{"id":353,"date":"2011-03-26T11:43:03","date_gmt":"2011-03-26T11:43:03","guid":{"rendered":"https:\/\/dr-holger-hein.de\/reloaded\/2011\/03\/26\/im-liegen-wird-der-rachen-eng-auch-durch\/"},"modified":"2011-03-26T11:43:03","modified_gmt":"2011-03-26T11:43:03","slug":"im-liegen-wird-der-rachen-eng-auch-durch","status":"publish","type":"post","link":"https:\/\/dr-holger-hein.de\/reloaded\/2011\/03\/26\/im-liegen-wird-der-rachen-eng-auch-durch\/","title":{"rendered":"Im Liegen wird der Rachen eng: auch durch Fl\u00c3\u00bcssigkeitsverlagerung"},"content":{"rendered":"<p>Im Liegen, also meistens im Schlaf, verlagert sich K\u00c3\u00b6rperfl\u00c3\u00bcssigkeit unter  anderem in die Halsweichteile und vereengt dadurch den Rachen bzw. den  Zungengrund. Hierdurch treten obstruktive Amungspausen verst\u00c3\u00a4rkt und  vermehrt auf. Dieser schon l\u00c3\u00a4nger bekannte Effekt ist bei Patienten mit einer Herzschw\u00c3\u00a4che besonders ausgepr\u00c3\u00a4gt, da\u00c2\u00a0 sich tags\u00c3\u00bcber relativ viel Fl\u00c3\u00bcssigkeit in den Unterschenkeln und Beinen ablagert: &ldquo;Wasser in den Beinen&rdquo;. Eine kanadische Arbeitsgruppe zeigte bei Patienten mit einer ausgepr\u00c3\u00a4gten Herzschw\u00c3\u00a4che einen direkten Zusammenhang zwischen dem Volumen der verlagerten Fl\u00c3\u00bcssigkeit und dem Apnoe-Hypopnoe-Index (Yumino D et al. Circulation 201;121:1598-1605). Zu folgern ist, da\u00c3\u0178 eine intensive entw\u00c3\u00a4ssernde Therapie auch die Anzahl der n\u00c3\u00a4chtlichen Atmunspausen senkt. Eine weitere Schlu\u00c3\u0178folgerung ist, da\u00c3\u0178 bei einer Zunahme der Herzschw\u00c3\u00a4che mit vermehrter Fl\u00c3\u00bcssigkeitseinlagerung auch h\u00c3\u00b6here CPAP-Werte erforderlich sein d\u00c3\u00bcrften.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Im Liegen, also meistens im Schlaf, verlagert sich K\u00c3\u00b6rperfl\u00c3\u00bcssigkeit unter anderem in die Halsweichteile und vereengt dadurch den Rachen bzw. den Zungengrund. Hierdurch treten obstruktive Amungspausen verst\u00c3\u00a4rkt und vermehrt auf. Dieser schon l\u00c3\u00a4nger bekannte Effekt ist bei Patienten mit einer Herzschw\u00c3\u00a4che besonders ausgepr\u00c3\u00a4gt, da\u00c2\u00a0 sich tags\u00c3\u00bcber relativ viel Fl\u00c3\u00bcssigkeit in den Unterschenkeln und Beinen ablagert: [&hellip;]<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_uag_custom_page_level_css":"","site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"categories":[1],"tags":[],"class_list":["post-353","post","type-post","status-publish","format-standard","hentry","category-allgemein"],"uagb_featured_image_src":{"full":false,"thumbnail":false,"medium":false,"medium_large":false,"large":false,"1536x1536":false,"2048x2048":false},"uagb_author_info":{"display_name":"hein","author_link":"https:\/\/dr-holger-hein.de\/reloaded\/author\/hein\/"},"uagb_comment_info":0,"uagb_excerpt":"Im Liegen, also meistens im Schlaf, verlagert sich K\u00c3\u00b6rperfl\u00c3\u00bcssigkeit unter anderem in die Halsweichteile und vereengt dadurch den Rachen bzw. den Zungengrund. Hierdurch treten obstruktive Amungspausen verst\u00c3\u00a4rkt und vermehrt auf. Dieser schon l\u00c3\u00a4nger bekannte Effekt ist bei Patienten mit einer Herzschw\u00c3\u00a4che besonders ausgepr\u00c3\u00a4gt, da\u00c2\u00a0 sich tags\u00c3\u00bcber relativ viel Fl\u00c3\u00bcssigkeit in den Unterschenkeln und Beinen ablagert:&hellip;","_links":{"self":[{"href":"https:\/\/dr-holger-hein.de\/reloaded\/wp-json\/wp\/v2\/posts\/353","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/dr-holger-hein.de\/reloaded\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/dr-holger-hein.de\/reloaded\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/dr-holger-hein.de\/reloaded\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/dr-holger-hein.de\/reloaded\/wp-json\/wp\/v2\/comments?post=353"}],"version-history":[{"count":0,"href":"https:\/\/dr-holger-hein.de\/reloaded\/wp-json\/wp\/v2\/posts\/353\/revisions"}],"wp:attachment":[{"href":"https:\/\/dr-holger-hein.de\/reloaded\/wp-json\/wp\/v2\/media?parent=353"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/dr-holger-hein.de\/reloaded\/wp-json\/wp\/v2\/categories?post=353"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/dr-holger-hein.de\/reloaded\/wp-json\/wp\/v2\/tags?post=353"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}