{"id":28847,"date":"2025-05-05T17:07:19","date_gmt":"2025-05-05T15:07:19","guid":{"rendered":"https:\/\/clinicagirona.cat\/?page_id=28847"},"modified":"2026-03-13T08:43:27","modified_gmt":"2026-03-13T07:43:27","slug":"unidad-del-sueno-de-girona","status":"publish","type":"page","link":"https:\/\/clinicagirona.cat\/es\/especialitats\/unitat-del-son-de-girona\/","title":{"rendered":"Unidad del Sue\u00f1o de Cl\u00ednica Girona"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"28847\" class=\"elementor elementor-28847\">\n\t\t\t\t<div class=\"wd-negative-gap elementor-element elementor-element-0d90202 e-flex e-con-boxed e-con e-parent\" data-id=\"0d90202\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-3087d11 wd-width-100 elementor-widget elementor-widget-wd_title\" data-id=\"3087d11\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"wd_title.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"title-wrapper wd-set-mb reset-last-child wd-title-color-default wd-title-style-default wd-title-size-medium text-left\">\n\n\t\t\t\n\t\t\t<div class=\"liner-continer\">\n\t\t\t\t<h2 class=\"woodmart-title-container title wd-fontsize-xl\">Unitat del Son de Cl\u00ednica Girona: Recuperi el seu descans, millori la seva vida<br \/>\n<\/h2> \n\t\t\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"wd-negative-gap elementor-element elementor-element-357707b e-flex e-con-boxed e-con e-parent\" data-id=\"357707b\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t<div class=\"elementor-element elementor-element-ec0f140 e-con-full e-flex e-con e-child\" data-id=\"ec0f140\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-2f8555e wd-width-100 elementor-widget elementor-widget-wd_title\" data-id=\"2f8555e\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"wd_title.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"title-wrapper wd-set-mb reset-last-child wd-title-color-default wd-title-style-default wd-title-size-default text-center\">\n\n\t\t\t\n\t\t\t<div class=\"liner-continer\">\n\t\t\t\t<h4 class=\"woodmart-title-container title wd-fontsize-l\">Contacte<\/h4> \n\t\t\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-b9d598f elementor-align-center elementor-icon-list--layout-traditional elementor-list-item-link-full_width elementor-widget elementor-widget-icon-list\" data-id=\"b9d598f\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"icon-list.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<ul class=\"elementor-icon-list-items\">\n\t\t\t\t\t\t\t<li class=\"elementor-icon-list-item\">\n\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-icon\">\n\t\t\t\t\t\t\t<svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-map-pin\" viewBox=\"0 0 288 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M112 316.94v156.69l22.02 33.02c4.75 7.12 15.22 7.12 19.97 0L176 473.63V316.94c-10.39 1.92-21.06 3.06-32 3.06s-21.61-1.14-32-3.06zM144 0C64.47 0 0 64.47 0 144s64.47 144 144 144 144-64.47 144-144S223.53 0 144 0zm0 76c-37.5 0-68 30.5-68 68 0 6.62-5.38 12-12 12s-12-5.38-12-12c0-50.73 41.28-92 92-92 6.62 0 12 5.38 12 12s-5.38 12-12 12z\"><\/path><\/svg>\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-text\">Segona planta \/ M\u00d2DUL C<\/span>\n\t\t\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\t\t\t\t<li class=\"elementor-icon-list-item\">\n\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-icon\">\n\t\t\t\t\t\t\t<svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-mobile-alt\" viewBox=\"0 0 320 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M272 0H48C21.5 0 0 21.5 0 48v416c0 26.5 21.5 48 48 48h224c26.5 0 48-21.5 48-48V48c0-26.5-21.5-48-48-48zM160 480c-17.7 0-32-14.3-32-32s14.3-32 32-32 32 14.3 32 32-14.3 32-32 32zm112-108c0 6.6-5.4 12-12 12H60c-6.6 0-12-5.4-12-12V60c0-6.6 5.4-12 12-12h200c6.6 0 12 5.4 12 12v312z\"><\/path><\/svg>\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-text\">972 487 092<\/span>\n\t\t\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\t\t\t\t<li class=\"elementor-icon-list-item\">\n\t\t\t\t\t\t\t\t\t\t\t<a href=\"mailto:unitatson@clinicagirona.cat\">\n\n\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-icon\">\n\t\t\t\t\t\t\t<svg aria-hidden=\"true\" class=\"e-font-icon-svg e-far-envelope\" viewBox=\"0 0 512 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M464 64H48C21.49 64 0 85.49 0 112v288c0 26.51 21.49 48 48 48h416c26.51 0 48-21.49 48-48V112c0-26.51-21.49-48-48-48zm0 48v40.805c-22.422 18.259-58.168 46.651-134.587 106.49-16.841 13.247-50.201 45.072-73.413 44.701-23.208.375-56.579-31.459-73.413-44.701C106.18 199.465 70.425 171.067 48 152.805V112h416zM48 400V214.398c22.914 18.251 55.409 43.862 104.938 82.646 21.857 17.205 60.134 55.186 103.062 54.955 42.717.231 80.509-37.199 103.053-54.947 49.528-38.783 82.032-64.401 104.947-82.653V400H48z\"><\/path><\/svg>\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-text\">unitatson@clinicagirona.cat<\/span>\n\t\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\t\t\t\t<li class=\"elementor-icon-list-item\">\n\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-icon\">\n\t\t\t\t\t\t\t<svg aria-hidden=\"true\" class=\"e-font-icon-svg e-far-clock\" viewBox=\"0 0 512 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M256 8C119 8 8 119 8 256s111 248 248 248 248-111 248-248S393 8 256 8zm0 448c-110.5 0-200-89.5-200-200S145.5 56 256 56s200 89.5 200 200-89.5 200-200 200zm61.8-104.4l-84.9-61.7c-3.1-2.3-4.9-5.9-4.9-9.7V116c0-6.6 5.4-12 12-12h32c6.6 0 12 5.4 12 12v141.7l66.8 48.6c5.4 3.9 6.5 11.4 2.6 16.8L334.6 349c-3.9 5.3-11.4 6.5-16.8 2.6z\"><\/path><\/svg>\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-text\">De 09:00 h a 21:00 hores.<\/span>\n\t\t\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\t\t<\/ul>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-fce620d e-con-full e-flex e-con e-child\" data-id=\"fce620d\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-e7e1614 color-scheme-inherit text-left elementor-widget elementor-widget-text-editor\" data-id=\"e7e1614\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>La Unitat del Son de la Cl\u00ednica Girona, sota la direcci\u00f3 de les doctores In\u00e9s Galofr\u00e9 i Pilar Santacana, \u00e9s un <strong>centre de refer\u00e8ncia en l\u2019\u00e0mbit dels trastorns del son<\/strong>. La Unitat del Son est\u00e0 en funcionament des de 1997. El nostre principal objectiu \u00e9s proporcionar-li un son de bona qualitat.&nbsp;<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-cc8637a color-scheme-inherit text-left elementor-widget elementor-widget-text-editor\" data-id=\"cc8637a\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>La Unitat del Son de Cl\u00ednica Girona ha estat acreditada pel comit\u00e8 espanyol de medicina del son com a <strong>Centre Multidisciplinari en Medicina del Son, CMS<\/strong>. Compta amb l\u2019aval de la<a href=\"https:\/\/ses.org.es\/\" target=\"_blank\" rel=\"noopener\">\u00a0<span style=\"text-decoration: underline;\">Sociedad Espa\u00f1ola del Sue\u00f1o, SES<\/span><\/a>; la<a href=\"https:\/\/www.sen.es\/\" target=\"_blank\" rel=\"noopener\">\u00a0<span style=\"text-decoration: underline;\">Sociedad Espa\u00f1ola de Neurolog\u00eda, SEN<\/span><\/a>; la\u00a0<span style=\"text-decoration: underline;\"><a href=\"https:\/\/www.separ.es\/\" target=\"_blank\" rel=\"noopener\">Sociedad Espa\u00f1ola de Neumolog\u00eda, SEPAR<\/a><\/span>; la\u00a0<span style=\"text-decoration: underline;\"><a href=\"https:\/\/www.aeped.es\/\" target=\"_blank\" rel=\"noopener\">Asociaci\u00f3n Espa\u00f1ola de Pediatr\u00eda, AEP<\/a><\/span>; i la\u00a0<span style=\"text-decoration: underline;\"><a href=\"https:\/\/sepsm.org\/\" target=\"_blank\" rel=\"noopener\">Sociedad Espa\u00f1ola de Psiquiatr\u00eda, SEP<\/a><\/span>.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-237b037 color-scheme-inherit text-left elementor-widget elementor-widget-text-editor\" data-id=\"237b037\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Les alteracions del son no s\u00f3n nom\u00e9s una mol\u00e8stia, a llarg termini poden tenir repercussions importants en la seva salut, augmentant el risc de problemes cardiovasculars, metab\u00f2lics, cognitius i de l&#8217;estat d&#8217;\u00e0nim. <strong>Identificar i tractar aquests trastorns \u00e9s un pas crucial<\/strong> per millorar la seva qualitat de vida i el seu benestar general.<\/p><p>Oferim una avaluaci\u00f3 exhaustiva per a diverses alteracions del son, tant en adults com en adolescents. El nostre objectiu \u00e9s comprendre les causes subjacents dels seus problemes de son i <strong>dissenyar un pla de tractament personalitzat i efica\u00e7<\/strong>.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"wd-negative-gap elementor-element elementor-element-d36f5f3 e-flex e-con-boxed e-con e-parent\" data-id=\"d36f5f3\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-c1eb9c0 wd-width-100 elementor-widget elementor-widget-wd_title\" data-id=\"c1eb9c0\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"wd_title.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"title-wrapper wd-set-mb reset-last-child wd-title-color-default wd-title-style-default wd-title-size-medium text-left\">\n\n\t\t\t\n\t\t\t<div class=\"liner-continer\">\n\t\t\t\t<h3 class=\"woodmart-title-container title wd-fontsize-xl\">Qu\u00e8 tractem?<br \/>\n<\/h3> \n\t\t\t\t\t\t\t<\/div>\n\n\t\t\t\t\t\t\t<div class=\"title-after_title reset-last-child wd-fontsize-s\">\n\t\t\t\t\t<p>La Unitat del Son de Cl\u00ednica Girona estudia, diagnostica i tracta tots els trastorns del son. La patologia del son inclou totes aquelles alteracions que tenen lloc durant el per\u00edode nocturn. Els problemes de son afecten aproximadament <strong>el 35% de la poblaci\u00f3<\/strong>.<\/p>\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-066cbf1 elementor-widget elementor-widget-n-accordion\" data-id=\"066cbf1\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;default_state&quot;:&quot;all_collapsed&quot;,&quot;max_items_expended&quot;:&quot;one&quot;,&quot;n_accordion_animation_duration&quot;:{&quot;unit&quot;:&quot;ms&quot;,&quot;size&quot;:400,&quot;sizes&quot;:[]}}\" data-widget_type=\"nested-accordion.