Yu dɔn ɛva fil lɛk se yu pikin kin stɔp fɔ blo wantɛm wantɛm ɔ i nɔ kin izi fɔ blo we i de slip? Sɔntɛnde dis kin apin to smɔl pikin dɛn we dɛn de slip. Wi kin kɔl dis "childhood sleep apnea." Dis na sɔntin we bɔku mama ɛn papa dɛn kin tɔk bɔt ɛn dɛn nid fɔ no bɔt.
Yu tink se smɔl pikin dɛnsɛf kin swɛla we dɛn de slip? Wetin na Obstructive Sleep Apnea?
Fɔ tɔk am simpul wan,
we yu pikin nɔ kin ebul fɔ blo fayn na we yu kin stɔp fɔ blo fɔ sɔm tɛm we i de slip. Dis kin apin bikɔs sɔntin de we de ambɔg dɛn aywe. Ɔ, i kin apin bak bikɔs di bren nɔ de sɛn di rayt sayn to dɛn mɔsul dɛn we de blo. Tink bɔt am dis we. We yu de slip, di fon ring. Yu wek wit sɔprayz, bɔt yu go bak fɔ slip we yu nɔ ansa. Na so i de wok. Yu pikin in bren de si se briz nɔ de na in bɔdi. Dɔn di bren kin sɛn signal to di lɔng dɛn fɔ mek dɛn blo. Dis kin mek yu pikin wek bɔku tɛm na midul nɛt. Pan ɔl we dɛn we ya we yu pikin kin wek nɔ kin te, dɛn kin afɛkt di we aw yu pikin de slip. Dis kin mek yu pikin
taya mɔ insay di de. Yu kin yɛri sɔmtɛm dɔktɔ dɛn kin kɔl dis `(Pediatric Sleep Apnea)`.
Yu tink se difrɛn kayn dis de?
Yɛs, tri men kayn we dɛn de we pɔsin kin gɛt we i smɔl. Lɛ wi tek wan luk pan wetin dɛn bi.
1. Ɔbstruktiv Slip Apnɛa (OSA) .
Dis na
di kayn asma wae kin kam pan yɔŋ pikin dɛm. I kin apin we sɔntin de ambɔg di pikin in aywe, ɔ di briz paip. I tan lɛk wata paip we dɔn blok.
2. Sɛntral Slip Apnia (CSA) .
Dis na
tin we nɔ kin apin so ɔltɛm . Bɔku tɛm, dɛn kin si am pan pikin dɛn we dɛn jɔs bɔn. wetin de apin ya na di pikin in bren nכ de ebul fכ kכmכnik fayn wit di mכsul dεm we de kכntro di brith. dat min se di "mεsej" fכ brith nכ de pas fayn fayn wan.
3. Miks/Kɔmpleks Slip Apnia ɔ Tritmɛnt-Imejɛnt Sɛntral Slip Apnia
Dis na wan fכm bak fכ `(Sentral Slip Apnea)`. dis na wetin kin apin we dεn trit pikin we gεt `(Obstructive Sleep Apnea)` wit `(CPAP)` mashin (dis na mashin we de εp fכ brith, wi go tכk bכt am leta), εn i de divεlכp bak `(Central Sleep Apnea)`.
Aw dis sik kin kɔmɔn fɔ smɔl pikin dɛn?
Infakt, slip apnɛa na tin we kɔmɔn ɔlsay na di wɔl. Dɛn se na lɛk wan bilyɔn pipul dɛn ɔlsay na di wɔl de sɔfa wit dis sik. pan yכŋ pikin dεm,
` (Obstructive Sleep Apnea)` kin afekt bitwin 1% εn 5% pan di pipul dεm, ivin if dεn ol. Dis min se pikin dɛm we dɛn jɔs bɔn, pikin dɛm we de smɔl, pikin dɛm we nɔ de go skul, pikin dɛm we dɔn rich skul ej, ɛn yɔŋ pipul dɛm ɔl kin gɛt dis sik. Bɔt,
I kin mɔs pan pikin dɛn we ol bitwin 2 ɛn 6 ia. Yu tink se we pɔsin nɔ ebul fɔ blo fayn we i de slip kin denja?
