WHAT IS THE HELLP SYNDROME Retaj Radi Elzowai

WHAT IS THE HELLP SYNDROME ! Retaj Radi Elzowai , 2 nd Year Medical Student Faculty of Basic Medical Science Libyan International Medical University Maternal and Fetal Complication of HS : Introduction : (1) Figure-1 (2). Symptoms of HS : Fatigue , Blurred vision , Headache , Bleeding that doesn't stop as quickly as usual , Abdominal Pain , Edema , Nausea and Vomiting. (2) If HS symptoms mild or the baby is less than 34 weeks old , the patient will start following the doctor and he will advice her for Blood transfusion to treat anemia and low platelet count , antihypertensive medication to control blood pressure , Dexa methazone to help the Baby's lungs mature in case an early delivery is needed. For Maternal: Coagulopathy , Placental Abruption , Seizure , Acute Renal Failure , Retinal Detachment and Hepatic Damage. For Fetal : Still Birth , Intra Uterine Growth Restriction (IUGR) , An Abnormally Restricted Systemic Growth Fetus. (3) (4) Figure-4 (1). Figure-2 (2). How To Prevent Complication of HS ? The Best Way to Prevent This Condition is deliver the Baby and prevent causing any serious complication to the Mother and Baby. (4) Figure-3(4). Conclusion : The HS is of unknown causes but there are certain factors that may increase the risk of developing it. Preeclampsia is the greatest risk factor , this condition marked by high Blood Pressure and it typically occurs during the last trimester of pregnancy. The HS may occur without diagnosis of preeclampsia being made. About 4 -12% of pregnant women with diagnosis preclampsia will develop HELLP Syndrome. REFRENCES: HELLP Syndrome (HS) is a life-threatening pregnancy complication usually considered to be variant of preclampsia , Named for 3 features of the disease : Hemolysis the RBC are broken down too quickly this can lead to anemia problem involving insufficient transport of oxygen throughout the body. EL: Elevated Liver enzyme can be taken as a sign that liver function is compromised. LP: Low Platelet count (platelet help in blood clotting ) , so an unusually low level of platelet indicates that a person is at risk for excessive bleeding. How To Manage The HS Condition ? 1) Gynecology Kikuchi I, Kumakiri J, Saito J, Ujihira Y, Takeda S Reduced Port Laparoscopic Surgery (2014) Springer Japan. 2) Germline mutations in the alternative pathway of complement predispose to HELLP syndrome (2018), Jagar Jasem. 3) Gynecology and obstetrics Mandigo M, Groen R Global Surgery, The Essentials (2017) by Springer International Publishing 4) Robotic surgery in gynecology (2016) AVES Ibrahim Kara