Diagnosis
Diagnosis uses blood counts, peripheral smear and haemoglobin electrophoresis or HPLC. Genetic testing confirms complex cases. Iron studies are needed before chelation.
Related: Haematology → · Dr. Sachita Baniya profile → · All conditions →
Management
Thalassaemia major requires regular transfusion and iron chelation, with monitoring for cardiac and endocrine iron overload. Hydroxyurea may help selected patients. Allogeneic transplant can be curative in selected cases.
- Regular transfusion to maintain haemoglobin
- Iron chelation and organ monitoring
- Hydroxyurea in selected patients
- Family screening and genetic counselling
- Transplant assessment for selected patients
Access
Dr. Baniya consults at Kathmandu Neurology Clinic & Cognitive Center, Durbar Marg, and also practises at Kathmandu Cancer Center (KCC) Nepal, Civil Service Hospital, Kathmandu, and Advanced Care Hospital. Bring transfusion records and iron studies.