Down Syndrome
68Learning About Down Syndrome
Down Syndrome Slide Show
What is Down syndrome?
Today, it is not rare any more to find somebody who has in down syndrome. It is a condition without the defined treatment, which is why the individuals must know more about nature, of the risks and the symptoms to reduce very well. To get information about the devices and the syndrome itself can help you to remain ahead and to prevent complications. Here are characteristics.
To define the down syndrome
The Down syndrome is also known as a 21 trisomy. It is a chromosomal disorder started by the presence of a part or chromosome of whole additional expenses of 21st. The condition is baptized name of John Langdon , a British doctor who described the syndrome behind in 1866. The disorder was known like chromosome 21 trisomy per Jerome Lejeune in 1959. A mixture of the principal and minor structural differences characterizes the condition. In the majority of the cases, the Down syndrome is related to the problems with the physical growth, the facial aspect and the cognitive capacity.
The patients afflicted with the Down syndrome usually have below the average cognitive capacity, extending anywhere the soft one to the moderate incapacities developmental. There are also ones which have serious major mental incapacity. Approximately 1 in each 800 to 1.000 births proves to have the Down syndrome, although the numbers are strongly influenced by the age of the mother. Other factors also have a role.
Devices
Several common physical devices of the condition occur in the individuals with a standard chromosome regulated too. Some of inclusions can be a simple fold palmar transverse, the shape of almond to the eyes due to the fold epicanthic of the eyelid, cracks palpebral upslanting, poor tonality of muscle, shorter members, a space larger than usual between the second and the large toes and a projecting language. Some of the other medical risks for patients include a risk intensified for the disease gastroesophageal of backward flow or GERD, of the congenital defects of heart, the obstructive apnea of thyroid sleep, the dysfunctions and the reiterated infections of ear.
The intervention early of childhood, the vocational training, the common sifting of problem, the medical treatment and a supporting environment of family can prevent the development towards the Down syndrome among children. The suitable care and education that leads to an improvement of quality of the life can help, though some of the devices of the condition cannot be ordered.
About the chromosomes
A normal baby inherits the genetic information of the parents during the design by 46 chromosomes. 23 come from the mother, then 23 come from the father. In several cases in the Down syndrome, a baby can inherit an additional chromosome 21. All the account of chromosome becomes 47 instead of the 46 usual ones. The additional genetic material leads to the developmental delays and the dependent physical devices with the Down syndrome.
There is no true known reason for which the Down syndrome occurs, and there is also no known manner to stop the chromosomal error which carries out the condition. The women 35 years and more old man, however, have a larger risk to support children under the condition. The women 30 years have one approximately 1 in chance 900 to support a child with to the Down syndrome. The women 35 years have one approximately 1 in chance 350 to support a baby of Down syndrome. These 40 years have a larger risk approximately of 1 in each 100.
Preparations
There is always a risk so that the parents support children with the Down syndrome. The more important thing is than they remain prepared just in the case the inevitable one occurs. The sifting and the diagnosis early can help and reduce the problem well.
Causes of the Down syndrome
Although the principal causative aspect for lowers the syndrome by it is genetic, a certain number of results suggest that some other factors can also be contributing to the development of the anomaly. There is essential to know to remain sure. Early tracking and the uniformity in the approaches of prevention and treatment can help much by reducing the problem.
About the types and causes
The normal human cells have 23 pairs of chromosomes. A chromosome in each pair comes from the father, whereas the other comes from the mother. There are 3 types of abnormal division of cells which makes take part the 21st chromosome. The cause of the Down syndrome is regarded as one of the three types. Each of three abnormal divisions leads to the additional genetic material starting from the chromosome 21, which is functional for the single devices and the developmental problems which are in Down syndrome.
In the case of Trisomy 21, the condition is caused by the abnormal division of cells which occurs while the cell of sperm or the egg cell develops. The patients with 21 trisomy have 3 copies of chromosome 21 in the place of the 2 regular ones. The type of mosaic rare is caused by the abnormal division of cells after fertilization. The children in this case, have cells with an additional copy of chromosome 21. The type of translocation has the 2 regular copies of chromosome 21, like the additional material of the chromosome 21 attached to the chromosome being transferred. This occurs before or during the design. Environmental and behavioral factors are not known to cause the Down syndrome.
