Hemophilia

What is Hemophilia?

Hemophilia is a red blood disorder that occurs when blood does not clot normally due to lack of sufficient blood clotting proteins. Every year around 1000 children are born with this genetic disorder. Hemophilia present as a disease in a male child. However female child can usually be an early Hemophilia carrier.

Symptoms of Hemophilia

  • Unusual bleeding after vaccinations
  • Bleeding for unknown reasons
  • A large or deep bruises, severe pain, swelling or stiffness in the joints
  • Excessive bleeding after cut injuries

Cause of Hemophilia

The cause of Hemophilia depends on the type and the clotting factor

  • Hemophilia a is a most common type and it occurs due to insufficient clotting factor 8
  • Hemophilia b is the second most common type it occurs due to insufficient clotting factor 9
  • Hemophilia c is a milder form of Hemophilia and it occurs due to insufficient blood clotting factor 11

For those with family history of Hemophilia there is a test to determine during pregnancy whether if the fetus is affected by Hemophilia. It can be diagnosed at the average age of nine months or always by the age of 2 with the blood test that shows a blood clotting factor deficiency.

Treatment for Hemophilia

The newer drugs with innovative mechanism, the older drugs with a better effective treatment which can be given even once in a month. All these coming into recent research is known as gene therapy

Other therapies include

  • Regular infusion of ddavp
  • The hormone desmopressin or a clotting factor
  • Clot preserving medications
  • Physical therapy
  • First aid for minor cuts like pressure and bandage
  • Ice pack on the skin
  • Ice pop in case of bleeding in the mouth
  • Vaccination against hepatitis A and B to prevent blood-borne infection such as hepatitis.

Precautions for Hemophilia

  • The greater health concern is bleeding inside the body… specifically in knees, ankles and elbows. Internal bleeding can damage the organs and may be life-threatening.
  • All these contact sports where there is a high impact should be avoided
    There are some sports which are very good for them like swimming.
  • They should also avoid intake of those drugs which can affect the clotting mechanism in the body.
  • Simple things like Blood thinners and non-steroidal anti-inflammatory drugs are not good for the patient with Hemophilia.
  • The Hemophilia patient should also avoid taking any intravenous injections and undergoing any procedures unless they inform the doctors about their condition.
  • The better they can take treatment in the replacement basis with a clotting factor Replacement therapy with clotting factor is the standard of care.
  • With the adequate quality of treatment and proper care, a person with hemophilia can live a normal healthy life

Some emergency signs of person suffering from Hemophilia are

  • Sudden pink, swelling and warmth in large joints such as knee-elbow hip and shoulder
  • Bleeding from an injury especially if one has a severe form of Hemophilia
  • Painful and prolonged headache
  • Persistent vomiting
  • Extreme fatigue
  • Double vision

If you feel these signs, it is better to go for doctor consultation as soon as possible.

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