Abstract

Background: it is essential to have an understanding of life expectancy and risk factors among patients with sickle cell disease (sickle cell anemia, hemoglobin diseases, and thalassemias). These are required to counsel the patients, target treatment, and plan the right clinical trials.

 

Methods: a research followed 3764 people ranging from birth to 66 years of age and suffering from scd. The procedure was done to understand the life expectancy and calculate the average age at death. Moreover, the study understood the reasons for the death in all 209 adults. It used the proportional-hazards regression analysis to know the risks for an untimely death in adults with sickle cell anemia.

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Results: when the results for young kids and adults with sickle cell anemia were observed, it was found that the average age at death was 48 for women and 42 for men. Moreover, suffering from hemoglobin c disease had an average mortality age of 60 for men and 68 years for women.

 

In people with sickle cell disease, 18% of deaths took place in patients with mainly renal organ failures. 33% of the tested patients were medically free of organ failures but episodes of pain crisis took their life. Out of these patients, 78% experienced chronic pain, chest syndrome, or both, while 22% suffered a stroke that took their lives.

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Clinical modeling showed that people with sickle cell anemia faced acute chest syndrome, seizures, kidney failure, a white-cell count of over 15, 000 per cubic mm, and a low hemoglobin level were related to a risk of early death.

 

Conclusions: results suggested that 50% of patients with sickle cell anemia lived beyond the age of 50. A huge share of those who lost their lives suffered no noticeable chronic organ failure. However, most of them died due to acute episodes of pain or stroke. Early death was seen highest among patients who had symptomatic disease. High levels of fetal hemoglobin suggested improved chances of survival and are assumably a credible source to foresee the risks and other factors related to adult life expectancy.


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Life Expectancy And Risk Factors Involved In Sickle Cell Disease

What are the different types of sickle cell disease?

Sickle cell disease or sickle cell disorder is a term often used to talk about a group of diseases affecting hemoglobin. It is the oxygen-carrying element of blood that makes up 2 alpha globins and 2 beta globins. Sickle cell disease happens due to beta-globin mutation and depending on the abnormality in mutation.

Types-
Sickle cell diseases can be of many types depending on the gene mutation in the blood. Some of the common types are-

Sickle hemoglobin s disease (ss)
Hemoglobin ss disease or sickle cell anemia is the most popular type of scd. It takes place when hemoglobin s gene mutation is inherited from both mother and father. In simple words, it happens when the child inherits one substitution beta-globin gene from each parent. In this type, the body only produces hemoglobin s. It is mostly found in people of african and indian origin.

Sickle hemoglobin- c disease (sc):
Patients with sickle hemoglobin sc disease have a moderately dissimilar swapping in their genes of beta-globin. Here, both hemoglobin c and hemoglobin s are inherited from each parent. It may cause similar symptoms like anemia but remains relatively l. People of west african and mediterranean origin are more prone to this.

Hbs beta-thalassemia
People with this type of scd inherit one sickle cell gene s and one gene for beta-thalassemia from each parent. Zero and plus are the two common types of beta-thalassemia. While beta 0 thalassemia usually takes a severe form, beta + thalassemia is a milder form of the disease.

Sickle beta-zero thalassemia
Beta-zero thalassemia takes form when the child inherits the beta s gene from one parent and beta 0 thalassemia gene mutation from the other. With similar symptoms to anemia, it is a slightly severe form of beta-thalassemia.

Sickle beta-plus thalassemia
Substitutions in both beta-globin genes take place in patients with sickle beta thalassemia (sb) disease. This may even lead to the requirement of blood transfusion if no normal beta globin is produced. Mediterranean and caribbean people are more likely to have this disorder.

Hemoglobin sd, hemoglobin se, and hemoglobin so
These are the few rare and not less common types of sickle cell diseases. They are also less severe. People with these forms of scd inherit one sickle cell gene s and one gene from uncommon hemoglobin (d, e, or o) from each parent.

Sickle cell trait
Hbas
People with sct have one sickle cell gene s and one normal gene a from both mother and father. Ones with this disorder show few to no signs of the disease and usually spend a normal life. However, the risk to their future generations still exists.
 

What Are The Different Types Of Sickle Cell Disease?

Atherosclerosis refers to a medical condition in which the arteries become hardened and narrowed due to the accumulation of cholesterol plaque in the walls of the artery, obstructing the flow of blood.

What are the causes?

Atherosclerosis is a slow but progressive disorder that starts with the damage of endothelium   cells lining the interior surface of lymphatic and blood vessels. This allows bad ldl cholesterol to build up in the artery walls. Over time, a plaque made of calcium, macrophages, and cholesterol grows to a certain size to clog up arteries, disrupting blood flow around the body.

Other factors leading to atherosclerosis to include  

High blood pressure

High levels of triglyceride in the blood

High cholesterol levels

Certain medical conditions   diabetes, obesity, insulin resistance

Smoking/use of tobacco

Inflammatory conditions like lupus and arthritis

Symptoms of atherosclerosis

Atherosclerosis may develop in childhood or during adolescence. Mild conditions may not reveal observable symptoms unless the arteries are clogged, and blood supply to the tissues and organs are restricted.

Signs of moderate to severe atherosclerosis depend on the affected arteries   it could be the arteries leading to your brain, your heart, legs and arms, or the kidney. The symptoms of atherosclerosis include  

Weakness and fatigue

Difficulty breathing/concentrating

Headaches

Facial numbness

Paralysis

Vomiting

Chest pain

Anxiety

Loss of appetite

Swelling in the feet and hands

If any of the above symptoms seem familiar to you, consult a doctor right away for treatment.