On the transmission
The majority of the Down syndrome are not really inherited. There are errors which occur during the division of cells like egg, embryo or sperm develops. The syndrome of translocation in fall is the only type which can have passed from the parents to the children. Only around 4% to patients of Down syndrome have the type of translocation. Around 50% of the cases are inherited one or the other relative. During the occurrences, the father or the mother is a balanced carrier of the translocation, wanting to say that he has a genetic kind of rearranged material, without the additional genetic material. A balanced carrier does not show any sign or symptom of the condition, although the translocation can be transmitted to the children.
The possibility of going beyond on the type of translocation will depend like the relative who has the chromosome rearranged 21. There is a risk approximately of 3% if the father is the carrier. There is a risk of 12% if the mother is the carrier.
On the maternal age
The majority of the cases of Down syndrome are caused by a random event during the formation of the reproductive cells, sperm or the ovule. The incidence of the Down syndrome really develops while the mother ages or with the increase in the maternal age. Not all the parents with the translocation 21 trisomy are really balanced carriers. There can be risk zero in future pregnancies. As mothers grow older, the possibility of errors will grow as close as having a ratio of 1:12 when they reach 45 years old.
Risk growing
Several experts recommend that the pregnant women age 35 years or more old man should undergo the tests prenatal and the procedures of diagnosis to find the possibility to the Down syndrome. To employ only the maternal age does not detect more than 75% of pregnancies which carry out to the Down syndrome. It is important that the women consider their age as factor to determine the cause of the problem.
Signs and symptoms of Down syndrome
Although the signs and the symptoms of the syndrome are very distinct, there remain the different one which could confuse doctors and patients. Knowing the characteristics, nature and releases can be of great value to find measurements immediate of reduction. You can also avoid complications by the checking the signs early. Here are complete details.
Incidence and age
Approximately 1 on each 1.000 births in the United States has consequence the Down syndrome. There is no bond between the condition and the ethnic group, the socio-economic statute, the geographical place and the culture. It is a genetic state mainly, and can show characteristics like the cognitive incapacity, developmental delays and mental delayed-action. The chances of a person obtaining the Down syndrome are considerably related to the age of his/her mother. Below the age of 25, the incidence is 1 in each 1.400 around. At 40 years, the chance is one approximately 1 in each 100 and approximately 1 in each 350 at age 35.
Types of Down syndrome
There are 3 types of the condition in particular Trisomy 21, Mosaicism and translocation. Trisomy 21 is the first type which occurs in approximately 95 percent of individuals with to the Down syndrome. The patient 3 number 21 chromosomes, instead of 2.It there a normally 23 pairs of chromosomes, with each one consisted of genes. During the design, the pair of man or woman of chromosomes was usually duplicated of kind that there is only one chromosome found in each sperm or egg. In Trisomy 21, the 21st pair of chromosomes is not duplicated. To double goes then to sperm or egg. Approximately 95% to 97% of the additional chromosome comes from the mother.
Mosaicism is described as patient of additional syndrome having one 21st chromosome in only one certain number of cells, but not in each simple cell. Other cells have usually the regular pair of the 21st chromosomes. The type of Mosaicism is rarest, with only 1% to 2% of patients having it. The translocation occurs in approximately 3% to 4% to the patients of syndrome. The extra part of the 21st chromosome usually attaches to another chromosome. A relative has the 21st additional material of chromosome in the hidden or balanced form.
24 symptoms
The list of signs and symptoms to the Down syndrome includes physical anomalies such as a projecting language, abnormally formed ears, flattened face, noses of affront, tilted eyes ascending, short neck, flattened nasal bridge, deep fold of palm, the hypotonia, deep transverse fold of the palm, makes iridescent the white spots or the spots of Brushfield, the not crying baby , soon the truncated hands, truncated feet of shorts and slows down the physical growth. The symptoms thyroid includes autonomous disturbances, the congenital hypothyroidism and thyroid increased. The patient can also make delay the mental delayed-action and developmental.
Other conditions
The children can also develop other medical conditions associated to the Down syndrome like the cognitive incapacity or the mental delayed-action. Several children with the Down syndrome have the moderated or soft cognitive incapacity. The defects of heart can also emerge in approximately half of the children with the Down syndrome. The defects are found with the birth or little time afterwards.
Other diseases can also be present like the cognitive disease, of the states of eye and the hypothyroidism. The parents should pay attention particularly, since other problems of health can also occur like problems of hearing, infections of eye, problems dental and respiratory infections. The fabric preparing in the parts of the eye can occur. The twisted teeth can also be present later in the life, with a mouth of irregular form.
