sleep disorder

Introduction

Introduction Abnormal sleep and the appearance of abnormal behavior during sleep are also manifestations of alternating rhythmic disorders of sleep and wakefulness. Can be caused by a variety of factors, often associated with physical illness. Including sleep disorders and abnormal sleep. Sleep is closely related to human health. However, according to the survey, many people suffer from sleep disorders or sleep-related diseases, and the proportion of adults with sleep disorders is as high as 30%. Experts point out that sleep is an extremely important physiological function that maintains human life and is essential to the human body. Therefore, sleep disorders must be given enough attention. Long-term insomnia can lead to brain dysfunction, causing multiple hazards to the body, seriously affecting physical and mental health.

Cause

Cause

There are many external causes that may cause sleep disorders, and environmental factors are very important. The room is too bright, noisy, or the heating in the winter, the indoor air is too dry can affect the quality of people's sleep. In addition, more patients are hampering good sleep because of work stress, being too tired and always thinking about things that don't go well in life.

Examine

an examination

(1) The main complaint is that it is difficult to fall asleep, it is difficult to maintain sleep or the quality of sleep is poor.

(2) This sleep disorder occurs at least three times a week for more than one month.

(3) Focus on insomnia day and night, and worry too much about the consequences of insomnia.

(4) Dissatisfaction with sleep volume and quality causes obvious distress or affects social and occupational functions.

Diagnosis

Differential diagnosis

Abnormal amount of sleep

It can be divided into two categories: one is excessive increase in sleep, such as various encephalopathy, endocrine disorders, lethargy or drowsiness caused by metabolic abnormalities, and narcolepsy caused by brain lesions. A short-term (usually less than 15 minutes) irresistible sleep episodes are often accompanied by symptoms such as falls, sleep paralysis, and hallucinations before going to sleep. The other type is insomnia with insufficient sleep. Sleeping less than 5 hours all night, it is difficult to fall asleep, shallow, easy to wake up or wake up early. Insomnia can be caused by external environmental factors (indoor light is too strong, too much noise around, Night shift, car, just arrived in a strange place), physical factors (pain, itching, severe cough, drinking tea or coffee before bed, frequent nocturia or diarrhea) or psychological factors (anxiety, fear, excessive thoughts or excitement) )cause. Some diseases are also often accompanied by insomnia, such as neurasthenia, depression and so on.

Paroxysmal abnormality in sleep

Refers to some abnormal behaviors during sleep, such as sleepwalking, nightmares (dreams), night terrors (sudden commotion during sleep, screaming, rapid heartbeat, shortness of breath, generalized out, misorientation or hallucination), nightmares Nightmare), molars, involuntary laughs, involuntary movements of muscles or limbs, etc. These paroxysmal abnormalities do not occur in all night sleep, but mostly in a certain period of sleep. For example, sleepwalking and night terrors occur mostly in the later stages of normal phase sleep; while nightmares are more common in the middle of normal phase sleep, even in the early stage; molars, involuntary laughs, muscles or limbs are more common in the early stages of normal phase sleep; Nightmares often appear during heterosexual sleep.

It can be diagnosed according to the patient's symptoms.

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