Ebintu by’olina okumanya ku Down Syndrome

Omusawo bw’akugamba nti omwana wo alina obulwadde bwa Down Syndrome, oyinza okuwulira ng’otya nnyo n’okuwuniikirira. Ekyo kya bulijjo nnyo. Ebibuuzo nga "Kati nkole ntya?" ne "Ebiseera by'omwana wange eby'omu maaso binaaba bitya?" osanga zidduka mu birowoozo byo. Tofaayo. Tujja kwogera ku buli kimu mu ngeri ennyangu ennyo gy’osobola okutegeera. W’onoomala okusoma ekitundu kino, ojja kuba otegedde bulungi embeera eno.

Mu ngeri ennyangu, obulwadde bwa Down syndrome kye ki?

Okay, okutegeera kino, ka tutandike n'ekintu ekisinga obukulu mu mubiri gwaffe. Omubiri gwaffe gukolebwa obukadde n’obukadde bw’obutoffaali obutonotono. Munda mu buli emu ku butoffaali buno mulimu "ebiragiro" ebirimu amawulire gonna agakwata ku ngeri omubiri gwaffe gye gulina okukolamu, endabika yaffe, obuwanvu bwaffe, ne langi y'amaaso gaffe. Mu by’obusawo, ebitabo bino eby’ebiragiro tubiyita chromosomes .

Mu budde obwabulijjo, buli katoffaali mu muntu omulamu obulungi kalina ebibiri 23 ebya chromosomes zino, nga omugatte gwa chromosomes 46 . Ekibaawo mu mwana alina obulwadde bwa Down syndrome kwe kuba nti waliwo kkopi ey’enjawulo eya chromosome 21. Kino kitegeeza nti obutoffaali bw’omwana bulina chromosomes 47 mu kifo kya 46.

Waliwo ensonga entongole evuddeko embeera eno? Ani ali mu bulabe obw’amaanyi?

Kino kibuuzo abazadde bangi kye babuuza. "Guno musango gwaffe?" beebuuza. Kya lwatu nti si bwe kiri. Obulwadde bwa Down syndrome si mbeera ereetebwa ekintu kyonna abazadde kye baakola nga tebannafuna lubuto oba nga bali lubuto. Kumpi kibeerawo mu bitundutundu. Kwe kugamba, kibaawo mu butanwa mu kiseera ky’okugabanya obutoffaali okubaawo ng’ensigo n’eggi bisisinkanye mu kiseera ky’olubuto.

Kyokka okunoonyereza kuzudde nti emikisa gy’okuzaala omwana alina obulwadde bwa Down syndrome bweyongera katono ng’emyaka gya maama gyeyongera . Obulabe buno bungi nnyo naddala eri abakyala abasukka emyaka 35. Wabula kino tekitegeeza nti embeera eno tebaawo mu bamaama abali wansi w’emyaka 35. Mu butuufu, olw’okuba abakyala abali wansi w’emyaka 35 bazaala abaana bangi, abaana abasinga obungi abalina obulwadde bwa Down syndrome bazaalibwa bamaama abali wansi w’emyaka 35.

Bubonero ki obutera okulabika ng’omwana alina obulwadde bwa Down syndrome?

Abaana abalina obulwadde bwa Down syndrome balina engeri ezimu ezimanyiddwa mu mubiri, mu magezi, ne mu nneeyisa. Kyokka, engeri zino zonna teziri mu buli mwana.Era tulina okukijjukira nti engeri y’engeri ezo eyinza okwawukana okusinziira ku mwana.

Ng’oggyeeko obubonero buno, ebizibu ebirala eby’obulamu biyinza okuvaamu ng’omwana akula. Ng’ekyokulabirako, obulwadde bw’amatu, obutalaba bulungi, amannyo buzibu, okuziyiza okussa mu tulo, n’abaana abamu bayinza okuba n’obulwadde bw’omutima obuzaalibwa . N’olwekyo, omusawo ajja kukebera abaana bano buli kiseera.

Waliwo ebika by’obulwadde bwa Down syndrome ebikulu bisatu.

Obulwadde bwa Down syndrome bwawulwamu ebika bisatu ebikulu, okusinziira ku ngeri chromosome eyo ey’okubiri ey’okubiri gy’esangibwa mu butoffaali.

1. Trisomy 21: Kino kye kika ekisinga okumanyibwa . Bukwata abantu 95% abalina obulwadde bwa Down syndrome. Ekika kino kimanyiddwa olw’okubeerawo kwa kkopi ssatu eza chromosome 21 mu buli katoffaali k’omubiri, mu kifo ky’okubeerawo bbiri.

2. Obulwadde bwa Translocation Down Syndrome: Kino tekitera kubaawo katono. Ebitundu nga 4% ku balwadde ba Down syndrome be ba kika kino. Ekibaawo wano kiri nti ekirungo kyonna oba ekitundu kya chromosome 21 eky’enjawulo kigenda ku chromosome endala ne yeekwata.

3. Obulwadde bwa Mosaic Down Syndrome: Kino kye kika ekisinga obutatera kulabika (ekitakka wansi wa 1%). Ekibaawo wano kiri nti ensengekera y’obutonde (extra 21st chromosome) ebeera mu butoffaali obumu obw’omubiri bwokka. Obutoffaali obulala mu budde obutuufu bulina ensengekera z’obutonde (chromosomes) 46. Olw’ensonga eno, obubonero bw’abaana bano buyinza okuba nga butono okusinga bulijjo.

Otegeera otya embeera eno?

Obulwadde bwa Down syndrome busobola okuzuulibwa nga tannazaalibwa oba oluvannyuma lw’okuzaalibwa.

