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Santral Nedenli Hipersomnilere Klinik Yaklasim ve Ayirici Tani/Clinical Approach Hypersomnia of Central Origin and Differential Diagnosis
Ist Teil von
Journal of Turkish Sleep Medicine, 2022-06, Vol.9 (2), p.95
Ort / Verlag
Galenos Yayinevi Tic. Ltd
Erscheinungsjahr
2022
Quelle
Free E-Journal (出版社公開部分のみ)
Beschreibungen/Notizen
Hipersomni ve gunduz asiri uykululuk, uyku tibbi ile ugrasan hekimlerin siklikla karsilastiklari durumlardir ve uyku hastaliklari ile iliskili sik gorulen belirtiler olmalarina ragmen goz ardi edilebilmektedirler. Toplumumuzda bir sure devam eden uyku yoksunlugunun sebep olabilecegi gunduz asiri uykululugun normal gorulme egilimi hipersomni ile seyreden hastaliklarin taninmasini zorlastirmaktadir. Hipersomni, gunduz asiri uykululuk ve/veya asiri uyku ihtiyaci veya artan uyku miktari icin kapsamli bir tanim olarak kullanilmaktadir. Klinik pratikte; geceleri uzamis uyku sureleri, her yerde ve kolayca uykuya dalma, tekrarlayan uyku ataklari ve gunduz asiri uykulu olma hali ile karsimiza cikmaktadir. Hipersomni, uyku bozukluklari basta olmak uzere norolojik ve metabolik hastaliklarin belirtisi olabilmekte ya da madde, ilac kullanimi veya travmaya bagli ortaya cikabilmektedir. Gun icinde ortaya cikan uyku ataklari, kisilerin akademik veya mesleki performansinin etkilenmesine, bilissel fonksiyonlarin ve sosyal iliskilerinin bozulmasina ayrica yasami tehdit eden trafik veya is kazalarinin ortaya cikmasina sebep olabilmektedir. Kisilerin yasam kalitesinde onemli olcude bozulma meydana getiren bu belirtinin incelenmesi, neden olan hastaliklarin tani ve tedavisi onemlidir. Bu gozden gecirme yazisi ile hipersomniye neden olan uyku hastaliklarinin epidemiyolojik, patofizyolojik, klinik acidan ele alinmasi, tedavisi ve ayirici tanida onemli olan noktalarin vurgulanmasi planlanmistir. Anahtar Kelimeler: Hipersomni, gunduz asiri uykululuk, klinik, tani Hypersomnia and excessive daytime sleepiness are commonly encountered by physicians dealing with sleep medicine. Although these are common symptoms associated with sleep disorders, they can be ignored. The tendency of excessive daytime sleepiness, which might be caused by sleep deprivation that continues for a while in our society, makes it difficult to diagnose diseases with hypersomnia. Hypersomnia is used as a comprehensive definition for excessive daytime sleepiness and/or excessive need for sleep or increased amount of sleep. Clinically, it presents with prolonged sleep times at night, falling asleep easily and everywhere, recurrent sleep attacks, and excessive daytime sleepiness. Hypersomnia can be either a symptom of neurological and metabolic diseases, especially sleep disorders, or develop due to substance, drug use, and trauma. Sleep attacks occurring during the day can affect individuals' academic or professional performance, disrupt their cognitive functions and social relations, and cause life-threatening traffic or work accidents. It is crucial to examine this symptom, which causes a significant deterioration in the quality of life of people, and to diagnose and treat the diseases causing it. This review article plans to address the epidemiological, pathophysiological, clinical aspects of sleep disorders that cause hypersomnia, treatment and emphasize the critical points in the differential diagnosis. Keywords: Hypersomnia, excessive daytime sleepiness, clinic, diagnosis