What is Thalassemia

What is Thalassemia

by Dr. Rajib De

Posted on 1st May, 2024 at 3:54:59 AM


Thalassemia is a genetic blood disorder that affects the production of hemoglobin, the protein in red blood cells that carries oxygen throughout the body. Hemoglobin is composed of two types of protein chains, alpha and beta, and thalassemia can affect the production of one or both of these chains. The severity of the condition depends on which chains are affected and how much production is impaired.
Thalassemia is caused by mutations in the genes that control the production of the alpha or beta globin chains of hemoglobin. These mutations can be inherited from one or both parents, and the risk of developing thalassemia increases if both parents are carriers of the condition.
The symptoms of thalassemia vary depending on the type and severity of the condition. Common symptoms include fatigue, weakness, pale skin, and a yellowing of the eyes and skin (jaundice). People with thalassemia may also experience bone deformities, such as an enlarged spleen (splenomegaly) and jaundiced eyes (icterus). In severe cases, thalassemia can lead to organ failure and death.
Prof(Dr.) Rajib De, a haematologist, explains that the treatment of thalassemia depends on the type and severity of the condition. The goal of treatment is to manage the symptoms and prevent complications.
For people with mild thalassemia, treatment may not be necessary. However, they may be advised to take iron supplements to prevent iron overload. For those with moderate to severe thalassemia, blood transfusions may be necessary to replace the missing or defective hemoglobin. These transfusions can help to increase the number of red blood cells and improve the symptoms of the condition.
Another treatment option for thalassemia is chelating therapy, which helps to remove excess iron from the body. This therapy is used to prevent iron overload, which can damage the liver, heart, and other organs.
In some cases, a bone marrow transplant may be recommended for people with severe thalassemia. A bone marrow transplant can help to replace the damaged or abnormal bone marrow with healthy cells. This can lead to a cure for the condition. However, this treatment is complex and carries a significant risk of complications.

Prof(Dr.) Rajib De also emphasizes the importance of genetic counseling for people with thalassemia and their families. Genetic counseling can help to explain the condition and the risk of passing it on to future generations. It can also provide guidance on how to manage the condition and make informed decisions about family planning.
In conclusion, thalassemia is a genetic blood disorder that affects the production of hemoglobin. It is caused by mutations in the genes that control the production of the alpha or beta globin chains of hemoglobin. The symptoms of thalassemia vary depending on the type and severity of the condition. Treatment for thalassemia depends on the type and severity of the condition and may include blood transfusions, chelating therapy, and bone marrow transplant. Prof(Dr.) Rajib De, a haematologist, emphasizes the importance of genetic counseling for people with thalassemia and their families and the need for a comprehensive approach to manage the condition.

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