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

World sickle cell day is observed annually on the 19th of june to raise awareness of sickle cell-related diseases. It is observed to increase people's knowledge and the understanding required to face the challenges posed by the disease.


 

What is sickle cell disorder (scd)?

Sickle cell disorders or sickle cell diseases are genetic blood disorders that cause an abnormality in the red blood cells. The rbcs turn into sickle-shaped cells that stick together and block the blood flow in the body.


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Types

There are four major classifications of sickle cell diseases-


	
	Hemoglobin ss disease
	
	
	Hemoglobin sc disease
	
	
	Hemoglobin sb+ thalassemia
	
	
	Hemoglobin sb 0 thalassemia
	



 

Symptoms

One can start noticing symptoms of sickle cell in a patient at around 6 years of age. However, they can differ from person to person. Some of the most typical symptoms are-

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	Anemia
	


A shortage of red blood cells occurs due to the excessive early dying in 10-20 days. It leads to an oxygen shortage in the body.


	
	Excessive pain
	


Blockage of blood flow due to the change in shape leads to periodic cycles of pain in the body.


	
	Swelling in the body
	


As the blood circulation becomes irregular, swelling becomes a regular phenomenon.


	
	Infections
	


Sickle cell can be damaging to the spleen. It increases the risk of ailments in the body that can be prevented only by antibiotics.


	
	Delayed puberty
	


Oxygen and nutrients carried by the blood are required for growth. As a reason, irregular blood flow can lead to slow growth or delay in puberty.


	
	Vision issues
	


Infected blood vessels carrying blood to the eyes can cause damage to the retina. It can lead to visual problems.


 

Traits and treatment

As sickle cell is genetic, it is suggested to take a test that can detect any trait of the disease. It can prevent any life-threatening risks to the newborn. However, we don't have a complete cure for sickle cell disorders. There are preventive measures that reduce the adversity of the disease to an extent. Procedures like blood transfusions help greatly in minimizing the effects of the disorder.

World Sickle Cell Day: Know All About Sickle Cell Disease

Urinary tract infections (uti) can occur anywhere in the urinary system   the bladder, kidneys, urethra, and ureter. Most of these infections affect the lower part of the urinary system   urethra and the bladder.

An infection ;confined to the bladder can be frustrating and painful. You may experience pain during urination, and pus or blood in the urine. However, the condition becomes worse if the infection spreads to the upper part of the urinary system, particularly to the kidneys, triggering nausea, ;vomiting, and severe pain in the back.

If uti is left untreated, it can potentially lead to kidney damage   a condition known as pyelonephritis.

How does untreated uti affect the kidneys?

Untreated urinary tract infections can cause the kidneys to swell up and damage them permanently. The infections initially begin in the lower tract of your urinary system. Then the bacteria slowly enter your body through the urethra and begin multiplying and spreading up to the bladder. The bacteria eventually travel to your kidneys through the ureters.

Some people are at higher risk for kidney damage due to urinary tract infections. This includes  


	
	Pregnant women
	
	
	Elderly people
	
	
	People with kidney problems
	
	
	Someone with a weak immune system
	


Signs to watch out for

An untreated infection in the bladder that has spread to the kidneys is associated with symptoms, such as the following  


	
	Chills and ;fever
	
	
	Vomiting and nausea
	
	
	Pain in either side of your lower back
	


You should visit a doctor right away if you notice the above uti symptoms. The condition requires immediate medical intervention in order to prevent damage to your kidneys.

Symptoms of painful utis can be managed by combining medications and lifestyle remedies. Consult a specialist to diagnose the condition early and seek appropriate treatment to avoid complications.

Untreated Urinary Tract Infections And Kidney Damage: Know The Connection

High sugar levels can harm your body and impact the quality of life. However, you can manage your ;sugar levels by keeping a check on your nutritional intake.

Manage Your Diabetes By Keeping A Check On Your Nutritional Levels

Hepatitis is a medical condition that occurs when an infected person's liver gets inflamed. There are several reasons that can result in hepatitis, including viral infections, heavy alcohol abuse, and autoimmune conditions.

 

Mostly, hepatitis is a result of an infection caused by a virus. Such a condition is called viral hepatitis. Today, we will talk about the three most common types of viral hepatitis diseases:

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	Hepatitis a
	
	
	Hepatitis b
	
	
	Hepatitis c
	


 

Hepatitis a

Hepatitis a is a result of hepatitis a virus infection in a person and is relatively uncommon.

