Do\u011fu\u015ftan gelen genetik bir farkl\u0131l\u0131k olan Down sendromu, toplumda genellikle y\u00fcz g\u00f6r\u00fcn\u00fcm\u00fc ve \u00f6\u011frenme g\u00fc\u00e7l\u00fc\u011f\u00fc olarak biliniyor. T\u00fcm v\u00fccudu etkileyen bir farkl\u0131l\u0131k olan Down sendromunda; kalp, tiroid, sindirim sistemi gibi bir\u00e7ok organ\u0131n d\u00fczenli olarak kontrol\u00fcn\u00fcn ve n\u00f6rolojik takibin de yap\u0131lmas\u0131 gerekiyor. Down sendromlu \u00e7ocuklarda beyin geli\u015fiminde de baz\u0131 farkl\u0131l\u0131klar g\u00f6r\u00fclebiliyor. Bu farkl\u0131l\u0131klar\u0131n \u201czaten Down sendromlu\u201d diye ge\u00e7i\u015ftirilmemesi gerekiyor. Erken d\u00f6nemde yap\u0131lan fizyoterapi, konu\u015fma terapisi ve \u00f6zel e\u011fitim deste\u011fi \u00e7ocuklar\u0131n potansiyelini belirgin \u015fekilde art\u0131r\u0131yor. Memorial Antalya Hastanesi \u00c7ocuk N\u00f6rolojisi B\u00f6l\u00fcm\u00fc\u2019nden Uzm. Dr. Filiz M\u0131h\u00e7\u0131, Down sendromlu bireylerde n\u00f6rolojik takibin \u00f6nemi hakk\u0131nda detayl\u0131 bilgiler verdi.\u00a0<\/p>\n
Down sendromunda erken tan\u0131, \u00e7ocuklar\u0131n geli\u015fimi i\u00e7in \u00f6nemli<\/strong><\/p>\n Down sendromlu \u00e7ocuklar\u0131n beyin geli\u015fimi farkl\u0131 bir seyir izler. Bu durum kas gev\u015fekli\u011fi (hipotoni), motor geli\u015fimde gecikme (ge\u00e7 oturma, ge\u00e7 y\u00fcr\u00fcme), konu\u015fman\u0131n daha ge\u00e7 ba\u015flamas\u0131, dikkat ve \u00f6\u011frenme g\u00fc\u00e7l\u00fckleri \u015feklinde kendini g\u00f6sterebilir. Bu nedenle Down sendromlu \u00e7ocuklar\u0131n \u00e7ocuk n\u00f6rolojisi uzman\u0131 taraf\u0131ndan takibi ve d\u00fczenli testlerinin yap\u0131lmas\u0131 \u00f6nemlidir. \u00c7ocu\u011fun ihtiyac\u0131na g\u00f6re \u00f6nerilen fizik tedavi, konu\u015fma terapisi ve \u00f6zel e\u011fitimler; Down sendromlu \u00e7ocuklar\u0131n potansiyellerini g\u00f6r\u00fcn\u00fcr \u015fekilde art\u0131rmaktad\u0131r.\u00a0<\/p>\n Down sendromlu bir \u00e7ocukta d\u00fczenli kontrol edilmesi gerekenler testler \u015funlard\u0131r;<\/p>\n \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0\u00a0\u2022\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0Kalp kontrolleri<\/p>\n \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0\u00a0\u2022\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0Tiroid testleri<\/p>\n \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0\u00a0\u2022\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0\u0130\u015fitme ve g\u00f6rme muayeneleri<\/p>\n \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0\u00a0\u2022\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0Kan say\u0131m\u0131<\/p>\n \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0\u00a0\u2022\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0\u00c7\u00f6lyak taramas\u0131<\/p>\n \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0\u00a0\u2022\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0Ortopedik de\u011ferlendirme<\/p>\n \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0\u00a0\u2022\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0N\u00f6rolojik geli\u015fim takibi<\/p>\n Ya\u015fam boyu d\u00fczenli kontrol, olas\u0131 hastal\u0131klar\u0131n takibi i\u00e7in \u015fart!<\/strong><\/p>\n Down sendromlu \u00e7ocuklarda g\u00f6r\u00fclme riski olan baz\u0131 hastal\u0131klar vard\u0131r. Yap\u0131lan d\u00fczenli kontroller ve doktor muayenesi \u00e7ocuklar\u0131n geli\u015fimi ve \u00f6zellikle Down sendromlu \u00e7ocuklarda daha s\u0131k g\u00f6r\u00fclebilecek hastal\u0131k risklerinin fark edilmesi a\u00e7\u0131s\u0131ndan \u00f6nemlidir.\u00a0<\/p>\n Down sendromlu \u00e7ocuklarda g\u00f6r\u00fclebilecek hastal\u0131klar \u015funlard\u0131r;<\/p>\n 1-Sara (Epilepsi) Riski<\/strong><\/p>\n Down sendromlu \u00e7ocuklarda sara hastal\u0131\u011f\u0131 toplum ortalamas\u0131ndan daha s\u0131k g\u00f6r\u00fcl\u00fcr. \u00d6zellikle bebeklik d\u00f6neminde baz\u0131 \u00f6zel n\u00f6bet tipleri ortaya \u00e7\u0131kabilir. Bunlardan biri West sendromu olarak bilinen bebeklik \u00e7a\u011f\u0131 spazmlar\u0131d\u0131r. Erken tan\u0131 ve tedavi, \u00e7ocu\u011fun zihinsel geli\u015fimi a\u00e7\u0131s\u0131ndan \u00e7ok \u00f6nemlidir.