Pan ɔl we bɔku tɛm pikin dɛn kin gɛt smɔl smɔl sayn dɛn fɔ dis sik, di we aw dɛn kin slip we dɛn smɔl kin denja if dɛn nɔ trit dɛn. I kin mek bak yu gɛt dɛn prɔblɛm ya:- di chalenj dεm we di pikin de gro εn divεlכpmεnt: Dis kin afekt di pikin in bכdi εn in intellektual growth.
- Lɔs di urinary control (bedwetting - `(Enuresis)`) : Dis kin mek sɔm pikin dɛn gɛt prɔblɛm bak wit bedwetting na nɛt.
- Kardiopulmonary disease : If dɛn nɔ trit am fɔ lɔng tɛm, i kin afɛkt di at ɛn di lɔng dɛn.
- Atɛnshɔn Dɛfisit/ Hyperactivity Disorder ( ADHD ) : Dɛn kin si aw i nɔ kin izi fɔ lan ɛn we i nɔ kin ebul fɔ de na wan ples.
We pikin de chenj di we aw i de slip, i kin afɛkt in bihayvya, aw i de fil, ɛn aw i de wok na skul, so i impɔtant fɔ no bɔt dis.
Wetin na di sayn dɛm fɔ dis? Aw yu no am?
Bɔku sayn dɛn de we kin sho se pɔsin nɔ ebul fɔ blo fayn we i smɔl. Lɛ wi sheb dɛn to tu kategori. Di sayn dɛm wae yu kin si wae yu de slip:
- Fɔ blo na yu mɔt , fɔ blo lawd wan, ɔ fɔ snor : Bɔku tɛm, we yu de snor na di men sayn.
- Brith de stɔp ɔ stɔp : Yu kin notis se di pikin kin stɔp fɔ blo wantɛm wantɛm fɔ sɔm sɛkɔn.
- Kɔf ɔ shɔt briz : Yu kin wek wit kɔf ɛn shɔt briz we yu de slip.
- Tos ɛn tɔn na bed (slip we nɔ de rɛst) : Tos ɛn tɔn na wan say, nɔ ebul fɔ slip.
- Nayt swet dɛn .
- Slip waka ɔ slip tɔk .
- Fɔ wet wet na bed .
Di sayn dɛm we yu kin si insay di de (dɛn kin bi sayn dɛm fɔ se di pikin gɛt slip apnea):
- Taya : Yu kin fil taya we yu wek na mɔnin. Yu kin fil lɛk se yu de slip ɔl di de.
- Nɔ pe atɛnshɔn ɔ nɔ ebul fɔ pe atɛnshɔn : I kin tan lɛk se yu nɔ de pe atɛnshɔn, ivin we yu de du skul wok ɔ ple.
- Iritability, aggression, or other emotional or behavioral problems : Tin dɛm lɛk fɔ vɛks pan smɔl tin dɛm, fɔ fɛt wit ɔda pipul dɛm, ɛn ɔda tin dɛm.
- Mɔnin ed we de at .
If yu pikin gɛt wan ɔ mɔ pan dɛn sik ya, i go fayn fɔ mek yu tɔk to dɔktɔ. Wetin mek dis kin apin to yɔŋ pikin dɛn? Wetin na di rizin dɛn?
Di men tin we kin mek di pikin gɛt Obstructive Sleep Apnea we i smɔl na we di pikin in aywe nɔ de blo. Sɛntral Slip Apnea kin kam bikɔs ɔf prɔblɛm wit di signal dɛm we de sɛn frɔm di pikin in bren to di mɔsul dɛm we de na di aywe. Sɔntɛnde, ivin we dɛn yuz CPAP mashin, mɔ kɔmpleks slip apnɛa kin apin. Wetin na de disɔda wae kin mek pɔrsin nɔr ebul fɔ slip fayn?
- di tכnsil dεm we dεn big כ di adenoyd dεm : Dis na di gland dεm we de na di bak pat na di trot. Dɛn kin big if pikin gɛt infekshɔn ɔ inflamɛns . sכmtεm, dεn gland dεm ya kin big pas nכmal bikoz fכ di jεnεtik fכs. Dis na di tin we kin mek pɔsin gɛt OSA pan yɔŋ pikin dɛn.
