Understanding Glanzmann`s Thrombasthenia
Transcription
Understanding Glanzmann`s Thrombasthenia
Understanding Glanzmann’s Thrombasthenia LUIS Luis has Glanzmann’s thrombasthenia What is Glanzmann’s thrombasthenia? To fully understand Glanzmann’s thrombasthenia (GT), you must first understand how the clotting process works. There are proteins on the platelets in blood that help your blood clot properly. One of these proteins is called glycoprotein. One glycoprotein called 2B-3A helps platelets connect to each other by binding to fibrinogen strands, forming bridges between platelets. By doing so, the platelets stick together to form a “plug” that stops a bleed. Someone with GT has specific defective glycoprotein. This means the platelets cannot form a plug to stop a bleed. How did I get GT? GT is a rare genetic disorder that affects about 1 in 1 million people. It is inherited from both parents and can occur in both men and women. What are the signs and symptoms of GT? Most common signs and symptoms Easy bruising Bleeding from the nose or gums In women, heavy menstruation Other signs and symptoms Swelling, pain, or warmth around a joint Inability to straighten or bend a joint normally Headache or neck ache Drowsiness or loss of consciousness Sensitivity to light Upset stomach Vomit that is black and syrupy or bright red Red- or black-colored stool Remember to keep others informed In cases of emergency, remember that GT is rare, so it may not be on the forefront of every health care professional’s mind. • Be sure to wear your medical bracelet • Keep health care professionals and family members informed about your condition • Work with your hemophilia treatment center (HTC) to educate your school (eg, nurse, coaches, teachers) MARIA, JASMINE, AND JIMENA Jasmine and Jimena have Glanzmann’s thrombasthenia Tips for staying healthy • Manage anemia. Iron deficiency can occur with even the smallest of bleeds. If you are losing as little as 5 milliliters (about 1 teaspoon) of blood per day, you are also losing 2.5 milligrams of iron in your blood and you may become anemic. It is important that you manage your bleeds and tell your health care professional how frequently you are bleeding • Follow medical orders. Be sure to follow any maintenance or preventive measures your health care professional has planned for you. GT can be a severe condition, but with the right care and support it can be properly managed • Follow healthy steps. To help prevent further health problems: – Maintain good dental hygiene – Maintain healthy blood iron levels – Avoid anti-inflammatory drugs (eg, aspirin, ibuprofen, naproxen) that affect platelets, unless your health care professional directs you to use them – Discuss your sports-related limitations with your doctor and consider avoiding contact sports – Women: Discuss with your health care professional whether hormone therapy may help manage heavy menstrual bleeding – Women: Discuss ways to prevent bleeding during and after pregnancy/childbirth with your health care professional Share your GT experience Because it is rare, GT often goes undiagnosed. And, unlike other rare bleeding disorders, there is not a lot of information available to help people with GT understand their condition. Once you have a greater understanding and gain experience, you have an opportunity to become an advocate for yourself and others. If you know family members, friends, or families with GT in your community who are having similar bleeding issues, it is important that you share what you know with them as well as your local HTC. Doing so may help build a stronger GT community. Quick tips Work with your health care professional to manage your iron levels and avoid anemia Keep healthy GT is rare, so wear your medical bracelet in case of emergency Help others with GT by telling them what you know Keep in contact with your HTC Treatment options Treatment can depend on what type of bleed you may have. For smaller injuries, gum bleeding, or nosebleeds, your health care professional may suggest you use pressure, nasal packing, or blood-related products to get your bleeding under control. For more serious bleeds and/or surgery and dental or other procedures, your health care professional may prescribe platelet transfusions or drugs that help the blood-clotting process. With every bleed, it is important to call your HTC and begin first aid (eg, compression, elevation) as soon as possible. Remember, GT is a serious condition and bleeding can be unpredictable. A health care professional should always be consulted before treatment begins. Novo Nordisk Inc., 800 Scudders Mill Road, Plainsboro, New Jersey 08536 U.S.A. Changing Possibilities in Hemophilia® is a registered trademark of Novo Nordisk Health Care AG. © 2014 Novo Nordisk Printed in the U.S.A. 0514-00021533-1 July 2014