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"e-n-accordion\" aria-label=\"Accordion. Open links with Enter or Space, close with Escape, and navigate with Arrow Keys\">\n\t\t\t\t\t\t<details id=\"e-n-accordion-item-6730\" class=\"e-n-accordion-item\" >\n\t\t\t\t<summary class=\"e-n-accordion-item-title\" data-accordion-index=\"1\" tabindex=\"0\" aria-expanded=\"false\" aria-controls=\"e-n-accordion-item-6730\" >\n\t\t\t\t\t<span class='e-n-accordion-item-title-header'><div class=\"e-n-accordion-item-title-text\"> Diagn\u00f2stic i tractament <\/div><\/span>\n\t\t\t\t\t\t\t<span class='e-n-accordion-item-title-icon'>\n\t\t\t<span class='e-opened' ><svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-minus\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M416 208H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h384c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\"><\/path><\/svg><\/span>\n\t\t\t<span class='e-closed'><svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-plus\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M416 208H272V64c0-17.67-14.33-32-32-32h-32c-17.67 0-32 14.33-32 32v144H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h144v144c0 17.67 14.33 32 32 32h32c17.67 0 32-14.33 32-32V304h144c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\"><\/path><\/svg><\/span>\n\t\t<\/span>\n\n\t\t\t\t\t\t<\/summary>\n\t\t\t\t<div role=\"region\" aria-labelledby=\"e-n-accordion-item-6730\" class=\"elementor-element elementor-element-859881d e-con-full e-flex e-con e-child\" data-id=\"859881d\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-dd5f7ab elementor-widget elementor-widget-wd_text_block\" data-id=\"dd5f7ab\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"wd_text_block.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"wd-text-block reset-last-child text-left\">\n\t\t\t\n\t\t\t<p>L\u2019espai on es fan les proves est\u00e0 pensat per aconseguir les <strong>condicions \u00f2ptimes de confort i tranquil\u00b7litat<\/strong>, alhora que permet al t\u00e8cnic de nit controlar el desenvolupament del registre al llarg del per\u00edode nocturn.<\/p><p>La Unitat del Son consta de dues habitacions comunicades: El despatx m\u00e8dic, que durant la nit fa de laboratori del son, i l\u2019habitaci\u00f3 on dorm el pacient. La Unitat del Son de Cl\u00ednica Girona t\u00e9 tres habitacions independents, equipades i preparades per realitzar registres nocturns, per la qual cosa <strong>es poden realitzar estudis a tres persones simult\u00e0niament<\/strong>.<\/p><p>Existeix la possibilitat de realitzar, en determinats casos, el registre ambulatori al <strong>domicili del pacient<\/strong>.<\/p>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/details>\n\t\t\t\t\t\t<details id=\"e-n-accordion-item-6731\" class=\"e-n-accordion-item\" >\n\t\t\t\t<summary class=\"e-n-accordion-item-title\" data-accordion-index=\"2\" tabindex=\"-1\" aria-expanded=\"false\" aria-controls=\"e-n-accordion-item-6731\" >\n\t\t\t\t\t<span class='e-n-accordion-item-title-header'><div class=\"e-n-accordion-item-title-text\"> On duem a terme les proves? <\/div><\/span>\n\t\t\t\t\t\t\t<span class='e-n-accordion-item-title-icon'>\n\t\t\t<span class='e-opened' ><svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-minus\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M416 208H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h384c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\"><\/path><\/svg><\/span>\n\t\t\t<span class='e-closed'><svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-plus\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M416 208H272V64c0-17.67-14.33-32-32-32h-32c-17.67 0-32 14.33-32 32v144H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h144v144c0 17.67 14.33 32 32 32h32c17.67 0 32-14.33 32-32V304h144c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\"><\/path><\/svg><\/span>\n\t\t<\/span>\n\n\t\t\t\t\t\t<\/summary>\n\t\t\t\t<div role=\"region\" aria-labelledby=\"e-n-accordion-item-6731\" class=\"elementor-element elementor-element-cd7f612 e-con-full e-flex e-con e-child\" data-id=\"cd7f612\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-a8ea217 elementor-widget elementor-widget-wd_text_block\" data-id=\"a8ea217\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"wd_text_block.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"wd-text-block reset-last-child text-left\">\n\t\t\t\n\t\t\t<p>La Unitat del Son de Cl\u00ednica Girona ofereix un servei de diagn\u00f2stic i tractament de <strong>tots els trastorns del son<\/strong>. Amb aquest objectiu es fan les seg\u00fcents proves:<\/p><ul><li>Visita de la metgessa especialista en trastorns del Son.<\/li><li>Polisomnografia nocturna.<\/li><li>Polisomnografia nocturna amb aparell de CPAP.<\/li><li>S.L.T. (Test de Lat\u00e8ncia M\u00faltiple de Son).<\/li><li>Split-night.<\/li><li>Registre ambulatori.<\/li><\/ul>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/details>\n\t\t\t\t\t\t<details id=\"e-n-accordion-item-6732\" class=\"e-n-accordion-item\" >\n\t\t\t\t<summary class=\"e-n-accordion-item-title\" data-accordion-index=\"3\" tabindex=\"-1\" aria-expanded=\"false\" aria-controls=\"e-n-accordion-item-6732\" >\n\t\t\t\t\t<span class='e-n-accordion-item-title-header'><div class=\"e-n-accordion-item-title-text\"> Com funcionem? <\/div><\/span>\n\t\t\t\t\t\t\t<span class='e-n-accordion-item-title-icon'>\n\t\t\t<span class='e-opened' ><svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-minus\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M416 208H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h384c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\"><\/path><\/svg><\/span>\n\t\t\t<span class='e-closed'><svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-plus\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M416 208H272V64c0-17.67-14.33-32-32-32h-32c-17.67 0-32 14.33-32 32v144H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h144v144c0 17.67 14.33 32 32 32h32c17.67 0 32-14.33 32-32V304h144c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\"><\/path><\/svg><\/span>\n\t\t<\/span>\n\n\t\t\t\t\t\t<\/summary>\n\t\t\t\t<div role=\"region\" aria-labelledby=\"e-n-accordion-item-6732\" class=\"elementor-element elementor-element-09441cd e-con-full e-flex e-con e-child\" data-id=\"09441cd\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-2b2c6d1 elementor-widget elementor-widget-wd_text_block\" data-id=\"2b2c6d1\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"wd_text_block.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"wd-text-block reset-last-child text-left\">\n\t\t\t\n\t\t\t<p>La Unitat del Son de Cl\u00ednica Girona ofereix un servei de diagn\u00f2stic i tractament de tots els trastorns el son. <span style=\"font-size: 16px;\">El funcionament \u00e9s el seg\u00fcent:<\/span><\/p><ol><li>El pacient amb un trastorn del son \u00e9s referit a la nostra unitat pel\u00a0professional de cap\u00e7alera, especialista (ORL, pneum\u00f2leg, neur\u00f2leg\u2026) o hi acudeix per iniciativa pr\u00f2pia.<\/li><li>Una especialista en patologia del son realitza la primera visita, en funci\u00f3 de la qual es valora si el pacient \u00e9s candidat a realitzar un estudi del son, polisomnografia (PSG) o \u00e9s citat per a visites successives.<\/li><li>En cas afirmatiu s\u2019informa el pacient sobre el tipus de prova a realitzar i es programa una nit perqu\u00e8 vingui a dormir a la Unitat del Son.<\/li><li>El pacient ingressa a la Unitat del Son. La PSG t\u00e9 una durada aproximada de 7-8 hores i \u00e9s controlada durant tota la nit per un t\u00e8cnic. Els estudis del son es realitzen de dilluns a diumenge.<\/li><li>Els registres del son, PSG, s\u00f3n analitzats i interpretats per les especialistes en son, que emetran un diagn\u00f2stic, en funci\u00f3 del qual s\u2019iniciar\u00e0 el tractament.<\/li><li>El temps entre la realitzaci\u00f3 de la PSG i el lliurament dels resultats \u00e9s aproximadament de 15 dies.<\/li><li>En els pacients que comencenun tractament amb CPAP \u00e9s aconsellable realitzar un control evolutiu anual. El control permet valorar si l\u2019adaptaci\u00f3 a la CPAP \u00e9s bona, si utilitza l\u2019aparell i si la pressi\u00f3 de CPAP continua sent l\u2019\u00f2ptima.<\/li><\/ol>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/details>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-891ba1c wd-width-100 elementor-widget elementor-widget-wd_title\" data-id=\"891ba1c\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"wd_title.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"title-wrapper wd-set-mb reset-last-child wd-title-color-default wd-title-style-default wd-title-size-medium text-left\">\n\n\t\t\t\n\t\t\t<div class=\"liner-continer\">\n\t\t\t\t<h2 class=\"woodmart-title-container title wd-fontsize-xl\">Proves que es realitzen<br \/>\n<br \/>\n<\/h2> \n\t\t\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"wd-negative-gap elementor-element elementor-element-100c82f e-flex e-con-boxed e-con e-parent\" data-id=\"100c82f\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-502af94 elementor-widget elementor-widget-n-accordion\" data-id=\"502af94\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;default_state&quot;:&quot;all_collapsed&quot;,&quot;max_items_expended&quot;:&quot;one&quot;,&quot;n_accordion_animation_duration&quot;:{&quot;unit&quot;:&quot;ms&quot;,&quot;size&quot;:400,&quot;sizes&quot;:[]}}\" data-widget_type=\"nested-accordion.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"e-n-accordion\" aria-label=\"Accordion. Open links with Enter or Space, close with Escape, and navigate with Arrow Keys\">\n\t\t\t\t\t\t<details id=\"e-n-accordion-item-8400\" class=\"e-n-accordion-item\" >\n\t\t\t\t<summary class=\"e-n-accordion-item-title\" data-accordion-index=\"1\" tabindex=\"0\" aria-expanded=\"false\" aria-controls=\"e-n-accordion-item-8400\" >\n\t\t\t\t\t<span class='e-n-accordion-item-title-header'><div class=\"e-n-accordion-item-title-text\"> Polisomnografia nocturna <\/div><\/span>\n\t\t\t\t\t\t\t<span class='e-n-accordion-item-title-icon'>\n\t\t\t<span class='e-opened' ><svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-minus\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M416 208H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h384c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\"><\/path><\/svg><\/span>\n\t\t\t<span class='e-closed'><svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-plus\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M416 208H272V64c0-17.67-14.33-32-32-32h-32c-17.67 0-32 14.33-32 32v144H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h144v144c0 17.67 14.33 32 32 32h32c17.67 0 32-14.33 32-32V304h144c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\"><\/path><\/svg><\/span>\n\t\t<\/span>\n\n\t\t\t\t\t\t<\/summary>\n\t\t\t\t<div role=\"region\" aria-labelledby=\"e-n-accordion-item-8400\" class=\"elementor-element elementor-element-bcad7df e-con-full e-flex e-con e-child\" data-id=\"bcad7df\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-ac8e048 elementor-widget elementor-widget-wd_text_block\" data-id=\"ac8e048\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"wd_text_block.