Coagulation (or clotting) is the process through which blood changes from a liquid and becomes thicker, like a gel. Coagulation is part of a larger process called hemostasis, which is the way that the body makes bleeding stop when it needs to.
The coagulation process occurs in two phases. First is the initiation phase, which occurs in tissue-factor-expressing cells. This is followed by the propagation phase, which occurs on activated platelets.
There are three types—venous thromboembolism, pulmonary embolism, and coronary thrombosis. Venous thromboembolism occurs in veins or arteries, most commonly in the legs. When a blood clot travels to the lungs and causes a blockage of an artery, it's called a pulmonary embolism.
Coagulations disorders are conditions that affect the blood's clotting activities. Hemophilia, Von Willebrand disease, clotting factor deficiencies, hypercoagulable states and deep venous thrombosis are all coagulations disorders.
There are about 2,000 mL or 0.53 gallons of blood in the average adult. And losing more than 800 mL of blood is fatal. According to WHO, an estimated 5million people lost their lives due to this, roughly about 9% of the global annual mortality rate.
Because blood does not clot properly without enough clotting factor, any cut or injury carries the risk of excessive bleeding. In addition, people with hemophilia may suffer from internal bleeding that can damage joints, organs, and tissues over time.
Hemophilia is usually an inherited bleeding disorder in which the blood does not clot properly. This can lead to spontaneous bleeding as well as bleeding following injuries or surgery. Blood contains many proteins called clotting factors that can help to stop bleeding.
Hemostasis involves three basic steps: vascular spasm, the formation of a platelet plug, and coagulation, in which clotting factors promote the formation of a fibrin clot. Fibrinolysis is the process in which a clot is degraded in a healing vessel. Anticoagulants are substances that oppose coagulation.
Hereditary bleeding disorders occur due to the absence or deficiency of specific clotting proteins. The three most common hereditary bleeding disorders are hemophilia A (factor VIII deficiency), hemophilia B (factor IX deficiency) and von Willebrand disease.
It is important to start treatment right away for DVT. It takes about 3 to 6 months for a blood clot to go away.
A platelet plug is formed, and the external bleeding stops. Next, small molecules, called clotting factors, cause strands of blood-borne materials, called fibrin, to stick together and seal the inside of the wound. Eventually, the cut blood vessel heals and the blood clot dissolves after a few days.
It can get stuck inside one of your body's organs. A clot that gets stuck in your lungs (pulmonary embolism) blocks blood from getting to your lungs. A clot that blocks a blood vessel in the brain can cause a stroke. A clot in a blood vessel in the heart can cause a heart attack.
Blood clots are a serious medical condition. It is important to know the signs and get treated right away.
An abnormal clot that forms in a vein may restrict the return of blood to the heart and can result in pain and swelling as the blood gathers behind the clot. Deep vein thrombosis (DVT) is a type of clot that forms in a major vein of the leg or, less commonly, in the arms, pelvis, or other large veins in the body.
Red cell transfusion is usually necessary if 30–40% blood volume is lost, and rapid loss of >40% is immediately life threatening.
Most adults can tolerate losing up to 14% of their blood volume without physical symptoms or deviations in their vital signs.
Arterial bleeding is the most severe and urgent type of bleeding. It can result from a penetrating injury, blunt trauma, or damage to organs or blood vessels. Because the blood comes from the arteries, it is distinctive from the other types of bleeding. For example, the blood is bright red due to it containing oxygen.
Antiphospholipid syndrome (APS): This is the most common acquired clotting disorder. APS is an autoimmune condition where the body makes antibody that mistakenly attack cell molecules called phospholipids.
Hemophilia is a rare disorder in which the blood doesn't clot in the typical way because it doesn't have enough blood-clotting proteins (clotting factors). If you have hemophilia, you might bleed for a longer time after an injury than you would if your blood clotted properly.
The most common type of hereditary coagulation disorder is hemophilia. Patients with hemophilia can be diagnosed at any age and the age of diagnosis is often associated with how severe the condition is.