This document provides information about Dr. Mohammed Hussein, a psychiatrist in Egypt. It discusses his qualifications and role as technical manager and editor of the website "tabibnafsany.com". The document then provides summaries of sleep architecture and cycles, common sleep disorders, and healthy sleep hygiene practices. It notes that sleep varies between individuals based on factors like age, gender, environment and health conditions. Non-rapid eye movement sleep and rapid eye movement sleep are summarized. Common causes of poor sleep and their treatment are also outlined.

1. Dr.Mohammed Hussein
Diploma of Psychiatry .
Candidate for Egyptian Board of
Psychiatry.
Technical manger and editor of
“tabibnafsany.com” website.

2. ‫قال‬
‫تعالى‬
"
‫فضله‬‫من‬ ‫ابتغاؤكم‬ ‫و‬ ‫النهار‬ ‫و‬ ‫بالليل‬ ‫منامكم‬ ‫آياته‬ ‫من‬ ‫و‬
"
[
‫م‬‫و‬‫الر‬
:
23
]
.

3. ‫قال‬
‫تعالى‬
«
‫ه‬ َ
‫اّلل‬
‫ى‬
َ
‫ف‬ َ
‫و‬َ‫ت‬َ‫ي‬
َ
‫س‬ ‫ه‬‫نف‬
َ
‫األ‬
َ
‫ين‬ ِ
‫ح‬
‫ا‬َ‫ه‬ِ‫ت‬ْ
‫و‬ َ‫م‬
‫ي‬ ِ‫ت‬
َ
‫ال‬َ
‫و‬
ْ‫م‬
َ
‫ل‬
َ
‫ت‬
ْ
‫ت‬ ‫ه‬‫م‬
‫ي‬ِ‫ف‬
‫ا‬َ‫ه‬ِ‫ام‬َ‫ن‬ َ‫م‬
‫ه‬
‫ك‬ ِ
‫س‬ ْ‫م‬‫ه‬‫ي‬
َ
‫ف‬
‫ي‬ ِ‫ت‬
َ
‫ال‬
‫ى‬ َ‫ض‬
َ
‫ق‬
‫ا‬َ‫ه‬ْ‫ي‬
َ
‫ل‬َ‫ع‬
َ
‫ت‬ْ
‫و‬
َ
‫امل‬
‫ه‬‫ل‬ ِ
‫س‬ْ‫ر‬‫ه‬‫ي‬َ
‫و‬
‫ى‬َ‫ر‬
ْ
‫خ‬
‫ه‬
‫األ‬
‫ى‬
َ
‫ل‬ِ‫إ‬
‫ل‬ َ‫ج‬
َ
‫أ‬
‫ى‬ ًّ‫م‬ ْ
‫س‬ ُّ‫م‬
َ
‫ن‬ِ‫إ‬
‫ي‬ِ‫ف‬
َ
‫ك‬ِ‫ل‬
َ
‫ذ‬
َ‫آلي‬
‫ات‬
‫م‬ْ
‫و‬
َ
‫ق‬ِ‫ل‬
َ
‫ن‬‫و‬‫ه‬‫ر‬
َ
‫ك‬
َ
‫ف‬َ‫ت‬َ‫ي‬
»
(
‫الزمر‬
42
)

4. Sleep is an ACTIVE process. It is a reversible state of unresponsiveness
to stimuli of the outside world and to responses within the brain which
underlie perception.
‫النوم‬
‫هو‬
‫فترة‬
‫من‬
‫النشاط‬
‫السلبي‬
‫يفقط‬
‫فيها‬
‫الجسم‬
‫ة‬‫ر‬‫القد‬
‫على‬
‫التفاعلى‬
‫مع‬
‫املنبهات‬
‫ال‬
‫جية‬‫ر‬‫خا‬
(
‫الضوء‬
-
‫الصوت‬
-
‫وغيرها‬
)
‫واملنبهات‬
‫الداخلية‬
.
‫بشكل‬
‫مؤقت‬
‫السمع‬
...
‫البصر‬

6. Normal
Architecture
Normal
function

7. SLEEP
Non rapid eye
movement
sleep (NREM)
‫الغير‬ ‫النوم‬
‫بحركة‬ ‫مصحوب‬
‫السريعة‬ ‫العين‬
Rapid eye
movement
sleep (REM).
‫املصحوب‬ ‫النوم‬
‫العين‬ ‫بحركة‬
‫السريعة‬

8. 5
AM
NON REM
REM
1
2
3
4
Rapid eye
movement
sleep (REM)
►decreased heart rate
►·decreased systolic blood pressure
►abolition of tendon reflexes & muscle tone
►decreased respiratory rate
►increased heart rate
►increased systolic blood
pressure
►increased respiratory rate
►loss of muscle tone
► increased protein synthesis

9. wakefulness
‫النوم‬ ‫مراكز‬
:
 Raphe Nuclei of Brain stem
 Thalamic Nuclei (non
specific)
 Hypothalamus
Wakefulness
‫اليقظة‬ ‫مراكز‬
:
 Reticular formation
 Thalamic Nuclei (intra
laminar & midline)
 Subthalamus
 Hypothalamus

10. 
‫الخلق‬ ‫جميع‬ ‫عند‬
ً
‫ثابتا‬
ً
‫نمطا‬ ‫ليست‬

‫جة‬‫ر‬‫ود‬ ‫النوع‬ ‫و‬ ‫الزمان‬ ‫و‬ ‫املكان‬ ‫و‬ ‫السن‬ ‫بإختالف‬ ‫آخر‬ ‫إلى‬ ‫انسان‬ ‫من‬
ً
‫ا‬‫ر‬‫قص‬ ‫و‬
ً
‫طوال‬ ‫تختلف‬
‫ة‬‫ر‬‫ا‬‫ر‬‫الح‬
...
‫وغيرها‬
‫العمر‬ ‫حسب‬
:
‫كالتال‬ ‫النوم‬‫فترة‬‫متوسط‬‫ن‬‫يكو‬
‫ى‬
:

‫الرضع‬
:
ً
‫تقريبا‬‫الوقت‬ ‫ثلثى‬
.

