دانلود مقاله با موضوع بحث در مورد خواب انسدادی کودکان درمان آپنه
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موضوع به انگلیسی:Debates in pediatric obstructive sleep
apnea treatment
بخشی از متن:Abstract Pediatric obstructive sleep apnea (OSA) is among the most common sleep-disordered
breathing (SDB) diseases in children. Its high prevalence and multiple systemic complications
lead to increasing numbers of children and families affected by OSA. Timely diagnosis
and effective intervention in children with this condition is extremely important in improving
their prognosis. The major approaches in the treatment of OSA in children are to eliminate the
causes of upper airway obstruction and prevent and treat complications. Considering the specific
individual differences in children’s growth and development, as well as the diversity of
etiologies in children’s OSA, pediatric treatment strategies need to be precise, multidisciplinary,
and individualized. First-line clinical treatment consists of surgical (adenotonsillectomy)
and non-surgical therapies [including anti-inflammatory medications and non-invasive
ventilation (NIV)]. However, a considerable controversy exists concerning the indications,
treatment standards, and the evaluation of the efficacy of the aforementioned treatment
methods. In this review, reviews and assessment of literature studies and multidisciplinary
clinical experience were performed to analyze the application of each treatment and discuss
controversial issues and future research directions. We suggest that the above interventions
should be tailored to each child’s needs, comorbidities, and the availability and expertise of
the practitioner. The ideal case is when a multidisciplinary team of doctors together with
the patients and their parents, or guardians, have a thorough discussion regarding the benefits
and risks of all available treatment options and all agree on an effective treatment plan.