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Unit 15 Clients with
disabilities
       Cystic Fibrosis
What is Cystic Fibrosis?
 Genetic Disorder
 Caused by a recessive gene

 Acquired at conception and present at birth

 Most common life-threatening inherited
  disease
 Over two million people in the UK are carriers
  - around 1 in 25 of the population.
Cause
 Recessive   gene on chromosome 7 that
  controls the movement of salt in the body.
 This causes a lack of water in secretions
  which then become very sticky and thick.
Cystic Fibrosis – a genetic disease

In cystic fibrosis the normal allele is dominant, so we call
it F, and the cystic fibrosis allele is recessive, so we call it
f:

     FF                        Ff                     ff
 Unaffected                Carrier                CF suffer
   person
Inheritance

             Example – Two carrier parents:



Parents:            X                         X

Gametes:




Offspring:
Inheritance

  Example - One carrier & One non sufferer



Parents:      X                      X

Gametes:




Offspring:
Risk
 Males  and females are at equal risk
 Sufferers are often infertile so the likelihood
  of a sufferer having children is rare, but if
  they did :
     With a non sufferer their off spring will all be
      carriers
     With a carrier 50 % would be sufferers and 50%
      would be carriers
Statistics
 8,000  people in UK suffer from CF
 1 in 25 are carriers

 3 people die each week

 5 babies born a week

 Life expectancy is around 31
Physical effects
 Thick  mucus affects lungs, pancreas and
  intestines
 Pancreas does not produce enough enzymes

 Deterioration of respiratory system

 Frequent illness

 Lack of energy
Psychological effects
 School anxiety
 Embarrassment

 Distress caused by daily physiotherapy
Progression
    CF does not change with age but the effects may
    become more severe
   Deterioration in respiratory system
   Clubbing of fingers and toes
   Pneumonia & chest infections
   Nasal polyps
   Collapsed Lung
   Bowel obstruction
   Diabetes
   Difficulty gaining weight
   Sterility (males)
   Difficulty conceiving (females)
Treatments / Support
 Daily  chest physiotherapy
 Daily exercise

 Diet rich in protein and high in calories

 Enzyme supplements.

 Vitamin and Mineral supplements.

 Antibiotics

 Steroids

 Lung transplant
Prevention/Tests
 Prenatal   testing
     Chorionic Villus Sampling (CVS)
     Amniocentesis
 Neonatal testing
 Sweat tests

 Lung X rays

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Understanding Cystic Fibrosis

  • 1. Unit 15 Clients with disabilities Cystic Fibrosis
  • 2. What is Cystic Fibrosis?  Genetic Disorder  Caused by a recessive gene  Acquired at conception and present at birth  Most common life-threatening inherited disease  Over two million people in the UK are carriers - around 1 in 25 of the population.
  • 3. Cause  Recessive gene on chromosome 7 that controls the movement of salt in the body.  This causes a lack of water in secretions which then become very sticky and thick.
  • 4. Cystic Fibrosis – a genetic disease In cystic fibrosis the normal allele is dominant, so we call it F, and the cystic fibrosis allele is recessive, so we call it f: FF Ff ff Unaffected Carrier CF suffer person
  • 5. Inheritance Example – Two carrier parents: Parents: X X Gametes: Offspring:
  • 6. Inheritance Example - One carrier & One non sufferer Parents: X X Gametes: Offspring:
  • 7. Risk  Males and females are at equal risk  Sufferers are often infertile so the likelihood of a sufferer having children is rare, but if they did :  With a non sufferer their off spring will all be carriers  With a carrier 50 % would be sufferers and 50% would be carriers
  • 8. Statistics  8,000 people in UK suffer from CF  1 in 25 are carriers  3 people die each week  5 babies born a week  Life expectancy is around 31
  • 9. Physical effects  Thick mucus affects lungs, pancreas and intestines  Pancreas does not produce enough enzymes  Deterioration of respiratory system  Frequent illness  Lack of energy
  • 10. Psychological effects  School anxiety  Embarrassment  Distress caused by daily physiotherapy
  • 11. Progression CF does not change with age but the effects may become more severe  Deterioration in respiratory system  Clubbing of fingers and toes  Pneumonia & chest infections  Nasal polyps  Collapsed Lung  Bowel obstruction  Diabetes  Difficulty gaining weight  Sterility (males)  Difficulty conceiving (females)
  • 12. Treatments / Support  Daily chest physiotherapy  Daily exercise  Diet rich in protein and high in calories  Enzyme supplements.  Vitamin and Mineral supplements.  Antibiotics  Steroids  Lung transplant
  • 13. Prevention/Tests  Prenatal testing  Chorionic Villus Sampling (CVS)  Amniocentesis  Neonatal testing  Sweat tests  Lung X rays

Editor's Notes

  1. codes for a protein that carries salt and water across cell membranes
  2. Die of CF related illnesses
  3. leading to poor food absorption = poor weight gain Chest infections, coughing, breathing difficulties
  4. Respiratory system = often the cause of death Clubbed fingers and toes = due to lack of oxygen Pneumonia and chest infections = sticky mucus = ideal for bacteria Nasal polyps = fleshy swellings in the lining of the nose caused by inflammation of mucous membranes, Difficulty gaining weight = also pancreatitis, pancreas doesn’t produce enzymes that break down fat = faeces contain an excess of fat and are oily and smelly Diabetes = pancreas is damaged infertility in men, because the tube that carries sperm, the vas deferens, may become blocked fertility problems in women, because cystic fibrosis may cause nutritional problems and underweight women are more likely to have irregular menstrual cycles
  5. Vigorous massage to loosen the mucus Diet = try to increase muscle mass replacement enzymes such as pancreatin. These supply the missing pancreatic enzymes and allow proper digestion. Antibiotics = counter lung infections Steroids = build weight Transplants in severe cases
  6. CVS = tissue sample from placenta Amniocentesis = from amniotic sac. Both = termination? Where to give birth? Heel prick = 5 days after birth, blood spot screening, low thyroid function and phenylketonuria. Sweat tests = if heel prick is positive = high salt levels Lung x rays if older