Sleep Apnea

Do you ever wake up and tired all the time. I talked about Insomnia last Wednesday (put in link) and I mentioned that there is something else that could be going on that affects insomnia. Well, read on.

What is Sleep Apnea

According to the Mayo Clinic, this could be a very serious sleep disorder. This is where your breathing repeatedly stops and starts throughout the night. You can even be known to snore loudly. You are always feeling tired after a full night’s sleep. Yep, that is sleep apnea.

Types

It appears that there are three types of sleep apnea and they are:

  • Obstructive sleep apnea, the more common form that occurs when throat muscles relax
  • Central sleep apnea, which occurs when your brain doesn’t send proper signals to the muscles that control breathing
  • Complex sleep apnea syndrome, also known as treatment-emergent central sleep apnea, which occurs when someone has both obstructive sleep apnea and central sleep apnea

From <https://www.mayoclinic.org/diseases-conditions/sleep-apnea/symptoms-causes/syc-20377631>

 Signs

Some of the signs of sleep apnea are the following:

  • Excessive Daytime Sleepiness
  • Loud Snoring
  • Observed episodes of stopped breathing during sleep
  • Abrupt awakening accompanied by gasping or choking
  • Awakening with a dry mouth or sore throat
  • Morning head aches
  • Difficulty concentrating during the day
  • Irritability

Some serious issues

Here are some factors that can increase your risk of sleep apnea

Obstructive

  • Excess weight. Obesity greatly increases the risk of sleep apnea. Fat deposits around your upper airway can obstruct your breathing.
  • Neck circumference. People with thicker necks might have narrower airways.
  • A narrowed airway. You might have inherited a narrow throat. 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 are women. However, women increase their risk if they’re overweight, and their risk also appears to rise after 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 tranquilizers. These substances relax the muscles in your throat, which can worsen obstructive sleep apnea.
  • Smoking. Smokers are three times more likely to have obstructive sleep apnea than are people who’ve never smoked. Smoking can increase the amount of inflammation and fluid retention in the upper airway.
  • Nasal congestion. If you have difficulty 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, type 2 diabetes and Parkinson’s disease 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.

Central sleep apnea

  • Being older. Middle-aged and older people have a higher risk of central sleep apnea.
  • Being male. Central sleep apnea is more common in men than it is in women.
  • Heart disorders. Having congestive heart failure increases the risk.
  • Using narcotic pain medications. Opioid medications, especially long-acting ones such as methadone, increase the risk of central sleep apnea.
  • Stroke. Having had a stroke increases your risk of central sleep apnea or treatment-emergent central sleep apnea.

From <https://www.mayoclinic.org/diseases-conditions/sleep-apnea/symptoms-causes/syc-20377631>

Complications

  • Daytime fatigue. The repeated awakenings associated with sleep apnea make normal, restorative sleep impossible, making severe daytime drowsiness, fatigue and irritability likely.
    You might have difficulty 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 behavior problems.
  • High blood pressure or heart problems. Sudden drops in blood oxygen levels that occur during sleep apnea increase blood pressure and strain the cardiovascular system. Having obstructive sleep apnea increases your risk of high blood pressure (hypertension).
  • Obstructive sleep apnea might also increase your risk of recurrent heart attack, stroke and abnormal 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.
  • Complications with medications and surgery. Obstructive sleep apnea is also a concern with certain medications and general anesthesia. People with sleep apnea might be more likely to have complications after major surgery because they’re prone to breathing problems, especially when sedated and lying on their backs.
    Before you have surgery, tell your doctor about your sleep apnea and how it’s being treated.
  • Liver problems. People with sleep apnea are more likely to have abnormal results on liver function tests, and their livers are more likely to show signs of scarring (nonalcoholic fatty liver disease).
  • Sleep-deprived partners. Loud snoring can keep anyone who sleeps near you from getting good rest. It’s not uncommon for a partner to have to go to another room, or even to another floor of the house, to be able to sleep.

From <https://www.mayoclinic.org/diseases-conditions/sleep-apnea/symptoms-causes/syc-20377631>

Treatments

The most common treatment is using a CPAP machine. Yes, one of those things. That is a good way to force air down your throat and open up that airway.

 Mine

I have obstructive sleep apnea which occurs when the muscles in the back of your throat just relax. When the muscles relax, the airway closes as you breathe. When this happens you can’t get air and can lower the oxygen levels in your blood. You get awakened from your sleep, so you can reopen your airway. You don’t remember this happening.  I don’t I don’t.

Video

Yep did a video

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