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"wd-text-block reset-last-child text-left\">\n\t\t\t\n\t\t\t<p>Un registre polisomnogr\u00e0fic de nit segueix un protocol est\u00e0ndard:<\/p><ul><li><span style=\"font-size: 16px;\">El pacient arriba a la Unitat del Son aproximadament una hora abans d\u2019anar-se\u2019n a dormir, entre les 22 h i les 23 h.<\/span><\/li><li>El t\u00e8cnic de nit li passa uns q\u00fcestionaris i li posa els el\u00e8ctrodes i sensors, seguint les normes de Rechtschaffen i Kales. Aquestes normes permeten registrar tant l\u2019estat de vig\u00edlia com els diferents estats del son. Es realitza tamb\u00e9 un <strong>estudi respiratori complet<\/strong> i una pulsioximetria.<\/li><li>El registre es realitza sense interrupci\u00f3 com a m\u00ednim durant 7 hores de son.<\/li><li>La PSG pot realitzar-se amb ingr\u00e9s a la Cl\u00ednica (condici\u00f3 \u00f2ptima), sent supervisada pel personal t\u00e8cnic de nit, o b\u00e9 pot realitzar-se a domicili.<\/li><\/ul><p>En una\u00a0<strong>polisomnografia<\/strong>\u00a0es registren de forma simult\u00e0nia els seg\u00fcents par\u00e0metres:<\/p><ul><li><strong>Electroencefalograma: <\/strong>S\u2019estudia l\u2019activitat cerebral mitjan\u00e7ant el\u00e8ctrodes de superf\u00edcie situats en ambdues \u00e0rees rol\u00e0ndiques i \u00e0rees occipitals en derivaci\u00f3 monopolar. Permet valorar els diferents estats del son, estructura i qualitat d'aquest.<\/li><li><strong>Electrooculograma: <\/strong>Els moviments oculars s\u2019exploren mitjan\u00e7ant 2 el\u00e8ctrodes situats a l\u2019angle superior de l\u2019ull esquerre i a l\u2019angle inferior de l\u2019ull dret. Contribueix a identificar la fase de son REM.<\/li><li><strong>Electromiograma del ment\u00f3:\u00a0<\/strong>L\u2019activitat electriomiogr\u00e0fica s\u2019obt\u00e9 amb l\u2019aplicaci\u00f3 d'el\u00e8ctrodes de contacte a la regi\u00f3 submentoniana. Permet valorar el to muscular en els diferents estats del son.<\/li><li><strong>Registre de moviments peri\u00f2dics de les cames: <\/strong>S\u2019obt\u00e9 mitjan\u00e7ant un sensor col\u00b7locat a nivell del tal\u00f3 del peu. \u00c9s necessari per diagnosticar una s\u00edndrome de moviments peri\u00f2dics de les extremitats (MPE) i una s\u00edndrome de cames inquietes (SPI).<\/li><li><strong>Electrocardiograma: <\/strong>Es registra una derivaci\u00f3 mitjan\u00e7ant el\u00e8ctrodes de EKG adhesius d'un sol \u00fas. Permet valorar alteracions del ritme card\u00edac produ\u00efdes en ocasions per les apnees.<\/li><li><strong>Micr\u00f2fon de roncs: <\/strong>Micr\u00f2fon en miniatura col\u00b7locat a nivell de la nou que detecta les vibracions produ\u00efdes pels roncs.<\/li><li><strong>Sensor de posici\u00f3: <\/strong>Registra els canvis de posici\u00f3 produ\u00efts durant la nit.<\/li><li><strong>Flux aeri-naso-bucal: <\/strong>El flux respiratori s\u2019aconsegueix mitjan\u00e7ant un termo-acoblador naso-bucal situat al bigoti. Permet valorar les apnees i el car\u00e0cter obstructiu d'aquestes, aix\u00ed com la freq\u00fc\u00e8ncia respirat\u00f2ria.<\/li><li><strong>Moviments respiratoris tor\u00e0cics i abdominals: <\/strong>Es registra l\u2019esfor\u00e7 respiratori mitjan\u00e7ant bandes de mercuri ajustades amb velcro com a cintur\u00f3 tor\u00e0cic i abdominal. Permet distingir les apnees obstructives de les centrals.<\/li><li><strong>Pulsioximetria: <\/strong>Sensor fotom\u00e8tric que es col\u00b7loca en un dit de la m\u00e0 i mesura la saturaci\u00f3 d'oxigen a la sang i el pols.<\/li><\/ul><p>Les dades obtingudes s\u00f3n interpretades pel personal m\u00e8dic facultatiu seguint els criteris del <em>Manual of standarized terminology techniques and scoring system for sleep stages in human subjects, <\/em>de Rechtschaffen &amp; Kales. De les 7-8 hores de registre s\u2019obt\u00e9 la seg\u00fcent informaci\u00f3:<\/p><ul><li>Estudi i valoraci\u00f3 de l'EGG: Estructura i percentatge dels diferents estats del son, histograma i estad\u00edstica.<\/li><li>Estudi respiratori: nombre, tipus i durada de pauses respirat\u00f2ries, c\u00e0lcul de l\u2019\u00cdndex d\u2019Apnea (IAH).<\/li><li>Oxigenaci\u00f3 nocturna: nombre de dessaturacions, SaO2 mitja, SaO2 m\u00ednima, relaci\u00f3 amb les alteracions del flux respiratori.<\/li><li>Alteracions del ritme card\u00edac.<\/li><li>Freq\u00fc\u00e8ncia, intensitat i car\u00e0cter postural dels roncs.<\/li><li>Estudi de les miocl\u00f2nies nocturnes de les extremitats inferiors per valorar l\u2019exist\u00e8ncia de S\u00edndrome de MPE.<\/li><\/ul>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/details>\n\t\t\t\t\t\t<details id=\"e-n-accordion-item-8401\" class=\"e-n-accordion-item\" >\n\t\t\t\t<summary class=\"e-n-accordion-item-title\" data-accordion-index=\"2\" tabindex=\"-1\" aria-expanded=\"false\" aria-controls=\"e-n-accordion-item-8401\" >\n\t\t\t\t\t<span class='e-n-accordion-item-title-header'><div class=\"e-n-accordion-item-title-text\"> Polisomnografia nocturna amb aparell de CPAP  <\/div><\/span>\n\t\t\t\t\t\t\t<span class='e-n-accordion-item-title-icon'>\n\t\t\t<span class='e-opened' ><svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-minus\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M416 208H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h384c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\"><\/path><\/svg><\/span>\n\t\t\t<span class='e-closed'><svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-plus\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M416 208H272V64c0-17.67-14.33-32-32-32h-32c-17.67 0-32 14.33-32 32v144H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h144v144c0 17.67 14.33 32 32 32h32c17.67 0 32-14.33 32-32V304h144c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\"><\/path><\/svg><\/span>\n\t\t<\/span>\n\n\t\t\t\t\t\t<\/summary>\n\t\t\t\t<div role=\"region\" aria-labelledby=\"e-n-accordion-item-8401\" class=\"elementor-element elementor-element-8727b12 e-con-full e-flex e-con e-child\" data-id=\"8727b12\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-6945f68 elementor-widget elementor-widget-wd_text_block\" data-id=\"6945f68\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"wd_text_block.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"wd-text-block reset-last-child text-left\">\n\t\t\t\n\t\t\t<p>En cas que el pacient sigui diagnosticat de S\u00edndrome d\u2019Apnea del Son (SAHOS), es programa una segona nit per realitzar un registre polisomnogr\u00e0fic.<\/p><p>En aquesta polisomnografia es registren els mateixos par\u00e0metres que en un registre convencional incorporant un <strong>aparell de CPAP<\/strong> (Pressi\u00f3 A\u00e8ria Positiva Cont\u00ednua).<\/p><p>Al llarg de la nit, el t\u00e8cnic del son regula la pressi\u00f3 necess\u00e0ria per eliminar els roncs i les apnees. La pressi\u00f3 \u00f2ptima ser\u00e0 aquella que, sense ocasionar en el pacient despertars, aconsegueixi normalitzar la respiraci\u00f3 i l\u2019oxigenaci\u00f3 <strong>millorant la qualitat i estructuraci\u00f3 del son<\/strong>.<\/p><p>La pressi\u00f3 definitiva la determina la metgessa especialista en alteracions del son un cop ha interpretat el registre polisomnogr\u00e0fic.<\/p>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/details>\n\t\t\t\t\t\t<details id=\"e-n-accordion-item-8402\" class=\"e-n-accordion-item\" >\n\t\t\t\t<summary class=\"e-n-accordion-item-title\" data-accordion-index=\"3\" tabindex=\"-1\" aria-expanded=\"false\" aria-controls=\"e-n-accordion-item-8402\" >\n\t\t\t\t\t<span class='e-n-accordion-item-title-header'><div class=\"e-n-accordion-item-title-text\"> M.S.L.T. Test de lat\u00e8ncia m\u00faltiple de son  <\/div><\/span>\n\t\t\t\t\t\t\t<span class='e-n-accordion-item-title-icon'>\n\t\t\t<span class='e-opened' ><svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-minus\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M416 208H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h384c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\"><\/path><\/svg><\/span>\n\t\t\t<span class='e-closed'><svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-plus\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M416 208H272V64c0-17.67-14.33-32-32-32h-32c-17.67 0-32 14.33-32 32v144H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h144v144c0 17.67 14.33 32 32 32h32c17.67 0 32-14.33 32-32V304h144c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\"><\/path><\/svg><\/span>\n\t\t<\/span>\n\n\t\t\t\t\t\t<\/summary>\n\t\t\t\t<div role=\"region\" aria-labelledby=\"e-n-accordion-item-8402\" class=\"elementor-element elementor-element-8cd7b8c e-con-full e-flex e-con e-child\" data-id=\"8cd7b8c\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-221c7f8 elementor-widget elementor-widget-wd_text_block\" data-id=\"221c7f8\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"wd_text_block.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"wd-text-block reset-last-child text-left\">\n\t\t\t\n\t\t\t<p>El M.S.L.T. \u00e9s una prova que permet valorar la somnol\u00e8ncia di\u00fcrna. Es realitza en el cas de sospitar una hiper-somnol\u00e8ncia patol\u00f2gica (narcol\u00e8psia, hipers\u00f2mnia idiop\u00e0tica\u2026) no relacionada amb el SAS.<\/p><p><span style=\"font-size: 16px;\">La nit abans de realitzar el M.S.L.T. el pacient ingressa a la Unitat del Son, on es realitza una polisomnografia. <\/span><span style=\"font-size: 16px;\">L'endem\u00e0 al mat\u00ed el pacient \u00e9s estudiat cada 2 hores seguint un protocol de registre est\u00e0ndard.