News
Obstructive sleep apnoea kills while you sleep …
World Sleep Day tomorrow
The Sleep Assembly of the Sri Lanka College of Pulmonologists will launch sleepbetter.lk web page tomorrow (18) to coincide with the World Sleep Day.
Dr. Chandimani Undugodage, Consultant Respiratory Physician and Senior Lecturer Faculty of Medical Sciences, University of Sri Jayawardenepura says Obstructive Sleep Apnoea (OSA) makes people vulnerable to diabetes, high blood pressure, heart attacks or strokes.
Addressing the media at Ramada on Tuesday (15), Dr. Undugodage said that snoring at night, sleeping during daytime and being overweight could be symptoms of one having OSA.
What is OSA?
Obstructive sleep Apnoea is a condition where you stop breathing during sleep. This occurs as a result of temporary closure of the upper airway that carry air to the lungs. Obesity is commonest risk factor for development of OSA.
What happens in OSA?
The airway that carries air to the lungs passes through the throat or the upper airway. When a person gains weight there is a lot of fat deposited in the neck, which makes the upper airway narrow.
When a person is awake, the airway is kept open by the muscles of the throat. But when he goes to sleep all the muscles relax and the already narrow airway becomes even narrower. When air passes in and out through this narrow airway it makes a noise, which is what snoring is. As the person goes into deep sleep, the muscles of the throat relax further and the airway becomes narrower; at one point the airway completely closes; then there is no movement of air in to the lungs and the person completely stops breathing. This is known as an “apnoea”
When this happens there is no air/oxygen going in to the lungs; which results in low levels of oxygen in the blood, brain and other organs. When the brain senses that the person is not breathing, it immediately brings the person from deep sleep to light sleep, or completely wakes that person up. Then the airway opens out and the person starts to breathe again. In those with OSA this happens over and over again in the night. Which leads many awakenings, with very little uninterrupted deep sleep. In the morning the person wakes up feeling unrefreshed and is sleepy during the day. This can result in loss of productivity during the day. Especially by falling asleep during work, at meetings and even while driving leading to road traffic accidents.
An episode of obstructive apnoea where the throat closes during sleep is comparable to strangulation. Imagine if someone strangles you, what will happen? You will panic, your heart rate will go up, blood pressure will go up and you would be under a lot of stress. A similar situation occurs during an apnoea in OSA. It produces a stressful situation in the body. There is release of stress hormones in to the blood. This leads to elevated blood pressure and blood sugar. With time this leads is development of diabetes and high blood pressure (hypertension). There is also a higher risk of getting a heart attack, stroke, abnormal heart rhythms (arrhythmias) and dying suddenly while asleep (sudden cardiac death). OSA patients can also suffer from impotence. With time they become forgetful and there can be changes in their personality
When should you suspect OSA?
How is OSA diagnosed?
If you think you have OSA, you have to talk to your doctor. He or she will refer you to a specialist. A comprehensive sleep assessment will be done to look for other sleep related disorders. An overnight sleep study will be done to look for OSA. This is a simple test where your breathing, air flow, oxygen levels and heart rate are monitored and recorded. Once the data is looked at whether you have OSA or not can be determined.
How is OSA treated?
As OSA is about the closure of the throat during sleep, the treatment is aimed at keeping the throat open. The two main ways of treatment that is available in Sri Lanka are treatment with Continuous Positive Airway Pressure ventilation (CPAP) and surgery. CPAP – this is a small machine with a mask. The person wears the mask when going to sleep. The machine produces a jet of air which splints the airway open, without letting it close. Snoring stops immediately and the person wakes up refreshed in the morning
Surgery – surgical therapy is aimed at making the airway larger and thereby stopping the airway from closing. There are many types of surgeries available.
In addition weight reduction by diet and exercise is advised.
News
No PC polls this year, says Tilvin
The much-delayed Provincial Council (PC) elections cannot be held this year due to financial and legal constraints, JVP General Secretary Tilvin Silva has said in Jaffna.Silva said so, fielding questions from journalists after the opening of the NPP coordination office in the Jaffna District on Saturday.
When asked whether the government was under Indian pressure to conduct the Provincial Council elections soon, Silva answered in the negative, claiming that Sri Lankan and Indian governments maintained close and friendly relations with a strong level of understanding.
He said budgetary allocations had been made for the PC elections, but the government had been compelled to divert resources for disaster relief following the impact of Cyclone Ditwah. According to Silva, nearly Rs. 500 billion had to be allocated for relief measures, making it difficult to hold the elections this year. He further said legal complications in the electoral reform process had also contributed to the delay in holding the PC elections, noting that a parliamentary committee had been appointed to determine the electoral systems under which the PC polls should be conducted. Once the committee submitted its report and if no further issues arose, the elections could possibly be held next year, he said.
