How Do You Know Your Baby Has Sleep Apnea
Zarmina Ehsan
Dr. Zarmina Ehsan, Children'southward Mercy Slumber Eye
Slumber apnea is a sleep-related breathing disorder. There are two types: obstructive sleep apnea (OSA) or key slumber apnea (CSA). Substantially, OSA is an obstruction or narrowing in the path from your nose downwards to the opening of your lungs (upper airway). There tin be different reasons for the obstruction or narrowing, but information technology all results in less air (oxygen) going from the exterior into your lungs. CSA is a type of sleep apnea where there is a delay in the bespeak from your brain telling yous to exhale when y'all are comatose. The prevalence in infants is still unknown, simply between one and five per centum of all children accept slumber apnea. When detected early, sleep apnea can be treated to prevent other long-term complications.
How to tell if your baby has slumber apnea
At that place are several signs a parent tin can wait for when their kid is sleeping to determine if they might have slumber apnea. The first thing they'll want to do is listen to the infant's breathing. If your child routinely pauses for breaths, gasps for air, chokes, has noisy animate or snorts you should let your wellness intendance provider know. Yous should besides be concerned if you hear what sounds like snoring and you hear it persistently night subsequently night. It'due south not uncommon for piddling ones to cry and to squirm in their bed, simply infants don't snore.
Another important thing to note is that if a child has sleep apnea, they'll besides accept difficulty breathing while taking naps during the day besides. Sleep apnea isn't exclusive to night time sleeping merely.
How to diagnose sleep apnea
According to the American University of Slumber Medicine (AASM), the only manner to properly diagnose slumber apnea is to have your kid participate in an overnight sleep study in a slumber lab. (At this time, the AASM has not approved home slumber testing for children.) During the sleep study, which is chosen a polysomnogram, sensors are placed on your child to monitor their brain waves, heartbeat and breathing activity during different slumber stages. This helps detect problems and tin can pinpoint the nature of the breathing problem.
Earlier taking your child to a slumber lab, you'll want to brand certain it's accredited for children, because the way slumber studies are interpreted in infants and children are dissimilar from adults. Moreover, pediatric slumber labs offer the expertise of having technicians that are practiced at working with children.
Causes of sleep apnea
Obstructive Sleep Apnea
OSA is normally acquired when the soft tissue in the back of the throat collapses and blocks the upper airway during slumber. Infants with medical issues like craniofacial syndromes (Pierre Robin sequence, small jaws, Down syndrome), "floppy" airways due to laryngomalacia or large adenoids and large tissue at the dorsum of their pharynx are at about risk.
Primal Slumber Apnea
CSA is rarer. This is when the child's brain is misfiring and non telling the body to exhale when it should. In that location are some concerns that children born premature or if the female parent smokes during pregnancy that this can increase the take chances of central sleep apnea in infants. Cardinal slumber apnea is most usually idiopathic (crusade unknown). Information technology can as well be seen in children with neurologic insults (i.due east. brain tumors, hydrocephalus and VP shunts, cognitive palsy, Chiari malformations, and brain injury).
Is slumber apnea life-threatening?
Astringent sleep apnea can be life-threatening. If left untreated, it can affect the child's slumber architecture considering the brain continually wakes the child up to breath. If this happens frequently enough, the baby doesn't become restful sleep, which can affect functioning during the twenty-four hour period. Afterwards fourth dimension, this can cause long-term harm to the heart, brain and other parts of the trunk likewise.
How to care for sleep apnea in infants
The handling depends on the severity and type of sleep apnea (CSA or OSA). For OSA, some infants will demand surgery, just well-nigh volition outgrow it as they go bigger and their upper airway gets larger. Others may need to be treated with oxygen to provide animate support until they can outgrow it. If the infant is four months of historic period or less and their sleep pattern is less-predictive, we recommend they habiliment a nasal cannula at all times. If the baby is older and has established a sleep design, then parents can accept off the nasal cannula when they're awake. Other options for treatment include wearing continuous positive airway pressure (CPAP) or in rare and farthermost cases, a tracheostomy.
The treatment ultimately depends on the nature of the medical trouble, but the sooner the trouble is diagnosed, the sooner it tin can be treated.
Learn more most Pediatric Pulmonology at Children's Mercy and the Sleep Disorder Programme, the only pediatric plan in the region accredited by the American University of Sleep Medicine.
Click here to take a virtual bout of Children's Mercy Sleep Lab.
To brand an engagement with a Slumber Specialist, please phone call (913) 696-8518.
Source: https://news.childrensmercy.org/sleep-apnea-in-babies/
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