Kate Kreienkamp
Home
Ellen Lampe
Rachel Nieters
Emma Grosch
Catherine Niemann
Mary Hapak
Amy Lickenbrock
Claire Herman
Madeline Galen
Melissa Wallace
Elise Heimburger
Amy Schmidt
Kelsey Cihota
Rachel Wotawa
Julianne Gaughan
Julie Winkler
Sarah Morris
Rachel Boyer
Laura Fuchs
Sarah Gregory
Julie Holtmann
Beth Johnston
Claire Baumer
Kate Kreienkamp
Julia Roundtree
Page Title

Hemophilia

Support the Worldwide charity "Hemophilia Association of the World."  We would like to raise $1 million to help families coping with hemophilia, also giving money to hemophilia treatment centers to help those living with hemophilia to make their lives easier. 

 

Below is a hemophilia treatment center.

http://www.uihealthcare.com/depts/hemophilia/htc-1.jpg

But what is Hemophilia?

Hemophilia is a rare blood disease where your blood lacks clotting factors, so your blood cannot clot.  You will bleed continuously until you receive injections of clotting factors to stop the bleeding.  You can bleed longer, and bleed internally at joints such as the knees, ankles, and elbows.  This bleeding can damage organs and tissues, and if not treated, can be fatal.  Proteins, called a clotting factor, help to clot blood as a person bleeds.  People with hemophilia do not have any of this protein.  There are two main types of hemophilia: hemophilia A and hemophilia B.  In hemophilia A, you lack the clotting factor VIII (8), while in hemophilia B, you lack clotting factor IX (9).  Most people have hemophilia A.  Hemophilia can be mild, moderate, or severe, depending on how much of the clotting factors a person had.  Hemophilia is usually just referred to as hemophilia.  However, hemophilia A (most common) can be referred to as Classic hemophilia or Factor VIII deficiency.  However, hemophilia B can be referred to as Christmas disease or Factor IX deficiency.   

Hemophilia is an x-linked recessive trait.  This means that the disease is carried on the X chromosome.  This means that when hemophilia is passed on, a boy will inherit hemophilia if his mother gives him an infected chromosome.  If a mother gives a daughter an infected chromosome, and the father gives the daughter a regular X chromosome, or the father gives his daughter an infected X-chromosome and the daughter recieves a normal X-chromosome from her mother, the girl will not have hemophilia but will rather be a carrier.  To have hemophilia, a girl must inherit an infected x-chromosome from both her father and mother.  A boy only needs an infected x-chromosome from his mother, which is common in inheriting hemophilia.  Since the boy only has one x-chromosome he is very likely to get hemophilia.  This is why hemophilia is so much more common in boys; because girls need two infected chromosomes, they are much less likely to get hemophilia. 

 Below is a picture of an elbow with internal bleeding.

The main symptoms of hemophilia are excessive bleeding and bruising.  For example, excessive bleeding may occur after dental procedures or when small or large cuts bleed long after the time when they should have stopped.  There can also be heavy internal bleeding, which can be identified from blood in urine, from tightness, swollenness, and pain in joints.  If internal bleeding is left unknown, permanent damage can result.  Bleeding in the brain can also result from bumps on the head, and can cause seizures or death. 

 

To detect hemophilia in your family, your doctor must take a family and personal medical history.  A physical exam is also done, including blood tests.  These blood tests determine the length of time it your blood takes to clot and the amounts of clotting factors in your blood. The results will show if you have hemophilia, its severity, and what type it is.  If you do not suspect hemophilia, and the case is mild, people may not be diagnosed until adulthood.  If you have severe hemophilia, you can be diagnosed in your first year of life.  However, if a woman is known to be a hemophilia carrier, her baby can be identified with this disorder as early as 10 weeks into the pregnancy. 

Hemophilia is hard to live with, but in describing this disorder, it can be said that victims of hemophilia live a mostly normal life, but they must be very careful in their actions.  They have to be ready to treat themselves in case of bruises, cuts, or small injuries so their lives are not endangered.  In order to do this, they cannot play rough sports, but can ride a bike, swim, or walk.  Hemophilia can be emotionally hard, so support is good for a family with members that have hemophilia.  Today, to treat hemophilia in easier ways, there are hemophilia treatment centers that are in communities.  These centers help with treatment of victims of this disease, and help to educate people about this disorder.  Camps are made for kids with hemophilia where they can be safe and have fun.  To be on top of things with this disorder, hemophilia requires regular check-ups to the doctor to make sure your body is staying healthy for you as you cope with this disorder.  Though hemophilia can be emotional and physically limiting, people can live easier normal lives because of treatments. 

The main source of treatment for treating hemophilia is replacement therapy.  This is the giving of the missing clotting factor to the victim of hemophilia.  Concentrates of the clotting factors, made from human blood that has been treated, are injected into a vein.  There are also concentrates, called recombinant clotting factors, which do not use human blood.  These are for the convenience of the home, so they can be stored, mixed, and used so people with hemophilia can treat themselves after they are hurt.  To prevent further bleeding, prophylactic therapy, which is regular replacement therapy, can be administered to a victim of hemophilia.  There are also other treatments, such as antifibrinolytic medicines and desmopressin.  Antifibrinolytic medicines are pills that keep clots from breaking down so you do not bleed as much, such as in mouth or nose bleeding.  Desmopressin is a hormone (man-made) that treats mild hemophilia A that stimulates the release of factor VIII in your blood.  This protein stays in your blood stream for only a limited amount of time.  This is only used before playing sports to reduce/prevent bleeding.  Though many wonder if gene therapy is an option, it is not.  Gene therapy is not yet developed to treat hemophilia, but researchers are testing gene therapies in hope that one day they will find some gene therapy for this disorder.  Remember, the best treatment for hemophilia is just being careful.  No matter what treatment used, it is always best to just be careful as to prevent bleeding, making life safer and free of destructive bleeding.

 Please support the "Hemophilia Association of the World" charity.  You can help a person living with hemophilia cope with it by donating for treatment.