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[이데일리 이순용 기자] A couple in their 30s, who had a son at just over 100 days old, found it strange that the baby was frequently tilting his head to the left. No matter how much I straightened her neck, after a while she would tilt to the side and start crying, making her feel uncomfortable. She thought it might be because she couldn’t hold his head well yet, but she soon saw that the baby on her lap was only leaning to the left. The couple who eventually visited the hospital were surprised to hear that their baby was diagnosed with torticollis. Let’s answer questions related to your child’s torticollis with help from Professor Chae Min-ji of the Department of Rehabilitation Medicine at Daejeon Eulji University Hospital.

◇ What is congenital torticollis?

Torticollis is a disease in which the head is tilted to one side. The sternocleidomastoid muscle of the neck (the oblique muscle that extends from the ear to the neck) becomes thick on one side, appearing like a lump, and the head tilts toward the shortened muscle, causing the face to turn to the opposite side. Among them, ‘congenital torticollis’ is commonly observed in infants from immediately after birth to 5 months old. According to the Health Insurance Review and Assessment Service, last year, 33,746 patients visited hospitals with torticollis, of whom infants accounted for 88.3%. (*See chart below)

Torticollis is often accompanied by secondary damage in addition to the original symptoms. Complications such as plagiocephaly, where one side of the back of the head is flattened, or facial asymmetry, may occur. This is because a child’s skull is not as strong as an adult’s, so its shape changes easily. Rather than blindly putting a helmet on a child to make his or her head look pretty, it is necessary to suspect torticollis accompanied by plagiocephaly.

◇ Could it be that my child also has torticollis?

Torticollis can be easily confirmed by observing the child closely. ▶ When the baby lies with his head turned to one side ▶ When the baby falls to one side when sat down ▶ When a large lump is seen or felt on the neck ▶ When the baby turns over in only one direction.

Deformities begin to be observed at birth or between 2 and 4 weeks after birth. Torticollis may occur due to stretching or damage to the baby’s neck muscles during childbirth, and in some cases, the baby may be born with torticollis due to incorrect posture in the womb.

Professor Chae Min-ji says, “In late pregnancy, trauma to the sternocleidomastoid muscle may occur due to the descent of the fetal head or abnormal position of the fetus in the uterus, causing symptoms of torticollis.”

◇ Early treatment and strengthening exercises are important

For congenital muscular torticollis, it is important to correct muscles and prevent deformities of the head, face, and posture. Professor Chae Min-ji said, “If torticollis grows untreated, not only the face but also the spine, shoulders, and pelvis can become distorted, so it is important to detect and treat it early,” adding, “After 3 to 4 months of age, the baby’s waking hours are reduced.” Since this increases and physical and emotional resistance rapidly increases, it is recommended that it is effective to detect and treat muscular torticollis before it occurs.

Since approximately 85-90% of children recover completely with physical therapy, it is recommended that parents stretch 3-4 times a day under the guidance of a specialist. If the baby’s head is tilted to the left, bend the neck in the opposite direction to the right and stretch the shortened left muscle. After stretching, it is also important to build the child’s strength to move on their own through strengthening exercises. Helping the child turn his head in various directions by providing various stimuli, such as toys, is also helpful in treatment.

2023-10-26 02:48:58

#childs #neck #tilted #side

[이데일리 이순용 기자] Mr. Lee, 56 years old, always drinks water first before going to bed. This is because she often wakes up because she is thirsty while she sleeps, and she has to drink water even after going to the bathroom. Her parents wondered why she always slept in her seat, and she herself was doing the same thing as she got older. If she wakes up in the middle of the night like this, she has a hard time falling back asleep, so she wakes up early and is always tired and lacking energy in the morning. As these symptoms recurred, she eventually went to a sleep clinic at the recommendation of her wife and underwent polysomnography. She was diagnosed with sleep-disordered breathing as the cause of her sleep problems, and after her positive airway pressure treatment, the symptoms disappeared.

Mouth breathing, which involves sleeping with your mouth open, dries out your mouth, forcing you to drink water when you wake up during sleep, and causing symptoms such as bad breath in the morning. It also causes sleep-related breathing disorders and reduces immune function.

