| Has
getting a good night's sleep become a nightmare? If so,
you may be suffering from sleep apnea - a common sleep
disorder affecting 10 million Americans. Though troubling,
researchers insist sweet dreams lie ahead following successful
treatment.
For Kevin
Golden, getting a restful might of sleep was an absolute
nightmare. In fact, his sleep habits were so troubled,
he says, "I would sleep for 15, 16 hours an dnot
feel any better than when I went to bed."
But it was
Golden's wife who finally sounded the alarm after noticing
her husaband would briefly stop breathing in his sleep.
"I didn't really notice it as much as she did,"
he says. "But I could fall asleep anywhere at any
time."
Following
a sleep evaluation doctors informed Golden that he had
a condition known as sleep apnea. In its most common
form, sleep apnea is a physical obstuction in which
a person's airway becomes blocked. The block-age forces
the victim to wake up to catch a breath. Golden was
shocked to learn that he was waking up 60 times every
hour!
Dr. Seth
Greenberg, a sleep specialist in Virginia Beach, Va.,
says patients often aren't aware that they are waking
up to breath. "We detect this on EEG - brain wanves."
Amazingly, he add, "The patient is not aware that
they are waking up and not getting in that deep sleep."
According
to Greenberg, sleep apnea and sleep disorders can negatively
impact work performance and family life. "People
lose jobs," he says.
Golden agrees
his performance both on the job and in his family were
affected. "I never fell asleep at work," he
recalls, "but I did feel, many times, that I was
going to."
Even while
driving, Golden says he ahs had to fight the desire
to sleep. "I'd have to roll down the window, turn
up the radio, whatever I could do to stay awake."
Left untreated,
sleep apnea can lead to serious health problems, reports
Dr. Philip Smith, director of the Johns Hopkins' Sleep
Disorder Clinic. "Sleep apnea puts you at a higher
risk for cardiovascular problems, mainly stroke and
heart failure."
In addition,
sleep apnea may also be associated with an irregular
heartbeat and high blood pressure. It can also cause
early morning headaches, memory and learning difficulties,
and depression.
Treatments
can be varied, but according to Dr. Richard Waldhorn
at Gerogetown Medical Center, most patients "start
out with what we call conservative treatment."
This may include weight reduction, treating nasal congestions.
"Frequently, patients with sleep apnea are worse
when they sleep flat on their back," he says. "Getting
them on their side or elevating the head of the bed
may improve their breathing."
The solutions
for Golden, however, was a mask called the Continuous
Positive Airway Pressure (CPAP). Worn at night, it provides
a steady stream of air through the nose. "It actually
acts like a splint and it kind of holds the walls (of
the nasal cavity open), allowing the patient to breathe
easier," explains Waldhorn.
For some,
though, the CPAP is too uncomfortable and too intrusive.
For those patients, another option may be surgery to
remove tissue at the back of the throat. Unfortunately,
the success rate for this type of surgery has only been
about 50 percent.
For those
suffering from the following symptoms, excessive tiredness,
lack of energy during the day - even after eight hours
of sleep - sleeping at inappropriate times, high blood
pressure, obesity, loud snoring or chronic sinus problems
doctors suggest getting a sleep evaluation.
In most cases,
sleep apnea can be diagnosed and treatment options explored
the same night. For patients liked Kevin Golden, getting
a good night's sleep is like getting a new lease on
life.
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