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What is
Hemophilia:-
Hemophilia is a hereditary
disorder of coagulation that results in deficiency of factor VIII (Hemophilia A)
or Factor IX (Hemophilia B). The disease is almost exclusively seen in males
while females are asymptomatic carriers. Rarely it can affect females. It is
characterized by spontaneous or trauma related bleeding typically into the large
joints or muscles. Untreated or inadequately treated episodes lead to joint,
muscle or nerve damage resulting in progressive deterioration of function.
Mucocutaneous bleeding is not common but can occur. Life threatening hemorrhages
can result spontaneously or from trauma to the head or internal organs. Without
proper care, hemophilia can lead to serious damage to limb and joint function
within the first one to two decades of life. This is due to impaired joint
mobility, contractures, muscle atrophy and chronic pain. Crippling joint
deformities can be effectively prevented by adequate care of each episode of
bleeding, including replacement of the appropriate coagulation factor lacked by
the patient and very deliberate and persistent physical therapy.
- Disability
Treatment of Hemophilia is
very expensive. Therefore, patients are under-treated or not treated at all
because of it's cost. This leads to permanent disability. Children become
handicapped before they reach their teens.
- Financial Ruin
Hemophilia is manageable. The treatment is in the form of intravenous
injections of a life-saving medicine called "Anti Hemophilic
Factor". This is extracted from human blood and hence it is very
expensive. It is also not manufactured anywhere in India. HFI imports it
at the lowest price in the world. Unfortunately there is no financial
support from the government to make it affordable to the patients.
- Risk of HIV/AIDS
Persons with Hemophilia have to take frequent transfusions of
blood and blood-products. Hence, they face a high risk of HIV &
Hepatitis A, B and C.
- Total Insecurity
Hemophilia, if not treated properly leads to disability; family
becomes a financial wreck and the child himself feels that he is a total
burden on the society. This is also because of low level of awareness in
patients, doctors and general public about Hemophilia.
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