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| subject: | Sleep Apnea... 2. |
Continued from previous message...
Why does sleep cause all this trouble? First, we don't sleep
standing up. The customary sleeping posture--lying flat--alters
circulation, especially in the lungs, where oxygen and carbon
dioxide are exchanged. If you are overweight, the fat on your
abdomen compresses your lungs. Think how hard it would be to
blow up a balloon if someone was squeezing it.
Furthermore, muscle tone falls during sleep. During REM
periods, most muscles "turn off." If we are going to run into
difficulty breathing during sleep, REM is our most vulnerable
time. People most susceptible to this problem are those in
whome the muscles involved in breathing have been weakened by
disease or time (the elderly) or those whose the muscles are
still immature (babies in their first months of life). This
problem is a prime suspect in many cases of sudden and
unexpected death during sleep, including those of the young
victims of the Sudden Infant Death Syndrome (SIDS), sometimes
referred to as crib death.
Anyone may have occasional brief pauses in breathing during the
night, particularly just as sleep begins or along with bursts of
rapid eye movements. However, in healthy people these pauses do
not occur over and over again and they never last longer than
thirty seconds.
People with breathing disorders may stop breathing during sleep
more than one hundred times per hour all night long, in both
REM and NREM sleep. These people may not breathe at all for
three quarters of their time asleep. Some pauses have been
recorded that lasted over three minutes, a striking length of
time, since four minutes without oxygen often results in
irreversible brain damage.
Cessations in breathing that last ten seconds or longer are
termed "apneas," from the Greek word meaning "want of breath."
When thirty or more apneas appear in seven hours of sleep,
producing excessive sleepiness and other ill effects during the
day, a person is said to have the sleep apnea syndrome.
This disorder can start at any age, although it becomes more
common as we get older. Over half the people who have it are
forty or over when it is discovered.
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