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?

As the name suggests, kidney cancer, also known as renal cancer, starts in the kidneys. It occurs when the healthy kidney cells grow out of control and become malignant to form cancerous tumours. ;Renal cell carcinoma is the most common type of cancer affecting the kidneys  here cancer begins in the lining of the tubes of your kidney.

Risk factors of kidney cancer

The exact cause of kidney cancer is not known. However, studies suggest that certain factors can make you susceptible to renal cancer. These include  


	
	Smoking
	
	
	Overuse of certain medications
	
	
	Excessive body weight
	
	
	Genes/heredity
	
	
	Gender   men rather than women are prone to kidney cancer
	
	
	An underlying health condition, such as ;high blood pressure
	


Early signs of kidney cancer

The symptoms of renal or kidney cancer depend on its types. In most cases, the disease does not exhibit noticeable symptoms in its early stages. This makes the diagnosis of cancer difficult. However, the signs become more apparent and observable as cancer starts to metastasize. You should watch out for these signs of kidney cancer -


	
	Bouts of blood in the urine   a condition commonly known as haematuria
	
	
	Pain on one side of the lower back (near the kidneys)
	
	
	A lump or mass on the lower back or side, where your kidneys are located
	
	
	Loss of appetite
	
	
	Tiredness or ;fatigue
	
	
	Unintentional weight loss
	
	
	Fever ;that does not cure in days
	
	
	Anaemia   low count of the red blood cells
	
	
	In men, a cluster of enlarged veins called varicocele may develop around the testicles (particularly around the right testicle), indicating the presence of a large tumour
	


Often, these symptoms are mistaken for those of other conditions or diseases. Therefore, it is important to consult a specialist.

If you encounter the above symptoms, or if you are concerned about any changes that you have been experiencing lately, talk to your healthcare provider. A doctor will enquire about the symptoms and might ask you questions related to these signs   how long have you been experiencing them, or how severe is the pain etc. This is crucial for early diagnosis and treatment of kidney cancer.

Know How To Detect Kidney Cancer Early

The most common forms of diabetes ;are type 1 and type 2 diabetes. In type 1, your immune system damages the cells inside the pancreas that produce insulin. Therefore, the pancreas are unable to produce an adequate amount of insulin.

In type 2 diabetes, your body does not respond properly to the insulin produced by the pancreas. As a result, your body will have a difficult time removing sugar ;from the blood. The cells may stop insulin production over time that may lead to insulin deficiency. However, there are other forms of diabetes that are lesser-known but can affect you just as bad.

Types of diabetes beyond type 1 and type 2

Gestational diabetes

In gestation diabetes, a condition that affects pregnant women, the blood sugar levels increase to an extent that may hamper the health of the mother and the child.

Symptoms

Usually, there are no symptoms as such. If diabetes worsens, women may observe symptoms such as -


	
	A need to pee more frequently
	
	
	Excessive thirst and hunger
	
	
	Dryness in the mouth
	


Lada (latent autoimmune diabetes in adults)

It is sometimes referred to as type 1.5 diabetes. Here, your immune system kills the insulin-producing cells inside the pancreas. As this condition takes a longer period to develop, you may not need insulin for many months after you have been diagnosed.

Symptoms

You may observe the following symptoms  


	
	Dryness and itchiness
	
	
	Tingling sensation in feet or hands
	
	
	Blurry vision
	
	
	Frequent urination
	


Mody (maturity-onset diabetes of the young)

This condition is observed during adolescence. Here, genetic mutations limit the pancreas from making insulin. So, due to insufficient insulin, your blood sugar level goes up. If any of your parents have mody, you are likely to have the condition.

Symptoms

Symptoms may include  


	
	Yeast and ;skin infections
	
	
	Frequent urination
	
	
	An urge to pee more often
	


Treatment

Primary care for these other forms of diabetes follows the usual course of treatment as with type 1 and type 2.


