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Topic: hematologic diseases (he)
Title: Care and Treatment of Carriers.
Author: Babul-Hirji, R.
Source: Montreal, Quebec: Canadian Hemophilia Society. 2007. pp 79-92.
Availability: Available from Canadian Hemophilia Society. 625 President Kennedy, Suite 505, Montreal, Quebec, H3A 1K2. Phone: 1-800-668-2686. Email: chs@hemophilia.ca. Website: www .hemophilia.ca. Price: Available free of charge on website.
Abstract: This chapter on the care and treatment of carriers is from a monograph that provides information for female carriers of hemophilia A and B, a type of genetic bleeding disorder traditionally experienced by males but passed on genetically by females. Recent understanding of this disorder shows that females can have the same problems as males with mild hemophilia, such as hemorrhaging after surgery or trauma. Women with clotting factor levels as high as 60 percent can have abnormal bleeding problems, including but not restricted to gynecological and obstetrical bleeding. This chapter describes the multidisciplinary clinics that are being created in Canada for women with bleeding disorders and the medical and surgical options available to women to treat their bleeding symptoms. The chapter briefly reviews the roles of the patient care team, including a hematologist, a gynecologist, an obstetrician, and a nurse coordinator who arranges testing and meetings with the specialists. Medical options discussed include hormone therapy, desmopressin, antifibrinolytic agents such as tranexamic acid (Cyklokapron), clotting factor concentrates, and complementary medicines. Surgical options for menorrhagia discussed include uterine ablation, hysterectomy, laparoscopic endometrial removal, oophorectomy, and dilation and curettage (D and C). 1 figure. 4 tables.

Format: Book Chapter
Language: English.
Major Keywords: Hematologic Diseases. Hemophilia. Female. Patient Care Management. Patient Care Team. Drug Therapy. Surgery.
Minor Keywords: Complications. Delivery of Health Care. Reproductive System. Patient Education. Hormones. Desmopressin. Coagulation. Surgical Techniques. Menstruation. Bleeding Disorders. Laparoscopy.
Publication Number: HEBK10170
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