التشحم الكبدي الحاد خلال الحمل

Authors

  • ميس حايك

Abstract

ACUTE FATTY LIVER OF PREGNANCY (AFLP) , a life threatening obstetric emergency, was first described by Sheehan in 1940.The most common presentation is malaise, nausea, vomiting and epigastric pain followed by jaundice. Laboratory tests usually demonstrate high bilirubin levels, deranged liver and renal functions, coagulopathy and hypoglycemia. one should keep in mind other pregnancy related liver diseases that mimic AFLP such as HELLP syndrome: hemolysis (H), elevated liver enzymes (EL) and low platelet count (LP), and intrahepatic cholestasis of pregnancy. Liver biopsy is the gold standard for diagnosing AFLP, but due to the presence of coagulation abnormalities diagnosis is usually made by clinical and laboratory findings.

تشحم الكبد الحاد بالحمل : هو حالة توليدية إسعافيه مهددة للحياة ,وصفت لأول مرة من قبل شيهان عام 1940.

العرض الرئيسي الاشيع هو الدعث , الغثيان , الاقياء و الألم الشرسوفي الذي يسبق اليرقان تبدي التحاليل المخبرية عادة ارتفاع البيلروبين  ,اختلال بأنزيمات الكبد و الكلية , اعتلال تخثر و نقص سكر .

يجب أن نتذكر دائما أمراض الكبد الأخرى المتعلقة بالحمل و التي تتشابه مع AFLP( تشحم الكبد الحاد )مثل :

*- متلازمة هيلب (انحلال دم, ارتفاع خمائر الكبد ,و نقص الصفيحات )

*- الركودة الحملية الصفراوية .

إن التشخيص الذهبي لتشحم الكبد الحاد هو خزعة الكبد , و لكن تبعاً لاعتلال التخثر فالتشخيص يكون سريرياٌ ومخبرياً.

Downloads

Published

2019-09-12

How to Cite

1.
حايك م. التشحم الكبدي الحاد خلال الحمل. Tuj-hlth [Internet]. 2019Sep.12 [cited 2024Apr.30];41(4). Available from: https://journal.tishreen.edu.sy/index.php/hlthscnc/article/view/9012

Issue

Vol. 41 No. 4 (2019): العلوم الصحية

Section

Articles

License

Creative Commons License

This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.

The authors retain the copyright and grant the right to publish in the magazine for the first time with the transfer of the commercial right to Tishreen University Journal for Research and Scientific Studies - Health Sciences Series

 Under a CC BY- NC-SA 04 license that allows others to share the work with of the work's authorship and initial publication in this journal. Authors can use a copy of their articles in their scientific activity, and on their scientific websites, provided that the place of publication is indicted in  Tishreen University Journal for Research and Scientific Studies - Health Sciences Series   .  The Readers have the right to send, print and subscribe to the initial version of the article, and the title of  Tishreen University Journal for Research and Scientific Studies - Health Sciences Series  Publisher

journal uses a CC BY-NC-SA license which mean

You are free to:

  • Adapt — remix, transform, and build upon the material
  •  
  • The licensor cannot revoke these freedoms as long as you follow the license terms.

 

  • Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.
  • NonCommercial — You may not use the material for commercial purposes.
  • ShareAlike — If you remix, transform, or build upon the material, you must distribute your contributions under the same license as the original.
  • No additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.