- di mכsul dεm de chenj : Sכm jεnεtik kכndyushכn dεm lεk Daun sεndrכm כ sεribra palsi kin mek di mכsul tכn na pikin in ed εn nεk chenj. Ivin if di pikin in mכsul tכn nכmal insay di de, dis mכsul tכn kin dכn na nɛt we di pikin de slip, we kin mek di tisu dεm stik togeda εn blכk di say we di briz de blo.
- di bon strכkchכ abnכmaliti : Narכw fes bon strכkchכ, lεk sכmכl jaw כ we i bכt pasmak, kin mek di pikin gεt prכblεm fכ brith bak.
- Tumɔs : Tumɔs we de gro na di say we di briz de blo kin mek bak tin nɔ izi. Bɔt, dis nɔ kin apin so ɔltɛm.
Udat de pan denja pas ɔl fɔ gɛt dis sik? (Di tin dɛn we kin mek pɔsin gɛt prɔblɛm)
Yu pikin kin gɛt ay risk fɔ gɛt slip apnɛa fɔ dɛn rizin ya:- Alɛji : Tin dɛm lɛk fɔ kol ɔltɛm ɛn alɛji to dɔst.
- Asma .
- If yu dɔn gɛt cleft palata ɔ ɔpreshɔn we gɛt fɔ du wit am (`pharyngeal flap surgery`) .
- Fɔ smok smok : If pɔsin na di os smok, dat kin gɛt impak bak.
- Fɔ gɛt pɔsin na yu famili we gɛt dis sik (genetic predisposition) .
- Fat pasmak : If di bɔdi wet pas di wet we fit fɔ di ej.
- asid rεfluks prכblεm dεm na di dijestiv sistεm : lεk gastritis.
- Infεkshכn na di כp rεspiretכri trakt (`Upper respiratory infεkshכn`) .: If yu kin gɛt fiva ɛn kol bɔku tɛm.
Aw dɔktɔ kin no bɔt dis?
Dɔktɔ go no if yu pikin nɔ ebul fɔ blo fayn bay we i aks yu bɔt di sik dɛn we yu pikin gɛt. Dɛn go aks kwɛstyɔn dɛn lɛk if yu pikin de snor ɛn aw dɛn kin slip na nɛt. Dɛn go du ɛgzam bak fɔ yu pikin ɛn tek yu pikin in kɔmplit mɛdikal istri. Sɔntɛnde, yu dɔktɔ kin sɛn yu to pɔsin we sabi bɔt slip. Wan pɔsin we sabi bɔt slip kin du tɛst dɛn lɛk:- Slip histri : Na rεkɔd fɔ aw yu pikin de slip na nɛt. Dis kin bi bay we yu aks fɔ di ditel dɛn frɔm yu.
- Upper airway evaluation : Dis inklud fכ egzamin fכ yu bכdi. Sɔntɛnde dɛn kin du ɛkstrem rayt ɔ ɛndoskopi na di nos fɔ chɛk fɔ si if di nos nɔ de ambɔg.
- Slip stכdi (`Slip stכdi / Polysomnography`) : Dis na di mכst imכtant tεst. Na ya, dɛn kin wach di pikin we i de slip. Dis tεst de mכsu bכku tin dεm lεk aw di pikin in bren de wok, in at rεt, di כmכnt fכ briz we de kכmכt na in mכt εn in nos, di כksijεn εn kabכn dayכksayd we de insay di bכdi, di mכsul dεm we de wok, di chεst εn bכdi muvmεnt, εn di tεm we i de slip.
Wetin na di tritmɛnt dɛm fɔ dis?
Di tritmɛnt fɔ pikin dɛn we nɔ de blo fayn fɔ slip kin difrɛn difrɛn wan bay di tin we mek di sik ɛn aw i siriɔs. Di men tin we di dɔktɔ want na fɔ mek di pikin in aywe klin. Di tritmɛnt we dɛn kin pik kin bi:- כpεrayshכn : I kin nid כpεrayshכn fכ pul di tכnsil כ adenoyd dεm we big (tonsillectomy / adenoidectomy), כ fכ kכrekt abnכmaliti dεm na di bon strכkchכ na di pikin in ed εn nεk. Dis kin mek mɔ ples fɔ di say we di briz de blo.
