Loaʻa i kāu pēpē kēia mau hōʻailona? E kamaʻilio kākou e pili ana i ka Down Syndrome

Ua ʻike anei ʻoe he ʻokoʻa iki ke ʻano o kekahi mau pēpē ma mua o nā mea ʻē aʻe, a he ʻokoʻa iki ko lākou helehelena? Malia paha ua noʻonoʻo like ʻoe e pili ana i kāu pēpē. I kēlā mau manawa, hoʻokahi nīnau e hiki mai ana i ko mākou manaʻo, "He aha kēia?" I kēia lā e kamaʻilio mākou e pili ana i kahi maʻi e pono ai ka nānā kūikawā, a ʻo ia hoʻi ʻo Down Syndrome. Mai hopohopo, e kamaʻilio maʻalahi mākou e pili ana i kēia, ma ke ʻano hiki iā ʻoe ke hoʻomaopopo.

He aha ka Down Syndrome? I ka pōkole...

He maʻi hoʻoilina ka Down Syndrome. ʻO ia hoʻi, ua hoʻokumu ʻia e kahi chromosome keu i loko o ke kino o kahi pēpē i ka wā e hānau ʻia ai. I kēia manawa ke noʻonoʻo nei paha ʻoe i ke ʻano o kēia mau chromosome. I loko o nā pūnaewele liʻiliʻi loa o ko mākou kino, aia nā mea e like me nā pōpō liʻiliʻi o ke kaula. ʻO ia ka mea a mākou e kapa nei he chromosomes. ʻO kēia nā mea e hoʻoholo ai i nā mea he nui e pili ana i ko mākou helehelena, ke kiʻekiʻe, ke kala, a me nā hiki.

ʻO ka maʻamau, loaʻa iā kākou āpau he 23 mau pālua o kēia mau chromosome i loko o kēlā me kēia cell. ʻO ia hoʻi he 46 mau chromosome i ka huina. Eia naʻe, he kope keu o ka chromosome 21 ko kahi pēpē me Down syndrome, ʻo ia hoʻi hoʻokahi hou aʻe. A laila lilo ka huina o nā chromosome i loko o kāna mau cell i 47. Ma muli o kēia chromosome keu i ʻokoʻa iki ai ka ulu ʻana o ka lolo a me ke kino o ka pēpē.

ʻO wai ka mea hiki ke loaʻa iā Down Syndrome?

Hiki i ka Down syndrome ke hoʻopilikia i kekahi. He genetic ia a ʻaʻole i hana ʻia e kekahi mea a ka makuahine a makua paha e hana ai ma mua a i ka wā hāpai paha. ʻO ka hapa nui o ka manawa, hana ia ma ke ʻano ulia wale nō, ʻo ia hoʻi, hana ia ma o ia iho. Hoʻoili pinepine ʻia mai kēlā hanauna a i kēia hanauna ke hui ka hua manu a me ka sperm.

He aha nā kumu pilikia no ka Down Syndrome?

Ke noiʻi ʻia nei kēia. Eia nō naʻe, ua hōʻike ʻia nā haʻawina e piʻi iki paha ka pilikia o ka loaʻa ʻana o kahi pēpē me Down syndrome i ka wā e ʻelemakule ai ka makuahine . ʻOi aku ka nui o ka loaʻa ʻana o kahi pēpē me Down syndrome a i ʻole nā ​​​​maʻi genetic ʻē aʻe no nā makuahine ma luna o 35 mau makahiki.

Akā, ʻaʻole kēia manaʻo ʻaʻole i loaʻa i nā makuahine ʻōpio kēia maʻi. Ma muli o ke kiʻekiʻe o ka nui o ka hānau keiki no nā makuahine ma lalo o 35, ʻo ka hapa nui o nā pēpē me Down syndrome ua hānau ʻia i nā makuahine ma lalo o 35. No laila, ʻaʻole ʻo ka makahiki wale nō ke kumu.

Pehea ka maʻamau o ka Down Syndrome?

I ka hoʻohālikelike ʻia me nā ʻāina e like me ʻAmelika Hui Pū ʻIa, he maʻi chromosomal maʻamau ka Down Syndrome. Ma kahi o 6,000 mau pēpē i hānau ʻia me kēia maʻi i kēlā me kēia makahiki ma laila. ʻO ia hoʻi, ma kahi o hoʻokahi i loko o 700 mau pēpē i hānau ʻia e loaʻa paha kēia maʻi. Aia kekahi mau keiki me kēia maʻi ma Sri Lanka, no laila he mea nui loa ia e makaʻala i kēia.

