Acid Fat Fat of Pregnancy (AFLP) presents a multitude of natural, emotional and medical challenges for the expected mother. This medical condition usually occurs during the last three months of pregnancy or shortly after the baby is born. With unclear early indications that can be easily overlooked as normal pregnancy symptoms, this disease is difficult to diagnose in its early phase. The condition can often lead to complications such as hepatic insufficiency and multiple organs dysfunction in the mother and even cause fetal discomfort and death of the mother or fetus.
What is acute fatty liver of pregnancy?
Acute fatty liver of pregnancy (AFLP) is a rare but critical medical condition usually detected in the third trimester, between weeks and 38 pregnancy or in the post -posting period. Characterized by maternal hepatic insufficiency, this is serious liver dysfunction Due to the penetration of the liver parenchyma, the functional tissue of the liver, which can cause coagulation, electrolyte imbalance and multiple organ deficiency. To put it in simple terms, the only pattern is that the germination (oily penetration) into the liver takes place without significant inflammation or necrosis. Timely detection and treatment are essential for managing adverse results. However, the symptoms of this disease are not pronounced and can often be ignored until it is too late.
What are the symptoms of acute adipose liver of pregnancy?
Symptoms of AFLP during pregnancy may vary and it is not uncommon to overlook early non -specific symptoms such as nausea, vomiting, loss of appetite, pain in the upper right -handed abdominal, headache, fatigue and fatigue. As maternal hepatic impairment deteriorates, more severe symptoms such as jaundice, confusion, ascite, liver dysfunction, impaired kidney function, acute renal failure, hepatic encephalopathy and coagulation can develop. Increased hepatic enzymes during pregnancy are often observed in patients with acute fatty liver pregnancy. Jaundice during pregnancy, especially in the third trimester, is a sign of AFLP that requires immediate medical care. Complications such as preeclampsia or HELLP syndrome require immediate and specialized treatment. Early diagnosis and timely delivery are vital to both mother and baby well -being.
What are the causes of acute adipose liver of pregnancy?
When asked what this situation is, it can simply be argued that it is a distinct, acute and life -threatening situation unique to pregnancy. The causes are not clear. One of the functions of the liver is the decomposition of fatty acids. In cases of this disease, this ability is obstructed, resulting in excessive fat function to block the liver. This prevents the function of the liver and can be fatal if left untreated. Studies show that the situation is genetic. The deficiency of an enzyme called 3-hydroxyakyl-OOA dehydrogenase (Lchad) for a large chain can cause it.
To further explain, the causes and risk factors include general defective oxidation of fatty acids in the fetus and placenta. This disease is unpredictable and inevitable. Risk factors are as follows:
- Is the woman’s first pregnancy
- The future mother expects or more twins
- Mother is pregnant with a baby boy
- The future woman is diabetic
- Possible mother suffers from a hepatic disorder called intrahepatic cholesterory of pregnancy
- The expected mother fights preeclampsia.
- The expected woman struggles with obesity.
Effects of acute adipose liver of pregnancy on mother and baby
The AFLP, as the name suggests, includes pregnancy complications that have adverse effects on both the mother and the fetus. These complications of the third trimester, in severe cases, evolve into liver failure, coagulation and often multiple organs failure in the mother. Maternal mortality in cases of this situation has fallen from 75% to about 18% in recent years. The dangers of the fetus from the complications of the mother’s liver can lead to situations such as cardiomyopathy, neuropathy, myopathy, non -rightful hypoglycaemia, hepatic failure and even death, especially when associated with defects of oxidation. In severe cases, it can lead to embryonic discomfort, which often leads to death.
How is an acute oily oily liver diagnosed?
When diagnosed with AFLP, doctors are usually based on Swansea criteria, a diagnostic tool to detect this particular condition. This advanced procedure ideally in banks in a series of clinical and laboratory findings to confirm whether the patient has it. Expected woman undergoes testing for polydopia/polyuria, encephalopathy, increased bilirubin, hypoglycaemia, increased tail, leukocytosis, ascite or luminous liver in ultrasound, increased transaminases (AST or ALT)
Treatment of Acute Lipid Liver Pregnancy
Supporting care for the mother and urgent delivery is vital to treatment and recovery. Mother’s thorough recovery usually occurs within ten days of delivery. This liver disease requires intensive care for pregnant women, a favorable diet and postpartum care to ensure the detailed recovery of her mother and her newborn.
Conclusion
Like any other pregnancy concerns, AFLP can also be safely cured and possible mothers can expect a beautiful baby at the end of their journey into pregnancy. Regular health controls and open communication with the doctor can facilitate the procedure for her mother and baby.