Friday 8 November 2013

Hemophilia...Please learn!

Today we'll be looking at HEMOPHILIA, which interestingly is something me myself just heard about...

Hemophilia, the commonest hereditary bleeding disorder, arises because of the absence of, decrease in, or deficient functioning of plasma coagulation factor VIII or factor IX. With rare exceptions, exclusively males are affected. This Memorandum summarizes the discussions and recommendations for the prevention and control of haemophilia made by participants at a joint WHO/World Federation of Haemophilia Meeting, held in Geneva on 26-28 March 1990.

CAUSES
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.

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

Signs and Symptoms

Common signs of hemophilia include:
  • 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).
  • Bleeding of the mouth and gums, and bleeding that is hard to stop after losing a tooth.
  • Bleeding after circumcision (surgery performed on male babies to remove the hood of skin, called the foreskin, covering the head of the penis).
  • Bleeding after having shots, such as vaccinations.
  • Bleeding in the head of an infant after a difficult delivery.
  • Blood in the urine or stool.
  • Frequent and hard-to-stop nosebleeds.
  Oya, see prevention below:
  1. Get an annual comprehensive checkup at a hemophilia treatment center.
  2. Treat bleeds early and adequately.
  3. Exercise and maintain a healthy weight to protect your joints.
  4. Get tested regularly for blood-borne infections.
Excerpts from: http://www.cdc.gov/ncbddd/hemophilia/facts.html



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