Complications of the Down syndrome
In fall the syndrome is a condition which can be dependent to remain during the life. The patients and the suppliers of health must understand the risks, as well as early detect the signs to provide the good methods. The complications of the Down syndrome can also representing a danger to the life, according to the response of the patients and the techniques of treatment used.
Known complications
The children having the condition can show several complications. One of the problems is the defect of heart, which occurs in approximately 50% of patients presenting the Down syndrome. These individuals are already constant with a type of defect of heart which can be incapacity representing a danger for the life or of cause during the life. The surgery can be required during the parts of childhood to reduce the anomaly. The infectious disease is another complication which can occur because of the abnormal immune systems of the patients. The individuals with the syndrome are more inclined obtaining a variety of the diseases and infections. The risk to obtain pneumonia is higher compared to people who do not have the problem.
Leukemia can also occur because of association with the weakened immune system. The insanity can occur later in the life. There is a risk intensified for this complication, appearing in the patients before the age of 40. Other problems can also appear although not as a communal ground, such as the hearing impairment, the poor vision, gastro-intestinal filling and problems thyroid. Currently, the duration of the individuals with the Down syndrome increased compared 100 years ago. To the bottom the patients of syndrome today can intend to live at the 50 years age or more, according to the response and the severity of the condition. Early tracking, the interventions and the mechanisms to face helped much the life expectancy of push.
Statistics of the complications
40% to 50% children with the Down syndrome develop congenital defects of heart according to association for children with worms bottom the syndrome in the United States. 100% of the individuals afflicted under the condition will also develop the physical signs of Alzheimer once they reach the age of 35. To have the problem amplifies the risk to more develop leukemia 15 to 20 times. Check the signs early and other anomalies which can be shown by patients for the diagnosis early and the treatment.
The complications of the Down syndrome are really secondary symptoms, conditions or disorders which came from the real syndrome. In several cases, it can be not very clear or difficult to distinguish the differences between the complications and the symptoms to the Down syndrome. To require a second opinion or more tests can help.
List complications
Other complications included for the Down syndrome ,the mental delayed-action, the difficulty nursing, the increased language, the round facial devices, the flattened facial devices, the hypothyroidism, the conducting hearing impairment, the respiratory infections, the anomalies of immune system, pneumonia (62 times more strongly compared to the normal individuals), leukemia, the disease of Alzheimer, congenital deafness, the congenital cardiac disorder, the congenital intestinal atresia, the disorders of vision, the cataracts, the seizures, the constipation, the momentary myelodysplasia, atlantoaxial instability, the insanity, the loss of memory, the faded judgment or cognitive weakening, the reduced account of sperm and premature ageing.
More possible problems
Other possible conditions which can emerge include nausea, vomiting, brachycephaly, the giddiness, brachydactyly, keratosis palmoplantar, hypotonia, septal defect atral, nystagmus, intra-uterine delayed-action of growth, hypoplasia of odontoid, dermatoglyphics abnormal, hearing impairment, abdominal pain, anomaly of facies, eruption of delayed tooth, the spots of Brushfield, the low testosterone levels (serum), the high uric acid levels (plasma or serum), the hypothyroidism, the obstruction of entrails, the subluxation atlantoaxial, the ventricular septal defect, the short stature, the obstruction of entrails, the bottom of levels of fetoprotein of alpha (serum), the loss of tooth, the macroglossia and perinatal morbidity.
How to treat Down syndrome
Although there is no permanent treatment towards the Down syndrome, you can certainly find means of reducing the various symptoms. Several individuals successfully faced the effects of the problem of the healthier life styles simply of life and by finding the good solutions of replacement. You do not need to shell outside much and can continue to live the rather normal lives.
Physical therapy
The physical therapy is an effective manner to treat the Down syndrome among children, particularly for the symptoms which emerge later in the life. Currently, the basic qualifications were already practiced so much there are much levels of severity in the symptoms. The consultation of a physical therapeutic as of the access can help to determine if the person can begin a physical program of therapy. The program help the individuals to can face by learning how made the movements and the actions basic like resting, working and to be held. The children with the Down syndrome walk really and make things compared later with other children. The special practice is required for children to learn how to jump, rise, rest and roll above.
