{"id":6771,"date":"2021-04-22T13:13:52","date_gmt":"2021-04-22T11:13:52","guid":{"rendered":"https:\/\/www.easistent.ro\/?p=6771"},"modified":"2021-05-31T12:40:44","modified_gmt":"2021-05-31T10:40:44","slug":"17-aprilie-2021-ziua-internationala-a-hemofiliei","status":"publish","type":"post","link":"https:\/\/www.easistent.ro\/?p=6771","title":{"rendered":"17 aprilie 2021 &#8211; Ziua Interna\u021bional\u0103 a Hemofiliei"},"content":{"rendered":"\n<div class=\"wp-block-image is-style-default\"><figure class=\"alignleft size-large is-resized\"><a href=\"https:\/\/www.easistent.ro\/new\/wp-content\/uploads\/2021\/04\/hemofilie.jpg\"><img src=\"https:\/\/www.easistent.ro\/new\/wp-content\/uploads\/2021\/04\/hemofilie-681x1024.jpg\" alt=\"\" class=\"wp-image-6739\" width=\"276\" height=\"415\" srcset=\"https:\/\/www.easistent.ro\/new\/wp-content\/uploads\/2021\/04\/hemofilie-681x1024.jpg 681w, https:\/\/www.easistent.ro\/new\/wp-content\/uploads\/2021\/04\/hemofilie-200x300.jpg 200w, https:\/\/www.easistent.ro\/new\/wp-content\/uploads\/2021\/04\/hemofilie-768x1154.jpg 768w, https:\/\/www.easistent.ro\/new\/wp-content\/uploads\/2021\/04\/hemofilie-1022x1536.jpg 1022w, https:\/\/www.easistent.ro\/new\/wp-content\/uploads\/2021\/04\/hemofilie.jpg 1340w\" sizes=\"(max-width: 276px) 100vw, 276px\" \/><\/a><\/figure><\/div>\n\n\n\n<p>Tema evenimentului din acest an este \u201e<strong>Adaptarea la schimbare: sus\u021binerea \u00eengrijirii \u00eentr-o lume nou\u0103<\/strong>\u201d. Aceasta se refer\u0103 la mobilizarea comunit\u0103\u021bilor medicale \u00een condi\u021biile speciale ale pandemiei COVID-19 pentru sus\u021binerea persoanelor care au nevoie de ajutor pentru a face fa\u021b\u0103 acestei condi\u021bii medicale.<\/p>\n\n\n\n<p>Hemofilia este, de obicei, o tulburare mo\u0219tenit\u0103 \u00een care s\u00e2ngele nu se coaguleaz\u0103 corespunz\u0103tor.<\/p>\n\n\n\n<p>\u00cen cazuri rare, o persoan\u0103 poate dezvolta hemofilie mai t\u00e2rziu \u00een via\u021b\u0103. Majoritatea cazurilor implic\u0103 persoane de v\u00e2rst\u0103 mijlocie sau v\u00e2rstnice sau femei tinere care au n\u0103scut recent sau se afl\u0103 \u00een stadiile avansate ale sarcinii. Adesea, aceast\u0103 afec\u021biune se rezolv\u0103 cu un tratament adecvat.<\/p>\n\n\n\n<p>Hemofilia poate duce la s\u00e2nger\u0103ri spontane, precum \u0219i la s\u00e2nger\u0103ri dup\u0103 leziuni sau interven\u021bii chirurgicale.<\/p>\n\n\n\n<p><strong>De ce se \u00eent\u00e2mpl\u0103 acest lucru?<\/strong> S\u00e2ngele con\u021bine mai multe proteine numite factori de coagulare care pot ajuta la oprirea s\u00e2nger\u0103rii.<\/p>\n\n\n\n<p>Hemofilia este cauzat\u0103 de o muta\u021bie \u00eentr-una dintre gene, care ofer\u0103 instruc\u021biuni pentru producerea factorului de coagulare necesar form\u0103rii cheagurilor de s\u00e2nge. Aceast\u0103 modificare poate \u00eempiedica proteina de coagulare s\u0103 func\u021bioneze corect sau ea poate s\u0103 lipseasc\u0103 cu totul. B\u0103rba\u021bii pot avea hemofilie dac\u0103 mo\u0219tenesc un cromozom X afectat care are o muta\u021bie \u00een gena factorului VIII sau factorul IX. Femeile pot avea \u0219i ele hemofilie, dar acest lucru este mult mai rar.<\/p>\n\n\n\n<p>Persoanele cu hemofilie au, a\u0219adar, niveluri sc\u0103zute fie ale factorului VIII (8) \u2013 denumit\u0103 hemofilia A (clasic\u0103), fie ale factorului IX (9) \u2013 denumit\u0103 hemofilie B.