He aha nā hōʻailona o kahi keiki me Down Syndrome?

Hiki i ka Down syndrome ke hana i nā hōʻailona kino, noʻonoʻo, a me ke ʻano. Eia naʻe, ʻaʻole i loaʻa i nā keiki āpau kēia mau hōʻailona āpau, a ʻokoʻa ke ʻano o nā hōʻailona mai kekahi keiki a i kekahi.

Nā ʻano kino (nā loli i ke ʻano)

ʻIke pinepine ʻia kēia mau hōʻailona i ka wā hānau, a hiki ke ʻike nui ʻia i ka wā e ulu ana ke pēpē.

• He pālahalaha iki ke Alahaka ʻo Nahe .
• Me he mea lā ua kīkoʻo ʻia nā maka i luna .
• He pōkole iki ka ʻāʻī .
• ʻOi aku ka liʻiliʻi o nā pepeiao, nā lima, a me nā wāwae ma mua o ka maʻamau .
• Loaʻa ka nāwaliwali o nā ʻiʻo (flaccidity) i ka wā hānau.
• Hoʻokiʻekiʻe ʻia ka manamana lima liʻiliʻi o ka lima i loko (i ka manamana nui) .
• ʻO ke alo o kahi laina hohonu hoʻokahi ma ka pāma (palmar crease).
• ʻO ke kiʻekiʻe ma lalo o ka awelika .

I ka ulu ʻana o kāu pēpē, hiki ke ʻike ʻia nā hōʻailona hou aʻe ma muli o ke ʻano o ka ulu ʻana o ko lākou kino i ko lākou wā i loko o ka ʻōpū. Eia kekahi laʻana:

• Nā maʻi pepeiao a i ʻole ka nalowale o ka lohe.
• Nā pilikia ʻike a i ʻole nā ​​maʻi maka .
• Nā pilikia niho .
• ʻOi aku ka nui o ka loaʻa ʻana o nā maʻi a i ʻole nā ​​​​maʻi pinepine.
• ʻO ka apnea hiamoe obstructive, kahi kūlana e pau ai ka hanu ʻana i ka wā hiamoe.
• Maʻi puʻuwai hānau .

E nānā pinepine kāu kauka i nā kūlana e like me kēia.

Nā ʻano noʻonoʻo a me ka ulu ʻana

Hiki i kāu keiki me Down syndrome ke loaʻa i kekahi mau pilikia me ka ulu ʻana o ka noʻonoʻo ma muli o ka chromosome keu. Hiki i kēia ke alakaʻi i nā kīnā noʻonoʻo a i ʻole ke kīnā ulu . ʻAʻole hiki i kāu keiki ke hana i nā mea e pono ai lākou e hana i kekahi mau makahiki, ʻo ia hoʻi, ʻaʻole paha lākou e hiki i nā pae holomua ulu ma ka wikiwiki like me nā keiki ʻē aʻe. Eia kekahi laʻana:

• Ke hele wāwae a me ka neʻe ʻana (nā mākau neʻe nui a maikaʻi).
• ʻŌlelo (nā mākau hoʻomohala ʻōlelo).
• Ke aʻo ʻana (nā mākau noʻonoʻo).
• Ke pāʻani nei (nā mākau pilikanaka a me nā mākau naʻau).

Ma muli o kēia, hiki i kāu keiki ke lōʻihi iki ka manawa e hana ai i kēia mau mea:

• Hoʻomaʻamaʻa halepaku.
• Ke ʻōlelo nei i nā huaʻōlelo mua.
• Ke hana nei i ka hana mua.
• ʻAi hoʻokahi.

E noʻonoʻo e pili ana i ia mea, hele kekahi mau keiki i hoʻokahi makahiki, ʻo kekahi i hoʻokahi makahiki a me ka hapa. ʻAʻole paha e hoʻomaka ka hele ʻana o kahi keiki me Down syndrome a hiki i ko lākou mau makahiki ʻelua. He ʻāpana kūlohelohe kēia o ko lākou ulu ʻana.