- Fɔ chenj di we aw yu de liv yu layf : Fɔ ɛksesaiz ɔltɛm kin ɛp fɔ mek yu pikin in aywe opin. Dɔn bak, if yu chenj di it we yu pikin de it, dat kin ɛp fɔ mek i gɛt wɛlbɔdi bɔdi mas indeks (BMI) fɔ in ej.
- Mɛrɛsin : Mɛrɛsin kin ɛp fɔ mek yu pikin in aywe klia ɔ opin. Di dɔktɔ go gi yu mɛrɛsin dipen pan wetin mek yu pikin gɛt slip apnɛa. Fɔ ɛgzampul, dɛn kin gi am antihistamin, fluticasone (Flonase®), ɛn montelukast (Singulair®) fɔ alɛji. Dɛn kin gi di nos dikɔnjɛstant if infɛkshɔn de na di ɔpa respiratɔri.
- Kɔntinyu Pozitiv Aywe Prɛshɔn (CPAP) .: Dis min se yu fɔ wɛr smɔl mask oba yu nos we yu de slip. Dɛn kin kɔnɛkt dis mask to wan smɔl mashin we pɔsin kin kɛr go. Dis mashin de sɛn briz tru di nos insay di say we di briz de blo. Dis prɛshɔn we di briz de prɛs de mek di pikin in aywe opin, so i kin ebul fɔ blo nɔmal wan we i de slip.
If yu pikin gɛt kɔmpleks slip apnea afta dɛn dɔn trit am fɔ obstructive sleep apnea, yu dɔktɔ kin tɛl yu fɔ ajɔst di prɛshɔn we di briz de prɛs na di CPAP mashin ɔ fɔ ajɔst di fit we di mask fit yu pikin in fes. Bɔku tɛm dis kin apin bikɔs di CPAP mashin tu ay ɔ tu smɔl. Bɔku tɛm, dɛn ajɔstmɛnt ya kin mek di sayn dɛn we pɔsin kin gɛt we i gɛt kɔmpleks slip apnɛa kin bɛtɛ.
Dɔktɔ go tek tɛm luk yu pikin in sik bifo i tɛl yu fɔ trit am ɔ fɔ mɛn yu na os. Ɛni bad tin de we di tritmɛnt kin du?
Tɔk to yu pikin in dɔktɔ bɔt di bad tin dɛn we ɛni tritmɛnt we dɛn se fɔ yu pikin kin gɛt. Ɔl di ɔpreshɔn dɛn gɛt prɔblɛm dɛn. Di sayd ɛfɛkt dɛn we di mɛrɛsin dɛn kin gɛt kin difrɛn difrɛn wan bay di kayn we. Aks yu pikin in dɔktɔ if ɛni sayd ɛfɛkt de we yu fɔ no bɔt we yu de trit am. Yu tink se dɛn go ebul fɔ mek dis nɔ apin?
Bɔrku pan de tin dɛm wae kin mek pɔrsin nɔr kin ebul fɔ blo fayn wae pɔrsin nɔr kin ebul fɔ slip, nɔr kin izi fɔ avɔyd. Bɔt yu kin ɛp yu pikin fɔ ridyus di risk fɔ gɛt dis sik bay we yu:- Fɔ du ɛksasaiz ɔltɛm.
- Fɔ avɔyd ples dɛn we gɛt smok smok.
- Manejmɛnt fɔ sizin alɛji.
Di dɔktɔ kin mek pɔsin in yon advays we go mek di pikin nɔ gɛt dis sik, mɔ if pɔsin na di famili gɛt dis sik. Wetin kin apin if di pikin gɛt dis sik? Yu tink se dɛn go wɛl?
