So wo ba no wɔ saa sɛnkyerɛnne ahorow yi? Momma yɛnka Down Syndrome ho asɛm

So woahyɛ no nsow pɛn sɛ nkokoaa binom yɛ wɔn ade wɔ ɔkwan soronko so kakra sen afoforo, na ɛsono wɔn honam ani hwɛbea kakra? Ebia woasusuw saa ara wɔ wo ba no ho. Wɔ mmere a ɛtete saa mu no, asɛmmisa biako a ɛba yɛn adwenem ne sɛ, "Dɛn ne eyi?" Ɛnnɛ yɛrebɛka tebea bi a ɛhwehwɛ sɛ wɔde adwene si so titiriw ho asɛm, na ɛno ne Down Syndrome. Mma ɛnhaw wo, yɛbɛka eyi ho asɛm tiawa, wɔ ɔkwan a wubetumi ate ase so.

Dɛn ne Down Syndrome? Sɛ yɛbɛka no tiawa a...

Down Syndrome yɛ awosu mu tebea bi. Ɛne sɛ, chromosome foforo bi a ɛwɔ akokoaa nipadua mu bere a wɔawo no no na ɛde ba. Afei ebia woresusuw nea ɛyɛ saa chromosomes yi ho. Wɔ yɛn nipadua mu nkwammoaa nketenkete no mu no, nneɛma bi wɔ hɔ a ɛte sɛ asaawa nketewa. Ɛno ne nea yɛfrɛ no chromosomes. Eyinom na ɛkyerɛ nneɛma pii a ɛfa yɛn honam ani hwɛbea, yɛn tenten, yɛn kɔla, ne nea yetumi yɛ ho.

Mpɛn pii no, yɛn nyinaa wɔ saa nkwaboaa ahorow yi abien abien 23 wɔ nkwammoaa biara mu. Ɛno yɛ chromosomes 46 a wɔka bom. Nanso, akokoaa a ɔwɔ Down syndrome no wɔ chromosome 21 no bi foforo, a ɛkyerɛ biako bio. Afei nkwaboaa a ɛwɔ ne nkwammoaa mu nyinaa bɛyɛ 47. Ɛyɛ saa nkwaboaa a ɛboro so yi nti na ɛsono akokoaa no amemene ne ne nipadua nyin wɔ ɔkwan soronko so kakra.

Henanom na wobetumi anya Down Syndrome?

Down syndrome betumi aka obiara. Ɛyɛ awosu mu na ɛnyɛ biribiara a ɛna anaa agya yɛ ansa na wanyinsɛn anaa bere a ɔrenyinsɛn no na ɛde ba. Mpɛn pii no, ɛba kwa, a ɛkyerɛ sɛ ɛba ankasa. Mpɛn pii no, wɔde fi awo ntoatoaso so kɔ awo ntoatoaso so bere a nkesua ne mmadwoa hyia no.

Dɛn ne asiane ahorow a ɛde Down Syndrome ba?

Wɔda so ara reyɛ eyi ho nhwehwɛmu. Nanso nhwehwɛmu ahorow ada no adi sɛ asiane a ɛwɔ hɔ sɛ wɔbɛwo akokoaa a ɔwɔ Down syndrome no betumi akɔ soro kakra bere a ɛna no nyin no . Ɛnanom a wɔadi boro mfe 35 no taa wo akokoaa a ɔwɔ Down syndrome anaa awosu mu tebea afoforo.

Nanso eyi nkyerɛ sɛ ɛnanom nkumaa nnya saa tebea yi. Esiane sɛ awo dodow dɔɔso wɔ ɛnanom a wonnii mfe 35 mu nti, ɛnanom a wonnii mfe 35 na wɔwo nkokoaa a wɔwɔ Down syndrome no mu dodow no ara ankasa. Enti, ɛnyɛ mfe a wɔadi nkutoo na ɛde ba.

Down Syndrome abu so dɛn?

Sɛ wɔde toto aman te sɛ Amerika ho a, Down Syndrome yɛ tebea a ɛtaa ba wɔ nkwaboaa mu. Wɔwo nkokoaa bɛyɛ 6,000 a wɔwɔ saa tebea yi afe biara wɔ hɔ. Ɛno kyerɛ sɛ nkokoaa 700 biara a wɔwo wɔn mu bɛyɛ biako betumi anya saa tebea yi. Mmofra a wɔwɔ saa tebea yi wɔ Sri Lanka nso, enti ɛho hia yiye sɛ wohu eyi.

