镰状细胞病及并发症:深入的叙事探索

Ana Maria Aristizabal Gil
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摘要

镰状细胞病(SCD)是一种遗传性疾病,其特征是产生异常的血红蛋白,即血红蛋白 S。这种改变会导致镰状红细胞的形成,阻碍红细胞通过血管,造成血管堵塞、缺血和疼痛。此外,镰状红细胞症患者更容易感染和出现血管并发症。急性疼痛危机是 SCD 的常见表现,由血管阻塞引发。这些危机可能需要立即进行医疗干预,以减轻疼痛和预防并发症。长期并发症包括慢性器官损伤,如肾衰竭、肺损伤和心脏病。COVID-19 引发了更多关注,因为 SCD 患者可能面临更高的严重并发症风险。羟基脲和输血是用于减轻疼痛危机和预防并发症的治疗策略。正在进行的研究旨在寻求更有效的疗法和综合管理策略,以提高这种遗传性疾病患者的生活质量。
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SICKLE CELL DISEASE AND COMPLICATIONS: AN IN-DEPTH NARRATIVE EXPLORATION
Sickle cell disease (SCD) is an inherited genetic disorder characterized by the production of abnormal hemoglobin, known as hemoglobin S. This alteration leads to the formation of sickle-shaped red blood cells, impeding their passage through blood vessels and causing blockages, ischemia, and pain. Additionally, individuals with SCD are more susceptible to infections and vascular complications. Acute pain crises are a common manifestation of SCD, triggered by blood vessel obstruction. These crises may necessitate immediate medical intervention to alleviate pain and prevent complications. Long-term complications include chronic organ damage, such as kidney failure, lung injuries, and cardiac disorders. COVID-19 has raised additional concerns, as SCD patients may face an elevated risk of severe complications. Hydroxyurea and blood transfusions are therapeutic strategies used to reduce pain crises and prevent complications. Ongoing research seeks more effective therapies and comprehensive management strategies to enhance the quality of life for those living with this genetic disorder.
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