Wit tritmɛnt, di simptom dɛm fɔ obstructive sleep apnea na pikin kin dɔn. Dɔn bak, i nɔ kin gɛt ɛnitin fɔ du wit am fɔ lɔng tɛm as di pikin de gro. Bɔt if dɛn nɔ trit di pikin, slip apnɛa kin denja ɛn i kin afɛkt di we aw pikin de gro ɛn divɛlɔp. Sɔm pikin dɛn kin kɔntinyu fɔ gɛt di sik as dɛn de ol, ɛn pan dɛn kayn tin ya, dɛn kin nid fɔ kɔntrol am ɔl di tɛm we dɛn big. Tritmɛnt dɛn de fɔ pul di sik dɛn we de mek pɔsin nɔ ebul fɔ slip fayn, we kin apin bikɔs ɔf sɔm tin dɛn. If yu pikin gɛt smɔl smɔl sik dɛn, i kin bɛtɛ fɔ insɛf as i de ol. Dis kin apin bikɔs di tisu we de na di bak pat na di trot kin smɔl as yu pikin de ol, ɛn dis kin mek di say we di briz de blo opin. כpεrayshכn fכ pul di tכnsil כ adenoyd dεm na fayn tritmεnt fכ dis kכndyushכn. Bɔt if yu pikin gɛt nyu tin we de ambɔg in aywe, di sayn dɛn we de sho se i nɔ ebul fɔ blo fayn we i de slip kin kam bak. Ustɛm a fɔ go to dɔktɔ? Wetin fɔ du if na imejensi?
If yu notis sayn dɛm fɔ slip apnɛa na yu pikin, mɔ if yu pikin kin wek bɔku tɛm na midul nɛt ɔ gɛt prɔblɛm wit brith we i de slip, go to dɔktɔ wantɛm wantɛm.If na so i bi, go na di imejensi rum (ER) wantɛm wantɛm, ɔ kɔl 1990:- If yu pikin de gɛt prɔblɛm fɔ blo.
- If di pikin in skin, in lip, ɛn in nel dɛn nɔ gɛt wan bɔt, blu, ɔ grey.
Impɔtant kwɛstyɔn dɛn fɔ aks yu dɔktɔ
We yu go to dɔktɔ, nɔ fɔgɛt fɔ aks dɛn kwɛstyɔn ya:- Wetin de mek mi pikin gɛt di sik?
- Ɛni bad tin de we di tritmɛnt kin du?
- Yu tink se dɛn nid fɔ du ɔpreshɔn pan mi pikin?
- Aw lɔŋ mi pikin go nid fɔ yuz di CPAP mashin?
Slip apnea we yu smɔl kin mek yu ɛn yu pikin strɛs. I nɔ kin izi fɔ yu pikin fɔ slip fayn, ɛn dis kin mek i fil taya insay di de. Dis kin afɛkt di tin dɛn we dɛn de du ɛvride, di tin dɛn we dɛn de du, di we aw dɛn de fil, ɛn di we aw dɛn de biev. So, if yu notis sayn dɛn we de sho se yu pikin nɔ ebul fɔ blo fayn, go to dɔktɔ wantɛm wantɛm. Dɔktɔ kin ɛp yu ɛn yu pikin fɔ kɔntrol di sik ɛn ɛp yu pikin fɔ blo izi wan. Fɔ dɔn, tin dɛn fɔ mɛmba (Take-Home Message) .
- Obstructive Sleep Apnea na wan sik wae kin kam pan yɔŋ pikin dɛm.
- Fɔ snor, fɔ wek ɔltɛm na nɛt, ɛn fɔ slip na de kin bi di men sayn dɛm.
- Bɔku tɛm, di tonsil ɛn adenoyd dɛn we big na dɛn kin mek am.
- Dis sik kin afɛkt di pikin in divɛlɔpmɛnt, lanin, ɛn bihayvya.
- Dɛn kin ebul fɔ mɛn dis sik fayn fayn wan if dɛn no di sik ɛn trit am fayn fayn wan.
- If yu gɛt ɛni dawt, nɔ fred fɔ tɔk to dɔktɔ. Di kwik we dɛn no se yu gɛt di sik, na di mɔ i go fayn fɔ yu pikin.
Wi op se dis infɔmeshɔn go ɛp yu fɔ mek yu pikin slip fayn ɛn fayn!
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