Treatment FAQ

which of the following is the best medical treatment for someone with hemophilia a?

by Miss Cali Leuschke I Published 2 years ago Updated 2 years ago
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Medication

Mar 03, 2022 · The treatment of hemophilia may involve the following: Management of hemostasis Management of bleeding episodes including hemostatic support and pain mangagement Use of factor replacement products...

Therapy

Oct 01, 2021 · Gene therapy is an innovative method of treatment currently being studied in clinical trials for a variety of genetic conditions, including hemophilia B. The U.S. Food and Drug Administration has approved 22 cellular and gene therapy products and there are more than 1,100 active clinical trials across a range of diseases.

Self-care

Nov 25, 2020 · When appropriate, your health care provider may prescribe the following medications to treat hemophilia: Aminocaproic acid (Amicar), which prevents the breakdown of blood clots and may be used to limit bleeding in the mouth during dental procedures

Nutrition

Treatment for hemophilia is aimed at preventing bleeding complications (mainly head and joint bleeds). Treatment may include: Bleeding in the joint may need surgery or immobilization. Your child may need rehab of the affected joint. This may include physical therapy and exercise to strengthen the muscles around the area.

What are the ways to prevent hemophilia?

Oct 03, 2018 · Q: What is the treatment for hemophilia? A: The main treatment for hemophilia is to replace the missing clotting factor in a treatment called replacement therapy. Clotting factor VIII (for hemophilia A) or clotting factor IX (for hemophilia B) are infused into a vein. This treatment can be performed at home to help prevent bleeding episodes.

Can hemophilia be treated and how to treat it?

There is no approved cure for hemophilia at this time, but research is underway, such as studying gene therapy. People with hemophilia can expect to have a normal lifespan as long as they continue with their injection therapy and see a hematologist regularly. Hemophilia Complications

What is the prevention for hemophilia?

Are there any treatments or medications used for hemophilia?

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What medication is safe for hemophilia A?

Hemlibra® (also known as ACE 910 or emicizumab) It can be used to either prevent or reduce the frequency of bleeding episodes in people with hemophilia A. This treatment product can be given by injection under the skin.

What is the most widely accepted treatment used in hemophilia A?

Some individuals with mild hemophilia A may be treated with desmopressin (DDAVP), a synthetic agent that is a derivative of the hormone vasopressin. Desmopressin raises the plasma levels of factor VIII. Desmopressin may be administered intravenously or through a nasal spray.

How do you treat a person with hemophilia?

Below are just some of the best ways you can help support a loved one with hemophilia A.Encourage safe activities. ... Have ice packs and bandages handy. ... Lend a hand (literally!) ... Help administer medications. ... Be a chauffeur. ... Stay informed.Apr 16, 2018

What medication is prescribed for hemophilia B?

Factor IX, recombinant (BeneFIX, Rixubis, Alprolix, Ixinity, Rebinyn) Recombinant factor IX (rFIX) is indicated for control and treatment of spontaneous or surgery-related bleeding or prevention of bleeding in patients proven to be deficient in FIX.Mar 9, 2021

What is the most common cause of hemophilia?

The primary cause of all types of hemophilia is a mutation in the genes that control and regulate the development of clotting factors. Clotting factors help the blood form clots that seal up wounds. For both hemophilia A and B, about two-thirds of the mutations come from a parent.Feb 14, 2022

What kind of medical assistance will a child with hemophilia need?

Treatment: replacement therapy The most common treatment for hemophilia is replacement therapy. Your child receives intravenous infusions of the missing or low clotting factors. For hemophilia A, the infusions are concentrates of clotting factor VIII. For hemophilia B, the concentrates are clotting factor IX.

What intervention should be avoided in patients with hemophilia?

To avoid excessive bleeding and protect your joints: Exercise regularly. Activities such as swimming, bicycle riding and walking can build muscles while protecting joints. Contact sports — such as football, hockey or wrestling — are not safe for people with hemophilia.Oct 7, 2021

What happens to a person with hemophilia?

