Health care and medical examinations

HEALTH CARE GUIDELINE FOR BABIES (0-1 MONTHS)

- Clinical diagnosis and the communication to parents (2) (2)

- Cytogenetic Analysis

- Clinical and neurological examination

- Review of congenital malformation (echocardiography, stomach echography etc. ) (3)

- Ophthalmologic examination (4)

- Blood analysis for polycythemia, leukemic reactions, leukemia etc. (5)

- Control routine for the newborn baby

- Encouragement for breastfeeding

- Psychological support for parents

HEALTH CARE GUIDELINE FOR THE 1-ST YEAR (1-12 MONTHS)

Periodically - Clinical and neurological examination.	Every 2 months
Evaluation of the appropriate foods and normal growth of the child with SD.	Every 2 months
Echocardiography (if it wasn’t done after the birth).
Echography- to check the problems of hearing and viewing.	On the 6st month and the 12th
Blood analysis for thyroid, anemia, cell and immune system disorders. (7)	12 months
Vaccination according the rules of country.
Consults with parents organizations and groups that support people with DS
To be considered therapies & development centers.
Continually psychological support from the family.

HEALTH CARE GUIDELINE FOR THE AGE 1-6 YEARS

Clinical and neurological examniation.	Twice per year
Examination of diet and obesity prevention. (periodically)(8)
Examination of body development (periodically)
Teeth controls	Once per year
Orthopedic examination (RX for atlantoaxial instability / subluxation ).	Once per year
Examination to test hearing and viewing (at the age 3 and 6 years old).
Blood test for thyroid, anemia, celiac disease, immune system disorders etc.	Once per year
Tonsillitis and adenoid hypertrophic (enlarged, respiratory, otitis’s etc.).	Once per year
Vaccination according to the rules of country.
Specific vaccination (to prevent flu, pneumonia etc.)	If it is necessary
Recuperative programs (continually).
Speech therapy support.
Inclusion in social life (under the care of the mother).

HEALTH CARE GUIDELINE FOR THE AGE 7-12 YEARS

Clinical and neuropsychiatric examination.	Once per year
Teeth control	Once per year
Special care of food diet and the prevention of obesity.
Body growth control	Once per year
Ophthalmologic control	Once per year
Hearing control	Once per year
Orthopedic control	Once per year
ORL control for enlarged tonsillitis (hypertrophic), respiratory problems, sleep apnea, otitis median (middle ear infection) etc.	Once per year
Blood test for thyroid, celiac disease, leukemia, autoimmune disorders, system immune deficiency etc.	Once per year
Sexual development control and consults with parents.
Psychological support for the family.
Engagement in the school and entertainment activities.

HEALTH CARE GUIDELINE STARTING FROM ADOLESCENCE TO THE EARLY MATURATION

Clinical control	Once per year
Neurological and psychiatric control (depression and autism).	Once per year
Regular check of alimentary diet
Prevention and treatment of obesity
Ophthalmologic control	Once per year
Hearing control	Once per year
Teeth state control	Once per year
Orthopedic control	Once per year
Blood test for thyroid, celiac disease, leukemia, autoimmune disorders, system immune deficiency etc.	Once per year
Sexual development control, gynecologic analysis
The use of contraceptive (for females with a sexual active life)
Observe the progress in school
Encouragement towards the entertainment activities
Engage in sportive activities

HEALTH CARE GUIDELINE STARTING FROM ADULTHOOD TO OLD AGE

Clinical control	Controls must be done periodically based on the need of the person.
Regular check of alimentary diet
Prevention and treatment of obesity
Cardiologic control (echocardiography)
Neurological and psychiatric evaluation (depression, Alzheimer, Autism) (13)
Orthopedic control
Gynecologic control
Dental control
Ophtamologic control
Hearing control
Blood test for thyroid, celiac disease, leukemia, autoimmune disorders, system immune deficiency etc.
Clinical control for oncologic disease
Specific vaccination by the age or if there is risk (for flu, pneumococcus)
Programs that encourage preserving of acquired skills.
Engagement in physical activities.
Encouragement for entertainment activities
Individual psychological support
To evaluate the need for the life in community, welcoming houses, or under the administration of specific institutions.

Health Care