End of year sleep disorders

VnExpressVnExpress29/01/2024


Tam Anh General Hospital in Ho Chi Minh City recorded that in the past month, the number of patients coming for examination due to sleep disorders increased by more than 30% compared to previous months, mainly aged 30 and over, working or retired.

On January 28, MSc. Dr. Hoang Chau Bao Dinh, Department of Neurology, Center for Neuroscience, said the above, adding that this situation occurs at this time every year. "The number of patients coming to the clinic due to insomnia in particular and sleep disorders in general increases at the end of the year due to erratic weather changes, work pressure, and parties causing illness or worsening existing underlying diseases," said Dr. Dinh.

The changing of seasons creates favorable conditions for viruses and bacteria to grow, increasing the risk of respiratory infections. In addition, work pressure often causes many people to be stressed and have anxiety disorders at the end of the year, leading to insomnia.

According to Dr. Dinh, insomnia and sleep disorders not only reduce the patient's quality of life and physical and mental health, but also increase the risk of cardiovascular disease, depression, high blood pressure and stroke.

For example, Mr. Long, 41 years old, came to Tam Anh Hospital in Ho Chi Minh City for examination because he had been having trouble sleeping recently. Due to the pressure of "running KPI" at the end of the year, he often went to bed later, about 24 hours later, and had restless sleep, often startled and had difficulty falling back to sleep. The results of a polysomnogram showed that he had obstructive sleep apnea.

Doctor Bao Dinh diagnosed Mr. Long with sleep disorders, physical weakness, and nervous tension. His sinusitis also worsened due to the change in weather at the end of the year. He also suffered from obesity-hypoventilation syndrome, which caused his airways to narrow and become obstructed during sleep, leading to a lack of blood and oxygen to the brain.

Mr. Ha, 60 years old, has been extremely sleepy during the day for nearly half a month. He always feels exhausted and tired. The results of a polysomnogram showed that he has narcolepsy type 1. The disease became more severe at the end of the year when there was a lot of pressure and irregular rest.

Narcolepsy is a disorder of the brain and nervous system that affects the body's sleep and wakefulness functions. It is caused by a low level of the protein hypocretin. The patient experiences intense daytime sleepiness, to the point of being unable to control it.

Patients undergo polysomnography at Tam Anh Hospital, Ho Chi Minh City. Photo: Provided by the hospital

Patients undergo polysomnography at Tam Anh Hospital, Ho Chi Minh City. Illustration photo: Provided by the hospital

Dr. Dinh said that to treat insomnia and sleep disorders, it is necessary to accurately diagnose the cause of the disease. The doctor will conduct a clinical examination, take a medical history, habits, and conduct an in-depth assessment of the patient using various techniques, tests, and imaging.

Polysomnography is a modern method that helps diagnose neurological and respiratory diseases that cause sleep disorders such as sleep apnea, narcolepsy, restless legs syndrome, periodic limb movements, sleepwalking, seizures... From there, doctors can provide appropriate and effective treatment methods for patients.

Depending on the cause and severity of insomnia, patients are treated with a multi-modal, individualized regimen. Doctors can combine many methods such as using drugs, functional exercise, therapeutic activities, and neurosurgical treatment to improve treatment effectiveness.

Doctor Bao Dinh recommends that people with sleep disorders such as difficulty falling asleep, not being able to sleep, waking up many times during the night, waking up early, not sleeping deeply, having convulsions during sleep... should see a neurologist for timely diagnosis and treatment. Avoid taking sleeping pills on your own as this can make the condition worse and more difficult to treat.

Truong Giang

Readers ask questions about neurological diseases here for doctors to answer


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