Newborn lethargy
Introduction
Introduction Parents with many newborns, because there is no parenting experience, so the child will have an abnormal situation, they will be anxious, especially neonatal sleepiness is a common problem that many parents often encounter. When the child sleeps more, he is worried about whether the childs health is not Something went wrong. In fact, you don't have to worry too much. Sleepiness in newborns is generally a normal physiological phenomenon. Infants sleep longer than adults, and the younger they are, the more they sleep. If your child often gets too sleepy, consider whether you are sick. Clinically, this phenomenon of excessive sleep is called lethargy, and it refers to the state of falling asleep beyond the normal sleep time, which may be one of the symptoms of a certain disease. Such as taking a cold, allergic drugs, viral encephalitis or JE.
Cause
Cause
There are many diseases that cause your baby to sleep. For example, most of the babies with colds and fever have lethargy. Once the fever returns, the spirit can recover and the sleep returns to normal. This situation is normal and is the process of self-adjustment in the baby's body. Therefore, more sleep is beneficial to the recovery of the body. . Drowsiness may occur after taking colds and allergic drugs. This is a side effect of the drug, which can be alleviated after stopping the drug. However, if the baby is lethargic in the area of viral encephalitis or Japanese encephalitis, accompanied by vomiting, no milk, high fever, etc., it must be noted.
Examine
an examination
Related inspection
Cerebrospinal fluid colloidal gold test cerebrospinal fluid tuberculous meningitis antibody cerebrospinal fluid magnesium cerebrospinal fluid meningococcal antigen galactosemia screening
Generally, a newborn who is 1 month old sleeps for 20-22 hours a day. Basically, except for eating and drinking, Lazar is sleeping. The baby of 1-2 months sleeps for about 18 hours a day. He can play with his parents for a while, 3 months old. Infants usually sleep for about 16 hours. They can have more time to communicate with their parents. They will turn over, turn their heads, and kick the quilt. After half-year-old, the baby usually sleeps for 12-14 hours, and then slowly decreases.
Of course, at some point, the child's sleep time will slightly exceed this standard, which may be too tired for the first day, too excited to play, but will soon be corrected.
Diagnosis
Differential diagnosis
Neonatal sleepiness is generally expressed as not eating, not crying, less moving, and needs to be identified as follows:
1. Narcolepsy: It is a neurological disease that causes irreversible sleep. These sleep stages occur frequently and are not appropriate for the time of the event, such as when talking, eating, or driving. Although sleep can occur at any time, the most common occurrence is in the inactive or monotonous, repetitive activity phase, when there is a period of activity, there is a possibility of danger.
2, low neonatal response: low response (decreased responsiveness) is a group of clinical symptoms including a certain degree of dysfunction, decreased muscle tone, decreased limb activity, weak crying and sucking weakness. Neonates not only show low response in central nervous system diseases, but also other severe infections such as shock dehydration, acidosis metabolic disorders, anemia, hypothermia and respiratory failure, etc., all of which can show low response and low clinical response, which are often used to determine A manifestation of the severity of a disease.
3, neonatal heart failure: neonatal heart failure (heart failure) is one of the common critical illnesses in neonates, the disease develops rapidly, the clinical manifestations are not typical, and the performance of older children is also very different, easy to be confused with other diseases It is difficult to diagnose in time and delay the disease, so it is necessary to raise awareness and vigilance against heart failure, early diagnosis and active treatment.
4, neonatal pneumonia: pneumonia of newborn (pneumonia of newborn) is the most common disease in neonatal infectious diseases, high incidence and mortality. It is characterized by diffuse pulmonary lesions and atypical clinical manifestations, requiring early diagnosis and proper management. Most neonatal pneumonia is caused by postnatal infection. It is called late-onset pneumonia. It is mainly caused by members of the family who are in close contact with the newborn. They are transmitted to the newborn by droplets after a cold or respiratory infection. The minority is in the intrauterine or childbirth process. Infected. If not treated in time can cause respiratory distress, or even suffocation, severe cases will cause brain damage due to lack of oxygen, leaving a permanent sequelae (such as epilepsy). Once confirmed, the doctor will use antibiotics or antiviral drugs according to the actual situation of the child, and timely assist oxygen therapy and airway treatment to correct hypoxia and electrolyte imbalance and avoid other complications.
5, neonatal purulent meningitis: newborn purulent meningitis (purulent meningitis of newborn), referred to as the brain, is the meningeal inflammation caused by neonatal septic bacteria. The brain is a common disease that threatens the life of newborns. This disease is often part of sepsis or secondary to sepsis. Its clinical symptoms are often atypical (especially premature infants), mainly irritability, crying screaming, irritability, severe coma convulsions. Sometimes symptoms such as low response, lethargy, and refusal of milk are manifested. Therefore, suspected suppurative meningitis should be checked early for cerebrospinal fluid, early diagnosis, timely and thorough treatment, reducing mortality and sequelae.
