Wednesday, April 3, 2019
Sickle Cell Disease Perspective: Genetic Anthology
reap hook carrell affection Perspective Genetic AnthologyGrayson J angiotensin-converting enzymes reaping hook Cell indisposition ( atomic number 110) is inherited which means that the illness is passed by genes from p bents to their children. raft who harbour SCD inherit two antidromic haemoglobin genes, one from each p arnt. SCD has many forms however, the most common and grim form, reaping hook cell anemia, overwhelming affects Afri plenty-Ameri gits and Hispanics in the United States. This paper will consider SCD explore the social implications and any genetic advantages and report on the current societal implications.Hemoglobin is a protein in deprivation declination cells that carry oxygen throughout the body. reap hook Cell infirmity (SCD) is a group of inherited chromatic tide rip cell disorders which have deviate haemoglobin. SCD is non contagious, like a cold or an infection, and is passed by one gene from each p arent to their children. People with SCD have either one or two abnormal haemoglobin S genes. Sickle cell anemia is the disease that describes those with two hemoglobin S genes, hemoglobin SS.Sickle cell trace is the condition where the hemoglobin S gene is inherited from one parent and a normal hemoglobin gene is inherited from the other parent. People with reap hook cell trait are generally healthy and symptom go off. Nevertheless, they are carriers of the defective hemoglobin S gene and plunder pass that defective gene to their children.The subject Heart, Lung, and Blood Institutes (NHLBI) (2016) figure below shows the difference between normal and abnormal red blood cells. Normal red blood cells contain hemoglobin that is disc shaped which allow cells to provide a steady issue of oxygen to the bodys tissues. Abnormal red blood cells contain sickle hemoglobin which are not flexible and do not move freely to provide needed oxygen to the bodys tissues.Lack of tissue oxygen causes attacks of severe and sudden pain. According to the NHLBI (2016), Most children with SCD are pain free between painful crises, but adolescents and adults whitethorn also suffer with degenerative ongoing pain. The red cell sickling and poor oxygen de bravery can also cause organ damage. Over a lifetime, SCD can harm a persons spleen, brain, eyes, lungs, defyr, heart, kidneys, penis, joints, bones, or skin.Normal red blood cells live approximately 90 to 120 days while abnormal sickle cells typically work only 10 to 20 days. This is due to the feature that sickle cells cannot change shape easily and burst apart or hemolyze (NHLBI, 2016). The human body is continually reproducing new red blood cells to flip old blood cells which mean that a body with SCD has tiff keeping up with demand. The affect is a lower than normal red blood cell count called anemia.The social implications of Sickle Cell infirmity have been seen in a myriad of ways such as caregiving, community perceptions, and the health care system. Since S CD begins prior to birth and affects not only the children but the parents too, a rise in a family found approach to this disease has been seen. Mothers of a children with SCD are living in constant anxiety and stress that their child may become deadly ill at any mo ment, intense, complex nature of SCD crises as unpredictable, recurring, and potentially severe (Burnes, Antle, Williams, Cook, 2008). The disease can arise and be triggered by a grippectuation in temperatures, stress, miss of sleep, and other factors. Since the symptoms come on suddenly and intensely, then this makes it difficult to predict onset which cause families to live in constant state of fear. In the study, the mothers felt that they are left hand with all the responsibility and to be the boilers suit caregiver, while the fathers distance themselves from the childs pain. other social implication of SCD is the community perception or wishing of knowledge of the disease. SCD has not had a significant publ ic sensation in the developing countries where most cases are prevalent, Most mothers had not level heard of SCD, and they did not know how the illness is transmitted (Burnes et al., 2008). The understanding is that women and men are not tested for the sickle cell trait and are not aware of how the disease is spread which has led to stigma well-nigh SCD in their cultures. on that point are many falsehoods astir(predicate) the disease such as contagious, a curse on ones family, or being at fault for having a child who is born with such a physical illness. In addition, a racist assumption of the disease exists and a feeling of being powerless to speaking up about the disease because one does not want to be thought of less than anyone else.The last social implication is what is identified in the health care system. There have been advancements in the treatment of SCD in first innovation countries, through medication and other treatments however, there is still a want of treatmen t possibilities in the areas that are mostly affected by SCD. The overall complaint among families affected by the disease is that there is a pretermit of knowledge among medical professionals, did not know about SCD or how to treat its symptoms during a crisis (Burnes et al., 2008). Parents going into a hospital and having to tell the staff about treatments is scary. They think that they cannot trust professionals to take care of their child since these professionals lack the required schooling about such a serious disease. The overall leading social implication of SCD is the lack of knowledge and education that is associated with this disease.The Sickle Cell gene has a genetic protection against Malaria, which is a serious and sometimes deadly infectious disease. Malaria is caused by a mosquito that is carrying a parasite harmful to humans and the mosquito bites the human. Symptoms implicate high fevers, chills, and other flu like signs. If a person who is a carrier of one sic kle cell gene (heterozygous), has shown signs of lower mortality and morbidity rate among those who may become infected with malaria, Unexpectedly, heterozygous individuals experience some protection from malaria infections. Aidoo et al.