Hemophilia Treatment

Hemophilia Treatment: Replacement Therapy to Stop Bleeding When It Occurs

Replacement therapy can be given as needed or on demand to stop bleeding as soon as possible after it begins. The goal of replacement therapy is to prevent damage to joints and muscles or to prevent other parts of the body from bleeding. This treatment is common for people with mild or moderate hemophilia.
The amount of clotting factor given depends on factors such as:
  • The type of hemophilia the person has 
  • The location and severity of the bleeding
  • The person's weight
  • Whether the person has developed an antibody that neutralizes or knocks out the activity of the clotting factor.
This type of treatment for hemophilia is given as needed, and is less intensive and expensive than regular preventive therapy. However, there is a risk that bleeding will cause damage before the treatment is given.
People who use this option for hemophilia must learn to recognize bleeding when it occurs, and treatment must begin right away to limit damage.
Family members should learn to watch for signs of bleeding in a child. Children sometimes ignore signs of bleeding because they want to avoid the discomfort of treatment.

Home Treatment for Hemophilia

Both preventive and as-needed hemophilia treatment can be done at home. Many people learn to do the infusions at home for their child or for themselves. This has several advantages:
  • You or your child can get treatment quicker when bleeding occurs. Early treatment means that fewer complications are likely to occur.
  • Fewer visits to the doctor or emergency room are needed.
  • Home infusions cost less than in a medical care setting.
  • Home treatment helps children accept it easier and take responsibility for their own health.
Vein access devices can be surgically implanted so that it is easier to access a vein to do the infusions. This can be helpful when infusions are done on a frequent basis. However, infections can be a problem with these devices.
Ask your doctor to help you decide if this type of device is right for you or your child. Discuss options for home hemophilia treatment with your doctor or your child's doctor. A doctor or other healthcare provider can teach you the steps and safety procedures necessary for home treatment.

Hemophilia Disease

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