There is no causal treatment for haemophilia. Treatment of bleeding episodes with blood derivatives is only substitutive and should be managed by a specialist haematologist, preferably a haemophilia centre doctor. Due to the serious consequences of this disease, comprehensive care in collaboration with genetics, orthopaedics, rehabilitation, dentistry and psychology is essential for haemophiliacs. Early and correct treatment can prevent most of the late consequences (mainly on the musculoskeletal system), which is facilitated by prophylactic therapy, in which we administer blood derivative substitution at regular intervals of 2-3 times a week according to the type of haemophilia in an attempt to prevent bleeding. It is particularly effective in severe haemophiliacs, especially children. It is preferably administered in the form of "home treatment".
The haemophiliac is trained in the application and handling of blood derivatives available at home. He administers the drug at regular intervals and follows the haematologist's recommendations regarding the dose and time of administration of the blood derivative.
In the event of a bleeding episode, he is able to administer replacement therapy immediately and manage further management in collaboration with the centre's haematologist. A prerequisite for home treatment of a haemophiliac is good cooperation between the family and the patient and the haemophilia centre.
Worldwide, the development of haemophilia treatment is focusing on gene therapy, but research is not yet at a stage that would allow wider use in practice.
In addition to early diagnosis and prevention of bleeding, active search for haemophilia carriers is important in the prevention of haemophilia, which is provided to mothers and families of haemophilia patients by the staff of the haemophilia centre.
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