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
Relationship
Tips to improve family relationships
There is nothing like family. The people that are related by blood and marriage are expected to be our closest allies, greatest sources of love and support.
Too often, however, interactions with family are filled with misunderstanding and resentment, bickering and badgering.
Here are some tips to help bring family members closer
Take care of your health if you hope to take care of anyone else. The more demanding of your time your family is, the more you need to fit in exercise. Perhaps you and your family can seek out ways to exercise together.
1. Listen if you expect to be heard. Lack of communication is the loudest complaint in most families. The answer to “Why won’t they listen to me?” may be simply “You’re not listening to them.”
2. Teach emotional choice. Manage your moods by letting all feelings be OK, but not all behaviours. Model behavior that respects and encourages the feelings and rights of others yet make it clear that we have a choice about what to do with what we feel.
3. Teach generosity by receiving as well as giving. Giving and receiving are parts of the same loving continuum. If we don’t give, we find it hard to receive, and if we can’t receive, we don’t really have much to give. This is why selflessness carried to extremes is of little benefits to others.
4. Take responsibility for what you communicate silently. The very young and old are especially sensitive to nonverbal cues. More than our words, tone of voice, posture (body language), and facial expressions convey our feelings. We have to listen to our tone of voice and look at ourselves in pictures and in the mirror to assess our emotional congruency. Loving words coming through clenched teeth don’t feel loving—they feel confusing.
5. Don’t try to solve problems for your loved ones. Caring for your family doesn’t mean taking charge of their problems, giving unsolicited advice, or protecting them from their own emotions. Let them know their own strengths and allow them to ask you for what they need.
6. Make a lasting impression through actions. Your values will be communicated by your actions, no matter what you say. Be an example, not a nag.
7. Acknowledge your errors to everyone, including younger family members. Saying you’re sorry when you hurt someone you love, models humility and emotional integrity. You can demonstrate that no one is perfect, but everyone can learn at any age. Apologising proves you can forgive yourself and makes it easier to forgive others.
8. Discover what each person’s unique needs are. You can’t assume that your grandmother needs the same signs of love as your three-year-old or that either one will have the same needs next year. When in doubt, ask!
9. Be generous in expressing love. Everyone in a family (especially young children) needs the emotional reassurance of loving words, gestures, and looks. Those who demand the least emotional attention may need it most.
Relationship
Building trust in relationships and marriages
Trust is the glue that holds relationships and marriages together. Without it, even the strongest bonds can crumble.
As a couple navigates the ups and downs of life, trust serves as the foundation upon which their love, commitment, and loyalty are built. But what happens when trust is broken?
How can couples work to rebuild and strengthen this essential component of their relationship?
Trust is not just a feeling; it is a choice. It is a decision to be vulnerable, to be open, and to believe in the goodness of your partner. When trust is present, relationships flourish.
Communication becomes easier, conflicts are resolved more efficiently, and intimacy deepens. Trust allows couples to feel secure, to know that they can rely on each other through life’s challenges.
Signs of trust issues
So, how do you know if trust is an issue in your relationship? Look out for these signs:
– Suspicion and jealousy
– Defensiveness and accusations
– Lack of communication or withholding information
– Dishonesty or hiding the truth
– Emotional distance or disconnection
How to build trust
Fortunately, trust can be built and rebuilt. Here are some practical steps couples can take:
1. Communicate openly: Communication is the key to any successful relationship. Be honest, transparent, and open with your partner. Share your thoughts, feelings, and desires in a respectful and empathetic manner.
2. Be reliable: Follow through on your commitments. Show your partner that you are dependable and responsible.
3. Show vulnerability: Be willing to be vulnerable with your partner. Share your fears, hopes, and dreams with them.
4. Practice forgiveness: Let go of grudges and resentments. Forgiveness doesn’t mean forgetting or condoning hurtful behavior, but rather releasing the negative emotions associated with it.
5. Cultivate intimacy: Intimacy is not just physical; it’s also emotional. Make time for regular date nights, meaningful conversations, and affectionate gestures.
Rebuilding trust
If trust has been broken, it is essential to work on rebuilding it. This process takes time, effort, and commitment from both partners. Here are some steps to take:
1. Acknowledge the hurt: Recognise the pain caused by the breach of trust. Acknowledge your partner’s feelings and validate their experience.
2. Identify the cause: Understand the reasons behind the breach of trust. Is it a lack of communication, infidelity, or something else? Identifying the root cause can help you address the issue more effectively.
3. Work together: Rebuilding trust requires a joint effort. Work together to establish new patterns of behaviour, communicate openly, and rebuild intimacy.
4. Seek help: If needed, seek the help of a couples therapist or counselor. A professional can provide guidance and support as you work to rebuild trust. Counselor Prince & Associates Consult (CPAC) can be helpful in that vein.
Building trust in a relationship or marriage takes work, commitment, and patience. It is a journey that requires effort from both partners. By communicating openly, being reliable, showing vulnerability, practicing forgiveness, and cultivating intimacy, couples can strengthen their bond and build a foundation of trust that will last a lifetime. Remember, trust is not something that can be demanded; it is something that must be earned and nurtured. With time, effort, and dedication, couples can build a strong, trusting relationship that brings joy, happiness, and fulfillment to their lives.
To be continued …
Source: Excerpts from “COURTSHIP MATTERS: Keys to a Fulfilling Lasting Marriage” Book by REV. COUNSELOR PRINCE OFFEI (Lecturer, Published Author, and Marriage Counsellor).
