Other Circadian disorders
- Shift work sleep disorder
- circadian sleep-wake disorder of blindness
- Disrupted female mestruation cycle - female flight attendents
- Meals eaten out of phase - result in inappropriate pancreatic and metabolic responses and may be long term risk factors for heart disease
- Life span can be shorterned by phase shifting
Suprachiasmic nucleus of the hypothalamus
- Central pacemaker
Management:
Sleep hygine
- reduce noise, unwanted stimuli, earplugs, eye patches
- avoid alcohol and caffine
- jet leg diet - carbs at night for seratonin synthasis and protien in the day - thyrosine, catacholamine production
- Naps
- Hypnotic agents - short acting "Z" drugs
- Light - Lab studies - 460 to 465 nm (Blue); field studies
Dr Yacoob Omar Carrim
zasleep@gmail.com
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