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,
stroke, 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: repeat 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. But bone marrow
transplants are seldom used because few children meet the criteria. Donors are
almost always siblings, so the 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.