Jô Soares - Medicina do Sono (parte 2)


Uploaded by medicinadosono on 17.01.2012

Transcript:
- What does it mean to "chase the cow around" ?
- That is an expression as people create their own mechanisms,
- for example, there is the one that opens the window,
- turns the music on loud, lets cold air in.
- Drivers use one of these mechanisms when they start to feel drowsy,
- they stop the bus and go behind it,
- because if they stay in front of the bus the passengers will see.
- Then he starts to jump and stretch and do short runs.
- Doing this, he becomes alert.
- And does it work?
- It does. It's a mechanism he created, for in middle of the night,
- the body's temperature is very low,
- and this causes drowsiness.
- So when you do some type of physical activity,
- you have a rise in the body temperature,
- so this protects you.
- This is an alternative that was created.
- How about driving one foot shod and the other bare?
- This doesn't really help when the person is sleepy
- And it also doesn't help in prevention either
- People create ideas
- The most recent story that I heard
- I don´t know if you have heard this expression,
- “someone driving with their hand on the car´s ceiling”
- and they told me about this hand on the ceiling,
- It´s like this:
- When you start to get drowsy, the hand falls on top of the head and the guy wakes up.
- And this also does not work?
- Most likely not.
- He may have a situation of catatonia
- He sleeps with his hands and crashes without a doubt.
- You told us about the 20 minute sleep,
- which passes through all the stages of sleep, right?
- Sometimes, it happens to the person,
- not to mention myself,
- if I sleep 6 hours, or 5 hours, I wake up fine
- In other days, I would sleep 8, 9, or 10 hours
- Nowadays if I sleep 8 or 9 hours, I wake up good for nothing.
- Why is this?
- Well, first of all as we get older we have a decreased need for sleep
- and the satisfaction with the total time of sleep is different from when we are 25 or 30 years old
- In this situation, we use the expression
- “the more you sleep, the worse you sleep”
- In other words, you don´t have the necessity to stay 8 to 10 hours in bed
- If you do, you would look at your audience with a terrible bad mood.
- If you sleep only five,
- because that is your personal rhythm,
- or up to six hours,
- you will get here much better
-Something that scares me a bit,
- is that I like sleeping.
- But I don´t like going to sleep
- But after I go, I like it
- 4 in the morning is ok.
- Sometimes I sleep 3 hours, due to work, and feel cheerful
- Is three hours all I need?
- Not necessarily.
- If you take the majority of the population, 6 to 8 hours on average
- There are people that sleep 4, but there are people that sleep 6 and don´t feel alright,
- they need 9 hours.
- This is what we called the great sleeper´s profile.
- How many hours do you sleep?
- Five.
- That´s not a lie, is it?
- Some people lie about sleep.
- About sleep and snoring.
- Let´s not even mention it.
- I had a girlfriend, and I had to put the recorder under the bed,
- one of those with active voice,
- to show her
- and to this day she says it is not hers
- Before commenting about snoring, I want to talk about the time of sleep.
- What is important is the quality of the sleep
- The quantity is not the objective anymore
- For example, we have sleep 3 and 4, which is deep sleep,
- the repairing one.
- If you sleep and get through this stage, in which you dream,
- You reach repairing and your organism is recharged
- But if you go through 8 hours in superficial sleep, it will be worthless
- How do you provoke these stages of sleep?
- No, they come naturally.
- With 20 minutes its done?
- Yes.
- You program yourself. People can be trained to do this.
- It´s the type of sleep that we call Polyphasic.
- The monophasic sleep is the one that everyone sleeps
- They go to bed at 10 and wake up at 6am.
- That's Monophasic.
- The Polyphasic is the one that you take naps during the 24 hours of the Day.
- How about the "alwaysphasic" one, which is Bira´s case.
- He sleeps all the time. Is there a cure for this?
- If he sleeps this way, there is.
- It´s a joke.
- But people that have excessive drowsiness should always investigate the cause
- Because it isn´t normal.
- So for example, those people that sleep on the road sign,
- it isn´t normal.
- People that sleep while talking to someone.
- It depends on the talk.
- No. Sometimes it doesn't.
- You know, once I interviewed a guy who yawned himself,
- He said: "Then I went to New York” and ….
- I said “but if you´re yawning, imagine the audience”.
