Evaluation of daytime residual symptoms cannot be ignored There is an extremely important and common manifestation of sleep disorders that is often overlooked by both patients and healthcare professionals, and that is the evaluation of the patient's daytime residual symptoms. A person who suffers from nighttime sleep deprivation or insufficient sleep will often experience physical symptoms such as tiredness, weakness, muscle pain, and emotional irritability during the daytime, which often leads to reduced motivation for occupational, social, and life functions. These residual daytime states must be carefully differentiated from the original physical and mental symptoms of the disease to avoid misdiagnosis.
Generally, symptoms due to insomnia improve rapidly after a good night's sleep; of course, sleep and wakefulness are a continuum, and therefore insomnia must be evaluated as a whole over a period of at least twenty-four hours.
The assessment of daytime sleepiness is another important development in clinical sleep medicine. In fact, daytime hypersomnia has a greater impact on life functioning and poses a greater threat to life and property than does nocturnal insomnia. Moreover, daytime hypersomnia is more often associated with underlying specific sleep disorders or organic causes than nocturnal insomnia, and it is important to seek medical attention as soon as possible to avoid worsening the condition. Both daytime and nocturnal sleep problems may have unique pathologic significance, but the interrelationship between the two needs to be clarified in clinical evaluation.
It is common for insomnia patients to take inappropriate countermeasures during the day, such as reducing daytime activities or even attempting to supplement their sleep during the day; such a situation would disrupt the daytime biological clock and in turn affect the next day's sleep, which would be one of the major factors in the chronicization of insomnia, and would not be conducive to the prevention of long-term sleep health care.
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Sleep Laboratory Tests In the last thirty years, advances in sleep research have led to significant advances in medical personnel's understanding of the pathology and etiology of sleep disorders. Recordings of brain waves and other electrophysiologic recordings of body parts can assist physicians in understanding the physiologic dynamics of a patient's sleep to supplement the clinical evaluation. This laboratory test is called multiple sleep electrography, which not only records the brain wave changes of the patient's nighttime sleep, but also includes the synchronization of heartbeat, respiration, blood gas concentration, limb activity, etc. It also sometimes includes the peristalsis of the digestive tract and esophageal pH, or the measurement of nocturnal erection sexual function...etc. However, exactly how many tests need to be included? However, how many tests need to be included must also depend on their clinical diagnosis.
The main function of this sleep laboratory test is to rule out specific sleep disorders and engage in pathologic analysis, and to provide specific data as an objective clinical guideline, but it is not mandatory, and physicians in all disciplines can make a judgment after careful clinical interviews and evaluations as to whether further laboratory tests are needed. For example, insomnia is a symptom of many psychiatric disorders, such as anxiety disorders and depression are obvious examples, and most psychiatrists are able to make a correct diagnosis. Other physicians and surgeons can also infer the possible causes of insomnia based on related physical illnesses and therapeutic medications, so there is no need for laboratory tests.
Currently, sleep studies are more commonly used to identify specific sleep disorders of the respiratory system and central nervous system. In particular, sleep apnea syndrome has been the center of attention in the development of clinical sleep medicine over the past two decades.
Obstructive respiratory arrest during sleep is the most common organic sleep disorder, and laboratory testing can help calculate the number of respiratory arrests and hypopneas per hour as an indicator of clinical severity. In addition, laboratory measurements of oxygen saturation and the number of cardiac arrhythmias per hour can also be obtained, which are valuable for specific respiratory or cardiovascular disorders.
Multiple sleep electrocardiograms are not yet widely available in China, with only a few large teaching hospitals offering this service, due to both cost and human skills. Therefore, a conservative approach to the treatment of sleep apnea, such as weight control and correction of dietary and substance-abuse habits, should generally be pursued first; the medical use of a ventilator to maintain an open airway is a further safe and effective treatment; and invasive surgical procedures need to be considered only in very rare cases.
The clinical and research applications of the sleep laboratory are not limited to the foregoing, but the development of electrophysiological studies of sleep disorders in recent years has been promising due to the gradual discovery of the physiological structure and function of sleep and the digitization of waveform records. Physicians believe that sleep studies are expected to be a valuable clinical indicator for diseases such as depression and Alzheimer's disease. But at this stage of routine clinical work, there is still a long way to go, and patients should not expect too much.Back to Top
The use of sleeping pills According to the author's clinical experience over the past decade or so, the use of sleeping pills has always been the most troubling issue for both physicians and patients.
