GANGGUAN TIDUR

Adnil EdwinNurdin

Sent me the pillow that you sleep on,so darling I can dream you on it

PENGENDALIAN OLEH MATAHARI

RITME CIRCADIAN

EFEK KURANG TIDUR

GANGGUAN TIDUR PRIMER

• Dyssomnia (amount,quality, timing)• Parasomnia (perilaku ab(n), fisiologi ab (n) ),berkaitandengan

tidur, tahap tidur spesifik, transisi bangun-tidur

LIMA TAHAPAN TIDUR

• REM mimpi 20-25% panjang total tidur• Tahap 1 NREM transisi bangun-ke tidur 5% lama tidur• Tahap 2 NREM EEG….sleep spindle, kompleks K 50%• Tahap 3 NREM • Tahap 4 NREM tingkat terdalam tidur 10-20% tidur, slow wave sleep

PERIODE TAHAP-TAHAP TIDUR

• TAHAP 3 dan 4 NREM pada 1/3 -1/2 pertama dari malam deprivasi tidur meningkat durasinya sebagai respon• REM terjadi siklik sepanjang malam,alternasi denganNREM

setiap 80-100 menit, durasi meningkat mendekati pagi• Makin tua waktu jaga dan tahap I meningkat, tahap 3 dan 4

menurun

URUTAN TAHAP TIDUR

• Urutan normalnya ialah N1 → N2 → N3 → N2 → REM. • Terdapat jumlah yang lebih besar dari tidur dalam (stage N3) pada awal

malam• sedangkan proporsi tidur REM meningkat menjelang akhir malam dan

tepat sebelum bangun.

GANGGUAN TIDUR RITME SIRKADIAN

• Delayed\advanced sleep phase• Jet lag• Shift work

GANGGUAN TIDUR PRIMER

• Insomnia primer• Hipersomnia primer

PARASOMNIA

• SONAMBULISME• NIGHT TERROR• NIGHTMARE• SOMNILOQUY• LUCID DREAM• SLEEP PARALYSIS

Night terror

Nightmare/mimpi buruk

Lucid dream

Sleep paralysis• paralysis associated with sleep • that may occur in healthy persons • or may be associated with narcolepsy, cataplexy, and hypnagogic hallucinations. • he pathophysiology of this condition is closely related to the normal hypotonia that occurs

during REM sleep.

• Narcolepsy /ˈnɑrkəˌlɛpsi/ is a chronic neurological disorder involving the loss of the brain's ability to regulate sleep-wake cycles normally.[1] People with narcolepsy experience frequent excessive daytime sleepiness, comparable to how people who don't have narcolepsy feel after 24–48 hours of sleep deprivation,[2] as well as disturbed nocturnal sleep which often is confused with insomnia. Those with narcolepsy generally experience the REM stage of sleep within 5 minutes of falling asleep, while people who don't have narcolepsy (unless they are significantly sleep deprived)[3] do not experience REM until after a period of slow-wave sleep, which lasts for about the first hour or so of a sleep cycle.[4] Another common symptom of narcolepsy is cataplexy, a sudden and transient episode of muscle weakness accompanied by full conscious awareness, typically (though not necessarily) triggered by emotions such as laughing, crying, terror, etc.[5] affecting roughly 70% of people who have narcolepsy.[6]

HIPNOPOMPIC/HIPNAGOGIK

• Hipnopompik: halusinasi sebelum terbangun pada nightmare (outset tidur)

• Hipnagogik: halusinasi akan tertidur (onset tidur): lucid dream, somniloquy, sleep paralysis

Genetik

• Fatal Familial Insomnia