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You slept and entire night and still feel tired?
You may have a sleep disorder.
The disease is more common than you can imagine
and the cure can be found by changing some habits.
Insomnia, snoring, apnea and even depression may be caused by sleep disorders.
I am here with Dr. Sergio
who is going to tell us a little about these disorders
as the person may have a disorder and not know it.
- One of the largest difficulties we have in sleep medicine
- is to identify a sleep disorder for the people
- People have what we call subjective evaluation
- For example, people that have a sleep disorder called sleep apnea,
- and it is severe,
- you ask the person “do you sleep well?”,
- they say “yes, I sleep very well”,
- “I don´t have a hard time sleeping”.
- This is actually a symptom. He doesn´tknow it.
- He has no idea that this is the symptom of a disorder
- People that have insomnia, for example,
- How do we evaluate these people?
- Someone that wakes up every day as if they had not a minute of sleep,
- in other words,
- they have the feeling of non-repairing sleep.
- This is the description of insomnia
- People that have a hard time falling asleep,
- that is insomnia.
- People that begin to sleep,
- wake up and can't fall back asleep,
- that is insomnia.
- They have a clinical condition that is part of their daily life
- and they don´t know it.
- Another difficulty that exists in relation to insomnia
- is that people are not stimulated
- to tell their doctors about their sleep pattern
- They don´t talk about it, and when they know they have insomnia
- they don´t tell the doctor because they fear he well give them sleeping pills
- and that they will become addicted
- And you do this here with the drivers that need to work in the night shift,
- that drive during the night.
- How is this preventive treatment that you do?
- This was a program created here in the company
- The program is originally from here
- and it was created over 5 years ago
- We created mechanisms that allow us to identify people that have a sleep disorder
- those that don't have a sleep disorder,
- and we make evaluations, such as a polysomnography, periodically
- for monitoring
- An objective monitoring and follow up regarding sleep quality.
- and if we find people who have a sleep disorder,
- those that have insomnia for example, or excessive drowsiness,
- these people are treated
- Do we make many mistakes?
- There are people that watch tv and read books at bedtime
- eat foods that they shouldn´t before going to bed
- This disrupts the sleep quality, right?
- Yes, very much.
- I would call it to your attention, a recente case,
- as I travel a lot,
- Last month I met a cab driver in Belo Horizonte,
- he was 80 years old.
- And we came along talking and he said to me,
- it was about 11 pm,
- he said “Now I am going to go home, to have dinner and go to bed”
- I then stimulated him to talk and asked him what was his routine
- He said “First I take two doses of ***",
- "then I have a beer",
- "then I eat well, and then I go to sleep”.
- I allowed him to talk
- and at the end I told him he was a bomb ready to explode
- “If I had known that you did all this I would not have entered your car”.
- This allows us to affirm that
- this individual has terrible sleep quality
- and he believes that he sleeps well
Foods that should be avoided two hours before bed time:
coffee, alcoholic beverages, foods that are difficult to digest, red meat, fatty foods, Chocolate
- Is this disorder most common in men than women?
- or that doesn´t exist?
- snoring is generally common in men, isn't it?
- Look, if you will allow me to disagree with you a tad
- Is that a mistake?
- No. It's that I have a different point of view.
- If you take Medical literature, it says that men snore more than women,
- but that´s not how it is in my opinion.
- What is my theory in relation to this?
- We generally ask men about this rather than women,
- because it´s a bit of an embarrassing thing to talk about,
- but there is sleep disorder both in men and women.
- After menopause the frequency becomes the same in both of them,
- this has a relation with a certain dose of hormonal protection
- the woman lacks after this process of menopause.
- But there is treatment, right?
- Is there a way to make a turn around, isn´t there?
- No doubt.
- But there is a lack of information for people,
- Last week I had a patient who is 20 years old, in college,
- and she came here saying that she had insomnia.
- So she arrived with a diagnosis made by herself.
- When I made a clinical evaluation,
- I showed her that she doesn't have insomnia
- She has another sleep disorder which is biological rhythm disturbance
- She sleeps at four in the morning and wakes up at noon,
- a different characteristic,
- which is different from insomnia,
- which is a disorder that has treatment.
- So people actually don´t know about it,
- they confuse the type of problem
- Would you like to see an example?
- When the individual has the perception that his sleep is not repairing
- He wakes up every day with the feeling that he did not sleep well
- and thinks that is normal
- He then begins to make excuses:
- "I am worried, I am in debt"
- and he makes these excuses.
- So he maintains this process
- when he could turn it around.