Dɛn ne akokoaa a ɔwɔ Down Syndrome ho sɛnkyerɛnne?

Down syndrome betumi de nipadua, adwene, ne nneyɛe ho sɛnkyerɛnne aba. Nanso, ɛnyɛ abofra biara na ɔwɔ saa sɛnkyerɛnne ahorow yi nyinaa, na sɛnea sɛnkyerɛnne ahorow no te betumi ayɛ soronko wɔ abofra biara mu.

Nipadua mu su (nsakrae a ɛba ne honam ani hwɛbea mu) .

Mpɛn pii no, saa sɛnkyerɛnne ahorow yi da adi bere a wɔawo no, na ebetumi ada adi kɛse bere a akokoaa no nyin no.

• Nahe Bridge no yɛ petee kakra .
• Ɛte sɛ nea aniwa no akɔ soro .
• Kɔn no yɛ tiaa kakra .
• Aso, nsa, ne anan a ɛyɛ nketewa sen sɛnea ɛte daa .
• Ntini a ɛyɛ mmerɛw (flaccidity) a obi wɔ wɔ awo mu.
• Wɔde nsa no nsateaa ketewa no dan kɔ mu (kɔ nsateaa kɛse no so) .
• Ntrɛwmu biako a emu dɔ a ɛwɔ nsateaa no so (palmar crease).
• Sɛ́ obi tenten sen sɛ wɔkyekyem pɛpɛɛpɛ a .

Bere a wo ba no nyin no, sɛnkyerɛnne afoforo betumi ada adi esiane ɔkwan a wɔn nipadua no faa so nyin wɔ awotwaa no mu nti. Nhwɛsoɔ:

• Aso mu yare anaasɛ aso a ɛyɛ den .
• Aniwa ho haw anaa aniwa mu nyarewa.
• Nsõ ho haw ahorow .
• Su a ɛkorɔn a ɛma obi nya ɔyare mmoawa anaa nyarewa a wɔtaa nya .
• Obstructive sleep apnea, tebea a ɛma ɔhome gyae bere a wada.
• Komayare a wɔde awo obi .

Wo duruyɛfo bɛhwɛ tebea horow a ɛte sɛɛ daa.

Adwene ne nkɔso su ahorow

Ebia wo ba a ɔwɔ Down syndrome no benya nsɛnnennen bi wɔ n’adwene mu nkɔso ho esiane chromosome a ɛboro so no nti. Eyi betumi ama obi anya adwene anaa nkɔso mu dɛmdi . Ebia wo ba no rentumi nyɛ nneɛma a ɛsɛ sɛ ɔyɛ wɔ mfe pɔtee bi mu, kyerɛ sɛ, ebia ɔrennu nkɔso mu nsɛntitiriw ho ntɛmntɛm te sɛ mmofra afoforo. Nhwɛsoɔ:

• Nantew ne kankyee (gross ne fine motor skills).
• Ɔkasa (kasa mu nkɔso ho nimdeɛ).
• Adesua (adwene mu nimdeɛ).
• Agodie (asetra ne nkate mu nimdeɛ).

Esiane eyi nti, ebia ebegye wo ba no bere kakra ansa na wayɛ saa nneɛma yi:

• Tiafi ho ntetee.
• Nsɛmfua a edi kan a wɔbɛka.
• Anamɔn a edi kan a wobɛtu.
• Adidi a wo nkutoo di.

Susuw ho hwɛ, mmofra binom nantew bere a wɔadi afe biako, na afoforo nso adi mfe biako ne fã. Ebia abofra a ɔwɔ Down syndrome remfi ase nantew kosi sɛ wobedi bɛyɛ mfe abien. Eyi yɛ wɔn nkɔso fã a efi awosu mu.

Suban mu su ahorow

Abofra a ɔwɔ Down syndrome betumi ada suban ahorow bi adi. Ebia eyi te saa efisɛ wontumi nka wɔn ahiade ho asɛm pefee nkyerɛ wo anaa wɔn a wɔhwɛ wɔn no. Ebia wubehu saa su ahorow yi:

• Atirimɔdensɛm ne abufuw .
• Ɛyɛ den sɛ wode w’adwene besi biribi so .
• Suban a ɛhyɛ obi so anaasɛ ɛhyɛ obi so yɛ su a ɛma nneɛma bi yɛ ne su dodo anaasɛ ɔsan yɛ nneɛma koro no ara .

