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Snoring is seen not only in adults but also in children. In addition, snoring in children is not only a rough, noisy sound during sleep, but also heralds an important problem that threatens their health, daily activities and school success.
Acibadem Oncology and Neurological Sciences Hospital Chest Diseases and Sleep Disorders Specialist Dr. Ceyda Kırışoğlu sleep breathing disorders described as follows. “It is a frequent interruption of sleep as a result of stopping the breathing for a few seconds, more superficial or faster breathing or excessive effort for breathing due to blockages in the upper respiratory tract (nose, throat, nasal passages), tongue slipping to the back during sleep. Both sleep disruption and decreases in blood oxygen levels during sleep are an important threat to our health. ”
Sleep Respiratory Disorders
Sleep disorders are not a simple case. Respiratory dyspnea is observed. Dr. Kırışoğlu describes the experiences of respiratory disorders as follows: sırasında When the breathing stops, the oxygen level in the blood decreases and the carbon dioxide gas, which is polluted blood, increases. Perceiving this as a vital threat, the brain wakes the child, saying, 'Wake up, breathe, you're dying' and let him breathe. The child, who often starts to breathe with sighs, falls asleep again and does not realize how many times he wakes up during the night. ”Some children do not stop breathing. But another danger awaits them. These children are often under the threat of growth retardation, high blood pressure and heart failure as they use the energy source to grow to breathe during sleep.
Although children between 2 and 6 years of age are affected most, the causes of this condition seen in almost all ages are; Kırışoğlu explains: “Tonsils and the size of the nasal flesh are among the main reasons. Other causes include nasal congestion, allergic conditions, asthma, reflux, obesity, underestimation of thyroid gland, differences in facial bone development, genetic (such as Down syndrome) and neurological diseases. ”
Sleep disruption due to respiratory disorders in adults is often manifested by excessive daytime sleepiness, while children exhibit various behavioral disorders such as hyperactivity, irritability, and attention deficit. The American Academy of Pediatrics emphasizes that every snoring child should be evaluated. The American Academy of Sleep Disorders lists the situations in which your child should be suspected of breathing disorders during sleep:
• Difficult to breathe, breathing in sleep, sighing. Dr. At this point, Kırışoğlu warns the families: “Babies generally have irregular, fast breathing and breathing periods until the age of 6 months. This is part of the development of infants and is not a sign of disease. They just forget to breathe. It is only important if the child is discolored. In addition, sleep breathing disorders in children become more pronounced especially during dreaming. As this phase is the longest in the morning, it is possible that you will not be able to monitor your child adequately and you will miss this. “
• Abnormal lying positions
• Sleeping with mouth open, waking up with dry mouth in the morning, headache,
• Excessive sweating, movement, tooth grinding during sleep
• Frequent nightmares
• Sleep terror (They wake up screaming and crying from sleep. They do not recognize their parents; they may even behave badly. They do not remember the next morning)
• Urinary incontinence during sleep
• Difficulty falling asleep or frequent waking up during sleep
• Frequent upper respiratory tract infection
• Hyperactivity, school problems, depression, excessive shyness or aggression
• Anorexia, growth retardation or obesity
• Unexplained hypertension and heart failure
In the event of one or more of these complaints, it is useful to consult a “Sleep Disorder Specialist.. The diagnosis of respiratory distress during sleep is easily made by a sleep study (Polysomnography) with a parent in a sleep laboratory. During sleep, various small electrodes are attached and the belts are fastened to record the child's sleep and breathing. These electrodes and belts are not a danger to children and do not cause pain.
Treatment is planned according to the source of the problem. Dr. Kırışoğlu gives the following information about the ways of treatment:
Removal of tonsil and nasal flesh: A large number of children are responsible for enlarged tonsils and nasal flesh asleep. This operation is often sufficient to relieve the complaints.
Orthodontic treatment: Orthodontic treatment is of great importance especially in the pediatric age group in the presence of small, upper or lower jaws and developmental disorders of the facial bones such as toothiness and high palate.
Nasal CPAP (Continuous positive airway pressure) device: It is used when the response to surgical treatment is insufficient in the pediatric age group, surgical treatment is not appropriate or the problem is of neurological origin. The NCPAP device keeps the airway open by nasal or oral air through a mask. It does not give the patient an extra burden, but it is an effective method, just as long as it is worn. When not in use, complaints reappear.
Other suggestions: Obesity is an important factor in worsening the problem. In this case, considering that the child is in the process of growth and development, it should be ensured that the child reaches the ideal weight with the help of a nutritionist. Sleeping breathing disorders, especially when lying on the back of the patient to lie on the side of the bed, the back of the pillow needs to be supported with a long.