Treatment FAQ

what are the treatment for sickle cell

by Dillon Hegmann Published 2 years ago Updated 1 year ago
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Stem cell or bone marrow transplants
bone marrow transplants
Stem cell transplants are used to treat conditions in which the bone marrow is damaged and is no longer able to produce healthy blood cells. Transplants can also be carried out to replace blood cells that are damaged or destroyed as a result of intensive cancer treatment.
https://www.nhs.uk › conditions › stem-cell-transplant
are the only cure for sickle cell disease
, but they're not done very often because of the significant risks involved. Stem cells are special cells produced by bone marrow, a spongy tissue found in the centre of some bones. They can turn into different types of blood cells.

Medication

The Role of Nutrition in Sickle Cell Disease

  • The Case for a Balanced Diet. A sickle crisis occurs when sickle-shaped blood cells clump together and block small blood vessels that carry oxygen to vital organs.
  • Start Early. The energy intake for people with sickle cell anemia can be especially poor, especially during a sickle cell crisis.
  • Preventative Care. ...
  • A Personalized Nutritional Plan. ...

Procedures

What supportive medicines do people use?

  • Antibiotics and immunizations. Infections are life-threatening for people with SCD. Treatments to prevent and manage infections have greatly improved childhood survival rates.
  • Pain medicines. Pain is the most common symptom of SCD. ...
  • Other medicines. Sickle cell disease is much more than a pain condition. ...

Therapy

Experts say that editing specific blood stem cells can help reverse symptoms of blood disorders, including sickle cell disease, a hereditary condition that makes your red blood cells look like sickles. Read on to know more about this condition. Your blood is the fuel that runs your whole body. Any problem with it can affect total health.

Self-care

“Unfortunately, there is no cure for sickle cell disease, but treatment can help those with the disease live well and be healthy,” Physician General Dr. Denise Johnson said. “If you are living with sickle cell disease, there is treatment as well as ...

Nutrition

What is good diet for sickle cell patients?

What medications are used for sickle cell disease?

Can stem cells help reverse sickle cell disease?

Who treats sickle cell disease?

See more

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Can sickle cells go away?

There's no cure for most people with sickle cell anemia. Treatments can relieve pain and help prevent complications associated with the disease.

What is sickle cell disease and is it curable?

People with sickle cell disease produce unusually shaped red blood cells that can cause problems because they do not live as long as healthy blood cells and can block blood vessels. Sickle cell disease is a serious and lifelong health condition, although treatment can help manage many of the symptoms.

What is the best medication for sickle cell?

Hydroxyurea. Hydroxyurea is a medicine used to reduce the frequency of pain crises and the need for blood transfusions in patients with sickle cell disease. Hydroxyurea works by increasing the levels of hemoglobin F (HbF), found at high levels in early stages of development.

How do you treat sickle cell crisis at home?

How to Manage a Pain CrisisDrink water or other fluids when your symptoms start. Staying hydrated can help you head off the worst of an attack.Use a heating pad or take a warm bath.Try a massage, acupuncture, or relaxation techniques.Do something to take your mind off your pain.

What is the treatment for sickle cell disease?

Treatments for Sickle Cell Disease. The most common treatments for complications of sickle cell disease (SCD) are hydroxyurea and blood transfusions. However, the type and severity of complications of SCD are different for everyone. So your doctor may recommend medications, procedures, and lifestyle changes that are specific to you.

What is the most common procedure for sickle cell disease?

The most common procedure done to treat sickle cell disease is blood transfusion. Doctors may use single transfusions to treat complications, such as severe anemia and acute chest syndrome. They may also recommend regular blood transfusions to reduce the risk of stroke or if hydroxyurea is not working. 3,7,9.

What is the FDA doing about SCD?

The FDA prioritizes the development of new SCD treatments. Drug companies have also invested a lot of money into researching new drugs. Many drugs are currently in clinical trials for reducing the severity and duration of acute pain crises. Talk to your doctor if you are interested in participating in a clinical trial. 7,12.

What are some examples of SCD?

Other procedures may also be used to treat specific complications of SCD. Some examples include: 8,11. Surgical removal of the spleen (splenectomy) to treat or prevent splenic sequestration. Injections, laser treatment, or surgery to address vision loss.

How old do you have to be to take penicillin?

Children may take penicillin or other antibiotics from 2 months old to 5 years old. Children older than 5 years old and adults may also take penicillin to prevent infections, especially if they have had their spleen removed. 4,5. Vaccinations are also important to prevent infections in children with SCD.

What is the best treatment for sickle cell?

Blood Transfusions. Blood transfusions can help relieve symptoms of sickle cell and potentially prevent stroke and other complications in high-risk patients. There are 2 types of transfusions used for people with sickle cell: A simple transfusion and a red blood cell exchange. In a simple transfusion, donated blood is given to a patient;

How many studies have been done on sickle cell?

Scientists continue to explore how to address unmet needs in the management and treatment of sickle cell. As of February 2021, there have been more than 350 clinical studies on sickle cell disease completed, with over 250 active or actively recruiting trials happening to date. From collecting information about diagnoses to improving current treatments and exploring new options, scientists aim to improve care for sickle cell every day.

What is the function of HBS in sickle cells?

In sickle cell, this can include: adding a gene for a functioning form of hemoglobin (Hb) that can compensate for dysfunctioning hemoglobin S (HbS) turning on or off a different gene that regulates the type of Hb the body produces. correcting the Hb gene mutation so the body produces a functioning form of Hb instead.

What are the two types of gene therapy?

