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 tricky. With constant access to each other’s lives online, it’s essential to establish clear boundaries to maintain a healthy relationship. Here are practical tips to help couples manage social media use effectively.
1. Have an Open and Honest Conversation
The first step is to talk openly with your partner about social media usage and how it affects your relationship. Honest conversations may feel challenging, but they are essential for understanding each other’s perspectives and setting mutually acceptable boundaries.
2. Be Specific
When discussing boundaries, be clear about the behaviors that bother you and the limits you’d like to set. For example, 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
Consider and respect your partner’s viewpoint. Setting boundaries is not about controlling each other; it’s about creating balance and fostering trust in the relationship. The goal is to maintain connection without letting social media interfere with your bond.
4. Agree on Social Media Etiquette
Social media etiquette guidelines can help couples define what is and isn’t acceptable online behavior. Discuss whether you will follow each other, what kinds of photos you’ll post, and how you will interact with others online. Clear guidelines help prevent misunderstandings and maintain respect.
5. Respect Each Other’s Privacy
Respecting privacy is crucial. Avoid snooping on your partner’s accounts, sharing personal information without consent, or posting photos or updates that may make them uncomfortable. Trust and respect form the foundation of a healthy digital relationship.
6. Don’t Use Social Media as a Measure of Your Relationship
Remember that social media often shows a curated “highlight reel” of other people’s relationships. Avoid comparing your relationship to these selective portrayals. Every relationship is unique, with its own challenges and successes. Focus on what makes your bond special rather than online comparisons.
Conclusion
Setting boundaries on social media is key to nurturing a healthy, happy relationship. Open communication, mutual respect, agreed-upon etiquette, and avoiding comparison with others online are all vital steps in maintaining intimacy and trust in the digital age.
Source: Arkansas Relationship Counselling Centre
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.
The Power of Vulnerability
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 in Relationships
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. As you become more comfortable, you can gradually share more personal aspects of yourself.
- 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 try to let go of distractions. This allows you to 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, these couples are 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).
Order the book now:
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https://princeoffei22.wixsite.com/
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