DISORDERS OF THE HEMATOPOIETIC SYSTEM (DAM)
is obligatory for the mother to take hematinics as directed in the interests of the fetus. It is obligatory on parents to
provide sufficient nutrition to the infant to prevent anemia. Although breast-feeding is recommended for 2 years, it is not
sufficient by itself after the 6th month. The father is obliged by Law to provide sufficient nutrition to the nursing
mother and the infant to prevent anemia.
DISORDERS OF THE BONY SKELETON
and acquired disorders of the bony skeleton may limit the range of movements in salat: sideways movement of the neck in tasliim,
prostration on the floor, raising the hands in takbir, and pointing with the finger in tashahhud, and bowing. Tawaaf in hajj
may be difficult with lower limb pathology. Use of an artificial limb is no bar to hajj and tawaaf. Patients can support themselves
on a stick or a pillar during salat. Pain and restricted movements of the vertebral column make bowing more difficult. Standing
for prolonged periods may also be difficult. Prostration may be completely impossible. The requirement to straighten the back
after bowing may be relaxed. Back pain may also interfere with sexual function. Restricted bending of the knees interferes
with sitting properly. Knee problems may make tawaaf and sa’ay in hajj difficult. In case of foot problems, a pilgrim may wear sandals if he has disease that
makes it impossible to walk barefoot around the ka’aba. If shoes are needed for orthopedic conditions they can be worn
in hajj and salat.
may not be possible with open wounds and compound fractures and resort is made to tayammum. Pain due to sprains and fractures
may limit movements in salat. Movements will not be possible at all when the limbs are immobilized. When a pilgrim has a fracture
or becomes lame for any other reason, he is discharged from the rites of hajj and has to repeat the hajj later. Orthopedic
fixation of some joints like the hip or knee joints may limit the range of movements possible in salat. In hajj tawaaf may have to be done in a wheelchair. Wudhu can
be made on a limb stump preferably washing. If washing is difficult the stump can be wiped with a wet hand. If a leg is in
a cast, the rest of the organs are washed with water and tayammum is carried out for the limb in a cast
osteomyelitis, pain may limit movements in salat. If there is a discharging wound, tayammum will be needed instead of wudhu.
Care is exercised in salat and hajj to avoid pathological fractures that are common in bones with neoplastic disease. In osteoporosis
care has to be taken in movements in salat and hajj to avoid fractures. Treatment of osteoporosis with hormone and mineral
replacement is obligatory for postmenopausal women so that they can lead a normal life.
CARTILAGE AND LIGAMENT DISORDERS
pharyngeal, or other oral diseases may impair the ability to recite the Qur’an. Patients with such conditions cannot
be prayer leaders, imaam al salat. Public duties like leadership that require communication may be impaired. Pleas and evidence
in court may also be affected. Salat is intimately related to joints because of the physical movements involved. Osteoarthritis
and rheumatoid arthritis cause pain and limitation of movement. These limit the physical actions needed for salat and hajj.
Degenerative disorders of the vertebral column such as spondylosis (arthritis of the spine), intervertebral disc disease (herniation),
spondylolisthesis (anterior displacement) impair ability to stand for long periods in salat
as well as tawaaf and sa’ay.
Tayammum is carried out in cases in which either hot or cold water worsen the pain of rheumatism.
to muscles will necessitate limitation of movements in salat while they heal. Some diseases of muscle weakness like myasthenia
make it impossible to make the full range of movements required in salat.
OTHER CONNECTIVE TISSUES
lesions such as eczema, dermatitis, itch, discharges, rashes, and chronic ulcer are a reason for tayammum. If the skin is
bandaged, the bandage is wiped with the wet hand. Shaving or cutting hair is forbidden in hajj. An exemption is made for those
with lice in their hair but a fidyat has to be paid. Injury to ligaments may limit movements in salat.