Hemophilia can result in: Bleeding within joints that can lead to chronic joint disease and pain. Bleeding in the head and sometimes in the brain which can cause long term problems, such as seizures and paralysis. Death can occur if the bleeding cannot be stopped or if it occurs in a vital organ such as the brain.

What is the best treatment for internal bleeding?

Fibrin sealants. These medications can be applied directly to wound sites to promote clotting and healing. Fibrin sealants are especially useful in dental therapy. Physical therapy. It can ease signs and symptoms if internal bleeding has damaged your joints.

How to stop bleeding in mouth?

Using pressure and a bandage will generally take care of the bleeding. For small areas of bleeding beneath the skin, use an ice pack. Ice pops can be used to slow down minor bleeding in the mouth. Vaccinations. Although blood products are screened, it's still possible for people who rely on them to contract diseases.

When is hemophilia diagnosed?

Depending on the severity of the deficiency, hemophilia symptoms can first arise at various ages. Severe cases of hemophilia usually are diagnosed within the first year of life.

What is the best medicine to stop bleeding?

Avoid certain pain medications. Drugs that can aggravate bleeding include aspirin and ibuprofen (Advil, Motrin IB, others). Instead, use acetaminophen (Tylenol, others), which is a safer alternative for mild pain relief. Avoid blood-thinning medications.

How to prevent hemophilia?

Lifestyle and home remedies. To avoid excessive bleeding and protect your joints: Exercise regularly. Activities such as swimming, bicycle riding and walking can build up muscles while protecting joints. Contact sports — such as football, hockey or wrestling — are not safe for people with hemophilia.

How to prevent tooth extractions?

Practice good dental hygiene. The goal is to prevent tooth extraction, which can lead to excessive bleeding. Protect your child from injuries that could cause bleeding. Kneepads, elbow pads, helmets and safety belts all may help prevent injuries from falls and other accidents.

How to help a child with hemophilia?

To help you and your child cope with hemophilia: Get a medical alert bracelet. This bracelet lets medical personnel know that you or your child has hemophilia, and the type of clotting factor that's best in case of an emergency. Talk with a counselor.

What are the different types of hemophilia?

There are several different types of hemophilia. The following two are the most common: 1 Hemophilia A (Classic Hemophilia)#N#This type is caused by a lack or decrease of clotting factor VIII. 2 Hemophilia B (Christmas Disease)#N#This type is caused by a lack or decrease of clotting factor IX.

What is the severity of hemophilia?

The severity of hemophilia that a person has is determined by the amount of factor in the blood. The lower the amount of the factor, the more likely it is that bleeding will occur which can lead to serious health problems. In rare cases, a person can develop ...

How does hemophilia occur?

Hemophilia is caused by a mutation or change, in one of the genes, that provides instructions for making the clotting factor proteins needed to form a blood clot. This change or mutation can prevent the clotting protein from working properly or to be missing altogether. These genes are located on the X chromosome. Males have one X and one Y chromosome (XY) and females have two X chromosomes (XX). Males inherit the X chromosome from their mothers and the Y chromosome from their fathers. Females inherit one X chromosome from each parent.

Can you get hemophilia later in life?

In rare cases, a person can develop hemophilia later in life. The majority of cases involve middle-aged or elderly people, or young women who have recently given birth or are in the later stages of pregnancy. This condition often resolves with appropriate treatment.

What causes swelling and pain in the joints?

Bleeding into the joints. This can cause swelling and pain or tightness in the joints; it often affects the knees, elbows, and ankles. Bleeding into the skin (which is bruising) or muscle and soft tissue causing a build-up of blood in the area (called a hematoma).

How many chromosomes do males have?

Males have one X and one Y chromosome (XY) and females have two X chromosomes (XX). Males inherit the X chromosome from their mothers and the Y chromosome from their fathers. Females inherit one X chromosome from each parent. The X chromosome contains many genes that are not present on the Y chromosome.

Can a male have hemophilia?

Thus, males can have a disease like hemophilia if they inherit an affected X chromosome that has a mutation in either the factor VIII or factor IX gene. Females can also have hemophilia, but this is much rarer. In such cases both X chromosomes are affected or one is affected and the other is missing or inactive.