Due to the rapidity and safety of current drug treatments, the use of sleeping pills has indeed become a major therapeutic consideration for physicians over the past two decades, and is also a source of psychological conflict for patients. Although many patients with insomnia need to use sleeping pills for symptomatic management in the same way that diabetic patients must use blood glucose-lowering drugs or hypertensive patients use blood pressure-lowering drugs, society is still full of myths about sleeping pills, and the most common reaction is the fear of addiction or dependence. In fact, the addictive nature of sleeping pills, which are widely prescribed, is not like that of other addictive drugs, and physical dependence is not difficult to deal with. On the contrary, it is the psychological dependence and excessive fear that have become the biggest psychological burden for patients and physicians.
Strictly speaking, the treatment of insomnia, like assessment, must be comprehensive, with medication playing only part of the role, and other modalities such as specialized cognitive-behavioral therapy, psychosocial treatment, and even psychological treatment required. As far as the current medical ecology in China is concerned, it is indeed far from the ideal; purely drug treatment can't satisfy the strong needs of insomnia patients. Therefore, the public's distrust of sleeping pills is a result of the underdevelopment of sleep medicine, but at the same time, the public's resistance to the psychological reaction also prevents the widespread use of drugs.
Sleeping pills are absolutely contraindicated for patients with certain sleep disorders, such as insomnia caused by breathing disorders. For people with day-night rhythm disorders, the benefits of using medications are limited, and the disorders can be worsened by poor drug selection. However, for insomnia caused by many other physical and psychiatric disorders, sleeping pills are often unavoidable. Therefore, what kind of medication to choose, how to use it, when to use it, and how long to use it are the issues that patients need to discuss with their healthcare professionals.Back to Top
Preventive care for insomnia Insomnia is a common symptom of many physical and mental illnesses, and therefore, detailed assessment and determination of the cause of the illness is definitely the first thing to do. For many patients who suffer from insomnia, there are many psychosocial and behavioral factors that contribute to the chronicity of insomnia; some dogmatic sleep hygiene principles, although theoretically correct, have limited practical application. Therefore, a long-term health care program with a physician is a must; for healthy people, sleep should actually be included as part of a lifelong health care program.
Human beings are day and night creatures. Chronic work and life stress, imbalances in family and interpersonal relationships, and inappropriate leisure and work schedules are all common factors that make insomnia a chronic problem. Transient insomnia caused by acute physical or mental illness, hospitalization, or sudden stressful life events is generally expected to gradually return to normal after the problem is resolved. However, for some specific ethnic groups, the onset of insomnia, like the functioning of other organ systems, may signal signs of aging and must be prepared for chronicity. Fortunately, the simple chronic insomnia problem of middle-aged and old people is different from other chronic physical diseases, generally only limited to a certain degree of scope, although it will affect the quality of life, but it will not do too much harm to the body. As long as the concept is correct and the conditioning is appropriate, it will not become a major health burden. It is recommended that the general public, parents or children, have the habit of checking their own or their family's sleep status, regulating the family's routine, and discussing with psychiatrists or family physicians when the opportunity arises, which may be the most effective way to prevent insomnia.
Author: Li Cosmos, attending psychiatrist, National Taiwan University Hospital (NTUH) Qualifications: Resident, NTUH, Sleep Medicine Researcher, University of Michigan, Editor-in-Chief, Mediwatch Magazine Current Position: Lecturer, Department of Social Medicine and Psychiatry, NTUH School of Medicine, Attending psychiatrist, NTUH, Director, Asian Sleep Research Society
I'm not afraid of insomnia, but sleep is a healthy way to get through the night. , you should never lose sleep." So says a psychologist.
Sleep seems to be extremely common, in essence, is a guarantee of health, the premise of beautiful face. The description of the emaciated, depressed sick man is often closely related to the lack of sleep.
Unfortunately, many rich, rich modern people but a serious lack of sleep, the pain of suffering so that they are withered, and a variety of cosmetics, high-level tonic on this but like a demon to lose the effectiveness of these distressed people can not help.
The anxiety of the thirst is often in vain, insomnia, but not to get the love of God's advent, but more impatient, worry, bags under the eyes, dark circles, wrinkles, spots, and even many physical and mental illnesses are also unforgiving ---- modern "civilization disease" is growing madly staged, the originator of this is the The "insignificant" insomnia. This is an assassination of modern health and beauty of the murderer. And "live a good life" people are how "trouble", and how to get rid of insomnia entanglement?
