Insomnia is one of the most common sleep disorders, it is the main performance is difficult to fall asleep, sleep easy to wake up, wake up e
Insomnia is one of the most common sleep disorders, it is the main performance is difficult to fall asleep, sleep easy to wake up, wake up early, sleep quality and sleep time decreased significantly. Insomnia is a common phenomenon in people's lives, according to epidemiological survey, the number of people in the United States accounted for 3.2% of the total number of insomnia to 3.5%, the United Kingdom accounted for 10% ~ 14%, Japan accounted for 20%. Our country does not have exact statistics in this area, but it is estimated that at least 10%.
Insomnia is a common phenomenon is difficult to sleep, this is also known as insomnia insomnia". When lying in bed, the brain more and more sober, past things like a movie, keep in mind manifesting, more is to force yourself not to think about these things, the more easy to cause irritability, can not sleep, so toss about not sleep, has been turned over to one or two hours to get to sleep. There is a kind of insomnia is to go to bed, the brain does not want anything, is to open their eyes can not sleep, this is called "insomnia"".
Another manifestation of insomnia is sleep easy to awake after sleep, the brain still maintain certain alert degree, a slight shake was around awakened overnight, repeatedly, the actual sleep time is less, second head faint, feeling tired and weak. This kind of insomnia is also called "shallow sleep insomnia" or "intermittent insomnia"".
There is also a kind of insomnia performance is to go to bed after also can quickly fall asleep, but wake up very early. After waking up, it is not easy to fall asleep again, wait until dawn, this kind of insomnia is called "early awakening insomnia" or "end insomnia". This phenomenon is more common in the elderly. In short, insomnia has a variety of performance, some people only one performance, there are a lot of people at the same time there are several manifestations, the most common is difficult to sleep, but also easy to wake up.
However, "insomnia" is different from "insomnia"". "Insomnia" is just a temporary phenomenon, may be accidental,; while "insomnia" is a long-standing phenomenon of sleep, and daytime listlessness, tired and weak, emotional instability, inattention, and sometimes flustered, palpitations and other autonomic dysfunction phenomenon.
The treatment of insomnia has two levels, mainly due to treatment, actively looking for the cause of insomnia, because for most insomnia, insomnia is only a manifestation of insomnia may be behind more mental or psychological disorder, because the survey found that nearly 50% of chronic insomnia is caused by psychological disorders. Anxiety, depression, obsessive-compulsive, terror can be accompanied by varying degrees of insomnia, in addition to the work pressure, interpersonal disputes, children's education, the relationship between husband and wife and other social and psychological factors can cause varying degrees of insomnia. Only 15% of insomnia can not find a clear cause, the clinical name for primary insomnia. So the most important insomnia treatment for insomnia reasons, positive for the treatment, in order to really cure insomnia.
The second level is the treatment of insomnia due to symptomatic treatment, active treatment at the same time, to improve the symptoms of insomnia, symptomatic treatment and drug treatment and non drug treatment, drug treatment is not recommended to use drugs, such as diazepam alprazolanic, diazepam, clonazepam, because these drugs not only is the potential harm of addiction, but also affect people's memory. Because these drugs are long half-life of second days, often dizziness and be sleepy straws feeling, commonly known as hangover phenomenon. In addition, these drugs often have the role of muscle relaxation, often feel weak after taking the pill, the elderly tend to fall. Clinically, it can be seen that the elderly suffered from fractures caused by falls after taking clonazepam. It is not recommended to use or must be used under the guidance of a specialist, is another kind of hypnotic drugs are new in clinical application, such as zopiclone (sanchen) and zolpidem (Si North)
And zaleplon, common features of this class of drugs is rapid onset, short half-life, there is little risk of addiction, and the hangover phenomenon without stability. This kind of medicine can really achieve on-demand treatment, that is, when you can not sleep again, without the need for preventive use. However, the disadvantages of this kind of medicine is the general hypnotic effect, the effect of severe insomnia is not ideal. On the serious insomnia, there is a class of drugs with antidepressants and anti anxiety and antidepressant effects, such as Mi Danping, trazodone, because these drugs are psychotropic drugs, must be used under the guidance of experts.
A lot of non drug treatments for insomnia, the American Association of clinical psychology research on insomnia, proven method has three kinds: one is the sleep stimulus control therapy, two ambitendency therapy, relaxation therapy is three. The so-called sleep stimulus control therapy is a treatment for patients with chronic insomnia, the specific approach is not sleepy 1 do not go to bed. 2 go to bed after not doing any thing has nothing to do with sleep, such as reading books, listening to music, 3 go to bed half an hour can not sleep, get out of bed, free to do what, sleepy and then go to bed at night, 4 no matter how have second days to get up on time. 5 avoid daytime sleep. Insist on doing so on chronic insomnia, especially sleep difficulties will have a good effect. The so-called ambitendency therapy is for those who fear insomnia insomnia patients, these patients have unusual fear of insomnia, pay special attention to your sleep at night, they begin to worry about insomnia, try every way to help sleep, especially the closer sleep more to worry about, but it is precisely this kind of fear anxiety interferes with sleep, so as to form a vicious spiral. The more you can't sleep, the more worried you are. For patients can use ambitendency therapy: that night to tell myself tonight can not sleep, free to do what you can, the purpose of this is to break the vicious spiral, because sleep is a physiological process, to a certain time, sleepiness and drowsiness come naturally. The purpose of this treatment is to eliminate the fear of insomnia and insomnia. Many studies have shown that anxiety will affect the endocrine level, thereby affecting the quality of sleep, while appropriate to relax the regulation of the endocrine level, contribute to the improvement of sleep, this relaxed many forms: listen to music, walk etc.. This relaxation, especially in the evening, helps to improve sleep quality. This is called relaxation therapy. The more relaxed, the better the improvement of sleep quality.
It should be noted that, due to physiological differences, each person is different from the need for sleep. Especially with the growth of age, the need for sleep will be less and less. This is a normal physiological phenomenon, there is no fear. There is only a reduction in sleep is not the so-called insomnia, insomnia diagnosis is another aspect of its impact on the second day of life. If only the night before sleep for 5 hours and second days, almost no what feeling, energy is still abundant, this situation does not belong to insomnia. No treatment. There are some reports that people have to sleep 7-8 hours is a misleading, there is no scientific basis.
Now let's sum up:
The most important treatment of insomnia is to find the cause of insomnia. Treatment is the key to relieving insomnia. At the same time because of positive treatment, symptomatic treatment. That is to say, take some drugs that are helpful to sleep or use cognitive behavior therapy.
Specifically, the treatment of insomnia is divided into two steps, the first is symptomatic treatment, is to take some medicine to improve sleep, or take some non drug behavior therapy, such as sleep stimulus control therapy. As for what treatment needs to be based on the specific circumstances of insomnia. Symptomatic treatment can temporarily alleviate the pain caused by insomnia. Second, that is, the most important. Is for the treatment, to find and solve the cause of insomnia.
Sleep stimulation control therapy is suitable for chronic insomnia, but also a kind of symptomatic treatment. The specific approach is not sleepy 1 do not go to bed. 2 go to bed after not doing any thing has nothing to do with sleep, such as reading books, listening to music, 3 go to bed half an hour can not sleep, get out of bed, free to do what, sleepy and then go to bed at night, 4 no matter how have second days to get up on time. 5 avoid daytime sleep.