1. Rapidamente?
No centro incentivamos a criança a DETECTAR O MAIS RAPIDAMENTE POSSÍVEL QUE ESTÁ SANGRANDO POR DENTRO.
Rapidamente? é no momento que começa a ver que tem inchaço, dor, formigamento, vermelhidão no local. No primeiro dia ou antes de inchar muito.A CONDUTA É USAR A DDU (DOSE DOMICILIAR ÚNICA) ou ir para o ambulatório.
2. Por que?
O inchaço quer dizer que o sangue está vazando e como não tem lugar para sair, o local incha. Não tem como coagular direito, porque falta o fator da coagulação. Este sangue acumulado por muito tempo acaba provocando a destruição progressiva da articulação.
Vamos evitar isso??
…………………………………………………..Symbol of the slowness in clotting now solved temporarely by the infusion of factor VIII or IX!
click here! 1. Detecting quickly that you are bleeding in a joint, or internally is a skill to improve. Sensible perception can be trained: you don´t have to hang on pain, or wait until it is very swollen. The first signs of itching, warmness, swelling, pain and difficulty to move a member are enough for you to suspect a bleeding.
2. The best thing is to warn your parents and start home therapy. 
3. Internal accumulated blood is the main cause of progressive destruction of your joint that’s why factor infusion has to be done as soon as possible.
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About frederica cassis
My name is Frederica Dillen CASSIS, born of a Belgium mother and an Egyptian father, on the 3rd of January 1966 in Brussels, Belgium.
I am back with news! life continues with its adventures...
I´ve travelled a lot, lived in many countries. Brazil is my seventh country and i live in Sao Paulo for 32 years now. Graduated in Clinical Psychology in
1991, I specialized in Junguian Psychology and in Hemophilia since then.
LATEST PROJECTS:
1) Launching IN-HEMOACTION flash cards, 2026 updated version where I added new topics like Inhibitors and novel treatments, physiotherapy and a some playful activities like video games!
2) HERO (Hemophilia Experiences Results and Opportunities) sponsored by Novo Nordisk since 2009-2014 Done !exploring through qualitative and quantitative analysis the psychosocial issues involving People with hemophilia, their carers and the health professionals in the treatment process.
2) P-TET (Pediatric Thrombosis Educational Tool) , for kids on anti-coagulant treatment...inspired on IN-HEMOACTION flashcards success.
3) I am a co-author along with psychologist Irene Fuchs and Edward Kuebler of a booklet called "Communication, love and sexuality for people with hemophilia, carriers and family"
4) Done: systematic review for the Cochrane Collaboration :"psychological interventions for people with hemophilia and their families"
5) Actually I counsel people who wants to perform as competition level athlete and collaborate with them seeking wellness and goals
On a more personal level I have 3 three great not anymore children :) Danaê 35, Rubi 29 and Iggy 27 and i am since 2019 a pole sport athlete at a national and international level. I love it! also To walk and look for shells on a beach and discovering deserts...:)
BLOOD 4 
