Disorders of the sleep-wake time program

Introduction Ordinary people usually sleep for 1/3 of a day and night, that is, wake up during the night to sleep, forming a sleep-wake rhythm. Sleep-wake rhythm disorders are sleep disturbances caused by sleep-wake rhythms that are not consistent with routines. The disease is more common in adults, and it is rare in children or adolescents.

Cause

1. The rhythm of life is abnormal. The habits of long-term specific environment formation are related to the occurrence of this disease, and often occur in people who work and live irregularly at night.

2. Psychosocial pressure. About one-third of patients have pre-existing pressures such as interpersonal relationships, learning burdens, job search, and environmental changes. The anxiety caused by stress can delay the sleep time, wake up, and wake up early, causing the entire rhythm structure to be disordered.

an examination

Related inspection

Brain CT examination EEG examination

1. The patient's sleep-wake rhythm does not match the required (ie, the social requirements of the patient's environment and the rhythm that most people follow).

2. The patient center is insomnia during the main postoperative sleep period and appears to be sleepy during the awake period.

3. I am obviously distressed or have impaired social function.

4. Almost every day and at least months of goodness.

5. Exclude secondary sleep-wake rhythm disorders caused by physical illness or mental disorders such as depression.

Differential diagnosis

Sleep disorders include: lack of sleep; want to sleep but can not sleep, until two o'clock in the morning to sleep, poor sleep quality; despite sleeping all night, still feel unable to eliminate fatigue.

Heterostatic sleep: behavioral or physiological abnormalities during sleep.

Primary insomnia: It is difficult to fall asleep or stay asleep, or feel uncomfortable after waking up (even if sleep is normal, you feel inadequate rest).

Primary narcolepsy: The patient complains of excessive sleep, prolonged sleep, or a daytime sleep episode.

Narcolepsy: The patient can't control the onset of sleep with a sudden loss of muscle tone (stumble). Note: Stumble is an instant entry into the REM sleep phase, and this symptom involves REM disorders.

Respiratory-related sleep disorders: excessive sleep or insomnia is caused by sleep-related breathing difficulties, including the following symptoms:

Obstructive sleep apnea: The respiratory system is still active but the airflow has stopped (hiccup).

Central sleep apnea: short-term respiratory arrest, often associated with a central nervous system disorder.

Mixed sleep apnea: a combination of obstructive sleep apnea and central sleep apnea. A symptom similar to insomnia.

Physiological rhythm disorder sleep disorder: persistent or repeated disturbances lead to excessive sleep or insomnia, which is due to the patient's 24-hour sleep-awakening rhythm pattern and the rhythm required by his or her environment.

Night terror: more common in children, no threat to health. Usually, night terror occurs in the fourth sleep stage of the child, when the child is difficult to wake up, but will scream after being frightened. When you finally wake up, your child may still feel fear, but remember that the sleep mental activity has caused night terrors.

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