Optimization of Treatment of Intrahepatic Cholestasis of Pregnancy
Keywords:
Causes, Pathogenesis, Classification, Symptoms of cholestasis during pregnancy, Diagnosis, Differential diagnosis.Abstract
Cholestasis of pregnancy is a variant of dermatosis of pregnancy caused by idiopathic intrahepatic bile stasis. It manifests itself as itching of the skin, yellowing of the skin, dyspeptic symptoms, light stools, darkening of urine. Diagnosed on the basis of data on the level of bile acids, bilirubin, liver enzymes, hemostasis factors, confirmed by the results of ultrasound examination of the liver. Ursodeoxycholic acid, hepatoprotectors, choleretics, antihistamines, vitamin-mineral complexes, enterosorbents and detoxification therapy are used for treatment.
References
Cholestatic hepatosis in pregnant women: pathogenesis, clinical presentation, treatment / Deryabina NV, Ailamazyan EK, Voinov VA// Journal of Obstetrics and Women's Diseases. - 2003 year.
Clinical and diagnostic criteria for assessing the severity of cholestatic hepatosis in pregnant women / Zhestkova NV, Radchenko VG, Tumasova Zh.N.// Journal of Obstetrics and Gynecology. - 2015 year.
Liver diseases in pregnant women, principles of treatment / Ibadildin AS, Sharunov GI, Buiraev KM// Bulletin of the National Medical University of Kazakhstan. - 2013 year.
Efferent therapy of cholestatic hepatosis in pregnant women: Dissertation abstract / Zhestkova NV – 2007.
Andryev S. et al. Experience with the use of memantine in the treatment of cognitive disorders //Science and innovation. – 2023. – Т. 2. – №. D11. – С. 282-288.
Antsiborov S. et al. Association of dopaminergic receptors of peripheral blood lymphocytes with a risk of developing antipsychotic extrapyramidal diseases //Science and innovation. – 2023. – Т. 2. – №. D11. – С. 29-35.
Asanova R. et al. Features of the treatment of patients with mental disorders and cardiovascular pathology //Science and innovation. – 2023. – Т. 2. – №. D12. – С. 545-550.
Begbudiyev M. et al. Integration of psychiatric care into primary care //Science and innovation. – 2023. – Т. 2. – №. D12. – С. 551-557.
Bo’Riyev B. et al. Features of clinical and psychopathological examination of young children //Science and innovation. – 2023. – Т. 2. – №. D12. – С. 558-563.
Borisova Y. et al. Concomitant mental disorders and social functioning of adults with high-functioning autism/asperger syndrome //Science and innovation. – 2023. – Т. 2. – №. D11. – С. 36-41.
Ivanovich U. A. et al. Efficacy and tolerance of pharmacotherapy with antidepressants in non-psychotic depressions in combination with chronic brain ischemia //Science and Innovation. – 2023. – Т. 2. – №. 12. – С. 409-414.
Nikolaevich R. A. et al. Comparative effectiveness of treatment of somatoform diseases in psychotherapeutic practice //Science and Innovation. – 2023. – Т. 2. – №. 12. – С. 898-903.
Novikov A. et al. Alcohol dependence and manifestation of autoagressive behavior in patients of different types //Science and innovation. – 2023. – Т. 2. – №. D11. – С. 413-419.
Pachulia Y. et al. Assessment of the effect of psychopathic disorders on the dynamics of withdrawal syndrome in synthetic cannabinoid addiction //Science and innovation. – 2023. – Т. 2. – №. D12. – С. 240-244.
Pachulia Y. et al. Neurobiological indicators of clinical status and prognosis of therapeutic response in patients with paroxysmal schizophrenia //Science and innovation. – 2023. – Т. 2. – №. D12. – С. 385-391.
Pogosov A. et al. Multidisciplinary approach to the rehabilitation of patients with somatized personality development //Science and innovation. – 2023. – Т. 2. – №. D12. – С. 245-251.
Pogosov A. et al. Rational choice of pharmacotherapy for senile dementia //Science and innovation. – 2023. – Т. 2. – №. D12. – С. 230-235.
Pogosov S. et al. Gnostic disorders and their compensation in neuropsychological syndrome of vascular cognitive disorders in old age //Science and innovation. – 2023. – Т. 2. – №. D12. – С. 258-264.
Pogosov S. et al. Prevention of adolescent drug abuse and prevention of yatrogenia during prophylaxis //Science and innovation. – 2023. – Т. 2. – №. D12. – С. 392-397.
Pogosov S. et al. Psychogenetic properties of drug patients as risk factors for the formation of addiction //Science and innovation. – 2023. – Т. 2. – №. D12. – С. 186-191.
Prostyakova N. et al. Changes in the postpsychotic period after acute polymorphic disorder //Science and innovation. – 2023. – Т. 2. – №. D12. – С. 356-360.
Prostyakova N. et al. Issues of professional ethics in the treatment and management of patients with late dementia //Science and innovation. – 2023. – Т. 2. – №. D12. – С. 158-165.
Prostyakova N. et al. Sadness and loss reactions as a risk of forming a relationship together //Science and innovation. – 2023. – Т. 2. – №. D12. – С. 252-257.
Prostyakova N. et al. Strategy for early diagnosis with cardiovascular diseaseisomatized mental disorders //Science and innovation. – 2023. – Т. 2. – №. D12. – С. 166-172.
Sedenkova M. et al. Features of primary and secondary cognitive functions characteristic of dementia with delirium //Science and innovation. – 2023. – Т. 2. – №. D11. – С. 56-62.
Sedenkova M. et al. The possibility of predicting the time of formation and development of alcohol dependence: the role of genetic risk, family weight and its level //Science and innovation. – 2023. – Т. 2. – №. D12. – С. 173-178.
Shamilov V. et al. Disorders of decision-making in the case of depression: clinical evaluation and correlation with eeg indicators //Science and innovation. – 2023. – Т. 2. – №. D12. – С. 198-204.
Solovyova Y. et al. Protective-adaptive complexes with codependency //Science and innovation. – 2023. – Т. 2. – №. D11. – С. 70-75.
Solovyova Y. et al. Suicide prevention in adolescents with mental disorders //Science and innovation. – 2023. – Т. 2. – №. D11. – С. 303-308.
Solovyova Y. et al. The relevance of psychotic disorders in the acute period of a stroke //Science and innovation. – 2023. – Т. 2. – №. D12. – С. 212-217.
Spirkina M. et al. Integrated approach to correcting neurocognitive defects in schizophrenia //Science and innovation. – 2023. – Т. 2. – №. D11. – С. 76-81.
