Signs Of Down Syndrome In Infants Aged 5 Months?
Assalamualaykum, Doctor, I want to ask, my child is 5 months old, I want DPT immunization to Posyandu, but the posyandu midwife suggests going to the Community Health Center because they consider my child as special, just like having Down syndrome, and the doctor at the Health Center is also like my DS. , then they don’t want my child’s immunity to be certain. But after that we brought my child to the hospital, after checking with the doctor, it was still not certain, because there was no characteristic of my child, for example, it was not normal, folds 2, body height. I am confused about my child’s immune … do I have to be a specialist doctor, where is the consultation so expensive, how can the doctor at the hospital not suggest it? According to the doctor, is my son really DS? My child can lift his head, but for tengkurep himself not yet bs .. d standing even his legs are still limp, but he is responsive, strong milk, but his breathing is a bit tighter, like a stomach na t pulling … but it doesn’t sound strange, please explain … what should I do more first now? thank you doctor ..
Wa'alaikumsallam Windy, thank you for the question.
Down syndrome or what is called trisomy 21 is a form of congenital abnormalities that is acquired from birth. Down's syndrome occurs because there are 3 chromosomes 21. In humans, there are 22 pairs of somatic chromosomes and a pair of sex chromosomes. Each somatic chromosome number is only 2 pieces. Then the total number of chromosomes in a person's cell is 46 pieces. In Down syndrome, there are 3 chromosome numbers. This occurs due to imperfect cell division in ovum cells or sperm cells, so the number of chromosomes is not evenly distributed, resulting in embryonic cells having 3 chromosomes 21.
In young babies it is not easy to recognize Down syndrome. That is also caused by the spectrum of Down syndrome varies greatly based on chromosomal abnormalities that occur. There are children with Down syndrome who have severe mental retardation, but some are mild. There are people with Down syndrome who need help to live their daily lives, some are very independent so they can study and work. Symptoms and signs of Down syndrome include:
decreased muscle tone, resulting in muscle weakness
short neck with more skin on the back side
typical face, ie small eyes and drawn up (like the people of east asia), small and flat nose, small mouth, low ear
Short and wide hands, only has 1 crease
You should consult your child with a specialist child growth doctor to get further action plans. If the doctor cannot state with certainty the diagnosis of your child, the doctor may suggest that a chromosome be examined in a genetic laboratory. The examination fee is certainly not cheap, but if you want to get clarity about the condition of your child, the road is likely to be taken by the mother. Thus a brief review from us, hopefully useful. Regards.