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Who doesn't want a child who falls asleep when you put him to bed, seldom wakes up at night and starts to sleep soundly again in a few seconds. But parents may not always be so lucky. Acıbadem Hospital Kozyatağı Chest Diseases Specialist Ceyda Kırışoğlu, If the correct diagnosis is made childrensleep disorder problem He says it is possible to overcome.
: How long do children spend asleep? Dr. Ceyda Kırışoğlu: Children spend 13 months of their life asleep until the age of 2 years. Half of the lives of children between the ages of 2-5 years in sleep, while older children and adolescents, this period is 40 percent. However, 25 percent of children have temporary or long-term sleep problems. This problem may manifest itself in the form of difficulty in falling asleep, walking in sleep, wetting the night, as well as life-long effects. snoring, sleep apnea, restless leg syndrome, narcolepsy can also be seen in the form.
: What are the effects of sleep disorders?
Dr. Ceyda Kırışoğlu: Sleep disorders not only affects sleep at night, but also negatively affects children's daytime functions, behaviors and school success.. Sleep disorders in children It presents with complaints similar to “Attention Deficit Hyperactivity Disorder DE (ADHD). At this point, the differential diagnosis is of great importance, otherwise children with sleep disorders may be diagnosed with ADHD. The misdiagnosis of diagnosis leads to unnecessary “amphetamine ilaç -dependent medications, along with a delay in the treatment of the main disease.
: How is sleep disorder diagnosed?
Dr. Ceyda Kırışoğlu: Breathing disorders in sleep and periodic leg motility disorder are diagnosed by sleep study. In order to make the child feel safe during the study, a family member is provided with the child. Various electrodes are attached to the body and the belts are attached to the child being monitored during sleep. The sleep study does not give the child any pain or distress.
After a night's sleep, the diagnosis is evaluated by a specialist with experience in sleep disorders in children. In the correct diagnosis, the evaluation of the complaints and the results of the sleep study by a specialist with experience of sleep disorders in children is of great importance. Sleep studies performed under the supervision of technicians in the sleep laboratory remain the only valid method for diagnosis.
: Don't sleep disorders go away spontaneously over time?
Dr. Ceyda Kırışoğlu: A common misconception in society is that it is believed that sleep problems will go away spontaneously with the growth of the child. These diseases do not go away spontaneously, but rather follow a chronic course. For example, in a study conducted in the United States, 3-year-old children with sleep problems have experienced this problem since infancy. In addition, another study among university students revealed that these young people have had sleep problems since childhood.
: What are the diseases that cause sleep disorders?
Dr. Ceyda Kırışoğlu: Sleep disorder is defined as frequent breakdown of sleep for several seconds due to recurrent airway narrowing or obstruction during sleep. In children, there may be a significant decrease in oxygen levels and an increase in carbon dioxide levels during sleep and an increase in respiratory rate.
: What are the symptoms?
Dr. Ceyda Kırışoğlu: Snoring is often seen in children with obstructive sleep apnea. Noisy breathing, open mouth sleep, excessive effort to breathe are typical symptoms of sleep apnea. During sleep, there may be breathing stops for a few seconds called apnea, but this is not seen. Strange sleeping positions such as excessive stretching of the neck backwards can develop. This position is generally a precautionary measure taken by the child to keep the airway open. Excessive movement during sleep, waking up frequently, excessive sweating in the chest and neck can develop. Sleep terror, walking asleep, grinding teeth, under-night wetting emerges. These kids have trouble waking up in the morning. When they wake up, they are generally restless, complaining of headaches.
: What is the reason?
Dr. Ceyda Kırışoğlu:Sleep apnea is most often due to the size of the tonsils and nasal flesh. However, asthma, allergy, reflux, cleft palate repair, obesity, orthodontic disorders, neurological and genetic diseases can develop along with.
: What does it lead to?
Dr. Ceyda Kırışoğlu: During the day, hyperactivity, attention deficit, impulsive behaviors, learning disorders, low school success, behavioral disorders, social problems, excessive shy or aggressive, aggressive attitudes can be seen.
: How is it treated?
Dr. Ceyda Kırışoğlu: Treatment of the tonsils and nasal flesh is sufficient for a significant portion of children. In obese people, those with neurological and genetic diseases, it may be necessary to use air compressors called CPAP to keep the airway open. Again, orthodontic treatment is necessary in some children. 75-100 percent success is achieved with appropriate treatment methods. If symptoms persist 4-6 weeks after starting treatment, the sleep study is repeated and additional treatment methods are applied.