Obstructive
sleep apnea disorder was discovered in 1965. Apnea
is caused by a partial closing of the nasal pharynx
airway during sleep. Those who suffer from the
disorder actually stop breathing as they sleep—in
some cases, as often as several hundred times per
night. Patients seem to gasp for breath in their
sleep and blood oxygen levels become abnormally
low. However, they may be unaware of the breathing
stoppages in the morning. In severe cases, patients
may actually spend more time not breathing than
breathing.
Up to 10 percent of the male population, up to
5 percent of all adult women, and up to 40 percent
of all Americans over the age of sixty suffer from
some form of sleep apnea. The vast majority does
a lot of loud, intermittent snoring during the
night and many are overweight. They may have the
sensation of choking and may move about a great
deal while in bed. Excessive sweating often occurs
during sleep. Often, an irregular pounding of the
heart occurs as the patient gasps for breath.
People with apnea may suffer from early-morning
headaches and feel excessively sleepy throughout
the day. Hallucinations sometimes occur while the
patient is awake, but feeling extremely sleepy.
Memory deterioration, personality changes, and
impotence are common. Rapid weight gains, often
approaching obesity, frequently occur.
Sufferers are hard to awaken, and if they are
suddenly awakened, they frequently do not know
where they are. Upon awaking, those who suffer
from the “snoring sickness” usually
will not recall having experienced an apneic episode
in their sleep. A period of disorientation sometimes
occurs immediately after waking. During such periods,
the individual may have difficulty with his memory
and give inappropriate answers to questions, acting
as if he did not hear it or failed to understand
what was asked.
The excessive daytime sleepiness caused by sleep
apnea may produce serious or even fatal pulmonary
and cardiovascular complications. Cardiovascular
problems resulting from the illness may include
blood pressure, irregular heart rhythm, or deterioration
of the heart muscle and its ability to pump blood,
which can result in heart failure, heart attack,
or stroke.
Apnea patients have twice the usual prevalence
of hypertension, three times as much heart disease,
and four times as much cerebrovascular disease.
Other potential consequences include stroke, neuropsychiatric
problems, cognitive impairment, sexual dysfunction,
and injury due to accidents. Once a person develops
sleep apnea, he appears to have it for life.
At least a million people are severely impaired
by the disorder, and twice as many are partially
impaired. Unfortunately, a very large percentage
remains undiagnosed and untreated.
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