Dɛn na ɛde Down Syndrome ba?

Sɛnea yɛadi kan aka no, nea ɛde Down syndrome ba titiriw ne chromosome foforo a ɛwɔ hɔ . Ne titiriw no, nsakrae a ɛba ɔkwan a nkwammoaa fa so kyekyɛ mu wɔ chromosome 21. Obiara a ɔwɔ Down syndrome no wɔ chromosome 21 foforo wɔ ne nkwammoaa bi anaa ne nyinaa mu.

Down syndrome ahorow abiɛsa na ɛwɔ hɔ, na ɛsono nea ɛde ba.

• Trisomy 21 `(Trisomy 21)`
• Nneɛma a wɔde kɔ baabi foforo
• Mosaicism a wɔde di dwuma

Dɛn ne Trisomy 21?

Eyi ne Down Syndrome a ɛtaa ba . "Trisomy" kyerɛ sɛ wobɛnya chromosome bi a ɛboro so. Wɔ Trisomy 21 mu no, nkwammoaa biara a ɛwɔ awotwaa a ɔrenyin mu no wɔ chromosome 21. Mpɛn pii no, abien pɛ na ɛwɔ hɔ. Saa ɔkwan yi na ɛyɛ nnipa a wɔwɔ Down Syndrome no mu 95%.

Dɛn ne Translocation Down yare no?

Wɔ saa su yi mu no, chromosome 21 no nyinaa anaa ne fã bi bata chromosome foforo ho. Nea ɛnte sɛ trisomy 21, baabi a sɛ́ anka ebenya chromosome 21 no bi foforo wɔ n’ankasa so no, wɔde bata chromosome a ɛsono ne dodow ho. Wohu saa ɔkwan yi wɔ nnipa a wɔwɔ Down syndrome no mu nea ennu 4% mu.

Dɛn ne Mosaic Down yare no?

Eyi ne Down Syndrome a ɛntaa nsi koraa . Ɛba wɔ nea ennu 1% mu wɔ nsɛm no nyinaa mu. "Mosaicism" kyerɛ sɛ nkwammoaa binom wɔ chromosomes 46 a ɛte saa, bere a afoforo nso wɔ chromosomes 47 (a chromosome 21 a ɛboro so no ka ho). Ɛte sɛ mosaic a wɔde abo a ɛsono ne kɔla ayɛ. Ɛno nti na wɔfrɛ no mosaic no.

Ɔkwan bɛn so na wobetumi ahu Down Syndrome ansa na wɔawo akokoaa?

Ebia nhwehwɛmu ahorow bi a wɔyɛ bere a wɔyem no bɛma nnuruyɛfo adwenem naayɛ wɔ Down syndrome ho. Sɔhwɛ afoforo nso betumi asi tebea no so dua.

Nhwehwɛmu a wɔyɛ de hwehwɛ awo ansa na wɔawo

Saa nhwehwɛmu ahorow yi hwɛ sɛ ebia wo ba no wɔ asiane mu sɛ obenya Down syndrome nkutoo anaa. Wontumi nsi so dua sɛ .Ebia nea ɛka eyi ho ne mogya mu nhwehwɛmu anaasɛ ɛna no ultrasound scan. Bere a wɔreyɛ scan no, oduruyɛfo no hwehwɛ biribi te sɛ nsu a ɛboro so ho sɛnkyerɛnne wɔ akokoaa no kɔn akyi. Ɛtɔ mmere bi a, sɛ nhwehwɛmu a wɔyɛ no ntɛm yi yɛ nea ɛfata mpo a, ebia akokoaa no benya Down syndrome.

