Saturday , June 19 2021

Insomnia: Why can I no longer sleep in the evening? | BuenaVida



It is before bedtime and the body wants a break. The eyelids close and, under the comforter, the body relaxes … but the feeling of interruption goes on for a moment. One more time insomnia knocking on the door of the bedroom, and you can not do anything to prevent him from going through. You know what will happen to you all night that you will rest bad and that the fatigue will increase only the next day. You can not stop wondering why. Why did you suddenly stop sleeping at night?

There is no answer to the question, but This does not mean that the origin of the problem is unknown. Insomnia can be caused by physiological causes such as hormonal changes, including menopause and adolescence. There may also be an organic reason to be a symptom of a disease. Sometimes only psychology and psychiatry can reveal the reasons for this. Of course, this is also related to imbalances caused by changes in shifts and often changing time zones, and an unbalanced diet that includes too much alcohol or caffeinated beverages can also cause insomnia.

But it is not a nuisance that one has to release, as if he had no means of protection. Thanks to the scientific progress of recent years, Sleep devices can treat nearly 90 different types of disorders, and in all ages. Among them there are several types of insomnia, and knowing which one prevents you from closing your eyelids is essential because not everyone is treated equally.

Home insomnia, weight for teenagers

Physicians define it as unable to sleep during the first 30 minutes after bedtime, and this is a typology that can occur at any moment in life. But this is especially common during adolescence. The co-ordinator of the Department of Neurological Sleep Disorders at La Paz Hospital in Madrid Milagros Merino says that in this case she is motivated by hormonal changes. The delay at the beginning of the rest is withdrawn until awakening, so there are young people who, if they can, stay in bed by noon.

"The biggest problem for these people is that when insomnia is prolonged, it is confused with pathologies such as depression," says the specialist. That is why someone who is involved in this type of situation can get unnecessary medication or start worship by different specialists instead of going to a sleeping unit where he knows the problem well.

"If the situation is not addressed correctly, For the sufferings of lack of sleep there is a drop in academic achievement, when many times the decision is as simple as the proper regulation of melatonin, accompanied by a change in habits and habits to concentrate the most activity during the day, explains Merino, and there are studies that indicate a delay in the beginning of classes in this age leads to a better academic performance of all adolescents.

When menopause and retirement take a break

In more advanced moments of life, the way the dream becomes an impossible mission develops at the same speed as the body of women. Head of Sleep Deprivation Hospital of Vall d Hebron, Odile Romero, describes the insomnia that occurs with menopause as "psychophysiologically motivated by the hormonal changes observed by women at that time and causing a change in circadian rhythms." This situation is likely to continue over time and this can have dangerous consequences.

"Patients lose confidence to return to sleep as before and start to stop drinking coffee, exercise, change the menu … often incorrectly prescribed anxiolytics such as Orfidal – whose consumption is alarmingly high in Spain, which they do not know how to quit or think they will not fall asleep without the pills, warns Romero. "The menopause sleep disorder may appear as insomnia at the beginning but also on maintenance is the one that has experienced those who wake up in the middle of the night and do not return to sleep.To put an end to these episodes, it is necessary to define a strategy for each case.

Another problem associated with age-related insomnia lies behind him the myth that we are sleeping less than 60 years old. As experts explain, faith conceals disorder while maintaining insomnia. "It's not true that people in the third age have to sleep for less hours, lack of sleep can be a symptom of a disease and, when there is no pathology, the cause is caused by poor regulation of procedures," says Marino, Neurological Sleep Disorders "in La Paz. New habits and sleeping hours acquired after retirement may be the cause of the disorder that begins with the avoidance of microsystems and the concentration of the greatest amount of activity in the moments of daylight.

What would happen if he spent the night in a dream?

To dream that you have not dreamed is the height of the paradoxes of dreams, and there are those who experience it diligently. They suffer from a paradoxical insomnia, a disorder characterized by an erroneous self-assessment of sleeping hours. According to Merino, "are the patients who arrive at the consultation, saying that they spend their nights awake, but when their sleep is analyzed, they see that they sleep for 7 hours, with good phases of deep sleep and REM. Once they even got angry at us or thought the test was wrong, it is a disorder and should be resolved, not with pharmacology, but with psychotherapy.

The feeling of sleeping without rest is something different, it often affects people who snore and are usually caused by micro-excitations that the patient may not know.

Do not look at the screen, it will take away the desire to sleep

According to experts in sleep medicine, getting used to mobile phones, tablets, computers and smart clocks at night is a habit that can lead to a serious problem. "The screens emit some very strong blue light, which at a close distance, It inhibits endogenous melatonin, which makes the brain act as daylight. explains Merino. Light, which is the main synchronizer of the brain in terms of night and day, makes the person unable to sleep, and its influence is so strong that if a hypnotic is taken and left exposed to the light of the devices, the medicine will have no effect. In these cases, it is important to take into account the procedures preceding bedtime and try to change them if necessary.

Experts do not see the same risks on TV, at least for the time being: "The larger screen exposure means it does not affect insomnia so much," says Marino. But if you plan to buy a TV for the bedroom, the expert advises you not to choose the largest or the larger definition. Neither recommend video games before putting your pajamas because the problem "is not just exposure to light, there is brain stimulation," he concludes. And sleep is not a game.

What should I do if I have insomnia?

The Spanish Sleep Society insists on the importance of maintaining a routine childhood practice that includes regular holiday schedules and where the greatest activity is concentrated in the hours of the day. In order not to complicate the situation further, it is important that when a person can not hit the eye, he gets out of bed. It's better than lying on the mattress because it avoids adding insomnia to a picture of stress and anxiety. And there is no time to kill with your mobile phone, tablet or computer because it is counterproductive.

Treating the problem requires a visit to a sleeping room where all mental, respiratory and neurological illnesses are treated at all ages. And the sooner you consult the doctor, the better, as it helps to prevent chronic insomnia. It is also very important not to be self-medication, much less with Orfidal, whose presence in home offices is closely related to sleep disorders. This medicine is not a sleep pill, but an anxiolytic agent, which means it is designed to treat anxiety rather than insomnia. Anxiolytics, in addition to creating dependence, can aggravate sleep disturbances and cause memory problems. Anyone who already uses them needs to know that their withdrawal should be scheduled.

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