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now menopause is one reason
绝经是造成这一情况的原因之一
but there could be other reasons that you may not know
但可能还有一些你不知道的原因
what's waking you up at night
也会导致你在半夜醒来
I had one case
我有一个患者
a very bizarre case
他的情况很奇怪
where he said I wake at 3:10 every night
他说我每晚准时3:10醒来
I said, ok, really?
我说 真的吗
Do you have to go to the bathroom?
你是因为要上厕所吗?
No, I'm not hungry, I'm not thirsty
不是 我既不饿 也不渴
I don't have any problems
我没有任何问题
I wake up at 3:10
但我每晚都会在3:10醒来
and it's driving me crazy
我都快疯了
and I need to do something
我该怎么办
So we did a traditional, you know, keep a 2-week diary
我们要求他做一个传统的两周日记
and see he was waking up 3:10 most nights
发现他的确每晚都在3:10醒来
couple of nights a week
一周有几天都是如此
So we were...both of us very puzzle by this
所以我们也感到很疑惑
Usually they will come back in two weeks
很多时候患者两周后会回来告诉我们
and say I don't need you
我不需要你们的帮助了
I figure it all out from self-monitoring
通过自我检测 观察自己的睡眠模式
and looking at their own patterns
我已经知道怎么回事了
but we were both still puzzled
但这个病人的情况让我们摸不着头脑
So I said
然后我说
why don't you do me a favor for the next couple of nights
你能不能在接下来的几天夜里帮我个忙
just set your alarm for 3:05 and see what happens
定一个3:05的闹钟 看看到底怎么回事
And sure enough, it was the neighbor upstairs
结果是因为楼上的邻居
who was putting on his boots
他每晚半夜出去工作之前
in the middle of the night to go to work
都会穿靴子
So I don't know what happened with the neighbor
我不知道邻居的情况是怎么回事
but you never know, you never know
但是人们可能并不了解
what's causing these awakenings at night
到底是什么造成了他们半夜醒来
That was pretty dramatic
这是一个极端的病例
What I usually suggest is that
我通常给出的建议是
if you don't have a bed partner
如果你没有床伴
who is listening or watching you sleep
能够听见或看到你的睡眠情况
you can actually tape record or video tape your sleep
那么你可以自己给自己的睡眠录像
and look at it and see what you see
然后回过头来看到底是怎么回事
You may find you are kicking a lot
你可能发现你自己经常踢腿
and every time you kick your arms and legs
而每次伸展四肢时
your brain is aroused
你的大脑就被刺激了
It's awake
大脑会醒来
It's not in deep sleep or light sleep
大脑没有处在深度或浅度睡眠之中
it's awake
而是已经醒来
You might find that you are snoring
你可能还会发现自己打呼噜
A lot of people find that
很多人都发现了
