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Not all snoring is created equal

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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.

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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

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• 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

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• 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

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• Morning headache

• Difficulty staying asleep, known as insomnia

• Excessive daytime sleepiness, known as hypersomnia

• Difficulty paying attention while awake

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• 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.

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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.

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• 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.

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• 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

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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.

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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.

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• 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

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• 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.

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• 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

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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.

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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)

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*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

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Relationship

Tips on Building and Maintaining Healthy Relationships

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Building and maintaining healthy relationships is an important part of looking after our mental health. Here are six top tips to support you:

1. Get to know yourself
Take time to appreciate yourself and connect with your emotions. Being aware of your feelings allows you to express yourself clearly and effectively. Poor emotional regulation can negatively affect your mental wellbeing.

2. Put in the work
Healthy relationships are built, not found. They require commitment and a willingness to accommodate each other’s needs.

3. Set and respect boundaries
Boundaries communicate what you appreciate and what you don’t like in a relationship. For example, respecting your need for alone time helps prevent unrealistic expectations and reduces pressure on the relationship.

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4. Talk and listen
Disagreements are normal. Focus on listening to understand, not just to respond. Be open about your emotions and vulnerabilities with people you trust.

5. Let go of control
You can only control your actions, not those of others. Accepting this reduces stress and saves time while fostering healthier interactions.

6. Reflect and learn
Healthy expression of feelings helps you respond appropriately to others. Often, anger stems from hurt; recognizing this allows for better communication and relationship building. Reflect on the relationships that work well in your life, identify their positive qualities, and apply these lessons elsewhere.

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Discipline, culture: The 2026 parenting playbook for Ghana’s future leaders

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As parents on a mission, raise children who are not just successful, but cultured, morally upright, and ready to lead. The secret? Blend biblical principles and traditional values with practical parenting strategies that work in today’s world.

Ghana’s culture is built on respect, community, and integrity, and when combined with Christian values like love and forgiveness, it is a powerful combo for parenting. Teaching children about traditions, biblical truths, or the importance of greeting elders is not just about preserving culture—it is about building character.

5 Practical steps to raise disciplined, cultured kids

1. Set clear expectations
Explain rules and values clearly. For example, “We respect elders because God says ‘Honour your father and mother’” (Ephesians 6:2). Also, “We respect elders because they have lived longer and know more.” Align household rules with cultural values like obedience and responsibility.

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2. Lead by example
Children mimic what they see. Show respect to elders, speak kindly, and demonstrate honesty in daily life. Proverb: “If you show a child how to behave, they’ll behave.” Moreover, Proverbs 22:6 says, “Train up a child in the way they should go …” You can also introduce them to traditional games like “Oware” or “Ampe,” which teach strategic thinking.

3. Teach emotional intelligence
Help children label emotions (“You’re feeling angry”). Encourage resolving conflicts peacefully—like using “sorry” to mend relationships. Ghanaian proverb: “A smooth sea doesn’t make a skilled sailor.”

4. Assign responsibilities
Give age-appropriate chores (e.g., fetching water, helping with cooking). It builds accountability and pride in contributing. Link chores to cultural values like communal living (“We all help in the community”) and biblical stewardship.

5. Embed culture and faith in daily life
Cook traditional foods like Banku, Jollof rice, or Fufu, tell folktales, or celebrate local festivals with prayer and gratitude. Discuss values like ubuntu (I am because we are) to teach teamwork and empathy; alongside God’s love for unity (John 13:34-35). Make culture fun and relatable.

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Some other awesome ways to make Ghanaian culture relatable for children include:

  • Sharing popular Ghanaian artists like Joe Mettle, Uncle Ato, or Obaapa Christie, and teaching traditional dances like Kpanlogo or Adowa.
  • Exploring Ghanaian crafts like kente weaving or bead-making through online workshops.
  • Talking about festivals like Homowo (celebrated by the Ga people) or Aboakyer (a deer-hunting festival) using cool videos and pictures online.

Why this matters for Ghana’s future leaders

  • Respect and integrity: Cultured children grow into leaders who respect others and uphold ethical standards.
  • Community mindset: Values like cooperation and serving others (Galatians 5:13) prepare them to contribute positively to society.
  • Resilience: Cultural roots give children a strong identity, helping them navigate life’s challenges.

Parenting in the digital age

  • Balance screen time with cultural activities. Use Anansi stories or Bible stories on YouTube or play Oware to teach strategy and patience.
  • Discuss social media etiquette through the lens of respect, responsibility, and biblical wisdom (Proverbs 15:4).

Final thought for Ghanaian parents
February 2026 is a fresh start. Blend Ghana’s timeless values with modern tools to raise leaders who are grounded, respectful, and ready to thrive.

To be continued …

Source: REV. COUNSELOR PRINCE OFFEI and Counselor Blessing Offei’s insights on relationships, marriage, and parenting in Ghana. He is an author, mental health professional, lecturer, and marriage counsellor at COUNSELOR PRINCE & ASSOCIATES CONSULT (CPAC COUNSELLOR TRAINING INSTITUTE). He is the author of several books, including “Preparing for a Happy and Fulfilling Marriage” and “A Counsellor’s Guide to Using ‘Preparing for a Happy and Fulfilling Marriage’ Effectively.”

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