The relationship between hemophilia and hepatitis
What risks are people suffering from hemophilia exposed to, what problems do these people face, and how is their disease treated?
Hemophilia is a disease that women play a very important role in the birth of children affected by it, and because they are the only carriers of the gene of this disease to their male children and do not suffer from the physical problems of this disease, but their sons suffer with their souls.
April 28 is World Hemophilia Day, and the member countries of the World Federation of Hemophilia, with the slogan “Treatment for all, vision for all”, are trying to make society aware of the problems of these patients and other people with various coagulation disorders, and try to draw the attention of governments to their problems in the field They have treatment and medicine.
Dr. Mehrdad Mashhadian, a specialist in blood diseases and adult cancer, in an interview with JamJam about the symptoms of a child with hemophilia and when it occurs, says: The symptoms of the disease appear from the age of one with joint bleeding, long-term bruising, and difficulty in blood clotting. The most important reason for this disease is It is related to the deficiency of factors 8 (type A) and 9 (type B) in the X chromosome, which is related to the male sex. He continues: In the marriage of a woman carrying the gene with a healthy man, there is a possibility of 25-30% transfer of the gene to the male child. The gene of this disease can be transmitted to women only through the father and to men through the mother. The proportion of children due to factor 8 deficiency is one in five to ten thousand births, and factor 9 deficiency is one in 30,000.
Symptoms of hemophilia at birth
Hereditary diseases usually show signs of their presence either from birth or in the early years. Delayed umbilical cord blood clotting at birth and bleeding in the head or hematoma are among the symptoms of hemophilia in a baby. Dr. Mashhadian says about the other symptoms of this disease: the most common time for the disease to occur is when the child is 12 to 24 months old, which appears as bleeding in the muscles, joints, or inside the abdomen. It is necessary for parents to pay attention to the child’s reaction after the injury. Affected children usually experience restlessness, clumsiness and difficulty in moving their limbs, which, of course, is related to the severity of the disease.
Warning bleeding
Bleeding in hemophilia patients is a warning sign and requires more serious measures than normal people, such that these people may need emergency surgery.
Dr. Mashhadian stated that 30% of sufferers have no family history of this disease and continues: bleeding in advanced diseases, in addition to the joints, also involves organs such as the stomach, brain, and mouth, in such a way that a person goes to the doctor with the assumption of back pain, but The results of the investigations indicate the existence of a hematoma (clotted blood mass) in the person’s abdomen, which requires surgery to remove it.
Hemophilia treatment process
Accepting and enduring untreated pain requires a lot of patience. Despite the fact that medical researchers are trying to find treatment solutions for various diseases, but experts’ statements show that a definitive treatment for this disease has not been identified at the moment, and the discussion of gene modification during pregnancy and liver transplantation, which is raised in some European countries such as Italy It is currently in the testing and research phase. So far, the recovery of these patients has not been promising.
Barrier training for disabilities
Hemophilia is one of the diseases in which the affected person is not only faced with the complications of the disease itself, but the treatment process is also challenging, and the person faces problems such as joint deformity, sensory and motor disorders, disability and vascular and nerve problems, cerebral and oral bleeding.
Dr. Babak Bahar, an adult blood and cancer specialist, in an interview with JamJam about the cause of disability in hemophiliacs, says: Disability in a hemophiliac patient has different aspects. The most common type is orthopedic disability, which is caused by joint bleeding, especially in the knee area. He continues: Bleeding causes gradual destruction of the joint and as a result, patients become wheelchair users even at a young age. Unfortunately, joint replacement is not the answer to their problems. Because other joints are also involved like the hip.
Dr. Bahar considers the prevention of joint bleeding to be the most important way to deal with disability and continues: Bleeding in hemophilia type A (factor eight deficiency) usually occurs with a delay and after two hours from the time of injury, for this reason, the factor should be administered as soon as the injury occurs. The child should be injected before the mentioned time, but some inexperienced parents, assuming that the injury is insignificant, miss the golden time and go to the doctor after joint bleeding.
The adult hematologist and cancer specialist considers it necessary to educate hemophilia patients and their families and says: the most important effect of these educations is the mother’s awareness of the necessity of injecting factor to the child in the first few minutes of receiving a shock. Severe hemophiliacs must inject factor 2 to 3 times a week. For this reason, they should always have some invoices at home.
Dr. Bahar advises hemophiliacs to perform periodic tests related to hepatitis C and B so that if they are infected with this disease, they will be treated under the supervision of gastroenterologists. He considers it necessary to inject hepatitis B vaccine and says about the possible reasons for hemophiliacs to get hepatitis C: Although the health of the blood is checked before the injection, the virus of this disease may be hidden at the time of the test and does not show the presence of the virus. For this reason, there is a possibility of the recipient contracting this type of hepatitis.