take it to their doctor
然后放给她们的医生看
Instead of what we notice in some cases
在同样的病例中
the women being told they were neurotic
医生告诉这些女性她们神经过敏
and getting the prescription for Valium
然后给她们开了安定
because the husband is the bed partner
因为和她们一起睡觉的是她们的丈夫
may always in denial
而她们的丈夫可能拒绝治疗
I don't have any problem
他们觉得自己没什么问题
I don't have problem, whatsoever
我什么问题也没有
So I would have them tape record it
所以我让他们自己去录像
take that to the doctor to play it
然后把录像放给医生看
and then they will take it seriously
这样他们就会严肃对待这个问题了
But we get tapes of bed partner
但现在我们在给伴侣录像时
who were sleeping in different rooms now
他们已经睡在了另一个房间
and banging on the wall
他们会敲墙壁
stop snoring! Turn over!
别打呼噜了 翻一下身
All kinds of issues for awakening during the night
所以和夜间醒来相关的问题有很多
Women are afraid to go to sleep when they are sleeping
如果同床伴侣存在睡眠呼吸
with somebody who has sleep apnea
那么女性通常很害怕睡觉
They are thrilled to get treatment
所以她们很愿意接受治疗
sleep apnea is treated very successfully
现在我们可以通过Cpap
with nasal Cpap
成功的治疗睡眠呼吸障碍
nasal continuous airway pressure Cpap
就是鼻腔正压呼吸器
It not only keeps the airway splinted and open at night
该仪器在夜间不断的给呼吸通道施压
but it's a nice wide noise sort of machine
这种仪器也会发生噪音
that is soothing and restful to bed partners
但对伴侣来说 这种声音要温柔安静得多
That's...when to be concerned is a lot of these issues
所以这些都是我们需要考虑到问题
The other thing is falling asleep during the day
另一个问题是日间的睡眠
Obviously
显然
if you fall asleep as soon as your head hits the pillow
如果你的头一沾枕头就睡着
and you fall asleep during the day
半天在没有准备的情况下
when you don't intend to
随时可能睡着
that's when you should be concerned
那么你就需要担心了
If the bed partner is reporting excessive limb movements
例如你的床伴说你睡着后四肢不停的动
or loud snoring or your breathing stops
或者打呼噜的声音很大 或者呼吸暂停
So I want to talk a little bit
所以我想简单讲讲
about the pineal gland and melatonin
松果体和褪黑素
and why we sleep anyway
为什么我们会睡觉
and some of the physiology behind that
以及是什么在背后促成了我们的睡眠
So this is just a picture of night scene
这只是一张夜晚的图片
but we are controlled by day and night
我们受白天和黑夜的控制
light and dark
受光明和黑暗的影响
Light comes in through our retina
光线穿过我们的视网膜
through the eye into the retina
通过眼球进入视网膜
and the light is a signal actually to the brain
然后对大脑和松果体
and to the pineal gland
发出信号