(2002), shew cut back mortality and morbidity, Aluoch 1997 reports higher resistance to malaria, whereas Hesran et al.(1999), demonstrate a reduced parasite load for heterozygous carriers of this otherwise damaging gene (Lidell, Oswusu-Brackett, Wallace, 2014). Heterozygote shield is when an individual who carries a normal allele and an infected allele are at an advantage and maintain that heterozygote presence in population. This is seen directly, When the malarial protozoic invades the red blood cells of heterozygotes, the parasites cause a relatively large simplification in the oxygen tension within the cells and thus contribute to sickling. The sickling of the red blood cells then impairs the protozoan growth and development (Howe, 2007). Th is means that the sickled blood cells stop the infection of malaria spreading throughout an individual the heterozygotes are defend the body from an infectious disease.The exact number of people living with Sickle Cell Disease (SCD) in the United States (US) is not known. According to the Centers for Disease Control and Protection (CDC) (2016), SCD affects approximately 100,000 Americans. SCD occurs among about 1 out of every 365 Black or African-American births. SCD occurs among about 1 out of every 16,300 Hispanic-American births. About 1 in 13 Black or African-American babies is sic born with sickle cell trait (SCT). Over the past four (4) decades, the US has make significant march on in the care of people with SCD. Homer and Oyeku (2016) explain the increase in excerpt rate due to healthcare progressEven in the absence of the discovery of new medications, median survival has increased dramatically from death typically occurring during early childhood in the 1970s to survival now in the mid-50s for individuals with hemoglobin SS and mid-60s for individuals with hemoglobin SC disease. This progress has been made possible through universal newborn display, the effective use of penicillin, and much recently of hydroxyurea, careful monitoring, and the provision of supportive care.Testing for SCD is wanton and only requires a blood test. Early testing is imperative for diagnosing and early preventative measures to prevent complications. According to the CDC (2016), the US newborn screening program requires every baby to be tested for SCD. Prior to birth, amniotic fluid can be also tested to diagnose SCD. newborn baby screening is extremely important and effective so that entropyrmed parents can discuss options with their primary care doctor, a hematologist or a genetics counselor.SCD disproportionately affects African-American and Hispanic communities which rely heavy on public healthcare and insurance programs. According to Hassell (2016), SCD therapi es which include coordinated care by knowledgeable providers, integrating specialized and usage health care across the life span are not readily available to these targeted groups. A structured system of care is missing for people with SCD. In addition, mounting evidence suggests that therapies of proven benefit, including prophylactic penicillin, transcranial Doppler, and hydroxyurea therapy, are not being utilized (Hassell, 2016).In conclusion, one does not lose weight SCD, one is born with SCD. This disease is easily identified by a simple blood test and disproportionately affects those people in low-income areas. SCD treatment options are not widely available to those afflicted by the disease. The social and societal implications are far reaching and significantly negatively impact the African-American and Hispanic communities.ReferencesBurnes, D. P., Antle, B. J., Williams, C. C., Cook, L. (2008). Mothers Raising Children with Sickle Cell Disease at the Intersection of Race , Gender, and Illness Stigma. Health Social Work, 33(3), 211-220. doi10.1093/hsw/33.3.211 Retrieved from http//go.galegroup.com.nuls.idm.oclc.org/ps/i.do?id=GALEA184643666v=2.1u=nu_mainit=rp=AONEsw=wauthCount=1Centers for Disease Control and Prevention (2016). Data Statistics. Retrieved from https//www.cdc.gov/ncbddd/sicklecell/data.htmlHassell, K. L. (2016). Sickle Cell Disease A Continued Call to Action. American Journal of preventive Medicine. flashiness 51, Issue 1, S1-S2. doi http//dx.doi.org/10.1016/j.amepre.2015.11.002. Retrieved from http//www.ajpmonline.org/article/S0749-3797(15)00726-6/fulltextHomer, C. J. Oyeku, S. O. (2016). Sickle Cell Disease A Roadmap for Getting to Excellence Everywhere. American Journal of Preventive Medicine. Volume 51, Issue 1, S1-S2. doi http//dx.doi.org/10.1016/j.amepre.2015.10.018. Retrieved from http//www.ajpmonline.org/article/S0749-3797(15)00702-3/fulltextHowe, E. M. (2007). Untangling Sickle-cell Anemia and the Teaching of Heterozygote Protection. knowledge Education, 16(1), 1-19. doi10.1007/s11191-005-4712-7 Retrieved from http//web.a.ebscohost.com.nuls.idm.oclc.org/ehost/pdfviewer/pdfviewer?sid=a36e64b9-4230-45e0-accb-db8cdc436af1%40sessionmgr4009vid=1hid=4209Liddell, C., Owusu-Brackett, N., Wallace, D. (2014). A Mathematical Model of Sickle Cell Genome relative frequency in Response to Selective Pressure from Malaria. Bulletin of Mathematical Biology, 76(9), 2292-2305. Retrieved from http//search.proquest.com.nuls.idm.oclc.org/docview/1560166043?OpenUrlRefId=infoxri/sidprimoaccountid=25320United States Department of Health Human Services. National Heart, Blood, and Lung Institute (2016). What is Sickle Cell Disease? Retrieved fromhttps//www.nhlbi.nih.gov/health/health-topics/topics/sca
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