3 ways to manage hemophilia

3 ways to manage hemophilia

Hemophilia is a disorder characterized by unusual bleeding that doesn’t stop quickly. People with hemophilia abnormally bleed continuously, even from a small cut or injury. This happens because the blood’s ability to clot is compromised. Abnormal bleeding can pose a high risk when the patient is undergoing surgery. This article highlights the different types of hemophilia, treatment options, and effective tips on how one can better manage the health condition:

Treatment options
Hemophilia is a genetically inherited health condition associated with a bleeding disorder. It needs to be managed with the help of treatment plans, nutritious foods, and healthy lifestyle habits. Treatment options for hemophilia include recombinant factor concentrates that work at building the protein factors required to clot the blood in hemophilia patients. The major products used in developing recombinant factors include VIII, IX, and VIIa. 

Below are some treatment options that a specialist may prescribe to focus on clotting factors. Since there are different types of hemophilia, they all have different courses of treatment. However, some of the most common treatment options include:

KOVALTRY®
This treatment option is prescribed to manage hemophilia A, which is caused by the missing protein factor VIII. KOVALTRY® helps replace factor VIII or antihemophilic factors to limit bleeding. This is especially important when a hemophilia patient opts for surgery.

HEMLIBRA®
This antibiotic is prescribed to manage hemophilia A in adults, children, and babies who are born with missing VIII factors. HEMLIBRA ® helps reduce the bleeding episodes by combining factors IXa and X together to continue the blood clotting process.

Foods to eat and avoid
Food is one of the key contributors to helping one manage hemophilia. Try to add vegetables, fruits, nuts, and seeds to your daily meal regime for nutritional value. Include healthy staples like brown rice, millets, oats, and low-fat dairy, and try recipes with minimal oil. Switch your vegetable oil to olive oil for its healthy fat content. Avoid foods that work as blood thinners, including coriander, ginger, cayenne peppers, grape seed extract, avocados, chilies, and pineapple. These foods can pose a risk of easy bleeding.

Types of hemophilia  

  • Hemophilia (A)
    This primary type of condition, also termed classic hemophilia, is caused by a deficiency of factor VIII, a protein that helps form blood clots.
  • Hemophilia (B)
    This type of hemophilia is caused due to deficiency of blood protein IX, which is a clotting factor. Type B of hemophilia is also known as Christmas disease as it is named after the first person diagnosed with the second type of hemophilia, Stephen Christmas, in 1952.

Signs and symptoms of hemophilia

  • Bleeding in the joints
    This condition can cause swelling, tightness, or pain in the joints, including knees, elbows, and ankles.
  • Bleeding in the skin
    This may be caused due to bruising or build-up of blood in muscles and soft tissues. 
  • Bleeding of the mouth and gums
    This kind of bleeding occurs when one loses a tooth or during dental procedures. 
  • Bleeding after injections
    One may not stop bleeding when getting an injection, vaccine, or IV.
  • Bleeding in the head
    This may occur due to a head injury or during a difficult delivery.
  • Blood in the urine or stool
    Blood passing through urine or stool needs to be brought to a doctor’s attention as it could be associated with complexities.
  • Frequent nosebleeds
    People with hemophilia can experience frequent nosebleeds, which can be treated by packing the nose with a cloth or cotton. 
  • Bleeding post-surgery or any health treatment
    This is one of the most common concerns for hemophilia patients. It’s always a risk for them to get into a minor operation or major surgery. One needs to discuss the situation with the doctor before opting for such health treatment plans. 

Effective tips to help manage hemophilia
Despite the complication of the condition, there are lifestyle tips that help one live with hemophilia. Below listed are simple lifestyle changes that can be rewarding for patients.

Make exercise a part of your daily routine
Regular exercise can help patients maintain a healthy BMI, boost their immune system, and improve their overall well-being. However, avoid physical activities that may involve easy injuries or bruises. Refrain from participating in sports that demand physical contact. Instead, opt for walking, jogging, and swimming.

Practice dental hygiene
Dental problems can arise from a lack of oral hygiene. Hemophilia patients must maintain proper dental hygiene to avoid unforeseen complications like gum bleeding and infections. Also, it is a great way to prevent unwanted dental visits.

Stay hydrated
A well-hydrated body functions smoothly and puts less stress on the organs and internal systems. Keep a dedicated bottle next to you, so you can easily measure the daily water intake and act on it accordingly. Sip water throughout the day instead of chugging it in long intervals.

Use safety gear
When indulging in any physical activity, indoors or outdoors, one must consider using helmets, knee and elbow pads, and mouthguards to avoid complex injuries. One may not be able to gauge the degree of complexity of an injury until it happens, and there’s no going back from there.

