Children With Down Syndrome Needs Early Attention

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Dated: 28 Dec 2008
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Down syndrome babies

Parents of children with Down syndrome often have many fears, such as “Will my Down syndrome baby be healthy?” or “Will my child be able to do the same things that other children do?” In many ways, Down syndrome children can do the same things as other children. They love learning new things, they have a full range of emotions, they have hobbies, they make jokes, they have special skills and they have the capacity to love. Yet intelligence ranges and some of these children may have a tough time learning or may get ill more often that other kids. However, early intervention programs and health advances allow many individuals with Down syndrome to lead productive, fulfilling lives.

Children with this chromosomal disorder will have tribulations early on. Parents should be aware of the special-care needs for babies with Down syndrome as early as possible, to prepare themselves for the challenges that lie ahead. Some babies require medication to address a heart defect, while others require physical therapy sessions to help develop better muscle tone and coordination. Some syndrome babies have a difficult time learning to breastfeed at first, which is sometimes related to stomach or intestinal blockages. Eye, ear, nose, throat and thyroid problems are not uncommon, as is late teething. The main thing to keep in mind is that the baby will eventually get there, but patience and offering loving support are critical to the child’s development.

Children with Down syndrome often have physical therapy needs as well, but with parental guidance and encouragement, they can learn crucial skills. Babies with Down syndrome can strengthen muscles and improve coordination through directed play. A physical therapist can provide new parents with instructions. Many children learn to eat step-by-step, first hand-fed, then using their fingers, finally learning to use silverware. While learning to dress can take extra time and explanation, the Downs child can learn through practice and repetition. It helps stress the importance of grooming and hygiene by establishing a daily routine, gradually adding new tasks for the child to perform independently. While it seems like a lot of work at first, parents may find they enjoy being a special teacher, and that every small milestone is celebrated. Raising children with this chromosomal disorder encourages parents to embrace the small triumphs in life.

There are certain health risks for children with Down syndrome. About half of all Down syndrome babies are born with congenital heart defects and 60% suffer an eye disease, including cataracts (15%) and the need for corrective glasses or contact lenses (50%). Nearly 75% suffer hearing loss, sleep apnea and persistent ear infections. Other problems include thyroid disease (15%), gastrointestinal atresias (12%) and acquired hip dislocation (6%). Less than 1% of all cases report leukemia or Hirschsprung disease. Over time, adults with Down syndrome may suffer respiratory infections, heart disease, surgery for bowel obstruction or cataracts, hearing loss, epilepsy and osteoarthritis.

Helping yourself to get relief from sleep apnea

Posted by Apnea
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Dated: 22 Oct 2008
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These self-help strategies are usually worth a try before turning to costly, inconvenient, or uncomfortable medical procedures.

Stay off your back. Many people snore or experience apnea only when they sleep on their back, a position that allows the tongue and uvula to flop back into the airway. (Night time observation can reveal whether you have such “positional” apnea.) In one recent study, more than half the people with that kind of apnea cured it by learning to sleep on their side, using any of the following techniques: wearing an alarm that beeped whenever they lay on their back; sewing a tennis ball into the back of a pajama top; laying thick pillows length-wise down the bed to keep themselves from rolling over; or even just concentrating on staying off their back.

Lose weight. Most people with apnea are overweight. Even modest weight loss can improve their breathing by thinning the tissues surrounding the airway.

Avoid sleeping pills altogether, and skip alcohol and tranquilizers for at least four hours before bedtime. Those drugs can make the soft tissues in the throat sag even more, and can also weaken the lungs’ ability to inhale.

Stop smoking. While smoking itself does not cause sleep apnea, it may contribute to the airway blockage by swelling the tissues of the throat. Smoking may also magnify the oxygen deprivation produced by the apnea.

Check for improvement by having your sleep monitored periodically – every week or two if possible – and retaking the sleep questionnaire every month. Whatever method you try, keep your physician posted on your results so he or she can help decide whether you need additional treatment.

