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Sleep disturbance is one of the most common complaints found in patients who visited the doctor. It is estimated that each year 20% -40% of adults have difficulty sleeping and 17% of them in serious trouble.

The prevalence of sleep disorders tend to increase every year, it is also in accordance with increasing age and various causes. Research shows that sleep disorders increase the incidence of various diseases kardioserebrovaskuler. This is mainly related to disturbances in breathing during sleep (sleep disorder breathing).

Breathing disorders during sleep

There are 2 kinds of breathing patterns during sleep disturbance, such as Hypoapnea and apnea. Hypoapnea characterized by airway narrowing 50% -80% for more than 10 seconds and a decline in oxygen saturation of more than 3%.

While sleep apnea is characterized by the narrowing of the airways more than 80% for more than 10 seconds and a decline in oxygen saturation of more than 3%.

There are three types of sleep apnea is central sleep apnea, upper airway obstructive apnea, and forms a mixture of both.

Sleep apnea is a breathing disorder that occurs during sleep, which lasted for more than 10 seconds. Pathological sleep apnea say if the patient experienced episodes of apnea, at least five times in one hour or 30 episodes of apnea during the night. These periodic movements during chest and abdominal wall is very dominant.

Central apnea is common in old age, characterized by intermittent reduction in respiratory capacity due to decreased oxygen saturation. Central apnea is characterized by cessation of airflow and respiratory effort during sleep periodically, so that the movement of the chest and abdominal wall disappeared. It is possible damage to the brain stem or hiperkapnia.

Respiratory disorders (upper airway obstructive) during sleep characterized by increased respiration during apnea, increased effort and chest muscles with the aim of the abdominal wall to force air in through the obstruction. This more severe disruption if the REM phase. Respiratory disorders are characterized by gasping for breath or snoring during sleep.

Snoring is a sound place 3-6 times and then disappeared, and repeated every 20-50 seconds. Apnea attacks when the patient does not snore. As a result of hypoxia or hipercapnea, causing more active respiration is activated by the formation retikularis and medullary respiratory center, with the result that the patient awake and respiration back to normal reflexes.

Both at the central or obstructive apnea, the patient is often awakened repeatedly at night, which is sometimes difficult to fall asleep again. These disorders are often characterized by headache or feeling uncomfortable in the morning. In children is often associated with congenital respiratory disorders. In the adult respiratory obstruction septal defect, hypothyroidism, or bradikardi, heart disorders, hypertension, and stroke.

OSA (obstructive sleep apnea) and stroke

Obstructive sleep disturbance is one form of stroke risk factors are new. Recent studies Dräger (2007) showed no increased risk of stroke by 2.52 times in people with sleep apnea. It is also associated with increased risk of hypertension in OSA patients.

OSA is often found in stroke patients who managed to live, as much as 63% of those who survive, having this disorder. More evidence has shown the existence of a causal link between sleep apnea and stroke.

Excessive fatigue during the day associated with sleep apnea can affect the results of post-stroke recovery. Excessive fatigue during the day can reduce the ability and motivation of stroke patients to continue to run the recovery program. As a result, training for recovery is not done regularly, inhibition of recovery and the results will be much worse.

How to handle?

Before looking for diagnosing the cause of a sleep disturbance, should be determined beforehand and duration of type of sleep disturbance (duration of sleep disorder), by knowing the type and duration of sleep disturbance. In addition to helping identify the cause also can provide adequate treatment.

The diagnosis of sleep disorders facility established in the Laboratory-Based Treatment Overnight Sleep Study (Polysomnography Complete). The medical team will formulate guidelines appropriate measures the degree of sleep disturbance, patient selection, overall health status, and patient expectations.

Insomnia is a person’s inability to sleep at night. Insomnia can be caused by stress, changes in normal sleep patterns or certain medical conditions. insomnia may occur in the short term or long term. A sleeping pill can be effective for short-term insomnia but not for long-term insomnia.

According to the National Institutes of Health, insomnia affects more than 70 million Americans. woman generally two times more likely to suffer insomnia than men. women are more likely to have insomnia during menstruation, pregnancy or menopause. In addition, insomnia tends to increase with age.

Insomnia Symptoms

there are some symptoms that may be felt someone who has insomnia.
- Difficulty to sleep even though they feel very tired
- Difficulty to maintain sleep
- Awaken frequently at night
- Rising very early in the morning
- did not feel fresh even after 8 hours of sleep
- Lack of energy during the day
- Hard to think clearly
- Difficult to concentrate or stay focused
- Always angry
- The day was always sleepy and tired
- Usually they always take sleeping pills before they fall asleep

Types of Insomnia

1. Acute insomnia, short-term insomnia which happens from time to time. This is more likely to occur because of lifestyle, because of stress or pressure, poor sleep patterns or treatment. This type of insomnia is easy to treat, just by practicing better sleep habits or learning how to better relieve stress.

2. Chronic insomnia, long-term insomnia which happens nearly every night, it can last for weeks and even up to several months. This happens because of anxiety, depression, chronic stress or chronic medical conditions. To overcome the chronic Insomnia, the underlying emotional or medical conditions should be treated.

