Sleep Apnea is a serious sleep disorder that can be life threatening and at times fatal. People with sleep apnea often fall asleep normally; however, once asleep their ability to breathe is blocked. Usually this inability to breathe is caused by the muscles in the throat relaxing too much and collapsing into the airway. The body then sends a signal to the brain that breathing has temporarily been blocked. This causes the person to wake up and start breathing again.
The cycle of interrupted breathing can occur many times throughout the night. These episodes can occur up to 50 times an hour and last for ten seconds or longer. Often the person that suffers from this sleep disorder is unaware that anything is happening to them. They can not understand why they always feel tired during the daytime.
The most common form of this sleep disorder is obstructive sleep apnea, known as OSA. Some sufferers of obstructive sleep apnea also suffer from cental sleep apnea. This sleep disorder is then called mixed sleep apnea.
It is believed that obstructive sleep apnea affects between 18 - 20% of the adults in the United States. If this sleep disorder is left untreated in can become life threatening and in rare cases fatal. It is the underlaying cause of illnesses such as heart disease, stroke, pulmonary hypertension and systemic hypertension.
There are several method of treatments for sleep apnea, both surgical and noninvasive. The first line of therapy for someone suffering from moderate to severe sleep apnea is called positive airway pressure. Known as PAP, positive airway pressure is a noninvasive form of treatment. A machine delivers a constant flow of air through a mask that is worn while sleeping. The force of the air flow must be determined by a sleep technician during an overnight sleep study. There are three types of positive air pressure therapy, CPAP, BiPAP and AutoPAP.
Dental devices are also used to treat this sleep disorder in mild to moderate cases. Dental devices fall into two general categories: mandibular, or lower jaw, advancing devices or tongue retaining devices. Mandibular devices are used most often. They attach to the upper jaw and pull the lower jaw and base of the tongue forward. This shift in position keeps the airway open.
Medications are generally not a successful form of treatment for most people with sleep apnea. However, many of them do take antidepressants and mondafinal.
Supplemental oxygen is often used in conjunction with a PAP machine. Oxygen alone can not prevent the collapse of the airway or sleep fragmentation. However, oxygen can prevent the drop in the level of blood oxygen that occurs when the airway collapses.
There are also surgical treatments for obstructive sleep apnea that may be an option for some sufferers of this sleep disorder. These include uvulopalatophrayngoplasty, somnoplasty, corrective jaw surgery, palatal implants and tracheostomy.
People with this sleep disorder generally find that their quality of life can improve with the proper treatment.
Many people that work during the night suffer from Shift Work Sleep Disorder, also known as SWSD. This disorder affects about one quarter of the approximately 20 million people who do shift work. People affected by shift work sleep disorder are employed in many types of jobs. These include large numbers of workers in industries such as transportation, manufacturing, mining, power, health care, and emergency services including police and firefighters and EMTs. Many of these industries operate around the clock and many various shift schedules exist.
Working a shift job forces your body to function outside if it natural circadian rhythm. Their circadian rhythms never become fully adjusted to their hours. No matter how long a person works at night, when they are greeted by the morning sunlight a signal is sent to their brain saying it is time to wake up. A person suffering from this sleep disorder lives in a state of constant circadian disruption.
There are several coping strategies for people with shift work sleep disorder. The most important thing to remember when coping with the challenges of shift work is recognizing the importance of sleep and making it a priority.
Sleeping during the daytime can be very difficult for some people. Besides going against the body's natural circadian rhythm, there are also the sunlight and the everyday life of the rest of the world, most of which is awake. Many people with this sleep disorder move their bedroom to an isolated place in the house and try to make the room as quiet and dark as possible.
It is best to try to avoid as much of the morning sunlight as possible if you plan to go to sleep right after your night shift. Wear sunglasses on the way home and try not to stop for gas or groceries. The more sunlight you are exposed to, the more likely you are going to have a difficult time falling asleep.
Another coping technique is to develop a sleep strategy. It is very important to set a specific time to sleep. Many people that suffer from shift work sleep disorder find it is best to follow the same sleep routine even on the days they are off from work. It is essential that family and friends know not to bother you during your sleep time unless it is an emergency. Generally, shift workers are chronically sleep deprived. Scheduling naps at specific times can be a great help in dealing with the sleep disorder that accompanies shift work.
People with this sleep disorder should limit the amount of caffeine during the later part of their shift. Some people establish a caffeine cutoff time, after that they drink juice or water.
The use of sleeping pills for shift workers can develop into a dependency on them. Taking sleeping pills on a daily basis can lead to other health problems.
Not everyone is able to tolerate working during the night. The constant battle with this sleep disorder may cause some people to find a different job.
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