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-At suspicion at a newborn syndrome of Down the diagnosis is verified by research of a karyotype with the subsequent consultation medical genetics. To suspect a syndrome at deeply not full-term child or at the child with the "erased" phenotype the analysis of its dermatoglyphics can help.
- The estimation of anthopometrical indicators is expedient for spending monthly according to offered normogrammami, presented in the appendix. Adequacy of a food is necessary for defining regularly on volume, the cores nutrientam and to calories. Preferably thoracal feeding of children about one year.
The following schedule of inspection of children (tab. 12) is offered:
Aged till 1 month spend:
The-clinical analysis of blood (for an exception of a polycythemia, a thrombocytopenia and myeloproliferative changes) and the urine analysis.
- Electrocardiogram, EHOKG. At revealing VPS consultation of the cardiosurgeon is shown.
- To define level of thyroid hormones in blood.
- Ultrasonic researches of an abdominal cavity and kidneys for an exception of congenital anomalies of internal organs.
- Ultrasonic research of hip joints.
- nejrosonograficheksoe research.
- Consultation of experts: the ophthalmologist, the neurologist, the orthopedist, and at necessity and other experts.
To carry out regular (is not more rare than 1 time a year) observation of the oculist, the neurologist, the orthopedist, an ENT, genetics and other experts in indications.
-Investigate hearing at the age of 6-12 months, in the subsequent - annually, if necessary - more often.
-Screening of a Gee's disease with definition in peripheric blood of level specific Ig A to endomiziju, fabric transgljutaminaze and general level Ig A is shown all children with SD at the age of 2 лет*.
-Polisomnografija it is spent under indications since 3-4th years **.
To all children with SD is elderly 4th years the X-ray inspection of cervical department of a backbone for an exception atlantoaksialnoj is shown instability.
The-electroencephalography is spent under indications and-or before carrying out of the anesthesiology grant.
Table 12.
The schedule of specialised inspection of children with a syndrome of Down.
The instruction: research date is entered In empty cells.
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