Translated from Indonesian to English - www.onlinedoctranslator.

com

Insomnia is difficulty falling asleep, maintaining sleep, or sleep that is not

Definition
restful for 1 month or more

Acute insomnia Time

Chronic insomnia

Difficulty in Initiating Sleep (DIS)

Form
Difficulty in Maintaining Sleep (DMS) Classification

Early Morning Waking (Sleep Offset Insomnia)

Primary Reason
Secondary

Stress and work pressure

Disruption of circadian rhythms

Behavioral disorders Etiology

Environmental factor

Unhealthy diet

In the body serotonin is converted into melatonin which is produced by

the pineal gland in the brain which functions to help you feel relaxed

when it's dark melatonin levels will start to increase and send a message
to the body to fall asleep

Lesions in the sleep control center in the hypothalamus can

also result in a sleep alert state Pathogenesis

Lesions of the pharynx or anterior hypothalamus cause

(transient) insomnia

In people who are stressed or anxious, the levels of this hormone

will increase in the blood which will stimulate the sympathetic
nervous system so that a person will stay awake or wake up.

Insomnia
Pathophysiology

elderly

female gender
Risk factor hard to get to sleep
co-morbidities (depression and other illnesses)
feeling tired when you wake up
Low socioeconomic status causes insomnia
take 2 CTM tablets to sleep
the work of brain functions in terms of storing or retrieving information
Anamnesis
and the ability to tolerate stressful situations and function at a higher Complications no history of head trauma
level can be disrupted and not optimal
not using drugs
very good if the intervention and treatment is done properly and on time Prognosis
have an online digital company
Anamnesis

Sleep weak diaries Diagnostic flow

Support GCS : 465
actigraphy
Physical examination Compos mentis
Polysomnography Male 27 years
BP : 120/70 mm Hg
Control stimulus

Sleep ristiction Non-Pharmacology

Insomnia
Sleep hygiene
dyssomnia Hypersomnia
Cognitive therapy
Governance
Narcolepsy
Benzodiazepines
Disorders of the sricardian cycle
Non-benzodiazepines
Pharmacology Differential diagnosis
Somnabolism
Miscellaneous sleep promoting agent Parasomnias
Sleep terrors / night terrorists
Avoid factors that cause insomnia: Stress, depression, chronic disorders,
Prevention Nightmare
medication side effects, poor diet, caffeine, nicotine, and alcohol

Principle of autonomy => article 16 => a doctor is obliged to keep secret

everything he knows about a patient, even after the patient dies The principle of autonomy

ablution

Cleaning the bed room

Read the verse chair

Read short letters Sleep physiology

Islamic aspect
Read a prayer before going to bed

think

Sleep after evening prayer