3. Primary insomnia, insomnia lasts from one night to several weeks, it is more likely to occur with poor sleeping habits such as lifestyle habits are not healthy or not set sleep schedule. This simple and easy to treat Primary Insomnia, only to return to normal healthy sleep habits.

Insomnia is a risk factor arising which can lead to depression which significantly affect the quality of life. By not having enough to get a good sleep, it can cause depression, psychological pressure.

A decent night’s sleep is the best form of relaxation. Here are some tips on the best of his nightly routine.

On average, a person seven to nine hours of sleep a night is needed, depending on the individual. It is important that the general welfare is that you get enough sleep quality, such as sleep deprivation is very common, one in three people with sleep disorders at some point.

It is important to try to establish a routine before bedtime, and one way is to run yourself a hot bath. This is a great way to wind blowing, relax and feel good. At the same time, you can read a good book, some gentle stretching, or listening to your favorite music and soon be ready for bed. This type of destruction after a hard day of relaxation for the release of endorphins.

If you have trouble sleeping when lying in bed, try these tips. Instead of your back straight, your body. Do you work your body and the share of each hand, muscles tense and then relax. Once done, press the head back and relax on the pillow. Start focusing on your breathing, taking long breath, held for a second and then exhale slowly. This will help clarify your thoughts and relax the body.

Exercising daily, late afternoon or evening will also help facilitate sleep later, and it is also important for your fitness and overall wellness. Finally, make sure your bedroom is dark and quiet and that you are your bed is comfortable enough to ensure you have a great nights sleep.

If you suffer from panic attacks during the day, you may have also experienced nocturnal episodes. Waking suddenly, my heart was pounding, shortness of breath, Cramps and the sense of terror – a good thing? During the last attack was only about ten minutes, you can not sleep until the wee hours of the morning – perhaps an hour or two before getting up and before the next day.

Panic attacks or sleep at night not to be confused with a nightmare. This is a continuation of what bothers you in the course of the day – fear. The same triggers the beginning of a panic attack during the day to report her unconscious in the night. Experts are hard pressed to say exactly what causes panic attacks, but strong theories, including the lifestyle that chemical imbalances in the brain and behavior learned.

So what can you do? The first step is to get a complete physical examination. Physicians must first rule is not sleep apnea is that, if it does not support enough air into the lungs during sleep. This leads to pauses in breathing that disturbs sleep. This disorder can cause symptoms similar to panic attacks at night, but it is something completely different.

Once this or any other physical cause has been excluded, are the providers of health care in their lifestyle to be seen. Sleep patterns, presented the favor will be – no coffee or alcohol in the last part of the day, no TV in room, no heavy exercise
happy before going to bed (except sex, which produces endorphins in the brain. Endorphins are chemicals, so it’s good). Capable of a cup of herbal tea before bedtime can be effective, be an advantage.

From this follows the same pattern as the treatment of panic attacks during the day. If attacks are frequent, a sedative may be prescribed as an interim measure. During the administration of sedatives is not ideal because it can be addictive and sleep quality can not induce sleep, first a little sleep is better than nothing. The effects of a constant lack of sleep in our physical and mental health can be devastating.

A positive approach is cognitive behavioral therapy. Here, first change the thought process, which in turn leads to behavior change. This approach is very successful, but not directly – it may take weeks or months before there are results.

The most effective treatment is one that follows a plan from your doctor. The best results are a combination of all the points that we receive as discussed above. What is important to know that nobody has to suffer panic attacks – day and night. They are curable.

Snoring is a serious problem that interferes with what is old as the hills. Many people have solutions for snoring, but is implemented many solutions to the problems of snoring said non-functioning labor. The problem of snoring that all solutions work for everyone, but this part is the cure for snoring that work out for you. Snoring can be quiet annoying when you wake up next to your partner or you grunts. Therefore, we must do everything to preserve the solution of the working class to the problem of snoring too. They must also be proactive about your snoring problem to share with people who begin to give you proof that it is not well founded for the ego and morality.

In many cases, snoring refers to a combination of factors, therefore, causes, so that a quick solution is not possible. Snoring can be caused by physical conditions such as polyps or enlarged a deviated septum or a broken nose. There are essentially two types of nasal breathing (nose) and mouth. In cases where the front is closed at night, of course, you can switch to mouth. If you have a nasal breathing is good news, because the air through the nasal passage is the cleanest. In this case, the practice of breathing, the best thing to help as a means of exploring open throat muscles and tongue and jaw.

In cases where the snoring does not come out when the mouth is blocked, so keep your mouth closed at night. It is a solution against the roar of work, snoring noises disturbing to many of their mouth. In this case, you can also consider the use of private aid, instead of the chin strap, which can really help my mouth to the point where they reformed to make the body alone. You can also use the path of bands with up to 2-3 months. This is one of the be-and manufacturing solutions, snoring.

In some cases, snoring is caused by a narrowing of the neck at the base of the tongue. If you choose them, then create your snoring gently normal and language significantly in May during the process of trying to breathe through the nose, snoring again. If not, you can create the sound, then it implies that there is a blockage of the language. In this case, then the working solution will be the special program that aims to increase the throat and tongue.