Patient's question:
The patient was admitted at 36 weeks of gestation due to abnormal liver function. She was diagnosed with acute fatty liver of pregnancy. After admission, she underwent a cesarean section. Thirty hours postoperatively, she developed a large amount of ascites and was treated with plasma, albumin, liver protection, and diuretic therapy.Doctor's answer:
Hello, the nursing measures for acute fatty liver during pregnancy include: First, identify the cause, such as abstaining from alcohol for long-term heavy drinkers. Individuals with nutritional excess and obesity should strictly control their diet to restore normal body condition. Diabetic patients with fatty liver should actively and effectively manage their blood sugar. Patients with malnutrition-related fatty liver should appropriately increase their nutritional intake, especially proteins and vitamins.Second, adjust the dietary structure by promoting a high-protein, high-vitamin, low-sugar, and low-fat diet. Avoid or limit animal fats and sweets (including sugary drinks). Consume more green vegetables, fruits, and fiber-rich foods, as well as high-protein lean meats, river fish, and soy products. Avoid snacks and do not add extra meals before bedtime.
Additionally, increase physical activity moderately to promote the consumption of fat in the body.
Finally, medication-assisted treatment. Fatty liver is not; early detection and active treatment generally lead to recovery without long-term complications.