If you find that self-help is not very helpful, you may need professional treatment. Sleep specialists use a test called polysomnography to confirm the diagnosis of sleep apnea, gauge its severity, and adjust the treatment to the individual patient. The test usually requires patients to sleep in a laboratory for a night or two while technicians observe their breathing and monitor airflow, blood-oxygen levels, heart function, and brain waves.

Once polysomnography confirms the diagnosis, patients are fitted with a nose mask attached to an electric pump, which forces air down the airway. The treatment, known as CPAP (continuous positive airway pressure), nearly always quiets snoring and prevents apnea. But people need to continue using the machine indefinitely. And some people can’t adjust to the mask or the noise of the pump.

Wake up happy! Discover the proven sleep apnea treatments that guarantee a healthy and restful sleep! To grab your free report go to Best Sleep Apnea Treatments

Focus on sleep – treatment for apnea

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Dated: 22 Oct 2008
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Researchers are not sure why apnea occurs. Attempts to correct the disorder through surgical widening of the nasal passages have largely failed, indicating the problem is less of an anatomical than neurological nature.

Alan Solko, 64, of Queens, used to snore so loudly that his wife couldn’t bear sleeping with him and visitors could hear him “all the way down the hall,” he said recently. “I felt nothing. I just snored. I slept very well. But I kept my wife up all night,” he said.

One of the most common, most dangerous and most easily treated sleep disorders is apnea. Million of Americans stop breathing for up to two minutes at a time in their sleep and suffer related respiratory and heart problems, according to the American Sleep Disorders Association.

After seven years of ever-louder nocturnal snoring, Solko sought help at the Stony Brook University Hospital sleep laboratory. “I didn’t know until I slept in the test at the hospital that I was stopping breathing three hundred times or more a night. That scared the hell out of me. It meant I could die in my sleep,” Solko said.

Solko was given a CPAP device (controlled positive airways pressure) to use while sleeping, “and it’s like a miracle,” he said. “You have a mask that you put over your face when you sleep, and this machine just pumps ordinary air through your nostrils.”

CPAP has revolutionized treatment for apnea, experts say. But many insurance carriers and Medicare do not fully cover the price of CPAP. That financial burden can deter some patients from seeking treatment.

There are changes in the respiratory control of breathing. And one kind of change is a reduction of respiratory drive. And during REM [rapid eye movement] sleep there is a tremendous amount of change that seems to impact respiratory drive.

In REM sleep, the heart and breathing rates may vary dramatically, then fall sharply during deep sleep. Some scientists believe apnea is a condition in which the brain mechanisms responsible for controlling changes in breathing rates somehow go awry.

Nearly all apnea sufferers are men, which forces scientists to seek some male factor in the brain that affects breathing. So far, no such tie has been found, but many in the field believe it may be linked to the same factors that put men at greater risks for heart attacks.

The mortal danger of sleep apnea is particularly dramatic among infants. Up to 50 percent of all prematurely born babies suffer apnea, requiring constant monitoring and respiratory support.

 

Wake up happy! Discover the proven sleep apnea treatments that guarantee a healthy and restful sleep! To grab your free report go to Best Sleep Apnea Treatments

Choosing the best treatment for apnea

Posted by Apnea
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Dated: 22 Oct 2008
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If you are suffering from sleep apnea, there are several treatments for it. An obvious next step is continuous positive airway pressure. Other treatments include oral and dental devices to keep your airway open. If all else fails, surgery is an option.

To assess snoring and other symptoms of sleep apnea, have the patient run a tape recorder to record the sounds he or she makes while sleeping. Snoring related to sleep apnea differs from innocuous snoring. Benign snoring has a very monotonous, repetitive sound, but intermittent quiet periods between the loud snoring noises may be indicative of apnea.

Symptoms of apnea indicate referral to a sleep disorder clinic for complete polysomnography, because the diagnosis and classification of apnea can be made only in this setting.

