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小孩打呼噜的原因,小孩打呼噜怎么办?

发布时间:2016-05-09   问大夫  责任编辑:红豆

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老人打呼噜很正常,可有的小孩也打呼噜,很多父母都不当回事,其实小孩打呼噜有很大的危害,父母应该及时带孩子去治疗,以防影响孩子的生长和发育。下面小编来带大家看一下小孩打呼噜的原因,危害和小孩打呼噜怎么办。

儿童打鼾

儿童鼾症是1-10岁儿童常见的睡眠疾病,儿童鼾症的特征与成人的不同,多表现为晚上睡觉打呼噜、盗汗、易惊醒、尿床、长期鼻塞、张口呼吸、上气道阻塞并伴有低血氧症,儿童打鼾者对儿童的生长发育具有严重影响,是一种轻微病症。

小孩打呼噜的原因

在医学理论上,打鼾是由于以下3种原因引起:

1、中枢性方面的疾病引起

2、阻塞性方面的疾病引起

3、混合性方面的疾病引起

一般而言,成年人以混合性原因为多,未成年人则以阻塞性的问题为多

1、扁桃体肿大

婴幼儿时期,宝宝的咽部集结了丰富的淋巴组织,又称增殖体,增生过大则为增殖体肥大。扁桃体或增殖腺肥大,引起咽喉部狭窄,入睡时发出鼾声,导致打呼噜、张口呼吸甚至呼吸暂停等现象。

2、鼻道狭窄

宝宝的咽腔较短,鼻道狭窄,稍有分泌物或黏膜肿胀就易阻塞。半岁之内的小宝宝时常有鼻音、鼻塞或喉咙有痰音,就是这个原因导致的。

3、呼吸道炎症

上呼吸道发炎、慢性鼻窦炎会使鼻黏膜充血水肿,以及扁桃体增殖体异常肥大,鼻咽部通气受阻,睡眠时不能经鼻呼吸,出现随呼吸发出的鼾声。

4、肥胖

体胖的宝宝咽部的软肉构造较肥厚,睡觉时口咽部呼吸道易阻塞,出现鼾声,严重时甚至会有呼吸暂停的现象。

5、睡眠姿势不佳

譬如宝宝仰睡,舌头根部因重力关系向后倒,呼吸通道受到部分阻塞,气流进出鼻腔、口咽和喉咙时,附黏膜或肌肉产生振动发出鼾声。

6、气道不通

鼻部异常 呼吸道鼻咽部、颌部有生理性异常也是引起鼾症的原因。譬如鼻中隔偏曲、鼻息肉等都可引起鼻部狭窄,造成气流堵塞,引起鼾症。还有颌面部发育畸形,如小颌畸形等,也可造成鼻咽部呼吸时气流受阻,在晚上睡眠时更为严重,引起鼾症。

7、呼吸暂停

因宝宝睡眠时容易张大嘴呼吸,会由于呼吸停止而在睡眠中反复被憋醒,醒来时显得很疲倦的样子,有时还会有剧烈的头痛等。 

8、心血管病变

打鼾与心血管疾病是有天然的联系,就在于习惯性打鼾者多有不同程度的呼吸暂停所致的低氧血症,导致血压上升。

9、舌头肥大

尽管有的宝宝体形并不胖,但很可能他的局部有点胖了,譬如扁桃体、软腭和舌体肥大、悬雍垂过长、咽喉松弛、舌后缀等。这些器官和组织的局部肥胖或变形,都可能引起咽腔狭窄,呼吸气流不畅,尤其是在睡觉时神经兴奋性下降。


小孩打呼噜的危害

1、导致孩子生长缓慢睡眠质量一旦下降,势必使释放的生长激素减少,影响儿童的骨骼发育。

2、智力发育落后

德国汉诺威医学院的科研人员发现,儿童打鼾会直接影响到他们在学校的表现。他们挑选了1144名年龄8~10岁的在校儿童,发现经常打鼾的儿童在算术、拼写和自然等科目上得低分的人数要比从不打鼾的儿童多3~4倍。

3、儿童打鼾可能影响面容

儿童在打鼾时由于鼻咽部阻塞、张口呼吸,上下牙齿咬合不正常,久而久之,可导致面部畸形发育,造成小颌畸形、牙列不齐、上颌骨变长等“腺样体面容”。

4、引起渗出性中耳炎

腺样体增生肥大如果堵塞鼻咽侧壁的咽鼓管咽口,则会引起渗出性中耳炎,出现耳闷塞感、耳鸣、听力减退等症状;如果堵塞鼻道,鼻腔分泌物引流发生障碍,会并发鼻窦炎。

5、打鼾在婴幼儿时期十分常见,这与他们上呼吸道的结构特征有关。婴幼儿的鼻部和鼻咽腔相对较短,鼻道狭窄,鼻粘膜柔嫩,血管丰富,故感染时鼻粘膜充血肿胀,容易引起堵塞;他们的咽部相对狭小而且较垂直,咽部富于集结淋巴组织,其中包括鼻咽扁桃体和腭扁桃体,前者又称增殖体,在6个月前即发育,如增生过大则为增殖体肥大。

