Hemophilia – Its types, symptoms, and management

Hemophilia – Its types, symptoms, and management

Hemophilia is a group of congenital or acquired bleeding disorders where the blood takes time to clot. People with this disorder may bleed longer if they have an injury or surgery. According to the CDC, about 30,000 to 32,000 people in the country suffer from hemophilia. Contrary to popular belief, this is treatable if the condition is diagnosed and treated on time. Other important facts and information about hemophilia are as follows:

What is hemophilia?
A clotting factor is a protein in our blood that controls bleeding. If our blood does not have adequate quantities of this protein, it takes time for the blood to clot. Normally, in the case of any injury, trauma, or surgery, bleeding stops right after first aid, dressing, or once the doctors suture the site. However, in a person with hemophilia, the bleeding may continue for a long time and may need attention and treatment. The clotting factors that affect blood clotting are VIII, IX, and XI. Hemophilia is classified based on which clotting factor is lacking in the affected person.

Types of hemophilia
The type of hemophilia a person has is based on what clotting factors their body lacks. There are three types of hemophilia. They are Hemophilia A, B, and C. While Hemophilia A is more common, types B and C are rare.

  • Hemophilia A
    Hemophilia A or classic hemophilia happens when a mutation in the F8 gene results in lower production of clotting factor VIII or FVIII. It is predominantly an inherited condition. FVIII is found in the X chromosome, and as a result, it affects men more than women.
  • Hemophilia B
    If a person has none or insufficient blood clotting factor IX, or FIX, the condition is hemophilia B and is also referred to as Christmas disease. It occurs when there is a mutation in the gene f9, which is found in the X chromosome. As a result, men are at a higher risk than women.
  • Hemophilia C
    If a person has low blood clotting factor XI or FXI, the condition is classified as Hemophilia C. It is also known as Rosenthal Syndrome. FXI is found in the F11 gene located on chromosome 4. Men and women inherit two copies of chromosome 4, and both are at risk if they inherit a defective gene. Though hemophilia C is predominantly inherited, autoimmune diseases like lupus can also cause it.

Three forms of hemophilia A, B, and C
The three forms of hemophilia A, B, and C are mild, moderate, and severe. The form never changes till the end. A person with a moderate or severe form of hemophilia will remain so forever. However, if a person has a mild form of type A, their bodies could produce more FVIII as they age.

Symptoms

Hemophilia A and B
The symptoms of type A and B are very similar. Severe hemophilia can be diagnosed early within the first year of a child’s birth. Doctors monitor infants closely if anyone in the family has a history of hemophilia. Babies may develop bruises and unusual swelling after birth or sometimes within one year. They may also have excessive bruising after immunization. As they grow and begin to play, they may bruise easily, even with slight knocks or falls. Boys may bleed longer after circumcision or tooth extraction. Other symptoms of hemophilia A and B in adults include:

  • Pain and swelling in joints and muscles
  • Easy bruising
  • Frequent nosebleeds
  • Bloody urine
  • Long hours of bleeding after tooth extraction or a heel prick

Hemophilia C
The symptoms in type C are generally milder, and there is a lesser risk of internal or spontaneous bleeding.

Diagnosis of hemophilia
Doctors physically examine the patient and check for bruises or any unusual bleeding. They also prescribe blood tests to check the activity levels of clotting factors. Using the blood tests, doctors will also classify if the person has mild, moderate, or severe Hemophilia A, B, or C.

Treatment and management of hemophilia

  • Hemophilia A and Hemophilia B
    Doctors regularly inject FVIII or FVIII intravenously or directly into the bloodstream. Doctors may also administer FVIII or FIX as a preventive measure for those with severe Hemophilia A or B.
  • Hemophilia C
    Doctors administer antifibrinolytics to slow down the breakdown of fibrin. They may also administer frozen plasma or concentrated FXI.