Treatment of obstructive sleep apnea syndrome is multifaceted. The first intervention is advice-the advice you would give anyone who wanted to control snoring:

  • Lose weight (if appropriate)
  • Sleep on the stomach or on a side, not on the back
  • Avoid alcohol at least 3-4 hours before retiring
  • Avoid pharmacologic sleep aids
  • Get enough hours of sleep each night.

An overnight polysomnogram is used to confirm the diagnosis and assess severity of physiologic disturbances. Initially, simple measures, such as avoidance of alcohol and sedatives before bedtime and sleeping on the side rather than the back, may be tried. Nasal continuous positive airway pressure is considered first-line therapy, and compliance can be improved by education and counseling of the patient.

A first-line medical treatment includes use of a nasal continuous positive air pressure (CPAP) device, which supplies pressure to the upper airway and prevents the airway from collapsing while the patient is asleep. The pressure appropriate for a given patient must be determined in a sleep laboratory.

Another procedure gaining popularity is uvulopalatopharyngoplastysurgical removal of redundant tissue from the soft palate. This procedure is most often used in patients who do not respond to CPAP because of a lack of patency in the upper air-way due to trauma, infections, or allergies. Uvulopalatopharyngoplasty is beneficial in only 50% of patients.

Tracheostomy gives the most consistent long-term benefit but is accompanied by significant emotional morbidity. Tracheostomy may be required for the 5% of patients whose apnea does not respond to other therapy.

Those patients may be able to clear their airway with a prescription dental device that holds the tongue in place or repositions the jaw. But those devices may also be uncomfortable, and they work much less reliably than the mask and pump.

A more effective alternative is surgery, which widens the airway by removing any flabby or enlarged tissue, making a groove in the back of the tongue, or sliding the jaw slightly forward.

Wake up happy! Discover the proven sleep apnea treatments that guarantee a healthy and restful sleep! To grab your free report go to Best Sleep Apnea Treatments

Apnea – Potentially deadly if not diagnosed

Posted by Apnea
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Dated: 22 Oct 2008
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Although vastly underdiagnosed and virtually untreated, sleep apnea can contribute to high blood pressure, cardiovascular problems and strokes. It also can be deadly.  

In one study, Stanford University researchers looked at 159 truck drivers. They found that 79 percent had sleep apnea, and many were unable to control when they fell asleep driving. In another study looking at accidents in which drivers fell asleep at the wheel, 87 percent of the drivers died, taking with them one or two other people.  

Men suffer from the condition almost three times more often than women, , in part because of anatomical differences in the upper airways. But because many women who suffer from it are post-menopausal, there is some speculation it also may be hormone-related, he said.  

The most common and severe form of sleep apnea is obstructive sleep apnea. In many cases, it’s caused by sagging muscles at the base of the throat, enlarged tonsils, a small airway opening or a large tongue, according to the American Medical Association Encyclopedia of Medicine. In about 20 percent of cases, being overweight is a major cause of the problem.

Obstructing the airway makes breathing labored and causes loud snoring. If there is complete blockage, the breathing stops altogether and the sleeper is briefly silent. This makes the diaphragm and chest muscles work harder; the sleeper gasps and briefly awakes as breathing is started again.

In central sleep apnea, the airway is opened but the diaphragm and chest muscles don’t work, perhaps because of a disturbance in the brain’s regulation of breathing during sleep, according to the AMA encyclopedia.

If you suspect you’re suffering from sleep apnea, talk to your doctor, who may refer you to a lab where your sleep can be monitored. Losing weight and avoiding alcohol before bedtime may help. Wearing a mask attached to an air compressor that forces oxygen into the airway is an effective treatment for severe cases. And surgery that removes excess tissue from the throat is another possibility.  

First think through what you want from the doctor and make it clear to him or her. For instance, if you go to the doctor with lower back pain and your blood pressure is high, your doctor may concentrate on treating the blood pressure because it’s potentially life-threatening. However you should make it clear the back pain is still something you want treated. Second, ask questions. Studies show patients who ask questions do better, he said.