Silva also said the government had taken measures to strengthen reconciliation and development in the North by releasing lands previously occupied by military camps and improving road infrastructure.He added that empowerment initiatives were being implemented under the Praja Shakthi programme and that both Sri Lanka and India were continuing to work in close cooperation.
News
Weather conditions worsen, displacing 31,000 people
More than 31,000 people across Sri Lanka have been affected by worsening weather conditions, as the southwest monsoon intensifies ahead of its full establishment, raising fears of renewed flooding in vulnerable low-lying areas, the Disaster Management Centre (DMC) has warned.
The DMC has said 31,072 individuals from 7,983 families have already been impacted by persistent rain, strong winds and rising water levels across multiple districts, with the situation most severe in the Gampaha District where 15,313 people from 3,950 families have been affected and one death reported.
Officials have cautioned that the scale of disruption could worsen as the southwest monsoon is expected to fully establish over the island around May 26–27, bringing heavier and more sustained rainfall to the southwestern region.
At present, 18 safety centres are in operation, sheltering 1,724 displaced persons from 446 families. One person has been injured and 859 houses have been partially damaged. Two houses have been destroyed.
The Department of Meteorology has forecast increased rainfall over the coming days, warning that conditions are likely to deteriorate further as monsoon activity strengthens.
Flood-hit areas remain widespread, with river systems still under pressure despite a brief easing in rainfall on Saturday. The Kelani River has returned to normal levels, but minor flooding persists along the Kalu River basin, particularly in the Millakanda area, where tributary water levels remain elevated.
Low-lying areas in Bellapitiya, Horana, continue to be inundated, while traffic on the Bulathsinhala–Kalutara road remains disrupted due to flooding in Diyakaduwa. Authorities have also flagged continued risk in Putupawula and Ellagawa along the Kalu River.
The Attanagalu Oya basin is also slowly receding, though residents in Dunamale have been urged to remain on alert. Several homes in Ja-Ela remain underwater, with residents alleging that delayed repairs to a damaged canal embankment worsened the flooding.
In a fresh blow to infrastructure, the Swarna Hansa Podi Ela bridge in Ja-Ela collapsed on Saturday evening, further disrupting local transport links, while the main Ja-Ela–Gampaha bus route remains submerged in parts of Yakkaduwa.
Meteorologists have warned that rainfall is expected to intensify again from May 26 to 28, when the southwest monsoon is likely to be formally declared over Sri Lanka, raising the risk of further flooding and landslides in already saturated areas.
by Norman Palihawadane and Chaminda Silva
News
Dickoya double murder suspect arrested
Police said a suspect wanted in connection with the murder of an elderly couple inside a shop in Dickoya town, Hatton, had been arrested on Saturday evening (23).
The arrest was made in the Bogawantalawa police area. Acting on a tip-off, the police arrested him while he was hiding in a house on a tea estate.
Police said stolen gold jewellery had been recovered.
Preliminary investigations revealed that the suspect, originally from Badulla, had been residing in Dickoya after his marriage.
Earlier on Saturday, Hatton Police released CCTV footage of the suspect and sought public assistance to trace and arrest him.
According to police, the suspect allegedly slit the throat of the elderly woman and killed her husband using a sharp weapon on Thursday (21) before fleeing with gold jewellery valued at around 18 sovereigns, including a necklace and earrings.
Investigations further revealed that the suspect had arrived in Dickoya town on the morning of May 21 and visited several jewellery shops claiming he intended to purchase a gold necklace, while loitering in the area.
Police said that around 1.15 pm, he entered the couple’s shop and remained concealed inside the premises before allegedly carrying out the attack.
Hatton Police added that the suspect is believed to have committed the murders and left the shop around 5.30 pm the same day before going into hiding.
by Norman Palihawadane
-
Features5 days agoOctopus, Leech, and Snake: How Sri Lanka’s banks feast while the nation starves
-
Opinion4 days agoMurder of Ehelepola family, Bogambara Wewa and Sightings of Wangediya
-
Sports5 days agoSri Lanka women’s volleyball team ready for Central Asian challenge
-
News4 days agoSteps underway to safeguard Sri Lanka’s maritime heritage
-
Editorial4 days agoA play without its protagonist
-
Features1 day agoThe NPP’s pivot to the past
-
Opinion3 days agoThe need to reform Buddhist ecclesiastical order
-
Midweek Review5 days agoOverall SLPP failures stressed in new Aragalaya narrative
