Sleep Apnea Symptoms and Diagnosis
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UNDERSTANDING SLEEP APNEA
On its own, sleep apnea is not fatal. However, its effects could be. Imagine driving and working constantly sleepy. Imagine the potential consequences. You may have tried it once or twice, and swore never to do it again. People suffering from sleep apnea go through this every day.
The most difficult
aspect of sleep disorders is not the cure, but the diagnosis. The symptoms
appear when the individual is asleep. Due to this, they cannot detect
the symptoms on their own. The individual’s friends and family should
be able to notice if something is wrong.
Sleep Apnea Defined
Sleep apnea is characterized by pauses in breathing while sleeping. Each pause is called an apnea. The rhythm of breathing is disrupted, and a few breathes are missed during sleep. The individual is unaware of this occurrence, and it is usually the partner or the people around him or her that takes notice.
KINDS OF SLEEP APNEA
(1) Obstructive
Sleep Apnea
The airway
itself is made up of soft tissue. Since muscles relax during sleep,
it is quite common for the path to collapse. Most people suffer from
a mild form of obstructive sleep apnea. They probably have become accustomed
to the sleepiness they experience. Individuals suffering from mild sleep
apnea are typically unaware that they stop breathing during sleep, unless
a bed partner points it out.
Some suffer
from severe obstructive sleep apnea, while others only have a mild form
for brief periods. These mild cases can be due to certain illnesses
that cause a swelling of parts of the airway.
One cause is
the Epstein - Barr virus (EBV). It is a member of the herpes family
of viruses, also called human herpes virus 4 (HV-4). The virus causes
infectious mononucleosis in 35% to 69% of infections. Severe cases of
mononucleosis are known to cause obstructive sleep apnea due to an increased
size of the lymphoid tissue.
(2) Central
Sleep Apnea
Brain signals
monitor and regulate the body’s automatic functions. This includes
digestion and respiration. In sleep, the entire biological system gives
control to the brain, relying solely on involuntary responses. Delays
and problems with the neurological activity cause gaps in breathing
during sleep.
The innate
monitoring of carbon dioxide levels in the blood is delayed. This results
in an uneven respiratory rate even when the sufferer is awake. When
the breathing stops, the person makes no effort to start again. When
breathing is resumed, it is often faster, a condition called hyperpnea.
Central sleep
apnea may be due to a damaged or injured brain stem. Congestive heart
failure can result in a form of the disorder called Cheyne-Stokes respiration.
This illness can be cured by heart replacement surgery.
One disorder
that develops in childhood is congenital hypoventilation, also called
abnormally low ventilation. Children with this problem have traecheotomoies
and use respirators during sleep. It can lead to Ondine’s curse during
adulthood.
Different forms
of sleep apnea treatment are available to accommodate its different
types of sleep apnea. These aim to keep the airway open, prevent obstructions
and get the patient a good night’s rest.
(3) Complex
Sleep Apnea
Complex sleep
apnea is a combination of both obstructive sleep apnea and central sleep
apnea. This type of condition is rare and only constitutes 0.4% of sleep
apnea cases.
DETECTING THE APNEA SIGNS
Sleep Apnea Symptoms
While it is
difficult for people with this condition to sense that something is
wrong. They often feel sleepy even after a full night’s sleep. They
often have difficulty getting to sleep and staying asleep. The disorder
makes it hard to breathe; they often choke, gasp, and fidget. Most people
with sleep apnea wake up frequently. It can be the need to use the bathroom,
or they just suddenly violently jerk awake. At times, they may be covered
in a night sweat.
How to Watch
Your Sleep
The correct
diagnosis is necessary to get an effective apnea cure. A sleep record
can be kept to track one’s feelings and behaviors when they wake up.
This can tell if the individual is not getting the quality sleep they
need.
- Keep a notebook beside your bed. Once you wake up jot down how you feel, if you are still tired, if you are covered in sweat, anything you can observe. Note down the time you feel asleep, when you woke up and if you woke up during the night.
- Monitor feelings of sleepiness during the day. You may wake up and not feel any problems at all. During the day you can get migraines which you only normally associate with a lack of sleep.
- Use a digital recorder. Since the symptoms happen during sleep, you can use a video or audio recorder to capture them. This can show you tossing and turning; record audio of snoring, or show moments of silence that mark breathing gaps.
SLEEP APNEA DIAGNOSIS
Seeing a
Specialist
Doctors often
recommend a sleep apnea test for excessive daytime sleepiness. This
is called a polysomnography or PSG. The test measures biophysical reactions
as the patient is sleeping.
- Brain activity
- Eye movement
- Muscle or skeletal muscle activity
- Heart rhythm
- Respiratory airflow
- Effort and peripheral pulse oximetry
Once the data
is recorded, the diagnosis can help find the correct apnea cure for
the patient.
2 Types
Of Polysomnography
(a) Overnight Polysomnography
- Involves monitoring sleep in a hospital, medical facility or lab
- Patient is monitored by skilled specialist while he or she sleeps
(b) Portable Polysomnography
- Involves a take-home kit
- Unattended monitoring
- Results are submitted to a sleep technician the next day.
Measurements
of Mild, Moderate and Severe
One of the
things that PSG determines is the severity of the apnea. Apneas are
the breathing gaps that patients experience. Mild cases are characterized
by 5 apneas in an hour. Over fifty breathing gaps are typical of severe
cases.
Sleep apnea may not be a fatal condition, but it is highly possible for this condition to develop into something serious and even fatal. It is essential to determine the symptoms, get proper diagnosis, and get the recommended methods of therapy and treatment.
DISCOVERING THE SLEEP APNEA TREATMENTS
Now that you've learned how Sleep Apnea works and how to diagnose said condition, the next step is to know the treatments. Take time to read my other hub page on sleep apnea treatments.
Also, for another FREE guide to 7 Alternative Sleep Apnea Treatments (with more detailed descriptions of each, along with case studies), visit my website at: http://apneatreatmentguide.com/apneaalternativetreatment/
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