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
Parenting teens can be challenging. But it can also be a joy. The key is to know how to care for yourself, first and foremost. Before you have children, you might think that parenting will come naturally. And, to some degree, it does. But there are days (and sometimes months and years) when all parents could use some extra support.
Last week we looked at some four simple yet powerful approaches for parenting teens that build strong relationships for the long-run. Here are the remaining two:
4: Keep communication going
Because we are often busy and distracted, we do not always take the time to really focus on our kids when they’re trying to tell us something. Take advantage of the time you have together. Having dinner together as a family, using car time to talk, or chatting before bed are good ways to stay in daily touch with your teen. Prioritise quality time as well as quantity: Consider having breakfast out on the weekend as a special catch-up time to chat about the week. Or schedule monthly “family meetings” to discuss how things have been going and any conflicts that have arisen.
5. Be an empathetic listener
Listening with empathy and caring is one of the most important tips on parenting a teenager. Researchers have shown that people’s brain patterns synchronise when they listen closely to one another and watch each other’s expressions. As a result, the connection between them becomes stronger. Not feeling truly heard can lead to isolation and lack of self-esteem which are the root causes of anxiety, depression, and substance abuse. Therefore, take listening seriously. It’s not just a way of coping with teenagers; it has an enormous impact on their well-being.
The price of ‘I do’: Why money honesty is the real marriage insurance –Part 2
She did not find out he was cheating. She found out he was drowning.
It was two weeks after their beautiful wedding. The jollof was still in the fridge. A loan officer called her number-not his-and politely asked, “Madam, please tell your husband to pay his overdue loan. We have been calling him.”
That was how she discovered her new husband had entered their marriage with a hidden debt of over GH¢ 40,000. No cheating. No other woman. Just a financial secret.
And that is how many Ghanaian marriages begin to die. Not with a shout, but with a secret alert on a phone.
We prepare for the wedding. We do not prepare for the wallet.
What is money honesty?
Let me define it simply. Money honesty is not that you both earn the same. It is that you both know the same. It is the ability to sit down and say without fear:
“This is how much I earn.”
“This is how much I owe.”
“This is how I was raised to see money.”
“This is what scares me about money.”
Financial transparency is not about control. It is about clarity. You cannot build trust on top of secrets.
Many couples tell me, “Counsellor, we love each other, love will handle money.” I always answer, “Love is the car, but money honesty is the fuel. Love without honesty cannot move.”
How To Buy Your Marriage Insurance Today – My 5-Step Protocol
If you are engaged, newly married, or even 20 years in marriage, you can still fix this. At Counsellor Prince & Associates Consult—CPAC, this is what I give couples:
Step 1: The 90-Minute Money Naked Session.
No phones, no blame. Each partner writes down on paper: Monthly income, monthly debts, monthly family obligations, savings, and your biggest money fear. Then you exchange papers. Read it. Don’t react for 24 hours. Just absorb.
Step 2: Create OUR Money, YOUR Money, My Money.
You need three pots. OUR money for rent, food, school fees, utilities, properties, and the like— joint contribution. YOUR money and MY money—a small agreed allowance no one questions. This stops the feeling of being controlled.
Step 3: The No-Secret Debt Rule.
Agree from today: No new loan, no new hire purchase, no new family financial commitment above GHS 500 without telling each other first. Not permission, but information.
Step 4: Talk About Your Money Personality.
Are you a Spender or a Saver? Are you Risky or Safe? Most Ghanaian marriages are a Spender married to a Saver. Neither is wrong. But if you don’t understand your partner’s personality, you will call his saving “stinginess” and her spending “wastefulness.”
Step 5: Do a Monthly 30-Minute Money Date
Not an argument date. Light, with tea. “How did we do this month? What worried you? What should we plan for next month?” Couples who do this divorce far less.
My Final Word
Before you say “I Do” at the altar, have pre-marital counselling and also have the money talk on the sofa.
Ask your partner:
“If I lost my job today, how long can we survive?”
“What debt are you bringing into this marriage?”
“How much do you send to your family monthly and will that continue?”
If he or she gets angry that you asked, don’t get married yet. A person who is angry about accountability will be abusive about money.
Marriage insurance is not bought at Star Assurance or Enterprise. It is bought in honest conversations when no one is watching.
The wedding costs one day. The marriage costs a lifetime. Don’t enter a lifetime contract and covenant with hidden costs.
You can still insure your marriage today.
Source:
Counselor Prince Offei, CPAC’s founder, is a leading Mental Health Professional, Marriage Counsellor, Author, ADR Expert/Arbitrator, and Spectator Newspaper Columnist. He writes on relationships, marriage, parenting, special needs support, and their connection to mental health. For therapy, counselling, or enquiries, contact Counselor Prince & Associates Consult (CPAC) in Accra on 0559850604 / 0551428486.
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