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THALASSEMIA HbE – Remedies – From Different Medical Schools  – Treatment Strategies for Hemoglobin E Beta-Thalassemia: :

Master Vikrant Rohin by Master Vikrant Rohin
3 April 2025
in Science
0

One form of thalassaemia, a hereditary blood illness that impacts haemoglobin production and causes anaemia, is thalassaemia with haemoglobin E (HbE). The severity and symptoms determine the course of treatment. This is how many medical systems go about it

The key difference between Thalassemia HbE (Hemoglobin E Thalassemia) and Thalassemia (General Thalassemia) lies in their genetic mutations, severity, and clinical presentation.

1. Cause & Genetic Mutation
  • Thalassemia (General): A group of inherited blood disorders caused by mutations in the alpha-globin or beta-globin genes, leading to defective hemoglobin production.
    • Alpha-thalassemia → Mutation in the HBA1/HBA2 genes (affects alpha-globin).
    • Beta-thalassemia → Mutation in the HBB gene (affects beta-globin).
  • Thalassemia HbE: A combination of beta-thalassemia and HbE mutation (a structural variant of hemoglobin found mainly in Southeast Asia).
    • HbE mutation: Causes mild hemoglobin abnormality.
    • Beta-thalassemia mutation: Reduces beta-globin chain production
2. Severity & Symptoms
FeatureThalassemia (General)Thalassemia HbE
TypesMinor, Intermedia, Major (depending on gene mutations)Mild, Moderate, Severe (varies with beta-thalassemia severity)
AnemiaRanges from mild to severeUsually moderate but can be severe
Red Blood CellsSmall (microcytic), pale (hypochromic), fragileSmall, pale, and often target-shaped
SplenomegalyCommon in severe casesCommon, especially in moderate/severe cases
Bone DeformitiesSeen in severe cases (due to marrow expansion)Can occur in severe cases
Iron OverloadDue to transfusions or increased absorptionCan occur if transfusions are needed

3. Geographical Prevalence
  • Thalassemia (General): Found worldwide, common in the Mediterranean, Middle East, Africa, and South Asia.
  • Thalassemia HbE: Predominantly found in Southeast Asia (Thailand, Cambodia, Laos, Myanmar, Bangladesh).
4. Treatment Differences
  • Mild cases (in both conditions) → No treatment or folic acid supplementation.
  • Severe cases (in both conditions) → Blood transfusions, iron chelation therapy, and possibly bone marrow transplant.
  • Thalassemia HbE can be more variable in severity than general beta-thalassemia, making treatment plans more patient-specific.

REMEDIES

Here I have brought you an article that can improve your thalassemia HbE problem from different medical schools.

Allopathy (Modern Medicine)

  • Blood Transfusions – Regular transfusions if severe anemia is present.
  • Iron Chelation Therapy – Medications like deferasirox, deferiprone, or deferoxamine to prevent iron overload from transfusions.
  • Folic Acid Supplements – Supports red blood cell production.
  • Bone Marrow Transplant (BMT) – The only potential cure but not always feasible.
  • Gene Therapy (Experimental) – Emerging treatments aim to correct the genetic mutation.

THE SIMPLEST WAY FOR PATIENTS TO TAKE FOLIC ACID IS TO INCLUDE IT IN THEIR DIET.

Ayurveda

  • Dietary Support – Iron-rich foods (though not excessive in transfusion-dependent cases), folic acid, and herbal tonics.
  • Rasayana Therapy – Rejuvenating herbs like Ashwagandha, Shatavari, and Guduchi to strengthen immunity and improve vitality.
  • Punarnava (Boerhavia diffusa) – Helps in reducing anemia and swelling.
  • Lohasava & Drakshasava – Herbal iron tonics to improve hemoglobin levels.
  • Triphala – Helps in detoxifying and maintaining gut health.

THE SIMPLEST WAY FOR PATIENTS TO HAVE PROPER IMMUNITY IS TO INCLUDE TRIPHALA IN THEIR DIET.

Unani Medicine

  • Ilaj Bil Ghiza (Dietary Treatment) – Foods like dates, pomegranate, honey, and black raisins to boost blood.
  • Roghan Arandi (Castor Oil) – Used in Unani formulations for detoxification.
  • Majoon Dabidul Ward & Khamira Marwareed – Unani tonics to improve blood production.
  • Arq Mako & Arq Kasni – Herbal decoctions to support liver function and detoxification.

I’M NOT COMPLETELY SURE ABOUT THIS TOPIC, SO I CAN’T GIVE YOU ANY SUGGESTIONS.

Traditional Chinese Medicine (TCM)

  • Herbal Medicine –
    • Dang Gui (Angelica Sinensis) – Supports blood production.
    • Huang Qi (Astragalus) – Boosts energy and immunity.
    • Rehmannia (Shu Di Huang) – Nourishes the kidneys and blood.
  • Acupuncture – May help in reducing fatigue and improving circulation.
  • Qi & Blood Tonic Therapy – Strengthening the spleen and kidney meridians to boost hemoglobin.

I’M NOT COMPLETELY SURE ABOUT THIS TOPIC, SO I CAN’T GIVE YOU ANY SUGGESTIONS.

General Lifestyle Tips

  • Avoid infections (vaccinations, hygiene, etc.)
  • Stay hydrated and eat nutrient-rich food
  • Monitor ferritin levels if on transfusions
  • Regular check-ups with a specialist

SHARE AND COMMENT

Link: https://doi.org/10.1016/j.blre.2017.09.001

Link: https://doi.org/10.1016/j.jaim.2016.02.001

Link: https://www.jrum.org/text.asp?2019/8/1/1/257589

Link: https://doi.org/10.1097/MD.0000000000001589

Author: Master Vikrant RohinMaster Vikrant Rohin is an international author, and more than four countries’ schools are using his books in the core curriculum of education. He is the author of twenty different subject books. History, Economics, Chemistry, Physics, English, Biology, Geography etc. Most of his students hold high-ranking positions in the public and private sectors. He has cracked the world’s toughest exam, the "Civil Services Examination (UPSC)," eight times. Always a topper in academics, he was also a top-class sportsman, a state boxer, and a basketball player.
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