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Understanding Thalassemia: Symptoms, Causes and Treatment

What is Thalassemia?

Thalassemia is a genetic blood disorder that affects the production of hemoglobin, the protein in red blood cells responsible for carrying oxygen. People with thalassemia have fewer healthy red blood cells, leading to anemia and other health complications.

Types of Thalassemia

Thalassemia is classified into two main types:

  1. Alpha Thalassemia: Caused by mutations in the genes responsible for alpha-globin production. The severity ranges from mild to life-threatening.
  2. Beta Thalassemia: Caused by mutations in the beta-globin gene, leading to moderate to severe anemia. The severe form is known as Cooley’s Anemia or Beta Thalassemia Major.

Symptoms of Thalassemia

The severity of symptoms depends on the type and extent of the condition. Common symptoms include:

  • Fatigue and weakness
  • Pale or yellowish skin (jaundice)
  • Shortness of breath
  • Slow growth and delayed puberty
  • Bone deformities, especially in the face
  • Enlarged spleen and liver
  • Dark urine

Causes of Thalassemia

Thalassemia is an inherited disorder caused by genetic mutations affecting hemoglobin production. It is passed from parents to children through defective genes. The condition is more common in people of Mediterranean, South Asian, and African descent.

Diagnosis of Thalassemia

Thalassemia can be diagnosed through:

  • Complete Blood Count (CBC): Detects low hemoglobin and red blood cell abnormalities.
  • Hemoglobin Electrophoresis: Identifies abnormal hemoglobin variants.
  • Genetic Testing: Confirms specific gene mutations responsible for the disease.
  • Prenatal Testing: Helps detect thalassemia in unborn babies.

Treatment Options for Thalassemia

The treatment approach depends on the severity of the condition:

  1. Mild Thalassemia:

    • May not require treatment but should be monitored regularly.
    • Folic acid supplements may be recommended.
  2. Moderate to Severe Thalassemia:

    • Regular Blood Transfusions: Helps maintain normal hemoglobin levels.
    • Iron Chelation Therapy: Reduces excess iron buildup from frequent transfusions.
    • Bone Marrow Transplant: The only potential cure, especially for children with severe thalassemia.
    • Gene Therapy (Emerging Treatment): Research is ongoing for genetic modifications to treat the condition.

Living with Thalassemia

  • Maintain a healthy diet rich in folic acid and iron-balancing nutrients.
  • Avoid excess iron intake unless prescribed by a doctor.
  • Get regular checkups to monitor iron levels and organ health.
  • Stay up-to-date with vaccinations to prevent infections.
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