FREQUENTLY ASKED QUESTIONS
Everything you need to know about Samarpita
The disorder results in excessive destruction of red blood cells, which leads to anemia. Anemia is a condition in which your body doesn’t have enough normal, healthy red blood cells.
Thalassemia is inherited, meaning that at least one of your parents must be a carrier of the disease. It’s caused by either a genetic mutation or a deletion of certain key gene fragments.
Thalassemia minor is a less serious form of the disorder. There are two main forms of thalassemia that are more serious. In alpha thalassemia, at least one of the alpha globin genes has a mutation or abnormality. In beta thalassemia, the beta globin genes are affected.
Each of these forms of thalassemia has different subtypes. The exact form you have will affect the severity of your symptoms and your outlook.
- bone deformities, especially in the face
- dark urine
- delayed growth and development
- excessive tiredness and fatigue
- yellow or pale skin
Not everyone has visible symptoms of thalassemia. Signs of the disorder also tend to show up later in childhood or adolescence.
If only one of your parents is a carrier for thalassemia, you may develop a form of the disease known as thalassemia minor. If this occurs, you probably won’t have symptoms, but you’ll be a carrier of the disease. Some people with thalassemia minor do develop minor symptoms.
If both of your parents are carriers of thalassemia, you have a greater chance of inheriting a more serious form of the disease.
According to the Centers for Disease Control and Prevention (CDC), thalassemia is most common in people from Asia, the Middle East, Africa, and Mediterranean countries such as Greece and Turkey.
beta thalassemia, which includes the subtypes major and intermedia
alpha thalassemia, which include the subtypes hemoglobin H and hydrops fetalis
All of these types and subtypes vary in symptoms and severity. The onset may also vary slightly.
Thalassemia major is the most severe form of beta thalassemia. It develops when beta globin genes are missing. The symptoms of thalassemia major generally appear before a child’s second birthday. The severe anemia related to this condition can be life-threatening. Other signs and symptoms include:
- frequent infections
- a poor appetite
- failure to thrive
- jaundice, which is a yellowing of the skin or the whites of the eyes
- enlarged organs
This form of thalassemia is usually so severe that it requires regular blood transfusions.
Thalassemia intermedia is a less severe form. It develops because of alterations in both beta globin genes. People with thalassemia intermedia don’t need blood transfusions.
This type of thalassemia also has two serious types: hemoglobin H disease and hydrops fetalis.
Hemoglobin H develops as when a person is missing three alpha globin genes or experiences changes in these genes. This disease can lead to bone issues. The cheeks, forehead, and jaw may all overgrow. Additionally, hemoglobin H disease can cause:
- an extremely enlarged spleen
Hydrops fetalis is an extremely severe form of thalassemia that occurs before birth. Most individuals with this condition are either stillborn or die shortly after being born. This condition develops when all four alpha globin genes are altered or missing.
The lack of visible symptoms can make thalassemia minor difficult to detect. It’s important to get tested if one of your parents or a relative has some form of the disease.
Depending on the type and severity of the thalassemia, a physical examination might also help your doctor make a diagnosis. For example, a severely enlarged spleen might suggest to your doctor that you have hemoglobin H disease.
Some of the treatments include:
- blood transfusions
- bone marrow transplant
- medications and supplements
- possible surgery to remove the spleen or gallbladder
Your doctor may instruct you not to take vitamins or supplements containing iron. This is especially true if you need blood transfusions. People who receive blood transfusions receive extra iron that the body can’t easily get rid of. Iron can build up in tissues, which can be potentially fatal.
If you’re receiving a blood transfusion, you may also need chelation therapy. This generally involves receiving an injection of a chemical that binds with iron and other heavy metals. This helps remove extra iron from your body.
To ensure the health of both you and your baby, it’s important to plan ahead of time as much as possible. If you want to have a baby, discuss this with your doctor to make sure that you’re in the best health possible. Your iron levels will need to be carefully monitored. Preexisting issues with major organs are also considered.
Pregnancy carries the following risk factors in women with thalassemia:
- a higher risk for infections
- gestational diabetes
- heart problems
- hypothyroidism, or low thyroid
- increased number of blood transfusions
- low bone density
In severe cases, heart failure is a possibility.
Your doctor can give you more information about your outlook. They will also explain how your treatments can help improve your life or increase your lifespan.
- Any donor, who is healthy, fit and not suffering from any transmittable diseases can donate blood.
- Donor must be 18 -60 years age and having a minimum weight of 50Kg can donate blood.
- Donor’s Hemoglobin level is 12.5% minimum.
- A donor can again donate blood after 3 months of your last donation of blood.
- Pulse rate must be between 50 to 100mm without any irregularities.
- BP Diastolic 50 to 100 mm Hg and Systolic 100 to 180 mm Hg.
- Body temperature should be normal and oral temperature should not exceed 37.5 degree Celsius.
- Donors should not suffer from Cardiac arrest, hypertension, kidney alignments, epilepsy or diabetics.
- Ladies with a bad miscarriage should avoid donating blood for the next 6 months.
- If donor already donated blood or have been treated for malaria within the last three months.
- If donor undergone any immunization within the past one month.
- If donor consumed alcohol within the last 24 hours.
- If you are HIV+.
- If donor had a dental work for next 24 hours and wait for one month if donor had a major dental procedure.
- Prepare yourself by having enough fruit juice and water in the night and morning before you donate blood.
- Avoid donating blood in empty stomach. Eat three hours before you donate blood. Avoid fatty foods. Eat food which is rich in iron such as whole grains, eggs, and beef, and spinach, leafy vegetables, orange and citrus.
- Don’t consume Alcohol or caffeine beverages before donating blood.
- Avoid donating blood for 6 months if you had any major surgery.
- Have some rest 5 to 20 minutes after donation. Do not drive after donation of blood.
- Have some snacks and juice with high sugar content which will help to rejuvenate the blood sugar back up.
- Have a good meal with high protein content such as Chicken, Beef etc,.
- Do not consume Alcohol for 8 hours after donation of blood.
- Avoid going for a heavy body works such as gym, dancing, running etc at least for next one day.