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4 healthy foods for nursing mothers

Mothers who have recently delivered babies don't have sufficient nutrition due to the loss of blood and lactation. As a result, they have to carefully choose foods that are rich in calcium, carbohydrate, unsaturated fat, iron, folic acid, protein, and vitamins B6, B12, C, and D. Thankfully, healthy foods and supplements can help them regain strength and supply breastmilk to their newborns. The top four superfoods that can help nursing mothers include: Bananas Bananas are less expensive, available throughout the year, and considered a superfood for nursing moms. They are rich in nutrients, healthy carbs, vitamin B, antioxidants, and phytonutrients. Bananas are also abundant in potassium, calcium, and pectin, a source of energy. Experts claim that having a banana every day can help moms regain the energy they need to take care of the baby and breastfeed. Potassium is crucial for maintaining fluid balance in the mother's body and aids in the rampant transmission of nerve impulses.  Bananas can also aid in regulating blood pressure. It can prevent constipation, aid in regular bowel movements, and promote healthy gut bacteria. These fruits can provide about 1/4th of the vitamin B6 required for nursing moms, which is crucial for hemoglobin production and fighting antibodies. However, avoid bananas if you have allergies, a bout of cough and cold, or diabetes. Mothers can eat bananas after any meal or even add them to smoothies or pancakes as part of a meal. Fatty fish Fatty fish are naturally rich in vitamin B12, omega-3 fatty acids, and vitamin D. Fish like salmon and sardines are one of the few food sources of vitamin D, which is essential for mothers and their infants. A deficiency of vitamin D in infants, though uncommon now, can lead to weak and deformed bones. These fish also contain DHA, a type of omega-3 fatty acid essential for an infant's brain and heart development. DHA can be naturally found in breast milk if a mother eats fatty fish, eggs, or red meat. Omega-3 acids can also help in preventing postpartum depression. Mothers can choose from freshly caught fish, buy from verified farms, or use canned salmon. However, ensure that you have salmon or sardines twice a week to get its benefits and increase the production of breastmilk production. Homemade stock Soups and broths are wholesome and satisfying meals for nursing mothers. The most significant advantage of broths or soups is you can make large quantities and freeze them. The first three months can be hectic for new moms, which is why broths are perfect. They are nutritious, time savers, and can instantly replenish nutrients and strength. Mothers can use the bones and cartilage of chicken or lamb for meat broths. However, slow-cook them as the soup will have time to absorb all the nutrients and minerals from the meat and bones.  On the other hand, vegetarian mothers can make soups and broths of various vegetables and lentils. Bell pepper, carrots, celery stalks, french beans, lentils, mung, cottage cheese, and peas are ideal ingredients for vegetarian soups. Broths and soups can also help deal with postpartum depression and help regain bone density. It can also help reduce joint pain and strengthen joints right after childbirth. Leafy green vegetables It is widely known that green leafy vegetables contain multiple nutrients like vitamin A, C, E, and K, fiber, minerals, calcium, and antioxidants. Spinach has a high concentration of phytoestrogens and iron. When a nursing mom increases the intake of spinach, it raises the estrogen level and helps stimulate milk production. Phytoestrogens also help in regulating and reducing cholesterol and blood sugar levels. They are low on calories; hence, you do not have to worry about gaining weight. One serving of green leafy vegetables daily is the recommended quantity for nursing moms.  Mothers can also eat broccoli and Swiss Chard, which are high in calcium and iron. The daily calcium requirement for nursing moms is about 1,300 milligrams a day. Kale or collard greens also can supply about 20% of the daily calcium requirement. Moms can also have milk and yogurt to ensure they receive the necessary supply of calcium. They can add greens to salads, smoothies, soups, or casseroles. Cigna breast pump Cigna is a global health service company that offers health, pharmacy, dental and supplemental insurance, and Medicare plans. You can get 100% of Cigna's insurance for hospital-grade and standard electric breast pumps with a prescription from your physician, midwife, or nurse practitioner. Cigna also covers the cost of renting a heavy-duty hospital-grade breast pump if a standard breast pump fails. Elvie Free Elvie, one of the brands covered by Cigna with a doctor's prescription, has introduced a revolutionary, silent wearable breast pump that women can discretely fit in their clothes. It is a wireless breast pump that can be operated through a smartphone. This easy-to-use pump can be used confidently and without any hassle. Since it is silent, it can be used anywhere without any disturbance or the need for privacy. Moreover, there are no tubes or pipes. It consists of five easy-to-assemble and clean components that make pumping clean and safe. If you're a new mother who wants to try out breast pumps, give this a try after consulting a doctor. 

