Insomnia

Overview

Insomnia is a common problem — approximately half of American adults report experiencing insomnia at some time. It affects both men and women, although females and elderly are typically affected the most. The condition is classified into three groups depending on the length that it lasts:

Transient insomnia is defined as lasting for a few nights
Intermittent insomnia is periodic episodes of insomnia
Chronic insomnia occurs on most nights and lasts a month or more

Although insomnia is not considered a serious medical problem, lack of sleep can seriously impact your quality of life. It can make you feel tired, depressed and irritable, as well as impair your concentration.

虽然每个人都不一样, most adults need about seven to nine hours of sleep to feel completely rested. And, despite common belief, the need for sleep does not decrease with age.

Causes

一些最常见的失眠原因包括:

Stress
Anxiety
抑郁症

其他可能导致失眠的因素包括:

整天喝太多咖啡因
睡前饮酒
白天过度打盹
环境和睡眠时间的变化
Noise
Jet lag
某些药物
由疾病引起的疼痛，如关节炎

我们治疗失眠的方法

At UCSF, our sleep medicine specialists offer a comprehensive range of services and treatments for conditions such as insomnia, 睡眠呼吸暂停, 周期性肢体运动障碍, 不宁腿综合症, 嗜睡症和打鼾. 由美国睡眠医学学会认证, 我们的睡眠中心看到了超过2个,每年有1000名患者.

The first step in treating insomnia involves diagnosing any underlying causes that may be contributing, 包括生活方式因素, 身体状况或心理问题. Insomnia often goes away when these issues are addressed. 然而，有些病例需要其他治疗. 包括药物治疗, 光疗法和行为技术, such as relaxation therapy and sleep restriction treatment.

Awards & 识别

是全国顶尖的十大赌博平台排行榜之一
No. 肺病学全国排名第八 & 肺部手术

Signs & symptoms

失眠的症状包括:

难以入睡
经历不安的睡眠, in which you wake frequently throughout the night and then have trouble falling back asleep
早上醒得太早
Feeling tired and unrefreshed upon waking in the morning

Diagnosis

如果你认为你正在经历失眠, your doctor will start by asking you about your medical history as well as your sleep history. 你的十大赌博平台排行榜会问你和你的床伴, 如果他或她在场, 一些问题决定你的睡眠习惯. 这可能包括以下问题:

当你上床睡觉和醒来
你喝的咖啡因和酒精的量
你失眠多久了
Whether you are experiencing any stress or anxiety that may be affecting your sleep
If you snore
Any medical problems that may be interrupting your sleep

If the cause of your insomnia is unclear to your doctor, 他或她可能会要求你写睡眠日记, 你将记录:

你睡觉的时间
你需要多长时间才能入睡
你晚上多久醒一次
你什么时候醒来
你醒来时感觉如何

治疗

The first step in treatment for insomnia involves diagnosing and treating any underlying medical or psychological problems that may be contributing to your insomnia. The key to treating insomnia is to determine what is causing it and then eliminating those factors from your life. Often once the causes, such as jet lag or stress, are dealt with, insomnia goes away on its own.

However, there are some cases when other treatment is required. In addition to identifying the causes of insomnia and then trying to eliminate or reduce them, 治疗可能包括以下内容.

安眠药

通常情况下, 安眠药 are prescribed at a low dose and for a short duration of time. They are not recommended for long-term use and should be taken under the close supervision of your doctor.

行为技术

Behavior techniques may help to improve your sleep and include relaxation therapy, 睡眠限制疗法和恢复.

放松疗法

Relaxation therapy can be used to reduce or eliminate nighttime stress, 身体紧张和焦虑, 并防止你的思绪乱转, 这样你就能睡着了.

睡眠限制疗法

You may find that if you are unable to fall asleep or wake up in the night, you spend a lot of time in bed trying unsuccessfully to sleep. If so, you may benefit from a sleep restriction program that initially allows only a few hours of sleep during the night. Gradually this time is increased until a normal sleep period is achieved.

整理

整理 aims to condition your body to associate the bed and bedtime with sleep. For most people, this means using the bed only for sleep and sex. People are advised to go to sleep only when very sleepy, 每天在同一时间起床和睡觉, 如果他们无法入睡, to get out of bed and leave their bedroom and not return until they feel sleepy again. 在这个过程中不建议打盹.

加州大学旧金山分校健康 medical specialists have reviewed this information. It is for educational purposes only and is not intended to replace the advice of your doctor or other health care provider. We encourage you to discuss any questions or concerns you may have with your provider.