<\/p>\n\n\n\n<p>Severitatea hemofiliei pe care o are o persoan\u0103 este determinat\u0103 de cantitatea acestor proteine care sprijin\u0103 coagularea din s\u00e2nge. Cu c\u00e2t aceasta este mai mic\u0103, cu at\u00e2t este mai probabil s\u0103 apar\u0103 s\u00e2nger\u0103ri care pot duce la probleme grave de s\u0103n\u0103tate.<\/p>\n\n\n\n<p>Semnele frecvente ale hemofiliei includ:<\/p>\n\n\n\n<ul><li>S\u00e2nger\u0103ri \u00een articula\u021bii. Acest lucru poate provoca umfl\u0103turi \u0219i dureri sau contracturi la nivelul articula\u021biilor; afecteaz\u0103 adesea genunchii, coatele \u0219i gleznele.<\/li><li>S\u00e2nger\u0103ri \u00een piele (care sunt v\u00e2n\u0103t\u0103i) sau mu\u0219chi \u0219i \u021besuturi moi, provoc\u00e2nd acumularea de s\u00e2nge \u00een zon\u0103 (numit hematom).<\/li><li>S\u00e2nger\u0103ri ale gurii \u0219i ale gingiilor \u0219i s\u00e2nger\u0103ri greu de oprit dup\u0103 pierderea unui dinte.<\/li><li>S\u00e2nger\u0103ri dup\u0103 circumcizie.<\/li><li>S\u00e2nger\u0103ri dup\u0103 vaccinuri.<\/li><li>S\u00e2nger\u0103ri la nivelul capului unui sugar dup\u0103 o na\u0219tere dificil\u0103.<\/li><li>S\u00e2nge \u00een urin\u0103 sau scaun.<\/li><li>S\u00e2nger\u0103ri nazale frecvente \u0219i greu de oprit.<\/li><\/ul>\n\n\n\n<p>Hemofilia apare la aproximativ 1 din fiecare 5.000 de na\u0219teri de b\u0103ie\u021bi. Hemofilia A este de aproximativ patru ori mai frecvent\u0103 dec\u00e2t hemofilia B \u0219i aproximativ jum\u0103tate dintre cei afecta\u021bi au forme severe.<\/p>\n\n\n\n<p><strong>\u00cen ce const\u0103 diagnosticul?<\/strong><\/p>\n\n\n\n<p>Mul\u021bi oameni care au sau au avut membri ai familiei cu hemofilie vor cere ca b\u0103ie\u021bii lor s\u0103 fie testa\u021bi imediat dup\u0103 na\u0219tere.<\/p>\n\n\n\n<p>Aproximativ o treime dintre copiii c\u0103rora li se diagnosticheaz\u0103 hemofilie prezint\u0103 o muta\u021bie care nu este prezent\u0103 la al\u021bi membri ai familiei. \u00cen aceste cazuri, medicul verific\u0103 alte semne de hemofilie. Practic, va efectua anumite analize de s\u00e2nge pentru a ar\u0103ta dac\u0103 s\u00e2ngele se coaguleaz\u0103 corect. Dac\u0103 nu, atunci va face teste ale factorului de coagulare, pentru a diagnostica cauza tulbur\u0103rii de s\u00e2ngerare. Aceste analize de s\u00e2nge arat\u0103 tipul hemofiliei \u0219i severitatea.<\/p>\n\n\n\n<p><strong>Care este tratamentul?<\/strong> Cel mai bun mod de a trata hemofilia se realizeaz\u0103 prin \u00eenlocuirea factorului de coagulare lips\u0103, astfel \u00eenc\u00e2t s\u00e2ngele s\u0103 se poat\u0103 coagula \u00een mod corespunz\u0103tor. Acest lucru se face prin infuzarea (administrarea printr-o ven\u0103) a concentratelor din ace\u0219ti factori de coagulare. Persoanele cu hemofilie pot \u00eenv\u0103\u021ba singure cum s\u0103 efectueze aceste perfuzii astfel \u00eenc\u00e2t s\u0103 poat\u0103 opri episoadele de s\u00e2ngerare \u0219i, efectu\u00e2nd perfuziile \u00een mod regulat (profilaxie), pot chiar preveni majoritatea episoadelor de s\u00e2ngerare.