i have a hybrid now trying to replace my swift 2. Can anyone tell me why with the hybrid i snore and with the swift 2 i don't? I got the hybrid because the swift 2 is kind of loud and wanted something to let me mouth breathe when i get a head cold. The pressure has been upped with the hybrid and i still snore. I just don't feel the same pressure sensation with the hybrid that i do with the swift 2, but the swift 2 is loud and wakes me up. I need ideas quick. with a pressure of 11 and the swift 2 i don't snore. with a pressure of 13 and they hybrid, the wife wakes me and says you are snoring. I had her do me a favor last night and when i was snoring, before she woke me up, to listen for a few minutes for air leaks and there was none. I have no idea at this point. Either a way to make the hybrid stop my snoring or a way to quiet down the swift 2. I am open to anything at this point. I do like the fit of both.
thanks,
Jeff
WHY????????????
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So the Swift II works for you but is too loud. GREAT! You sound like just THE candidate for the new CHALLENGE JohnnyGoodman has just announced regarding the new Bravo mask!!! See the post and get signed up! And good luck!
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Women are Angels. And when someone breaks our wings, we simply continue to fly.....on a broomstick. We are flexible like that.
My computer says I need to upgrade my brain to be compatible with its new software.
My computer says I need to upgrade my brain to be compatible with its new software.
my opinion:
-ideal CPAP therapy is maintained via nasal passage as opposed to oral.
it boils down to how your anatomy is configured but most snoring is generated from the soft palate/uvula and the base of the tongue or between the base of the tongue and the back of the throat. As that airspace closes up the flabby tissue begins to vibrate as air passes with great velocity.
You snore on inhale not on exhale like the cartoons would like you to believe. Just like sticking your hand over the vacuum cleaner hose and stopping airflow, you do the same with an Apnea. Since you are inhaling an apnea will suddenly slam shut.
You can check your own seal, grab a flashlight and a small hand-held mirror, put on your Swift, turn on the machine, hold your tongue into the hard palate, while under pressure begin to open your mouth and gradually let the tongue fall from the hard palate, you should see the "seal" of the soft palate sealing against the base of the tongue being maintained by the CPAP pressure. Note: If you had prior surgery to tonsils or palate, you may not be able to do this. When you have surgery to eliminate snoring they whack off your Uvual and trim away the soft palate. Then you cannot maintain any seal there and are stuck with using a FF mask with therapy. Since those surgeries don't prevent the tongue from falling into the back of the throat, they usually fail for that reason.
Now, when you use the Hybrid it delivers pressure via the nasal passage and the mouth, the pressure between those therapy entry points are equalized. When you only have pressure coming in from the nasal passage, that air pressure "holds" the soft palate down on the base of the tongue and you don't snore. When using the Hybrid the air pressure comes in via the mouth and pushes the soft palate away from the base of the tongue so it can go down the airway. When it does this the CPAP pressure itself can generate a vibration to the soft palate (like letting the air out of a ballon) and the result is the snoring picked up by your machine.
Since most machines trigger heavily off snore vibrations, using the Hybrid can result in a run up of pressure. Personally, I wouldn't give you $.29 cents for that interface, I feel it impedes the ability of the autopap machine to listen and respond to events. Air flow travels down the delivery hose, into the mouth chamber, has to overcome any leaks found there then it travels up through the pillows into nasal passage and finally down the airway to assist in splinting your airway. When you have an apnea (flow limitation, hypopnea, snore) it has to sense that event in the reverse order, that means for snore those vibrations have to be sensed back through the nose, pillows, back into the mouth chamber overcome any leak, then finally down the hose back to the machine.
Using a conventional nasal mask you don't have those obstructions (like the mouth chamber) to diffuse the signal the machine is expecting to see back, then add a higher intentional leak rate which causes most machines to rev up higher to compensate. The more leak you have, the more noise heard, higher revving machine the harder it is for the machine to detect the event.
But you have to weight the lesser of the two evils, using the Hybrid is better than mouth breathing and obtaining no therapy at all. I'd use it for a last resort but with self-training, I have been able to stop nearly all mouth breathing. Concentrate on keeping your tongue planted into the hard palate. Eliminating any nasal congestion is critical to stop any mouth breathing.
If you are troubled by noise, get a Soyala nasal mask (if you use a Medium in other masks get a Large in the Soyala). The Soyala will be the quietest mask you have ever used, it seals up great, is very light and doesn't require a lot of strap pressure to maintain the seal.