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Regions, where hepatitis a is more common, are:

 


	
	Africa
	
	
	Asia
	
	
	Central and south america
	
	
	Eastern europe
	


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How it is transmitted

Hepatitis a virus can be present in the fecal matter and blood of an infected person. Hence, it is transmitted via the oral route, involving ingestion of the virus into a person through the feces.

 

Different ways you can get hepatitis a infection are:

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	Having in-person contact with a hepatitis a-infected patient
	
	
	Sexual contact with a person who hosts the virus
	
	
	Consuming contaminated food or drink
	
	
	Eating undercooked shellfish
	
	
	Being near contaminated toilets and diaper changing areas
	


 

Hepatitis b

Hepatitis b is caused by the hepatitis b virus.

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Regions, where hepatitis b is more common, are:


	
	Western pacific region
	
	
	African region
	


 

How it is transmitted

You can contract hepatitis b virus through direct contact with blood or bodily fluids of hepatitis b infected person.

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Different ways you can get hepatitis b infection are:

 


	
	Sexual contact with someone with hepatitis b virus infection
	
	
	Sharing injections and other tools
	
	
	Born to hepatitis b infected parent
	
	
	Direct contact with blood of an infected individual
	
	
	Sharing personal belongings and toiletries like razors or nail clippers.
	


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Hepatitis c

Hepatitis c occurs by the infection caused by hepatitis c virus.

 

Regions, where hepatitis c is more common, are:


	
	Eastern mediterranean region
	
	
	European region
	


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How it is transmitted

Hepatitis c virus is spread through blood and other bodily fluids.

 

Different ways you can get hepatitis c infection are:

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	Sharing injections
	
	
	Born to hepatitis c mother
	
	
	Sexual contact with an infected person
	
	
	Piercing or tattooing with unsterilized equipment
	
	
	Injuries with needles pr blades
	
	
	Sharing razors, or toothbrushes
	


The A, B and C of Hepatitis

If you have diabetes, many parts of your body are likely to get affected over time. You might observe that your digestion is not the same as it was before you had diabetes. In this case, you are likely to face stomach problems and bowel issues. This is due to the effect of diabetes on your vagus nerve.

The vagus nerve is responsible for managing the complex processes in your digestive system. When the nerve is not functioning properly, your digestion slows down. As a result, the contents of your stomach stay longer than they should. Such a condition is called diabetic ;gastroparesis, which is one of the most common diabetic problems.

What is diabetic gastroparesis?

In gastroparesis, your stomach takes too much time to clear the bowel due to disrupted digestion. Usually, after a meal, the vagus nerve helps to contract the stomach muscles to break down the food into smaller pieces and pass it to the small intestine.

However, if the nerve is damaged, the muscle contraction gets halted and the decomposition of the food is slowed down. This condition is common in patients suffering from type 1 and type 2 diabetes. This is because diabetes causes nerve damage, which in turn damages the vagus nerve.

Symptoms of gastroparesis

The most common symptoms of the condition are  


	
	Heartburn
	
	
	Nausea accompanied by ;vomiting
	
	
	Appetite loss
	
	
	Bloating in the abdomen
	
	
	Acid reflux
	
	
	Weight loss
	
	
	Fluctuations in the blood ;sugar level
	
	
	Feeling full even after consuming a little amount of food
	
	
	Spasms in the stomach
	


What are the treatment options?

The first step to treat diabetic gastroparesis is to manage the levels of blood sugar. In this case, your doctor might ask you to check your blood sugar regularly   that will help him to modify the treatment to cure this condition.

The treatment can include the following steps  


	
	Altering your insulin dosage and the number of times you take it
	
	
	Oral medication may be prescribed to improve the condition
	
	
	Gastric ;electrical stimulation   where a device called gastric neurostimulator is implanted in the lower abdominal region. It sends low energy electrical impulses to your stomach muscles to cure cases of severe vomiting and nausea.
	


The doctors will recommend some dietary changes   avoid fibre-rich foods and include low-fat foods instead. With proper treatment and lifestyle changes, diabetic patients may be able to avoid common digestive problems like gastroparesis.

What Is Gastroparesis- A Diabetes Induced Digestive Problem

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