Sleepwalking
Introduction
Introduction to sleepwalking Sleepwalking, commonly known as "disorder", refers to sudden rise in sleep to carry out activities, and then sleeps, wake up and know nothing about the activities during sleep. Night snoring does not occur in a dream, but occurs in the deep sleep phase 3-4 of sleep, which is concentrated in the first half of the night. Night snoring usually occurs 2-3 hours after falling asleep. Sleepwalking occurs mostly in children (6 to 12 years old), and can occur in any period of children, but it is more common in 5 to 7 years old, lasts for several years, and can disappear after entering puberty. basic knowledge The proportion of sickness: 0.6% Susceptible people: more common in children, [5 ~ 7] years old is more common Mode of infection: non-infectious Complications: reactive psychosis, schizoaffective psychosis
Cause
Cause of sleepwalking
Psychosocial factors (25%):
Some children with sleepwalking are related to psychosocial factors. Such as the disorder of daily life, environmental stress, anxiety and fear; family relationship is not harmonious, parent-child relationship is not good, learning tension and poor test scores have a certain relationship with the occurrence of sleepwalking.
Genetic factors (30%):
Family surveys showed that patients with sleepwalking had a positive family history in their families, and the same rate of twins was 6 times higher than that of twins, indicating that the disease and genetic factors are certain. Relationship.
Developmental factors (25%):
Because the disease occurs mostly in childhood, and gradually stops with age, indicating that sleepwalking may be related to the developmental delay of the cerebral cortex.
Sleep too deep (20%):
Because sleepwalking often occurs in the first 1/3 of the deep sleep period of sleep, various factors that make the sleep deepen, such as overwork during the day, lack of sleep for a few days and nights, and taking sleeping pills before going to bed, can induce sleepwalking. happened.
Prevention
Sleepwalking prevention
Sleepwalking has no adverse effect on the child's health, but parents must pay attention to strengthen protection to prevent accidents. If it is not suitable to place dangerous goods in the room, it is not advisable to make fire, and the doors and windows should be locked. If the child with a night attack has been found, the parent can take the child home and let him go to bed and let him go to sleep. Do not force the child to wake up with sleepwalking, because forcibly awakening the child may cause the child to have more serious and blurred consciousness and excitement.
Complication
Sleepwalking complications Complications, reactive psychosis, schizoaffective psychosis
Concurrent irritability, anxiety and fear.
Symptom
Sleepwalking symptoms common symptoms anxiety irritability often talk about sleep disorders
After a period of time when she started to fall asleep, she suddenly woke up, staring up, irritating, horrifying facial expression, gazing, sometimes shouting, but her consciousness was still paralyzed, and she could show pale, shortness of breath, and out. sweat. At the time of the attack, it is generally difficult to wake up if the child is called. The child often ignores it, still shows panic, crying or yelling, and grabs anyone nervously. It seems to continue to suffer some kind of intense pain, but to the father and mother. The appeasement, hugs, and anxiety are turned a blind eye. The episode usually lasts for more than ten minutes and can fall asleep on its own. After waking up, the content of the night terror episode is completely forgotten or only the segment memory.
Examine
Sleepwalking check
Children with nocturia can have both night terrors or enuresis, all of which occur during the deep sleep stage 3-4 of sleep, and may have similar pathological mechanisms, but have different clinical manifestations. It is due to the immature development of the central nervous system. Night snoring may be a kind of exercise that occurs when the brain is partially awakened in a deep sleep state. Clinical manifestations: During the sleepwalking, you can answer some simple questions, but it is ambiguous and rarely talks for a long time. When you sleepwalking, you can avoid general obstacles and even ride your own car, but because people are in a confused state. There are still some dangers, so it is best to collect some dangerous items indoors to avoid accidental injuries.
Diagnosis
Diagnosis of sleepwalking diagnosis
Sleeping disease: This disease is also known as night snoring, sleepwalking. It is a state of consciousness change that exists simultaneously with sleep and awakening.
Night snoring: Night snoring, also known as sleepwalking or sleepwalking, occurs mostly in childhood, and can also be one of the manifestations of epilepsy, often occurring in the S3 and S4 phases of non-eye fast moving sleep. The disease was once called "sleepwalking", and it was confirmed by EEG study that the disease has nothing to do with night dreams.
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