Down syndrome is also called congenital idiocy. It is a disease that occurs during pregnancy and will cause different manifestations of the patient's limb function, limb function and skin texture development. Many pregnant women do not detect the results during the examination. After discovering this disease, there is no need to worry too much. Recovery can be promoted through treatment methods and prognosis work. Medication Treatment of Down syndrome in children 1. Prevention There is currently no effective treatment. The best way is to terminate the pregnancy before the pregnant mother gives birth. Prenatal prevention for pregnant women: 1. Genetic counseling: The older the pregnant woman is, the higher the risk. The recurrence risk for standard Down syndrome is 1%. Parents of children with translocations should undergo karyotype analysis to detect balanced translocation carriers: if the mother has a D/G translocation, each fetus has a 10% risk; if the father has a D/G translocation, the risk is 4%. The vast majority of G/G translocation cases are sporadic, and the karyotypes of the parents are mostly normal, but 21/21 translocation carriers have also been found, and 100% of their next generation will suffer from the disease. 2. Prenatal diagnosis: It is an effective measure to prevent the birth of children with Down syndrome. Couples with a history of the disease should undergo prenatal diagnosis when they have another child, namely chromosome karyotype analysis. Sampling includes mid-pregnancy amniocentesis for analysis of amniotic fluid cells, mid-pregnancy embryonic chorionic villus cells, and mid-pregnancy umbilical cord blood lymphocytes. The measurement of prenatal screening serum markers HCG and AFP has certain clinical significance because it can reduce the blindness of prenatal diagnosis by amniocentesis, indicate the existence of a high-risk pregnant woman group, and enable these pregnant women to undergo further prenatal examinations and consultations, thereby preventing the birth of children with Down syndrome to the greatest extent possible. (II) Treatment Since children have low immunity, they should pay attention to preventing infection. If accompanied by congenital heart disease, gastrointestinal tract or other malformations, surgical correction may be considered. (III) Prognosis Infants and young children often suffer from repeated respiratory infections, and those with congenital heart disease often die early as a result. Muscle tone gradually improves with age, while the gap between growth and development progress and that of normal children gradually widens. They have stopped growing at the age of 15, have short stature, low IQ, and more than 50% of them are mosaic. In infancy, they behave as "good children". In childhood, they are mostly happy and friendly, but their ability to regulate emotions is poor and fluctuates greatly. They are sometimes quite stubborn and naughty. Comprehensive measures should be adopted, including medical and social services, long-term and patient education and training for patients, preparatory education for mentally retarded children so that they can transition to ordinary schools, and training mentally retarded children to master certain work skills. With patient education and training, and under guardianship, they can take care of themselves and even do simple social work and support themselves. Parents and schools should help children overcome behavioral problems, and society should give moral support to parents of children with disabilities. |
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