What are the signs of a deficiency?

Signs and symptoms of spontaneous bleeding include: Unexplained and excessive bleeding from cuts or injuries, or after surgery or dental work. Many large or deep bruises. Unusual bleeding after vaccinations.

How is hemophilia passed from mother to son?

This means that hemophilia almost always occurs in boys and is passed from mother to son through one of the mother's genes. Most women with the defective gene are simply carriers and experience no signs or symptoms of hemophilia.

Can a bump on the head cause bleeding?

A simple bump on the head can cause bleeding into the brain for some people who have severe hemophilia. This rarely happens, but it's one of the most serious complications that can occur. Signs and symptoms include:

What are the symptoms of hemophilia?

Signs or symptoms of bleeding into the brain. An injury in which the bleeding won't stop. Swollen joints that are hot to the touch and painful to bend. If you have a family history of hemophilia, you may want to undergo genetic testing to see if you're a carrier of the disease before you start a family.

Is hemophilia inherited?

Hemophilia occurs when you have a deficiency in one of these clotting factors. There are several types of hemophilia, and most forms are inherited. However, about 30% of people with hemophilia have no family history of the disorder. In these people, an unexpected change occurs in one of the genes associated with hemophilia.

What is acquired hemophilia?

Acquired hemophilia is a rare variety of the condition that occurs when a person's immune system attacks clotting factors in the blood. It can be associated with:

Can hemophilia cause pain?

Internal bleeding may also put pressure on your joints, causing severe pain. Left untreated, frequent internal bleeding may cause arthritis or destruction of the joint. Infection. People with hemophilia are likelier to have blood transfusions, increasing their risk of receiving contaminated blood products.

What are the symptoms of hemophilia?

Hemophilia reduces the blood’s ability to clot. Although some bleeding may be expected after a minor procedure or injury, excessive or prolonged bleeding is a symptom of hemophilia. Seek medical attention if heavy bleeding occurs or the bleeding cannot be stopped.

How many people in the US have hemophilia?

Hemophilia almost always occurs in males. Approximately one in 5,000 males is born with hemophilia, and an estimated 20,000 individuals in the United States are living with hemophilia (Source: CDC ). Many individuals with hemophilia can manage its symptoms through replacement therapy. In this treatment, the missing or limited clotting factors are ...

Where is hemophilia found?

If the gene is abnormal, the body’s ability to produce the clotting factor will be reduced or absent. The gene for hemophilia is located on the X chromosome. Males have one X and one Y chromosome, and females have two X chromosomes. If a male has the abnormal gene on his single X chromosome, he will have hemophilia.

Can hemophilia cause internal bleeding?

In some cases, hemophilia may cause bleeding in your brain or internal organs, which can be life threatening. Seek immediate medical care (call 911) if you, or someone you are with, have any of these life-threatening symptoms of internal bleeding including: Abdominal pain. Bloody or pink-colored urine (hematuria)

What is the goal of hemophilia treatment?

The goal of hemophilia treatment is to replace the missing blood-clotting protein, called a clotting factor . The replacement clotting factor may come from human blood or be created in the laboratory. Replacement proteins from human blood are called plasma-derived factor concentrates.

How do you know if you have hemophilia?

Common symptoms of hemophilia. You may experience hemophilia symptoms daily or just once in a while. At times, any of these hemophilia symptoms can be severe. These symptoms may occur spontaneously: Bleeding of the mouth and gums. Bruising.

What is recombinant factor?

These factors from human blood are screened and treated to prevent transfer of viruses or other diseases. Replacement proteins created in a laboratory are called recombinant factor concentrates. Both types of concentrates are administered through injection or intravenous drip into a vein.

What are the factors that affect blood clotting?

Two common factors that affect blood clotting are factor VIII and factor IX. How severe your child’s hemophilia is depends on the level of blood clotting factors in his or her blood. The 3 main forms of hemophilia include: Hemophilia A. This is caused by a lack of the blood clotting factor VIII.

How many chromosomes does a female have?