Third, be honest about what you can and can’t do. If you can’t take your medicine four times a day, tell the doctor. Maybe he can give it to you in another form. If you can’t diet or exercise, it’s important the doctor knows this, too.

Wake up happy! Discover the proven sleep apnea treatments that guarantee a healthy and restful sleep! To grab your free report go to Best Sleep Apnea Treatments

Apnea sufferers often awake tired

Posted by Apnea
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Dated: 20 Oct 2008
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As awareness of apnea mounts, suspected sufferers are spending their nights under an infrared camera’s watchful eye in hundreds of so-called “sleep labs” across America, sensors dotting their skin and scalp. 

Eleven o’clock is “lights out.” At 11:02 sharp, Navarro yawns. A needle swings wildly on a monitor humming softly in the next room. At 11:10 p.m., Navarro turns onto his left side, and a half-dozen needles jerk in response. 

This night will be like no other for Navarro, a 32-year-old computer programmer. For the next seven hours, his every breath, movement and heartbeat will be recorded as he spends the night in a sleep disorders laboratory. 

He is here because doctors think he suffers from sleep apnea, a disorder marked by loud snoring and interrupted breathing. Once considered relatively obscure, sleep apnea is stirring increased concern among physicians because it can cause severe daytime fatigue, high blood pressure, stroke and heart problems; serious cases can be life-threatening. 

A study published in the New England Journal of Medicine reported that sleep apnea is more common than once believed. The study found that 9% of women and 24% of men had sleep-disordered breathing; 2% of women and 4% of men in the middle-aged work force met the criteria for sleep apnea. That would make undiagnosed sleep apnea a major public health burden. 

Depending on the severity of the apnea, treatment can include use of a night time face mask or even surgery. There’s a less high-tech approach for those who snore or suffer apnea only while on their backs: sewing a tennis ball in the back of their pajamas tops so they will sleep on their sides instead.

Not surprisingly, roommates and spouses are often the first to spot potential apnea victims. Navarro is a longtime snorer; he can remember his college roommates waking him to request that he tone it down. His wife, Christine, grew worried when she noticed that he sometimes stopped breathing briefly during the night. She learned about sleep apnea from her doctor and urged her husband to get tested. 

A video screen shows Navarro dozing peacefully. Pink computer paper moves steadily through the polysomnograph, a machine with 12 needles that records everything from his eye movements to heart contractions.

All night, monitors will record the needles’ black tracks, paying special attention to those measuring Navarro’s breathing. Sleep apnea victims have been known to stop breathing hundreds of times each night.

Wake up happy! Discover the proven sleep apnea treatments that guarantee a healthy and restful sleep! To grab your free report go to Best Sleep Apnea Treatments

How can sleep deprivation be cured ?

Posted by Apnea
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Dated: 18 Oct 2008
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A sleep disorder (somnipathy) is any disruption in the sleep patterns of an individual. While some sleep disorders may leave you feeling unrefreshed, a number of symptoms are more severe including excessive sleepiness, snor¬ing, difficulty falling asleep during normal sleeping hours and abnormal be¬haviors such as restless leg syndrome. There are even disorders that cause you to get too much sleep.

Particular behaviors during normal daytime activities are telltale signs of sleep deprivation. If you are experiencing one or more of the following symptoms during the day, you may not be getting enough restful sleep at night, and you may even have a sleep disorder.

If you suspect that you are not getting enough sleep or that you might have a sleep disorder, speak to your physician or a sleep specialist. If your health care professional feels that you may have a sleep disorder they may ask that you keep a sleep diary, or they may even have you stay overnight at a sleep center for observation.

There are over 100 different types of sleep disorders.

Disturbance in the amount, timing, or quality of sleep. Dyssomnias result in excessive daytime sleepiness or an inability to fall asleep or stay asleep. Dyssomnias can originate from causes inside or outside the body.