‫األطفال‬
:
10
–
12
ً
‫يوميا‬‫ساعة‬
.

‫اشدين‬‫ر‬‫ال‬
:
7
–
9
ً
‫يوميا‬‫ساعات‬
.

‫الكبار‬
:
4
–
6
ً
‫يوميا‬‫ساعات‬
.
‫النوع‬ ‫حسب‬
:
o
‫النساء‬
‫تحتاج‬
‫إلى‬
‫ساعات‬
‫من‬
‫النوم‬
‫أكثر‬
‫من‬
‫الرجال‬
،
‫و‬
‫هذا‬
‫لطبيعة‬
‫التركيب‬
‫الفسيو‬
‫لوجى‬
‫لدى‬
‫أة‬‫ر‬‫امل‬
.
o
‫أة‬‫ر‬‫امل‬
‫فى‬
‫فترة‬
‫الحمل‬
‫تنام‬
‫عدد‬
‫من‬
‫الساع‬
‫ات‬
‫أكثر‬
‫من‬
‫تلك‬
‫التى‬
‫كانت‬
‫تنامها‬
‫فى‬
‫غير‬
‫فترة‬
‫الحمل‬
.
‫املكان‬‫طبيعة‬ ‫حسب‬

‫ا‬‫ر‬‫و‬
ً
‫هدوءا‬‫املكان‬‫كان‬‫فكلما‬
ً
‫حة‬
‫الت‬‫الفترة‬‫كانت‬ ً ‫سكينة‬‫و‬
‫ى‬
‫النو‬‫فى‬‫اإلنسان‬‫يقتضيها‬
‫ل‬‫أطو‬‫م‬
‫حين‬‫فى‬ ‫منها‬

‫الشخ‬‫طبيعة‬ ‫تتغلب‬‫قد‬ ‫لكن‬
‫ص‬
‫املكان‬‫طبيعة‬‫على‬

11.  increased day time sleep>>> decrease night time.
 Increased movement during sleep
 Multiple wakefulness
 Decreased depth of sleep
 Generally decresed sleep time

12. Common causes
1. Alzheimer’ disease
2. Chronic heart diseases
3. Depression
4. Pain
5. Side effects of some medications
6. Stimulant
7. Urine frequency

13. 1. Difficulty falling asleep
2. Inverted sleep pattern
3. Early awfulness
4. Intrrupted sleep

14. Before;
 Treat pain
 Treat any organic disorders
 Treat psychiatric disorders

15. ‫للنوم‬‫الصحية‬‫العادات‬‫سة‬‫ر‬‫مما‬
:

‫بقليل‬ ‫النوم‬ ‫قبل‬ ‫الثقيلة‬ ‫الوجبات‬ ‫تجنب‬
(
‫االقل‬ ‫على‬‫ساعتين‬
)

‫املنبهات‬ ‫تجنب‬

‫واالستيقاظ‬ ‫للنوم‬ ‫منتظمة‬ ‫مواعيد‬ ‫وضع‬

‫فقط‬ ‫للنوم‬ ‫السرير‬

ً
‫ا‬‫ر‬‫مبك‬ ‫ياضيه‬‫ر‬ ‫ين‬‫ر‬‫تما‬ ‫أي‬

‫بقليل‬ ‫النوم‬ ‫قبل‬ ‫حمام‬ ‫أخذ‬

‫خالل‬‫في‬ ‫النوم‬ ‫عدم‬ ‫حالة‬ ‫في‬
20
‫هادئ‬ ‫عمل‬ ‫اي‬ ‫وأعمل‬ ‫السرير‬ ‫من‬ ‫انهض‬ ‫دقيقة‬
(
‫مشاهدة‬
‫ن‬‫تليفزيو‬
-
‫اءة‬‫ر‬‫ق‬
-
)....

16. Good Sleep Hygiene
• Maintain a regular bedtime and awakening time schedule
• Relaxing rituals prior to bedtime many include a warm bath or shower,
• Use your bedroom only for sleep
• Finish eating at least 2-3 hours prior to your regular bedtime
• Avoid stimulant within 6 hours 2 hours of bedtime
• Avoid smoking within 2 hours of bedtime.
• Exercise regularly; finish a few hours before bedtime.
• Go to bed only when sleepy.
• Avoid naps.
• After 10-15 minutes of not being able to get to sleep, go to another room
to read or watch TV until sleepy.

17.  not the first choise
 Better not to use in:
 Alzihamer
 Inverted sleep pattern
 Usee only for short period
 important; benzodiazepines …. Valium
mirtazibine; Remenon

18. ‫د‬
.
‫حسين‬ ‫محمد‬
www.TabibNafsany.com