Females have two X chromosomes, while males have one X and one Y chromosome. A female carrier has the hemophilia gene on one of her X chromosomes. When a hemophilia carrier female is pregnant, there is a 50/50 chance that the hemophilia gene will be passed on to the baby.

What is the factor of hemophilia?

Severe hemophilia is when the factor VIII or IX is less than 1%. Bleeding can occur in these children, even with the minimal activities of daily life. Bleeding may also occur from no known injury. Bleeding most often occurs in the joints and in the head. Your child's symptoms may also include:

How severe is hemophilia?

Those affected with hemophilia that have levels greater than 5% (100% being average for unaffected children) most often have bleeding only with major surgeries or tooth extractions.

What does it mean when you bleed from your mouth?

A tendency to bleed from the nose, mouth, and gums with minor injury. Bleeding while brushing teeth or having dental work often suggests hemophilia. Bleeding into a joint. Hemarthrosis (bleeding into a joint) can cause pain, immobility, and deformity if not treated.

How to manage hemophilia in children?

Managing your child's hemophilia may include: Taking part in activities and exercise, but avoiding those that may cause injury. These include soccer, rugby, wrestling, motocross, and skiing.

What happens if you bleed hemophilia?

Bleeding into the muscles. Bleeding into the muscles can cause swelling, pain, and redness.

What are the different types of hemophilia?

Q: What are the types of hemophilia? 1 Hemophilia A (Classic Hemophilia) - missing or low levels of clotting factor VIII. This accounts for about 80% of all cases of hemophilia. 2 Hemophilia B (Christmas Disease) - missing or low levels of clotting factor IX. 3 Acquired or sporadic – This type is rare. People with acquired or sporadic hemophilia are not born with the disorder but they develop it later in life and the body begins to produce antibodies that attack the clotting factors and prevent them from working normally.

What causes hemophilia?

A: A genetic mutation causes hemophilia.#N#Genes are responsible for determining how the body makes blood clotting factors. A defect in the gene responsible for making blood clotting factors can cause hemophilia.

How many chromosomes do males have?

Females have two X chromosomes (XX) and males have one X and one Y chromosome (XY). Because males only get one X chromosome, they only have one copy of most of the genes on the X chromosome and will thus have hemophilia if the gene is defective on the X chromosome.

Can hemophilia cause internal bleeding?

A: Serious complication of hemophilia can result from internal bleeding in the brain. #N#Even a simple bump on the head can cause bleeding in the brain in patients with hemophilia. About 10% of patients with severe hemophilia develop internal bleeding in the brain, and about 30% can die from this complication. Signs and symptoms of bleeding in the brain include:

Is von Willebrand disease the same as hemophilia?

Von Willebrand disease (VWD) is another type of clotting disorder, but it is not the same as hem ophilia. Hemophilia is caused by a problem with clotting factors VIII or IX while VWD is caused by a problem with a different clotting factor called von Willebrand factor. Von Willebrand disease is more common than hemophilia.

Is there a cure for hemophilia?

A: There is currently no cure for hemophilia. In rare cases, people with hemophilia who have had liver transplants have been cured. Clotting factor is produced in the liver, and in these cases the new livers the patients received made normal amounts of clotting factors.

What is the genetic condition that is passed down generation to generation through a family's genes?

People with hemophilia are born with the disorder and have it for the rest of their lives. Hemophilia is a genetic disorder passed down generation to generation through a family's genes. This genetic defect occurs on the X chromosome, which means that women are carriers of hemophilia.

Why do people with hemophilia bleed?

However, a person with hemophilia is either missing these proteins or does not make enough of the clotting factor, which prevents the blood from making clots. As a result, people with hemophilia will bleed for a longer period of time after an injury.

What does it mean when you have a nosebleed?

unexplained and excessive bleeding from injuries or after surgery or dental work; large or deep bruises; pain, swelling, or tightness in your joints; blood in your urine or stool; nosebleeds without a known cause; and. unexplained irritability (commonly in infants).

How to treat a bleed from a swollen ear?

ICE — Apply ice/cold packs to the affected area (as needed) for 15 to 20 minutes every two to four hours for up to 48 hours or longer for more severe bleeds. This will help reduce your pain. Wrap a plastic bag of ice or cold packs in a thin cloth or paper towel to avoid direct contact on the skin.