Nhwehwɛmu a wɔyɛ de hu yare bere a wɔyem

Saa nhwehwɛmu ahorow yi betumi asi Down Syndrome so dua . Wɔtaa yɛ eyinom sɛ nhwehwɛmu ahorow a yɛadi kan aka ho asɛm a wɔde hwehwɛ nipadua mu no kyerɛ sɛ asiane bi wɔ hɔ a. Esiane sɛ nhwehwɛmu ahorow yi betumi de asiane ketewaa bi aba ɛna no ne akokoaa a ɔwɔ awotwaa mu no so nti, oduruyɛfo no kamfo kyerɛ bere a wasusuw ho yiye akyi nkutoo. Nhwɛso ahorow:

• Amniocentesis: Sɔhwɛ a ɛfa nsu kakraa bi a wɔde twa akokoaa no ho.
• Chorionic villus sampling (CVS): Adeyɛ a wɔfa so fa awotwaa no fã ketewaa bi na wɔhwehwɛ mu.
• Percutaneous umbilical blood sampling (PUBS): Nhwehwɛmu a ɛfa mogya kakraa bi a wogye fi awotwaa no mu.

Saa nhwehwɛmu ahorow yi tumi hu nsakrae a ɛba nkwaadɔm mu no pɛpɛɛpɛ.

Ɔkwan bɛn so na wohu Down Syndrome bere a wɔawo akokoaa akyi?

Sɛ wɔwo akokoaa no wie a, nnuruyɛfo hwehwɛ akokoaa no mu hwɛ sɛ ebia nipadua mu sɛnkyerɛnne ahorow a yɛadi kan aka ho asɛm no wɔ hɔ anaa. Nea ɛbɛyɛ na wɔakyerɛ sɛ wɔahu yare no, nhwehwɛmu titiriw bi wɔ hɔ a wɔfa akokoaa no mogya, a wɔfrɛ no karyotype nhwehwɛmu . Nea ɛka eyi ho ne sɛ wɔbɛfa akokoaa no mogya bi na wɔahwɛ no wɔ afiri a wɔde hwɛ nneɛma nketenkete mu ahwɛ sɛ akokoaa no wɔ chromosome a ɛto so 21 a ɛboro so no anaa.

Sɛ wuhu sɛ wo ba a ɔwɔ awotwaa mu no wɔ Down Syndrome a, dɛn na woyɛ?

Sɛ wuhu sɛ wo ba no wɔ Down syndrome a, ebetumi ayɛ gyinaesi a ɛyɛ den yiye. Nanso kae sɛ ɛnyɛ wo nko ara. Wo duruyɛfoɔ bɛtumi aboa wo ama woanya nneɛma, afotuo dwumadie, ne mmoa akuo a wohia.

Wɔ mmere te sɛ eyinom mu no, ɛboa ankasa sɛ wubenya afotu, anaasɛ wobɛkɔ akɔka kuw bi a wɔboa a mmofra a wɔwɔ Down syndrome awofo afoforo bom. Ɛhɔ no, wubetumi aka wɔn suahu, anya afotu a mfaso wɔ so, na woanya ahoɔden. Ɛte sɛ sɛ ɔhaw bi wɔ yɛn akuraa ase a, obiara bom bom boa.

Dɛn ne ayaresa ahorow a wɔde sa Down Syndrome?

Aduru biara nni hɔ a wɔde sa Down Syndrome. Nanso, ayaresa ne mmoa pii wɔ hɔ a ɛbɛboa wo ba ma wanya nkɔso akosi nea obetumi biara na watra ase anigye. Wɔayɛ saa ayaresa ahorow yi sɛnea ɛbɛyɛ a ɛbɛboa abofra no nipadua ne n’adwene mu nkɔso. Nhwɛso ahorow bi ne:

• Apɔw-mu-teɛteɛ anaa adwuma mu ayaresa .
• Ɔkasa mu ayaresa .
• Wɔ sukuu muNhomasua titiriw nhyehyɛe ahorow mu kyɛfa a wonya.
• Ayaresa mu tebea afoforo a ɛhyɛ ase a wɔbɛsa .
• Ahwehwɛ a wɔhyɛ ma aniwa mu haw anaasɛ mfiri a wɔboa ma wɔte asɛm a wɔde bedi dwuma ama wɔn a wɔn aso yɛ den.

Henanom na ɛsɛ sɛ wɔka kuw a wɔhwɛ me ba no ho?

