Prática esportiva em pacientes hemofílicos: tratamento, diagnóstico e criação de um manual de procedimentos

Abstract

Hemophilia and other coagulopathies result from defects in blood hemostasis, resulting from the failure of blood to clot. Hereditary disease in 70% of cases, predominantly affects male people. In Brazil, about 13,000 patients are affected by the disease, which has no cure. Its characteristic clinical manifestation is excessive and prolonged bleeding, often with no apparent cause, wicth may manifest internally or externally. Hemophilia is diagnosed clinically, through symptoms and confirmed through laboratory tests that evaluate clotting. The treatment of hemophilia consists of the infusion of the deficient factor, and medication can be administered, according to the clinical case. Another adjunctive therapy is physical activity, used as a form of musculoskeletal strengthening treatment. Thus, the present study seeks to review what is in the literature regarding sports practice and physical activity as a treatment for coagulopathies, with emphasis on hemophilia. Based on the procuded knowledge about the disease, develop a manual facing for the practice of physical activity by hemophiliacs, as well as helping in the prevention of management through hemorrhagic accidents. Among the researches surveyed bibliographically in this study, there was unanimous agreement between the authors regarding the encouragement of physical exercise and the practice of sports among those indicated for hemophilia. Therefore, several studies indicate that physical activity should be encouraged among hemophiliac patients, especially pacients with hemophilia A, who can may benefit from the capability of the intense exercises to increase factor VIII. Along with the administered intravenous prophylaxis before practice physical activity, the risks related to bleeding in the hemophiliac patient would be decreased. So, therefore, became possible better sporting performances and a better quality of life.