29 April 2010

Insomnia and Sleep Medicine

Have a moment you want to sleep but your eyes will not shut? It sucks, Time was so slow and so boring. Morning? Fatigue did not go away and when the need for high concentrations of employment, the sleep attack.

Insomnia, medical term for insomnia, it is a medical condition that can be easily found. From mild to chronic. Unfortunately, this condition is rarely handled from the outset.

Medical cause sleep quality of patients rarely ask patients and vice versa are also rarely reported insomnia problems they experienced. In addition there is the assumption that insomnia did not result in physical and psychiatric disorders that do not need treatment. Now this assumption is wrong.

Sleep disorders, classified into two types, namely:

1.Insomnia Transient (intermittent).
Transient insomnia may last several days and the cause is known as acute medical conditions, environmental changes, stressors (eg work pressure) and drugs. Insomnia is more easily resolved because the cause is quite obvious.

2.Insomnia Chronicle.
Chronic insomnia happens because it does not qualify the quality and quantity of sleep and stay for at least a month. For this type of insomnia, various factors involved, including psychiatric problems, so that the cause should be traced with care.

Impact of insomnia for the sufferer is a decline in quality of life. Insomnia is associated with the incidence of Rheumatic pain, work absenteeism, accidents and decreased productivity. Level visits to health facilities insomniacs were also higher than normal. This means that patients with sleep disorders are more susceptible to illness.

In psychiatric disorders (psychosis), also found the relationship with insomnia. Approximately 40% have comorbid with insomnia. Risk of depression and anxietas (anxiety) increases with increasing sleep disturbance. Insomnia can be a predictor in assessing the physical and emotional state. Insomnia sufferers experience depression more often than normal. Besides insomnia can be considered as part of sub-clinical depression or symptoms of depression.

Handling of insomnia can be done through two methods, namely pharmacotherapy (with drugs) and non-pharmacotherapy (without drugs).

The drugs used for insomnia are psychotropic drugs (tranquilizers, and sleeping pills / hypnotics). The drugs of this class have a psychological effect, so that should be used with caution. Abuse of these drugs is quite high, so the circulation is tightly controlled.

Substances that affect sleep has been widely known. Of herbal medicines, such as valerian to opium. Also alcohol and Morphin. But the effect, such as tolerance and dependence, making use of these banned substances, especially substances from opium and Morphin.

Then treatment of insomnia and sleep disorders turn to drugs benzodiazepines groups; namely:

Flunitrazepam (Rohypnol), nitrazepam (mogadon, Dumolid), flurazepam (Dalmadorm), klordiazepoksid (Librium), diazepam (Valium, Valisanbe), triazolam (Halcion), klonazepam (Rivotril) also estazolam (Esilgan).

Benzodiazepine drugs of this new work has a more rapid and long. However, the effects of tolerance, withdrawal symptoms of drug and memory disorders still exist.

Anti-anxiety drugs (anti-anxiety:) Alganax, Xanax, Frixitas, Ativan, is also often used to treat insomnia.

This is based on an analysis that insomnia is part of depression and anxiety, so the anti-anxiety medication can also be used to treat insomnia.

Tricyclic antidepressants, such as amitriptylin (Mutabon, Limbritol), used for insomnia due to its ability to improve mood, treat depression and improve sleep patterns.

Because the drug affects the psyche of insomnia, then chances are very great abuse. Therefore the use of these drugs should be watched closely. Remember, sleeping pills to sleep .... yes and no other.

In addition to the ways of drugs, insomnia can also be overcome by non-pharmacotherapy, ie, improving sleep hygiene, relaxation, hypnotherapy, and avoid habits that can disrupt sleep, such as drinking coffee, reading before bed and avoid physical activity before bed

The bed is clean, comfortable and quiet will be very helpful. Avoid loud voices and boisterous.

1 comment:

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