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*Dr. Clay Brites é pediatra, neurologista infantil e um dos fundadores do Instituto NeuroSaber 365f5j Colatina em Ação – 14 de junho de 2022
Sonambulismo na infância – Foto: Reprodução O sonambulismo é um transtorno de sono onde, na sua fase mais profunda, a criança faz movimentos e assume comportamentos como se estivesse acordada, mas, na realidade, encontra-se em sono profundo, dormindo. Sabemos que as fases do sono, na infância, ainda estão em processo de maturação e, em algumas delas, podem ser anormais e cursarem com instabilidades e comportamentos estranhos.
Na maioria dos casos, o sonambulismo começa na infância, persiste até adolescência e pode chegar na fase adulta. As manifestações do sonambulismo são diversas, como: fazer xixi no chão, abrir a porta e sair, ir à cozinha, abrir e mexer nas gavetas e geladeira, andar pelos corredores, falar e conversar, entre outros. Costuma ter um histórico familiar, com predisposição genética e pode se associar a transtornos de neurodesenvolvimento e outros distúrbios neurológicos.
Criando um rotina 4z2465 O que preocupa é que os episódios são estressantes para os pais e geram muita ansiedade por causa do risco de acidente. O que os pais ou cuidadores devem fazer em um episódio de sonambulismo é proteger a criança e levá-la para o quarto, falar baixo e delicadamente com ela. Evite acordá-la e a mantenha tranquila. Não há um tratamento eficaz e o mais adequado é evitar os fatores que desencadeiam os casos.
O que se recomenda para pessoas sonâmbulas é regular e estabilizar os horários de sono criando uma rotina para a criança dormir, evitar uso de medicamentos e de alimentos estimulantes e não agitar nem excitar a criança ao final do dia. Alguns cuidados importantes que se deve ter em casa são evitar objetos cortantes à altura, retirar móveis que bloqueiem os corredores, colocar portões nas escadas e fechar com chave as portas e travessas da casa, cercar piscinas e evitar colocá-la para dormir em beliches.
Em relação ao tratamento, em casos mais intensos e severos, pode-se utilizar medicamentos para ajudar a regularizar o sono da criança. Apesar de não ter cura, existem meios manejo, controle e a perspectiva que o distúrbio tende a desaparecer com o tempo na maioria dos casos. Caso seu filho tenha algum episódio de sonambulismo, procure o especialista.
(*) Dr Clay Brites é Pediatra e Neurologista Infantil (Pediatrician and Child Neurologist); Doutor em Ciências Médicas/UNICAMP (PhD on Medical Science); Membro da ABENEPI-PR e SBP (Titular Member of Pediatric Brazilian Society); Speaker of Neurosaber Institute.
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