Expert analysis
Occasional insomnia due to a variety of reasons can not sleep is a very normal thing, who will encounter. The key is how to deal with insomnia.
Depression and pain due to work-related reasons are the preconditions for "sleeplessness", while anxiety and negative self-image are the main reasons for forcing oneself to sleep, "not being able to sleep and not being able to sleep well tomorrow, or not looking well". The main reason for this is the fact that it is not a good idea to have a good night's sleep, but it is a good idea to have a good night's sleep.
People suffering from "sleeplessness" tend to show pain, anxiety and restlessness, always worrying about not being able to sleep every night, and desperately determined to "sleep well tonight", trying to do everything possible to let themselves fall asleep as soon as possible. Sleep, and this effort is often contrary to their own biological clock rhythms, the more sleep (the brain is in a state of excitement), the more annoyed, the more they try to sleep (forcing the brain to enter a state of inhibition), and this effort against the law of the more from the brain's "reverse", so that during the day, the more you want to make yourself excited, and the brain is to inhibit. The more you want to inhibit. The more you want to do, the more you want to do, the more you want to do, the more you want to do, the more you want to do, the more you want to do, the more you want to do, the more you want to do, the more you want to do, the more you want to do, the more you want to do, the more you want to do, the more you want to do, the more you want to do, the more you want to do, the more you want to do, the more you want to do.
It is reported that many insomniacs are always used to counting the time when they are insomniacs: what time is it now, how long have I been insomniac? Some people rely on time, reference to the psychology is very serious, want to know the time of the will often become an obstacle to interfere with sleep, and in the psychological feel that the time has been over for a long time: "really unlucky, I do not know tonight and a few hours did not fall asleep." This is a negative self-reference.
Insomniacs should develop positive self-references to deal with insomnia. If you already have insomnia and it's late at night, comfort yourself with, "I've already lost x hours of sleep tonight, and now I'm really tired and will fall asleep soon." After adjusting your mind you won't be upset and you can go into a daze in a while. Or say to yourself that even though I didn't get much sleep, I must have been in a deep sleep for a good long while, and that will be enough to keep my energy high tomorrow. Wake up the next day, pick yourself up and tell yourself that you slept well last night and you will be in good shape today.
Morita therapy is a method that many insomniacs use to "force themselves to sleep" and are anxious about not being able to sleep. Therefore, this method emphasizes the need to "let nature take its course". During the day, try to do "labor its form but not its mind", as much as possible to do some physical activities to make the body tired, try to avoid the need to think carefully about the activities of the mind. At night, want to sleep, if you can't sleep, don't force yourself to stay in bed, at this time you can read, write, until sleep comes. Many insomniacs may go to bed as soon as the mind like a movie flashed many images and ideas. At this time, you can "let nature take its course", so that the brain loves to think what they think, let your consciousness flow naturally. Never force yourself not to think of these, so that the brain in a relaxed atmosphere, "go with the flow. You should know that the human brain is a perfect machine, has its own laws, you can not force it. Your biological clock will work naturally. You will also be able to go to sleep naturally. Especially the melodious, melodious music can make people's mood quiet, relaxed and happy. Beautiful music sound wave effect of the brain, through the regulation of neurohumoral, accelerate the body's metabolism, improve organ activity, make people calm and peaceful.
But in the music therapy, according to the patient's personality, cultural level, music training to select the song, and choose the content and mood beneficial to sleep tune. At present, the audio-visual stores have according to the psychiatrist's "music prescription" and recorded special tapes for sale.
While using the above methods of treatment, according to the doctor's advice, supplemented by the necessary medication. Chinese beauty fashion
Insomnia "women are more important than men"
Beijing Youth Daily reported that a survey recently released in Hong Kong showed that women are two times more likely to suffer from insomnia than men, and men with low education levels are more likely to suffer from insomnia than men with high education levels. The survey also showed that men who live in public **** housing and have lower education are more likely to suffer from insomnia, and women are two times more likely to suffer from insomnia than men, while noise is often a major cause of insomnia in women.
