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THALASSEMIA. FATIMA DARAKHSHAN (2K10-BS-V&I-35). INTRODUCTION. Inherited blood disorder an abnormal form of hemoglobin due to a defect through a genetic mutation or deletion . Results in excessive destruction of red blood cells, which leads to anemia. Types Of Thalassemia. Two types :
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THALASSEMIA FATIMA DARAKHSHAN (2K10-BS-V&I-35)
INTRODUCTION • Inherited blood disorder • an abnormal form of hemoglobin due to a defect through a genetic mutation or deletion. • Results in excessive destruction of red blood cells, which leads to anemia.
Types Of Thalassemia • Two types: • Alpha thalassemia occurs when a gene or genes related to the alpha globin protein are missing or mutated. • Beta thalassemia occurs when gene defects affect production of the beta globin protein.
Symptoms Severe type symptoms include: • Fatigue and weakness • Jaundice • Growth Failure • Increased heart rate (Tachycardia) Infants with severe type die before or soon after birth.
Diagnosis of Thalassemia • Blood Test: Complete Blood Count • Haemoglobin Test • A CBC - amount of hemoglobin and red blood cells, in a sample of blood. • Male: 4.7 to 6.1 million cells/uL; Female: 4.2 to 5.4 million cells/uL. • Hemoglobin tests- types of hemoglobin
Diagnosis of Thalassemia • Family genetic studies also help in making a thalassemia diagnosis. Genetic testing involves taking a family history and doing blood tests on family members. • Prenatal testing can determine if an unborn baby has thalassemia and how severe the disease is. • Placenta, Amniotic fluid, Umbilical cord
Treatment • depend on the type and severity of the disorder. • Regular blood transfusions • Iron chelation therapy • Folic Acid • Bone marrow transplants
Blood Transfusion • Healthy Blood – Intravenously • Takes 1-4 hours • repeated transfusions to maintain a healthy supply of red blood cells • (Cooley's anemia)-need regular blood transfusions (often every 2 to 4 weeks).
Iron chelation therapy • Regular blood transfusions can lead to Iron overload • Damages the liver, heart, and other parts of the body. • Deferoxamine • Deferasirox • Deferiprone
Folic Acid • B vitamin that helps build healthy red blood cells. Your doctor may recommend folic acid supplements in addition to treatment with blood transfusions and/or iron chelation therapy.
Bone Marrow & Stem Cell Transplant • Replaces faulty stem cells with healthy ones from a donor • have been used successfully in some children with severe thalassemia. • Risky procedure and it may result in death.
Possible Future Treatments • new treatments for thalassemias. • to insert a normal hemoglobin gene into stem cells in bone marrow. • to trigger a person's ability to make fetal hemoglobin after birth. This type of hemoglobin is found in fetuses and newborns.
And that’s Not all! • Dr. SaqibAnsari at National Institute of Blood Diseases has mentioned in their research that administration of “Hydroxyurea,” can either abolish or markedly reduce the thalassemic children’s dependence on regular blood transfusions. • 41 percent of the 152 thalassemic children - no more anemic after treating with hydroyurea.