Relationship
Not all snoring is created equal
When people are unable to differentiate between your snore and a locomotive engine or a trumpet that could break down walls, it may not just be a nuisance to your bed and housemates, but it may signal a serious medical condition.
Loud snoring may be a warning that you have Sleep Apnoea, a condition that opens doors to several serious life-threatening complications.
Not every snoring is associated with sleep apnoea and also there may be sleep apnoea without snoring.
Sleep Medicine is no luxury, we need to do everything possible to get good quality sleep, especially when sleep is one of the greatest legal performance enhancing ‘drugs’ known to man.
In sleep apnoea, breathing repeatedly stops and starts during sleep. It may be as often as 30 times in an hour. This shortchanges our brain of oxygen, and it is a potentially dangerous sleep disorder.
Types of Sleep Apnoea;
• Obstructive Sleep Apnoea (OSA)
o The commonest by far. Throat muscles relax and block flow of air
• Central Sleep Apnoea
o Brain does not send proper signals to muscles controlling breathing
• Complex Sleep Apnoea
What may signal Sleep Apnoea/ What to look out for
• Loud snoring
• Episodes in which you stop breathing during sleep — which would be reported by another person
• Gasping for air during sleep
• Awakening with a dry mouth
• Morning headache
• Difficulty staying asleep, known as insomnia
• Excessive daytime sleepiness, known as hypersomnia
• Difficulty paying attention while awake
• Irritability
• You may just not be able to complete a movie?
• Involved in minor accidents at home, work or even on the road?
Get checked out. Even children may suffer from sleep apnoea.
What increases our chance of developing Sleep Apnoe?
• Excess weight or fat.
• Neck circumference. People with thicker necks might have narrower airways.
• A narrowed airway. Tonsils or adenoids also can enlarge and block the airway, particularly in children.
• Being male. Men are two to three times more likely to have sleep apnea than women. However, women increase their risk if they’re overweight or if they’ve gone through menopause.
• Being older. Sleep apnea occurs significantly more often in older adults.
• Family history. Having family members with sleep apnea might increase your risk.
• Use of alcohol, sedatives or tranquilisers.
• Smoking. Smokers are three times more likely to have obstructive sleep apnoea
• Nasal congestion. If you have trouble breathing through your nose — whether from an anatomical problem or allergies — you’re more likely to develop obstructive sleep apnea.
• Medical conditions. Congestive heart failure, high blood pressure and type 2 diabetes are some of the conditions that may increase the risk of obstructive sleep apnea. Polycystic ovary syndrome, hormonal disorders, prior stroke and chronic lung diseases such as asthma also can increase risk.
What complications may
occur from untreated Sleep
Apnoea
Sleep apnea is a serious medical condition. Complications of OSA can include:
• Daytime fatigue. The repeated awakenings associated with sleep apnea make typical, restorative sleep impossible, in turn making severe daytime drowsiness, fatigue and irritability likely.
You might have trouble concentrating and find yourself falling asleep at work, while watching TV or even when driving. People with sleep apnea have an increased risk of motor vehicle and workplace accidents.
You might also feel quick-tempered, moody or depressed. Children and adolescents with sleep apnea might perform poorly in school or have behaviour problems.
• High blood pressure or heart problems. Sudden drops in blood oxygen levels that occur during OSA increase blood pressure and strain the cardiovascular system. Having OSA increases your risk of high blood pressure.
OSA might also increase your risk of recurrent heart attack, stroke and irregular heartbeats, such as atrial fibrillation. If you have heart disease, multiple episodes of low blood oxygen (hypoxia or hypoxemia) can lead to sudden death from an irregular heartbeat.
• Type 2 diabetes. Having sleep apnea increases your risk of developing insulin resistance and type 2 diabetes.
• Metabolic syndrome. This disorder, which includes high blood pressure, abnormal cholesterol levels, high blood sugar and an increased waist circumference, is linked to a higher risk of heart disease
• Liver & Kidney problems
• Sleep-deprived room or house mates
• Complications during surgery and also with some medication
Lifestyle modifications that may help
• Lose excess fat. Even a slight weight loss might help relieve constriction of your throat. In some cases, sleep apnea can resolve if you return to a healthy weight, but it can recur if you regain weight.
• Exercise. Regular exercise can help ease the symptoms of obstructive sleep apnea even without weight loss.
