Conversation with the Doctor: you want to know more about the sleeping habits of the patient. Also the partner can give important information
The international classification of sleep disorders (ICSD, International Classification of Sleep Disorders) divides sleep disorders into different groups and severity levels from easy to difficult. The classifications are regularly adapted to the latest findings from sleep research (see the overview Chapter). You give the doctor helpful instruments when it comes to diagnosing a sleep disorder. In the foreground is for him, however, what the Patient reports, as he takes his sleeping problems, in which Form his everyday life Snoring Chin Strap this will affect, and what complaints he has. However, few people have the subjective impression to sleep poorly or too little, but during the day, physically and mentally fit. The well-being and efficiency of the day are important criteria for the doctor, if he is to assess a sleep disorder. So sleep experts call, in the meantime, sleep disorders are also more correct than the “not restful sleep”. Because on the other hand, there are people who do not perceive disruptions of their sleep, the have the feeling, sleeping, normal. On the days you are sleep-deprived and suffer from concentration and performance weaknesses.
To be able to sleep habits and complaints in more detail to capture, it helps many sufferers to keep a sleep diary and over one or more weeks, sleep habits, and experiences to write down. The list of questions of the physician, provides essential clues. The medical history, the doctor asks if it is him, is usually followed by a thorough physical examination, in order to possibly as yet unknown health to detect problems. Here high blood pressure or other cardiovascular, for example disease, vascular calcification (atherosclerosis), respiratory symptoms or stomach ailment in question. It blood close to and, where appropriate, urine tests, for example to detect possible thyroid disorders or kidney disease. An electrocardiogram (measurement of the cardiac power curve), as well as ultrasound studies give information about the function of the heart and other internal organs such as the liver, as well as the condition of key blood vessels. Depending on the outcome of the investigations, the family doctor will refer his patient may be to a specialist. Responsible, among other things, an Internist, pulmonary specialist, ear, nose and throat doctor, diabetologist or a hormone and gland specialist (endocrinologist). For problems in the area of the nerves and of the brain a neurologist is responsible. The doctor suspects a mental illness behind the sleep problems, a psychotherapist and a psychiatrist the next point of contact.
Most of the trigger for insomnia can Consult the doctor through in-depth and the usual physical examinations to clarify. He should have suspected that other, inner sleep problems behind the complaints, for example, a disorder of the sleep-Wake rhythm, sleep apnea or a movement disorder such as Restless Legs syndrome, he will keep it is sometimes useful to transfer the Affected in a sleep laboratory. University hospitals and large specialized hospitals, some have sleep medical departments with the appropriate investigation facilities. A sleep laboratory consists of bedrooms, connected with a study room. The Patient usually remains for three nights. He is connected to various measuring devices in the examination room, and with the help of a polysomnogram is created (see image). The measurements on drawing different body activities such as brain waves (electroencephalogram, EEG), eye movements to REM sleep classified (electric okulogramm, EOG), heart activity (electrocardiogram, ECG), muscle activity in the legs and chin (electromyogram, EMG). Note also the breathing through the nose, with the possibility of snoring, the respiratory movements of the chest and abdomen, as well as the oxygen saturation of the blood. A video camera, the person Concerned behaves in the bedroom. In addition, the Doctors examine the body to function again in detail and also conduct psychological surveys and Tests.Similarly, Doctors can register the condition of the day with Tests and surveys and to assess. Excessive daytime sleepiness (Hypersomnia) diagnose you with the help of multiple sleep latency tests (MSLT). The treatment of sleep disorders depends on the cause. But it’s always about the sleep – and life-improving habits so that Sleep and Wake can take place in your natural rhythm and a high level of recovery (see last Chapter on “therapy and self-help”). In the following chapters, you will learn a little more about the main causes for restless nights (see also Chapter overview above at the beginning of the text).