تجربة مخ بر الزواج في محافظة ادلب Marriage Lab Experiment in EDLIB. مقدمة حول الأمراض المنتشرة في الوطن العربي Short Introduction about the Diseases in the Arab Nation. يصعب معرفة و حصر الأمراض المنتشرة في الوطن العربي و ذلك لشح المعلومات الاحصائية و الموثقة عن هذه الأمراض.
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Marriage Lab Experiment in EDLIB
Short Introduction about the Diseases in the Arab Nation
It is not easy to know and conclude the diseases scattered in the Arab Nation due to the poor accurate statistical data about these diseases.
Also the percentage of these diseases is different for each country in the Arab nation
These diseases can be classified into the following:
Most of these diseases are transferred to the new generation by marriages between relatives
So it is clear the importance of
Pre- Marriage labs on the mission of reducing the number of new annual illness and to create the public awareness of the danger of these dieses
Pre-Marriage tests .....Where to Start & Where to End?
PreMarriage tests can be classified into 3 main Groups:
To give more details we have to discuss each part
1st Group : Tests to avoid the Hereditary diseases.
Hereditary examination that must be done beside the
Thalassemia tests is the Hemolytic Anemia.
Thalassemia is a Hereditary disease which affect the life
time of blood cells.
Thalassemia is not the only Hereditary disease that affect the blood but it is the most spread disease in Syria.
/7000/ , , /849/ 155 /694/ /50/ . s.
In Syria there are 7000 Thalassemia patient but the carrier
for the Thalassemia are about 1.5 million. The number of
Thalassemia patient In Aleppo only until the end of last month
was 849 patient, 155 are treated in Menbij Thalassemia unit,
649 Patient are treated at Aleppo Thalassemia center. Knowing
that there are 50 new Thalassemia cases in Aleppo Annually. By
the way there another wide spread disease in the Gulf Area
which is Sickling Anemia that concerned with HbS.
Blood Slide for thalasimia Case
Couple to get married should search in their Families for the presence of Hereditary Diseases and they are advised to consult the Hereditary specialist to do some tests and have advice .
2nd Group : Tests to know if any of the couples is carrying diseases that can be transferred by sexual relation or due to close social relation.
Some of these tests are HbsAg & HCV in addition to the HIV
and any other sexual infections
3rd group :tests of fertility for both Male & female
Our experiment in EDLIB concerning the Pre-Marriage Lab
We can conclude the results of our experiment in Edlib as follows:
1888 150 7.94%.
We started the wok in our lab in 2 stages:
1st stage include the period from May to the end of July,
during this period we were performing 2 tests only which
are CBC & Blood grouping, the number of marriage
cases during this period was up to 1888 case, from these
cases we found that the number of adersion factions was 150 which mean 7.94% from the total marriage cases
35 % Michrocytic Anemia
The percentage of general Anemia cases for the female was 35% but most of these cases where from the Michrocytic Anemia type
2nd Stage was during the period August and September
In this period we preformed all the tests that has been Declared
by the MOH and by the Committee of Pre Marriage clinical
Examination, where we have started to run the HB-V tests.
HPLC technology has been considered according to the MOH
Approval . This is a high performance technic, where it Is the
reference method globally for the HB-V .
HPLC Chromsystems HPLC Chromsystems :
There after, we are in Doctors Union of Edlib have
adapted the HPLC System from the Germane company
of CHROMSYSTEMS through their exclusive agent in SYRIA
This decision has be taken after Comprehensive study & comparison between different instruments using the HPLC technology available in the market. We found that the best choice for the instrument & the reagent were from Chromsystems due to the
120 120 .
User Friendly :
The HPLC system from Chromsystems is very easy to deal
with where you can load a large number of samples up
to 120 samples on the auto sampler & start the work by 1
click without the need of any extra efforts or any human
attention with auto print for the result of 120 samples
HPLC Chromsystems () HB-V .
The HPLC system from Chromsystems is characterized by a High Accuracy of the results. In addition we are able To get knowledge about all types of normal and Abnormal Hemoglobin though one run for the sample Using just 1 reagent which is HB-V Kit. this will save a lot of time and cost that is not available from any other company .
HB-V Chromsystems :
HbA1C HbA0 HbA2 HbE HbF HbD HbS HbC
The HB-V from Chromsystems is able to give the following variants:
HbA1C HbA0 HbA2 HbE HbF HbD HbS HbC
So we are able in this case to cover the detection of the Sickling Animia & Thalasimia at the same time & these are the Hereditary blood disease mostly spread in Syria
All stages of the analysis are automated,
from the start & till printing of the results
: HPLC Chromsystems Chromsystems 5 0.3 :
A1c, A2, F, D, E, S, C
The HPLC System from Chromsystems doesnt need calibration, all needed is to run Control Only for the purposes of Quality control specially when changing the lot no. of the reagent.
Chromsystems is Producing vial of control of 0.3ml , each vial can control the following variants:
A1c, A2, F, D, E, S, C
Last point is the Excellent after Sales servicing provided by ICSLE from the pint of view of technical support & and the quick response for supplying our needs from reagents and accessories, bearing in mind that our run didnt stop since we started*
Conclusion for the discovered cases during August & September
Results & Conclusion:
Informing the couples that they have adersion factions so they can take precautions before babys delivery.
This will participate in reducing the number of death
health problem for the new born.
There are a cretin percentage of minor
Thalassemia patients, an issue we should take
care of this issue
High percentage of males having HBsAg which
could indicate that circumcision operation is not
well monitored by the Health authority
which is critical issue
We can conclude that the Pre-Marriage tests start with the blood tests for the Thalasima patient but it could be extended to much more according to the wish of the couples getting married, so they can get more Medical information about them selves
At the End of my presentation , I would like to say:
Let us re-build this world for the peace sack which we want to live with, let re-build the healthy human being because he is the most precious in the world
God says in Holly Quran:
(and who ever saves a life is like one who saves the lives of all man kind )
Dr. Mohammed Walid Tammer