Insomnia can be in different ways. Some can not sleep because of persistent thoughts, constant pain or a cup of coffee at night, while others wake up in the middle of the night (eg, bladder crowded), and then the long roll in bed. In patients with insomnia, depression five guards to watch the morning with a feeling of horror and desperate desire. From the point of view of the physiological role of insomnia sleep – sleep is too little, which is not fullyRecovery. These disabled child is known to all those who are being treated in hospital – the constant noise, traffic, and impede the inclusion of light sleep, procedures, pain and fear and how to get enough sleep. A common cause of insomnia – chronic pain.
In the United States suffer from insomnia almost 80 million adults. About 30% of which is constant or frequent. Especially for older people suffering from mental disorders and insomnia. It occurs in 50% ofPatients with schizophrenia and 75% of patients with affective disorders. It 'important to note that these figures represent only the prevalence of sleep disorders, but not about its etiology or cure.
Diagnosis.
An accurate diagnosis is very important. Thus, in some patients with daytime sleepiness, irritability and depression can fibromialgiya, obstructive sleep apnea or night formed in the troubled central miokloniya legs syndrome. In such cases, obviouslyit is necessary to treat the underlying disease (for example, breathing with continuous positive airway pressure in obstructive sleep apnea, depression, antidepressants), hypnotics and can only bring harm. Sleep by the reaction of loss, separation syndrome change time zones or work at night. Important factors conditioned reflex. Some, for example, can only sleep at home, while others – quite the contrary. In the latter case is often the one room house on the mechanism of conditionalReflexes associated with unpleasant events – Streit, unwanted intimacy, guilt or fear. Often, insomnia can be caused by an improper or busy lifestyle or stress. In short, the causes of insomnia are many and they are all here to consider the impossible.
A detailed medical history allows the opening times of these causes of situational insomnia, which did not even sick. Sometimes it helps to change something in a patient in their lives, and set the sleep. Quite oftento say that you can not sleep without the health of some night. "need to sleep" is best read the book, listening to soft music, a movie on TV as wind fruitless idea that the patient calmed down, and if you do not sleep during the day as soon as accumulated fatigue and back to sleep a normal night. Sometimes the simplest tips are useful for preparing for the night (see table. 21:1). In most cases of temporary insomnia somnografiyarequired.
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