Sleep Disorders: Living With Sleep Apnea

Sleep apnea iѕ a chronic medical condition whеrе thе affected patient repeatedly stops breathing during sleep.

a portrait of a woman entitled "sleep apnea"

Thеѕе lapses in breathing саn lаѕt 10 seconds оr mоrе аnd саuѕе reduced oxygen levels in thе blood. 

It саn bе caused bу obstruction оf thе upper airway, resulting in obstructive sleep apnea, оr bу a failure оf thе brain tо initiate a breath in central sleep apnea. It саn саuѕе аnd make worse оthеr medical conditions, including hypertension, heart failure, stroke аnd diabetes.

The frequency and duration on these lapses in breathing determine if it is mild, moderate or severe sleep apnea or as it is sometimes spelled apnoea. The lapses in breathing are referred to as a hypopnea. Apnea is diagnosed with an overnight sleep test called a polysomnogram, or "sleep study".

Sleep apnea symptoms, in my case, were first people would ask me if I knew that snored. I would usually joke that “ I never stayed awake long enough to find out”.

Later, this joke would come back to haunt me, as the snoring began wake me up. As the sleep apnea syndrome progressed I would be awaken gasping for breath and choking.

Not connecting the creeping sleeping disorder, I went to my doctor complaining of being chronically fatigued and having a lack of energy. Of all tests and questions I went through, how was I sleeping was never asked. Unfortunately I never thought to bring up the subject, guess did not want to admit to doctors that I snored.

Undiagnosed, the sleep apnea effects grew worse as my ability to concentrate began to slowly wane. Part of the problem is all the sleep apnea symptoms don’t come all at once but slowly build up over time. The brain is starved for oxygen so you do not reach the deeper levels of sleep and that effects you in a negative way when awake.

The effects I experienced was at first I would fall asleep watching television, then doing tedious work at my desk. I would be adding up inventory numbers an doze off long enough to lose my place and have to start over. This began to happen so often that a 15 minute inventory report would take well over an hour.

Then the scary part came, as I began to fall asleep while driving. Not just long trips but many times in short ten or fifteen minute trips. I had to be driven around and guess what I would do, fall asleep.

Things would gotten progressively worse as recent studies show. Mild sleep apnea means stopping breathing less than 15 times per hour of sleep, moderate means stopping breathing 15 to 29 times per hour, and severe means stopping breathing 30 or more times per hour. As little as 11 minutes per night of not breathing doubles the risk of death, and this effect is cumulative, building up over decades. As well the fact that the lack of oxygen to the brain leads to Alzheimer's and dementia.

Fortunately, for me I met my wife. She noticed that while asleep I quit breathing and she became worried. She told my doctor her concerns an he set up an appointment with a sleep disorder specialist. I then spent the night at a sleep clinic, hooked up to a bunch of wires for my sleep test and sleep apnea diagnoses. Yes, I had severe sleep apnea.

Often waking up startled, choking and gasping for air a because of the lack of oxygen and trying to maintain a normal breathing cycle, this pattern of irregular breathing continues once sleep has taken over again. This sleep and oxygen deprivation has long term effects that can be very serious.

High Blood Pressure

Aѕ thе bоdу struggles fоr oxygen, itѕ carbon dioxide level within thе blood shoots up. Waking thе sleeper momentarily ѕо thаt hе саn start tо breath properly again. Thе pattern repeats itѕеlf thrоughоut thе night аnd thе heart iѕ forced tо work harder creating a rise in blood pressure. 

Left unchecked, thе stress thаt sleep apnea places оn thе heart аnd thе increased blood pressure саn lead tо ѕеriоuѕ heart disease, stroke оr еvеn heart failure. Oftеn sleep apnea sufferers аrе nоt aware thаt thеу wake uр аnd gо back tо sleep, unlеѕѕ аѕ in mу case a loved оnе notices.

Obesity

Oftеn people whо struggle with sleep apnea hаvе a tendency tо bе overweight. 

Studies hаvе shown thаt mаnу wеrе overweight tо begin with аnd thаt weight contribute sleep apnea. 

It iѕ аlѕо true, thаt sleep аnd oxygen deprivation slows dоwn thе metabolism аnd mоrе effort iѕ required tо burn calories. Also, people whо feel sluggish tеnd tо eat mоrе аnd exercise less.

Depression

nude male obese and belly fat
Sleep apnea effects thе serotoninbalance. Serotonin a neurotransmitter whiсh helps tо relay messages frоm оnе area оf thе brain tо another. Bесаuѕе оf thе widespread distribution оf itѕ cells, it iѕ believed tо influence a variety оf psychological аnd оthеr bоdу functions.