- I think it´s compulsivity, sometimes.
- Now back to the snoring matter,
- What worries us, as a clinical sign,
- for example, a friend may come up to you and say
- “Jô, yesterday I had this strong pain in my chest”,
- you look at your friend and you say “look, have you gone to see the cardiologist”?
- Of course.
- But if he comes up to you and says
- “Jô, I am snoring”,
- most people would laugh
- I wouldn´t. I know it´s severe.
- But most people laugh.
- So what do we do with the snorer?
- We isolate him.
- In my personal experience,
- we have a questionnaire for the evaluation of drowsiness, snoring, etc
- 26% of couple sleep in separate rooms because of the snoring, here in Brazil
- in Europe you can sleep in another room, it's an option,
- it´s culturally accepted
- The couple sleeps in separate rooms without any problems
- Is there a cure for snoring besides surgery?
- There is. The first process is the one that leads to snoring
- For example, if I leave here now and eat something difficult to digest,
- and drink a bottle of wine, I am going to snore.
- But mostly due to the wine, right?
- For both reasons. Due to the food and the alcoholic beverage.
- Because alcoholic beverages induce drowsiness.
- . it relaxes the muscles and causes snoring
- If I have factors such as difficulty in nasal breathing,
- I may snore due to this.
- The person may have allergic rhinitis,
- Exactly. Those people with a case of common cold,
- the nose gets clogged and they sleep poorly.
- The position has an influence, as well.
- The person that sleeps with their belly facing up are more likely to snore.
- That is because you have a larger dilatation of the muscles,
- the weight of the abdomen that compresses it,
- There is a compression of the thorax and the diaphragm
- and you make more effort.
- So you may snore because of your sleeping posture
- For this type of snorer, who sleep with their belly facing up,
- we have had satisfaction in our results using a tennis ball.
- We make a fake pocket on the back of the pajama shirt
- and place the tennis ball there
- Every time he turns, his back hurts, and he goes back
- I sleep naked, it wouldn´t be possible
- I can´t sleep with my belly facing up.
- Only sideways.
- The best way to sleep is sideways.
- Do you snore?
- I don't. Only when I am very tired or when I drink wine
- In these conditions, yes. Usually, no.
- I don´t snore either. I mean,
- we don´t know if we snore unless someone informs us that we do.
- Of course.
- Sometimes, when I am very tired I have what is called resound
- Yes.
- That is the level of deep sleep
- and is secundary to the relaxation of the muscles.
- So it has nothing to do with apnea?
- No. Apnea is when you have a sleep that does not satisfy,
- that is always interrupted,
- and on the next day you find it hard to do things.
- Since my appointment is over,
- I would like to ask you,
- What is the effect on our body when we do not sleep well?
- The effect is on behavior.
- You may have important cognitive disorders,
- such as irritability, neurasthenia
- take all these people here, who works with you
- when they don't sleep well or if there is a wakeful
- they will come tomorrow being more irritated
- The interpersonal relationship changes.
- The concentration changes.
- But that is a portion, right? Is it necessary?
- It's not necessary. That is one of the things.
- The major concern for us is the cardiovascular complications.
- Getting back to the snoring, there is high blood pressure caused by snoring,
- regardless of weight, high cholesterol
- having as the primary cause: snoring.
- There is surgery to eliminate snoring, isn´t there?
- There is. When well indicated, it brings good results.
- And is it simple?
- In a certain way, yes.
- If the human being slept one hour per day,
- if you allow the human being to be sleepless,
- will they die because of this?
- Yes. They would have complications.
- For example, we can stay longer without food than without sleep.
- Of course
- The lack of sleep, the privation of sleep, leads us to diseases without a doubt
- The world record was won by a Spanish woman that didn´t sleep for 11 days
- She was monitored by the electroencephalogram
- and it was stated that she took many naps
- So she didn´t necessarily stay without sleeping
- Of course.
- The privation of sleep will have the impact on the individual
- as if he were a zombie
- He doesn´t know what he´s doing
- Yes. It has been used as a torture method.
- Yes, because in this way you will do anything.
- To be able to take a nap.
- I talked to, (I loved our talk)
- I talked to Dr. Sergio Barros Vieira
- expert in sleep medicine
- Thank you so much for being here.
- We will be right back.