How is hemophilia treated?

Jun 30, 2024 Source: Cainiu Health
Disease description:

Recently, I had a meal with an old classmate I hadn't seen in a long time. He told me that he has hemophilia and doesn't know how to treat it. He asked me to consult on his behalf. How is hemophilia treated?

Doctor's answer (1)
Dr. Liu Feng
The treatment of hemophilia mainly involves the following approaches: 1. **Replacement therapy**: This is the primary treatment method, achieved by infusing the deficient clotting factor (such as recombinant FVIII preparations or virally inactivated plasma-derived FVIII preparations) to achieve the purpose of stopping bleeding or preventing hemorrhage. 2. **Pharmacological therapy**: Includes the use of corticosteroids to improve capillary permeability and antifibrinolytic drugs (such as 6-aminocaproic acid) to reduce bleeding; however, attention must be paid to the limitations and contraindications associated with drug use. 3. **Physical therapy and rehabilitation**: Utilizes physical agents and therapeutic exercises to maintain and improve joint and muscle function in patients, preventing or minimizing functional impairments. 4. **Home-based therapy**: Conducted under the guidance of healthcare professionals, this includes education on injection techniques and knowledge of hematology. Hemophilia treatment is a comprehensive process that requires selecting the appropriate treatment approach based on each patient's individual circumstances.