Omwana nga tannazaalibwa (mu kiseera ky’olubuto) .

Waliwo ebika bibiri eby’okukebera ebikolebwa ng’oli lubuto.

• Okukebera: Bino bikozesebwa okuzuula obulabe bw’omwana okufuna obulwadde bwa Down syndrome. Kino kikolebwa nga bayita mu kukeberebwa omusaayi okuva ewa maama n’okukeberebwa ‘Ultrasound scan’. Sikaani eno epima ebintu ng’obungi bw’amazzi agali emabega w’ensingo y’omwana. Singa okukebera kuno kulaga nti waliwo akabi, ojja kusindikibwa okwongera okukeberebwa okukakasa.
• Okukebera okuzuula obulwadde: Bino bituufu 100% mu kuzuula oba omwana alina obulwadde bwa Down syndrome. Ebikulu ebigezesebwa ku kino bye bino: Amniocentesis ne Chorionic Villus Sampling (CVS) . Kino kizingiramu okutwala akatundu akatono ak’amazzi g’omu lubuto oba enseke eyeetoolodde omwana n’okukebera oba omwana alina ensengekera y’obutonde (chromosomes).

Oluvannyuma lw’okuzaalibwa omwana

Amangu ddala ng’omwana amaze okuzaalibwa, abasawo bajja kwekenneenya endabika y’omwana. Bajja kunoonya ebintu ebya bulijjo bye twayogeddeko emabegako. Singa kiteeberezebwa nti obulwadde bwa Down syndrome, bakola omusaayi oguyitibwa karyotype okugukakasa. Omusaayi omutono oguggyiddwa ku mwana gusobola okwekebejjebwa mu microscope okuzuula oba waliwo kkopi ey’enjawulo eya chromosome 21.

Obujjanjabi n‟obuwagizi - okuyamba otya omwana?

Obulwadde bwa Down syndrome si mbeera ewonyezebwa ddala. Embeera y’obulamu bwonna. Kyokka, singa omwana afuna obujjanjabi obutuufu, okumujjanjaba, n’okumuwagira mu ngeri ey’okwagala, asobola okuyambibwa okubeera n’obulamu obw’essanyu era obulungi mu bujjuvu.

Obujjanjabi bw’oyinza okukozesa mulimu:

• Obujjanjabi bw’omubiri: Buyamba okunyweza ebinywa n’okutumbula obukugu mu ntambula ng’okutambula n’okuwuga.
• Occupational Therapy: Okukulaakulanya obukugu obwetaagisa okusobola okwanguyirwa okukola emirimu gya buli lunaku, gamba nga okweyambaza, okulya, n’okukwata ekkalaamu.
• Speech Therapy: Kikuyamba okwogera obulungi, okutegeera abalala bye boogera, n’okwolesa ebirowoozo byo.
• Enteekateeka z’okusomesa ez’enjawulo: Emirimu gy’okusomesa gikolebwa ku ssomero mu ngeri etuukana n’obusobozi bw’omwana okuyiga.
• Obujjanjabi bw’ebizibu ebirala eby’obulamu: Bwe wabaawo embeera yonna ng’obulwadde bw’omutima oba obuzibu mu thyroid, muwe obujjanjabi obwetaagisa.

Ensonga ez’enjawulo ezirina okufaayo ku bulamu bw’omwana

Abaana abalina obulwadde bwa Down syndrome bali mu bulabe bwa maanyi obw’okufuna ebizibu by’ebyobulamu ebimu, n’olwekyo kikulu okumanya kino.

• Obulwadde bw’omutima: Abaana bangi basobola okufuna obulwadde bw’omutima obuzaalibwa. Ebimu ku byo byetaaga okulongoosebwa.
• Ebizibu mu thyroid: Obusimu obukola thyroid buyinza okuba wansi oba nga bungi.
• Obuzibu mu nkola y’okugaaya emmere: Embeera ng’okuziyira n’okuzimba olubuto zitera okubeerawo.
• Obulwadde bwa Alzheimer: Abantu abalina obulwadde bwa Down syndrome bali mu bulabe obw’okufuna obulwadde bwa Alzheimer, obulwadde obuleeta okubulwa okujjukira, bwe bakaddiwa. Kizuuliddwa nti obuzaale obuli ku chromosome 21 yeenyigira mu kino.

N’olwekyo, kyetaagisa okunoonya amagezi mu basawo buli kiseera ku nkula y’omwana n’obulamu bwe.

Obuwagizi bwe mufuna ng’abazadde

Tolwana wekka n’enneewulira z’owulira ng’okizudde nti omwana wo alina obulwadde bwa Down syndrome. Toli wekka.

• Abasawo n’abajjanjabi: Weebuuze ku ttiimu y’ebyobulamu by’omwana wo. Buuza ebibuuzo.
• Okubuulirira: Osobola okunoonya okubudaabudibwa okwogera ku bintu by’otya n’ebikweraliikiriza.
• Ebibiina ebiwagira: Weegatte ku bazadde abalala ab’abaana abalina obulwadde bwa Down syndrome. Osobola okuyiga bingi okuva mu bye bayitamu. Era kikuzzaamu nnyo amaanyi okumanya nti si ggwe wekka ayita mu lugendo luno.

Okulabirira omwana alina obulwadde bwa Down syndrome kiyinza okuba ekizibu. Naye era kikyusa obulamu n’okwagala. Abaana bano baagala nnyo era baagala okuba abasanyufu. Bwe baba n’obuwagizi obutuufu, nabo basobola okugenda ku ssomero, okukola emikwano, okufuna omulimu, n’okubeera n’obulamu obulungi.