Can Thalassaemia Minor Change to Thalassaemia Major

Can Thalassaemia Minor Change to Thalassaemia Major

I was told by a doctor that I have Thalassaemia Minor, and that taking iron tablets would not help. Can it lead to Thalassaemia Major ? What can I do ?

Thalassaemia is an inherited disease affecting the red blood cells of the body. This results from a defect in the synthesis of the haemoglobin, thus making some of the red blood cells abnormally thin, and fragile. These red blood cells are hence easily broken down, causing the disease Thalassaemia.

The severity of Thalassaemia is determined by the mode of genetic inheritance. In the mild form of the disease, the person inherits a smaller amount of the defective genes (heterozygote), resulting in the lesser production of these defective red blood cells. This is the case for Thalassaemia Minor individuals. In the severe form of the disease, the person inherits genes which only produces these abnormal cells, and thus most of the red blood cells would be affected, and become easily broken down. The mode of this kind of inheritance is called 'autosomal recessive'. Hence, if you are a Thalassaemia minor patient you will remain as such, and will not become a Thalassaemia major patient.

The taking of iron tablets will not help you as the disease is not due to a lack of iron in the body. However, you should also realize that being affected by Thalassaemia minor does not make you excessively sick. You may occasionally experience anemia especially if there is a precipating cause for the loss of blood such as piles, excessive menstrual discharges or bleeding peptic ulcer disease. Otherwise, you should remain healthy, and be able to lead a normal lifestyle with a normal lifespan.

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