 ока оре ڈ거나  destac XTUCTINGSlipa apnia ڈ  Fors exercising Aptia ڈ that occurs because of obstruction our pharyngeal muscles collapsed and it narrowed our wind pipe and thus produced the obstruction causing temporary cessation of the respiration. So, this is obstructive sleep apnea it is usually unaware by the patient observed by his bed partner. So, what is their presentation? They usually present with the snoring history and bed partner seeing that there is a observed apnea spale or the choking sensation during their sleep and patient feel very much sleepiness during their daytime sleepiness and patient have when get up from the bed feels other headache morning headache don't feel fresh after getting up from the bed and patient might have some behavioral changes like patient are always irritable they don't concentrate on their work and they sometimes feel very lazy to work. So, this is usually their presentation and what are the risk factors? Risk factors are the male age usually it has been seen that males are more affected with this disease age in their middle group middle age group 40 50 our 50 is higher the chances more the age and if a patient is having hypertension and patient having addiction of smoking and alcohol. So, now we know what is obstructive sleep apnea what is or the presentation and what are the risk factors? So, what we do when this type of patient we get? So, first you have to suspect by yourself that if you snore at the night and if your bed partner tells that you are having choking sensation or apnea spale during your sleep and if you always feel tired during the daytime and if your age is more than 50 if your sex is male and if you are obese that means your BMI is more than 35 your neck circumference more than 40 centimeter and if you have hypertension then you should take advice of the concertant parmolelogist or the ENT specialist to assess your obstructive sleep apnea. Thank you. Namaskar. I am Dr. Shomodarsh, a consultant parmolelogist at Monipal Hospital Kolkata. So, today we are going to talk about obstructive sleep apnea which is a beautiful obstructive sleep apnea. This is a very easy way to understand obstructive sleep apnea. Obstructive sleep apnea is a character that is a part of the mind of the patient. Our female character Kumbakanda was exactly the obstructive sleep apnea. We know that there is no sleep in the body and there is no sleep in the neck. So, this character is a part of the obstructive sleep apnea. So, what is the meaning of obstructive sleep apnea? We usually feel that the neck is slightly bent and the neck is not bent. We feel that the neck is slightly bent and the neck is not bent. But, the neck is not bent. The neck is bent while the neck is bent It is called a basi baje. This means that the wind is blowing while the neck is bent. It is not bent while the neck is bent. अत्ता अक ता खानिक समये जोन शाशना लिटा बन्दोगे जावाग बन्दोगे पेशेंट शाशनिते नापारा ये ताई हुचे अपनिक स्पल तो ये ताई जोपन बार भार मुते थाखे मनुसे जे आम्रा गूमोई शे गूम ता बार भार भिगनोगाते तो आमादे गूम का नो दवरका आमा दा जानी हुम रम्दो में आमादे जिटा है ब्रेंटा रिस्टोब हाए अम ना मुने करते पर ये भाभाय लेड है अथा ता ताम्र spray, चाडदा भाभार आमा ना ता गूम हुई तार गूम ता बार भी ने जात्चे, बेटरी ता में गीचाच चीप भबे अच्चे ना, शकाल बला, तार प्रोच्वन दूभभे ताएडनेस थाखचे. तो ये ताई इं शोर्ग, वातिस अप्स्टर्टिप्स लिब आपनिया. तो ये रिस्पक्टर कोलो की की? रिस्पक्टर कोलो कोलो, शादानों तो चेले दे देखा जाएजे ये ये ता मेशी है. ये वं मीडी लेजे, पन्चाशे रूपरे. ये वं जो दी तार एक तो मोटा है, खारे गर्दाने आप है. तादे ये वं जादे आलकाल खावर था प्रोबनाता तो एजे, ये वं जादा शमोकिं करे. ये ता होट चे रिस्पक्टर ये चारा जादे, क्रानिक साइन तो इस नाक बन दोगे जावर रोग, अतो बाच वाले ता जादे चोतो, ता दे ये रोग ता हवर शमोभना आचे. तो आम दे खाछे ताले की ये, उबवाग काई, की सम मुषानी ए़ा आसेन, एरा आसेन हो थे, ऋना जे बेट पात्रना शे बटो नाग डाके. आक दिनी माजे माजे के बातन, और शमोजे माजे माजे ताले चो인데요. चोकिं सेझेशे शे, ये और बुस्त बार भाना, या ऑक � simply split networks can suck , या कौम ख़ूए पज웃음 किया न मृृसी थू end ofomie .... तो उरद़ां ये फ्र वाप सुदू के यše दիनेर वाला काच सिकlare ता ये प्र व्वाप सुद ब्यमू dirha pe alternate sweat and ch cinqol who start any Jones ा trauma whichs to be got Clear ता ये बता ह recipients. को कर टत स्पक्יה ... ... .. ... ... ... ... నారాక్ంతానానందిలాని రడిన్ బసరాదినినిసాసిన్చి. ఆఘటాపలా నిందిడ్గరి meetsననాసిమిల౿నాసా ఇరడిళావెకాలి.