A importância do sono e as principais interferências – Blog Famara

Todos sabem o quanto bem faz uma boa noite de sono. Seja para o descanso físico ou mental, dormir bem nos deixa com mais disposição, saúde e de bom humor. Mas você sabe o que mais acontece durante o sono?! Para isso, precisamos começar com o básico:

O que é o sono?

Sono é o nome dado ao repouso que fazemos em períodos de cerca de 8 horas em intervalos de cerca de 24 horas. Durante esse período nosso organismo realiza funções importantíssimas com consequências diretas à saúde como o fortalecimento do sistema imunológico, secreção e liberação de hormônios (hormônio do crescimento, insulina e outros), consolidação da memória, isso sem falar no relaxamento e descanso da musculatura.

Qual é a real importância do sono?

Passamos cerca de um terço de nossa vida dormindo. Dormir bem é essencial não apenas para ficar acordado no dia seguinte, mas, para manter-se saudável, melhorar a qualidade de vida e até aumentar a longevidade. Nosso desempenho físico e mental está diretamente ligado a uma boa noite de sono. O efeito de uma madrugada em claro é semelhante ao de uma embriaguez leve: a coordenação motora é prejudicada e a capacidade de raciocínio fica comprometida, ou seja, sem o merecido descanso o organismo deixa de cumprir uma série de tarefas importantíssimas. O que nos aconteceria se não dormíssemos?

Em estudo realizado pela Universidade de Chicago – EUA, onze pessoas com idades entre 18 e 27 anos foram impedidas de dormir mais de quatro horas durante seis dias. O efeito foi assustador. No final do período, o funcionamento do organismo delas era comparado ao de uma pessoa de 60 anos de idade. E os níveis de insulina eram semelhantes aos dos portadores de diabetes. Em pesquisas de laboratório, ratos usados como cobaias não agüentaram mais de dez dias sem dormir. A conseqüência: morte por infecção generalizada.

É verdade que crescemos enquanto dormimos ?

Sim, é verdade. Na infância, cerca de 90% do hormônio do crescimento é liberado durante o sono. Crianças que dormem mal têm mais chances de ter problemas no seu desenvolvimento físico. O hormônio do crescimento continua sendo liberado mesmo na fase adulta. Embora em doses menores, isso continua ocorrendo durante o sono. Em pessoas adultas ele evita a flacidez muscular e garante vigor físico. Quais são as principais interferências ao sono?

As interferências ao sono poderiam ser classificadas em externas e orgânicas. Como exemplos de interferências externas poderíamos citar os trabalhos noturnos ou turnos rotativos, os eventuais problemas com fusos horários (em casos de viagens), as pessoas chamadas de corujas (que possuem mais energia ao entardecer!) e as chamadas de cotovias (deitam-se muito cedo e dormem cada vez menos com o passar do tempo!). Para exemplificar interferências orgânicas podemos citar o ronco, a apnéia (freqüentemente associada ao ronco), a insônia, a narcolepsia (sonolência diurna excessiva), o bruxismo (ranger de dentes) a síndrome das pernas inquietas e outras. O ronco e o bruxismo, geralmente, incomodam mais quem dorme nas proximidades do que quem apresenta o quadro clínico.

O que é apnéia?

A apnéia é o fechamento (colabamento) da passagem de ar ao nível da garganta pelos próprios tecidos da mesma (por isso freqüentemente está associada ao ronco) com conseqüente parada da respiração. Esse fechamento pode demorar vários segundos e até mesmo causar a morte súbita! Quem possui essa disfunção nem sempre a percebe e apresenta noites com “dorme e acorda” que podem chegar a 300 vezes! Você é capaz de imaginar como a pessoa levanta no dia seguinte?

A abordagem tradicional dos casos de ronco e apnéia tem na cirurgia (uvulopalatofaringoplastia) o seu maior armamento. Contudo, a cirurgia não apresenta índice de sucesso satisfatório (cerca de 40%) e deixa sequelas permanentes. Atualmente, está disponível a opção pelo uso do DAR (dispositivo anti ronco) que é um aparelho odontológico usado apenas para dormir, pequeno e simples que pode ser levado para qualquer lugar e apresenta excelente índice de sucesso (cerca de 87%). Contudo, o aparelho possui contra indicações e um exame clínico inicial deve ser feito.

