Vaikean unettomuuden hoito
Partonen, Timo (2015-07-30)
Partonen, Timo
30.07.2015
Suomen lääkärilehti : 8
Tiivistelmä
Unettomuuden syyt tulee aktiivisesti etsiä ja hoitaa.
Unilääkehoidolla voidaan taustasyystä riippumatta lievittää rajuoireista unettomuutta hoidon alussa.
Pitkäkestoisen unettomuuden ensisijainen hoito on lääkkeetön.
Jos unettomuus ei lievene hoidon avulla, on hoitomyöntyvyyteen kiinnitettävä huomiota, tarkistettava diagnoosi ja tarpeen mukaan yhdistettävä hoitokeinoja.
English summary: Treatment of severe insomnia
Insomnia that causes significant problems or distress in social, work, academic, or other major areas of life functioning needs attention. Causes of insomnia must be actively sought in order to initiate a cause-specific treatment without any unnecessary delay. Both psychiatric and somatic comorbid conditions are common, and the patient may have more than just one cause of insomnia. After the causes of insomnia have been identified, treatment should be targeted at the causative conditions and follow the current practice guidelines for each condition. Sleeping pills (i.e. benzodiazepines and their derivatives) are not the treatment of choice, but if they are needed there is seldom any hurry to prescribe them, except in the case of very severe acute insomnia. In such cases the search for potential causes of the insomnia needs to be carried on even after insomnia as a symptom has been alleviated.
Unilääkehoidolla voidaan taustasyystä riippumatta lievittää rajuoireista unettomuutta hoidon alussa.
Pitkäkestoisen unettomuuden ensisijainen hoito on lääkkeetön.
Jos unettomuus ei lievene hoidon avulla, on hoitomyöntyvyyteen kiinnitettävä huomiota, tarkistettava diagnoosi ja tarpeen mukaan yhdistettävä hoitokeinoja.
English summary: Treatment of severe insomnia
Insomnia that causes significant problems or distress in social, work, academic, or other major areas of life functioning needs attention. Causes of insomnia must be actively sought in order to initiate a cause-specific treatment without any unnecessary delay. Both psychiatric and somatic comorbid conditions are common, and the patient may have more than just one cause of insomnia. After the causes of insomnia have been identified, treatment should be targeted at the causative conditions and follow the current practice guidelines for each condition. Sleeping pills (i.e. benzodiazepines and their derivatives) are not the treatment of choice, but if they are needed there is seldom any hurry to prescribe them, except in the case of very severe acute insomnia. In such cases the search for potential causes of the insomnia needs to be carried on even after insomnia as a symptom has been alleviated.
Kokoelmat
- Artikkelit [16088]