Final answer:
The treatment for von Willebrand's disease (vWD) varies depending on the type of vWD and specific symptoms. It may involve replacing the missing or defective von Willebrand factor, using medications or blood products, and taking precautions during major surgery or anesthesia.
Step-by-step explanation:
The treatment for von Willebrand's disease (vWD) depends on the type of vWD and the specific symptoms that an individual experiences.
1) Treatment of bleeding: This involves replacing the missing or defective von Willebrand factor (vWF) with medications such as desmopressin (DDAVP) or with vWF-containing blood products.
2) Type 1/2/3: Different types of vWD require different treatments. Type 1 is usually treated with desmopressin, while Type 2 and Type 3 often require vWF-containing blood products.
3) Pre-treatment before major surgery: Individuals with vWD may need additional treatment, such as the use of vWF-containing blood products, before undergoing major surgery to prevent excessive bleeding.
4) Neuraxial management: For individuals with vWD who require neuraxial anesthesia (anesthesia delivered near the spinal cord), special considerations and precautions should be taken to minimize the risk of bleeding complications.