How to identify Down syndrome babies

How to identify Down syndrome babies

Down disease, also known as Down syndrome, means that patients will have intellectual problems starting from August, and may even cause other complications, such as heart function diseases, intestinal function diseases, the patient's height development will become abnormal, and there will be problems with sexual function. In order to identify babies with Down syndrome, some relevant examinations are needed.

Introduction

Down syndrome and Down disease. Down syndrome was formerly known as Mongolian syndrome. It is a congenital disease. The main problem of people with Down syndrome is intellectual disability. Down syndrome means there is one extra chromosome in the 21st pair, which means there are 47 chromosomes in the cell. It can be roughly divided into trichromatosis, translocation type, and embedded type. Trichromatosis accounts for about 95% of Down syndrome patients and is related to the increasing age of the mother, while translocation type accounts for about 4% of Down syndrome patients. Down syndrome is the most common chromosomal abnormality and one of the main causes of mental retardation, with an average incidence of one in every 800 newborns. Down syndrome generally has moderate to severe intellectual disabilities, and may also be combined with other diseases, such as: congenital heart disease, intestinal obstruction, etc.

The full name is "Down syndrome", also known as "Trisomy 21 syndrome", and is also known as congenital idiocy in China. In the patient's somatic cells, there is one extra chromosome 21, making it three (normally there are two chromosomes, one pair). It is one of the most common serious birth defects. The clinical manifestations are: the patient has a special facial feature, upturned outer corners of the eyes, a flat nose, a tongue that often sticks out, muscle weakness and hand pain. The vast majority of patients suffer from severe intellectual disabilities and multiple organ abnormalities, such as congenital heart disease, leukemia, and gastrointestinal malformations. The disease occurs almost everywhere in the world, with few racial differences. According to statistics, the incidence of chromosomal abnormalities in newborns is 5-6/1000, and Down syndrome is about 1/750. The vast majority of patients have random occurrences, but the incidence increases with the age of the mother. Generally, if the mother is over 35 years old, the birth rate of this child can be as high as 1/350.

In the past, the only way to diagnose this type of disease before birth was through amniocentesis or chorionic villus sampling. However, these methods are time-consuming, expensive, and difficult to operate, so they are limited to some high-risk pregnant women. According to statistics, about 80% of fetal chromosomal diseases occur in ordinary pregnant women. This is because the absolute fertility value of this group exceeds that of the high-risk group. Therefore, prenatal diagnosis for them cannot be ignored from the perspective of eugenics. The actual situation is that the prenatal diagnosis department is still unable to afford it for this group of people, which ultimately makes this group of people a blind spot for eugenics. The emergence of serum marker screening methods in 1988 fundamentally changed the passive situation in prenatal prevention of the above diseases.

Trisomy 21, also known as congenital idiocy or Down syndrome, is an autosomal abnormality and the most common chromosomal disease in children. The incidence rate in living babies is about 1/(600~800). The older the mother is, the higher the incidence rate of the disease. 60% of the children died or were miscarried in the early fetal period.

Trisomy 21 syndrome includes a series of genetic diseases, the most representative of which is the trisomy of chromosome 21, which can lead to severe deformities including learning disabilities, intellectual disabilities and disability. The disease is named after John Langdon Down, a British physician who was the first to describe its pathology in the late 19th century.

In 1965, WHO officially named this disease "Down syndrome".

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