Discussion Forums > Thalassemia Major

whats a healty hb.

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Alia:
The doctors wants to keep sara,s hb level 80 or above so her growth would not be effected.im just scared if they giving her too much blood transfusions,it might cuase her more prolems.she already got alot of diffrent antibodies in her blood.can someone please tell me what would be her healty hb level?
Alia

§ãJ¡Ð ساجد:
Well the most common measure of HB (Heamoglobin) is in Grams per Deci-liter (g/dl) of blood.

According to this unit the following are the levels for normal people:

Women: 12.0 to 15.0 g/dl
Men: 14.0 to 17.0 g/dl
Children: 11 to 16 g/dl
Pregnant women: 11 to 12 g/dl

For Thals. this should be kept above 10g/dl

If the 80 that you stated reflects 8g/dl then this might be a little low. However she will feel much better if you keep her Hb well above 10.

Take care, Peace!

Gabri:
Hi Alia,

80 g/l is a littel bit low. The body can be adapted to this levels but you must reminde that by lower Hb levels the enteral iron absorbtion will incerase a lot. To get normal iron absorbtion it is recomanded not to underline 95 g/l HB.

To avoid antibody reactions it is recomanded to give her transfusion with leucocyte filtre or better leucoreduced redpacked cells. Some Thal centers used to centrifuge the blood. Centrifuged 3 times the blood it will eliminate more leucocyte.

Take care

Danielle:
I agree.  I think 8 Hgb is too low for a Thal Major.  Many Thal Intermedias can live with that Hgb without needing a transfusion, but it's not recommended for a Major.  The bone marrow works too hard with a hemoglobin that low, and can cause bone deformities.  Hematologists would rather a Major be kept at least above 10hgb, as Sajid had said.

I must get 2 units of blood, every two weeks, to keep my hemoglobin above 10.  Sometimes, I still end up at a 9 when I return for blood.  I refuse to go every week for blood, though.   :biggrin

Manal:
Dear Danielle :hugfriend

Why it is Okay for intermedia to live with HB 8 without transfusions and majors can't especially that they are the same genetically?

Manal

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