- Steatosis pregnant - what is the danger?
Diagnosis of fatty liver pregnant
Diagnosis of acute fat pregnant greatly complicated by the fact that it is a violation of non-specific symptoms that may be similar to the symptoms of diseases such as acute viral hepatitis
Hepatitis - the scourge of our time
, Preeclampsia, intrahepatic cholestasis, and others. Since steatosis pregnant women is rare, is often the best way to determine the cause of liver dysfunction expectant mother is the exclusion of other more likely causes of liver problems.
The process is usually carried out diagnostic analysis of blood and urine, using medical imaging techniques and, if necessary, a liver biopsy.
Treatment of fatty liver pregnant
Early diagnosis and rapid deliveries - two essential conditions for the effective treatment of acute fatty liver of pregnancy. If there is an increased risk of failure of multiple organs and death usually recommend placing the patient in the intensive care unit. Before childbirth are taking measures to stabilize the patient's condition; This includes normalization of blood pressure, correction of hypoglycemia
Hypoglycemia - eat little but often
, Eliminating the problems with the imbalance of electrolytes and blood clotting. In some cases it is also required transfusions of plasma.
During labor, the medical staff carefully monitors the state of the patient (in particular, need to watch for vital signs, and mental status changes) and the fetus. Therefore birth in women with acute FH require the cooperation of experts from several areas of medicine, and coherent, operational personnel actions.
If possible, preference is given to vaginal birth, but often have to do a caesarean section - it is absolutely necessary in cases where the condition of the mother and child is deteriorating.
The patient's recovery period after giving birth is necessary to monitor the hemodynamics as in patients with acute FH pregnant because of an increased risk of coagulopathy bleeding. Occasionally during this period is also required transfusions and blood products, intravenous solutions containing glucose
Glucose: The energy source
(if there is a risk of hypoglycaemia). In addition, a number of surveys in order to avoid possible complications of pregnancy fatty liver, such as pancreatitis.
Pregnancy and steatosis Forecast
As mentioned previously, mortality among patients with this disorder is an average of 18%, and usually causes death become sepsis, renal failure
Kidney failure - when treatment is vital
, Vascular collapse, pancreatitis or gastrointestinal bleeding. In women survivors liver condition usually continues to deteriorate about a week after birth, and then begins a slow recovery. With the help of computer tomography can be seen as a short time after birth liver volume begins to decrease. About recovery says the normalization of the results of tests that are carried out to assess liver function. Typically, the reduction is complete within a few weeks, and any long term complications are not available. The results of tests for liver function tests may come completely back to normal a few months later.
During future pregnancies, the patient may also develop steatosis; theoretical probability of this is 25%, but in practice there were only a few such cases.
However, such statistics - is not the best indicator to assess the risk of recurrence of the disease, since many women, moving it once, in the future, just afraid to get pregnant. Patients who will decide on another pregnancy, you must regularly and thoroughly examined - it increases the likelihood the earliest possible diagnosis of acute fatty liver of pregnancy.
Children born to women with this disease, there is an increased risk of various complications. Risk persists even when the mother's condition at the end of pregnancy and during childbirth was stable. It is believed that the main reason for this - and artificially caused by premature birth. Many newborns after birth require prolonged observation and treatment.