Nā ʻano hana

Hiki i kekahi keiki me Down syndrome ke hōʻike i kekahi mau ʻano hana. ʻO kēia paha no ka mea ʻaʻole hiki iā lākou ke kamaʻilio maopopo i ko lākou mau pono iā ʻoe a i ʻole ko lākou poʻe mālama. E ʻike paha ʻoe i kēia mau ʻano:

• Paʻakikī a me ka huhū .
• Paʻakikī i ka noʻonoʻo ʻana .
• ʻO nā ʻano hana hoʻokaumaha a hoʻokaumaha paha he ʻano ia e lilo ai i mea hoʻopili nui i kekahi mau mea a i ʻole e hana hou i nā mea like .

He aha ke kumu o Down Syndrome?

E like me kā mākou i ʻōlelo ai ma mua, ʻo ke kumu nui o Down syndrome ka loaʻa ʻana o kahi chromosome keu . ʻO ke kikoʻī, ua hoʻokumu ʻia e kahi loli i ke ʻano o ka māhele ʻana o nā cell ma ka chromosome 21. Loaʻa i nā kānaka a pau me Down syndrome kahi chromosome 21 keu i loko o kekahi a i ʻole ko lākou mau cell āpau.

ʻEkolu mau ʻano o Down syndrome, a he ʻokoʻa nā kumu o kēlā me kēia.

• ʻO Trisomy 21 `(Trisomy 21)`
• Hoʻololi ʻana
• Mosaicism

He aha ka Trisomy 21?

ʻO kēia ke ʻano maʻamau o Down Syndrome. ʻO "Trisomy" ke ʻano o ka loaʻa ʻana o kahi kope keu o kahi chromosome. I ka Trisomy 21, loaʻa i kēlā me kēia cell i loko o kahi fetus e ulu ana he ʻekolu kope o ka chromosome 21. ʻO ka maʻamau, ʻelua wale nō. ʻO kēia ʻano no 95% o ka poʻe me Down Syndrome.

He aha ka Translocation Down syndrome?

Ma kēia ʻano, ua hoʻopili ʻia ka chromosome 21 āpau a i ʻole kekahi hapa i kekahi chromosome ʻē aʻe. ʻAʻole like me ka trisomy 21, kahi ma kahi o ka loaʻa ʻana o kahi kope keu o ka chromosome 21 nona iho, ua hoʻopili ʻia ia i kahi chromosome o kahi helu ʻokoʻa. ʻIke ʻia kēia ʻano ma lalo o 4% o ka poʻe me Down syndrome.

He aha ka Mosaic Down syndrome?

ʻO kēia ke ʻano kakaikahi loa o Down Syndrome. Loaʻa ia ma lalo o 1% o nā hihia āpau. ʻO ke ʻano o "Mosaicism" he 46 mau chromosome maʻamau ko kekahi mau cell, aʻo kekahi he 47 mau chromosome (me ka chromosome keu 21). Ua like ia me kahi mosaic i hana ʻia me nā pōhaku kala like ʻole. ʻO ia ke kumu i kapa ʻia ai he mosaic.

Pehea e hiki ai ke ʻike ʻia ka Down syndrome ma mua o ka hānau ʻana o kahi pēpē?

Hiki i kekahi mau hoʻokolohua i hana ʻia i ka wā hāpai ke hāpai i nā kānalua i nā kauka e pili ana i ka Down syndrome. Hiki i nā hoʻokolohua ʻē aʻe ke hōʻoia i ke kūlana.

Nā hoʻokolohua nānā prenatal

Nānā wale kēia mau hoʻokolohua inā paha e loaʻa ana i kāu pēpē ka Down syndrome. ʻAʻole hiki iā lākou ke hōʻoia .Hiki i kēia ke komo pū me kahi hoʻāʻo koko a i ʻole kahi scan ultrasound o ka makuahine. I ka wā o ke scan, ʻimi ke kauka i nā hōʻailona o kahi mea e like me ke wai keu ma hope o ka ʻāʻī o ka pēpē. I kekahi manawa, ʻoiai inā maʻamau kēia mau hoʻāʻo mua, loaʻa paha i ka pēpē ka Down syndrome.