The role of the physical therapeutics
The physical therapeutics can conceive the programs above which specifically help of the children to address problems like resting to the top, to hold the head to the top of directly and the bearing. The problems can prove that the patient has a weak higher special treatment of spine or need like the surgery or similar to help to support the muscles of neck. The physical therapy offers advantages such as improving the force, flexibility and resistance.
Qualifications of refining are necessary also by the children of Down syndrome, thus a physical therapeutics can still help the patients to learn how to be held correctly, to rest correctly, the correct maintenance and go well. Some of the other associated problems to fix include the back pains, the problems of knee and the twisted legs. Practices, the positions and the techniques can be relearned too.
Things to be addressed
The born ones have concern to address and treated like the supply of emotive proportioned and knowing more information concerning the syndrome. Infants must be protected from infections and colds. Therapies, without inclusion of drugs, should be considered for safety. During childhood early, there are important stages developmental which must be reached. Although it is expected for patients not to attain these, some supportive measures like diet and exercise, prevention of common sicknesses, improvement in behavior and development of social skills can greatly help.
During the medium and the stages late of childhood, the parents have to help the children to gain more independence, develop the social qualifications, as well as increase the capacity to learn. The adolescent and young patients or adult must treat the soft transition in the adulthood. Planning is essential, so that the child can treat the various challenges which come with the age. Questions of sexuality and report must also be addressed.
Other things to be treated
The patient must see a dietician recorded to prescribe the good plans of meal and other food strategies which will deal with problems of weight effectively. You ensure that the patient of syndrome goes down enough from exercise and identifies the importance of the physical activity. The depression will have also to be treated as soon as noted.
An authorized therapeutics and an adviser of councils can help to develop programs and other strategies such as the therapy of maintenance and the professional therapy which will help the express patient and will provide exits for the internal questions. One will also teach management sciences. As a last resort, medications may also be prescribed to help control mental symptoms and aid patients recover faster.
How to prevent the Down syndrome
Since the syndrome drops some genetic disorder, there is really no defined preventive measure which can stop it occurring. However, the random aspect of the occurrence can lead to the development of the preventive measures which can reduce the occurrence. To know the risks can also help of the parents are ready for the possibility. Here even more details.
About the risks
The most common known risk to the Down syndrome can increase the occurrence in the maternal age. Although to occur is random in kind, the possibility really increases while the mothers age. The mothers below 25 years has one in the chance of each 1.400 births to produce a baby with Down syndrome. At 30 years, the figures continue to increase until the 45 years age and top, when it is probable almost 1 in each 12 births.
The state of the mother can also import. Supply unsatisfactory folic acid, which is a B vitamin can be related to the occurrence of the Down syndrome. The mothers who have the folic levels low have a larger risk to have a baby with the Down syndrome compared with others. Increase in chances of 320%. To prevent the problem, the mothers are advised to take supplements and folic acid techniques of sifting practice and diagnostic tests if they become pregnant at age 35 or later.
To avoid the pregnancy
The most common manner to prevent the Down syndrome for parents can be to completely avoid the pregnancy once they reach the age of 35. However, for some parents, the doctors recommend an approach of family planning which can help to indicate the possibility of occurrence. The prevalence of birth with Down syndrome in any country can be estimated by the intermediary of the proportion of maternities during each age. Maternal and paternal ages should be regarded as very well for determiners if there are to produce babies with Down syndrome.
Diagnosis early
The parents should make a remark to undergo the sifting and the diagnostic tests to remain ahead before other complications can emerge. They can begin methods with 11 to 12 weeks of pregnancy and continue until the third quarter. Some of the known methods include the taking away of ultrasounds, examining villus and chorionic of AFP increased, the amniocentesis and nuchal translucency screening.
The women having a history of the inherited translocation or having a preceding pregnancy with a form of Down syndrome which not-is inherited should reach PGD. The technique is limited according to the presence of the normal embryos in the families. Only around 1% towards pregnancies of Down syndrome makes take part women of the family antecedents of the disorder. Biochemical, epidemiological and molecular evidence shows a link between the condition and defect in methyl and folate metabolism.
A healthier life style
Just the same ones as preventing any other disease, individuals should practice the healthier lives of life while being exerted regularly, while eating healthily and while obtaining more of the vitamins and the nutritive ores. They should obtain enough rest per night and relieve the effort by taking antioxidants and by improving their social lives.