<\/span><\/p><p>El t\u00e8cnic li realitza un total de 5 proves consecutives, iniciant la primera prova 2 hores despr\u00e9s que el pacient es desperti. Cada 2 hores el pacient es fica al llit i intenta dormir. Es realitza un registre simultani d'EEG, EOG i EMG que tindr\u00e0 com a durada m\u00e0xima 20 minuts a partir que s\u2019inicia el son.<\/p><p>Es valora la lat\u00e8ncia de son i l\u2019aparici\u00f3 o no de son REM. Per al bon funcionament de la prova es requereixen condicions de silenci i tranquil\u00b7litat, fet pel qual es realitza en <strong>cap de setmana<\/strong>.<\/p>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/details>\n\t\t\t\t\t\t<details id=\"e-n-accordion-item-8403\" class=\"e-n-accordion-item\" >\n\t\t\t\t<summary class=\"e-n-accordion-item-title\" data-accordion-index=\"4\" tabindex=\"-1\" aria-expanded=\"false\" aria-controls=\"e-n-accordion-item-8403\" >\n\t\t\t\t\t<span class='e-n-accordion-item-title-header'><div class=\"e-n-accordion-item-title-text\"> Split - night <\/div><\/span>\n\t\t\t\t\t\t\t<span class='e-n-accordion-item-title-icon'>\n\t\t\t<span class='e-opened' ><svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-minus\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M416 208H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h384c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\"><\/path><\/svg><\/span>\n\t\t\t<span class='e-closed'><svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-plus\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M416 208H272V64c0-17.67-14.33-32-32-32h-32c-17.67 0-32 14.33-32 32v144H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h144v144c0 17.67 14.33 32 32 32h32c17.67 0 32-14.33 32-32V304h144c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\"><\/path><\/svg><\/span>\n\t\t<\/span>\n\n\t\t\t\t\t\t<\/summary>\n\t\t\t\t<div role=\"region\" aria-labelledby=\"e-n-accordion-item-8403\" class=\"elementor-element elementor-element-128e9d7 e-con-full e-flex e-con e-child\" data-id=\"128e9d7\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-ce2989f elementor-widget elementor-widget-wd_text_block\" data-id=\"ce2989f\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"wd_text_block.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"wd-text-block reset-last-child text-left\">\n\t\t\t\n\t\t\t<p>\u00c9s una prova en la qual es realitza una polisomnografia convencional la primera meitat de la nit, seguida d\u2019una polisomnografia amb titulaci\u00f3 de CPAP a la segona meitat. <span style=\"font-size: 16px;\">D'aquesta manera es realitza el diagn\u00f2stic i titulaci\u00f3 de la pressi\u00f3 de CPAP en un mateix estudi del son. <\/span><span style=\"font-size: 16px;\">Est\u00e0 indicada en pacients severs en qu\u00e8 la cl\u00ednica es molt suggestiva de S\u00edndrome d'Apnea del Son.<\/span><\/p>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/details>\n\t\t\t\t\t\t<details id=\"e-n-accordion-item-8404\" class=\"e-n-accordion-item\" >\n\t\t\t\t<summary class=\"e-n-accordion-item-title\" data-accordion-index=\"5\" tabindex=\"-1\" aria-expanded=\"false\" aria-controls=\"e-n-accordion-item-8404\" >\n\t\t\t\t\t<span class='e-n-accordion-item-title-header'><div class=\"e-n-accordion-item-title-text\"> Registre ambulatori  <\/div><\/span>\n\t\t\t\t\t\t\t<span class='e-n-accordion-item-title-icon'>\n\t\t\t<span class='e-opened' ><svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-minus\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M416 208H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h384c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\"><\/path><\/svg><\/span>\n\t\t\t<span class='e-closed'><svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-plus\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M416 208H272V64c0-17.67-14.33-32-32-32h-32c-17.67 0-32 14.33-32 32v144H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h144v144c0 17.67 14.33 32 32 32h32c17.67 0 32-14.33 32-32V304h144c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\"><\/path><\/svg><\/span>\n\t\t<\/span>\n\n\t\t\t\t\t\t<\/summary>\n\t\t\t\t<div role=\"region\" aria-labelledby=\"e-n-accordion-item-8404\" class=\"elementor-element elementor-element-388d95c e-con-full e-flex e-con e-child\" data-id=\"388d95c\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-84a3684 elementor-widget elementor-widget-wd_text_block\" data-id=\"84a3684\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"wd_text_block.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"wd-text-block reset-last-child text-left\">\n\t\t\t\n\t\t\t<p>Es realitza una polisomnografia nocturna al domicili del pacient. Indicada en aquells pacients que presenten dificultat important per conciliar el son a la Unitat. <span style=\"font-size: 16px;\">El principal avantatge \u00e9s que es realitza a casa del pacient. Com a inconvenient, cal destacar que no \u00e9s una prova supervisada pel t\u00e8cnic del son.<\/span><\/p>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/details>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"wd-negative-gap elementor-element elementor-element-a750b3b e-flex e-con-boxed e-con e-parent\" data-id=\"a750b3b\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-743a445 wd-width-100 elementor-widget elementor-widget-wd_title\" data-id=\"743a445\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"wd_title.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"title-wrapper wd-set-mb reset-last-child wd-title-color-default wd-title-style-default wd-title-size-medium text-left\">\n\n\t\t\t\n\t\t\t<div class=\"liner-continer\">\n\t\t\t\t<h2 class=\"woodmart-title-container title wd-fontsize-xl\">Alteracions del son m\u00e9s freq\u00fcents<br \/>\n<\/h2> \n\t\t\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"wd-negative-gap elementor-element elementor-element-609e46e e-flex e-con-boxed e-con e-parent\" data-id=\"609e46e\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-fc0871f elementor-widget elementor-widget-n-accordion\" data-id=\"fc0871f\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;default_state&quot;:&quot;all_collapsed&quot;,&quot;max_items_expended&quot;:&quot;one&quot;,&quot;n_accordion_animation_duration&quot;:{&quot;unit&quot;:&quot;ms&quot;,&quot;size&quot;:400,&quot;sizes&quot;:[]}}\" data-widget_type=\"nested-accordion.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"e-n-accordion\" aria-label=\"Accordion. Open links with Enter or Space, close with Escape, and navigate with Arrow Keys\">\n\t\t\t\t\t\t<details id=\"e-n-accordion-item-2640\" class=\"e-n-accordion-item\" >\n\t\t\t\t<summary class=\"e-n-accordion-item-title\" data-accordion-index=\"1\" tabindex=\"0\" aria-expanded=\"false\" aria-controls=\"e-n-accordion-item-2640\" >\n\t\t\t\t\t<span class='e-n-accordion-item-title-header'><div class=\"e-n-accordion-item-title-text\"> Ronc <\/div><\/span>\n\t\t\t\t\t\t\t<span class='e-n-accordion-item-title-icon'>\n\t\t\t<span class='e-opened' ><svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-minus\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M416 208H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h384c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\"><\/path><\/svg><\/span>\n\t\t\t<span class='e-closed'><svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-plus\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M416 208H272V64c0-17.67-14.33-32-32-32h-32c-17.67 0-32 14.33-32 32v144H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h144v144c0 17.67 14.33 32 32 32h32c17.67 0 32-14.33 32-32V304h144c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\"><\/path><\/svg><\/span>\n\t\t<\/span>\n\n\t\t\t\t\t\t<\/summary>\n\t\t\t\t<div role=\"region\" aria-labelledby=\"e-n-accordion-item-2640\" class=\"elementor-element elementor-element-468611b e-con-full e-flex e-con e-child\" data-id=\"468611b\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-22845f3 elementor-widget elementor-widget-wd_text_block\" data-id=\"22845f3\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"wd_text_block.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"wd-text-block reset-last-child text-left\">\n\t\t\t\n\t\t\t<p>Aproximadament <strong>un 45 % de les persones adultes ronca ocasionalment i un 25% s\u00f3n roncadores habituals<\/strong>. El problema del ronc \u00e9s m\u00e9s freq\u00fcent en els homes i en les persones amb sobrep\u00e8s i s\u2019agreuja amb l\u2019edat. El ronc \u00e9s el soroll provocat en produir-se una obstrucci\u00f3 del flux de l\u2019aire a nivell de la Via A\u00e8ria Superior, VAS, creant turbul\u00e8ncies d\u2019aire que fan vibrar el paladar tou.<\/p><p>Les persones que ronquen tenen almenys un dels seg\u00fcents problemes:<\/p><ul><li>Disminuci\u00f3 del to muscular.<\/li><li>Augment del teixit faringi, am\u00edgdales, adenoides.<\/li><li>Una excessiva longitud del paladar tou i de la campaneta.<\/li><li>Obstrucci\u00f3 nasal.<\/li><\/ul><p>El ronc \u00e9s un problema important a nivell social. El roncador \u00e9s objecte de cr\u00edtica per molestar qui conviu amb ell. <span style=\"font-size: 16px;\">M\u00e8dicament, es converteix en un problema quan evoluciona a SAHOS (S\u00edndrome d\u2019apnea). \u00c9s important remarcar que la broncopatia per si mateixa no \u00e9s una malaltia, per\u00f2 quan s\u2019acompanya de somnol\u00e8ncia di\u00fcrna i altres s\u00edmptomes freq\u00fcents en el SAHOS s\u2019ha d\u2019acudir a una Unitat del Son.<\/span><\/p>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/details>\n\t\t\t\t\t\t<details id=\"e-n-accordion-item-2641\" class=\"e-n-accordion-item\" >\n\t\t\t\t<summary class=\"e-n-accordion-item-title\" data-accordion-index=\"2\" tabindex=\"-1\" aria-expanded=\"false\" aria-controls=\"e-n-accordion-item-2641\" >\n\t\t\t\t\t<span class='e-n-accordion-item-title-header'><div class=\"e-n-accordion-item-title-text\"> S\u00edndrome d'Apnea del Son (SAHS) <\/div><\/span>\n\t\t\t\t\t\t\t<span class='e-n-accordion-item-title-icon'>\n\t\t\t<span class='e-opened' ><svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-minus\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M416 208H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h384c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\"><\/path><\/svg><\/span>\n\t\t\t<span class='e-closed'><svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-plus\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M416 208H272V64c0-17.67-14.33-32-32-32h-32c-17.67 0-32 14.33-32 32v144H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h144v144c0 17.67 14.33 32 32 32h32c17.67 0 32-14.33 32-32V304h144c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\"><\/path><\/svg><\/span>\n\t\t<\/span>\n\n\t\t\t\t\t\t<\/summary>\n\t\t\t\t<div role=\"region\" aria-labelledby=\"e-n-accordion-item-2641\" class=\"elementor-element elementor-element-1c619ef e-con-full e-flex e-con e-child\" data-id=\"1c619ef\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-01a8c07 elementor-widget elementor-widget-wd_text_block\" data-id=\"01a8c07\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"wd_text_block.