<\/p>\n Ailelerin dikkat etmesi gereken durumlar \u015funlard\u0131r:<\/p>\n \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0\u00a0\u2022\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0Ani irkilme \u015feklinde tekrarlayan hareketler<\/p>\n \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0\u00a0\u2022\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0Dalg\u0131nl\u0131k ataklar\u0131<\/p>\n \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0\u2022\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0Daha \u00f6nce kazand\u0131\u011f\u0131 becerilerde gerileme<\/p>\n 2-Boyun B\u00f6lgesi ve Omurilik Riski<\/strong><\/p>\n Down sendromlu bireylerde ba\u011f dokusu daha gev\u015fek olabilir. Bu nedenle boyun omurlar\u0131 aras\u0131nda gev\u015feklik g\u00f6r\u00fclebilir. Nadiren omurili\u011fe bask\u0131 yapabilecek bir durum geli\u015febilir.<\/p>\n A\u015fa\u011f\u0131daki belirtiler ciddiye al\u0131nmal\u0131d\u0131r:<\/p>\n \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0\u00a0\u2022\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0Y\u00fcr\u00fcmede belirgin bozulma<\/p>\n \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0\u00a0\u2022\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0Kollarda g\u00fc\u00e7s\u00fczl\u00fck<\/p>\n \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0\u00a0\u2022\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0Denge kayb\u0131<\/p>\n \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0\u00a0\u2022\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0\u0130drar kontrol\u00fcnde de\u011fi\u015fiklik<\/p>\n Bu t\u00fcr durumlarda mutlaka bir n\u00f6rolojik de\u011ferlendirme gerekir.<\/p>\n 3-Uyku Problemleri ve \u00d6\u011frenme<\/strong><\/p>\n Down sendromlu \u00e7ocuklarda horlama ve uyku apnesi daha s\u0131k g\u00f6r\u00fcl\u00fcr. Gece boyunca kaliteli uyuyamayan bir \u00e7ocukta a\u015fa\u011f\u0131daki sorunlar geli\u015febilir;<\/p>\n \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0\u00a0\u2022\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0Dikkat sorunlar\u0131<\/p>\n \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0\u00a0\u2022\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0Huzursuzluk<\/p>\n \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0\u00a0\u2022\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0\u00d6\u011frenmede zorlanma<\/p>\n Bazen \u201cdavran\u0131\u015f problemi\u201d san\u0131lan durumun alt\u0131nda uyku bozuklu\u011fu olabilir.<\/p>\n 4-Ergenlikte G\u00f6r\u00fclebilen Gerileme<\/strong><\/p>\n Baz\u0131 Down sendromlu gen\u00e7lerde ergenlik d\u00f6neminde ani i\u00e7ine kapanma, konu\u015fmada azalma veya hareketlerde yava\u015flama g\u00f6r\u00fclebilir. Bu durum her zaman \u201cergenlik d\u00f6nemi\u201d diye a\u00e7\u0131klanamaz. N\u00f6rolojik ve psikiyatrik de\u011ferlendirme gerekebilir.<\/p>\n 5-Alzheimer<\/strong><\/p>\n Down sendromlu bireylerde ilerleyen ya\u015flarda Alzheimer hastal\u0131\u011f\u0131 riski artm\u0131\u015ft\u0131r. Bu nedenle n\u00f6rolojik takip \u00e7ocuklukta ba\u015flar ama ya\u015fam boyu s\u00fcrer.<\/p>\n \u00a0<\/p>\n Kaynak: (BYZHA) Beyaz Haber Ajans\u0131<\/p>\n","protected":false},"excerpt":{"rendered":" Do\u011fu\u015ftan gelen genetik bir farkl\u0131l\u0131k olan Down sendromu, toplumda genellikle y\u00fcz g\u00f6r\u00fcn\u00fcm\u00fc ve \u00f6\u011frenme g\u00fc\u00e7l\u00fc\u011f\u00fc olarak biliniyor.<\/p>\n","protected":false},"author":1,"featured_media":3404,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[31],"tags":[],"class_list":["post-3403","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-saglik"],"_links":{"self":[{"href":"https:\/\/ekonomievreni.com\/index.php?rest_route=\/wp\/v2\/posts\/3403","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/ekonomievreni.com\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/ekonomievreni.com\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/ekonomievreni.com\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/ekonomievreni.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=3403"}],"version-history":[{"count":1,"href":"https:\/\/ekonomievreni.com\/index.php?rest_route=\/wp\/v2\/posts\/3403\/revisions"}],"predecessor-version":[{"id":3405,"href":"https:\/\/ekonomievreni.com\/index.php?rest_route=\/wp\/v2\/posts\/3403\/revisions\/3405"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/ekonomievreni.com\/index.php?rest_route=\/wp\/v2\/media\/3404"}],"wp:attachment":[{"href":"https:\/\/ekonomievreni.com\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=3403"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/ekonomievreni.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=3403"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/ekonomievreni.com\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=3403"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}