Other Treatment
Blood transfusions can treat some complications of
sickle cell disease and prevent others. Adding healthy
cells to the bloodstream can reverse some of the damage that sickled cells
cause. Severe
anemia, extreme pain, and
acute chest syndrome are conditions that blood
transfusions treat. Transfusions may also help prevent stroke or heart failure,
but there is a downside to this practice. Transfusions can cause complications,
so doctors weigh benefits and risks before suggesting this procedure.
Other Treatment Choices
- Blood transfusions (regular or
emergency)
What To Think About
Regular blood transfusions for sickle cell disease can cause iron
buildup in the body, which requires daily treatment (iron chelation)
and close monitoring.
Bone marrow transplant for children is currently the
only procedure that can actually cure sickle cell disease. However, bone marrow
transplants are seldom used because few children meet the criteria. Since
donors are almost always siblings, lack of matching bone marrow donors is a
factor. Cost is also a barrier.
More than 90% of children survive this type of transplant. After
11 years, nearly 85% of those children remain free of sickle cell
disease.5 The main complication from the transplant is
when the body rejects the bone marrow (graft-versus-host disease). This
procedure is still considered experimental.
Folic acid supplements are often a necessary part of
the diet for people with sickle cell disease, particularly if you aren't eating
enough folate-rich leafy vegetables (such as spinach).
Studies continue to test new therapies to decrease cell sickling
and improve blood flow.13