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"wd-text-block reset-last-child text-left\">\n\t\t\t\n\t\t\t<p>La S\u00edndrome d'Apnea o Hipo-Apnea del Son (SAHS) <strong>afecta entre el 2 i el 15% de la poblaci\u00f3 general<\/strong>. La seva incid\u00e8ncia \u00e9s tres cops m\u00e9s gran en l\u2019home que en la dona. <span style=\"font-size: 16px;\">Un pacient t\u00e9 una SAHS quan presenta <\/span><strong style=\"font-size: 16px;\">10 o m\u00e9s apnees o hipo-apnees per hora<\/strong><span style=\"font-size: 16px;\"> de son.<\/span><\/p><p>Les apnees es produeixen pel col\u00b7lapse total o parcial (hipo-apnea) de la via \u00e0rea superior, a causa d'anomalies anat\u00f2miques i\/o funcionals de l\u2019orofaringe. <strong>La seva durada ha de ser superior o igual a 10 segons<\/strong>.<\/p><p>L\u2019aparici\u00f3 d'apnees repetides durant el son impedeix entrar en un son profund, necessari per a un descans reparador, el que ocasiona, com a s\u00edmptomes principals, somnol\u00e8ncia diurna, dificultat de concentraci\u00f3 i fatiga durant el dia.<\/p><p>Principals S\u00edmptomes de la SAHS:<\/p><p>SAHS Nocturnes:<\/p><ul><li>Roncs de forta intensitat, interromputs per silencis respiratoris, apnea.<\/li><li>Cessament de la respiraci\u00f3 durant el son.<\/li><li>Despertars freq\u00fcents durant la nit.<\/li><li>Nict\u00faria.<\/li><li>Disminuci\u00f3 de la l\u00edbido.<\/li><li>Sudoraci\u00f3.<\/li><li>Reflux gastroesof\u00e0gic.<\/li><\/ul><p>SAHS Di\u00fcrnes:<\/p><ul><li>Somnol\u00e8ncia di\u00fcrna important.<\/li><li>Sensaci\u00f3 de son poc reparador.<\/li><li>Mal de cap matut\u00ed.<\/li><li>Boca seca en despertar.<\/li><li>Disminuci\u00f3 de la capacitat de concentraci\u00f3.<\/li><li>P\u00e8rdua de mem\u00f2ria.<\/li><li>Hipertensi\u00f3 arterial de dif\u00edcil control.<\/li><li>Canvis de car\u00e0cter: irritabilitat, baix estat d\u2019\u00e0nim.<\/li><\/ul><p>Conseq\u00fc\u00e8ncies de la SAHS:<\/p><p>Els pacients amb SAHS tenen un <strong>risc m\u00e9s gran de patir malalties card\u00edaques<\/strong>, com infart de miocardi, arr\u00edtmies, accidents vasculars cerebrals i HTA. I tamb\u00e9 tenen un risc m\u00e9s gran de patir accidents laborals i de tr\u00e0nsit ocasionats per la somnol\u00e8ncia di\u00fcrna a causa del son poc reparador.<\/p><p>Com es diagnostica la SAHS?:<\/p><p>Per diagnosticar una SAHS el pacient ha de ser visitat per un especialista en una Unitat del Son, on se li realitzar\u00e0 una polisomnografia. La PSG \u00e9s l'\u00fanica forma d\u2019arribar a un diagn\u00f2stic definitiu.<\/p><p>Com es tracta un pacient amb SAHS?<\/p><ul><li>En tots els casos es recomana una bona\u00a0<strong>higiene del son<\/strong>: Control i disminuci\u00f3 de pes i abstin\u00e8ncia d\u2019alcohol i f\u00e0rmacs sedants i depressors del sistema nervi\u00f3s central.<\/li><li>Si la SAHS \u00e9s lleu, aquestes mesures poden ser suficients.<\/li><li>CPAP (Pressi\u00f3 A\u00e8ria Positiva Continua): \u00c9s el tractament d\u2019elecci\u00f3 en cas de SAHS moderat i sever. Requereix control i seguiment anual. \u00ebs un mecanisme que actua enviant aire ambiental a una pressi\u00f3 constant que impedeixi l\u2019obstrucci\u00f3 de la via a\u00e8ria a trav\u00e9s d\u2019una m\u00e0scara nasal. La pressi\u00f3 ha d\u2019estar determinada mitjan\u00e7ant polisomnografia nocturna.<\/li><li>Cirurgia: La cirurgia far\u00edngia, uvulopalatofaringopl\u00e0stia o UPPP consisteix a extirpar, en cas d\u2019hipertr\u00f2fia, part del paladar tou i \u00favula ampliant el pas de l\u2019aire. Aquesta t\u00e8cnica est\u00e0 indicada en roncadors i SAHS lleus\u2013moderats.<\/li><li>Dispositius dentals\u00a0d\u2019avan\u00e7ament mandibular.<\/li><\/ul>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/details>\n\t\t\t\t\t\t<details id=\"e-n-accordion-item-2642\" class=\"e-n-accordion-item\" >\n\t\t\t\t<summary class=\"e-n-accordion-item-title\" data-accordion-index=\"3\" tabindex=\"-1\" aria-expanded=\"false\" aria-controls=\"e-n-accordion-item-2642\" >\n\t\t\t\t\t<span class='e-n-accordion-item-title-header'><div class=\"e-n-accordion-item-title-text\"> Insomni <\/div><\/span>\n\t\t\t\t\t\t\t<span class='e-n-accordion-item-title-icon'>\n\t\t\t<span class='e-opened' ><svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-minus\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M416 208H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h384c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\"><\/path><\/svg><\/span>\n\t\t\t<span class='e-closed'><svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-plus\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M416 208H272V64c0-17.67-14.33-32-32-32h-32c-17.67 0-32 14.33-32 32v144H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h144v144c0 17.67 14.33 32 32 32h32c17.67 0 32-14.33 32-32V304h144c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\"><\/path><\/svg><\/span>\n\t\t<\/span>\n\n\t\t\t\t\t\t<\/summary>\n\t\t\t\t<div role=\"region\" aria-labelledby=\"e-n-accordion-item-2642\" class=\"elementor-element elementor-element-27f9ee7 e-con-full e-flex e-con e-child\" data-id=\"27f9ee7\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-4d0f6ad elementor-widget elementor-widget-wd_text_block\" data-id=\"4d0f6ad\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"wd_text_block.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"wd-text-block reset-last-child text-left\">\n\t\t\t\n\t\t\t<p>L\u2019insomni \u00e9s el problema de s\u00f3n m\u00e9s freq\u00fcent. <strong>Cada any entre un 20 i un 40% d\u2019adults es queixen de dificultat per dormir<\/strong>, sent un problema important per a un 17% d\u2019ells. \u00c9s m\u00e9s freq\u00fcent entre dones i augmenta amb l\u2019edat.<\/p><p>Principals s\u00edmptomes:<\/p><p>L\u2019insomni no \u00e9s una malaltia espec\u00edfica, sin\u00f3 un s\u00edmptoma atribu\u00efble a un gran nombre de processos patol\u00f2gics. El pacient es queixa de fatiga, somnol\u00e8ncia di\u00fcrna, irritabilitat i dificultat de concentraci\u00f3. Una hist\u00f2ria cl\u00ednica detallada permetr\u00e0 determinar la causa per iniciar el tractament.<\/p><p>Normes d\u2019higiene del son:<\/p><ul><li>Horaris de son regulars.<\/li><li>No quedar-se al llit sense dormir.<\/li><li>Evitar la migdiada.<\/li><li>Exposar-se a la llum del sol en llevar-se.<\/li><li>Fer exercici al mat\u00ed.<\/li><li>Prendre un bany calent abans d\u2019anar a dormir.<\/li><li>Sopar carbohidrats a la nit.<\/li><li>Evitar l\u2019alcohol al final del dia.<\/li><li>Evitar begudes excitants o cafe\u00efna a partir de les quatre de la tarda.<\/li><li>Ambient confortable.<\/li><li>Aprendre a relaxar-se.<\/li><\/ul><p>Les normes d\u2019higiene del son s\u00f3n una eina \u00fatil en el tractament de l\u2019insomni i milloren la seva qualitat.<\/p><p>Tipus d\u2019insomni:<\/p><p>Podem classificar l\u2019insomni\u00a0en funci\u00f3 del moment d\u2019aparici\u00f3 durant la nit:<\/p><ul><li>Insomni de conciliaci\u00f3: Dificultat per agafar el son superior a 30 minuts.<\/li><li>Insomni de manteniment: Despertars nocturns amb dificultat de reiniciar el son.<\/li><li>Insomni de despertar preco\u00e7: Despertar matinal preco\u00e7.<\/li><\/ul><p>En funci\u00f3 de la durada:<\/p><ul><li>Insomni transitori: Durada inferior a 1 setmana.<\/li><li>Insomni de curta durada: Durada entre 1-3 setmanes.<\/li><li>Insomni cr\u00f2nic: Durada superior a 4 setmanes.<\/li><li>Insomni infantil per h\u00e0bits incorrectes<\/li><\/ul><p>Insomni infantil per h\u00e0bits incorrectes:<\/p><p>El son \u00e9s per al nen l\u2019activitat en la qual m\u00e9s hores inverteix. Hi ha una estreta relaci\u00f3 entre els problemes nocturns i les alteracions di\u00fcrnes de comportament. Les alteracions del son del nen produeixen estr\u00e8s familiar i disfuncions escolars.<\/p><p>\u00c9s el trastorn de son m\u00e9s freq\u00fcent en la inf\u00e0ncia. Pot afectar nens d'entre 6 mesos i 5 anys. S\u00f3n nens f\u00edsicament i ps\u00edquicament normals. <span style=\"font-size: 16px;\">Es caracteritza per una dificultat per iniciar el son i despertars freq\u00fcents durant la nit (3-15), amb dificultat per reiniciar el son.<\/span><\/p><p>Els f\u00e0rmacs tenen efecte esc\u00e0s. <span style=\"font-size: 16px;\">Hi ha una adquisici\u00f3 deficient de l'h\u00e0bit del son: el nen no ha apr\u00e8s a adormir-se sol. Ha creat associacions err\u00f2nies amb el son (bra\u00e7os, biber\u00f3, llit dels pares\u2026). <\/span><span style=\"font-size: 16px;\">El nen t\u00e9 una actitud molt desperta i \u00e9s mot conscient de l'ambient que l\u2019envolta.<\/span><\/p><p>En augmentar l\u2019edat, augmenten les demandes i empitjora el problema. <span style=\"font-size: 16px;\">Es produeixen trastorns en l\u2019estructura del son: s\u00f3n superficial i fragmentat, hipervigilia. El n<\/span><span style=\"font-size: 16px;\">ombre d\u2019hores de son \u00e9s insuficient i s<\/span><span style=\"font-size: 16px;\">\u2019observen canvis de car\u00e0cter en el nen, ja que est\u00e0 m\u00e9s irritable, inquiet i presenta m\u00e9s depend\u00e8ncia dels pares.<\/span><\/p><p>L\u2019insomni infantil desestabilitza l\u2019harmonia conjugal. Es retarda l\u2019hora de ficar el nen al llit sense resultat. Crea un sentiment de culpa i inseguretat paterna respecte el problema i en casos extrems es produeix rebuig patern cap al nen.<\/p><p>La conducta a seguir \u00e9s la seg\u00fcent:<\/p><ul><li>Establir horaris regulars, aix\u00ed com jocs i rutines abans d\u2019anar a dormir.<\/li><li>Deixar el nen sol abans que es quedi adormit, \u00e9s important que les condicions en iniciar el son es mantinguin tota la nit.<\/li><li>Un objecte tipus peluix ajudar\u00e0 el nen a agafar el son.