Thalassemia
Thalassemia
Thalassemia
ON
THALASSEMIA
Presesnted by:
Amanda Kharsamai
Roll no- 02
MSc Nursing Ist yr
DEFINITION
Thalassemia is a hereditary disorder characterized
by a decrease in the synthesis of goblin chains
(alpha or beta).
Impaired goblin synthesis causes impaired
production of hemoglobin and eventually results in
a hypochromic microcytic anemia because of
defective hemoglobinization of RBCs
Weatherall, 2010
INCIDENCE
Thalassemia is commonly found in members of ethnic groups whose
origin are near the Mediterranean Sea and equatorial regions of Asia, the
Middle East and Africa.
Carrier frequency varies from 3% to 17% in different populations, with
over 30 million people carrying the defective gene.
It is the commonest group of autosomal recessive disorder in India.
Over 9000 thalassemic children are born every year in the country.
Majority of the patients are severe tranfusion dependent; about 10% to
15% of cases have milder phenotypes.
An individual with thalassemia may have a heterozygous types or homozygous
form of the disease.
A person who is heterozygous has one thalassemic gene and one normal gene and is
said to have thalassemia minor which is a mild form of the disease.
A homozygous person has two thalassemic genes, causing a severe condition known
as thalassemia major.
ETIOLOGY
Thalassemia is due to decreased production of at least one globin
polypeptide chain ( beta, alpha, gamma, delta) which results in
unbalanced hemoglobin synthesis.
Beta thalassemia results from decreased production of beta-
popypeptide chains.
Alpha thalassemia is a result of decreased production of alpha
globins.
PATHOPHYSIOLOGY
Anemia,
bone marrow
Globins in
expansion,
Decreased β excess
Imbalance extramedullar
or α precipitate Ineffective
between α and y
production of and damage erythropoiesis
β globins hematopoiesi
or globins the RBC
s, increased
membranes
intestinal iron
absorption
NURSING MANAGEMENT
Nursing assessment:
Thalassemia major
Thalassemia intermediate
Thalassemia minor
Nursing diagnosis:
Ineffective tissue perfusion
Imbalanced nutrition
Activity intolerance
Ineffective family coping
Risk for infection
PROGNOSIS
Patients with mild thalassemia can expect a normal life expectency.
Patients with moderate, or severe thalassemia have a good chance of long-term survival
as long as they follow their treatment program.
Heart disease from iron overload is the leading cause of death in patients with
thalassemia, so keeping up with the iron chelation therapy is extremely important.
A bone marrow transplant may cure thalassemia.
Patients with thalassemia may need surgery to correct skeletal problems.
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throughout her career.
COMPLICATIONS