Thalassemia is a blood disorder. It lowers the number of healthy red blood cells in the body. Red blood cells carry oxygen to all the organs in the body. Low levels make it hard to get enough oxygen throughout the body.
Hemoglobin is an important part of red blood cells. It is needed for red blood cells to pick up oxygen. Hemoglobin is abnormal in thalassemias. The type of thalassemia will depend on what part of the hemoglobin is affected:
Alpha thalassemia—alpha part of hemoglobin is damaged
Beta thalassemia—beta part of hemoglobin is damaged
Thalassemia is caused by problems in specific genes. The altered gene or genes are passed from the parents. There are 4 genes needed for changes in hemoglobin, 2 from each parent. The number of genes that are passed will decide how severe thalassemia is:
1 abnormal gene—no signs of illness but can pass condition on to their child; called silent carrier
2 abnormal genes—thalassemia trait, may have mild anemia
3 abnormal genes—Hemoglobin H disease, moderate to severe anemia
4 abnormal genes—most severe form called Alpha hydrops fetalis, results in fetal or newborn death
In beta thalassemia:
1 abnormal gene—Thalassemia minor, carrier with mild anemia
2 abnormal genes—Thalassemia major known as Cooleys anemia, may have moderate to severe anemia
Factors that increase your chance of thalassemia include:
Certain types of thalassemia may be associated with ancestors from certain parts of the world:
Alpha thalassemias—Middle East, areas surrounding the Mediterranean Sea, Southeast Asia, Malaysia, and Southern China
Alpha hydrops fetalis—Southeast Asian, Chinese, and Filipino ancestry
Beta thalassemias—Africa, areas surrounding the Mediterranean Sea, and Southeast and Central Asia
A family history of the disorder
Symptoms most often begin within 3 to 6 months of birth. Symptoms of mild or moderate anemia may include:
Feeling weak and tired
Shortness of breath
Lightheadedness or headaches
Cold hands and feet
Symptoms of severe anemia include:
Lack of interest in activity
Yellowing of skin and white of eye (jaundice)
Thalassemia can also lead to complications such as:
Blood cells are formed in the bone marrow. A bone marrow transplant uses healthy cells from a donor to grow new bone marrow. This can let the body grow healthy red blood cells. It may be a cure for some people. However, there can be complications from this type of procedure. It can also be hard to find a good match with a donor. It may not be an option for everyone.
The spleen is a small organ near the stomach. It helps to recycle old red blood cells. Anemia can enlarge the spleen. This can make anemia worse. The spleen may need to be removed. The surgery may help cut back on the number of blood transfusions that are needed.
Extra stress on your body can make you feel worse. Basic steps can help improve your overall health and reduce stress on your body:
Eat a well balanced diet. Your doctor may also recommend supplements like folic acid.
Exercise at least 3 to 5 days per week. There are many options to help work with joint pain or other health limits.
Take steps to prevent cold or flu. Wash your hand often. Avoid crowds in flu season. Get vaccinations as recommended.
If you have thalassemia and you are pregnant, talk to you doctor about any special steps you need to take.
Go to all medical appointments as recommended.
Special steps will be needed during pregnancy. It is important to make sure a care team knows about thalassemia.
Blood tests and family genetic studies will show if you are a carrier. A genetic counselor can discuss the risks of passing on the disease.
Explore thalassemias. National Heart, Lung, and Blood Institute website. Available at: http://www.nhlbi.nih.gov/health/health-topics/topics/thalassemia. Accessed September 6, 2019.
4/24/2014 DynaMed Plus Systematic Literature Surveillancehttp://www.dynamed.com/topics/dmp~AN~T114657/Alpha-thalassemia. Thalassaemia in pregnancy, Management of Beta (Green-top 66). Royal College of Obstetrians and Gynaecologists website. Available at: https://www.rcog.org.uk/en/guidelines-research-services/guidelines/gtg66. Published March 27, 2014. Accessed September 19, 2017.
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