<\/li><li>\u00c9s important respectar el ritme de llum\/foscor i crear unes condicions \u00f2ptimes per dormir.<\/li><\/ul>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/details>\n\t\t\t\t\t\t<details id=\"e-n-accordion-item-2643\" class=\"e-n-accordion-item\" >\n\t\t\t\t<summary class=\"e-n-accordion-item-title\" data-accordion-index=\"4\" tabindex=\"-1\" aria-expanded=\"false\" aria-controls=\"e-n-accordion-item-2643\" >\n\t\t\t\t\t<span class='e-n-accordion-item-title-header'><div class=\"e-n-accordion-item-title-text\"> Trastorns del Cicle Vig\u00edlia - Son <\/div><\/span>\n\t\t\t\t\t\t\t<span class='e-n-accordion-item-title-icon'>\n\t\t\t<span class='e-opened' ><svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-minus\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M416 208H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h384c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\"><\/path><\/svg><\/span>\n\t\t\t<span class='e-closed'><svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-plus\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M416 208H272V64c0-17.67-14.33-32-32-32h-32c-17.67 0-32 14.33-32 32v144H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h144v144c0 17.67 14.33 32 32 32h32c17.67 0 32-14.33 32-32V304h144c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\"><\/path><\/svg><\/span>\n\t\t<\/span>\n\n\t\t\t\t\t\t<\/summary>\n\t\t\t\t<div role=\"region\" aria-labelledby=\"e-n-accordion-item-2643\" class=\"elementor-element elementor-element-8bcf47c e-con-full e-flex e-con e-child\" data-id=\"8bcf47c\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-a85492d elementor-widget elementor-widget-wd_text_block\" data-id=\"a85492d\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"wd_text_block.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"wd-text-block reset-last-child text-left\">\n\t\t\t\n\t\t\t<div class=\"wpb_text_column wpb_content_element \"><div class=\"wpb_wrapper\"><p><strong>S\u00edndrome del retard de fase:<\/strong><\/p><p>Es caracteritza per mantenir de forma cr\u00f2nica un horari de son retardat en relaci\u00f3 amb el desitjat. Concretament, \u00e9s una dificultat per adormir-se i despertar-se en horaris convencionals amb un inici del son entre la una i les sis del mat\u00ed. Malgrat les dificultats per agafar el son, aquests pacients presenten un son de durada i qualitat normal. Mantenen un horari estable de son dins de les 24 hores, per\u00f2 amb horaris despla\u00e7ats.<\/p><p>La S\u00edndrome de Retard de Fase (SRDF) \u00e9s el problema del ritme circadi\u00e0 m\u00e9s freq\u00fcent i sol manifestar-se a la pubertat. Sense tractament l\u2019evoluci\u00f3 \u00e9s cr\u00f2nica i els pacients van a la consulta quan el retard de fase interfereix amb la vida acad\u00e8mica, familiar, social o professional.<\/p><p>Principals s\u00edmptomes:<\/p><ul><li>Dificultat per agafar el son i despertar-se al mat\u00ed.<\/li><li>Somnol\u00e8ncia di\u00fcrna i cansament durant la primera meitat del dia.<\/li><li>Durant les vacances dormen sense problema i no presenten somnol\u00e8ncia di\u00fcrna.<\/li><\/ul><p><strong>S\u00edndrome Hipernictameral o de lliure curs:<\/strong><\/p><p>Es caracteritza per una abs\u00e8ncia de sincronitzaci\u00f3 del ritme circadi\u00e0 endogen amb els sincronitzadors de temps externs. Aquests pacients presenten un cicle de vig\u00edlia\/son superior a 24 hores. Presenten un retard quotidi\u00e0 de l\u2019hora de ficar-se al llit i de despertar-se d'una o dues hores per dia, amb un inici del son a horari variable a mesura que passen els dies i un deteriorament peri\u00f2dic de la vig\u00edlia.<\/p><p>Representa un 12% dels trastorns del ritme biol\u00f2gic. En les persones amb percepci\u00f3 lluminosa normal \u00e9s poc freq\u00fcent, la seva freq\u00fc\u00e8ncia \u00e9s del 50% entre els invidents.<\/p><p>Principals s\u00edmptomes:<\/p><ul><li>Incapacitat de mantenir un horari de son regular.<\/li><li>Per\u00edodes d\u2019insomni amb somnol\u00e8ncia di\u00fcrna alternats amb per\u00edodes sense cap problema.<\/li><\/ul><p><strong>S\u00edndrome del retard de fase:<\/strong><\/p><p>Es caracteritza per mantenir de forma cr\u00f2nica un horari de son retardat amb relaci\u00f3 al desitjat, una dificultat per adormir-se i despertar-se en horaris convencionals amb un inici del son entre la una i les sis del mat\u00ed. Malgrat les dificultats per agafar el son, aquests pacients presenten un son de durada i qualitat normal. Mantenen un horari estable de son dins de les 24 hores, per\u00f2 amb horaris despla\u00e7ats.<\/p><p>La S\u00edndrome de Retard de Fase (SRDF) \u00e9s el problema del ritme circadi\u00e0 m\u00e9s freq\u00fcent i sol manifestar-se a la pubertat. Sense tractament l\u2019evoluci\u00f3 \u00e9s cr\u00f2nica i els pacients van a la consulta quan el retard de fase interfereix amb la vida acad\u00e8mica, familiar, social o professional.<\/p><p>Principals s\u00edmptomes:<\/p><ul><li>Dificultat per agafar el son i despertar-se al mat\u00ed.<\/li><li>Somnol\u00e8ncia di\u00fcrna i cansament durant la primera meitat del dia.<\/li><li>Durant les vacances dormen sense problema i no presenten somnol\u00e8ncia di\u00fcrna.<\/li><\/ul><p><strong>S\u00edndrome Hipernictameral o de lliure curs:<\/strong><\/p><p>Es caracteritza per una abs\u00e8ncia de sincronitzaci\u00f3 del ritme circadi\u00e0 endogen amb els sincronitzadors de temps externs. Aquests pacients presenten un cicle de vig\u00edlia\/son superior a 24h. Presenten un retard quotidi\u00e0 de l\u2019hora de ficar-se al llit i de despertar-se d'una o dues hores per dia, amb un inici del son a horari variable quan passen els dies i un deteriorament peri\u00f2dic de la vig\u00edlia.<\/p><p>Representa un 12% dels trastorns del ritme biol\u00f2gic. En les persones amb percepci\u00f3 lluminosa normal \u00e9s poc freq\u00fcent, mentre la seva freq\u00fc\u00e8ncia \u00e9s del 50% entre els invidents.<\/p><p>Principals s\u00edmptomes:<\/p><ul><li>Incapacitat de mantenir un horari de son regular.<\/li><li>Per\u00edodes d\u2019insomni amb somnol\u00e8ncia di\u00fcrna, alternats amb per\u00edodes sense cap problema.<\/li><\/ul><\/div><\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/details>\n\t\t\t\t\t\t<details id=\"e-n-accordion-item-2644\" class=\"e-n-accordion-item\" >\n\t\t\t\t<summary class=\"e-n-accordion-item-title\" data-accordion-index=\"5\" tabindex=\"-1\" aria-expanded=\"false\" aria-controls=\"e-n-accordion-item-2644\" >\n\t\t\t\t\t<span class='e-n-accordion-item-title-header'><div class=\"e-n-accordion-item-title-text\"> Hipersomnies: Narcol\u00e8psia i Hipers\u00f2mnia idiop\u00e0tica <\/div><\/span>\n\t\t\t\t\t\t\t<span class='e-n-accordion-item-title-icon'>\n\t\t\t<span class='e-opened' ><svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-minus\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M416 208H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h384c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\"><\/path><\/svg><\/span>\n\t\t\t<span class='e-closed'><svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-plus\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M416 208H272V64c0-17.67-14.33-32-32-32h-32c-17.67 0-32 14.33-32 32v144H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h144v144c0 17.67 14.33 32 32 32h32c17.67 0 32-14.33 32-32V304h144c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\"><\/path><\/svg><\/span>\n\t\t<\/span>\n\n\t\t\t\t\t\t<\/summary>\n\t\t\t\t<div role=\"region\" aria-labelledby=\"e-n-accordion-item-2644\" class=\"elementor-element elementor-element-267dc20 e-con-full e-flex e-con e-child\" data-id=\"267dc20\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-0960c70 elementor-widget elementor-widget-wd_text_block\" data-id=\"0960c70\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"wd_text_block.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"wd-text-block reset-last-child text-left\">\n\t\t\t\n\t\t\t<p>Trastorns de son caracteritzats per excessiva somnol\u00e8ncia di\u00fcrna.<\/p><p><strong>Narcol\u00e8psia:<\/strong><\/p><p>\u00c9s una s\u00edndrome d'excessiva somnol\u00e8ncia di\u00fcrna associada a manifestacions anormals del son REM. \u00c9s una malaltia poc estudiada. La seva prevalen\u00e7a varia entre el 0,0002%\u20130,16%. L\u2019edat d\u2019inici est\u00e0 en el 60% dels casos entre els 15 i els 20 anys, encara que el seu diagn\u00f2stic sol ser molt posterior.<\/p><p>Principals s\u00edmptomes:<\/p><p>Els principals s\u00edmptomes de la narcol\u00e8psia s\u00f3n:<\/p><ul><li>Somnol\u00e8ncia di\u00fcrna: En forma d\u2019atacs de son incontrolables, m\u00e9s d'1 per dia i de durada variable. La somnol\u00e8ncia disminueix la seva activitat i capacitat de concentraci\u00f3.<\/li><li>Catapl\u00e8xia: P\u00e8rdua sobtada del to muscular sense p\u00e8rdua de consci\u00e8ncia ocasionada per un est\u00edmul emocional (riure, plors o enuig). Pot ser total o parcial.<\/li><li>Al\u00b7lucinacions hipnag\u00f2giques: Experi\u00e8ncies viscudes com somnis que apareixen a l\u2019inici del son. Principalment visuals i auditives.<\/li><li>Par\u00e0lisi del son: Breus episodis en els quals l\u2019individu \u00e9s incapa\u00e7 de moure\u2019s en el moment d\u2019iniciar-se el son o en despertar. Experi\u00e8ncia molt desagradable.<\/li><\/ul><p>El son dels pacients amb narcol\u00e8psia \u00e9s molt diferent del dels pacients normals. La fase REM apareix poc despr\u00e9s que el subjecte s\u2019hagi adormit. Els narcol\u00e8ptics mostren menys son profund i m\u00e9s despertars durant la nit, aix\u00ed com un augment del son superficial, el que produeix la sensaci\u00f3 de nit fragmentada.<\/p><p>S\u2019ha demostrat la predisposici\u00f3 familiar de la narcol\u00e8psia i la incid\u00e8ncia d'entre un 98% i un 100% d\u2019ant\u00edgens HLA-DR2 HLA-DQwl, que indiquen la pres\u00e8ncia d'una base gen\u00e8tica espec\u00edfica.<\/p><p>Com es diagnostica una narcol\u00e8psia?<\/p><p>L\u2019especialista del son realitza un interrogatori del subjecte i familiars. El calendari de son \u00e9s una bona eina. \u00c9s necessari realitzar una polisomnografia (PSG) nocturna per descartar un altre trastorn de son seguida d'un Test de Lat\u00e8ncia M\u00faltiple del Son i estudis immuno-gen\u00e8tics.