Source:Beijing Youth Daily
Say goodbye to insomnia and be a bright boy
Because of the fierce competition, intense learning, and high pressure, men often suffer from insomnia, can't sleep at night, can't get up in the morning, and can't get up to go to work or attend classes without yawning, feeling no spirit, which is a great impact on the body and learning. Here to introduce you to a few farewell insomnia trick.
The first trick is to start with yourself. Wake up on time, go to bed on time, weekends are no exception, the night to 10-11 o'clock to go to bed for the best; before going to bed should not eat too much, and do not drink too much drink, especially can not drink strong tea and coffee; do not watch TV in bed, and do not think about the problem; before going to bed, you can do a moderate amount of exercise, such as jogging, sit-ups, push-ups and so on. In addition, moderate sex life also helps sleep.
The second trick is to fight insomnia. People prone to insomnia should go to bed only when there is a desire to sleep, do not lie in bed and wait to sleep, which will increase psychological pressure; before going to bed you can listen to some soft, monotonous music; you can also use the method of implied training, the effect is better.
The third move, the coercive means. For example, read books that you can't understand, listen to news in foreign languages that you can't understand, etc.; if you can't sleep, simply get up and do something that will help you sleep after you're tired; you can also use a small amount of alcohol, sleeping pills, etc., but it's best not to use them as a last resort.
Taken from the contemporary Chinese medicine network December 19, 2000 11:32 Asian medicine network
Sleep or awakening is a normal physiological process, but it is not a human being can be completely autonomous control of the activities, but a passive process. It is not like some activities of the human body can be according to the will of the person, said to come, to stop stop. Insomnia is often difficult to induce their own division into sleep and suffering. In fact, early mild insomnia, after self-conditioning approach can often benefit, specifically summarized as follows:
(1) the usual and natural state of mind. Insomnia does not have to worry too much, the more nervous, the more forced to sleep, the result is counterproductive. Some people have insomnia for many days in a row is even more nervous and uneasy, thinking that this way the brain can not rest, not short life, will also be sick. This kind of worry caused by excessive anxiety, sleep itself and its health more harmful.
(2) Seek and eliminate the causes of insomnia. There are many factors that cause insomnia, as mentioned before, and it is not difficult to find them if you pay a little attention to them. Cause elimination, insomnia self-cure, insomnia symptoms caused by disease, we must seek medical attention in a timely manner. Can not think: insomnia is just a small problem, can not be counted as a disease and delayed treatment.
(3) Physical and mental relaxation, beneficial to sleep. Before going to bed to walk outdoors for a while, relax the spirit, before going to bed or take a bath, or hot water foot bath, and then go to bed, on the smooth sleep there is no harm. Induce the human body to enter the sleep state, there are many specific methods, for example: relaxation work, has been circulating in the folk, you can use. In addition, the introduction of two more simple and easy to implement the method:
①Closed eyes into the quiet method. After going to bed, first close your eyes, and then open your eyes slightly a slit, to maintain some contact with the outside world, although, mental activity is still operating, however, the sympathetic nervous activity of the tension has been greatly reduced, inducing the human body to gradually enter the sleepy state.
②The sound of the sky drum method. After going to bed, lying on your back with eyes closed, left palm over the left ear, right palm over the right ear, with the fingers of the back of the head, so that you hear the whirring sound. Bouncing times to self-conscious slightly tired until. After stopping the popping, the head slowly close to the pillow, the two after the natural rest on both sides of the body, will soon fall asleep.
(4) Sleep induction. Listening to the plain and rhythmic sound, such as: the sound of trains running, crickets, dripping water and spring rain pattering sound of the tape, or music hypnosis tape, help sleep, but also this can be induced to establish the sleep of the conditioned reflexes.
(5) Drink hot milk method. Drink a cup of hot milk with sugar before going to bed, according to research, can increase the body's insulin secretion, increase the amino acid into the brain cells, prompting the human brain secretion of sleep serotonin; at the same time, the milk contains traces of morphine style substances, with the role of calming and tranquilizing, which prompted the human body to fall asleep peacefully.
(6) The right sleeping position. Sleeping position is of course comfortable, and can vary from person to person. But sleeping on the side is better, health care Cao Cishan in the "sleep" pointed out that: "the left side of the left side of the left foot, flexion of the left arm, to the hands of the head, stretching the right foot, with the right hand on the right between the femur. The right side lying position is the opposite." This sleep position is conducive to the whole body relaxation, sleep peacefully.