Nā hoʻokolohua diagnostics i ka wā hāpai

Hiki i kēia mau hoʻāʻo ke hōʻoia i ka Down Syndrome. Hana pinepine ʻia kēia mau mea inā hōʻike nā hoʻāʻo nānā i ʻōlelo ʻia ma luna nei he pilikia. ʻOiai hiki i kēia mau hoʻāʻo ke hoʻoweliweli iki i ka makuahine a me ke pēpē i loko o ka ʻōpū, ʻōlelo ke kauka iā lākou ma hope o ka noʻonoʻo pono ʻana. Nā Laʻana:

• Amniocentesis: He hoʻāʻo e pili ana i ka lawe ʻana i kahi wai liʻiliʻi a puni ka pēpē.
• ʻO ka laʻana ʻana o Chorionic villus (CVS): He kaʻina hana e lawe ʻia ai kahi ʻāpana liʻiliʻi o ka placenta a nānā ʻia.
• Ka hāpana koko umbilical percutaneous (PUBS): He hoʻāʻo e pili ana i ka lawe ʻana i kahi koko liʻiliʻi mai ke kaula umbilical.

Hiki i kēia mau hoʻokolohua ke ʻike pololei i nā loli i nā chromosomes.

Pehea e ʻike ʻia ai ka Down syndrome ma hope o ka hānau ʻana o kahi pēpē?

Ma hope o ka hānau ʻana o ke pēpē, nānā nā kauka i ke pēpē no nā hōʻailona kino i ʻōlelo ʻia ma mua. No ka hōʻoia ʻana i ka maʻi, aia kahi hoʻāʻo kūikawā e lawe ana i ke koko o ke pēpē, i kapa ʻia he hoʻāʻo karyotype . Pili kēia i ka lawe ʻana i kahi hāpana o ke koko o ke pēpē a nānā iā ia ma lalo o kahi microscope e ʻike inā loaʻa i ka pēpē ka chromosome 21 keu.

He aha kāu e hana ai inā ʻike ʻoe ua loaʻa i kāu pēpē i loko o ka ʻōpū ʻo Down Syndrome?

He mea paʻakikī loa ka ʻike ʻana ua loaʻa i kāu pēpē ka Down syndrome. Akā e hoʻomanaʻo ʻaʻole ʻoe hoʻokahi. E hiki i kāu kauka ke kōkua iā ʻoe e ʻimi i nā kumuwaiwai, nā lawelawe aʻoaʻo, a me nā hui kākoʻo āu e pono ai.

I nā manawa e like me kēia, he mea kōkua nui ka loaʻa ʻana o ke aʻo ʻana, a i ʻole e hui pū me kahi hui kākoʻo kahi e hui pū ai nā mākua ʻē aʻe o nā keiki me Down syndrome. Ma laila, hiki iā ʻoe ke kaʻana like i kā lākou ʻike, loaʻa nā ʻōlelo aʻoaʻo kūpono, a loaʻa ka ikaika. Me he mea lā i ka wā e loaʻa ai kahi pilikia ma ko mākou kauhale, hui pū nā mea a pau e kōkua.

He aha nā lāʻau lapaʻau no Down Syndrome?

ʻAʻohe lāʻau lapaʻau no Down Syndrome. Eia nō naʻe, nui nā lāʻau lapaʻau a me nā kākoʻo i loaʻa e kōkua i kāu keiki e ulu i ko lākou hiki piha a ola i kahi ola hauʻoli. Ua hoʻolālā ʻia kēia mau lāʻau lapaʻau e kōkua i ka ulu kino a me ka noʻonoʻo o ke keiki. ʻO nā hiʻohiʻona:

• Hoʻōla kino a i ʻole ka hoʻōla hana .
• Hoʻōla ʻōlelo.
• Ma ke kulaKe komo ʻana i nā papahana hoʻonaʻauao kūikawā.
• Ke mālama ʻana i nā kūlana olakino ʻē aʻe .
• Ke komo ʻana i nā aniani no nā pilikia ʻike a i ʻole ka hoʻohana ʻana i nā mea lohe i kōkua ʻia no nā pilikia lohe.

ʻO wai ka mea e pono ke komo i loko o ka hui mālama o kaʻu keiki?