For all types of hemophilia, doctors may administer the clotting factors regularly or when bleeding happens. Apart from administering clotting factors, other processes and therapies that are used to treat hemophilia are:

  • Hormone therapies
    Doctors use hormone therapies for mild forms of hemophilia. They inject the hormone through a vein or a nasal spray, simulating the production of the relevant clotting factor.
  • Prescriptions
    There are some newer approaches to treat hemophilia A, using prescriptions by doctors that prevent bleeding. Doctors also use antifibrinolytics to prevent the breaking down of clots.
  • Fibrin sealants
    Fibrin sealants are surgical formulations applied to injury sites to aid clotting and healing.
  • Physical therapy
    Physical therapy can help relieve pain caused by bleeding in joints and muscles.

Hemophilia is a treatable condition when diagnosed and treated on time. It is essential to speak to a doctor if one notices any of the above-mentioned symptoms.

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Understanding arthritis – A common joint condition

The joints are constantly working while we move our limbs, so, understandably, people may develop certain joint conditions that cause pain and compromise mobility, especially with age. One of the common joint conditions is arthritis, which leads to joint inflammation and mild to severe pain. While there are several types of arthritis, the two most common types are rheumatoid arthritis and osteoarthritis. Stages Rheumatoid arthritis has four stages: Stage 1: At this stage, inflammation occurs inside the joints, and swelling, stiffness, and joint pain are the common symptoms. Stage 2: The inflammation of the joint lining, synovium, aggravates at this stage and results in cartilage damage. The affected joints’ range of motion is also compromised, causing pain and discomfort. Stage 3: At this stage, the severity of the joint condition increases, and it leads to bone damage. This results in more pain, loss of mobility, and weakness of muscles. The bones rubbing against each other can cause bone deformity as well. Stage 4: This is the final stage where the joints stop functioning completely. It leads to more pain, stiffness, and swelling, and the bones may even fuse, which is known as ankylosis. Osteoarthritis also has four stages of progression: Stage 1: Wear and tear may affect the knee joints, and minor spur growths on the affected bone can also be seen, but the condition does not cause too much pain at this stage. Stage 2: The bone spur growths increase and cause pain, and the knee joints become stiffer. Stage 3: This stage is characterized by joint inflammation leading to increased pain and stiffness. Walking can also cause popping sounds in the joints. Stage 4: The space between the bones in the joints becomes very narrow, causing the cartilage to wear down. Also, a chronic inflammatory response caused by the breakdown of cartilage aggravates discomfort and pain. Diagnosis of arthritis These joint conditions can be diagnosed using several tests. A physical examination reveals whether a patient has red, warm, and tender joints, and this test also helps examine the fluid around the joints. A rheumatologist can analyze the level of inflammation in the joints to determine the type of arthritis an individual is affected with. Also, blood tests are undertaken to check for antibodies like anti-CCP, rheumatoid factor, and antinuclear antibody. In addition, X-ray, CT scans, and MRI are also performed to check the condition of the cartilage and bones. Prevention of arthritis A family history of joint conditions like arthritis or aging can increase one’s risk of developing arthritis, but making certain lifestyle changes can also help lower the chances of developing the condition. To start with, one should include more foods with omega-3 fatty acids in their diet as these healthy fats are anti-inflammatory. One should also exercise regularly, keep their weight under check, reduce stress on their joints, and try to avoid injuries. Also, if one notices any symptoms of arthritis, they should consult a doctor immediately as early diagnosis goes a long way in managing the condition effectively through timely treatment.

