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
Navigating social media boundaries as a couple can be a tricky task. With the constant access to our loved ones’ lives that social media provides, it’s important to establish clear boundaries to ensure a healthy and trusting relationship. Here are some tips to help couples manage social media use.
1. Have an Open and Honest Conversation
The first step in setting boundaries on social media is to talk openly and honestly with your partner about how you both feel regarding social media usage. These conversations can be challenging but are essential for maintaining understanding and trust.
2. Be Specific
When discussing boundaries, be specific about the behaviour that bothers you and what you would like to change.
- Instead of saying, “You spend too much time on social media,” try:
“I feel neglected when you are on your phone for extended periods during our conversations. Can we set a limit on phone usage during quality time together?”
3. Be Considerate
Respect and understand your partner’s point of view. The goal is not to control each other, but to create a healthy balance that strengthens the relationship.
4. Agree on Social Media Etiquette
Social media etiquette involves setting clear guidelines for how you and your partner will interact online. This may include:
- Whether you will follow each other on social media.
- What kinds of photos or posts are acceptable.
- How to interact with friends, family, or others online.
Privacy is key in these discussions.
5. Respect Each Other’s Privacy
Respecting privacy is one of the most critical aspects of social media boundaries:
- Do not snoop on your partner’s social media accounts.
- Avoid sharing personal information about them.
- Don’t post pictures or updates they may be uncomfortable with.
6. Don’t Use Social Media as a Measure of Your Relationship
Social media often highlights only the “best moments” of relationships. Avoid comparing your relationship to others online.
- Focus on your unique relationship and its successes.
- Remember that every relationship faces its own challenges and joys.
Conclusion
Setting boundaries on social media is crucial for a healthy, happy relationship. Key factors include:
- Open and honest communication.
- Respect for each other’s privacy.
- Avoiding comparisons using social media as a benchmark.
By prioritising these practices, couples can strengthen trust, intimacy, and emotional connection while navigating the digital world together.
Source: Arkansas Relationship Counselling Centre
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In the realm of romantic relationships, vulnerability and openness are often misconstrued as signs of weakness. However, research in psychology and relationship counselling suggests that embracing vulnerability can be a powerful catalyst for deepening emotional intimacy and strengthening bonds.
Vulnerability involves sharing our innermost thoughts, feelings, and desires with our partner, making us susceptible to potential hurt or rejection. Yet, it is precisely this openness that allows us to build trust, foster empathy, and create a sense of safety in our relationships.
When couples prioritise vulnerability, they often experience a profound shift in their relationship dynamics. For instance, a couple I counselled who were struggling to connect after a recent move found that sharing their fears and anxieties with each other helped them rebuild their emotional intimacy. By being open about their struggles, they were able to support each other and strengthen their bond.
Benefits of Vulnerability and Openness
- Deeper Understanding: By sharing our thoughts and feelings, we gain a deeper understanding of ourselves and our partner.
- Increased Empathy: When we are open about our struggles, our partner is more likely to respond with compassion and support.
- Resilience: Vulnerability helps us develop coping mechanisms and learn to navigate challenges together.
- Authentic Connection: By being our authentic selves, we create a sense of mutual understanding and connection.
Cultivating Vulnerability
So, how can we cultivate vulnerability in our relationships? Here are some practical tips:
- Start Small: Begin by sharing your thoughts and feelings in low-stakes situations, like discussing a book or movie. Gradually share more personal aspects of yourself as you become comfortable.
- Practice Active Listening: When your partner shares their vulnerabilities, respond with empathy and understanding. This helps create a safe space for open communication.
- Be Present: Focus on the present moment and let go of distractions. This will help you stay engaged and responsive to your partner’s needs.
- Show Appreciation: Express gratitude for your partner’s vulnerability and celebrate their courage in sharing their thoughts and feelings.
In many successful relationships, couples have reported that regular “check-ins” or meaningful conversations help them stay connected and build a stronger bond. By prioritising vulnerability and openness, couples are better able to address life’s challenges together, fostering a deeper sense of connection and intimacy.
Vulnerability and openness are essential components of a healthy, fulfilling relationship. By embracing these qualities, we can build stronger, more resilient bonds with our partners.
As we navigate the complexities of relationships, let us remember that vulnerability is not a weakness, but a strength that can bring us closer to ourselves and our loved ones.
To be continued…
Source: Excerpts from “COURTSHIP MATTERS: Keys to a Fulfilling Lasting Marriage” by Rev. Counselor Prince Offei
(Lecturer, Published Author, Mental Health Professional, and Marriage Counsellor)
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https://princeoffei22.wixsite.com/website
Counselor Prince & Associates Consult (CPAC Counsellor Training Institute)
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