<\/p><p><strong>Hipers\u00f2mnia idiop\u00e0tica:<\/strong><\/p><p>S\u2019inicia a l\u2019adolesc\u00e8ncia. T\u00e9 una evoluci\u00f3 cr\u00f2nica i \u00e9s de car\u00e0cter familiar. El son nocturn est\u00e0 allargat per\u00f2 no fragmentat. El subjecte presenta una dificultat important per despertar-se al mat\u00ed i sensaci\u00f3 de borratxera de son. Existeix un o m\u00e9s episodis de son durant el dia de llarga durada, per\u00f2 no s\u00f3n reparadors.<\/p><p><strong>S\u00edndrome de Kleine Levine:<\/strong><\/p><p>\u00c9s una s\u00edndrome poc freq\u00fcent. S\u2019inicia en l\u2019adolesc\u00e8ncia, sent m\u00e9s freq\u00fcent en homes. <span style=\"font-size: 16px;\">El seu inici pot estar associat a una infecci\u00f3 gripal. No existeix hist\u00f2ria familiar. <\/span><span style=\"font-size: 16px;\">La s\u00edndrome de Kleine Levine \u00e9s una hipers\u00f2mnia recurrent, \u00e9s a dir, es produeix en forma de brots, amb intervals superiors al mes i inferiors a l\u2019any.<\/span><\/p><p>Principals s\u00edmptomes:<\/p><ul><li>Atacs de son.<\/li><li>Augmenta el temps total de son i disminueix la lat\u00e8ncia del son REM.<\/li><li>Paras\u00f2mnies, activitat on\u00edrica intensa.<\/li><li>Trastorn de comportament.<\/li><li>Desinhibici\u00f3 sexual.<\/li><li>Durada: Episodis d'entre 12 hores i 4 setmanes.<\/li><\/ul><p><strong>Altres hipers\u00f2mnies:<\/strong><\/p><p>Mala higiene del cicle vig\u00edlia\/son. Presa cr\u00f2nica de f\u00e0rmacs i alcohol.<\/p><p><strong>Hipers\u00f2mnia associada a situacions m\u00e8diques:<\/strong><\/p><ul><li>Endocrines: diabetis, hipotiro\u00efdisme.<\/li><li>Neurol\u00f2giques: Tumors cerebrals.<\/li><li>Infeccioses: encefalitis epid\u00e8miques, tripanosomiasi\u2026<\/li><li>Psiqui\u00e0triques: Depressi\u00f3.<\/li><\/ul>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/details>\n\t\t\t\t\t\t<details id=\"e-n-accordion-item-2645\" class=\"e-n-accordion-item\" >\n\t\t\t\t<summary class=\"e-n-accordion-item-title\" data-accordion-index=\"6\" tabindex=\"-1\" aria-expanded=\"false\" aria-controls=\"e-n-accordion-item-2645\" >\n\t\t\t\t\t<span class='e-n-accordion-item-title-header'><div class=\"e-n-accordion-item-title-text\"> Paras\u00f2mnies <\/div><\/span>\n\t\t\t\t\t\t\t<span class='e-n-accordion-item-title-icon'>\n\t\t\t<span class='e-opened' ><svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-minus\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M416 208H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h384c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\"><\/path><\/svg><\/span>\n\t\t\t<span class='e-closed'><svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-plus\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M416 208H272V64c0-17.67-14.33-32-32-32h-32c-17.67 0-32 14.33-32 32v144H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h144v144c0 17.67 14.33 32 32 32h32c17.67 0 32-14.33 32-32V304h144c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\"><\/path><\/svg><\/span>\n\t\t<\/span>\n\n\t\t\t\t\t\t<\/summary>\n\t\t\t\t<div role=\"region\" aria-labelledby=\"e-n-accordion-item-2645\" class=\"elementor-element elementor-element-7a764fd e-con-full e-flex e-con e-child\" data-id=\"7a764fd\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-e22c74a elementor-widget elementor-widget-wd_text_block\" data-id=\"e22c74a\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"wd_text_block.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"wd-text-block reset-last-child text-left\">\n\t\t\t\n\t\t\t<div class=\"qode-accordion-holder clearfix qode-toggle qode-initial accordion ui-accordion ui-accordion-icons ui-widget ui-helper-reset\"><div class=\"qode-accordion-content ui-accordion-content ui-helper-reset ui-widget-content ui-corner-bottom ui-accordion-content-active\"><div class=\"qode-accordion-content-inner\"><div class=\"wpb_text_column wpb_content_element \"><div class=\"wpb_wrapper\"><p><strong>Somnambulisme:<\/strong><\/p><p>El somnambulisme \u00e9s una paras\u00f2mnia que se sol produir a la primera meitat de la nit. \u00c9s la repetici\u00f3 autom\u00e0tica durant el son de conductes apreses en la vig\u00edlia. S\u2019inicia durant el son profund i pot anar de la simple incorporaci\u00f3 al llit fins a la realitzaci\u00f3 de tasques complexes.<\/p><p>En algunes ocasions, durant l\u2019episodi poden autolesionar-se o lesionar altres persones. Amn\u00e8sia completa al mat\u00ed. Apareixen relacionats amb \u00e8poques d\u2019estr\u00e8s, encara que es poden produir sense causa desencadenant. L\u2019edat d\u2019aparici\u00f3 m\u00e9s freq\u00fcent \u00e9s entre els 5-12 anys i sol desapar\u00e8ixer a la pubertat.<\/p><p>Conducta a seguir:<\/p><ul><li>Assegurar-nos que el descans \u00e9s suficient. El cansament pot provocar l\u2019episodi.<\/li><li>No despertar la persona durant l\u2019episodi, acompanyar-la al llit i vigilar-la.<\/li><li>Si els episodis s\u00f3n molt freq\u00fcents poden necessitar tractament farmacol\u00f2gic i\/o psicol\u00f2gic.<\/li><\/ul><p><strong>Terrors nocturns:<\/strong><\/p><p>Els terrors nocturns es produeixen a la primera meitat de la nit. Poden apar\u00e8ixer un plor sobtat i inesperat, expressi\u00f3 de por, sudoraci\u00f3 i taquic\u00e0rdia.<\/p><p>L'infant no \u00e9s conscient de la pres\u00e8ncia dels pares, mostra un rebuig cap a ells. Est\u00e0 adormit. L'endem\u00e0 no recorda l\u2019episodi. \u00c9s m\u00e9s freq\u00fcent en infants a partir de 2-3 anys.<\/p><p>Conducta a seguir:<\/p><ul><li>No despertar l'infant durant l\u2019episodi (se supera espont\u00e0niament en 4 o 5 minuts).<\/li><li>Vigilar-lo per a tranquil\u00b7litat dels pares.<\/li><li>Si s\u00f3n molt freq\u00fcents (m\u00e9s de 3 episodis per nit) \u00e9s convenient realitzar una polisomnografia per descartar un altre tipus de patologia i precisar la fragmentaci\u00f3 del son.<\/li><\/ul><p><strong>Malsons:<\/strong><\/p><p>Els malsons es diferencien dels terrors nocturns en el fet que apareixen a la segona meitat de la nit i si despertem el pacient mentre els experimenta pot relatar de forma coherent el contingut d'aquests. Solen estar relacionats amb algun conflicte di\u00fcrn i remeten amb la soluci\u00f3 d\u2019aquest.<\/p><p>Consisteixen en un despertar sobtat amb plors i por. L'infant reclama la pres\u00e8ncia dels pares. L'edat m\u00e9s freq\u00fcent \u00e9s entre els 3 i 6 anys. Solen desapar\u00e8ixer a l'adolesc\u00e8ncia i en l\u2019edat adulta queden com a episodis molt a\u00efllats.<\/p><p>Conducta a seguir:<\/p><ul><li>Intentar calmar l'infant i reconfortar-lo.<\/li><li>Comentar l\u2019episodi i treure-li import\u00e0ncia.<\/li><li>Si s\u00f3n molt freq\u00fcents i angoixants poden necessitar tractament psicol\u00f2gic de suport.<\/li><\/ul><\/div><\/div><\/div><\/div><\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/details>\n\t\t\t\t\t\t<details id=\"e-n-accordion-item-2646\" class=\"e-n-accordion-item\" >\n\t\t\t\t<summary class=\"e-n-accordion-item-title\" data-accordion-index=\"7\" tabindex=\"-1\" aria-expanded=\"false\" aria-controls=\"e-n-accordion-item-2646\" >\n\t\t\t\t\t<span class='e-n-accordion-item-title-header'><div class=\"e-n-accordion-item-title-text\"> S\u00edndrome de cames neguitoses <\/div><\/span>\n\t\t\t\t\t\t\t<span class='e-n-accordion-item-title-icon'>\n\t\t\t<span class='e-opened' ><svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-minus\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M416 208H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h384c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\"><\/path><\/svg><\/span>\n\t\t\t<span class='e-closed'><svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-plus\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M416 208H272V64c0-17.67-14.33-32-32-32h-32c-17.67 0-32 14.33-32 32v144H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h144v144c0 17.67 14.33 32 32 32h32c17.67 0 32-14.33 32-32V304h144c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\"><\/path><\/svg><\/span>\n\t\t<\/span>\n\n\t\t\t\t\t\t<\/summary>\n\t\t\t\t<div role=\"region\" aria-labelledby=\"e-n-accordion-item-2646\" class=\"elementor-element elementor-element-f084ad5 e-con-full e-flex e-con e-child\" data-id=\"f084ad5\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-fd54108 elementor-widget elementor-widget-wd_text_block\" data-id=\"fd54108\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"wd_text_block.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"wd-text-block reset-last-child text-left\">\n\t\t\t\n\t\t\t<p>\u00c9s un trastorn neurol\u00f2gic cr\u00f2nic caracteritzat per sensacions desagradables a les cames i un impuls incontrolable de moure-les quan s\u2019est\u00e0 en rep\u00f2s. <strong>Afecta aproximadament el 5-10% de la poblaci\u00f3 general i m\u00e9s del 80% est\u00e0 sense diagnosticar<\/strong>. \u00c9s m\u00e9s freq\u00fcent en les dones i la seva prevalen\u00e7a augmenta amb l\u2019edat. Existeix una hist\u00f2ria familiar positiva en m\u00e9s del 50% dels pacients afectats.<\/p><p>Principals s\u00edmptomes:<\/p><ul><li>Sensaci\u00f3 desagradable a les cames, freq\u00fcentment dif\u00edcil de descriure (nervis, rampes, co\u00efssor, formigues arrossegant-se, picor, dolor\u2026).<\/li><li>Necessitat de moure les cames, gaireb\u00e9 sempre en per\u00edodes de descans.<\/li><li>Els s\u00edmptomes empitjoren a la tarda i a la nit.<\/li><li>Dificultat per conciliar el son i despertars freq\u00fcents durant la nit. El 90 % dels pacients pateixen insomni.<\/li><li>Amb freq\u00fc\u00e8ncia s\u2019associa a la S\u00edndrome de moviments peri\u00f2dics de les cames durant el son.<\/li><li>Somnol\u00e8ncia di\u00fcrna i cansament.<\/li><\/ul>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/details>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"wd-negative-gap elementor-element elementor-element-13c20ce e-flex e-con-boxed e-con e-parent\" data-id=\"13c20ce\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-092f386 wd-width-100 elementor-widget elementor-widget-wd_products\" data-id=\"092f386\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"wd_products.