Inā loaʻa i kāu keiki ka Down syndrome, pono lākou e ʻike i nā ʻano loea like ʻole e hōʻoia i ko lākou olakino. Hiki i kēia hui ke komo pū me:

• Nā mea lawelawe mālama mua : E mālama i ka ulu ʻana o kāu keiki, ka ulu ʻana, nā lāʻau pale, a me nā pilikia olakino maʻamau.
• Nā kauka loea e like me nā pono o ke keiki: No ka laʻana, he cardiologist, he endocrinologist, he geneticist, a me kahi otolaryngologist.
• Nā mea hoʻōla ʻōlelo : Kōkua i ke keiki e kamaʻilio.
• Nā mea hoʻōla kino : Hoʻoikaika i nā ʻiʻo a hoʻomaikaʻi i nā mākau neʻe.
• Nā mea hoʻōla hana: E hoʻomohala i nā mākau e pono ai e hana i nā hana o kēlā me kēia lā me ka maʻalahi.
• Nā mea hoʻoponopono ʻano: Kōkua i ka hoʻokele ʻana i nā pilikia naʻau e hele mai me Down syndrome.

He aha nā pilikia olakino ʻē aʻe e pili pū ana me Down Syndrome?

Hiki i nā kānaka me Down syndrome ke loaʻa i nā maʻi olakino ʻē aʻe i loaʻa i ka wā hānau a i ʻole e ulu aʻe i ka hala ʻana o ka manawa. Hiki i ke kauka ke kōkua iā ʻoe a me kāu keiki e hoʻokele i kēia mau kūlana. ʻO nā kūlana maʻamau:

• Nā pilikia puʻuwai .
• Nā ʻano ʻē o ka thyroid .
• Nā pilikia me ka ʻōnaehana hoʻoheheʻe : constipation, gastroesophageal reflux, a me ka maʻi celiac.
• ʻAutism : Nā pilikia e pili ana i nā mākau pilikanaka, ke kamaʻilio ʻana, a me nā hana hana hou.
• ʻO ka maʻi o Alzheimer (i kou wā ʻelemakule).

Aia kekahi pilikia nui o ka poʻe me Down syndrome i ka loaʻa ʻana o ka maʻi Alzheimer?

ʻAe, ʻoi aku ka nui o ka pilikia o ka poʻe me Down syndrome i ka loaʻa ʻana o ka maʻi Alzheimer i ko lākou ʻelemakule ʻana. Ua hōʻike ʻia nā noiʻi e pili ana i ka 30% o ka poʻe me Down syndrome i ko lākou mau makahiki 50 a me kahi 50% o ka poʻe i ko lākou mau makahiki 60 e loaʻa paha i ka maʻi.

Ua ʻōlelo ʻia ʻo ka chromosome 21 keu ke kumu o kēia hoʻonui ʻia o ka pilikia. ʻO kēia no ka mea ʻo nā genes ma ka chromosome 21 e hana i kahi protein i kapa ʻia ʻo amyloid precursor protein, nona ke kuleana no nā loli i ʻike ʻia i loko o ka lolo o nā maʻi Alzheimer.

Hiki ke pale ʻia ka Down Syndrome?

He maʻi hoʻoilina ka Down syndrome, no laila ʻaʻole hiki ke pale ʻia . Inā makemake ʻoe e ʻike i kou pilikia o ka loaʻa ʻana o kahi keiki me ke ʻano, e kamaʻilio me kāu kauka e pili ana i ke aʻo ʻana i nā hoʻoilina.

He aha kāu e manaʻo ai inā loaʻa iā ʻoe ke keiki me Down Syndrome?

Me ke kākoʻo kūpono a me ke aloha, hiki i nā keiki me Down syndrome ke ola hauʻoli a olakino . Hiki i ka lāʻau lapaʻau a me nā therapies ke kōkua iā lākou e lanakila i nā hanana ulu, e aʻo me nā keiki ʻē aʻe o ko lākou mau makahiki, e hana i nā hoaaloha, a loaʻa nā ʻoihana holomua.

Nui nā hui a me nā kumuwaiwai e kōkua ai i nā mākua, nā ʻohana, a me nā mea mālama.

Aia kekahi lāʻau lapaʻau no Down Syndrome?

ʻAʻole. He maʻi ola ka Down syndrome a ʻaʻohe lāʻau lapaʻau . Eia nō naʻe, hiki ke mālama ʻia nā hōʻailona, ​​a aia nā lāʻau lapaʻau no nā kūlana olakino ʻē aʻe e hiki mai ana.

He aha ke kūlana o ke ola no ka poʻe me Down Syndrome?

I kēia mau lā, ʻo ka awelika o ke ola no kekahi me Down syndrome he 60 mau makahiki a ʻoi paha . Pono paha lākou i ke kākoʻo a me ka mālama ʻana i ko lākou ola a pau.