<\/p>\n\n\n\n<p>Asisten\u021ba medical\u0103 de bun\u0103 calitate asigurat\u0103 de medici \u0219i asisten\u021bi medicali care \u0219tiu mai multe despre tulburare poate ajuta la prevenirea unor probleme grave. Astfel, persoanele cu hemofilie se pot bucura de majoritatea activit\u0103\u021bilor pe care le fac ceilal\u021bi oameni, cu condi\u021bia s\u0103 \u00eenve\u021be ce trebuie s\u0103 fac\u0103 \u0219i unde s\u0103 se adreseze pentru sprijin, pentru a se sim\u021bi c\u00e2t mai bine \u0219i mai s\u0103n\u0103toase cu putin\u021b\u0103.<\/p>\n\n\n\n<p><em>Mirela Musta\u021b\u0103, Redactor executiv E-asistent<\/em><\/p>\n\n\n\n<p><em>Documentare \u00a0\u0219i adaptare dup\u0103:<\/em><\/p>\n\n\n\n<ol type=\"1\"><li><a href=\"https:\/\/www.cdc.gov\/ncbddd\/hemophilia\/index.html\">https:\/\/www.cdc.gov\/ncbddd\/hemophilia\/index.html<\/a><\/li><li><a href=\"https:\/\/news.wfh.org\/world-hemophilia-day-2021-adapting-to-change-sustaining-care-in-a-new-world\/\" target=\"_blank\" rel=\"noreferrer noopener\">https:\/\/news.wfh.org\/world-hemophilia-day-2021-adapting-to-change-sustaining-care-in-a-new-world\/<\/a><\/li><li><a href=\"https:\/\/www.awarenessdays.com\/awareness-days-calendar\/world-haemophilia-day-2021\/\">https:\/\/www.awarenessdays.com\/awareness-days-calendar\/world-haemophilia-day-2021\/<\/a><\/li><li>Sursa foto: Photo by\u00a0<a href=\"https:\/\/unsplash.com\/@cdc?utm_source=unsplash&amp;utm_medium=referral&amp;utm_content=creditCopyText\">CDC<\/a>\u00a0on\u00a0<a href=\"https:\/\/unsplash.com\/s\/photos\/blood-test?utm_source=unsplash&amp;utm_medium=referral&amp;utm_content=creditCopyText\">Unsplash<\/a><\/li><\/ol>\n","protected":false},"excerpt":{"rendered":"<p>Tema evenimentului din acest an este \u201eAdaptarea la schimbare: sus\u021binerea \u00eengrijirii \u00eentr-o lume nou\u0103\u201d. Aceasta se refer\u0103 la mobilizarea comunit\u0103\u021bilor medicale \u00een condi\u021biile speciale ale pandemiei COVID-19 pentru sus\u021binerea persoanelor care au nevoie de ajutor pentru a face fa\u021b\u0103 acestei condi\u021bii medicale. Hemofilia este, de obicei, o tulburare mo\u0219tenit\u0103 \u00een care s\u00e2ngele nu se coaguleaz\u0103 [&hellip;]<\/p>\n","protected":false},"author":3,"featured_media":6739,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":[],"categories":[152,6],"tags":[],"_links":{"self":[{"href":"https:\/\/www.easistent.ro\/index.php?rest_route=\/wp\/v2\/posts\/6771"}],"collection":[{"href":"https:\/\/www.easistent.ro\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.easistent.ro\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.easistent.ro\/index.php?rest_route=\/wp\/v2\/users\/3"}],"replies":[{"embeddable":true,"href":"https:\/\/www.easistent.ro\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=6771"}],"version-history":[{"count":2,"href":"https:\/\/www.easistent.ro\/index.php?rest_route=\/wp\/v2\/posts\/6771\/revisions"}],"predecessor-version":[{"id":6773,"href":"https:\/\/www.easistent.ro\/index.php?rest_route=\/wp\/v2\/posts\/6771\/revisions\/6773"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.easistent.ro\/index.php?rest_route=\/wp\/v2\/media\/6739"}],"wp:attachment":[{"href":"https:\/\/www.easistent.ro\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=6771"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.easistent.ro\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=6771"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.easistent.ro\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=6771"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}