Hemophilia Treatment – Bleeding Disorder
The bleeder’s disease, also known as Hemophilia, is regarded as bleeding occurrences which have been connected anecdotally with psychological stress. The impact of emotional stress on the beginning and control of bleeding episodes is a fact that is well known.
One common cause of extreme states of anxiety in hemophiliacs is oral surgical procedures. Anxiety is one condition that has been shown to start off and/or worsens a prevailing hemorrhagic occurrence in hemophiliacs. This is a fact associated with adults as well as children.
When applicable, hypnosis has been found to be a very great help for anxiety control in many cases. Observations have pointed out that when a hemophiliac is tranquil and relaxed the tendency of his hemorrhage while the surgery is going on and after the surgery, decreases considerably.
The susceptibility of each individual is a major factor affecting the induction to a hypnotic state therefore, different methods are used, all depending on how much the patient knows about hypnosis.
Capillary bleeding, salivary secretions, and pain can all be well brought under control in addition to the control of anxiety while the patient is undergoing surgery and when the operation has been completed, by means of posthypnotic methods.
Hypnotic suggestions can also be used to reinforce good oral hygiene habits, like daily flossing and brushing, that acts as very important procedures for the prevention of periodontal diseases and caries. Preventive dentistry when it comes to hemophiliacs is of extremely great importance.
Treatment For Hemophilia
For surgical procedures that are being done under local anesthesia in the oral cavity, systemic conditions are considered to be limiting factors. Every pharmacological procedure to control pain in individuals has some drawbacks, such as extra costs for rehabilitation and side effects.
Therefore, in cases like that, alternative treatment, such as hypnosis, is considered in dentistry. The present study was aimed at evaluating the effects of hypnosis on pain, anxiety, and hemorrhage during the third molars extraction.
In this case-control study, twenty-four individuals, both male and female volunteers, were included. The subjects had been directed to the Department of Oral and Maxillofacial Surgery, Kerman University of Medical Sciences, for the extraction of third molars.
All subjects had their demographic data recorded. Patients experiencing chronic medical conditions were taken out of this case-control study. The controls used were the patients themselves, with the third molars being removed under hypnosis on one side, and under local anesthetic on the opposite side.
One of this two methods were used to induce hypnosis; either Chiasson’s technique or fixing the gaze of the patient on one point, both methods are suitable for patients sitting in the dental chair. Patient’s level of anxiety before anesthesia and hypnosis was determined using the Spielerger State Trait Anxiety Inventory. The pain was recorded using the visual analog scale (VAS).
After surgery, the patients were asked to bite down on a sterile gauze pad placed over the surgical site for thirty minutes, while hemorrhage from the area was evaluated. The patient was discharged if there was no hemorrhage.
If the hemorrhage persevered, the gauze pad was left over the surgical site for another thirty minutes and was re-evaluated. After the extra thirty minutes, any active oozing from the affected area was considered to be a hemorrhage.
Pain, anxiety, and hemorrhage were compared between two different groups. Wilcoxon’s signed rank test, using the SPSS 18 statistical software, as well as McNemar’s test and the t-test, were used to analyze the data.
Twenty-four patients consisting of 14 males (which made up 58.3% of the subjects) and 10 females (41.7%), were evaluated. The mean age of these subjects was 24.1 ± 2.7 years (ranging from eighteen to thirty years).
Forty-eight third molars in total were extracted. In each subject, one-third molar was extracted under local anesthesia and the other under hypnosis. Every patient was in the normal (ASA 1) category, with no medical history that was significant.
Out of all the subjects that went through the hypnosis procedure, only two patients (8.3%) reported that they experienced pain after the induction of hypnosis. In the group that used the anesthetic procedure 33.3% (eight subjects) reported pain.
The difference between the two groups was significant. The results of the case study showed that subjects in the group that used the hypnosis procedure had less postoperative pain during the first few hours.
The amount of anxiety in both groups were very close to each other and no general significant difference was recorded statistically, and when each subject was compared with herself or himself. In the two groups, the pain intensity at 5- and 12-h postoperative showed differences that were significant.
Hemophilia Symptoms With Alternative Treatment
In the hypnosis procedure group, 41.7% of the patients (10) took analgesic medication while in the anesthesia procedure group, 91.7% of the patients (22) took the analgesic medication. (P=0.0001). So in other words, less pain was reported by patients when they went through the hypnosis procedure.
The results of this study showed that hemorrhage, pain, and anxiety can be effectively reduced using the hypnosis procedure. To collect data on the effect hypnosis has on maxillofacial and oral surgeries, more studies are necessary.
Effects of Self-Hypnosis On Hemophilia
The point of focus of the present case-study was to study the hypothetical utility of a full self-hypnosis program to reduce stress and to evaluate the amount of clotting factor exercised for bleeding by those people trained in the procedure of self-hypnosis against a control group.
Thirty individuals experiencing severe hemophilia on home therapy were assigned to a treatment, randomly, or to a control group’s waiting list. The treatment group got a comprehensive training for six weeks including self-hypnosis, education, deep relaxation, and support.
Over the follow-up that was done for 18 weeks, the treatment group reduced the quantity of concentrates exercised to control bleeding when compared to the control group.
Also, the general stress level of the treatment group reduced significantly as assessed by a symptom checker. The training was very cost effective, and the result backs the effectiveness of this complete training program to supplement the medical controlling of severe hemophiliacs on a home therapy procedure.