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8 foods to eat and avoid for macular degeneration

Macular degeneration or age-related macular degeneration (AMD) is an eye disease that causes the central vision to blur. The macula controls straight-ahead vision and can deteriorate with age. AMD is common in the country, with over 11 million adults suffering from it. There is dry and wet macular degeneration, wherein the latter is more dangerous as it can lead to vision loss. Discover which foods help improve eye health and which ones exacerbate the deterioration: Foods to eat for macular degeneration Vitamin A-rich foods Vitamin A is a fat-soluble vitamin crucial for the immune system, reproduction, growth and development, and normal vision. Lutein and zeaxanthin are two carotenoids, which are powerful antioxidants in the retina's macular region that help the eyes filter out harmful blue light. Unfortunately, the human body cannot produce these nutrients, so you need to consume them via your meals. Foods like kale, spinach, collard, and turnip greens are rich in lutein and zeaxanthin. Eggs, particularly the yolk, are rich in this combination of macular pigments. Your body requires fats to absorb these vitamins, so consider including olive oil and fish like salmon while consuming these vegetables. Vitamin D The best source of vitamin D is the sun. Regardless, it is possible to get this vital nourishment through your food plans. You can increase your vitamin D content by eating fatty fish like cod, tuna, salmon, and eggs and fortified foods like milk, cereals, and orange juice. Vitamin D is not just an antioxidant but also has anti-inflammatory and anti-angiogenic properties. It inhibits the growth of new blood vessels that causes problems in Wet AMD. Coffee While monitoring the coffee intake is recommended by many experts, its health benefits are often neglected. Caffeine can protect against both cognitive degeneration and macular degeneration. A 2016 Portuguese study shows that caffeinated drinks, popular in the region of study, seem to supplement the benefits of the Mediterranean diet and offer protection against this eye disease. Macular degeneration is less common in individuals who drink as little as a single espresso shot daily. The antioxidants in coffee produce a protective effect on the macula. Zinc Minerals like zinc, magnesium, and selenium are all good for overall well-being. Zinc, in particular, has a solid connection to helping prevent macular degeneration. This mineral helps deliver vitamin A from the liver to the retina and enables the production of melanin. Zinc deficiency is associated with poor night vision, cataracts, and AMD. Oysters, red meat, beans, whole grains, and most dairy products have the nutrient and should be incorporated as part of the meal plans. Zinc supplements may also be beneficial but remember to take them along with copper supplements since it interferes with copper absorption. Also, you must consume nutrient supplements only with your doctor's approval. Omega-3 fatty acid Fish are rich in omega-3-fatty acid, and this nutrient lowers the risk of developing macular degeneration and also slows its progress. Fatty acids have anti-inflammatory properties, which reduce clogging of arteries in the eyes and rest of the cardio-vascular system. Consider increasing the intake of fish like salmon, sardines, mackerel, herring, and tuna. Omega-3-fatty acid is good for the eyes, especially for people with macular degeneration. Foods to avoid Oil Most foods that cause heart vessels to clog also obstruct blood vessels in the eyes. Tropical oils like palm oil, vegetable shortenings, lard, and margarine all harm the eyes, particularly in people with degenerating macula. So consider switching to olive oil or avocado oil. Sugar Sweets and sugary drinks are delectable on the tongue but are not great for the eyes. These foods can cause inflammation and also lead to the production of free radicals, which can further damage the eyes. Sugary and fatty foods are loaded with calories, increasing the risk of excess weight gain, leading to comorbid diseases. Processed food Apart from the enjoyable taste, pizza, hamburgers, and donuts share a high trans-fat content. Unfortunately, this is bad for macular degeneration, directly interfering with blood vessels in the eyes and increasing the risk of excess weight gain and cholesterol. Thus, it is best to avoid processed foods or at least reduce the frequency of their intake. Treatments for the correction of macular degeneration Lucentis® (ranibizumab injection) improves vision by blocking the vascular endothelial growth factor from inside the eye. While Avastin® is not FDA approved for macular degeneration, it has shown positive results for the condition. It is strongly recommended to talk to your healthcare professional about the same. Brolucizumab is a single-chain antibody fragment that helps treat vascular macular degeneration. This prescription treatment is usually administered once every 25 to 31 days for the first three doses, and then once every eight to twelve weeks. Eylea® (aflibercept) is another treatment options for wet macular degeneration. It is injected into the eye to block the fluid leakage from abnormal blood vessels in the back of the eye. All of these, however, need to be prescribed by your ophthalmologist. Remember to visit a doctor at the first sign of trouble in your eyes or when you have blurred vision. Macular degeneration correction is possible to an extent, and some treatments help mitigate this disease. Risk management is also a course of treatment to lower the risk of AMD. Keeping physically active, and consistently eating balanced meals are some ways of keeping macular degeneration at bay. Laser photocoagulation is a treatment option that involves laser surgery to treat AMD. Doctors may also prescribe photodynamic therapy or PDT using a combination of injections and laser therapy to reduce the impact of macular degeneration.

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