠呼吸障碍还知之甚少
would come into the clinic ad say
她找到我们诊所说
do something with him
你们帮帮他吧
If you don't put a hole in his throat
如果你们不在他的喉咙上开个口子
I will
那么我来开
Because the only treatment in those days for sleep apnea
因为当时治疗睡眠呼吸障碍的唯一方法
was tracheotomy
就是气管切开术
Women were so desperate
这些女性感到很绝望
they lie there waiting for him to breathe again
她们躺在床上等着伴侣再次呼吸
and it's frightening. It's very scary
很吓人 很令人害怕
So they are not getting any sleep either
所以她们自己也睡不着
So I would have them take record
所以我让她们去录像
