Прекрасный период беременности возлагает на female body large loads. All systems are beginning to work hard, including the liver. The main detoxification body now has to work for two, processing the products of the exchange of the fetus inside the womb. Failures in the functioning of the liver cause various pathologies. One of them is hepatosis in pregnant women. The name of this diagnosis sounds frightening and frightens many women.
Hepatosis is a disease of the liver in which the cells of an organ cease to cope with the tasks entrusted to them by nature. There are 2 types of pathology characteristic of the period of pregnancy:
In the normal course of pregnancy and in the absenceproblems with the work of the liver, this organ does not change in size. It retains its former structure and optimal level of blood supply. However, under the influence of a number of factors, this process may fail, because along with the growth of the fetus, the load also increases. In addition, by the 12th week of pregnancy, the liver begins to produce more hormones.
Повышенная нагрузка может привести к развитию toxicosis in the first trimester, and in the third - to hepatosis. This condition requires constant monitoring by doctors. In severe cases, hospitalization may be required.
The exact causes leading to hepatosispregnant, still unknown. Many doctors believe that hormonal changes act as a trigger for the development of the disease. During pregnancy, the concentration of progesterones and estrogens in the blood increases dramatically. Under their influence, the liver experiences a double load, which violates its functionality.
In addition, the following factors may contribute to the development of pathology:
It often happens that a woman is diagnosedhepatosis. However, pregnancy and childbirth are carried out normally and without complications. In this case, the woman should be prepared for the fact that after the next conception of the child this ailment will manifest itself again, but in a more severe form.
In most cases, the symptoms of cholestatichepatosis in pregnant women occurs between the 28th and 34th week. The leading sign of the disease is pruritus. It is localized mainly in the abdomen, legs and forearms. Many mothers are in no hurry to consult a doctor, writing off an itch for allergies. In the absence of timely treatment, it can spread to the whole body. Over time, scratching begins to appear on the skin, which is very easy to infect.
Some expectant mothers have such an unpleasant symptom.occurs on the background of jaundice, which is the reason for immediate hospitalization. Such patients are often given the wrong diagnosis. When compared with other diseases, hepatosis is not accompanied by an enlarged liver and spleen, and there is no pain in the hypochondrium. Pruritus persists until delivery. Relief occurs only after 1-2 weeks.
Fatty hepatosis in pregnant women adds to itselfsigns of dyspeptic disorders. Future mothers complain of nausea and vomiting, loss of appetite and general weakness. Symptoms of the disease may be latent in nature, which only complicates the timely diagnosis.
When hepatosis in pregnant women, it is important to identify in time.violation to immediately begin treatment. However, the diagnosis of the disease is complicated by the “interesting” position of the woman. First, the manifestations of pathology can be confused with other ailments. For example, toxemia is always accompanied by nausea and vomiting, and nervous disorders and allergies are manifested by itchy skin.
Во-вторых, некоторые методы обследования categorically contraindicated in pregnancy, because they can carry a threat to the development of the fetus. For this reason, expectant mothers can not do a biopsy and laparoscopy. Do not hope for palpation. The increasing uterus day by day covers many organs.
When the first symptoms of hepatosispregnant women need to turn first to a hepatologist. He will prescribe blood chemistry and urinalysis. You will also need a liver ultrasound. After confirming the diagnosis, the doctor will be able to select the most appropriate treatment option.
Therapy for hepatosis can be medicamentous.or non-drug nature. In the first case, homeopathic natural remedies are selected by the doctor to help normalize the liver and prevent its dysfunction. In the mild form of the disease prescribe "Urolesan", "Hofitol" or "Gepabene." Dosage is selected individually. To eliminate pruritus, the following ointments are used: "Nystatin", "Akriderm". They should be applied twice a day to the affected areas.
Treatment of hepatosis in pregnant women requires conditionsthe hospital under the supervision of a physician. In this case, intravenous injections of Hofitol are indicated. In addition, drugs are used to normalize the work of the gallbladder, vitamin complexes. If the patient's condition does not improve, blood purification procedures are recommended.
Немедикаментозное лечение базируется на the use of efferent therapy. We are talking about hemosorption and plasmapheresis. The main goal of such therapy is to restore the bilirubin levels in the blood and neutralize the compounds that provoke skin irritations.
В лечении острого гепатоза у беременных особое attention is paid to the normalization of nutrition. It plays an equally important role than drug therapy. Patients are recommended Pevzner's diet table number 5, aimed at reducing the amount of fat and cholesterol while maintaining the balance of proteins and carbohydrates. Sparing diet helps to facilitate the work of the liver.
Под запретом находятся все жареные и копченые products. Meals are best steamed or baked in the oven, sometimes stew. Use preferably low-fat varieties of meat and fish. Meals should be fractional (up to 4-5 receptions per day). Observe the need and drinking mode. Daily it is recommended to drink up to 2 liters of pure water. Products should be selected without chemical additives and dyes.
Carbonated drinks are also banned.You can diversify the daily menu with the help of dried fruits, nuts. Meals should not only be balanced, but also useful. The diet should be followed until delivery, to avoid relapses.
Folk healers give their tips on how to avoidunpleasant manifestations of hepatosis in pregnant women. First of all, they recommend drinking rose-based tea. This drink removes harmful substances from the body, improves liver function. To prepare it, pour a glass of boiled water with a tablespoon of crushed fruit. The liquid is infused for at least an hour, then filtered. Take a drink is recommended a glass twice a day.
По утрам можно употреблять отвар шалфея.For its preparation, a spoonful of dry raw materials should be poured with a glass of boiling water, let it brew. After this, the broth must be filtered and cooled. This medicine is recommended to use once a day. To make the decoction tastier, you can add a spoonful of honey.
Timely identified and cured disease does not pose a threat to the life of a woman. All unpleasant symptoms usually disappear a few weeks after delivery.
The greatest danger is a violation inblood clotting system arising from hepatosis in pregnant women. The consequences of the disease are manifested in a high risk of bleeding. They are possible both in the period of childbearing and in the process of childbirth.
The disease has a negative effect oncondition of the fetus. Children whose mothers suffered from the symptoms of hepatosis during pregnancy usually come to light with underweight or developmental delay. Quite often, such births end prematurely. This situation entails the emergence of certain problems typical of premature babies. CNS pathologies, respiratory disorders, malfunctions of the visual apparatus - these are just a small list of the effects of hepatosis on a child. That is why gynecologists are trying with all their might to keep the pregnancy and bring it to a minimum period of 36 weeks.
Many future mothers are interested in quite logicalquestion is it possible to give birth with hepatosis? It is definitely difficult to answer it, because each case is considered individually. The question of delivery depends on the state of the woman and her baby. If the child develops normally, childbirth takes place in due time and naturally.
The progression of the disease, severe skin itching orthe appearance of bleeding complicates the situation somewhat. When these violations are recommended early delivery is recommended. There are 2 options: operation by cesarean section or stimulation of childbirth.
To avoid complicated pregnancy,still at the planning stage you need to undergo a comprehensive examination of the body. With various liver pathologies, it is better to cure them immediately. This must be told to the gynecologist. Also at the doctor's office it is necessary to mention all chronic ailments, hereditary diseases. Only in this case, you can hope for a favorable outcome of pregnancy.