(7) if fatigue and difficult to sleep, may wish to eat apples, bananas, tangerines, oranges, pears and other types of fruit. Because, the aromatic flavor of these fruits, the nervous system has a calming effect; fruit in the sugar, can make the cerebral cortex inhibition and easy to enter the sleep state.
(8) If you are on a business trip, do not adapt to the environment and cause insomnia, you should be prepared, take the initiative to adjust, preparedness, not because of nervousness and worry about not sleeping well. At the same time, you can also use the above method to help sleep, you can avoid insomnia.
The use of the above methods, do not talk, do not think; sleep first, then sleep, that is: not excessive brain before going to bed, after going to bed to exclude all distractions, keep quiet; in addition, pay attention to the bedroom environment quiet, fresh air, hard and soft beds are appropriate to improve the quality of sleep. Sleep well, get up naturally energetic.
What about insomnia? Do you often toss and turn in bed, just can not sleep, or wake up in the middle of the night, you can no longer sleep? If so, then you may be a victim of insomnia like many others.
For many insomniacs, the questions they are most concerned about are probably the following: First, how much sleep is enough in a day? Second, why do you have insomnia? Third, how to solve the trouble of insomnia? In fact, a person needs to sleep a day how long is different from person to person, in general, a healthy adult needs seven to nine hours of sleep a day, but there are some people only need to sleep five, six hours in the daytime can still be able to do his job, there are some people have to sleep ten hours during the day in order to work well.
There are many causes of insomnia, but to summarize, the main ones are as follows:
Psychological factors: Most sleep experts agree that stress is the number one cause of short-term insomnia; these stresses can come from work or school, or from family and marriage, or from serious illnesses or the death of a loved one. Often, short-term insomnia improves as these situations fade or disappear, but if the short-term insomnia is not handled properly, it is possible to continue to suffer from insomnia even after the stresses have disappeared. In addition, people who suffer from depression are also more likely to suffer from insomnia. Lifestyle habits: Certain habits can affect your sleep without you even realizing it. For example, drinking caffeinated beverages in the afternoon or evening, exercising before going to bed, or engaging in some mental work. Drinking a lot of alcohol before going to bed can also cause you to lose sleep. Environmental factors: For example, the room is too cold or too hot, too noisy or too bright, these factors may affect sleep. Also, the person on your pillow can be a problem, such as snoring too loudly. Jet lag: The fact that you are traveling across several time zones can mess up your biological clock. Physical conditions: e.g. aches and pains, shortness of breath, breathing difficulties, menopause syndrome, etc. Medications: Certain medications used to treat high blood pressure, asthma or depression may have insomnia as a side effect. If you have insomnia for more than a week, it is best to see your doctor, who will be able to help you find out the cause of your insomnia and give you some advice on how to adjust your lifestyle, supplemented by medication if necessary. Here are some simple principles that insomniacs should be aware of:
Don't drink coffee or large amounts of alcohol in the evening. Avoid exercising three hours before going to bed. Don't sleep too much during the day. Create a regular and relaxing sleep atmosphere. The bed is for sleeping, don't work in it. If you can't sleep after lying down for more than half an hour, get up and listen to music or read a book until you really want to sleep and then go back to bed, but don't use this time to solve problems during the day. Thanks to the Department of Neurology at National Taiwan University Hospital, Dr. Yang Zhichao for this article
A correct treatment of insomnia
Once you have insomnia, there is no need to be anxious and worried, should be seriously analyzed and correctly treated, which is the first condition for the effective treatment of insomnia. (A) What is insomnia? The diagnostic criteria of insomnia is sometimes difficult to grasp, as we introduced in Chapter 4, Section 3, "personality and sleep", the length of sleep is different from person to person. Some people are energized and refreshed after 4-5 hours of sleep, while for other long sleepers it constitutes insomnia. In addition, while the elderly have to go through about 40 minutes or so before they can really fall asleep, so we can't say that the elderly are insomniac because of their long sleep latency; Another example is that after falling asleep, they wake up 2-3 times in the middle of the night, but after waking up, they can go back to sleep very quickly, which is a normal phenomenon and can't be regarded as insomnia; Elderly people have light sleep; they urinate a lot at night, and naturally they wake up more often in the night, but they don't have any discomforts on the next day, and this also can't be This can also not be regarded as insomnia. Therefore, the diagnosis of insomnia can not be based solely on the amount of sleep time, but should consider the age. The company's business is a major player in the industry, and the company's business is a major player in the industry," he said.
