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Выделяют два основных типа [3](https://evogenlab.ru/news/3533/): \n1. **Гемофилия А (классическая)** — дефицит фактора свёртывания VIII [3](https://evogenlab.ru/news/3533/)[5](https://semeynaya.ru/directions/gematologiya/gemofiliya/). \n2. **Гемофилия В (болезнь Кристмаса)** — дефицит фактора свёртывания IX [3](https://evogenlab.ru/news/3533/)[5](https://semeynaya.ru/directions/gematologiya/gemofiliya/). \n\nЧаще всего гемофилия передаётся по наследству и проявляется с рождения, но существует и приобретённая форма болезни, которая обычно развивается у людей среднего и пожилого возраста, а также у молодых женщин после родов [3](https://evogenlab.ru/news/3533/).\n\n\n\n## Причины\n**Генетические причины** — мутация в генах, отвечающих за синтез факторов свёртывания крови (VIII или IX) [6](https://gemotest.ru/info/spravochnik/zabolevaniya/gemofiliya/). Эти гены расположены на Х-хромосоме, заболевание встречается преимущественно у мужчин [6](https://gemotest.ru/info/spravochnik/zabolevaniya/gemofiliya/). Женщины обычно становятся носителями мутации, так как у них две Х-хромосомы [6](https://gemotest.ru/info/spravochnik/zabolevaniya/gemofiliya/). \n\n**Ненаследственные причины** — аутоиммунные заболевания, злокачественные опухоли, приём некоторых лекарств, беременность и роды (послеродовая приобретённая гемофилия) [6](https://gemotest.ru/info/spravochnik/zabolevaniya/gemofiliya/).\n\n## Симптомы\n**Основной симптом** — склонность к частым и длительным кровотечениям [3](https://evogenlab.ru/news/3533/). Например, у человека с гемофилией может начаться сильное кровотечение даже после незначительной травмы или стоматологической процедуры [3](https://evogenlab.ru/news/3533/). \n\n**Некоторые другие проявления**: \n* гематомы (синяки) на теле [6](https://gemotest.ru/info/spravochnik/zabolevaniya/gemofiliya/); \n* носовые кровотечения [6](https://gemotest.ru/info/spravochnik/zabolevaniya/gemofiliya/); \n* кровоточивость дёсен [6](https://gemotest.ru/info/spravochnik/zabolevaniya/gemofiliya/); \n* кровоизлияния в суставы (гемартрозы) [6](https://gemotest.ru/info/spravochnik/zabolevaniya/gemofiliya/)[7](https://www.kdpmc.ru/zabolevaniya/gemofiliya-u-detey/). \n\nСпецифический признак — кровотечения возникают не сразу, а спустя несколько часов после травмы [10](https://MedAboutMe.ru/zdorove/spravochnik/bolezni/gemofiliya/).\n\n## Диагностика\n**Диагностика гемофилии** обычно включает анализ крови для определения уровня факторов VIII и IX [5](https://semeynaya.ru/directions/gematologiya/gemofiliya/). Также могут проводиться дополнительные тесты для определения типа и степени тяжести заболевания [5](https://semeynaya.ru/directions/gematologiya/gemofiliya/). \n\n**Лечением** больных гемофилией занимается врач-гематолог [13](https://www.invitro.ru/library/bolezni/29767/).\n\n## Лечение\n**Основной метод лечения** — **заместительная терапия** — введение концентратов недостающих факторов свёртывания крови внутривенно [3](https://evogenlab.ru/news/3533/). Схема применения определяется индивидуально [14](https://klinikabudzdorov.ru/diseases-child/gemofiliya-u-detey/). \n\n**В некоторых случаях** может потребоваться хирургическое вмешательство для остановки кровотечения или лечения его последствий [5](https://semeynaya.ru/directions/gematologiya/gemofiliya/). \n\n**Полное излечение гемофилии невозможно** — пациенты проходят терапию в течение всей жизни [1](https://journal.DonorSearch.org/bolezn-czarej-otkuda-beryotsya-i-kak-lechitsya-gemofiliya/).","linksData":[{"sourceId":1,"url":"https://journal.DonorSearch.org/bolezn-czarej-otkuda-beryotsya-i-kak-lechitsya-gemofiliya/","shownUrl":"https://journal.DonorSearch.org/bolezn-czarej-otkuda-beryotsya-i-kak-lechitsya-gemofiliya/","title":"«Болезнь царей»: откуда берётся и как лечится гемофилия » Журнал DonorSearch","shortUrl":"journal.DonorSearch.org","isTranslated":false,"description":"","greenUrl":"journal.DonorSearch.org"},{"sourceId":2,"url":"https://yandex.ru/medicine/disease/gemofilija","shownUrl":"https://yandex.ru/medicine/disease/gemofilija","title":"Гемофилия - 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