Overall, there are two types of gene therapy being studied: gene addition and gene editing. Both of these types of gene therapy are being explored in sickle cell. There are several techniques within these types that aim to give the cell a new set of instructions and treat the disease at the genetic level. In sickle cell, this can include: 1 adding a gene for a functioning form of hemoglobin (Hb) that can compensate for dysfunctioning hemoglobin S (HbS) 2 turning on or off a different gene that regulates the type of Hb the body produces 3 correcting the Hb gene mutation so the body produces a functioning form of Hb instead

What is the CDC's goal for sickle cell screening?

This initiative aims to improve screening results to help patients and their families get connected to healthcare resources to better manage their conditions and improve long-term health. The CDC has also created a data collection program to study long-term trends in diagnosis, treatment, and healthcare access for people with sickle cell.

What is gene therapy?

Gene therapy a method of treating genetic diseases at the DNA level (the source) with the goal of changing the course of a disease. is a type of treatment that uses genetic material with the goal of changing the course of a disease, and it has been studied for more than 40 years.

Is there a gene therapy for sickle cell?

To date , there are no approved gene therapies for sickle cell. Overall, there are two types of gene therapy being studied: gene addition and gene editing. Both of these types of gene therapy are being explored in sickle cell. There are several techniques within these types that aim to give the cell a new set of instructions and treat ...

How to help sickle cell pain?

There are things you can do at home to help your sickle cell symptoms: Use heating pads for pain relief. Take folic acid supplements, as recommended by your doctor. Eat an adequate amount of fruits, vegetables, and whole-wheat grains.

What is sickle cell disease?

Sickle cell anemia, or sickle cell disease (SCD), is a genetic disease of the red blood cells (RBCs). Normally, RBCs are shaped like discs, which gives them the flexibility to travel through even the smallest blood vessels. However, with this disease, the RBCs have an abnormal crescent shape resembling a sickle.

How long do sickle cells live?

This breaking apart of RBCs is called chronic hemolysis. RBCs generally live for about 120 days. Sickle cells live for a maximum of 10 to 20 days.

What is the most common type of sickle cell disease?

Hemoglobin SS disease is the most common type of sickle cell disease. It occurs when you inherit copies of the hemoglobin S gene from both parents. This forms hemoglobin known as Hb SS. As the most severe form of SCD, individuals with this form also experience the worst symptoms at a higher rate.

What are the causes of sickle cell crises?

They can be caused by a variety of circumstances, including: illness. changes in temperature. stress. poor hydration. altitude. The following are types of complications that can result from sickle cell anemia.

When do sickle cell anemia symptoms appear?

Symptoms of sickle cell anemia usually show up at a young age. They may appear in babies as early as 4 months old, but generally occur around the 6-month mark. While there are multiple types of SCD, they all have similar symptoms, which vary in severity. These include:

Why do sickle cells deform?

The red blood cells are more likely to deform and assume the sickle shape if you’re dehydration . Treating underlying or associated infections is an important part of managing the crisis, as the stress of an infection can result in a sickle cell crisis. An infection may also result as a complication of a crisis.

Hydroxyurea

Hydroxyurea has been used to treat SCD since the 1980s. The FDA approved it to treat adults with SCD in 1998 and to treat children with SCD in 2017. It is also used to treat some forms of cancer. However, doctors use a lower dose to treat SCD. 1

Endari

Endari was the first treatment approved for children with SCD and the first new treatment for adults in nearly 20 years. Endari was approved in 2017 to treat SCD in people 5 years of age and older. 9

Oxbryta

Oxbryta is an oral treatment approved in 2019 for people 12 years of age and older. It increases the ability of hemoglobin to bind to oxygen. When hemoglobin is bound to oxygen, it does not clump together inside red blood cells. This helps prevent red blood cells from sickling and bursting too soon (hemolysis). 4,11

Adakveo

The FDA approved Adakveo in 2019 to treat SCD in people 16 years of age and older. Adakveo contains an antibody (a protein designed to bind to a specific molecule in the body). Adakveo binds to P-selectin, which is a protein on cells that line blood vessel walls. P-selectin sticks sickle cells to blood vessel walls.

Folic acid

Folate is a vitamin that bone marrow needs to make new red blood cells. Folate deficiency can lead to anemia. Our bodies do not make folate, so we must get it from food. Many foods have folate, including vegetables, fruit, and nuts. 13

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Diagnosis

Lifestyle and Home Remedies

Coping and Support

Preparing For Your Appointment

Medically reviewed by
Dr. Rakshith Bharadwaj
Your provider will work with you to develop a care plan that may include one or more of these treatment options.
Treatments, such as medications and blood transfusion, aim at managing the symptoms and preventing crises.
Medication

Analgesics: To reduce pain during crises.

Ibuprofen


Antimetabolite: Reduces episodes of pain; it is also said to stimulate production of normal hemoglobin.

Hydroxyurea


Amino acid: Reduces acute complications of the disease.

L-glutamine

Procedures

Bone marrow transplantation: Also known as stem cell transplant, the therapy involves introducing healthy bone marrow stem cells from a donor.

Therapy

Intravenous therapy:Rehydration with intravenous fluids.

Oxygen therapy:Given through a mask to improve breathing.

Self-care

Always talk to your provider before starting anything.

  • Use hot pads to relieve pain.
  • Drink plenty of water.
  • Exercise regularly.
  • Get the child vaccinated as per the doctor’s recommendations.

Nutrition

Foods to eat:

  • Foods rich in folic acid: e.g. green leafy vegetables, legumes, orange juice, and fortified cereals.
  • Foods rich in calcium: e.g. low-fat or fat-free milk, yogurt, and cheese, leafy green vegetables and calcium-fortified Foods such as soymilk, orange juice, and tofu.

Foods to avoid:

  • NA

Specialist to consult

Hematologist
Specializes in the study of the blood and blood disorders.

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