Hemophilia and Your Child: Causes and Treatments of Hemophilia
Hemophilia: All there is to know about it!
Hemophilia is the name given to a particular disorder in which the person who has the disease will not have his or her blood clot properly. As we all know clotting of blood plays an important part in the healing of wounds & injuries. A person having hemophilia is missing a part or the entire clotting factor depending on the severity of the disease. This is serious as in there can be internal bleeding without ones knowledge which if left untreated can lead to severe pain & cause joint disability.
Different types of Hemophilia
There are mainly two types of hemophilia which are Hemophiia A & Hemophilia B. The most common type is the former one. This is caused by the reduced amount or activity of factor VIII which can lead to serious bleeding. The conditions for Hemophilia are both linked to the X-chromosome & therefore this affects males more than females. Women who get the faulty gene just act as carriers & do not get the ailment themselves. Hemophilia A occurs in 1 in every 5000 males.
Hemophilia,the less common one is caused by the abnormality in the clotting factor IX. It occurs for about 1 in every 30000 males. This is also known as Christmas disease.
Causes of Hemophilia
Usually Hemophilia is seen to be a genetically inherited disorder. But it is also seen in some persons whose families have no previous history of the disease.In persons where it is newly formed , there are two types of the variant, one which is recessive & the other which is dominant. It is also known as Von Willebrand's disease also.
Symptoms associated with Hemophilia
The main symptom is that of continuous bleeding in the event of a minor injury or bruise. Bleeding is also seen to occur without an external injury. Hemophilia can also be classified as mild, moderate & severe depending on the amount of clotting factor present in the blood.
In mild Hemophilia,the person shows symptoms of continuous bleeding during an injury. Internal bleeding is not seen for this type. In moderate hemophiia the symptoms are more severe & joint bleeds are seen. Severe hemophilia is the most serious one & bleeding may occur without absolutely no reason.
People having the disorder can be given counselling & women who have the carrier genetic gene can be give antenatal screening. Ultrasound tests can reveal the chance of the disease in a baby by knowing the gender. There are mainly two types of test.
Prenatal testing: This is known as Chorionic villus sampling test. In this test if a pregnant women has a history of the disease, then a gene test in which a sample of Placenta is used for testing can be done.
Blood test- To detect later on whether a person has hemophilia, blood tests can be done.
There are two methods of approach towards the treatment of hemophilia. One is the 'On demand' approach where in the patient is giving medicines when the bleeding occurs. This is more common for mild Hemophilia .Other one is 'preventive treatment' where in the medications are given so as to prevent excess bleeding & further complications in patients with moderate or severe hemophilia.
There is also clotting factor replacement therapy done for patients. Patients are given injections which contains the clotting element they lack in. An important medicine is Desmopressin. Regular injections are required in this treatment
A permanent cure or remedy is not yet available for Hemophilia. This poses as a challenge to the scientists & doctors today.
Causes and Treatments of Hemophilia
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