Sleep disorder

Changes in sleeping patterns or habits that can negatively affect health.

1. Sleep disorder

2. definition Sleep disorder are changes in that you sleep some of the sign & symptoms of sleep disorder including excessive day time sleepiness, irregular breathing or increased movement during sleep & difficulty feeling in sleep

3. A sleep disorder, or somnipathy , is a medical disorder of the sleep pattern of a person . It affcat the person normal life

4. Causes of sleep disorder 1 PHYSICAL DISTURBANCE - pain 2 MEDICAL ISSUES – asthma 3 PSYCHIATRIC CAUSES – depression anxiety 4 ENVIRONMENAL CAUSES –alcohol, smoking 5 OTHER CAUSES – side effect of medication, heavy dinner, late night exercise

5. Classification according to DSM DYSSOMNIAS 1 – primary insomnia 2 – primary hypersomnia 3 – narcolepsy 4 – sleep apnea PARASOMNIAS 1 – sleep terror disorder 2 – nightmare disorder 3 – sleep walking disorder 4 – circadian rhythm disorder 5 – nocturnal myoclonus 6 – restless leg syndrome 7 – sleep drunkness 8 - bruxism

6. 1 primary insomnia Appear slightly more common among female they cause primary insomnia can be different for each individual but often involve perception with the inability to sleep or excessive work about sleep. Many pt report that they sleep better away from home

7. 2. Primary hypersomnia Seen more common in males. It include excessive sleepiness over a period of at least one month as evidence by prolong sleep during the night or excessive day time sleep.

8. Some research suggest that sleep disruption during the night cause the individual to lack of rapid eye movement sleep & therefore feel tired despite the fact he or she has slept through the night .

9. 3. narcolepsy A disorder characterised by excessive daytime sleepiness and abnormalities of REM sleep over a period of greater than 3 months.

10. symptoms CATAPLEXY – sudden loss of muscles tone after a strong emotional stimulus such as laughter, fear DECREASE REM SLEEP – very short REM seen SLEEP PARALYSIS – inability to move the body for few second after awaking.

11. Sleep apnea is cessation of airflow at the nose or mouth during sleep. These apneic episodes usually last longer than 10 seconds each. It characterised by aloud snore followed by heavy pause. Usually seen in obese, middle aged males.

12. Types 1 obstructive - muscles atonia in oropharynx 2 control – lack of respiratory efforts 3 mixed –control at 1th but prolonged due to collapse of the airway.

13. 1. Sleep terror disorder Repetative experience of fright in which a person ( usually a child ) screams in fear during sleep.

14. The person cannot be awakened . The person has no memory of having a dream.

15. 2. nightmare disorder Occur during REM sleep. Repetative frightening dreams that cause night time awakening. The person can usually reeale the nightmare.

16. 4. Circadian rhythm sleep disorder Inability to sleep an appropriate time delayed sleep phase type involves falling a sleep & walking.

17. Repetitive abrupt muscular contrection in legs from toes to hip. More common in the elderls .

18. 7. Sleep drunkeness Difficulty awakened fully after adequate sleep must be differentiated from substance abuse or sleep disorder associate with genetic fector

19. Tooth grinding during second stage of sleep can lead to tooth damage.