secondary insomnia
Introduction
Introduction Secondary insomnia refers to insomnia caused by other causes, such as circadian rhythm, insomnia, physical illness, mental illness, medication and drinking, also called environmental insomnia. The main reasons are as follows: 1. Environmental factors: Insomnia can be caused by changes in work or life, such as night shifts, moving, riding, boating, air travel, and the light and noise in the bedroom. Generally can adapt in a short period of time. 2, drug factors: amphetamine, caffeine, ephedrine, aminophylline, isoproterenol, etc. can cause insomnia, long-term use of general sleeping pills can often lead to a relative reduction in sleep, after the withdrawal can be a nightmare due to rebound. 3, mental factors: excitement and anxiety are the main factors of short-term insomnia, mainly to sleep difficulties; depression, anxiety is the main factor of long-term insomnia, with frequent awakening, morning wake up is too early, the record can be seen in the awakening period Significantly extended and increased. 4, physical reasons: restless legs syndrome often cause patients to fall asleep difficult, joint or nerve involvement caused by pain, peptic ulcer or tumor caused by abdominal discomfort, cardiopulmonary disease often increase the number of awakening, thyroid hyperthyroidism accompanied by palpitations Wait, you can have insomnia.
Cause
Cause
The main causes of secondary insomnia are the following:
1. Environmental factors: Insomnia can be caused by changes in work or life, such as night shifts, moving, riding, boating, air travel, and the light and noise in the bedroom. Generally can adapt in a short period of time.
2, drug factors: amphetamine, caffeine, ephedrine, aminophylline, isoproterenol, etc. can cause insomnia, long-term use of general sleeping pills can often lead to a relative reduction in sleep, after the withdrawal can be a nightmare due to rebound.
3, mental factors: excitement and anxiety are the main factors of short-term insomnia, mainly to sleep difficulties; depression, anxiety is the main factor of long-term insomnia, with frequent awakening, morning wake up is too early, the record can be seen in the awakening period Significantly extended and increased.
4, physical reasons: restless legs syndrome often cause patients to fall asleep difficult, joint or nerve involvement caused by pain, peptic ulcer or tumor caused by abdominal discomfort, cardiopulmonary disease often increase the number of awakening, thyroid hyperthyroidism accompanied by palpitations Wait, you can have insomnia.
Examine
an examination
Related inspection
Polysomnography for brain CT examination
Difficulty in falling asleep, continuous sleep maintenance, early waking, difficulty falling asleep, etc., leading to a decline in physical function during the day, often manifested as dysfunction after waking up, decreased daytime alertness, energy, cognitive function and behavioral dysfunction, thus Reduce the quality of life.
Relevant examinations are performed based on medical history and symptom manifestations.
Diagnosis
Differential diagnosis
1. [temporary insomnia]: a sudden temporary insomnia, usually no more than 3 weeks of insomnia, the causes include psychological and physiological factors, such as emotional frustration, depression, restlessness and anxiety, life Serious incidents that occur suddenly, changes in work shifts, and long-distance travel across several time zones make it difficult to fall asleep at night. The sleeping environment is too cold, too hot, too noisy, too bright, uncomfortable sleeping environment or unfamiliar with the sleeping environment can make it difficult for many people to fall asleep. Usually this kind of insomnia takes 2~3 weeks and can be adjusted to return to normal sleep.
2. [Chronic insomnia]: Symptoms last for at least 3 weeks. Some patients with chronic insomnia continue from temporary insomnia, others are caused by somatic anxiety, such as anxiety, anxiety, excessive vigilance, and repeated consideration. At the same time, the more patients want to sleep, the more difficult it is to fall asleep, and the more they become overly concerned and worried about insomnia, which in turn aggravates the symptoms and forms a vicious circle. Long-term application of sleeping pills may also be an important cause of chronic insomnia. The long-term use of some sleeping pills will not only help insomnia, but will increase insomnia. Getting used to drinking coffee, strong tea, etc. can cause insomnia.
Difficulty in falling asleep, continuous sleep maintenance, early waking, difficulty falling asleep, etc., leading to a decline in physical function during the day, often manifested as dysfunction after waking up, decreased daytime alertness, energy, cognitive function and behavioral dysfunction, thus Reduce the quality of life.