• Avoid alcohol and certain medicines such as tranquilisers and sleeping pills. These relax the muscles in the back of your throat, interfering with breathing.
• Sleep on your side or abdomen rather than on your back. Sleeping on your belly has many posture related challenges but we may adopt that briefly as we work on definitive treatment.
• Don’t smoke.
Diagnosis and Treatment
There is help so if you think you may have sleep apnoea do not hesitate to speak to your doctor.
A few questions, examination and Sleep Studies and a diagnoses may be reached and the appropriate treatment, advice or support systems put in place.
Yes, the options vary from just lifestyle modifications to the famous CPAP, implants and even surgery BUT do seek help, not only will you feel brand-new when the condition is resolved, you may be saving relationships.
……definitely not all snoring is created equal. Find out about yours.
AS ALWAYS LAUGH OFTEN, ENSURE HYGIENE, WALK AND PRAY EVERYDAY AND REMEMBER IT’S A PRICELESS GIFT TO KNOW YOUR NUMBERS (blood sugar, blood pressure, blood cholesterol, BMI)
Dr. Kojo Cobba Essel
Health Essentials Ltd (HE&W Group)
(dressel@healthessentialsgh.com)
*Dr. Essel is a Medical Doctor with a keen interest in Lifestyle Medicine, He holds an MBA and is an ISSA Specialist in Exercise Therapy, Fitness Nutrition and Corrective Exercise. He is the author of the award-winning book, ‘Unravelling The Essentials of Health & Wealth.’
Thought for the week (1) – “I am hard pressed to choose the greatest legal performance enhancing drug. Is it good quality Sleep or Exercise?”
By Dr. Kojo Cobba Essel
Imagine another frustrating argument with your spouse, where both of you’re not listening to each other, just re-stating your own personal interests. You feel frustrated and unable to find common ground. It is disheartening when you both feel like a nuclear reactor is taking over your couple life. You begin to question your spouse’s character, and this is not the happy marriage you envisioned.
This topic is not just for couples on the verge of a separation. It’s for anyone in a relationship looking to improve understanding and have more productive conversations for healthy conflict resolution instead of constant arguments.
Whether dealing with regular disputes over household chores or deep disagreements about parenting, there are several strategies that will help deescalate and manage conflict so you can talk with respect and not anger, creating a safe space for you both at home.
Navigating relationship turbulence might seem daunting, but conflict resolution does not have to be.
Understanding conflict in marriage
Dealing with conflicts can feel like untangling a tightly knotted rope. The first step in learning how to resolve any conflict is to understand what conflict really is. Though it can feel unsettling, conflict is a natural part of any relationship. It arises from differences, whether they are small preferences or deeply held values. You both cannot have the exact same mind after all, but it does not mean that your spouse is the bad guy.
If not properly addressed, these clashes can cause hurt, confusion, and distance. However, when managed well, conflict can lead to growth, understanding, and deeper intimacy, strengthening the bonds that hold your marriage together.
When talking about marital conflict, it is important to recognise the types. Some conflicts are solvable and revolve around negotiable issues like dividing chores. Others are perpetual, rooted in fundamental differences in personality or lifestyle. These perpetual conflicts can feel like an unmovable wall.
There is not one solution to conflict resolution in marriage. As we move forward, we’ll focus on how to untangle the knots of conflict in your marriage without causing damage to the threads that hold your relationship together.
Aside from the basic principle of never going to bed angry, there are some strategies that can be applied to resolve conflict in your marriage effectively, promoting reconciliation and reinforcing trust.
Healthy conflict resolution strategies in marriage
Can you recall the last time a passionate discussion with your spouse suddenly turned into an argument? These moments can be tough, reminding us how tricky marital conflict can be. But conflicts do not mean the relationship is in trouble.
The key difference between a sinking ship and smooth sailing is how we handle these disagreements. With effective strategies for conflict resolution in marriage, you can turn potential storms into opportunities for understanding and growth.
At the heart of conflict resolution is the art of communication. Start with a time out, a genuine apology, and switch from a language of accusation and defense to one of understanding and empathy. This shift is key to resolving problems in marriages.
When conflict escalates, our instinctive response is often to protect ourselves, either by lashing out or shutting down. However, these defensive strategies only create more distance.
Effective communication focuses on tackling the problem together instead of battling each other. This change does not happen overnight. It takes patience, practice, and some discomfort as you move beyond familiar patterns. You have to remind yourself that this relationship is worth fighting for.
