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Sickle cell anemia–Causes-Symptoms-Diagnosis-Treatment–Prognosis

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FAQs of Sickle Cell Anemia

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1. Who treats people with Sickle Cell Anemia (SCA)?

Family physicians very often initiate treatment. Specialists involved are internal medicine specialists and hematologists.

2. What is the life expectancy of a person with SCA?

This depends on the genetic trait that you inherit and the type of sickle cell disease that you have.

A study published in New England Journal reports that patients with sickle cell anemia (i.e. - homozygous for sickle hemoglobin), the median age at death as 42 years for males and 48 years for females.

Those with sickle cell-hemoglobin C disease - the median age at death was found to be 60 years for males and 68 years for females.

If the patient has a high level of fetal hemoglobin the chances of improved survival is high and is used as a childhood forecaster of adult life expectancy.

Deaths are due to-

a. Organ failure in 18% and mostly due to kidney failure

b. An acute sickle crisis deaths in 33% (78 percent had pain, the chest syndrome, or both; 22 percent had stroke).

3. What is sickle cell trait and how is it beneficial?

A person with sickle cell trait has inherited the gene for sickle cell disease. Sickle cell trait will not turn into sickle cell disease. If someone with sickle cell trait marries and their partner also has sickle cell trait, then they may produce a child with sickle cell disease.

Sickle cell trait can be beneficial for the carrier individual in that it provides protection against diseases like malaria; that is the reason why it is very common among individuals in Africa in whom it originated as a defense or survival mechanism. Trait patients have a normal life span.

4. Can people with SCA live productive lives?

Yes they can, since there are good treatments that have proven to be very effective. The best one is a bone marrow transplant; sometimes hydroxy urea treatment and other good medications are also given. With additional management and support system the patients can lead productive lives

5. Is pregnancy complicated for SCA patients?

Yes pregnancy can be complicated in that it can be risky for the mother and the child. The frequency of pain episodes increase and the disease can become more complicated during pregnancy. A woman with SCA can deliver the baby pre-term or may give birth to a low-weight baby.

6. What are the Simple steps to manage SCA?

Adopt a healthy lifestyle

Avoid dehydration and other pain triggers

Ensure that steps are taken to prevent and control complications

Maintain good hygiene to avoid infections

Learn pain –coping mechanisms

Get vaccinated as per requirement to avoid infection

Get regular health check ups

Family members and care takers should understand the disease and keep interacting with health care providers

7) What are some recent treatment developments?

The advent of ‘Hydroxyurea drug’ has helped many adult sickle cell patients as it reduces the frequency of severe pain, acute chest syndrome and the need for blood transfusions.
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Posted by:  saisrika(Guest)  Posted on: 01/27/2013
but how to save of patient why i am asking you my doctor name of sai srika age of 10 months she blood report is sickle cell 67.7%




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