About Hemophilia Bleeding

Hemophilia bleeding disorder is an X- linked recessive trait. This means that for the disorder to surface in a child, both the X chromosomes of a girl child has to carry the trait. On the other hand for a boy child to have the disorder, he must inherit the defective X chromosome from either parent, since men have only one X chromosome.

Hemophilia bleeding has been a much talked about topic since time immemorial. Ancient scholars and learned men alike have spoke of the various hazards associated with it. The first written record which can be linked to hemophilia is the writings of the Jews of the 2nd Century AD. These writings exempt boys from being circumcised if their elder siblings died as a result of its bleeding.

Hemophilia bleeding again appears in the 12th century AD when Albucasis, the Arab physician describes of a family whose men die of severe bleeding in spite of minor injuries. Repeatedly, doctors have spoken of hemophilia bleeding and the precautions that the hemophilia patient should take.

The severity of hemophilia bleeding depends upon the extent of deficiency of factor VIII.  The normal percentage of factor VIII activity in the blood should lie above 50%, whereas in cases of mild hemophilia, it would lie within the range of 5% to 50%. When the range is above 1% but below 5%, it is classified as moderate hemophilia. A person suffering from severe hemophilia has a factor activity of less than 1%.

Hemophilia bleeding is characterised by bleeding into joints and soft tissues. Internal bleeding is generally sensed by the hemophilia patients. As soon as inflammation or swelling is observed, consultation with a doctor or home therapy is mandatory. Site of an internal haemorrhage can be anywhere from the urinary tract, to knee joins and intestine. Recurring bleeds in the same site leads to deposition of blood in between joints causing inflammation and swelling. It also makes the joint immobile. More often than not, it chronically damages the joint too. Deposition of blood in between joints can erode the joints. Such injuries in children can lead to permanent complaints of the joints. This is one of those effects of hemophilia the patient might be compelled to live with forever. The only treatment for such joints would be surgery. These are major surgeries which are not feasible for patients suffering from hemophilia. Since, clotting would always be a complication. Patients with severe hemophilia are trained to self infuse clotting factors in case of a bleed. The deficient clotting factor is infused in the veins to boost the level of the clotting factor. This promotes clotting. A delay in such cases can have fatal consequences.

In cases of mild hemophilia, internal bleeding does not take place and neither does spontaneous bleeding. Even if there is an external injury, the blood does clot. It might be delayed, but the consequences are not fatal. Complications can arise, if clotting factors are not infused in mild hemophilia patients in case of a surgery or dentistry. These may however vary from patient to patient. If the patient lies towards the lower border range, he may be more inclined towards exhibiting moderate hemophilia traits, while for those lying on the upper range may hardly experience any traumas due to external injuries, if any.

Hemophilia bleeding can be controlled with the help of the therapies available and the treatments that the patient gets. However, they can merely be controlled and not cured. Since, hemophilia is a genetic disorder permanently curing of the defected gene can only erase out the deficiency.

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