October 24, 2014

Better Ways To Fight Against Insomnia

Insomnia is the most common disease among all people and  it may be disabled in the elderly age. Individuals  with Insomnia have impaired next day functioning and increased risk of depression which affects their quality of life. People are never aware of certain things regarding this disease so today we are going to discuss about this disease in brief.

Short-term insomnia

It has been observed in 15-20% of the general population in developing

Countries which have chronic insomnia  which last over one month  occurs in 1- 15%of population.

Main causes of Insomnia

  • Psychological  problems, Fear, Stress, Emotional Tension , Work problems.
  • Psychiatric problems such as clinical depression, anxiety and Post Traumatic Stress Disorder.
  • Psychoactive  drugs or stimulants including caffeine cocaine,Ephedrine,amphetamines and Methylphenindate.

Medical Conditions

  • Cardiac: – Ischmenia and Congestive heart failure.
  • Endocine: – Hyperthyroid and menopause.
  • Neurology: – Stroke, Alzheimer’s disease.
  • Pulmonary: – Chronic Obstructive Pulmonary disease, Astma.
  • Gastrointestinal:- Gastrointestinal reflux disease.

Environmental

  • Pregnancy
  • Stressful or life – threatening events.
  • Disturbances of the circadian rhythm-shift work .
  • Environmental  noise or other disturbances bed – partner with snoring problems.

Symptoms of Insomnia

  • Symptoms of Insomnia  may include the difficulty of falling asleep and not feeling restored by sleep.
  • Most  often  daytime symptoms will bring people to seek medical  attention. These day problems caused by insomnia include
  • Lack of concentration
  • Lack of Memory

Irritability

Impaired Social  Interaction.

Treatment of Insomnia

Cognitive behavioral Therapy

The potent  treatment for insomnia is cognitive behavioral therapy should be considered as a first – line intervention for chronic insomnia. Recent  Study  had shown  that cognitive behavioral therapy had a long- term effect  of improved sleep – related psychological compare to other medications  in chronic insomnia.

Pharmacological treatments for Insomnia

Pharmacological treatments for it involve judicious  and intermittent usage of benzodiazepine or non  benzodiazepines or non- benzodiazepine hypnotics

BENZODIAZEPINE

The most commonly used class of hypnotics is benzodiazepines such as

  • Temazepan
  • Flurazapene
  • Midazolam.

Non- Benzodiazepines                                                  

Ben zodiazepines cause both psychological and physical dependence and the same memory and cognitive disturbances in addition to sedation.

Sedatives used in the treatment of Insomnia include antidepressants and anthihistaminis long term  use of sedative hypnotics contraindicated due  to adverse effects that can outweigh benefits, including habituation , dependency and impairment and of daytime psychomotor cognitive performance.

General therapeutic Recommendation for Insomnia include the following

  • Practice relaxation techniques before sleep time.
  • Avoid large meals,excessive fluid intake and strenuous exercise before bedtime.
  • Avoid sleep: – Disturbing substances such as Alcohol, Nicotine and Caffeine before bedtime.
  • Avoid reading  and watching television
  • Establish between bedtime routine.
  • Better guidelines for better night’s sleep

To have a good and comfortable sleep we should follow the following steps

  • We should have  regular bedtimes to wake – up times.
  • Develop a bedtime ritual to relax before you go to bed.
  • Go to bed only when you are sleepy, sleep as much as possible to feel  healthy.

Insomnia may be a  dangerous disease which is sometimes unbearable.We should be careful regarding it and try to ne aware of these facts and good sound sleep is a must for everyone.Tension and stress is very bad for our own health we should be conscious in this regard of the disease called Insomnia .

 

 

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