Sickle Cell Diseases Can Be Diagnosed In Children
Sickle cell disease
is a form of blood disorder wherein the red blood
cells in the blood make abnormal hemoglobin which
is main carrier of oxygen in the body. The usually
normal red blood cells which are round and soft
become curved like a sickle and even stiffer resulting
in them blocking the blood vessels.
Different types of sickle cell diseases
are found which are either mild or those which
cause severe ill health. This blood disorder is
hereditary wherein the patient acquires it from
his/her parents and is passed on through genes.
As the disorder is hereditary, it
usually becomes evident from the childhood itself,
wherein the child inherits the sickle hemoglobin
gene from one parent and a sickle gene or another
abnormal hemoglobin gene from the other parent.
In some cases, the child has one
normal gene and one sickle cell gene. In that
case, this child becomes the carrier of the disorder
and can pass them on to his next generation. This
indicates that the child has just the traits of
sickle cell, but does not suffer from the disorder.
If a child is born to parents both having sickle
cell trait, then he/she has only 25 percent chance
of contracting this disorder.
Owing to the red blood cells of people
with this disorder not getting enough oxygen,
the usually round and soft cells change their
shape and become longer and curved.
These curved cells tend to get stuck
in the blood vessels and blocks blood from reaching
parts of the body.
This blocked blood vessels in the
arms, legs, chest or any other parts of the body
causes severe pain. As the form of disease is
frequently seen in children, it has been found
that they are more susceptible to infections.
These infections are caused mainly
due to their spleen being damaged by sickle cells.
When any kind of pain is caused due to the sickle
cells blocking the follow of blood to the various
organs, then the condition is called as `sickle
cell crisis’ or `pain crisis’.
Usually tests are undertaken in children
who have a likelihood of getting this disorder
due to their either or both parents having it.
Of late, most states test newborn babies for this
disorder through a special blood test.
Once the child is diagnosed of this
disorder, and then his/her parents need to take
special precautions from the child contracting
any kind of infection or lung problems.
The child also needs to take antibiotics
like penicillin to avoid contracting infections.
Apart from this, adequate among of folic acid
is needed to replace all the damaged blood cells
supplemented with healthy diet and plenty of water.
The child should also take all the necessary shots
along with some special ones recommended by the
doctor.
The child also needs to have regular
check-ups and follow-up check ups to ensure that
there are no further complications or internal
injuries.
If the child has contracted any further
infection, fever, weakness or breathing problem,
then he/she need to take intravenous fluids and
antibiotics. In severe cases, blood transfusion,
oxygen as well as strong pain killers are administered
on the child.
Some of the most common symptoms
seen in children suffering from this kind of disorder
are paleness of the skin, yellow color of the
skin, swollen limbs, fever or signs of infection,
loss of appetite, tiredness, bouts of pain in
various parts of the body, breathing problem or
severe headache.
Though there is no cure for this
disorder, if adequate care is taken, then people
suffering from this disorder can lead a normal
life. In some cases, it has been found that bone
marrow transplantation had cured the disease.
Some of the preventive measures to
avoid crisis are daily dosage of penicillin to
keep away from infection. The individuals with
this disorder should remain as healthy as possible
by having a healthy diet, take lots of rest and
drink plenty of water. They should also avoid
any chances of falling ill or getting too tired.
To reduce or control pain,
usually some over-the-counter pain killers are
prescribed. However, if the pain is severe, then
mild narcotic like codeine is prescribed which
the patient has to take regularly rather than
wait for the pain to come.
Usually, hot bath, heating
pad, rest, massage or physical therapy also provide
relief to the patients. To add to all these, the
patient should develop a positive attitude towards
his/her condition and learn to deal with it.
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