Sɛ wo ba no wɔ Down syndrome a, ɛho behia sɛ ɔkɔ animdefo ahorow nkyɛn na ama wahwɛ ahu sɛ ɔwɔ apɔwmuden. Ebia kuw yi bi ne:

• Wɔn a wɔhwɛ wo ba titiriw : Hwɛ wo ba no nyin, ne nkɔso, ne nnuru a wɔde bɔ ne ho ban, ne akwahosan ho nsɛm nyinaa.
• Nnuruyɛfo a wɔyɛ adwumaden sɛnea abofra no ahiade te: Sɛ nhwɛso no, komayare ho ɔbenfo, ntini mu yare ho ɔbenfo, awosu ho ɔbenfo, ne aso ne anom ho ɔbenfo.
• Ɔkasa ho ayaresa ho animdefo : Boa abofra no ma ɔne no nni nkitaho.
• Apɔw-mu-teɛteɛ ho animdefo : Hyɛ ntini ahorow den na ma sɛnea obi keka ne ho no tu mpɔn.
• Adwuma mu ayaresa ho animdefo : Nya ahokokwaw a ehia na ama woatumi ayɛ da biara da nnwuma a ɛnyɛ den.
• Suban ho ayaresa ho animdefo : Boa ma wodi nkate mu nsɛnnennen a ɛba wɔ Down syndrome mu no ho dwuma.

Akwahosan tebea afoforo bɛn na wobetumi de abata Down Syndrome ho?

Nnipa a wɔwɔ Down syndrome betumi anya akwahosan ho tebea afoforo a ɛwɔ hɔ bere a wɔawo wɔn anaasɛ bere kɔ so no, ɛba. Oduruyɛfo betumi aboa wo ne wo ba no ma moadi tebea horow yi ho dwuma. Tebea horow a ɛtaa ba ne:

• Koma mu haw ahorow .
• Thyroid a ɛnyɛ ne kwan so .
• Digestive system haw : akisikuru, gastroesophageal reflux, ne celiac yare.
• Autism : Nsɛnnennen a ɛfa asetra mu nimdeɛ, nkitahodi, ne nneyɛe a wɔtaa yɛ ho.
• Alzheimer yare (bere a worenyin no).

So nnipa a wɔwɔ Down syndrome no wɔ asiane kɛse mu sɛ wobenya Alzheimer yare no?

Yiw, nnipa a wɔwɔ Down syndrome no wɔ asiane kɛse mu sɛ wobenya Alzheimer yare bere a wɔrenyin no. Nhwehwɛmu ada no adi sɛ nnipa a wɔwɔ Down syndrome a wɔadi mfeɛ aduonum bɛyɛ 30% ne nnipa a wɔadi mfeɛ aduosia bɛyɛ 50% betumi anya yareɛ no.

Wɔkyerɛ sɛ chromosome 21 a ɛboro so no na ɛde asiane a ɛkɔ soro yi ba. Nea enti a ɛte saa ne sɛ awosu mu nkwaadɔm a ɛwɔ chromosome 21 so no yɛ protein bi a wɔfrɛ no amyloid precursor protein, na ɛno na ɛma nsakrae a wohu wɔ Alzheimer ayarefo amemene mu no ba.

So wobetumi asiw Down Syndrome ano?

Down syndrome yɛ awosu mu yare, enti wontumi nsiw ano . Sɛ wopɛ sɛ wuhu asiane a ɛwɔ hɔ sɛ wobɛwo abofra a ɔwɔ yare no a, wo ne wo duruyɛfo nka awosu mu afotu ho asɛm.

Sɛ wowɔ abofra a ɔwɔ Down Syndrome a, dɛn na ɛsɛ sɛ wohwɛ kwan?

Sɛ wonya mmoa ne ɔdɔ a ɛfata a, mmofra a wɔwɔ Down syndrome betumi atra ase anigye ne apɔwmuden . Ayaresa ne ayaresa betumi aboa wɔn ma wɔadi nkɔso mu nsɛntitiriw so, ne mmofra afoforo a wɔne wɔn bɔ tipɛn asua ade, anya nnamfo, na wɔanya adwuma a edi mu.

Akuw ne nneɛma pii wɔ hɔ a wɔde bɛboa awofo, mmusua, ne wɔn a wɔhwɛ wɔn.

So aduru bi wɔ hɔ a wɔde sa Down Syndrome?

Dabi Down syndrome yɛ nkwa nna nyinaa tebea na enni ano aduru . Nanso, wobetumi adi sɛnkyerɛnne ahorow no ho dwuma, na ayaresa ahorow wɔ hɔ a wɔde sa akwahosan tebea afoforo a ebetumi aba.

Nnipa a wɔwɔ Down Syndrome nkwa nna yɛ dɛn?

