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Talk about children who hold their breath.
1. What is a breath-holding attack? What are the manifestations of breath-holding attacks?
When the baby's requirements are not met, he is sick, painful, afraid, angry, etc. The baby lost his temper and cried hard. After crying several times or even once or twice, the crying suddenly stopped, and he couldn't breathe, which led to apnea. After that, the baby's face turned red, his lips turned black, his eyes were blank and he lost consciousness. It lasts for 30 seconds to 2 minutes, then the face returns to normal, breathing and consciousness recover.
Many times, the baby will feel very tired after holding his breath and need to sleep. Sometimes everything is normal after regaining consciousness.
Some babies have severe attacks and hold their breath for as long as 2-3 minutes or even longer. In addition to the above performance, the body will still be stiff and the hands and feet will twitch.
The number of attacks is uncertain, which may be several times a day or once every few months. The number of seizures will gradually decrease with age.
2. Pathogenesis.
Mainly because the central nervous system is immature. It may also be that the role of vagus nerve leads to slow heart rate, respiratory depression and peripheral vascular response disorder.
At present, most doctors believe that breath-holding attacks are related to iron deficiency. According to statistics, a considerable number of sick babies also suffer from iron deficiency anemia. About 30% of the family history.
Some babies' breath-holding attacks are related to heart disease or epilepsy.
3. Will it affect your baby's health?
After the attack, the baby can recover on his own, and the attack time is not long, which has no effect on the body. But the attack time is too long, which will cause brain hypoxia and affect brain development. Therefore, parents should take emergency measures in time to make the baby recover as soon as possible.
4. First aid measures.
The following is the official statement: hold your breath, parents don't have to panic. It is best to put the child flat on the bed, unbutton the collar and keep the respiratory tract unobstructed; Gently blow your baby's face to reduce brain hypoxia; Kick your feet or back; Pinch the child's acupoints such as Renzhong (the middle between the nostril and the upper lip), Tang Yin (the middle between the eyebrows) and Hegu (the tiger's mouth of the two palms) with your fingers to make it recover as soon as possible; You can also press the chest, which can quickly improve hypoxia and help restore breathing. Don't hug the child tightly and bend into a ball, especially don't hug the child's neck, so as not to cause serious consequences of suffocation.
? However, it is definitely impossible to consider everything when you see your baby holding its breath. Hold your breath for the baby's family, just remember the most suitable first aid method for the baby, so as to take measures as soon as possible. As for which is the most suitable, it is inevitable to try at first.
Let me summarize a few simple measures. First of all, parents must keep calm! Be sure to calm down! Calm down! If you can't keep calm, then give first aid to someone who can keep calm! No matter who holds my baby, when he cries, their first reaction is to throw it at me. In a sense, this is the right thing to do. )
The baby lies flat on the bed. If it doesn't work, take it sideways. Anyway, face must be outward. Never bury your face in your chest to comfort your baby. Never!
(2) Pat the back and burp, feeling that this is suitable for use when the attack is not serious.
(3) Kick it once and for all. It is best to hurt your heart, and some stimulation can make your baby recover as soon as possible.
(4) This is very clever in the crowd, but pay attention to the technique, otherwise it will easily cause harm to the baby.
(5) Blow gently on the face or even into the baby's mouth to reduce hypoxia.
If I hold my breath when I am alone, I will hold him in one hand and strangle him while blowing into his face. If there are other people at home, I won't pinch them and ask my family to help.
5. What are the inspection methods?
(1) Check blood routine. Check whether it is iron deficiency anemia. If it is iron deficiency, it needs iron supplementation. If you don't check or don't want to check, you can't blindly supplement iron, you can supplement it through food. For example: animal liver, animal blood, lean meat, seaweed, kelp, spinach and so on. I didn't take Duanbao to check for fear that he would hold his breath. I bought some liver powder to add to his complementary food. I don't think attacks are so frequent. In addition, if the mother is still breastfeeding, she can eat more foods with high iron content.
② Color Doppler echocardiography. The purpose of color Doppler echocardiography is to eliminate breath holding caused by heart disease. I consulted the director of a hospital, and she said that the baby was too young to do this and needed to be injected with sleeping pills. If you don't want to inject, you can only wait until the baby is older and obedient. If there is no problem in the baby's regular physical examination and the stethoscope is normal, there is generally no problem.
(3) EEG. The purpose is to eliminate the suffocation caused by epilepsy. I don't know about that. When I heard that, the baby suffered a lot, so there is no need to do it. There is still a difference between normal breath holding and epilepsy, which will be discussed below.
6. Prevention and treatment.
Officially, the key to the prevention and treatment of breath-holding attacks lies in correct education, eliminating various factors that cause mental stress, coordinating family relations and creating a relaxed environment. Don't spoil children, don't scold them too much, and be patient in educating them about their shortcomings. Minimize children's anxiety and emotional conflicts.
Simply put, try not to make the baby cry. But it's really hard to stop him from crying. Son, there must be some bumps. What we can do is to face up to the suffocating attack, take care of the baby's emotions at ordinary times, and take emergency measures immediately once the attack remains calm.
Breath-holding seizures generally do not require medical treatment and will disappear with age. I have consulted some friends who have a history of holding their breath. Some children can walk and talk, so they won't have an attack, and some children will be 6 years old. Personally, as long as the baby can express himself and there are more things outside that can attract his attention, there will be fewer and fewer seizures. Parents should be careful not to let him get into the habit of crying to achieve his goal.
? The doctor said that if the attack is too frequent and serious, you can use sedatives according to the doctor's advice.
7. The difference between general breath-holding seizures and epilepsy.
(1) has incentives. There are incentives for holding your breath, usually some bad stimuli cause your baby to lose his temper first, cry, and then hold his breath. Epilepsy has no cause and has a sudden attack.
(2) It doesn't happen during sleep. Babies don't have breath-holding seizures when they are unconscious, but they do have seizures at night.
(3) EEG is normal. Between breath-holding attacks, the baby's EEG is normal, and epilepsy often has discharge waves.
(4) There is a certain process of progress. Breath-holding attack: first, the baby cries, doesn't breathe, and stops breathing, then his face turns blue or pale, his lips are black, his eyes are in a daze, then his hands and feet twitch, and then he loses consciousness. Holding your breath will stop in any of the above processes. When seizures are severe, people usually lose consciousness at the beginning.
(5) Being conscious after recovery. If the baby wants to sleep after the attack, he will generally show drowsiness after waking up. You will fall asleep after the seizure.
(6) Most babies who have attacks for more than 6 months gradually disappear after 3 years old, and most of them stop attacks before 5 years old. Epilepsy can occur at any age.
(7) The baby doesn't breathe during the attack (this is what a treasure mother told me). When the baby holds his breath, he opens his mouth with a "wow", does not close it during the attack, and then closes his mouth after losing consciousness. But epilepsy will make you close your lips
I think so much for the time being, and I will continue to add if there is any supplement. The above views only represent personal views. If there are other questions, the doctor's opinion shall prevail.
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