	
	Diabetic medications
	
	
	Insulin shots or injections
	
	
	Dietary changes
	


The doctor may instruct you to monitor your blood sugar levels frequently to keep it under control. This will be accompanied by a diet ;consisting of adequate calories, but avoid fatty foods, excess sugar and carbohydrates. Mild exercise is also recommended.

The best way to prevent these conditions is to visit your doctor frequently and follow the treatment plan. Do not keep your diabetes untreated.

A Sneak Peek Beyond Type 1 And Type 2 Diabetes

C-reactive protein ;is a type of protein produced by the liver in response to an infection ;or inflammation. When your body contracts an infection, the white blood cells produce proteins to fight it. Some of these proteins activate the liver into producing c-reactive protein. For many years, the crp ;blood level has been used to ascertain the level of infection or inflammation.

Assessing the risk of heart disease ;with c-reactive protein

The level of crp is a potential indicator of how likely you are to develop cardiovascular diseases. This is because the development of atherosclerosis is linked with inflammation within the walls of your blood vessel. This results in higher levels of c-reactive protein in atherosclerosis patients than in those without the disorder.

The greater the crp levels, the more chances you have of being affected by cardiovascular disorders. The test also determines the risk of a second attack.

The value of knowing your crp levels depends on whether you come under one of three cardiovascular risk groups.


	
	High risk   not important to know crp because you should be combining lifestyle changes and aggressive treatment to reduce risk
	
	
	Intermediate risk   helpful to find out crp levels, as it can provide vital information crucial in deciding the next line of treatment
	
	
	Low risk   even if your crp levels are high, you will not be at risk   due to negligible risk factors and low cholesterol levels   that should require more than just lifestyle changes
	


To find out crp levels you will have to take a blood test. C-reactive protein is classified into  


	
	High   equal to or greater than 3
	
	
	Intermediate   between 1 and 3
	
	
	Low   below 1
	


If you are having a c-reactive protein test to check for heart diseases, your healthcare provider may recommend a cholesterol test as well. A number of other tests may also be prescribed to evaluate your risk further.

How C-reactive Protein Can Pose A Risk For Heart Disease?

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

Diabetes is a common chronic condition that results from excessively high blood glucose. In this condition, either the pancreas fail to produce enough insulin, or your body does not utilize insulin produced by pancreas properly. This might lead to cardiovascular problems and neural problems, as well as health problems like ;depression and ;anxiety. Recent studies reveal that diabetes may have an impact on your reproductive health too.

Effects on men

A common problem that affects men s sexual life is erectile dysfunction. Diabetic men face this as they have low testosterone levels and are unable to maintain an erection during sex. For an erection, constant blood flow is necessary inside the penis. However, as diabetes disrupts the blood flow and damages the blood vessels, men are not able to achieve an erection.

Furthermore, diabetes also damages the arteries and nerves, which again, disturbs the blood flow to the penis. This also causes erectile dysfunction. Other factors that can cause sexual complications among men are- ;


	
	Diabetes-induced obesity
	
	
	High blood pressure
	
	
	Retrograde ejaculation ;  refers to a condition where semen is ejaculated to your bladder, but not through your penis
	


Effects on women

For women, during menopause, blood ;sugar levels may drop due to diabetes. Besides, high blood sugar levels damage the nerves of a woman. This may hinder the ability to feel aroused during sex and lowers sexual stimulation. This reduces their capability to achieve orgasm.

Another common issue among women with diabetes is ;vaginal dryness. This causes a lack of lubrication in the vagina that makes sex painful. Damage to the nerves that lubricate the vagina may be the reason for this. During menopause or after menopause, it can be due to low oestrogen.

Diabetes is more likely to cause vaginal infections such as yeast infections and urinary tract infections. Both of these cause pain during sexual intercourse. If the nerves of the bladder are damaged, it can lead to urinary incontinence ;while sex.

There are certain medications and therapy that may help control diabetes. Additionally, changes in lifestyle such as eating healthy, exercising daily etc. Will enhance your well-being that will significantly improve your blood glucose levels   and in turn, your sex life.

Know How Diabetes Impacts Reproductive Health

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