"Sleep Disorders: Sleeping Soundly for Restless Souls" Dr Azmat Qayyam
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Transcript of "Sleep Disorders: Sleeping Soundly for Restless Souls" Dr Azmat Qayyam
SLEEPLESS SOULS
How is My Sleep?
Do you Still Feel Fatigued or Sleepy during the Day?
Any Near Misses while Driving?
Can You Concentrate?
How is your Short term Memory?
Normal Sleep Average Sleep is around 8 hours
Range 5-10
Four stages of sleep
REM and. Non REM
One Third of Our Life Time Spent in Sleep
Why Sleep is important?
Restorative Theory of Sleep
Adaptive theory of Sleep
Energy Conservation Theory
How much sleep We Need?
Average 7-8 hrs
Core Sleep at Least 6 hours
Repair the day time Wear and Tear
Maintain adequate daytime functioning
Symptoms of Lack of Sleep
Daytime Tiredness
Daytime. Sleepiness
Irritability
Anxiety
Forgetfulness/ poor Performance at Work
Family Discord
Accidents
Common Sleep Disorders
Poor Sleep Hygiene
Obstructive SleepApnea
Insomnia
Restless Leg Syndrome
Obstructive Sleep Apnea
Pathophysiology
Consequences
Effects
TREATMENT OF OSA
Gold standard treatment is CPAP. Therapy
Surgical intervention is absolutely last resort
Dental Divices are also one of the option for Milder cases
Symptoms of OSA in Children
Snoring
Resp Pauses
Restless Sleep
Diaphoresis
Enuresis ( Bed Wetting)
Increased Work of Breathing
Choking Noises
Frequent Awakenings
Dry mouth
Symptoms in Children Diurnal
Behavior Problems
Poor School Performance
Morning Headaches
Attention Deficit Disorder
Aggressive Behavior
Insomnia
Inability to Fall asleep
Inability to Maintain Sleep
Waking up with feeling being tired
Waking up Earlier than Desired
Insomnia
Short-Term Insomnia. Symptoms less than 3 months
Chronic Insomnia. Three times per week for more than three weeks.
Other Insomnia
What Havoc Cell Phones causing?
Light right before Sleep Affects Melatonin Release
It Alters Circadian Rhythm
Breaks Sleep just being on Nightstand
Radiation Affects on Brain yet too Early to conclude
Behavior TherapySleep Hygiene
Stimulus Control
Relaxation
Sleep Restriction
Cognitive Therapy
Cognitive Behavior Therapy
Other Approaches
Medications
Benzo
Non benzo
Melatonin Agonists
Orexin Receptor Antagonists
Risks. Too. Many
When do I Feel Great
After Great Night Sleep
And after 1 Hour of Squash or Two hours of Tennis