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5 myths about sunglasses debunked

Sunglasses not only help protect your eyes from ultraviolet rays but also add aesthetic appeal to the overall appearance. With the right sunglasses, you can pull off any look and, at the same time, maintain eye health. One can opt for polarized sunglasses for the beach day or classic aviators for a brunch date. However, there are many myths about the usage of sunglasses, which unfortunately leads to vision damage. Let's debunk the following four myths: Myth 1 - Children don't need sunglasses One common myth amongst adults is that children don't particularly need sunglasses for protection as adults do. Research shows that the lens of a child allows more UV rays to penetrate through their sensitive retina than in adults. Once you begin to protect the eyes from a nascent stage, you can prevent some eye-related issues from developing as your child grows. Some sunglasses for kids are ambiguous about the features and merely state that they offer protection from ultraviolet rays. Please do not buy them unless it clearly states they provide 100% protection from UV rays. Myth 2 - Cheap sunglasses don't offer protection Higher the prices, better the quality. This is a general belief that is also applied to eyewear. Cheaper sunglasses, as long as they offer 100% protection from UV rays, are as effective as expensive ones. A range of affordable brands in the market offer good-quality sunglasses. You can also customize one for specific purposes, but it comes with a cost. For instance, Oakley sunglasses are world famous for being tested in harsh physical conditions, and they undergo velocity and various tests. They also offer polarized and iridium lenses. Myth 3 - Sunglasses are meant for sunny days It is common to associate sunglasses with sunny summers, where exposure to the sun is maximum. Irrespective of the season, exposure of the eyes to direct sunlight should be limited as UV rays pass through clouds. When you expose your eyes to sunlight for an extended period, you also risk developing cataracts and eye cancer. One might brush aside the impact of rays on a rather cloudy day. Make sure you apply sunblock and wear sunglasses when you step out. Research shows a specific scattering effect of light on certain cloudy days can increase your exposure to harmful UV rays. Wear your sunglasses in summer, spring, fall, and winter. Snow blindness is a type of photokeratitis wherein the thin surface of the corneas begins to freeze due to the sun's reflection on ice or snow. Make sure your eyes are protected when it is snowing too. You can choose from a wide range of chic winter shades. Myth 4 - Darker tinted sunglasses offer better protection A major preconceived notion amongst people is that darker shades offer better protection from sun rays. The darker tinted sunglasses are the best-selling products during peak summer. However, the UV protection coating truly matters, not the shade. Check the label before blindly buying darker tinted sunglasses. You can purchase the glasses if the packaging clearly states that it offers 100% protection from UV-A and UV-B rays. While choosing darker shades is a personal preference, ensure that the glasses offer UV protection. Polarized lenses help with better vision and protection. You can check out the Oakley website for various tints and shades offered. Please read the descriptions and the conditions mentioned under each product category. Myth 5 - All sunglasses provide UV protection Sunglasses with tinted, polarized lenses do not always protect from UV rays. One can get them customized for protection. In fact, those dark sunglasses without UV protection may affect the pupil due to blocking out light and allowing harmful rays to enter the eyes. Oakley sunglasses Oakley is one of the most trusted sunglasses brands in the market. Every lens goes through the highest standard velocity tests, and the brand offers some of the most robust frames. They have top-quality scratch-resistant lenses; even if they get scratched, the UV rays will not penetrate through the lens. All of the lenses undergo quality testing. They block 100% of blue light rays, UVA, and UVB rays. They have specific frames for motorsports, cycling, driving, and other activities. While Oakley sunglasses are popular amongst athletes, you can find a range of designs for daily use. Some popular sunglasses from Oakley include: Frogskins Mainlink XL EVZero Blades Radar EV Pitch Sutro Lite Jawbreaker Split Shot Holbrook Plazma Oakley sunglasses for kids Oakley's colorful collection of youth sunglasses is duly tested to protect your kids' delicate eyes. The brand has recognized early on that exposure to direct sunlight at a young age can lead to age-related macular degeneration (AMD). They have ultramarine, purple, and orange tints, and you can view first-hand customer reviews on the website. You can add prescription lenses to all the youth fit models. Some popular Oakley kids sunglasses include: Radar EV XS Holbrook XS Flax XS Frogskins XS Turbine XS Make sure to get your eyes tested periodically and practice eye exercises. Maintaining eye health at a young age can prevent eye-related disorders and vision degradation.

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