-ideal CPAP therapy is maintained via nasal passage as opposed to oral.
it boils down to how your anatomy is configured but most snoring is generated from the soft palate/uvula and the base of the tongue or between the base of the tongue and the back of the throat. As that airspace closes up the flabby tissue begins to vibrate as air passes with great velocity.
You snore on inhale not on exhale like the cartoons would like you to believe. Just like sticking your hand over the vacuum cleaner hose and stopping airflow, you do the same with an Apnea. Since you are inhaling an apnea will suddenly slam shut.
You can check your own seal, grab a flashlight and a small hand-held mirror, put on your Swift, turn on the machine, hold your tongue into the hard palate, while under pressure begin to open your mouth and gradually let the tongue fall from the hard palate, you should see the "seal" of the soft palate sealing against the base of the tongue being maintained by the CPAP pressure. Note: If you had prior surgery to tonsils or palate, you may not be able to do this. When you have surgery to eliminate snoring they whack off your Uvual and trim away the soft palate. Then you cannot maintain any seal there and are stuck with using a FF mask with therapy. Since those surgeries don't prevent the tongue from falling into the back of the throat, they usually fail for that reason.
Now, when you use the Hybrid it delivers pressure via the nasal passage and the mouth, the pressure between those therapy entry points are equalized. When you only have pressure coming in from the nasal passage, that air pressure "holds" the soft palate down on the base of the tongue and you don't snore. When using the Hybrid the air pressure comes in via the mouth and pushes the soft palate away from the base of the tongue so it can go down the airway. When it does this the CPAP pressure itself can generate a vibration to the soft palate (like letting the air out of a ballon) and the result is the snoring picked up by your machine.
Since most machines trigger heavily off snore vibrations, using the Hybrid can result in a run up of pressure. Personally, I wouldn't give you $.29 cents for that interface, I feel it impedes the ability of the autopap machine to listen and respond to events. Air flow travels down the delivery hose, into the mouth chamber, has to overcome any leaks found there then it travels up through the pillows into nasal passage and finally down the airway to assist in splinting your airway. When you have an apnea (flow limitation, hypopnea, snore) it has to sense that event in the reverse order, that means for snore those vibrations have to be sensed back through the nose, pillows, back into the mouth chamber overcome any leak, then finally down the hose back to the machine.
Using a conventional nasal mask you don't have those obstructions (like the mouth chamber) to diffuse the signal the machine is expecting to see back, then add a higher intentional leak rate which causes most machines to rev up higher to compensate. The more leak you have, the more noise heard, higher revving machine the harder it is for the machine to detect the event.
But you have to weight the lesser of the two evils, using the Hybrid is better than mouth breathing and obtaining no therapy at all. I'd use it for a last resort but with self-training, I have been able to stop nearly all mouth breathing. Concentrate on keeping your tongue planted into the hard palate. Eliminating any nasal congestion is critical to stop any mouth breathing.
If you are troubled by noise, get a Soyala nasal mask (if you use a Medium in other masks get a Large in the Soyala). The Soyala will be the quietest mask you have ever used, it seals up great, is very light and doesn't require a lot of strap pressure to maintain the seal.
someday science will catch up to what I'm saying...
-
Guest
let me start by saying thanks for the insightfull reply, not many people in this world will go to those lengths to help out. I checked out the soyola mask and the problem with me is that i absolutely HATE having something pressing on my forehead. That is the precise reason i got ride of the sleep trial FF mask. Its just too much. I know we are talking about my health, but if i am not comfortable, i get no sleep at all which is worse than the apnea at some point. I switched with my DME to the swift 2 which is much more comfortable and works fine, its just loud. BACKTRACK - i did have my tonsils removed, soft palate trimed, uvula practically removed and my nose routed out earlier before the sleep study at age 33 (would never want my worst enemy to go through that). BACK TO THE FUTURE - i did get the hybrid as a "incase" headcold interface so that i could still take OSA treatment when my nose would just not work. My CPAP machine isn't auto so the pressure changing , to me, shouldn't be an issue. Again, the swift 2 works fine, its just that it wakes me up with the loudness of it and doesn't do me much good with the treatment if i can't get any sleep. That is why i am looking for ways to try and quiet it down or get the hybrid to work. THe hybrid is much quieter than the swift 2, but as mentioned i still snore. don't take this the wrong way, but from an anatomy perspective, i understand what is going on. I just don't understand if my mouth is closed, how come the hybrid seems to loose pressure to the nose; therefore, resulting in the snoring. I guess what i am after here is does anyone here have the same issue and if so, how did they overcome it if at all.
5 posts
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