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Recognize Sleep Apnea
Sleep apnea
, a condition of repeated occurrence of disturbed and uneasy breathing during sleep resulting in waking up of the patient, is indicated essentially by loud snoring, hyper somnolence (excessive daytime sleepiness), and restless sleep.
Snoring is due to a vital upper airway obstruction. There is an imbalance between the oxygen and carbon-di-oxide levels in the blood due to the obstruction, causing the brain to send impulses to resume breathing actively. This causes an arousal of the patient leading to disturbed and repeatedly broken sleep. The patient is generally very sleepy in the daytime and criticizes his sleep as no energizing. Daytime sleepiness during driving, work or talking develops gradually and is mostly noticed by people around the patient such as friends and family.
Central sleep apnea involves the respiratory centers in the brain, which get damaged due to either hypoxia or hypercapnia. The impulses, which are sent from the cortex and the reticular activating system, are absent during sleep, so patient stops breathing, thus referred to as “Ondine’s Curse.”
Besides the above, sleep apnea can also cause choking during sleep, morning headaches, daytime fatigue, poor judgment, mood disturbances, polyurea etc.
People who are more prone to develop sleep apnea are those with obesity, stress hypertension, hypothyroidism, and dislocated temporomandibular joint and neuromuscular disease. Enlarged tonsils are the common cause in children.
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