Dr. Zhang He of Shandong University in China conducted a comparative analysis of 50 people with mouth breathing, including sleep apnea and snoring, and 50 people without symptoms, and announced that those with sleep breathing disorders have poor immune function. Patients with sleep apnea suffered from stress and systemic inflammation. Additionally, research has shown that 90% of people with chronic respiratory diseases practice mouth breathing while sleeping without realizing it.

Jin-gyu Han, director of the Seoul Sleep Center, said, “Breathing through the mouth during sleep is vulnerable to asthma, rhinitis, flu, etc. because there is no filtration system, but when you breathe through the nose, the hair and cilia in your nose act as a natural filter and act as a natural mask. “It is effective in preventing bacterial infections,” he said. “In particular, if patients suffering from asthma, bronchiectasis, or chronic obstructive pulmonary disease develop complex breathing disorders with apnea, the risk may increase, so treatment is necessary.”

To prevent mouth breathing, you must first lose weight. Also, sleeping on your side while looking at the ceiling can cause your tongue to block the airway entrance, making oral breathing symptoms worse. Sleeping on your side is helpful.

◇ Oral breathing self-diagnosis checklist

1. Snoring.

2. I can’t wake up easily in the morning.

3. I feel thirsty after sleeping.

4. I can’t sleep deeply.

5. My lips are often dry.

6. I often go to the bathroom while sleeping.

2023-10-25 21:42:35

#put #water #bed #older

[이데일리 이순용 기자] One of the main causes of brain diseases is age. It is known that diseases that occur in the brain mainly occur in the elderly, but in fact, it is a disease that can easily occur at any age if not prevented. Find out how to maintain healthy brain health with the help of Kim Jae-yoon, a neurologist at Yuseongseon Hospital.

Cerebral infarction refers to a disease in which brain blood vessels that supply oxygen and nutrients to brain cells are blocked, causing permanent damage to brain cells, which paralyzes brain function and reduces motor, sensory, and cognitive abilities. Stroke, which many patients are confused about, is a higher concept of cerebral infarction. Among strokes, ischemic stroke in which blood vessels are blocked is called cerebral infarction.

Cerebral infarction is commonly thought of as a geriatric disease that occurs in older people with many risk factors, but cerebral infarction can occur even at a relatively young age, so it is often encountered in clinical practice. The criteria for ‘young adult’ vary slightly depending on the literature or research, but usually refers to the age between 18 and 55 years. Cerebral infarction at this time accounts for approximately 10-15% of all cerebral infarction patients, and the frequency is known to increase rapidly after the age of 40.

As a cause of cerebral infarction, in the elderly, cerebral infarction is common due to direct problems with the cerebral blood vessels such as arteriosclerosis or small vessel occlusion, while in young age, it is due to other causes such as emboli (floating material within the blood vessel), vascular dissection, vasculitis, and genetic disease. Cerebral infarction is more common.

In young adult patients, cerebral infarction should be suspected if they experience not only typical symptoms such as hemiplegia, hemiparesthesia, double vision, or speech difficulties, but also severe headaches, dizziness, frequent headaches, or convulsions that have never been experienced before, especially if there is a family history of cerebral infarction. do. If you have symptoms of suspected cerebral infarction, you must visit the hospital within 4.5 hours, the ‘golden time’ for opening blood vessels, the same as elderly patients.

Specialist Kim Jae-yoon said, “You may think that risk factors for cerebral infarction in young adults are not related to eating habits or exercise, but in reality, bad lifestyle habits are known to act as triggering factors for cerebral infarction, and obesity and smoking are considered to be the biggest causes. “It is done,” he said.

Therefore, high blood pressure, hyperglycemia, and hypercholesterolemia should be checked and managed regularly, and healthy eating habits such as the Mediterranean diet and low-salt diet should be maintained. In addition, it is necessary to perform at least 30 minutes of moderate-intensity exercise (biking, swimming, brisk walking, etc.) every day, quit smoking, and maintain constant sobriety. Separately, for young women, additional counseling is needed regarding the increased risk of cerebral infarction if they have migraines, are taking high-dose oral contraceptives, or are undergoing hormone therapy after menopause.

Provided by Yuseongseon Hospital
2023-10-22 00:36:33

#Cerebral #infarction #dangerous #young #adults #disease #requires #caution #age