儿童在打鼾时由于鼻咽部阻塞而长期用口呼吸,引起上下牙齿咬合不正常,久而久之,还常常导致面部畸形发育。


小孩打呼噜怎么办

【普通手术治疗】

目前儿童打鼾的治疗依然是通过手术切除患儿的扁桃体、腺样体,解除上呼吸道堵塞导致的狭窄。腺样体可分为球型、弥漫型、后鼻孔型三种,特别是后鼻孔型,医生有时难以完全将其切除,残留的腺样体组织再生能力又很强,半年左右患儿又会出现打鼾的症状,有的家长担心孩子难以忍受疼痛和出血,于是不敢让孩子手术。

【手术治疗】

运用 “NVS可视纳米消鼾术 ”治疗鼾症效果显著。该技术是世界卫生组织倡导全球推广的攻克鼾症的“十大金牌技术”之一,全面遵循咽腔、舌根部、鼻腔等呼吸生理结构特性,通过S-HD智能鼻内窥镜和光导纤维喉镜成倍放大显示,形成多视角、广视野、高清晰度的可视治疗操作平台,结合NTS纳米等离子治疗系统,在1000倍成像视野下,精确定位直接锁定形态改变部位,对增生组织进行消融,恰当的温度控制及能量释放,解决软腭三个区域,可一次性治疗,包括对呼吸道消炎和消肿、使颌咽成形,改变鼻腔、咽腔通气状况,使打鼾患者轻松告别鼾声,快捷轻松消除病灶炎症,疏通呼吸道堵塞部位,享受舒适睡眠。尤其适应于中重度鼾症患者

【等离子治疗】

而今,许多优秀医疗机构引进的低温等离子消融系统,解决了家长这个后顾之忧。采用低温等离子微创技术,术后立即会感觉呼吸通畅,而且术中无痛苦,对周围的正常组织没有影响,几乎不出血,是目前治疗儿童鼾症的首选方法。

【偏方治疗】

1、花椒

花椒5-10粒,睡前用开水泡一杯水,待水凉后服下(花椒不服下),连服5天,可治疗打鼾。

2、漱口液

只要在临睡前将3~4滴漱口液用温水稀释后漱漱口就可以使鼾声减弱、停止。这种漱口液中含有一种树脂油,能提高咽喉部黏膜的血液供应,使咽喉腔黏膜处于充分供血状态,软腭和悬雍垂就不会因松弛而振动,鼾声也就减弱、停止。

3、鄂托法

找口腔医生造一个鄂托,每天晚上戴在口腔里,可以托住下垂的软腭,抵住舌头使之不致压缩,达到预防打鼾的作用。

4、玻璃球法

把一粒儿童玩的玻璃弹子松松地缝在睡衣领下的肩叶片内,要使它能左右滑动。打鼾者一般在侧卧或俯卧时是不打鼾的,当打鼾者要转身仰卧时,就会压着后背的玻璃球,从而立即转身侧卧或俯卧,这样,鼾声就不会出现或明显的减轻。或在睡衣后背正中缝一个小口袋,里面放一个儿童最小号的皮球或网球,这样可以使打鼾者不致仰卧,也能大大减轻鼾声。


怎么预防小孩打呼噜

1、控制孩子的体重。睡眠医学专家指出,减重是最根本的治疗。研究显示,只要体重减少3-5公斤,就能有效控制打鼾。

2、在睡觉的时候尽量让孩子侧睡。仰躺会增加打鼾的次数,最好采取侧睡。因为仰睡时,舌头容易滑到后方,阻塞住喉咙。另外,还要注意孩子的枕头不要太低,这样易使下颚向上抬,造成以口呼吸,导致打鼾。

3、睡前避免吃镇定剂。镇定剂容易造成肌肉松弛,使打鼾的情况更严重。

4、训练孩子经常深呼吸。这样可以使鼻道保持畅通,能很好地减轻打鼾。

5、让孩子经常微笑。经常微笑有助于伸展舌头肌肉,可减少打鼾。

6、常让孩子在闲时唱唱歌。有研究表明,多唱歌能改善打鼾,因为唱歌能锻炼声带附近的肌肉,让松弛的肌肉变得更有弹性。

小孩打呼噜不是小事,父母应该当回事,及时治疗孩子的打呼噜,才能保证孩子的健康成长。

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