He aha nā kumuwaiwai i loaʻa no ka poʻe me Down syndrome a me ko lākou mau ʻohana?

Nui nā kumuwaiwai e kōkua i ka poʻe me Down syndrome a me ko lākou mau ʻohana. Nui nā ʻohana e hui pū me nā hui kākoʻo Down syndrome e kaʻana like i kā lākou mau ʻike a kamaʻilio e pili ana i nā ala e kōkua ai i kā lākou mau keiki e ola olakino a hoʻokō i nā ola.

Pono paha ka poʻe me Down Syndrome i ke kākoʻo i ko lākou ola a pau. Ma waho aʻe o ka hoʻōla ʻana, pono paha lākou i ke kōkua me nā mea e like me ka hoʻonaʻauao, ka hana, a me ke ola kūʻokoʻa. Aia nā hui like ʻole e hāʻawi ana i ka ʻike a me ka ikaika i kēia poʻe a me ko lākou mau ʻohana. Aia nā hui like a me nā papahana ma Sri Lanka, no laila hiki iā ʻoe ke nānā iā lākou.

He aha nā nīnau e pono iaʻu e nīnau aku i kaʻu kauka?

• Inā he kānalua koʻu no ka Down Syndrome, pehea e hiki ai iaʻu ke hoʻomākaukau no ka hānau ʻana o kaʻu pēpē?
• Pehea e hiki ai iaʻu ke kākoʻo i kaʻu keiki?
• Hiki iā ʻoe ke kuhikuhi mai i kekahi mau kumuwaiwai e kōkua paha i nā ʻohana?
• ʻO wai ka mea e pono ke komo i loko o ka hui mālama o kaʻu keiki?

Hiki i nā kānaka me Down Syndrome ke hānau keiki?

ʻAe, hiki i ka poʻe me Down Syndrome ke loaʻa nā keiki. Ma kahi o 50% o nā wahine e hiki ke loaʻa nā keiki. Hiki i nā kāne ke emi ka hānau keiki. No ka makuahine me Down Syndrome, ʻo ka pilikia o ka hoʻoili ʻana i ke kūlana genetic i kāna mau keiki ma waena o 35% a me 50%.

He mea maʻamau ka manaʻo kaumaha ke ʻike ʻoe ua loaʻa i kāu keiki ka Down syndrome. I kou hoʻāʻo ʻana e hoʻomanawanui i ka nūhou, e hoʻomanaʻo ʻaʻole ʻoe hoʻokahi a ʻo ka chromosome keu o kāu keiki kekahi hapa o ko lākou ʻano. Hiki iā ʻoe ke loaʻa ke kākoʻo mai ka hui lapaʻau o kāu keiki, a i ʻole mai nā hui ʻohana a me nā mea mālama e aʻo hou e pili ana i ke kūlana a kōkua i kāu keiki e ulu pono.

Nā mea nui a mākou e hoʻomanaʻo ai (Leka Lawe-Home)

ʻAʻole makaʻu ka Down Syndrome, he mea nui e hoʻomaopopo pono ʻia e pili ana i ia mea.

• He kūlana hoʻoilina kēia, ʻaʻole hewa kekahi.
• He ʻokoʻa kēlā me kēia keiki, a ʻokoʻa ka ulu ʻana o nā keiki me Down syndrome ma ko lākou ʻano ponoʻī.
• Me ka ʻike mua ʻana a me ka mālama ʻana a me ke kākoʻo e pono ai, hiki i kēia mau keiki ke ola i kahi ola hauʻoli a waiwai hoʻi.
• ʻAʻole ʻoe hoʻokahi! Nui nā kānaka a me nā kumuwaiwai e kōkua a kākoʻo iā ʻoe. E kū i kēia pilikia me ka manaʻo maikaʻi a me ke aloha .

E hoʻomanaʻo, he makana makamae kēlā me kēia keiki. Inā hāʻawi ʻia iā lākou ke aloha, ka mālama, a me ka manawa kūpono e pono ai lākou, hiki iā lākou ke lanakila i ke ao nei!

ʻO ka maʻi Down, nā chromosomes, nā maʻi genetic, ka ulu ʻana o ke keiki, nā pono kūikawā, ka hoʻonaʻauao olakino, Sri Lanka