The planning of family should be made even before marriage, particularly for the couples which are carriers of the translocation, if it is the relative male or female. The parents can try to achieve their family before the age of 30. The prevalence of birth can be cut close step less than 50% with the strategy. More constant research and studies can help to thus provide more information maintain updated by the Internet, the books and the experts.
Factors of risk for the Down syndrome
In fall the syndrome is a genetic state, but there are certainly manners on the way in which you can reduce the problem. To know the risks can also prevent the occurrence even with a certain degree. Discover how the process functions and which parents can really contribute to their children. Here characteristics and manners of remaining in front of the package.
Known risks
A certain number of parents have a chance more raised to produce babies with the Down syndrome. Include in the factors of risk advances the maternal age. The chromosomes divide incorrectly more time of surplus while a woman continues to produce eggs and these eggs age. The chances of giving birth to a baby with Down syndrome actually increase with age. Those below 25 years have a chance of 1:1400. At age 30, the risk is at 1:1000. At age 35, the chances become 1:385. To 40, the risk increases more at 1:106. At 40, the risk increases more at 1:106. By 45, almost 1 in every 30 births results to Down syndrome.
The women who already gave rise to a child with the Down syndrome also has the chance approximately of 1% to give rise to the other which also has the same condition. The parents, who are carriers of the genetic translocation for lowers the syndrome by it can also pass to the problem to their children, compared more to the parents who do not have the translocation.
Age distribution
The women at 36 years are likely to give birth towards bottom to a patient 1 of syndrome out of each 300 births. At age 37, the chances climb up to 1 on each 230 births. At 38 years, the risk climbs up to 1 on each 180 births. At 39 years, approximately 1 in each results of 135 births to the bottom with a compartment of syndrome. At 46, 1 out of every 20 births results to a Down syndrome baby. At 48 years, 1 on each 16 births is abnormal. At 49 years, the chances intensify to 1 in each 12 births.
The experts then recommend women to undergo the antenatal sifting and other diagnostic tests to detect the Down syndrome, if they become pregnant at 35 years or later.
Which Say doctors
The women who become pregnant at 35 years or later are really posed a series of questions of the doctors, like if there is a presence of the defects of birth in the family or if any member has in bottom of the syndrome in particular. The age presents really the risk, also although the fact of its existence in the family. The doctor most probably refers to the risk relating to the age of chromosomal anomalies.
Confirmation of the risk
If there are some found risks of the medical antecedents of the patient, the doctors will most probably recommend some diagnostic tests, such as chorionic villus sampling. This made to 11 to 12 weeks of pregnancy by specialists with much in experiment. The process implies to put a small catheter in the cervix where the placenta is related to the form and develops. A certain fabric is removed and treated in the laboratory for the analysis.
Amniocentesis also made to 15 to 16 weeks of pregnancy by obstetricians. The process implies to insert a needle by the abdomen and in the fluid which surrounds the baby. The result is also sent to the laboratory for the analysis. The results of the taking away of villus chorionic more available are compared with those of the amniocentesis. They are the 2 basic tests.
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Down Syndrome in the News
- ThisweekLive-Thisweek Newspapers/Dakota Co. Tribune - Down syndrome group for parentsDakota County Tribune16 hours ago
South of the river group for parents of children with Down syndrome will meet at 6 p.m. at Shepherd of the Valley Church, Apple Valley, on the third Monday of the month. Call Jennifer at (651) 463-2226 to register. Child care available for $3.
- PHOTOS: Upside in Down danceLeader Community Newspapers1 second ago
A DANCE group bringing joy to children with Down syndrome in Boroondara has struck a chord with all it has touched.
- Search for Down's Syndrome boyIndependent Online2 days ago
A desperate search is under way for a 10-year-old boy with Down's Syndrome who has gone missing near the wetlands at Masiphumelele.
- Down Syndrome Online - Reliable, up-to-date information about Down syndrome
Down Syndrome Online offers a comprehensive, reliable and up-to-date range of information, resources and services for families, practitioners and researchers caring for, supporting and investigating Down syndrome. Down Syndrome Online is published by - DownSyndrome.com
- Down Syndrome
Down syndrome is a condition in which extra genetic material causes delays in the way a child develops, both physically and mentally. - Down syndrome - Wikipedia, the free encyclopedia
- MedlinePlus: Down Syndrome
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bala99 says:
6 months ago
Besides a host of medical problems they face social discrimination & taunts. They are kind, patient, friendly, trusting and loving by nature. We could learn a lot from them. Had a nephew, who didn't see sixteenth birthday.