The treatment of alanine aminotransferase 168 in pregnant women should be based on different causes, such as stopping medications that cause liver damage, antiviral treatment, bile acid lowering treatment, and termination of pregnancy in due course.
1. Discontinue taking medications that cause liver damage: taking some medications during pregnancy, such as calcium and iron supplements, progesterone, etc., may cause some damage to liver function and lead to elevated alanine aminotransferase. You can talk to your clinician to temporarily stop taking drugs that affect liver function, or choose other drugs for alternative treatment.
2. Antiviral therapy: Combined viral hepatitis during pregnancy may lead to liver damage and abnormal liver function, resulting in elevated alanine aminotransferase. According to your condition, you can choose to closely observe your condition and take antiviral treatment under doctor’s guidance if necessary, such as oral tenofovir, telbivudine and so on.
3. Bile Acid Reducing Treatment: When cholestasis syndrome is combined with pregnancy, it will also affect the liver function and lead to the increase of alanine aminotransferase. You can take bile acid-lowering drugs, such as ursodeoxycholic acid and S-adenosylmethionine, and at the same time, you can apply vitamin C, glucose and other drugs to protect the liver.
4. Timely termination of pregnancy: For late pregnancy, if the combined liver function is persistently impaired, the timing can be chosen according to the maturity of the pregnant woman and the fetus to terminate the pregnancy at the right time.
The above drugs should be taken under the guidance of clinicians to avoid adverse reactions.