Diagnosis
A detailed bleeding and family history guides testing. Coagulation screens, factor VIII and IX assays, von Willebrand factor studies and platelet function testing confirm the diagnosis and severity.
Related: Haematology → · Dr. Sachita Baniya profile → · All conditions →
Treatment and prevention
Haemophilia treatment uses factor replacement, with prophylaxis in severe disease to prevent joint damage. Desmopressin is useful in mild haemophilia A and some von Willebrand disease. Antifibrinolytics help with mucosal bleeding.
- Factor replacement and prophylaxis
- Desmopressin for selected patients
- Antifibrinolytic therapy
- Coordinated planning for surgery and pregnancy
- Inhibitor surveillance
Access
Dr. Baniya consults at Kathmandu Neurology Clinic & Cognitive Center, Durbar Marg, and also practises at Kathmandu Cancer Center (KCC) Nepal, Civil Service Hospital, Kathmandu, and Advanced Care Hospital. Bring prior factor levels and bleeding records.