• Insomnia
• Narcolepsy
• Inability to stay awake (hypersomnia)
• Sleep apnea
• Restless Legs Syndrome (RLS)
• Periodic Limb Movement in Sleep (PLMS)
• Circadian rhythm sleep disorder

Disorders of partial arousal from sleep, or disorders that interfere with sleep stage transitions. Behaviors not normally associated with sleeping may occur during sleep.
• Sleepwalking
• Sleep talking
• Nightmares
• Sleep terrors / night terrors
• Nocturnal leg cramps
• Sleep paralysis
• Grinding or clenching of the teeth (bruxism)
• Bedwetting
• Sudden Infant Death Syndrome (SIDS)

Sleep deprivation is highly treatable, and most individuals find that they experience relief from employing one or sometimes a combination of treatments. Mild to moderate sleep apnea can often be treated with behavioral modification, but most cases of sleep deprivation require a physician’s assistance to find the most effective treatment.

If sleep time isn’t a good time for you, talk to your doctor or healthcare professional about your options. The American Academy of Sleep Medicine (AASM) makes sure that people with sleep problems get the best medical care.
Sleep medicine is a recognized medical subspecialty. Doctors who specialize in sleep medicine help people who are unable to sleep well. Sleep doctors are able to detect and treat both common and rare sleep disorders. Some common sleep disorders are insomnia, jet lag, sleepwalking, snoring and obstructive sleep apnea.
The AASM accredits centers and labs that treat people who have sleep problems. In 1977 the AASM accredited the first sleep disorders center. The AASM also certifies behavioral sleep medicine (BSM) specialists. These doctors help people improve their sleep by changing how they think and behave.

 

Good advice about sleep apnea and insomnia

Posted by Apnea
Categorized Under: General
Dated: 18 Oct 2008
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In sleep apnea, with each period of breathlessness (as many as twenty in an hour) the carbon dioxide level in the blood rises and there is a corresponding decrease in the blood oxygen levels.  This, along with the stress and the struggle to draw breath, puts a strain on the heart. 
Central apnea is caused by the temporary cessation of the message from the brain that tells the diaphragm to breathe.  When a person suffers from a combination of obstructive and central apnea, it’s called mixed sleep apnea, and is by far the most difficult to treat and control.

In pure central sleep apnea, the brain’s respiratory control centers are imbalanced during sleep. Blood levels of carbon dioxide, and the neurological feedback mechanism that monitors it does not react quickly enough to maintain an even respiratory rate, with the entire system cycling between apnea and hyperpnea, even during wakefulness. The sleeper stops breathing, and then starts again. There is no effort made to breathe during the pause in breathing: there are no chest movements and no struggling. After the episode of apnea, breathing may be faster (hyperpnea) for a period of time; a compensatory mechanism to blow off retained waste gases and absorbs more oxygen.

While sleeping, a normal individual is “at rest”, as far as cardiovascular workload is concerned. Breathing is regular in a healthy person during sleep, and oxygen levels and carbon dioxide levels in the bloodstream stay fairly constant. The respiratory drive is so strong that even conscious efforts to hold one’s breath do not overcome it. Any sudden drop in oxygen or excess of carbon dioxide (even if tiny) strongly stimulates the brain’s respiratory centers to breathe. In central sleep apnea, the basic neurological controls for breathing rate malfunctions and fails to give the signal to inhale, causing the individual to miss one or more cycles of breathing. If the pause in breathing is long enough, the percentage of oxygen in the circulation will drop to a lower than normal level (hypoxia) and the concentration of carbon dioxide will build to a higher than normal level (hypercapnia). In turn, these conditions of hypoxia and hypercapnia will trigger additional effects on the body. Brain cells need constant oxygen to live; and, if the level of blood oxygen goes low enough for long enough, the consequences of brain damage and even death will occur. Fortunately, central sleep apnea is more often a chronic condition that causes much milder effects than sudden death. The exact effects of the condition will depend on how severe the apnea is, and the individual characteristics of the person having the apnea.