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t<div class=\"wd-products-element with-title\">\n\n\t\t\t\t\t\t\t<h3 class=\"wd-el-title title element-title\">Professionals:<\/h3>\t\t\t\n\t\t\t\n\t\t\t\n\t\t\t\n\t\t\t<div class=\"products wd-products grid-columns-4 elements-grid wd-grid-g\" data-paged=\"1\" data-atts=\"{&quot;speed&quot;:null,&quot;slides_per_view&quot;:null,&quot;wrap&quot;:null,&quot;autoplay&quot;:null,&quot;autoheight&quot;:null,&quot;hide_pagination_control&quot;:null,&quot;dynamic_pagination_control&quot;:null,&quot;hide_prev_next_buttons&quot;:null,&quot;carousel_arrows_position&quot;:null,&quot;hide_scrollbar&quot;:null,&quot;scroll_per_page&quot;:null,&quot;center_mode&quot;:null,&quot;spacing&quot;:&quot;&quot;,&quot;carousel_sync&quot;:null,&quot;sync_parent_id&quot;:null,&quot;sync_child_id&quot;:null,&quot;scroll_carousel_init&quot;:null,&quot;disable_overflow_carousel&quot;:null,&quot;element_title&quot;:&quot;Professionals:&quot;,&quot;element_title_tag&quot;:&quot;h3&quot;,&quot;include&quot;:null,&quot;taxonomies&quot;:[&quot;77&quot;],&quot;meta_key&quot;:null,&quot;shop_tools&quot;:null,&quot;hide_out_of_stock&quot;:&quot;yes&quot;,&quot;ajax_recently_viewed&quot;:null,&quot;pagination_arrows_position&quot;:null,&quot;items_per_page&quot;:8,&quot;columns&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:4,&quot;sizes&quot;:[]},&quot;products_masonry&quot;:&quot;&quot;,&quot;products_different_sizes&quot;:&quot;&quot;,&quot;product_quantity&quot;:&quot;&quot;,&quot;sale_countdown&quot;:&quot;0&quot;,&quot;stretch_product&quot;:null,&quot;stock_progress_bar&quot;:&quot;0&quot;,&quot;highlighted_products&quot;:&quot;0&quot;,&quot;products_divider&quot;:null,&quot;products_bordered_grid&quot;:&quot;0&quot;,&quot;products_bordered_grid_style&quot;:null,&quot;products_with_background&quot;:&quot;0&quot;,&quot;products_shadow&quot;:&quot;0&quot;,&quot;img_size&quot;:&quot;large&quot;,&quot;img_size_custom&quot;:null,&quot;grid_gallery_control&quot;:null,&quot;grid_gallery_enable_arrows&quot;:null,&quot;elementor&quot;:true,&quot;force_not_ajax&quot;:&quot;no&quot;}\" data-source=\"shortcode\" data-columns=\"4\" data-grid-gallery=\"\" style=\"--wd-col-lg:4;--wd-col-md:4;--wd-col-sm:2;--wd-gap-lg:20px;--wd-gap-sm:10px;\">\n\t\t\n\t\t\t\t\t\t\t\t<div class=\"wd-product wd-hover-alt wd-col product-grid-item product type-product post-29075 status-publish instock product_cat-unitat-del-son has-post-thumbnail shipping-taxable product-type-simple\" data-loop=\"1\" data-id=\"29075\">\n\t\n\t\n<div class=\"product-wrapper\">\n\t<div class=\"product-element-top wd-quick-shop\">\n\t\t<a href=\"https:\/\/clinicagirona.cat\/es\/professionals-medics\/dra-ines-galofre-bofill\/\" class=\"product-image-link\">\n\t\t\t<img fetchpriority=\"high\" decoding=\"async\" width=\"533\" height=\"800\" src=\"https:\/\/clinicagirona.cat\/wp-content\/uploads\/2025\/05\/Dra.-Ines-Galofre-Bofill-533x800.jpg\" class=\"attachment-large size-large\" alt=\"Dra. In\u00e9s Galofr\u00e9 Bofill\" srcset=\"https:\/\/clinicagirona.cat\/wp-content\/uploads\/2025\/05\/Dra.-Ines-Galofre-Bofill-533x800.jpg 533w, https:\/\/clinicagirona.cat\/wp-content\/uploads\/2025\/05\/Dra.-Ines-Galofre-Bofill-200x300.jpg 200w, https:\/\/clinicagirona.cat\/wp-content\/uploads\/2025\/05\/Dra.-Ines-Galofre-Bofill-768x1152.jpg 768w, https:\/\/clinicagirona.cat\/wp-content\/uploads\/2025\/05\/Dra.-Ines-Galofre-Bofill-430x645.jpg 430w, https:\/\/clinicagirona.cat\/wp-content\/uploads\/2025\/05\/Dra.-Ines-Galofre-Bofill-700x1050.jpg 700w, https:\/\/clinicagirona.cat\/wp-content\/uploads\/2025\/05\/Dra.-Ines-Galofre-Bofill-150x225.jpg 150w, https:\/\/clinicagirona.cat\/wp-content\/uploads\/2025\/05\/Dra.-Ines-Galofre-Bofill.jpg 900w\" sizes=\"(max-width: 533px) 100vw, 533px\" \/>\t\t<\/a>\n\n\t\t\t\t\t<div class=\"hover-img\">\n\t\t\t\t<a href=\"https:\/\/clinicagirona.cat\/es\/professionals-medics\/dra-ines-galofre-bofill\/\" aria-label=\"Imagen de producto\">\n\t\t\t\t\t<img decoding=\"async\" width=\"533\" height=\"800\" src=\"https:\/\/clinicagirona.cat\/wp-content\/uploads\/2025\/05\/Dra.-Ines-Galofre-Bofill-fitxa-533x800.jpg\" class=\"attachment-large size-large\" alt=\"Doctora In\u00e9s Galofr\u00e9 Bofill\" srcset=\"https:\/\/clinicagirona.cat\/wp-content\/uploads\/2025\/05\/Dra.-Ines-Galofre-Bofill-fitxa-533x800.jpg 533w, https:\/\/clinicagirona.cat\/wp-content\/uploads\/2025\/05\/Dra.-Ines-Galofre-Bofill-fitxa-200x300.jpg 200w, https:\/\/clinicagirona.cat\/wp-content\/uploads\/2025\/05\/Dra.-Ines-Galofre-Bofill-fitxa-768x1152.jpg 768w, https:\/\/clinicagirona.cat\/wp-content\/uploads\/2025\/05\/Dra.-Ines-Galofre-Bofill-fitxa-430x645.jpg 430w, https:\/\/clinicagirona.cat\/wp-content\/uploads\/2025\/05\/Dra.-Ines-Galofre-Bofill-fitxa-700x1050.jpg 700w, https:\/\/clinicagirona.cat\/wp-content\/uploads\/2025\/05\/Dra.-Ines-Galofre-Bofill-fitxa-150x225.jpg 150w, https:\/\/clinicagirona.cat\/wp-content\/uploads\/2025\/05\/Dra.-Ines-Galofre-Bofill-fitxa.jpg 900w\" sizes=\"(max-width: 533px) 100vw, 533px\" \/>\t\t\t\t<\/a>\n\t\t\t<\/div>\n\t\t\t\n\t\t<div class=\"wd-buttons wd-pos-r-t\">\n\t\t\t\t\t\t\t\t<div class=\"quick-view wd-action-btn wd-style-icon wd-quick-view-icon\">\n\t\t\t<a\n\t\t\t\thref=\"https:\/\/clinicagirona.cat\/es\/professionals-medics\/dra-ines-galofre-bofill\/\"\n\t\t\t\tclass=\"open-quick-view quick-view-button\"\n\t\t\t\trel=\"nofollow\"\n\t\t\t\tdata-id=\"29075\"\n\t\t\t\t>Vista r\u00e0pida<\/a>\n\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t<\/div>\n\n\t\t\t<div class=\"wd-product-header\">\n\t\t\t<h3 class=\"wd-entities-title\"><a href=\"https:\/\/clinicagirona.cat\/es\/professionals-medics\/dra-ines-galofre-bofill\/\">Dra. In\u00e9s Galofr\u00e9 Bofill<\/a><\/h3>\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"wd-product-cats\">\n\t\t\t<a href=\"https:\/\/clinicagirona.cat\/es\/especialitat\/unitat-del-son\/\" rel=\"tag\">Unitat del Son<\/a>\t\t<\/div>\n\t\t\t\t<div class=\"wrap-price\">\n\t\t\t<div class=\"swap-wrapp\">\n\t\t\t\t<div class=\"swap-elements\">\n\t\t\t\t\t\n\t\t\t\t\t<div class=\"wd-add-btn\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\n\t\t\n\t\t\n\t\t\t<\/div><\/div>\n\t\t\t\t\t\t\t\t<div class=\"wd-product wd-hover-alt wd-col product-grid-item product type-product post-29093 status-publish instock product_cat-unitat-del-son has-post-thumbnail shipping-taxable product-type-simple\" data-loop=\"2\" data-id=\"29093\">\n\t\n\t\n<div class=\"product-wrapper\">\n\t<div class=\"product-element-top wd-quick-shop\">\n\t\t<a href=\"https:\/\/clinicagirona.cat\/es\/professionals-medics\/dra-pilar-santacana-verdet\/\" class=\"product-image-link\">\n\t\t\t<img decoding=\"async\" width=\"533\" height=\"800\" src=\"https:\/\/clinicagirona.cat\/wp-content\/uploads\/2025\/05\/Dra.-Pilar-Santacana-Verdet-1-533x800.jpg\" class=\"attachment-large size-large\" alt=\"Dra. Pilar Santacana Verdet\" srcset=\"https:\/\/clinicagirona.cat\/wp-content\/uploads\/2025\/05\/Dra.-Pilar-Santacana-Verdet-1-533x800.jpg 533w, https:\/\/clinicagirona.cat\/wp-content\/uploads\/2025\/05\/Dra.-Pilar-Santacana-Verdet-1-200x300.jpg 200w, https:\/\/clinicagirona.cat\/wp-content\/uploads\/2025\/05\/Dra.-Pilar-Santacana-Verdet-1-768x1152.jpg 768w, https:\/\/clinicagirona.cat\/wp-content\/uploads\/2025\/05\/Dra.-Pilar-Santacana-Verdet-1-430x645.jpg 430w, https:\/\/clinicagirona.cat\/wp-content\/uploads\/2025\/05\/Dra.-Pilar-Santacana-Verdet-1-700x1050.jpg 700w, https:\/\/clinicagirona.cat\/wp-content\/uploads\/2025\/05\/Dra.-Pilar-Santacana-Verdet-1-150x225.jpg 150w, https:\/\/clinicagirona.cat\/wp-content\/uploads\/2025\/05\/Dra.-Pilar-Santacana-Verdet-1.jpg 900w\" sizes=\"(max-width: 533px) 100vw, 533px\" \/>\t\t<\/a>\n\n\t\t\t\t\t<div class=\"hover-img\">\n\t\t\t\t<a href=\"https:\/\/clinicagirona.cat\/es\/professionals-medics\/dra-pilar-santacana-verdet\/\" aria-label=\"Imagen de producto\">\n\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" width=\"533\" height=\"800\" src=\"https:\/\/clinicagirona.cat\/wp-content\/uploads\/2025\/05\/Dra.-Pilar-Santacana-Verdet-fitxa-533x800.jpg\" class=\"attachment-large size-large\" alt=\"Doctora Pilar Santacana Verdet\" srcset=\"https:\/\/clinicagirona.cat\/wp-content\/uploads\/2025\/05\/Dra.-Pilar-Santacana-Verdet-fitxa-533x800.jpg 533w, https:\/\/clinicagirona.cat\/wp-content\/uploads\/2025\/05\/Dra.-Pilar-Santacana-Verdet-fitxa-200x300.jpg 200w, https:\/\/clinicagirona.cat\/wp-content\/uploads\/2025\/05\/Dra.-Pilar-Santacana-Verdet-fitxa-768x1152.jpg 768w, https:\/\/clinicagirona.cat\/wp-content\/uploads\/2025\/05\/Dra.-Pilar-Santacana-Verdet-fitxa-430x645.jpg 430w, https:\/\/clinicagirona.cat\/wp-content\/uploads\/2025\/05\/Dra.-Pilar-Santacana-Verdet-fitxa-700x1050.jpg 700w, https:\/\/clinicagirona.cat\/wp-content\/uploads\/2025\/05\/Dra.-Pilar-Santacana-Verdet-fitxa-150x225.jpg 150w, https:\/\/clinicagirona.cat\/wp-content\/uploads\/2025\/05\/Dra.-Pilar-Santacana-Verdet-fitxa.jpg 900w\" sizes=\"(max-width: 533px) 100vw, 533px\" \/>\t\t\t\t<\/a>\n\t\t\t<\/div>\n\t\t\t\n\t\t<div class=\"wd-buttons wd-pos-r-t\">\n\t\t\t\t\t\t\t\t<div class=\"quick-view wd-action-btn wd-style-icon wd-quick-view-icon\">\n\t\t\t<a\n\t\t\t\thref=\"https:\/\/clinicagirona.cat\/es\/professionals-medics\/dra-pilar-santacana-verdet\/\"\n\t\t\t\tclass=\"open-quick-view quick-view-button\"\n\t\t\t\trel=\"nofollow\"\n\t\t\t\tdata-id=\"29093\"\n\t\t\t\t>Vista r\u00e0pida<\/a>\n\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t<\/div>\n\n\t\t\t<div class=\"wd-product-header\">\n\t\t\t<h3 class=\"wd-entities-title\"><a href=\"https:\/\/clinicagirona.cat\/es\/professionals-medics\/dra-pilar-santacana-verdet\/\">Dra. Pilar Santacana Verdet<\/a><\/h3>\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"wd-product-cats\">\n\t\t\t<a href=\"https:\/\/clinicagirona.cat\/es\/especialitat\/unitat-del-son\/\" rel=\"tag\">Unitat del Son<\/a>\t\t<\/div>\n\t\t\t\t<div class=\"wrap-price\">\n\t\t\t<div class=\"swap-wrapp\">\n\t\t\t\t<div class=\"swap-elements\">\n\t\t\t\t\t\n\t\t\t\t\t<div class=\"wd-add-btn\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\n\t\t\n\t\t\n\t\t\t<\/div><\/div>\n\t\t\n\t\t\t\t<\/div>\n\t\n\t\t\n\t\t\n\t\t\t\t\t<\/div>\n\t\t\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>Unidad del Sue\u00f1o de Cl\u00ednica Girona: Recupere su descanso, mejore su vida Contacto Segunda planta \/ M\u00d3DULO C<\/p>","protected":false},"author":1,"featured_media":31801,"parent":28790,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-28847","page","type-page","status-publish","has-post-thumbnail","hentry"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.4 - 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