In addition, there are many young students who often do not sleep at night and do not get up in the morning. These people fall asleep at night much later than ordinary people, most of them fall asleep in the second half of the night the latest to go to bed at 3-4 o'clock in the morning, and wake up late, the late ones get up only at noon, they live a kind of diurnal life. The total sleep time of these people is not short. In contrast, there are others who go to bed earlier than average, going to bed at 7 or 8 p.m. and waking up at 3 or 4 a.m. We call this the phase of sleep. We call this condition Sleep Phase Forward Syndrome. Both of these conditions are disorders of sleep-wake timing, not disorders of sleep onset and maintenance (insomnia). In these cases, the problem can be solved by gradually advancing or delaying one's sleep on a regular basis. (ii) If a person occasionally suffers from poor sleep due to some special circumstances, such as facing a stressful examination, arguing with superiors, or a late flight, etc., and once the special circumstances are over, sleep returns to normal. This situation can only be counted as insomnia and not diagnosed as insomnia. Insomnia refers to a person after going to bed, after 1 hour or longer, but also late to sleep, or rest all night, but not enough to sleep 5-6 hours, in the middle of the many times to wake up, get up and do not sleep the kind of fresh mind, energetic feeling, often accompanied by fatigue, headache, dizziness, sweating, memory loss and a series of pathological manifestations, and this situation lasts for a long time, when the medical known as Insomnia. (c) Insomnia is not a disease Although severe insomnia can bring adverse effects on one's work, study and activities the next day, insomnia, like headache and chest pain, is only a symptom, and is not a disease in itself. Since it is not a disease, there is no need to worry all day long, anxiety, carrying the burden of "disease". (D) insomnia is not the only one in the world to experience the pain of insomnia, is not the only one in the world to experience the pain of insomnia. According to the survey, the incidence of insomnia in the United States is as high as 32-50%, 10-14% in Britain, 15% in West Germany, 20% in Japan, and more than 10% in China. Even in the same night, at the same time, whether teachers, students, writers, researchers, or workers, farmers, there are thousands of people in the company of you silently suffer the torment of insomnia. At this time, if you have Mr. Lu Xun's Q kind of spirit, you will not for their own sleeplessness and distress, because when you think of "sleeplessness is nothing, the world's sleepless people a lot! Immediately will dilute their own inner pain and anxiety, so that their tensions quickly get loose. (E) insomnia should not go to the hospital to check although insomnia itself is not an independent disease, but after the insomnia, especially insomnia long time insomnia patients should go to the hospital for a comprehensive physical examination. This is because in addition to temporary insomnia that occurs occasionally and has a clear cause, short-term insomnia and long-term insomnia are mostly caused by the interaction of various factors. These factors are both diseases, drugs, but also bad habits and emotional factors involved, go to the hospital for examination, you can let the doctor to understand their own sleep history in detail, and through a careful examination (including psychological examination, physical examination and laboratory examination), to help themselves to find out the causes of insomnia, and to seek therapeutic help, guidance, so that they can get rid of insomnia as soon as possible. (F) insomnia is not an incurable disease regardless of insomnia and the accompanying symptoms of how serious, generally speaking, insomnia is only the brain's excitation and inhibition function temporarily out of balance performance, although insomnia is often accompanied by certain diseases, but insomnia itself can not reflect the body within the organic lesions, and will not be transformed into a mental illness or other diseases, as long as seriously find out the reasons for insomnia, the causes of appropriate exercise and recuperation, and then with the appropriate As long as the cause of insomnia is carefully identified, appropriate exercise and recuperation for the cause of the disease, coupled with the necessary Chinese and Western medicines, insomnia can be eliminated. Therefore, do not take insomnia as a difficult incurable disease.
Overcoming insomnia has a trick
Author Li Chunlian nurse
Do you have insomnia? I believe that people who have never had insomnia cannot understand the situation of being tired and unable to sleep. There is a lot of work waiting to be done tomorrow, so how can you face the next day's heavy workload without enough sleep?
The worst thing about insomnia for you may not be the decline in function of your internal organs due to lack of proper rest, but the dark circles under your eyes and dull, rough, wrinkled skin that it causes. If you have such a situation you have to be careful, insomnia can be a catalyst for aging.