Tuesday, December 2, 2008

introduction



Sleep disorders affect many people, children as well as adults. Do you have a sleep disorder? You might and you just do not know it. Sleep has four stages and people usually go through them often while they are sleeping. Everyone needs sleep as well as water, food, and air. Without sleep we might become irritable and not able to perform well at work or everyday in life. According to Rob Nagel, “a sleep disorder is any condition that interferes with our regular sleep cycle, ranging from insomnia to narcolepsy.” In order to properly identify and treat sleep disorders it is necessary to first define them and differentiate their symptoms from normal sleep behavior.

Part 1



According to Sleepdex, a non profit informational organization, created to help people with sleep problems, “sleep may be a way of recharging the brain” (Why We Sleep). Sleep research is new to scientists and they have not yet come up with why people sleep, but they do know that people need sleep to survive. Scientists say that people can survive longer without food than without sleep. A person sleeps a third of his or her lifetime. Humans can go a while without sleep, but they often notice the affects it has on them if they do not get the amount of sleep that is needed for their bodies. Scientists say that sleep gives the brain a chance to relax and to reorganize data so they will be able to process newly learned things, organize, and archive data.



There are many reasons for sleep. Sleepdex research says, “Sleep lowers a person’s metabolic rate and energy consumption” (Why We Sleep). When people fall asleep and wake up they often feel refreshed, alert, and ready to take on what ever the world throws their way (Nagel). A person who has trouble falling or staying asleep may suffer from a sleep disorder. Some sleep disorders can be serious and they can affect people’s lives, from their attitude to how they perform at work. Sleepdex states, “During sleep, the body has a chance to replace chemicals and repair muscles, other tissues, and aging or dead cells” (Why We Sleep). Ancient humans believed that the soul left the body during sleep, and the well-known prayer that includes the words, "if I should die before I wake," tells people something about the fear many may experience (Nagel).

People need different amounts of sleep depending on their age and health. “Infants sleep about sixteen hours a day, while teenagers need about nine hours on average. Most adults need seven to eight hours of sleep a night” (How Much Sleep). Growth hormones are released during deep sleep with children and young adults. As people get older their sleep patterns change. Newborns and infants might sleep as much as seventeen hours a day while a five year old may only sleep about twelve hours a day. Newborns and infants sleep longer and more deeply than adults because sleep is important to their development and well-being.

People who work at night and sleep during the day are susceptible to sleep disorders. These are usually caused by a disruption of a person’s “circadian rhythm . . . . [Which] means that the body's internal clock is out of sync with the twenty-four hour day” (Nagel). Circadian rhythm sleep disorders are caused when people are forced to adjust to new dark/light patterns. An example is a worker whose assignment is changed from the day shift to the night shift. The worker must learn how to sleep when it is light out and to work when it is dark out. A temporary sleep disorder could be jet lag. When people are in a different time zone it messes with the internal clock. Many people have suffered from a disorder, even if only sleepwalking, “night terrors,” teeth grinding, or talking during sleep.

Insomnia is a normal human behavior that can and should be treated. A simple description of insomnia is that it occurs when the part of the brain used for thinking does not turn off (Nagel). Insomnia is the inability to get the right amount of sleep enough needed in a day, whether it is because a person can not fall asleep or sleep long enough. Everyone at one point in their lives has this. If a person is suffering from this disorder frequently by not being able to fall or stay asleep, and if they feel the affects of “sleeplessness” in the next day or so, they have insomnia. Thirty million or more Americans suffer from this sleep disorder alone (Nagel). Insomnia is often caused by too much caffeine intake or stress. Physical problems, such as disability or pain, can cause a person to suffer from insomnia. Also, an environment that a person is not used to in could be another reason why a person would suffer from. Stress can be caused by a number of things, such as working at a demanding job, partying every night, or drinking too much alcohol regularly (Nagel). Certain types of medicine can also cause insomnia. There is not a way to exactly cure insomnia, but a person suffering from it can treat the symptoms by taking sleeping pills to help them fall asleep. One particular type of insomnia, called transient insomnia, is directly linked to emotional and physical stress. Like other forms of the disorder, “[transient] insomnia does not require any medical treatment. . . . [And] when the incident is over their sleep habits return” (Newton and Olendorf). Hypersomnia is the direct opposite of insomnia it is when you want to sleep more.