Veja algumas dicas para melhorar a qualidade do seu sono:

  1. Antes de tudo, durma em um local confortável, fresco, escuro e silencioso. As alterações de ruído, de luz e de temperatura podem atrapalhar o sono;
  2. Prepare-se para dormir. Crie seus próprios rituais como a meditação, o relaxamento, a oração ou outra técnica de controle da tensão. Anote em um caderno todos os seus problemas antes de dormir. Não vá para a cama com eles! Isso funciona como um santo remédio para muita gente;
  3. Evite olhar o relógio a cada vez que acordar: este hábito pode piorar uma eventual noite de insônia;
  4. Pratique exercícios regularmente, pois isso melhora as condições do organismo. Mas procure fazer ginástica até duas horas antes de se deitar;
  5. Não durma com fome. Uma boa dica é beber um copo de leite morno antes de ir para a cama: o leite é rico em triptofano, que é um precursor da serotonina – substância envolvida no processo de sono;
  6. Faça apenas refeições leves à noite. A partir dos 16 anos, a capacidade digestiva de nosso organismo começa a diminuir e uma digestão difícil atrapalha terrivelmente o sono;
  7. Use a cama apenas para dormir, e não para ver televisão, ler ou jogar videogame, pois esses hábitos são desfavoráveis ao sono;
  8. A melhor posição para dormir é de lado, com as pernas ligeiramente flexionadas e um travesseiro não muito alto apoiando o rosto. Não se esqueça de colocar uma almofada entre as pernas na altura dos joelhos. A densidade correta do colchão é fundamental!
  9. Se estiver numa noite de insônia, não fique na cama forçando o sono. Levante-se, procure alguma atividade e só retorne quando sentir sono;
  10. Cuidado com líqüidos antes e, até mesmo, durante a noite, pois a necessidade de urinar irá interromper a seqüência do seu sono.

RECOMENDADO PARA VOCÊ

Insônia – Insônia é a condição caracterizada por dificuldade em pegar no sono, continuar dormindo após pegar no sono ou acordar muito cedo pela madrugada.

Síndrome da Apneia Obstrutiva do Sono – É uma doença (síndrome) crônica, evolutiva, com alta taxa de morbidade e mortalidade, apresentando um conjunto sintomático múltiplo que vai desde o ronco até a sonolência excessiva diurna, com repercussões gerais hemodinâmicas, neurológicas e comportamentais.

Ronco e Apnéia do Sono – A Apnéia do sono é a obstrução das vias aéreas por alguns momentos durante a noite

Ronco e Apnéia Obstrutiva do Sono – A apnéia obstrutiva do sono é a interrupção da respiração pelo fechamento da passagem do ar ao nível da garganta.

Hormônio do Crescimento – É importante para o crescimento desde os primeiros anos de vida até o fechamento das cartilagens de crescimento dos ossos (epífises), o que ocorre no final da puberdade, em geral, entre os 15 e os 20 anos de idade.

Síndrome das Pernas Inquietas (SPI) – Afeta em torno de 15% da população adulta. Seu diagnóstico é importante, pois o tratamento é capaz de proporcionar alivio para aqueles que são afetados por este incômodo mal.

Depressão – É uma doença que se caracteriza por afetar o estado de humor da pessoa, deixando-a com um predomínio anormal de tristeza. As mulheres são duas vezes mais afetadas que os homens.

Dispositivo Anti Ronco – Roncar alto, não importa a posição em que se está deitado, acordar cansado, com a boca seca ou com dor de cabeça são sintomas deste tipo de apnéia 

Transtorno de Ansiedade Generalizada – A ansiedade é um sentimento desagradável, vago, indefinido, que pode vir acompanhado de sensações como frio no estômago, aperto no peito, coração acelerado, tremores e podendo haver também sensação de falta de ar. 

Noctúria – A noctúria, que é o volume urinário normal durante a noite, pode ocorrer por várias causas.

 

Fonte: ABC da Saúde

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