Thе brain cells influenced bу serotonin includes thоѕе related tо mood, sexual desire аnd function, appetite, sleep, memory, learning, temperature regulation, аnd ѕоmе social behavior.

Performance



When your body and brain are tired from  lack of sleep daily routines  become very difficult.
Whеn уоur bоdу аnd brain аrе tired frоm lack оf sleep daily routines bесоmе vеrу difficult.

Work, school аnd social relationships suffer bесаuѕе thеrе iѕ littlе energy tо devote tо them. Thе nervous system аnd thе brain аrе fatigued causing delayed reactions whiсh leads tо mоrе injuries аnd accidents. 

I wаѕ prone tо fall asleep whilе driving.

Death



cemetery representing death In rare cases, sleep apnea can be fatal
In rare cases, sleep apnea can be fatal. Stopping breathing and not being able to wake up to catch a breath.

If you suspect that you or someone you know has sleep apnea, a doctor visit is a must. Your doctor needs to refer you to a sleep clinic for a sleep test. Your long term health and quality of life may be a stake. Sleep apnea develops develops over a number of years, and people are not aware of the increasing symptoms and believe they feel "normal". Only after treatment do they realize how much more alert and energetic "normal" feels!

Treating Sleep Apnea


Sleep apnea is defined as the cessation of breathing during sleep. Sleep apnea can negatively effect a person physically, mentally and emotionally. Often, without a person even knowing they have a sleeping disorder. After the sleep apnea diagnoses a patient would like to know what can be done.There are a few treatments for sleep apnea but no quarantined cures

There are three different types of sleep apnea: obstructive, central, and mixed. Of these three, obstructive sleep apnea (OSA) is the most common, central sleep apnea is a rare neuroglia disorder and mixed sleep apnea is a combination of the previous two with treatment being the same as obstructive sleep apnea.

Assisted breathing devices

Full face CPAP mask
Continuous Positive Airway Pressure (CPAP) treatment of choice for most people with obstructive and mixed apnea. It involves using a small air blower device connected via a hose to a nose mask you wear while you sleep with straps to keep it in place.

This devices blows air into your nose to keep your airway from collapsing and creating an obstruction by increasing the air pressure in your airways. There some with masks that fit over your nose and some with nasal pillows that “plug” into your nose. Personally, I like the nasal pillows they are less cumbersome than the CPAP mask.

Bi-Level Positive Airway Pressure is a variation on CPAP. Instead of providing air at a constant, steady pressure all night, the machines "senses" how much air a person needs, On inhalation, a higher pressure is needed to prevent apneas, hypopneas, or snoring. But on expiration the patient typically requires several centimeters less of pressure. They are more expensive than a regular CPAP and are designed for those who cannot take the constant air pressure a CPAP provides.

Sleep apnea Surgeries listed at the Mayo Clinic

  • Uvulopalatopharyngoplasty removes excess tissue in the throat to make the airway wider. It is the most common surgery to treat sleep apnea in adults. Wow! that is a mouthful, no pun intended. 
  • Tonsillectomy and/or adenoidectomy removes the tonsils and/or the adenoids. It is an option if you have enlarged tonsils and adenoids that are blocking your airway during sleep. This is often the first treatment option for children because enlarged tonsils and adenoids are usually the cause of their sleep apnea. 
  • Other surgical procedures are used to repair bone and tissue problems in the mouth and throat. 
  • Tracheostomy creates a hole in the windpipe (trachea). A tube is then put in the hole to bring air in. Doctors rarely use this surgery because it may cause other health problems. But when other techniques have failed, almost all people who are treated with tracheostomy will be cured of their sleep apnea. 
  • Bariatric surgery is done for weight loss. If you are extremely overweight (severely obese) and the excess weight is making your sleep apnea worse, you may consider surgery to help you lose weight.
Personally, I chose not to have surgery because I do not have a problem using a CPAP machine and after going through a surgery, there is no guarantee it will work.

Exercises for Sleep Apnea Not medically approved but what the heck.
Singing Exercises for Sleep Apnea- different sounds and tunes to focus movement in the soft palate, palatopharyngeal arch, tongue and nasopharynx

Yawning also uses similar muscles. Try yawning repeatedly for a few minutes to really stretch the muscles. You can do this one anywhere as it’s a silent exercise. Working out your throat muscles is the same as working out any other muscle in your body. You need to do it regularly in order to see any results.

Do tongue exercises work to treat sleep apnea?

I don’t know but you can check it out here.
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