Can hemophilia cause bleeding?

Mild — A person with mild hemophilia may only have problems with bleeding when under going surgery, major dental work, or a severe injury. Moderate — A person with moderate hemophilia will experience bleeding associated with milder cases plus bleeding problems with minor injuries such as a hard bump to the knee.

What happens if you bleed into your joints?

When this happens, your joint becomes swollen and painful. Repeated bleeding into a joint may cause a type of crippling arthritis .

How to reduce swelling in arm?

skin that feels cool below the site of swelling. Call your medical provider immediately if you have any of these symptoms. ELEVATION — Elevating an injury will help reduce and resolve swelling. Keep the injured leg or arm elevated (ideally above the level of your heart) as much as possible in the first 24 to 48 hours.

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Diagnosis

Treatment

Clinical Trials

Lifestyle and Home Remedies

Your provider will work with you to develop a care plan that may include one or more of these treatment options.
Treatment involves injections of the insufficient clotting factors or plasma.
Medication

Antifibrinolytics: Used to prevent clots from breaking down.

Aminocaproic acid . Tranexamic acid


Fibrin sealant: Used to promote clotting.

Aprotinin


Hormone therapy: Carried out by slowly injecting the hormone into a vein to stimulate release of more clotting factors for mild hemophilia A.

Desmopressin

Therapy

Blood transfusion:Transfusion of clotting factor by infusing recombinant clotting factor. Transfusion of plasma are given to patient to stop bleeding.

Physical therapy:Can relieve symptoms, if the joints are damaged due to internal bleeding.

Self-care

Always talk to your provider before starting anything.

Exercise regularly, avoid certain pain medications and blood thinning medications. Practice dental hygiene.

Nutrition

Foods to eat:

  • Vitamin and mineral containing foods such as fruits and vegetables
  • Calcium containing foods such as iceberg lettuce, oranges and almonds
  • Protein containing foods such as dried beans nut and seeds

Foods to avoid:

  • Avoid supplements that might adversely affect bleeding and clotting times such as: ginseng, gingko biloba, bromelain, flaxseed, garlic, ginger, bilberry fruit

Specialist to consult

Hematologist
Specializes in the study of the blood and blood disorders.

Coping and Support

Preparing For Your Appointment

  • The main treatment for severe hemophilia involves replacing the clotting factor you need through a tube in a vein. This replacement therapy can be given to treat a bleeding episode in progress. It can also be given on a regular schedule at home to help prevent bleeding episodes. Some people receive continuous replacement therapy. Replacement clotti...
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Causes

  • Explore Mayo Clinic studiestesting new treatments, interventions and tests as a means to prevent, detect, treat or manage this condition.
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Types

  • To avoid excessive bleeding and protect your joints: 1. Exercise regularly.Activities such as swimming, bicycle riding and walking can build muscles while protecting joints. Contact sports — such as football, hockey or wrestling — are not safe for people with hemophilia. 2. Avoid certain pain medications.Drugs that can make bleeding worse include aspirin and ibuprofen (Advil, Motr…
See more on mayoclinic.org

Signs and Symptoms

  • To help you and your child cope with hemophilia: 1. Get a medical alert bracelet.This lets medical personnel know that you or your child has hemophilia, and the type of clotting factor that's best in case of an emergency. 2. Talk with a counselor.Striking the right balance between keeping your child safe and encouraging as much activity as possible can be tricky. A social worker or therapi…
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Who Is Affected

  • If you or your child has signs or symptoms of hemophilia, you might be referred to a doctor who specializes in blood disorders (hematologist).
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Diagnosis

Treatment

Inhibitors

  • Common signs of hemophilia include: 1. Bleeding into the joints. This can cause swelling and pain or tightness in the joints; it often affects the knees, elbows, and ankles. 2. Bleeding into the skin (which is bruising) or muscle and soft tissue causing a build-up of blood in the area (called a hematoma). 3. Bleeding of the mouth and gums, and bleeding that is hard to stop after losing a t…
See more on cdc.gov

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