Sickle Cell Anemia Treatment Children as well as adults with sickle cell disease will be supported by a team of diverse healthcare professionals working together in an expert sickle cell centre.
Your care team will aid you learn more about the condition as well as work with you to come up with an individual care plan that takes into account all your needs and health concerns.
Diagnosis Sickle Cell Anemia Treatment
A blood test may check for hemoglobin S — the defective form of hemoglobin that underlies sickle cell anemia. In the United States, this blood test is part of routine newborn screening performed at the hospital. But older children as well as adults may be tested, too.
In adults, a blood sample is taken from a vein in the arm. In young children as well as babies, the blood sample is typically composed from a finger or heel. The sample is then dispatched to a laboratory, where it’s screened for hemoglobin S.
If the screening test is negative, there is no sickle cell gene there. If the screening test is positive, further tests will be performed to determine whether one or two sickle cell genes are present.
Tests to detect sickle cell genes before birth
Sickle cell disease may be diagnosed in an unborn baby by sampling some of the fluid surrounding the baby in the mother’s womb (amniotic fluid) to search for the sickle cell gene. If you or your partner has been diagnosed with sickle cell anemia or sickle cell trait, ask your doctor about whether you should think this screening. Ask for a referral to a genetic counsellor who may aid you appreciate the risk to your baby.
Bone marrow transplant, also known as stem cell transplant, provides the only potential cure for sickle cell anemia. It’s typically reserved for people younger than age 16 because the risks grow for people older than 16. Finding a donor is tricky as well as the procedure has serious risks associated with it, including death.
Treatments might include medications to reduce pain as well as prevent complications, and blood transfusions, as well as a bone marrow transplant. The goals of treating sickle cell disease are to stop or relieve pain; prevent infections, organ damage as well as strokes; treat anemia and control complications. Some doctors as well as clinics focus in treating people who have sickle cell disease. Hematologists specialize in treating adults as well as children who have blood diseases and disorders.
Mild pain is regularly treated with over-the-counter medicine as well as heating pads. Severe pain may require to be treated in a hospital. The usual treatments for sharp (short-term) pain crises are fluids as well as pain-controlling medicines. Fluids help stop dehydration, a condition in which the body doesn’t have enough fluids. Treatment for mild to moderate pain typically begins with NSAIDs or acetaminophen. If pain continues, a narcotic may be required.
Those with more severe sickle cell anemia might benefit from daily administration of a medicine called hydroxyurea. This medicine might aid to reduce the number of painful crises. Hydroxyurea is used to prevent aching crises, not to treat them when they occur.
Bacterial infections may be a major complication of sickle cell disease, however often they can be prevented or treated. If a child who has sickle cell disease shows early signs of an infection, such as a fever, complexity breathing, or localized bone pain, treatment should be given right away.
To prevent infections in babies as well as young children, treatments include:
Daily doses of penicillin. Treatment might begin as early as two months of age as well as continue until the child is at least 5 years old. Both adults and children are at risk for a diversity of infections, such as pneumonia and bone infections. They should be examined while they experience fevers, since early diagnosis as well as treatment result in better outcomes.
Complications from sickle cell disease may include gallstones, lung crises (acute chest syndrome), pulmonary hypertension, stroke, leg ulcers that don’t heal, and eye damage.
Blood transfusions are commonly utilized to treat worsening anemia and sickle cell complications. Most patients with sickle cell sickness have at least occasional blood transfusions. Patients with severe complications–such as stroke as well as acute chest syndrome–may require months or years of regular transfusions every three to four weeks to stop ongoing damage. Hydroxyurea treatment may be helpful in reducing crises as well as require for transfusions.
People with sickle cell disease should have usual checkups to detect eye damage. And a simple ultrasound test of the head may identify children at high risk for strokes.