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The
Greek word "apnea" literally means "without
breath." There are three types of apnea: obstructive,
central, and mixed; of the three, obstructive is the most common.
Despite the difference in the root cause of each type, in all
three, people with untreated sleep apnea stop breathing repeatedly
during their sleep, sometimes hundreds of times during the
night and often for a minute or longer.
Obstructive sleep apnea (OSA) is caused by a blockage of the airway,
usually when the soft tissue in the rear of the throat collapses and
closes during sleep. In central sleep apnea, the airway is not blocked
but the brain fails to signal the muscles to breathe. Mixed apnea,
as the name implies, is a combination of the two. With each apnea event,
the brain briefly arouses people with sleep apnea in order for them
to resume breathing, but consequently sleep is extremely fragmented
and of poor quality.
Sleep apnea is very common, as common as adult diabetes, and affects
more than twelve million Americans, according to the National Institutes
of Health. Risk factors include being male, overweight, and over the
age of forty, but sleep apnea can strike anyone at any age, even children.
Yet still because of the lack of awareness by the public and healthcare
professionals, the vast majority remain undiagnosed and therefore untreated,
despite the fact that this serious disorder can have significant consequences.
Untreated, sleep apnea can cause high blood pressure and other cardiovascular
disease, memory problems, weight gain, impotency, and headaches. Moreover,
untreated sleep apnea may be responsible for job impairment and motor
vehicle crashes. Fortunately, sleep apnea can be diagnosed and treated.
Several treatment options exist, and research into additional options
continues.
Sleep apnea is a
common disorder that can be very serious.
In sleep apnea,
your breathing stops or gets very shallow while you are sleeping.
Each pause typically lasts 10-20 seconds or more. These pauses
can occur 20 to 30 times or more an hour.
The most common
type of sleep apnea is obstructive sleep apnea. During sleep,
enough air cannot flow into your lungs through your mouth and
nose even though you try to breathe. When this happens, the amount
of oxygen in your blood may drop. Normal breaths then start again
with a loud snort or choking sound.
Your sleep is not
restful because:
4 These brief episodes
of increased airway resistance (and breathing pauses)
occur many times
4 You may have many
brief drops in your oxygen levels of the blood.
4 You move out of deep sleep
and into light sleep several times during the night, resulting
in poor sleep quality.
When your sleep is upset throughout the night, you can be very sleepy
during the day.
4 People with sleep apnea often
have loud snoring. However, not everyone who snores has sleep
apnea. Some people with sleep apnea don't know they snore.
4 Sleep apnea happens more often
in people who are overweight, but even thin people can have
it.
4 Most people
don't know they have sleep apnea. They don't
know that they are having problems breathing
while they are sleeping.
4 A family member and/or bed partner
may notice the signs of sleep apnea first.
Untreated sleep apnea can increase the chance of having high blood
pressure and even a heart attack or stroke. Untreated sleep apnea can
also increase the risk of diabetes and the risk for work-related accidents
and driving accidents.
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