Can atherosclerosis be prevented?

The best way to avoid cholesterol plaque from building up in the artery walls is to prevent the onset of atherosclerosis with these preventive measures.

Eat healthy   avoid eating foods that are rich in saturated fats   red meat, butter and cheese. These increase your cholesterol levels drastically. Instead, include foods that contain unsaturated fats, like avocados, olive oil, fatty fish, nuts and seeds because these help to keep ldl or bad cholesterol levels down.

Stay active   exercising and staying active can help regulate your cholesterol levels and prevent certain conditions that might put you at risk for atherosclerosis.

Quit smoking   people who smoke should quit smoking because it is a major risk factor for atherosclerosis   it increases blood pressure, which in turn, affects your cholesterol levels.

Atherosclerosis can lead to complications. With precautionary measures and proper treatment, the condition can be avoided.

Know All About Atherosclerosis Here

Potassium is one of the seven essential macrominerals found in a variety of foods, including legumes, fish, and leafy vegetables. The mineral plays a vital role in various body functions, such as regulating water balance, heart functioning, and muscle contractions.

Potassium deficiency can lead to weakness, ;fatigue, and constipation. It is therefore important that you include potassium-rich foods in your daily ;diet.

However, keep in mind that taking in more than the required amount of potassium can do more harm than good to your body.

How much should you take in and why?

As per the world health organization, the recommended daily intake of potassium for adults is between 3500mg and 4700mg, as it is safe to consume. When taken in recommended measures, a potassium-rich diet can have some impressive benefits on your overall health. It may reduce or prevent a host of health problems.


	
	Lower high blood pressure
	
	
	Helps eliminate salt insensitivity
	
	
	Reduces your chances of getting a ;stroke by 7%
	
	
	Helps prevent osteoporosis and minimizes the risk of bone fractures
	
	
	Alleviates the risk of ;kidney stones
	


Natural foods are the best source of this mineral. However, you may also turn to supplements, as per your healthcare provider s recommendation.

How much is too much?

Despite its health benefits, potassium should be consumed within the prescribed limit. Going overboard can cause excess potassium to be stored in your blood, and your kidneys may not be able to filter the excess amount   this condition could possibly lead to hyperkalemia. If your potassium levels are between 5.1mmol/l and 6.0mmol/l, you might be at risk of hyperkalemia. Higher than 6.0mmol/l level is considered dangerous   you will need to monitor and manage the condition in order to avoid the risk.

Potassium is essential for bodily functions. A healthy diet and overall eating patterns are important for maintaining good health and keeping illnesses at bay. Be sure to meet your recommended daily intake and avoid exceeding 4700mg of potassium daily. If you are looking to include supplements, talk to your doctor and make sure you stick to the prescribed dosage.

How Safe Is Potassium For Your Health?

When abnormal cells grow inside the brain and are in the form of a mass the condition is called a brain tumour. There are various types of brain tumours that exist. Some of the brain tumours which exist are malignant or cancerous while other may be non-cancerous. A brain tumour can begin in any part of the brain and spread to other parts of the body or vice-versa. The growth rate of brain tumours is different for each individual suffering from it. As per studies, every 2 in 1, 00, 000 people are said to be affected by a brain tumour in india. However, it may come as a relief to some as not all brain tumours are cancerous or life-threatening. Some are benign tumours and seldom pose any threat to the affected individual.

 

Types of brain tumor

Brain tumours may be primary or secondary.

Primary brain tumour

In this type of brain tumour, the abnormal mass of cells that originated in the brain does not metastasize to the other organs. Based on their location in the brain, the primary brain tumours may be of the following types.


	
	Gliomas: one of the most common types of primary brain tumours, gliomas can have their origin in the spinal cord or the brain. Some of the common types of gliomas include astrocytomas (originates in the cerebrum of the brain), glioblastomas (these tumours form from the astrocytes which form the supportive tissues of the brain), ependymoma (these develop from the ependymal cells which are present within the cns), oligodendrogliomas (these tumours are found to arise from the oligodendrocytes).
	
	
	Schwannomas: also called acoustic neuromas, these primary brain tumours form on the nerves that play an important role in regulating the balance and hearing from the inner ear to the brain.
	
	
	Meningiomas: these types of tumours are usually benign and have their origin in the meninges (membranes surrounding the spinal cord and the brain).
	
	
	Primitive neuroectodermal tumours (pnets): primitive neuroectodermal tumours (pnets) are rare malignant tumours that originate from the fetal (embryonic) cells in the brain.
	
	
	Pituitary adenomas: as the name suggests, these tumours arise from the pituitary gland located at the base of the brain.
	
	
	Medulloblastomas: common among children, these malignant primary tumours develop in the brain (lower back) and gradually spread via the spinal fluid.
	


Other types of primary brain tumours include craniopharyngiomas and germ cell tumours.

Secondary brain tumours ;

Unlike the primary brain tumours, these tumours have their origin in the other body parts and organs (mostly in the lungs, skin, colon, breast, and kidney) and then gradually metastasize to the brain. Secondary brain tumours are found to be more common.

 

What Are The Different Types Of Brain Tumours?

Kidney - prolonged periods of stress can indirectly hurt your kidneys. So you need to be stress free to keep your kidneys healthy.

Stress And Kidney Failure: Are They Connected?

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