In any person, hypoxia and hypercapnia have certain common effects on the body. The heart rate will increase, unless there are such severe co-existing problems with the heart muscle itself or the autonomic nervous system that makes this compensatory increase impossible. The more translucent areas of the body will show a bluish or dusky cast from cyanosis, which is the change in hue that occurs due to lack of oxygen in the blood (“turning blue”). Overdoses of drugs that are respiratory depressants (such as heroin, and other opiates) kill by damping the activity of the brain’s respiratory control centers. In central sleep apnea, the effects of sleep alone can remove the brains’ mandate for the body to breathe. Even in severe cases of central sleep apnea, the effects almost always result in pauses that make breathing irregular, rather than cause the total cessation of breathing.

Sleep apnea can cause high blood pressure, depression, heart problems and in some cases sudden death.  If you think that you or anyone in your family has sleep apnea, a visit to your family physician is highly recommended.

 

Can hynosis help with weight loss?

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Dated: 18 Oct 2008
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Can hynosis help with weight loss?

Controlling your weight and avoiding weight gain as you get older are important ways to prevent a host of weight-related health problems.

Indeed, if you are more than 20 pounds over your ideal weight, you are at greater risk for a rogues’ gallery of potentially deadly conditions, including diabetes, high blood pressure, coronary heart disease, endometrial cancer, obstructive sleep apnea, and breast cancer.

What’s more, most people who are overweight tend to avoid exercise, and that avoidance just adds to the toll paid for extra pounds.

If you have a sedentary lifestyle and are overweight, you are at a higher risk of cardiovascular disease and other health problems. And, if you already have a medical condition such as high cholesterol, being overweight puts you at higher risk for complications.

The good news is that even modest amounts of weight loss can improve your health significantly. Loss of 10% of body weight can reduce blood pressure, high cholesterol, triglyceride, and high blood sugar levels.

Today, there are many procedures that can contribute and help people loss weight effectively. One of the known procedure in losing weight is through hypnosis.

However, many misconceptions have come up with regards to the application of hypnosis in losing eight. And because it does not involve drugs or any kinds of medications and surgery, many people tend to think that losing weight through hypnosis seems to be one of the safest weight loss program.

To know more about hypnosis and its effects on losing weight, here is a list of some facts that will give you an insight about what it can do to your body weight.

1. Hypnosis can be an imminently risky if not done properly and not utilize by people who are highly trained with the real concept of hypnosis.

Even if many people tend to think that hypnosis will not pose imminent danger to their health, still, it is important to know that the person who will do the procedure is skilled enough and that he or she knows what factors to consider before doing the procedures.

2. Hypnosis alone cannot eliminate excess fat from the body and, therefore, make somebody lose weight.

Most health experts contend that hypnosis should only be a part of a whole assimilated process. It should never be used as the sole weight loss procedure.

Moreover, one session of hypnosis will only have very minimal results on an individual’s weight. When losing weight, hypnosis matched with psychotherapy will be more effective than hypnosis alone. This is because hypnosis is only a state of deeply relaxing the mind, in which one can still be in control of his or her own body.

3. Hypnosis is one way of getting into the subliminal state of a person. When a person is on the “hypnotic stage,” the body is more responsive to suggestibility because of its intensified state of concentration.

However, this does not necessarily mean that through hypnosis, one can already “reprogram” the mind of an individual.

In reality, hypnosis can only run the range from trouble-free relaxation condition to proper initiation managed by a professional hypnotists. Hence, it should not be considered paranormal and magical in its upshots.

Boiled down, people should be more aware that hypnosis is not a sole effective process in losing weight. It is more of a facilitator of various treatment techniques.

Therefore, it should be combined with other weight loss management program to be effective in making people lose excess weight. In this manner, people will be able to lose more weight with a more relaxed and refreshed state of mind.

You will find lots of information on the various methods of weight loss from people who have been through it all themselves. A great place to find these people and all the wonderful experience and knowledge that they have to offer is on weight loss support forums.