28.09.2020

Treatment of steatosis during pregnancy

Hepatosis pregnant is the most common liver disease among expectant mothers arising from the metabolic disorders, thereby developing degenerative changes in its cells. Also in this disease, there is a slight inflammation.

Signs of the disease

Cholestatic hepatosis of pregnant women begins to emerge early in the third trimester. It can occur for a number of reasons, for example due to congenital disruption of production of enzymes, due to the fact that the increased amount of produced sex hormones, increased stress on the liver. Visual symptoms of fatty hepatosis liver noticeable: it is itching, jaundice, and discoloration of feces (diagnostic sign). From pruritus to be the most damaged hands (forearms), legs (shins), abdomen, aggravated it is usually at night.

Other signs of this disease:

  • nausea;
  • fatigue;
  • loss of appetite.

Cholestatic hepatosis of pregnant women can also be found, after some tests and doing an ultrasound.

It is expressed in such factors as:

  • an increase in gall bladder and liver, but pain none;
  • there is a shortage of vitamin K;
  • the appearance in the urine of bile acids;
  • in the blood there are a large number of elements of bile.

Pregnancy entails many changes for the whole organism, so diagnosis of this disease is often difficult. In most cases, all the signs are of themselves immediately after birth and appear only in the case of the next pregnancy. But sometimes steatosis severe, in this case there is a need for emergency childbirth closer to 38 weeks of pregnancy.

Steatosis in pregnancy is dangerous because those suffering from them women there is increased sensitivity to estrogen.

Pregnancy is a time when the production of estrogen increases, the result is a slowing of the bile flow in the liver of the expectant mother. When the level of this hormone is elevated, can develop cholestasis, which increases the risk of death of the fetus.

The acute form of the disease

Acute fatty hepatosis pregnant is one of the most severe pathologies that arise at this time. The result of this disease is the high mortality rate of mothers and newborns. This type of steatosis difficult to diagnose, but the cases are rare.

Occurs acute fatty liver of pregnant most often due to poisoning by toxic substances, food or alcohol. Against this background, it is possible to experience a chronic form of the disease. But this form develops gradually from improper diet with a high content of cholesterol, excessive alcohol consumption. Sometimes it is a side disease for pancreatitis, diabetes and obesity.

Treatment of liver during pregnancy

The treatment of hepatosis of pregnant women in the first place implies the exclusion of risk factors, strict adherence to the diet.

Diet steatosis is aimed at reducing weight, avoiding harmful foods and alcohol. You should reduce the intake of fats and to enrich the diet of high protein, you should take folic and lipoic acid, and vitamin B12. You need to refrain from fried and spicy food, nourishing broths, white bread and muffins. Good to include in the diet cereals, cooked fish, vegetables except beans, and greens. Food must be fractional, ideal is five times a day. Treatment of steatosis involves the use of at least 1.5 l of water per day.

Immediate treatment, in turn, is receiving hepatotropic drugs that not only allow you to get rid of the symptoms of the disease, but also improve blood flow to the fetus.

In cases where to eliminate the factors that led to the development of steatosis, it is impossible through diet or disease is hard transferred, prescribed, apart from drug therapy and diet, plasmapheresis, helps cleanse the blood.

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