The Citizen (Gauteng)

ANAEMIA TREATMENT DEPENDS ON THE CAUSE

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Iron-deficiency anaemia.

Treatment for this form of anaemia usually involves taking iron supplement­s and making changes to your diet. If the underlying cause of iron deficiency is loss of blood – other than from menstruati­on – the source of the bleeding must be located and stopped. This may involve surgery.

Vitamin deficiency anaemias.

Treatment for folic acid and B12 deficiency involves dietary supplement­s and increasing these nutrients in your diet. If your digestive system has trouble absorbing vitamin B12 from the food you eat, you may need vitamin B12 shots. At first, you may receive the shots every other day. Eventually, you’ll need shots just once a month, which may continue for life, depending on your situation.

Anaemia of chronic disease.

There’s no specific treatment for this type of anaemia. Doctors focus on treating the underlying disease. If symptoms become severe, a blood transfusio­n or injections of synthetic erythropoi­etin, a hormone normally produced by your kidneys, may help stimulate red blood cell production and ease fatigue.

Aplastic anaemia.

Treatment for this anaemia may include blood transfusio­ns to boost levels of red blood cells. You may need a bone-marrow transplant if your bone marrow is diseased and can’t make healthy blood cells.

Anaemias associated with bone marrow disease.

Treatment of these various diseases can include medication, chemothera­py or bone marrow transplant­s.

Haemolytic anaemias.

Managing haemolytic anaemias includes avoiding suspect medication­s, treating related infections and taking drugs that suppress your immune system, which may be attacking your red blood cells. Depending on the severity of your anaemia, a blood transfusio­n or plasmapher­esis may be necessary. Plasmapher­esis is a type of blood-filtering procedure. In certain cases, removal of the spleen can be helpful.

Sickle-cell anaemia.

Treatment for this anaemia may include the administra­tion of oxygen, pain-relieving drugs and oral and intravenou­s fluids to reduce pain and prevent complicati­ons. Doctors also may recommend blood trans

fusions, folic acid supplement­s and antibiotic­s. A bone marrow transplant may be an effective treatment in some circumstan­ces.

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