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

Type 1 diabetes occurs when your pancreas is unable to produce enough insulin to keep the blood sugar ;levels under control. The condition, if not managed properly, can lead to related health disorders and complications, both long-term and short-term.

Health problems arising from type 1 diabetes

Type 1 diabetes can have severe effects on your eyes, kidney, nervous system, and heart health. The most common ailments associated with type 1 diabetes may include the following-

1. Diabetic retinopathy

Diabetic retinopathy is a disease of the eyes, which occurs when the blood vessels in the retina (tissue present at the back of your eyes) are damaged. The walls of the retina gradually weaken from increasing blood pressure and blood sugar levels, and this leads to leakage of blood or fluid into the nearby tissues.

Early symptoms of diabetic retinopathy include-


	
	Blurred vision
	
	
	Floaters
	
	
	Difficulty perceiving colors
	


2. ;Diabetic neuropathy

Diabetic neuropathy unfolds when the nerves are damaged due to type 1 diabetes. The condition mostly affects your feet and legs. Reduced blood circulation due to high blood glucose impedes normal wound healing in the extremities, hence, even a minor bruise ;can develop into a permanent injury.

Symptoms of diabetic neuropathy are-


	
	Numbness
	
	
	Reduced sensation
	
	
	Severe, debilitating pain in the extremities
	


3. Diabetic nephropathy

Also known as ;diabetic kidney disease, the condition is a slow deterioration of the kidney and its ability to function properly. In severe cases, where the levels of blood glucose are extremely high due to type 1 diabetes, diabetic nephropathy can ultimately result in kidney failure ;or end-stage renal disease (esrd).

The following are the symptoms of diabetic nephropathy-


	
	Dark urine
	
	
	Swollen ankles, feet, eyes, or hands
	
	
	Shortness of breath
	


4. Cardiovascular diseases

Cardiovascular diseases refer to a range of heart conditions including blood clots and diseased blood vessels. High blood glucose levels resulting from type 1 diabetes can contribute to the deposition of fat in the walls of the blood vessel. Over time, this may restrict the flow of blood and put you at risk of cardiovascular disorders such as coronary artery disease, stroke, or even ;heart attack.

Symptoms of cardiovascular diseases widely vary, ranging from palpitations ;to chest pain. Sometimes, such a condition may not exhibit any symptoms at all.

Type 1 diabetes complications are related to poor management of blood glucose. The best way to monitor the condition and control the symptoms is to get in touch with your doctor. A specialist in this field can prescribe the correct treatment and help prevent the onset the related health disorders.

Complications Associated With Type 1 Diabetes

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

Congestive heart failure is a condition when your heart stops pumping blood effectively. By being aware of the risk factors, you can manage your condition in a better way. Also, you must consult your doctor on a regular basis to get yourself checked.

Complications Associated With Congestive Heart Failure

All types of viral hepatitis diseases are contagious and they can be transmitted from one person to another easily. Although, the modes of transmission may vary.

 

Experts recommend some preventive steps for every type of infection to lower your risk of acquiring or spreading hepatitis infection.

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Here are some preventive measures that may help in preventing the infection:

 

Vaccines

Vaccines for hepatitis a and hepatitis b are the best ways to prevent these viruses. Vaccines are not for all types of hepatitis infections. However, hepatitis a vaccination can help prevent the infection caused by the hepatitis a virus. The hepatitis a vaccine is generally administered in 2 doses. Similarly, there are vaccines available for hepatitis b as well. It is administered within 6 months duration. The same vaccine is helpful to prevent hepatitis d as well. There are no vaccines for hepatitis c and hepatitis e currently.

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Reducing exposure

Hepatitis diseases can be transmitted through bodily fluids, water, and food containing the infection. One can lower the risk of contamination by minimizing contact with these agents. Practicing proper and good hygiene is a way to avoid getting hepatitis through these mediums.

 

You can decrease your risk of coming in touch with fluids containing these viruses by avoiding:

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	Sharing used needles and razors
	
	
	Using someone else s toothbrush
	
	
	Touching spilled blood
	
	
	Not using condoms and dental dams during sexual contact
	


 

Handwashing

One must trust in personal hygiene to lower the risk of spreading or acquiring the hepatitis virus. Here are some preventive steps you can follow by washing hands:

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	Washing your hands thoroughly after accessing the restroom
	
	
	When you get in touch with an infected person's blood, or stool
	
	
	After daycare routine for caretakers
	
	
	After a diaper change, and before serving food.
	


 

Avoiding contaminated consumption:

Contaminated or infected food and water may become the primary causes of hepatitis infection. One should take these precautions to avoid any contaminated consumption of food or water:

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	Avoid eating raw shellfish
	
	
	Beware of fruits that have been washed in contaminated water
	
	
	Avoiding unhygienic street vendors
	
	
	Use bottled water for brushing or oral cleaning in areas where clean water is not available
	
	
	Bringing the water to a 1-minute boil is a must in doubtful areas
	
	
	Heated food to be eaten right away
	


Hepatitis: Some Ways To Prevent Yourself

People suffering from sickle cell disease (scd) usually start showing symptoms very early. They can appear to show up even during the first year of life. Symptoms of a sickle cell vary from one person to another and can be mild to serious depending on the condition.

 

Sickle cell disease is a health condition that worsens with time. Despite the absence of any full-proof solution, some treatments prevent further complications. These treatments can help patients receive aid for a lifetime. Simply said, sickle cell diseases can be managed medically.

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Treatment

Treatment in a sickle cell patient depends on the severity of the symptoms. Preventing complications and relieving pain is the primary aim of the diagnosis. They can range from medications to blood transfusions.

 

Concerns

Some of the concerns that need to be taken care of during the treatment of scd are-

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	Prevent painful scenarios
	


A painful episode or sickle cell crisis can be avoided by consuming sufficient fluids, wearing warm clothing, and staying away from sudden temperature changes.

 


	
	Avoid infections
	


Children with sickle cell anemia are made safe from infections by using penicillin. Adults with anemia might need to take penicillin all their lives. Doctors should ensure that all vaccinations in children and adults are periodically done to avoid any infections. However, during the covid-19 pandemic sickle cell patients should take extra care.

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Medications

While there can be numerous ways to manage sickle cell treatment, medications help in a significant way. Some of the prescribed medicines are-


	
	Hydroxyurea- it reduces the frequency of sickle crises. Pregnant women should stay away from this according to experts.
	
	
	Crizanlizumab- this drug injected into the patient can help reduce the sickle crises in adults and children over the age of 16.
	
	
	Voxelotor- it is an oral drug used in children over 12. It lowers the risk of anemia by improving blood flow.
	
	
	Pain-relievers- narcotics to prevent excessive pain can also be used during the treatment.
	


 

Surgical procedures


	
	Blood transfusion
	


It is used to prevent stroke and other related complications in patients. This can increase the number of red blood cells in the body that can help reduce the symptoms.

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	Stem cell transplant
	


It is also called a bone marrow transplant and is used to replace affected bone marrow with a healthy one. This procedure is carried out between matched donor and recipient. Although it is a known cure for sickle cell disease, various risks involved make it a less used practice.

 

Can Sickle Cell Be Cured?

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