Sleep Apnea in Children
In recent years, the medical treatment of obstructive respiratory disorders or sleep apnea during sleep in children, patients and caregivers were arrested.
An adult, who snores, which rises three times a night to urinate, whose spouse remark respiratory arrest, and who has consulted for fatigue and drowsiness, has a good chance, cause the organization today a balance sheet to find a sleep apnea syndrome.But the child does not attend to these symptoms. Sure, he may snore, or rather, concern parents because of nocturnal breathing noisy but apart from this common symptom with adults, the risk of specialist consultations may remove the diagnosis is important.
In fact, adults are sleepy during the day, the child is more restless. His alarm at night, are placed on the account of “Nightmares”, probably, the desire to drink, a bed-wetting, which formerly mastered réaggrave. Sometimes a mother notices that her child stops breathing at night. It’s rare, because during sleep disordered breathing in children are closer to the permanent locking of respiration (the famous increased airway resistance), as apnea, but very significant. Must still vaguely worried that the testimony of a mother, is taken seriously by a doctor informed about these diseases ….
1. Hyperactivity
And then there’s the faltering of weight! Knowing the function of sleep in the metabolism of certain hormones, including some related to growth is recent. Splitting straight to sleep disordered breathing, induces a decrease in secretory function of these hormones, resulting in slower growth, how many children, even today, are explored in pediatric endocrinology services with, in response, hormone replacement therapy?
ENT surgery effective, sometimes a breakdown, allows the resumption of growth.
Respiratory disorders during sleep in children are distinct from those of adults, and appear differently, with the risk of wandering or even misdiagnosis. Another example.Poor sleep results in children, we have seen, to a stirring day reaction, a “hyperactive” but also to impaired concentration, often leading to delayed school. It is not uncommon for an effective treatment allows these children to transform … first class.
2. So what should you do?
All clinical signs that reflect obstructive respiratory disorders in children (see box) show the importance of urgent remedial treatment of disorders complications night before to avoid the foreseeable consequences of a dramatic life (asthma, OSAS , school failure, growth disorders, obesity, cardiovascular complications … premature deaths).
Create an association of apneic children, with breathing problems during sleep, an affiliate of FFAAIR, is already an idea circulating, and which should be set up quickly.This association could be called the AT. ROSE (Association of respiratory disorders during sleep of the child), despite its sounding alarmist (atrocious). This is a public health priority, a little side bet, despite the publication of a White Paper in 2006 on the state of play in management of insomnia, which allowed reveal deficiencies in knowledge dissemination and taken loads of sleep breathing disorders in children but also elderly. We doctors, we need you to adapt better health policy prevention logic to protect our children from a common disease, severe and chronic. The French delay in prevention, particularly in the field of TROS, justifies this association, and the synergy of all those involved.
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Tags: apnea, children, sleep, sleep apnea
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