TREATMENT FOR MALARIA PATIENTS IN PAKISTAN AND THE PREDOMINANCE OF GLUCOSE-6-PHOSPHATE DEHYDROGENASE (G6PD) DEFICIENCY

Syed Waqad Ali, Marium Raziq, Muhammad Muzammil Khan, Sania Tanvir, Syed Jamal Haider Zaidi, S. Syed, Bullo Saifullah, Shahzad Nasim
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Abstract

Even though it predisposes carriers to hemolysis, glucose-6-phosphate dehydrogenase (G6PD) deficiency is linked with malaria endemicity. This fact supports the malaria prevention theory. The objective of this paper to determine whether and how much there is a protective relationship between malaria and G6PD deficiency. Twelve databases were searched for studies describing any G6PD connection in malaria patients. 38 of the 50 included papers qualified for the review. Results indicated that there was no harmful association between G6PD deficiency and uncomplicated falciparum malaria in Even though it puts carriers at risk for hemolysis, glucose-6-phosphate dehydrogenase (G6PD) deficiency is widespread in areas of Pakistan where malaria is also prevalent. This data supports the malaria protection hypothesis. Pakistan's annual malaria burden is estimated to be 1.5 million cases. The government needs to execute a successful malaria control and eradication program, given the prevailing circumstances. Destroying Plasmodium falciparum gametocytes and eradicating Plasmodium vivax hypnozoite reservoirs are possible with primaquine. However, when using this medication, those who lack the enzyme glucose-6-phosphate (G6PD) experience hemolysis. The distribution of malaria and G6PD deficiency in Pakistan must be mapped to create an effective medication to suppress the disease. No significant reports of G6PD deficiency (G6PDd) in malaria patients have come from Pakistan. This review article seeks to establish the existence and magnitude of a protective connection between malaria and G6PD deficiency
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巴基斯坦疟疾患者的治疗和主要的葡萄糖-6-磷酸脱氢酶(G6PD)缺乏症
尽管葡萄糖-6-磷酸脱氢酶(G6PD)缺乏症易使携带者发生溶血,但它与疟疾流行有关。这一事实支持疟疾预防理论。本文旨在确定疟疾与 G6PD 缺乏症之间是否以及在多大程度上存在保护关系。我们在 12 个数据库中搜索了有关疟疾患者 G6PD 相关性的研究。在收录的 50 篇论文中,有 38 篇符合审查条件。结果表明,在巴基斯坦,G6PD 缺乏症与无并发症恶性疟原虫疟疾之间不存在有害联系,尽管它会使携带者面临溶血风险,但在疟疾流行的巴基斯坦地区,葡萄糖-6-磷酸脱氢酶(G6PD)缺乏症非常普遍。这一数据支持疟疾保护假说。据估计,巴基斯坦每年的疟疾发病率为 150 万例。在当前情况下,政府需要成功实施疟疾控制和根除计划。使用伯氨喹可以消灭恶性疟原虫配子体细胞,并根除间日疟原虫下生体库。然而,在使用这种药物时,缺乏葡萄糖-6-磷酸酶(G6PD)的人会发生溶血。必须摸清巴基斯坦疟疾和 G6PD 缺乏症的分布情况,才能研制出有效的药物来抑制疟疾。巴基斯坦还没有关于疟疾患者 G6PD 缺乏症(G6PDd)的重要报告。这篇综述文章旨在确定疟疾与 G6PD 缺乏症之间是否存在保护性联系以及这种联系的程度。
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