Glucose-6-phosphate dehydrogenase (G6PD) is the most common
human enzyme deficiency worldwide. It is
most prevalent in Africa, the Middle East and Southeast Asia. G6PD is an
X-linked genetic disorder, which means that males are more likely to be
affected than females. Females need to have 2 defective copies of the gene in
order to be affected, whereas if the male inherits the defective gene, he will
definitely suffer from G6PD deficiency.
What conditions are G6PD sufferers at risk for?
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Hemolytic Anemia:
a condition in which the red blood cells can no longer transport
oxygen effectively throughout the body due to the denaturation of
the hemoglobin molecule. An anemic response can be induced in
affected individuals by certain oxidative drugs, fava beans, or infections
(especially viral hepatitis, pneumonia and typhoid fever).
-
Neonatal Jaundice:
A yellowish discoloration of the whites of the eyes, skin and mucous
membranes caused by deposition of bile salts in these tissues.
What are the other symptoms associated with G6PD deficiency?
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Sudden rise of
body temperature , yellow coloring of skin and mucous membranes
-
Dark yellow-orange
urine
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Pallor, fatigue,
general deterioration of physical conditions
-
Heavy, fast
breathing
-
Weak, rapid pulse
How is G6PD deficiency diagnosed?
A simple blood test measures the amount of the enzyme, G6PD,
in red blood cells. Decreased levels indicate reduced G6PD activity. G6PD is an
essential test for newborn babies and is part of Medlabs Neonatal Screening
test.
Can G6PD deficiency be cured and the risks minimized?
If you notice any of the symptoms associated with G6PD
deficiency, contact your physician immediately.Severe hemolytic crisis, are usually treated by blood transfusion. The best therapy is simply
to avoid the prohibited drugs and foodstuffs.
list of medications to avoid
-
Antibiotics:
Sulfanilamide
Sulfapyridine
Sulfadimidine
Sulfacetamide
Glucosulfone sodium
Nitrofurantion
Furazolidone
Nitrofurazone
Dapsone
Sulfoxone
Sufisoxazole
2. Antimalarials:
Primaquine
Pamaquine
Chloroquine
3. Anthelmintics:
B-Naphthol
Stibophen
Nitidazole
4. Miscellaneous:
Probenecid
Thiazide Diuretics
Phenothiazine
Chloramphnicol
Orinase
Dimercaptol
Methylene blue
Naphylene (moth balls)
Vitamin K
Fava beans
5. Analgesics (Which contain aspirin or phenacetin) such as:
Aspirin
Bufferin
Anacin
Exedrin
Empirin
APC Tablets
Darvon Compound
Coricidin
Food: