Hemophilia B treatment
Hemophilia B treatment
1. A patient with hemophilia should be provided with information about the diagnosis, actions in emergency situations, as well as contact information of the attending physician. Patients should be physically active, but avoid injuries. top
2. Do not use drugs that interfere with the function of platelets, especially acetylsalicylic acid. To treat pain (eg with intra-articular bleeding), paracetamol, selective COX-2 inhibitors and opioids should be prescribed. In exceptional situations, the use of antiplatelet drugs, and even anticoagulants is allowed provided that the activity of the missing coagulation factor in the patient's plasma is above the indicated level.
3. Intramuscular injection should be avoided.
4. Preventive treatment prevents the development of complications → see. below, recommended for each patient with severe hemophilia.
5. The trained patient can independently, at home, conduct treatment and prevent the majority of bleeding. After bleeding to the joint to reduce pain → loosen the joint, packets of ice (according to some experts, the use of ice packs can aggravate bleeding), immobilization with a pressure bandage, elevated limb position. A patient with bleeding that can not be treated at home, life-threatening, associated with severe pain or serious trauma, especially with bleeding to the head and neck, chest or abdomen → hospitalization is necessary.
6. Surgical operations and treatment of life-threatening hemorrhages should be carried out exclusively in centers that have the possibility of daily laboratory monitoring of therapy (determination of activity of VIII or IX, and inhibitor titer VIII or IX).
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1. A patient with hemophilia should be provided with information about the diagnosis, actions in emergency situations, as well as contact information of the attending physician. Patients should be physically active, but avoid injuries. top
2. Do not use drugs that interfere with the function of platelets, especially acetylsalicylic acid. To treat pain (eg with intra-articular bleeding), paracetamol, selective COX-2 inhibitors and opioids should be prescribed. In exceptional situations, the use of antiplatelet drugs, and even anticoagulants is allowed provided that the activity of the missing coagulation factor in the patient's plasma is above the indicated level.
3. Intramuscular injection should be avoided.
4. Preventive treatment prevents the development of complications → see. below, recommended for each patient with severe hemophilia.
5. The trained patient can independently, at home, conduct treatment and prevent the majority of bleeding. After bleeding to the joint to reduce pain → loosen the joint, packets of ice (according to some experts, the use of ice packs can aggravate bleeding), immobilization with a pressure bandage, elevated limb position. A patient with bleeding that can not be treated at home, life-threatening, associated with severe pain or serious trauma, especially with bleeding to the head and neck, chest or abdomen → hospitalization is necessary.
6. Surgical operations and treatment of life-threatening hemorrhages should be carried out exclusively in centers that have the possibility of daily laboratory monitoring of therapy (determination of activity of VIII or IX, and inhibitor titer VIII or IX).
hemophilia b inheritance
hemophilia b Christmas disease
hemophilia b prevalence
why is hemophilia b called Christmas disease
hemophilia b diagnosis
hemophilia b treatment guidelines
hemophilia b definition
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