Olen nyt puhunut lääkärin kanssa puhelimessa ja meillä on maanantaiksi aika tutkimuksiin. Lääkäri ei pitänyt akuuttina, joten ei syytä tulla tulla välittömästi tarkastukseen. Riittää kun alkuviikosta tullaan. Kuulemma kun näitä on sattunut vain kahdesti ja aikaa välissä on ollut viikkoja niiin, että mistään säännöllisestä ja usein toistuvasta ei ole kyse. Kuulin myös sellaisesta oireesta kuin breath-holding syndrome. Puhuin naapurin kanssa lapsellemme sattuneesta jutusta ja kuulin yllätyksekseni, että heidän 1v tytöllä diagnosoitu sellainen. Sitä kuulemma esiintyy yllättävänkin useilla lapsista ja nuo oireet soppii siis myös siihen. Tietääkö jokus siellä SUomen päässä tästä? Onko lapsellasi todellu tällaista?
JOs jotain asia kiinnostaa tai omalle kohdalle tulee vastaavia juttuja niin tässä pari riviä mitä löysin aiheesta:
Childhood breath-holding conjures up an image of a stubborn toddler willfully holding his breath until he gets what he wants. The reality is quite different, however. The typical breath-holding episode begins when a child becomes upset, is startled, or suffers a minor injury, and then begins to cry. Crying may be brief or prolonged, but typically, after a few cries, the child becomes silent and apneic in what is described as noiseless expiration. This stage quickly is followed by a dramatic change in skin color. The skin becomes cyanotic or pallid or has a mixed-color appearance.
In simple BHS, the event resolves with no associated syncope or postural change. In severe BHS, however, subsequent loss of consciousness and change in postural tone do occur. Usually the child falls limp, and occasionally a few myoclonic jerks may be observed. In some cases, a brief period of increased muscle tone, or opisthotonos, may be seen after or instead of limpness.
The entire episode, which lasts from several seconds to more than a minute, may end with a sudden, deep inspiration or with the return of normal breathing. Especially with severe BHS, the child may be drowsy for a few moments before recovering completely and resuming normal activities.
Epidemiologic factors
BHS are a fairly common pediatric problem. Simple spells occur in 27% or more of healthy children, and severe episodes may be seen in as many as 4.6% (1,2). In most children who have BHS, spells begin by age 12 months, although some children begin experiencing them as early as 2 months of age. Usually, breath-holding events with cyanotic skin color change begin between a child's neonate period and 18 months of age. For spells with pallid skin color, the age at onset is 12 to 24 months. By 24 months, almost all children who experience BHS have had their first episode. Among 384 children studied by Livingston, the mean age at onset was 12 months (range, 3 months to 4 years) (2).
Spells can occur as often as several times a day or as rarely as once a year. More commonly, patients have several episodes a week, and overall, occurrence ranges from daily to monthly. The greatest frequency of events tends to be in the second year of life. By the time patients are 4 years old, about half of breath-holding cases have spontaneously resolved; by age 6, about 90% have done so; and by age 7 or 8, virtually all have resolved (1,2).