Somnologic Center. Treatment of Sleep Pathology.

Often, the patient comes with a complaint of poor sleep, but during the examination it turns out that it was not the disease that caused the poor sleep, but, on the contrary, that sleep gives rise to painful sensations. For example, the reason for such deviations as sleepwalking, sleeping, gnashing teeth, enuresis can often be excessively deep sleep or, on the contrary, not deep enough.

To help our patients fall asleep easily and sleep soundly, the Somnology Center of JSC "Medicina" Clinic (Professor Roytberg Clinic) uses a multidisciplinary approach to solving sleep problems. All types of examinations are carried out to identify various sleep pathologies. a team of specialists should take part in solving this problem (sleep doctor, if necessary, surgical correction - an ENT surgeon, for weight loss - a nutritionist, therapist and a specialist in a cardiac rehabilitation center).

An integrated approach makes it possible to carry out productive therapy for sleep disorders. The examination results for each patient are sent for consultation to one of the most famous somnologists in the world - Professor Ingo Fitze, head of the somnology department of the Charite clinic (Berlin, Germany). If necessary, the professor advises patients in Moscow.

How to properly solve sleep problems

Ingo Fitze, doctor-somnologist, consultant of the sleep center of the clinic of JSC "Medicine", professor, doctor of medical sciences, founder of the Center of Medicine sleep Somnico GmbH (Berlin, Germany).

Benefits:

1. The Sleep Center of JSC "Medicina" Clinic (Professor Roytberg Clinic) was created in cooperation with one of the largest sleep laboratories in Europe under the leadership of Professor Ingo Fitze
2. A team of international level specialists
3. A multidisciplinary approach to sleep problems
4. The center conducts comprehensive diagnostics of sleep disorders, including polysomnography
   
5. Stay in the comfortable conditions of the clinic "Medicine"

An examination at the Sleep Center is recommended for patients with the following complaints:

• Problems falling asleep and maintaining sleep (insomnia)
• Breathing problems during sleep, snoring
• Chronic daytime fatigue
• Restless Legs Syndrome
• Narcolepsy
• Circadian rhythm disturbances, including shiftwork syndrome,
• flight syndrome, etc.
• Parasomnias, including somnambulism, teeth grinding in sleep, etc.

If, along with the above symptoms, you have one or more of the following diseases, then the need for consultation with experienced sleep medicine specialists increases:

• Arterial hypertension
• Overweight
• Diabetes mellitus
• Cardiovascular diseases: ischemic heart disease, arrhythmia, heart failure
• Kidney disease requiring dialysis
• Disruption of blood supply to the brain or stroke
• Acromegaly
• Thyroid disease
• Mental illness
• Neuromuscular disease

Insomnia:
Once diagnosed, behavioral, psychological, and medication strategies for treating insomnia become the main focus. If necessary, we offer long-term and regular assistance from our specialists after the diagnosis has been made.

Periodic limb movement syndrome (PLMS):
If the diagnosis of periodic limb movement syndrome (PLM), which often accompanies sleep-disordered breathing (SBAS), is confirmed, an attempt can be made to medication during an inpatient stay at the Sleep Pathology Center. In most cases, however, the success of this therapy can only be established over a long period of time. Under certain circumstances, repeated inpatient polysomnographic monitoring may be required.

Sleep Breathing Disorders:
If breathing disorders during sleep are suspected as a result of a preliminary outpatient examination and confirmation of the diagnosis after an inpatient polysomnographic study, inpatient therapy with a CPAP breathing apparatus begins. CPAP therapy is a successful treatment for sleep-related breathing disorders, which has shown positive results in 85% of patients. The individual breathing pressure for each patient is set as a rule
within 2 nights by means of cardiorespiratory polysomnographic control. At the same time, the patient is intensively trained to use his own CPAP machine. The patient is also explained in detail the picture of the disease, informed about therapy
and later life with a breathing apparatus.

Upon discharge from the hospital, the patient can purchase a CPAP machine from our pharmacy for home use. Exceptions are other ways of securing certain health insurance coverage. Depending on the conclusion of the doctor upon discharge from the hospital, at least once in the first year after the start of therapy, the patient must undergo an outpatient and, if required, an inpatient follow-up examination.