What should be done about acute fatty liver during pregnancy?

Patient's question:

I am currently five months pregnant. Yesterday, I went to the hospital for a check-up, and they said I have developed acute fatty liver during pregnancy. I am really worried, afraid it might affect the baby's health. What should I do in this situation?

Doctor's answer:

Hello, Acute Fatty Liver during Pregnancy can be treated. The treatment methods include:
1. General treatment: Bed rest, providing a low-fat, low-protein, high-carbohydrate diet to ensure sufficient calories. Intravenous glucose is administered to correct hypoglycemia. Attention should be paid to maintaining electrolyte balance and correcting acidosis.
2. Blood exchange or plasma exchange: In foreign countries, blood exchange using three times the blood volume is performed, combined with hemodialysis. Plasma exchange therapy can remove provocative factors from the blood, replenish deficient clotting factors, reduce platelet aggregation, and promote vascular endothelial repair. This treatment method is widely used abroad and has achieved good results.

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