But once you start adopting this new way of communicating, you will find it opens doors to intimacy and understanding that were previously hidden by conflict.
Relationship transformation through communication
Over time, these new communication strategies transformed their relationship. They learned to approach conflicts with empathy, asking questions like, “Can you help me understand how you’re feeling?” amidst all the issues. This change in mindset led to more meaningful dialogues.
Silence was replaced with open discussions, and bitterness gave way to empathy. Caroline and David found profound satisfaction and peace in their relationship, realising that understanding and listening were the keys to their renewed connection. Their marriage, once teetering on the edge, was now filled with genuine communication and mutual respect.
Practical steps to resolve conflict in marriage
- Reflect and recognise
The first step in fixing conflicts in marriage is to reflect and recognise the existence of the conflict. Ignoring issues won’t make them go away; they can grow into larger problems. Acknowledging the conflict allows you to address it constructively.
Recognising conflict as a chance for growth can transform your perspective. Instead of seeing disagreements as negative, view them as opportunities to learn and strengthen your bond. This mindset shift paves the way for open, honest discussions that lead to deeper understanding and a more harmonious relationship.
- Prioritise understanding
Make it a priority to understand your partner’s viewpoint, even if you don’t agree. Put pride aside and listen to understand, not to argue. This approach fosters empathy and shows your partner that you value their feelings.
Listening without judgment can defuse tension and open up a path to resolution. By prioritising understanding, you create a foundation for productive discussions and mutual respect, which are essential for resolving any conflict effectively.
- Pay attention to your words
When discussing the issue, be mindful of your words. Avoid blaming and use “I” statements to express how you feel. This approach prevents your partner from feeling attacked and keeps the conversation focused on your feelings.
Using “I” statements like “I feel hurt when…” can help communicate your perspective without assigning blame. This can lead to a more open and constructive dialogue, making it easier to resolve the conflict and understand each other better.
- An artful apology
When you’re in the wrong, learn to apologise sincerely. A heartfelt apology goes beyond just saying “sorry.” It’s about accepting your role in the conflict and showing a genuine desire to make things right.
A sincere apology involves acknowledging the hurt you’ve caused and expressing regret. This can help heal wounds and rebuild trust. By apologising artfully, you demonstrate accountability and commitment to improving the relationship, paving the way for reconciliation and growth.
- Solution-oriented approach
Focus on finding a resolution that benefits both of you. Conflicts in a marriage aren’t a competition; they’re about finding solutions that strengthen your relationship.
By working together to identify mutually beneficial outcomes, you can transform conflicts into opportunities for growth. This approach fosters collaboration and ensures that both partners feel valued and heard, leading to a more harmonious and fulfilling relationship.
- Seek professional help
If conflicts keep escalating despite your efforts, consider seeking professional help from therapists or counselors. Professional guidance can offer clarity and help initiate the healing process effectively.
Therapists and counselors provide a neutral perspective and can teach you strategies to manage and resolve conflicts. Their expertise can be invaluable in improving communication, understanding, and overall relationship health. Don’t hesitate to reach out for help when needed.
Remember, these steps are not a magical, quick fix. But committed and persistent practice can bring about meaningful changes in your relationship. Be patient with yourself and your partner; resolving conflicts and reaching harmony will take time and effort from both parties.
Source: lissyabrahams.com
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Relationship
HIV Infection: Health Director Cautions Adolescents and Couples Against Unhealthy Sexual Behaviours
Mr. George Agyemang, the Acting Wenchi Municipal Director of Health in the Bono Region, has cautioned adolescents to refrain from engaging in unprotected sex and having multiple sexual partners.
He said HIV infection was recording alarming figures in the municipality and urged couples to remain faithful and avoid extra-marital affairs to protect themselves against new HIV infections.
Mr. Agyemang gave the advice while speaking at the 2026 review meeting of the directorate at Wenchi on the theme: “Stakeholder’s Engagement and Efforts in Achieving Universal Health Coverage.”
He revealed that the municipality currently has 2,153 persons living with HIV and AIDS, with the HIV and AIDS prevalence standing at 2.5 per cent, ranking it the second highest in the Bono Region.
Mr. Agyemang further indicated that HIV infections do not discriminate, noting that people who engage in promiscuous lifestyles expose themselves to the virus. He urged those who could not control their sexual desires to always use condoms.
By GNA
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