The most prevalent cause of insomnia, according to this graph inspired by one provided by AcupunctureToday.com, is either anxiety or depression. Other problems associated with insomnia include hypertension, obesity, diabetes, and congestive heart failure. Anxiety or depression is the highest because of the definition of insomnia. When that side of the brain that is used for thinking shuts down you can become depressed.

Part 2

A person that is suffering may fall asleep during the day and they might sleep for a long period of time. In the article titled, “Sleep Disorders,” David Newton and Donna Olendorf state that “in some cases, patients have difficulty waking up in the morning”. Five to ten percent who look for help are suffering from Hypersomnia. Hypersomnia is most common in young adults ranging from the ages fifteen to thirty. “One possible cause of Hypersomnia could be restless leg syndrome (RLS)” (Newton and Olendorf). During sleep a person could experience cramps and twitches in their calves, which is a result of RLS. “These sensations may keep a person awake and lead to sleep episodes during the day” (Newton and Olendorf). Because of the constant twitching and cramps one could be awakened over a hundred times a night, which leads to not getting the right amount of sleep. Narcolepsy symptoms are different. This sleep disorder affects the brain. A person suffering from Narcolepsy always feels the urge to want to go to sleep.

According to the Sleep Disorders Guide, Narcolepsy is a neurological disorder that affects the control of sleep and wakefulness. Narcolepsy is one of the most serious sleep disorders that also have something to do with the brain. According to the UXL Encyclopedia of Science, “this disorder affects as many as 200,000 people” (Nagel). The need to sleep for people that struggle with is almost sudden: they do not see it coming, it just happens. People who suffer from narcolepsy might also experience sudden muscle weakness, the feeling of being paralyzed, or they could have frightening night mares. “This disorder can begin between the ages of fifteen and twenty-five, but can be noticed at any age” (Sleep Disorder Guide). Narcoleptics go through every day feeling tired. Narcolepsy can be bought on from a person being bored, surprised, or if they are very angry (Nagel). This disorder is genetic which means that it is family oriented. “The main symptoms of narcolepsy are excessive daytime sleepiness (EDS), cataplexy (loss of muscle tone), and hallucinations, sleep paralysis, and disrupted night time sleep” (Sleep Disorder Guide). Narcolepsy is managed usually with a stimulant drug. It may not prevent reoccurrence, but it will help for the time being. Having narcolepsy can be very irritating and sometimes scary. As stated in the Sleep Disorders Guide, “Narcolepsy is [often] undiagnosed and, therefore, untreated.”

Sleep apnea disorder is commonly found in middle age men. As referenced in a Sleep Apnea article by WebMD, “Sleep Apnea is a very serious sleep disorder. Sleep apnea occurs when your breathing is disrupted during sleep. Men, overweight people, and people over forty years old are at greater risk for sleep apnea. Untreated sleep apnea can cause hypertension, stroke, or heart failure”. People with sleep apnea can suffer from high blood pressure and can be at risk for heart damage. This disorder is commonly found in middle age men. When a person suffers from this disorder they literally stop breathing while they are sleep, this is why it is very serious that a person knows if they have it or not. Sufferers often snort or snore like hundreds time of night causing them to wake up, which results in not having a good nights sleep. Most cases of sleep apnea are caused by some sort of abnormality in the nose, throat, or other part of the airway (Nagel). Most people who suffer from sleep apnea wear a mask like device over their nose, opening their airway by putting pressure to the throat so it does not collapse during the night. Surgery could possibly be the last result for sleep apnea.

In cases where a person has to get surgery, the airway is opened up to make breathing for easier, and afterwards they will no longer have to wear the mask like device. One way to stay clear of surgery could be that the person stops smoking if they smoke, cut down or eliminate their alcohol intake, avoid drugs, and lose weight it might help their airways open up the way they should. If a person is getting worse their physician might suggest that they have surgery right away. Being obese and suffering from sleep apnea does not go together. This is the only sleep disorder that is life threatening, if not treated properly one could possibly die. “Combined with other factors such as obesity, it can cause death.” (Newton and Olendorf) There are a variety of sleep disorders causing many people to suffer.

