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Wednesday, January 09, 2013

Sickle Cell

What is sickle cell disease?
 
Sickle cell disease changes normal, round red blood cells into cells that can be shaped like crescent moons. The name "sickle cell" comes from the crescent shape of the cells. A sickle is a farm tool with a curved blade that can cut crops like wheat.

Normal red blood cells move easily through the blood vessels, taking oxygen to every part of the body. But sickled cells can get stuck and block blood vessels, which stops the oxygen from getting through which can cause a lot of pain. It can also harm organs, muscles, and bones.

Having sickle cell disease means a lifelong battle against the health problems it can cause, such as pain, infections, anaemia, and stroke. But many people are able to have a very good quality of life by learning to manage the disease.

Causes of sickle cell disease?
 
Sickle cell disease is inherited, which means it is passed from parent to child. To get sickle cell disease, a child has to inherit two sickle cell genes-one from each parent.
When a child inherits the gene from just one parent, that child has sickle cell trait. Having this trait means that you do not have the disease but you are a carrier and could pass the gene on to your children.

Symptoms of sickle cell

There are periods of pain that happen when sickled cells get stuck in blood vessels and block the blood flow. These usually causes pain in the hands, feet, belly, back, or chest. The pain may last for hours or few days.

People with sickle cell disease often have anaemia, caused by a shortage of red blood cells. Anaemia makes you feel weak and tired. People with sickle cell anaemia may look pale or washed out. Their skin and the whites of their eyes may have a yellowish look.
Doctors cannot easily tell you which symptoms a child born with sickle cell disease will have, when they will start, or how serious they will be.

Treating sickle cell disease
A simple blood test can show whether a person has sickle cell disease. Most states test for sickle cell disease before infants go home from the hospital.

Early treatment includes daily antibiotics from 2 months to 5 years to help prevent infections. Routine childhood immunizations are also important.
Managing pain is often a big part of having sickle cell disease. You can prepare for a painful event ahead of time by creating a pain management plan with your doctor. The plan should include what you can do at home to relieve pain for yourself or your child. The plan should also tell you when it is best to call a doctor or go to a hospital.

Some people need regular blood transfusions to lower the risk of stroke and treat anemia and other problems. Regular checkups are an important part of life with this disease. People with sickle cell disease need a good working relationship with a doctor who is an expert in treating it.

Leaving with sickle cell

  • Learn what triggers, or sets off, painful events. Triggers often include cold temperatures, wind, dehydration, and too much exercise. Low oxygen caused by cigarette smoke, high altitude, and plane flights is another common trigger.
  • Make sure that your child takes antibiotics regularly until age 5 to prevent infections. And make sure he or she receives all the usual immunizations on schedule.
  • Your child can take part in normal school activities. Make sure that teachers understand your child’s special needs, like needing frequent drinks and bathroom trips and avoiding overexertion and cold temperatures.
  • People with sickle cell disease and their families face ongoing stress. A support network can help ease stress and worry. Ask your doctor if there is a support group in your area. You can also find websites on the Internet where you can ask questions, share your feelings, and get advice.

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