Mprempren, sɛ wɔkyekyem pɛpɛɛpɛ a, obi a ɔwɔ Down syndrome nkwa nna yɛ mfe 60 anaa nea ɛboro saa . Ebia wobehia mmoa ne ɔhwɛ bi wɔ wɔn nkwa nna nyinaa mu.

Nneɛma bɛn na ɛwɔ hɔ ma nnipa a wɔwɔ Down syndrome ne wɔn mmusua?

Nneɛma pii wɔ hɔ a wɔde bɛboa nnipa a wɔwɔ Down syndrome ne wɔn mmusua. Mmusua pii kɔka Down syndrome mmoa akuw ho ma wɔka wɔn suahu ahorow na wɔka akwan a wɔbɛfa so aboa wɔn mma ma wɔatra ase a ahoɔden wom na abotɔyam wom ho asɛm.

Ebia nnipa a wɔwɔ Down Syndrome no behia mmoa wɔ wɔn nkwa nna nyinaa mu. Wɔ ayaresa akyi no, ebia wobehia mmoa nso wɔ nneɛma te sɛ nhomasua, adwuma, ne wɔn ankasa asetra mu. Ahyehyɛde ahorow wɔ hɔ a ɛma saa nkurɔfo yi ne wɔn mmusua nimde ne ahoɔden. Ahyehyɛde ne nhyehyɛe ahorow a ɛte saa ara wɔ Sri Lanka, enti wubetumi ahwɛ mu.

Nsɛm bɛn na ɛsɛ sɛ mibisa me duruyɛfo?

• Sɛ mewɔ adwenem naayɛ bi sɛ mewɔ Down Syndrome a, mɛyɛ dɛn asiesie me ho ama me ba no awo?
• Mɛyɛ dɛn atumi ahwɛ me ba?
• So wubetumi akamfo nneɛma biara a ebetumi aboa mmusua akyerɛ?
• Henanom na ɛsɛ sɛ wɔka kuw a wɔhwɛ me ba no ho?

So nnipa a wɔwɔ Down Syndrome betumi awo mma?

Yiw, nnipa a wɔwɔ Down Syndrome no betumi awo mma. Mmea bɛyɛ 50% tumi wo mma. Ebia mmarima awo so atew. Wɔ ɛna a ɔwɔ Down Syndrome fam no, asiane a ɛwɔ hɔ sɛ ɔde awosu mu tebea no bɛma ne mma no yɛ 35% kosi 50%.

Ɛyɛ ade a ɛfata sɛ wobɛte nka sɛ woayɛ basaa bere a wuhu sɛ wo ba wɔ Down syndrome no. Bere a worebɔ mmɔden sɛ wubegyina nsɛm ho amanneɛbɔ ano no, kae sɛ ɛnyɛ wo nkutoo na wo ba no nkwaadɔm a ɛka ho no yɛ wɔn nipasu no fã. Wubetumi anya mmoa afi wo ba no aduruyɛ kuw hɔ, anaasɛ abusua ne ahwɛfo akuw hɔ de asua tebea no ho ade pii na aboa wo ba no ma wanya nkɔso.

Nneɛma a ɛho hia paa a ɛsɛ sɛ yɛkae (Take-Home Message) .

Down Syndrome nyɛ biribi a ɛsɛ sɛ wosuro, ɛho hia sɛ wɔbɔ ho amanneɛ yiye .

• Eyi yɛ awosu mu tebea, na ɛnyɛ obiara mfomso.
• Ɛsono abofra biara, na mmofra a wɔwɔ Down syndrome nyin wɔ wɔn ankasa kwan soronko so.
• Sɛ wohu mmofra yi ntɛm na wɔsa wɔn yare ne mmoa a ɛho hia a, wobetumi nso atra ase anigye ne nea mfaso wɔ so.
• Ɛnyɛ wo nko ara! Nnipa ne nneɛma pii wɔ hɔ a wɔbɛboa wo na wɔaboa wo. Fa adwempa ne ɔdɔ gyina asɛnnennen yi ano .

Kae sɛ abofra biara yɛ akyɛde a ɛsom bo. Sɛ wɔma wɔn ɔdɔ, ɔhwɛ, ne hokwan a wohia a, wobetumi adi wiase no so nkonim!

` Down syndrome, chromosomes, awosu mu nyarewa, mmofra nkɔso, ahiade soronko, akwahosan ho nkyerɛkyerɛ, Sri Lanka