Diagnosis of sleep disorders
We carry out all breathing tests professionally and with methodical precision, including overnight somnography to identify nocturnal APNEA syndrome.
| To diagnose OSAHS, our doctor will conduct a questionnaire on a sleepiness scale, or you can provide him with “homework” using our table for the primary diagnosis of apnea. Next, you will be given an overnight cardiorespiratory test, or overnight pulse oximetry test. All studies are painless, non-invasive and performed at home. In diagnosing breathing disorders during sleep, we use expert-class devices - NONIN Wrist Ox2 (USA) for overnight pulse oximetry and Apnea Link Plus (Australia, Germany) for cardiorespiratory tests. |
During the study, your heart rate, saturation (oxygen saturation in the blood), respiratory rate and other important parameters will be recorded. Next, the doctor deciphers the study and issues a conclusion and protocol of the study.
Somnological studies Encephalan-PSG
Polysomnographic studies are the main method for diagnosing sleep disorders (insomnia, hypersomnia, parasomnia, narcolepsy), breathing disorders during sleep (sleep apnea syndrome, alveolar hypoventilation, snoring) and concomitant cardiovascular diseases (heart rhythm disturbances, coronary heart disease), as well as neurological and psychosomatic disorders (epilepsy, restless legs syndrome, bruxism, etc.). Research can be carried out in autonomous or telemetric mode. Autonomous mode (similar to Holter monitoring, with recording to a memory card) allows them to be carried out in natural conditions for the patient - at home, in sanatoriums or somnology laboratories. Telemetry mode (Bluetooth) is used mainly in a medical facility - in regular or specialized wards, at the patient’s home in the presence of a doctor. It is possible to conduct synchronized EEG-PSG video monitoring. The telemetric mode of operation ensures functional tests (for phono and photostimulation, hyperventilation, medications, etc.) with accompanying EEG studies, and also provides neuromonitoring, analysis of long-latency EPs, including cognitive ones (CNV, P300, MMN) and EPs to audiovisual stimulation. Additional wireless cardiorespiratory module PG-ECG necessary when performing cardiorespiratory monitoring. Wireless module "POLY-4" designed for additional control of various physiological signals in the required combinations.Options for “ENCEPHALAN-PSG” kits
Polysomnographic studies are mainly performed in patients with sleep problems in combination with various neurological diseases and epilepsy.
AT-PSG-12
Portable electroencephalograph-recorder “Encephalan-EEGR-19/26” 12 EEG leads , 1 ECG channel, 2 EOG, 1 EMG, breathing parameters, snoring, oxygen saturation, motor activity, patient’s body position. Autonomous patient unit “ABP-26” with the ES-11 electrode system and the necessary sensors. Wireless pulse oximeter module. Wireless motion activity sensors.
| AT-PSG-20 Portable electroencephalograph-recorder “Encephalan-EEGR-19/26” 20 EEG leads , 1 ECG channel, 2 EOG, 1 EMG, breathing parameters, snoring, oxygen saturation, motor activity, patient’s body position. Autonomous patient unit “ABP-26” with the ES-19 electrode system and the necessary sensors. Wireless pulse oximeter module. Wireless motion activity sensors. Wireless module MRD. |
Polysomnographic studies are mainly performed in patients with sleep problems and cardiorespiratory disorders.
| AT-Somno Portable electroencephalograph-recorder "Encephalan-EEGR-19/26" Modification "Mini" 2 EEG leads , 1 ECG channel, 2 - EOG, 1 - EMG, breathing parameters, snoring, oxygen saturation, motor activity, body position. Autonomous patient unit “ABP-10” with electrode system “ES-4” and the necessary sensors. Wireless pulse oximeter module. Wireless motion activity sensors. | AT-Mini-PSG Portable electroencephalograph-recorder "Encephalan-EEGR-19/26" Modification "Mini" 6 EEG leads , 1 ECG channel, 2 - EOG, 1 - EMG, breathing parameters, snoring, oxygen saturation, motor activity, patient body position. Autonomous patient unit “ABP-10” with electrode system “ES-8” and the necessary sensors. Wireless pulse oximeter module. Wireless motion activity sensors. Wireless module MRD. |
Treatment of snoring and apnea
When prescribing treatment, we use diagnostic criteria, algorithms and recommendations of the European Sleep and Research Society (ESRS), American Academy of Sleep Medicine (AASM), and the Russian Society of Somnologists (ROS).
| If the study reveals snoring or respiratory arrest that is not accompanied by hypoxia and cardiac disorders, we will recommend treatment by otolaryngologists and dentists. If problems require non-invasive ventilation during sleep, we will select modern and reliable devices for CPAP or BPAP therapy. The advantages of our specialists are that we are professional pulmonologists and are very well versed in the pathology associated with apnea (COPD, bronchial asthma) and are fully oriented in the principles of operation of CPAP devices. |
We cooperate with leading manufacturers of equipment for the correction and treatment of breathing disorders PHILIPS Respironics, Breas, Res Med.
