Difference-Between-Hemophilia-A-and-B

This specific disease is called hemophilia that is a medical condition when the blood clots are severely reduced, causing severe bleeding and even sight injury.

This rare disorder appears when there is a lack of sufficient blood clotting pro proteins. After an injury usually a person with this disorder bleeds longer because the blood can`t clot normally.

Small cuts don’t make a big problem. There is a bigger problem when the bleeding is inside the body, the knees, ankles and elbows. This bleeding can damage the organs and tissues which may be life threatening.

This disease usually runs in the family. A cure haven`t been found yet, but there are treatments which a person can use to maintain this problem.

A certain report states that 400,000 people are living with hemophilia, 400 babies each year.

What is hemophilia?!

1.According the WebMD- this is a group of inherited disorder causing abnormal bleeding. This bleeding occurs due to the plasma- a part in the blood has fewer proteins than needed to help the blood to clot normally.

The symptoms are after trauma, injury or surgery where the bleeding has no specific cause. There are two types of hemophilia:

A.Hemophilia A- this is the classic hemophilia that occurs in almost 80% of people. The lack of plasma protein called factor VIII can show different symptoms:

  • Mild Hemophilia- 5-40% normal factor VIII level
  • Moderate Hemophilia – 1-5% normal factor VIII level
  • Severe Hemophilia- less than 1 percent normal factor VIII level

B.Hemophilia B- this type is called Christmas disease that occurs n less than 20 % of people. This name came up in the medical literature in 1952 with a patient called Stephen Christmas.

The lack of protein called factor IX can cause the blood not to clot. This type of hemophilia can be mild, moderate or severe.

If in the family no one is suffering from hemophilia, a baby will not be tested for this condition. If the family history consists of this disease the test will be done on an umbilical cord blood sample to see if there is the trace of hemophilia.

2.According the Medicinenet. The hemophilia is a genetic mutation that involves genes code for proteins essential for the blood clotting.

This happens as a result of series of complex mechanisms, involving 13 different proteins termed factors 1 through 13 and in Roman numerals. If the vessels are damaged, platelets are recruited to the injured area to form an initial plug. They release chemicals that start the clotting cascade, activating a serious of 13 proteins as clotting factors. Fibrin is formed. This is an insoluble protein from fibrinogen during the clotting of the blood. This forms fibrous mesh impeding the blood flow.

3.The factor X – estimates that 1 in 500,000 to a million can suffer from this disease. It is inherited and autosomal recessive fashion, which means that both parents must carry the gene to the child. This factor X plays important role in the enzymes helping the clots. Vitamin K is necessary for synthesis produced by the liver.

4.The FX deficiency shows the lack of vitamin K, amiloidosis and severe liver damage.

When having mild FX deficiency appears, it helps bruising, nose or mouth bleeds, and bleeding after trauma or surgery. The symptoms include excessive umbilical cord bleeding, joint bleeds and bruising. Other bleeds can appear like head bleeds, spinal cord bleeds and gastrointestinal bleeds. Can cause even menorrhagia, heavy menstrual bleeding. The heavy bleeding may cause miscarriage or complications during labor.

5.In the US there is no FX currently available, but there are many clinical trials. FPP_ Fresh-frozen plasma or plasma derived prothrombin complex concentrates (PCCs) are used as a treatment. The level of FX varies between PCCs. It should be used very carefully because of the over production of blood clots.

6.What can cause Hemophilia?

hemophilia-causes

We all know that both men and women have 23 pairs of chromosomes. The women have 2 X chromosomes, and the men have 1 X and 1 Y chromosome. The disorder hemophilia is linked with the X chromosome and passed from the mother to the son`s X chromosome. If the mother has hemophilia the possibility of transferring it to her son is 50-50.

Girls rarely develop the symptoms but they can carry the disease. Girls usually have mild bleeding symptoms. In other for the girl to be infected with hemophilia, she needs to be affected from the x chromosome from both of her parents.

7.Here are the symptoms you need to look out for:

  • Bruises that have unusual number and location
  • Nosebleeds that are hard to stop
  • Bleeding from the lip, when losing a tooth
  • Pain and swollen joints
  • Blood in the urine

In the Federal Government there is a Hemophilia Treatment Centers for treating people with hemophilia.

They provide treatment, education and support for every member of the family as well as for home treatments.

Usually people in this centre can help each other better than those who treat themselves at home. They even have better quality of life. The main reason for this centre is the prevention of bleeding as well as education on how to continue living normally with this disease.

8.Throughout the US there are over 100 federally funded HTCs. They are located in the medical and research centers. They include:

  • Nurse coordinators
  • Pediatricians
  • Social workers
  • Physical therapists
  • Dentists

9.At the end- young children suffering from this disease need to be protected in their home and outside from injuries and bleedings. Here is how you can do this:

  • Use kneepads, elbow pads, helmets. When riding a tricycle or bicycle need to wear a helmet.
  • Use safety belts, straps in high chairs, car seats, strollers
  • Remove furniture with sharp corners, pad while the child is a toddler
  • Remove small, sharp objects
  • Check the equipment from possible hazards.

This disease is serious and it can lead to death. The cure is still not possible but the treatment is there.

10.The treatment is called replacement therapy. It is a concentration of clotting factor VIII or clothing factor IX injected in the vein.  It is placed as an infusion that can help replace the clotting factor that is missing.

Remember that small cuts usually don’t hurt too much, but severe can cause death with slow bleeding and even lots of pain.

 

Source:https://www.consumerhealthdigest.com