Part 3

Restless Leg Syndrome (RLS) is a disorder that sends uncomfortable feelings through a person’s leg causing them to have the urge to get up and move. This mostly happens during the night which forces the person that is suffering to want to wake up and move around. Another disorder that could disrupt a person’s sleep is Periodic Limb Movement (PLM). PLM is a disorder that makes a person’s legs and arms twitch or jerk. This could last for more than an hour which is possibly annoying to the people suffering from it. PLM, much like RLS, does not have any known causes.

I was fortunate to be able to interview two persons that suffer from three of the sleep disorders discussed in my research. One of the women, Mrs. Stephanie Keever, suffers from both insomnia and RLS, while Mrs. Verita Woods suffers with sleep apnea.
Mrs. Keever realized something was wrong when she was unable to rest well while she was sleeping. She has suffered with these sleep disorders for approximately ten years. The steps she followed for treatment were testing at the sleep clinic followed by taking medication. She says her sleep disorders are most likely life-long but are not life-threatening. Her RLS is hereditary because her father suffers from it also. As far as she knows her insomnia is not hereditary. Her specific RLS symptoms include legs twitching and cramping to point where she would awaken and find herself kicking (even her husband). With her insomnia she just could not sleep.

With both she never felt rested once she woke up. Most days she is sleepy during the day. Her disorder affects her job because it causes her to become sick from not getting enough rest. Her disorder affects her family and friends because at times she can be irritable toward them. She states that sleep disorders cause problems that people do not realize and they are related to other health problems.
Mrs. Woods did not initially know that what she suffered from was a sleep disorder. What triggered her were people telling her about her consistent snoring. She suffers from sleep apnea and has been suffering with it for the last ten-fifteen years. The steps she took for treatment were to use a patch across her nose and a spray for her throat, neither of which worked. She then went to St. Joseph’s sleep program and had to stay overnight with monitors hooked to her body to determine if she was really sleeping. After this process she uses a snoring device, which is sometimes uncomfortable. But she especially uses it while visiting at someone else’s home. Her sleep apnea will not be life-long if she loses weight. It can be life-threatening because you can stop breathing while sleeping. She thinks it is hereditary because her father and others in her family snored. She also had a cousin that died from complications of sleep apnea. This makes it extremely important for her to be treated for her sleep apnea. Her specific symptoms are snoring and waking up tired.

Her better nights of sleep are when she uses her device. She is sleepy during the day but it does not affect her job. Her sleep disorder can affect her relationship with her family and friends because some people cannot sleep when others are snoring. She knows her options for treating her sleep apnea which are losing weight (which is the best option), wearing her C Pap machine during the night and the last resort would be to have surgery. Her sleep apnea does not affect her until she tries to go to sleep.

Conclusion




After interviewing both of these ladies I gained an appreciation of what they suffer. I also learned more than I imagined I could from my research. It seems to me that they are handling it well even though they are suffering. Knowing people that are actually suffering make me grateful that I do not suffer from any sleep disorders.

Work Cited

Works Cited
"How Much Sleep Does a Person Need?" Resources for Better Sleep. Sleepdex. .
"Insomnia." Sleep Disorders. Sleep Disorders. .
Nagel, Rob, ed. "Sleep and sleep disorders." UXL Encyclopedia of Science. 2nd ed. Detroit: U*X*L, 2007. Student Resource Center - Gold. Gale. Asheville High School Media Center. 23 Oct. 2008 .
"Narcolepsy." Sleep Disorders Guide. WebMD. .
Newton, David, and Donna Olendorf, ed. "Sleep Disorders." Sick! Detroit: UXL, 2000. Student Resource Center - Gold. Gale. Asheville High School Media Center. 23 Oct. 2008 “Sleep Apnea.” Sleep Apnea Health Center.