Objectives
At the end of this presentation, student should be able to know;
- What sickle cell anaemia is.
- Risk factors and causes of sickle cell anaemia
- The pathophysiology of sickle cell anaemia
- Signs and symptoms of sickle cell anaemia
- The diagnostic measures of sickle cell anaemia
- Nursing and medical management of sickle cell anaemia
- Complications of sickle cell anaemia
Introduction
- This is defined as a recessive hereditary blood disease characterized by red blood cells that assume an abnormal, rigid, sickle shape. It is a group of RBCs disorder that is characterized by defect of the haemoglobin.
- Haemoglobin is a protein in RBC that carries oxygen throughout the body. With SCD, the haemoglobin forms into stiff rods within the RBC which change the shape of the RBC.
- The RBCs are supposed to be a disc-shaped, but this changes them into a crescent/sickle shape which are not flexible and cannot change easily.
- Sickle cells usually last about 10-12 days instead of the normal 90-120 days.
- The body may have trouble making enough new cells to replace the ones lost, because of this RBC will not be enough and this can lead to a condition called anaemia.
- These rigid RBC can adhere to the endothelium of small vessels when they pile against each other, causing a blockage that slows or stops the flow of blood and as a result oxygen cannot reach nearby tissues.
- If ischaemia or infarction results, the patient may have pain, swelling, and fever
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