CPAP therapy
We prescribe CPAP therapy only on the basis of the tests performed and the absolute indications for this type of treatment (nocturnal hypoxia, risk of death during sleep).
| The most effective treatment for sleep apnea worldwide is a device that creates continuous positive pressure in the airways to prevent them from collapsing. Treatment with this device is called CPAP therapy. Patients who receive CPAP therapy wear a mask that is connected to a special ventilator throughout the night. If you are diagnosed with OSA accompanied by hypoxia and heart rate abnormalities (tachy or bradycardia), then the only treatment option is CPAP (CPAP) therapy. |
People come to us for treatment from all over Russia and neighboring countries. More than 80% of patients come on recommendation.
Sleep Center | Sleep Disorders Center
Consultation with a somnologist A somnologist is a specialist involved in the prevention and treatment of sleep disorders. Somnology is a branch of medicine and neurobiology that studies sleep and its disorders, as well as how these disorders affect health. Thus, the somnologist develops appropriate methods for treating sleep diseases. The competence of somnologists includes not only sleep disorders, but also the study of diseases that develop during sleep. It is known that conditions such as heart attack, stroke, and asthma attacks during sleep are especially difficult. There are many sleep disorders - from insomnia to narcolepsy, when a person, for no apparent reason, completely unexpectedly falls asleep in an inappropriate environment. A sleep specialist also deals with problems of night snoring and sleep apnea. Often the causes of insomnia are problems in the functioning of the brain, neurosis, etc. If necessary, the somnologist can refer the patient for examination to other specialists - a psychotherapist, endocrinologist, ENT doctor, etc.
What diseases does a somnologist treat? The competence of a somnologist includes the treatment of the following diseases: sleepwalking, parasomnia, teeth grinding during sleep, urinary incontinence; Insomnia: causes and symptoms; Sleep disturbance due to alcohol or drug abuse; Obesity and sleep; Talking in your sleep; Snore; Consequences of oversleeping; Nightmares in sleep; Narcolepsy; Periodic disturbances in the movement of limbs; Apnea attacks; Sleep and restless legs syndrome; Rapid eye movement sleep phase disorder; Sleep paralysis; Night terrors.
When should you consult a somnologist?
If the following symptoms occur, you should consult a somnologist: Increased sleepiness during the day; Stopping breathing during sleep; Nightmares, sleepwalking, teeth grinding; Long-term use of sleeping pills; Nocturnal snoring, especially in combination with diabetes mellitus, high blood pressure and lung diseases; Problems sleeping when working shifts or flying across time zones; Dissatisfaction with the quality of sleep (frequent or early awakenings, prolonged falling asleep); Cardiac ischemia, hypertension, occurring only at night; Epilepsy attacks, unusual sleep behavior; Unpleasant sensations during sleep (pins and needles on the legs and arms), causing an irresistible desire to move the limbs and subsiding with movement; The occurrence of unexpected weakness in the muscles of the body, which may result in a fall.
Advice from a somnologist
If you have problems sleeping, consult a somnologist. Also adhere to the following rules: Go to bed and get up at the same time, even on weekends; Try to go to bed only when you feel drowsy; If you cannot sleep for any period of time, get out of bed and engage in some distracting activity. Return to bed only when you feel sleepy again; Avoid daytime naps. If you are used to sleeping during the day, try to go to bed no later than 15.00 and sleep no longer than one hour; Create a relaxing pre-bed ritual for yourself. For example, reading a book or taking a relaxing bath; Play sports. In the morning, do a warm-up or take long walks in the fresh air; Don't overeat before bed, but if you can't sleep on an empty stomach, a light dinner won't hurt; Don't drink coffee six hours before bed; Do not combine alcohol intake with sleeping pills and other medications; Do not abuse sleeping pills, they are addictive. If the methods described above do not help you, you should consult a somnologist.
We offer you a test to help identify possible sleep disorders. After passing the test, it will be analyzed by our expert. Based on the results, our specialists will contact you.
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