The dynamics of liver tests in pregnant women with non-infectious hepatitis in the case of prescription of ademetionine
K G Garayeva
Kazan medical journal ›› 2020, Vol. 101 ›› Issue (2) : 296 -303.
The dynamics of liver tests in pregnant women with non-infectious hepatitis in the case of prescription of ademetionine
Aim. To study the effect of ademetionine on the dynamics of biochemical markers of liver disease in pregnant women with non-infectious hepatitis.
Methods. The study included 19 pregnant with non-infectious hepatitis (5 — alcoholic, 7 — drug, 7 — alimentary) etiologies. For groups comparison it was used the history of previous pregnancies in these same women. To monitor the functional state of the liver in the blood of women, the content of aspartate aminotransferase, alanine aminotransferase, alkaline phosphatase and total bilirubin was determined using HUMAN reagent kits on a BIOSKREM MS 2000 microanalyzer (USA). Examination of pregnant women was carried out immediately after registration, at the end of the first and second trimesters of pregnancy.
Results. In pregnant women with a high content of aspartate aminotransferase, alanine aminotransferase, alkaline phosphatase and total bilirubin in the blood, cases of pathological development of the fetus were recorded more often. The use of drugs based on ademetionine contributed to the positive dynamics of liver tests in drug and alimentary (caused by nutrition) hepatitis; no evidence of the positive dynamics in alcoholic hepatitis was obtained.
Conclusion. Prescribing of ademetionine to pregnant women with liver damage by non-infectious etiology can positively affect both the biochemical parameters of the liver and, possibly, the formation of the fetus.
non-infectious hepatitis / pregnant women / AST / ALT / alkaline phosphatase density and total bilirubin infection / fetal development / ademetionine
| [1] |
Orudzhev R.A., Dzhafarova R.E. Changes in the nervous system state and peripheral blood parameters under benzene intoxication during an experiment. Analiz riska zdorov'yu. 2017; (4): 108–116. (In Russ.) DOI: 10.21668/health.risk/2017.4.12.eng. |
| [2] |
Оруджев Р.А., Джафарова Р.Э. Изменение состояния нервной системы и показателей периферической крови на фоне интоксикации бензолом. Анализ риска здоровью. 2017; (4): 108–116. DOI: 10.21668/health.risk/2017.4.12.eng. |
| [3] |
Yudina N.V., Egorova E.Yu., Filosofova M.S. et al. A randomized controlled clinical and economic trial of the use of progepar in patients with chronic alcoholic hepatitis. Kachestvennaya klinicheskaya praktika. 2011; (1): 72–84. (In Russ.) |
| [4] |
Юдина Н.В., Егорова Е.Ю., Философова М.С. и др. Рандомизированное контролируемое клинико-экономическое исследование применения прогепара у пациентов с хроническим алкогольным гепатитом. Качественная клин. практика. 2011; (1): 72–84. |
| [5] |
Polukhova Sh.M., Musaeva E.M., Dzhafarova R.E. et al. Drug-induced hepatopathies. Vestnik Vitebskogo gosudarstvennogo meditsinskogo universiteta. 2018; 17 (4): 29–36. (In Russ.) DOI: 10.22263/2312-4156.2018.4.29. |
| [6] |
Полухова Ш.М., Мусаева Э.М. Джафарова Р.Э. и др. Лекарственные гепатопатии. Вестн. Витебского гос. мед. ун-та. 2018; 17 (4): 29–36. DOI: 10.22263/2312-4156.2018.4.29. |
| [7] |
Musayeva E.M., Guseynova G.A., Dzhafarova R.E. et al. Possibilities of pharmacological correction of pathologies of gepatobiliarny system. Vestnik Rossiyskoy voyenno-meditsinskoy akademii. 2018; (2): 221–225. (In Russ.) |
| [8] |
Мусаева Э.М., Гусейнова Г.А., Джафарова Р.Э. и др. Возможности фармакологической коррекции патологий гепатобилиарной системы. Вестн. Рос. военно-мед. академии. 2018; (2): 221–225. |
| [9] |
Baud F., Garnier R. Toxicologie Clinique. 6ème édition. Paris: Lavoisier. 2017; 1654 p. |
| [10] |
Zobnin Yu.V. Toxic injury of the liver in children. Sibirskiy meditsinskiy zhurnal (Irkutsk). 2017; (4): 37–53. (In Russ.) |
| [11] |
Зобнин Ю.В. Токсическое повреждение печени у детей. Сибирский мед. ж. (Иркутск). 2017; (4): 37–53. |
| [12] |
Buatois S., Le Merdy M., Labat L. et al. Principales modifications pharmacocinétiques chez l’enfant. Toxicol. Analytique & Clinique. 2014; (3): 156–164. DOI: 10.1016/j.toxac.2014.06.003. |
| [13] |
Eremina E.Yu. Drug-induced hepatitis in pregnant women. Problemy zhenskogo zdorov'ya. 2011; 6 (4): 46–55. (In Russ.) |
| [14] |
Ерёмина Е.Ю. Лекарственный гепатит у беременных. Пробл. женского здоровья. 2011; 6 (4): 46–55. |
Garayeva K.G.
/
| 〈 |
|
〉 |