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, muscles, or 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 or not the person has developed an antibody that neutralizes or knocks out the activity of the clotting factor.
This type of hemophilia treatment 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 form of hemophilia treatment 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.
Hemophilia Treatment: Home Treatment
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. Home hemophilia treatment has several advantages:
- You or your child can get hemophilia 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 hemophilia treatment in a medical care setting.
- Home hemophilia treatment helps children accept treatment 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.
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