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В первую очередь повышается уровень липопротеинов низкой плотности (ЛПНП) — «плохого» холестерина, который участвует в образовании атеросклеротических отложений на сосудистых стенках [1](https://doct.ru/diseases/giperkholesterinemiya.html). \n\n**Классификация**: \n- **Наследственная** — возникает на фоне врождённых нарушений обмена липидов, часто проявляется в молодом возрасте, в том числе у детей [1](https://doct.ru/diseases/giperkholesterinemiya.html). \n- **Приобретённая** — развивается как следствие других заболеваний (сахарный диабет, нарушения функции щитовидной железы, болезни печени или почек) [1](https://doct.ru/diseases/giperkholesterinemiya.html).\n\n## Причины\nНекоторые причины гиперхолестеринемии: \n* **Неправильное питание** — избыток насыщенных жиров, трансжиров и холестерина в рационе [3](https://mc-liberty.ru/zabolevaniya/giperholesterinemiya/). \n* **Малоподвижный образ жизни** — низкая физическая активность замедляет метаболизм [3](https://mc-liberty.ru/zabolevaniya/giperholesterinemiya/). \n* **Избыточный вес и ожирение** [3](https://mc-liberty.ru/zabolevaniya/giperholesterinemiya/). \n* **Хронические заболевания** — диабет, гипотиреоз, заболевания печени и почек [3](https://mc-liberty.ru/zabolevaniya/giperholesterinemiya/). \n* **Возрастные изменения** — риск повышается после 40 лет [3](https://mc-liberty.ru/zabolevaniya/giperholesterinemiya/). \n* **Гормональные изменения** — например, у женщин в период менопаузы [3](https://mc-liberty.ru/zabolevaniya/giperholesterinemiya/).\n\n## Симптомы\nЧаще всего гиперхолестеринемия протекает бессимптомно, но в некоторых случаях могут проявляться [3](https://mc-liberty.ru/zabolevaniya/giperholesterinemiya/): \n* ксантомы и ксантелазмы — жировые отложения на коже и веках [3](https://mc-liberty.ru/zabolevaniya/giperholesterinemiya/); \n* жировые узелки на сухожилиях [3](https://mc-liberty.ru/zabolevaniya/giperholesterinemiya/); \n* серый ободок по краю роговицы (у молодых пациентов это может быть симптомом наследственной формы) [3](https://mc-liberty.ru/zabolevaniya/giperholesterinemiya/); \n* утомляемость и снижение работоспособности [3](https://mc-liberty.ru/zabolevaniya/giperholesterinemiya/).\n\n## Диагностика\nДля постановки диагноза используют: \n* **Липидный профиль** — анализ крови на холестерин, ЛПНП, ЛПВП, триглицериды [13](https://zdravclinic.ru/bolezni/giperholisterinemiya/). \n* **УЗИ сосудов (допплерография)** — выявление атеросклеротических изменений [13](https://zdravclinic.ru/bolezni/giperholisterinemiya/). \n* **Генетический тест** (при подозрении на наследственную форму) [3](https://mc-liberty.ru/zabolevaniya/giperholesterinemiya/).\n\n## Лечение\nТактика лечения зависит от уровня холестерина и наличия сердечно-сосудистых заболеваний [13](https://zdravclinic.ru/bolezni/giperholisterinemiya/). Некоторые методы: \n* **Диета и образ жизни**: ограничение насыщенных жиров и трансжиров, увеличение потребления клетчатки, омега-3 жирных кислот (рыба, орехи) [13](https://zdravclinic.ru/bolezni/giperholisterinemiya/). \n* **Регулярные физические нагрузки** (ходьба, плавание, йога) [13](https://zdravclinic.ru/bolezni/giperholisterinemiya/). \n* **Отказ от курения и алкоголя** [13](https://zdravclinic.ru/bolezni/giperholisterinemiya/). \n* **Контроль веса и артериального давления** [13](https://zdravclinic.ru/bolezni/giperholisterinemiya/). \n* **Медикаментозное лечение**: статины (аторвастатин, розувастатин) — снижают уровень ЛПНП, фибраты (фенофибрат) — снижают триглицериды, повышают ЛПВП [13](https://zdravclinic.ru/bolezni/giperholisterinemiya/). \n\n**Самолечение** в этом случае неэффективно и может усугубить ситуацию [1](https://doct.ru/diseases/giperkholesterinemiya.html).","linksData":[{"sourceId":1,"url":"https://doct.ru/diseases/giperkholesterinemiya.html","shownUrl":"https://doct.ru/diseases/giperkholesterinemiya.html","title":"Гиперхолестеринемия - причины, симптомы, диагностика и лечение повышенного холестерина","shortUrl":"doct.ru","isTranslated":false,"description":"","greenUrl":"doct.ru"},{"sourceId":2,"url":"https://www.smclinic.ru/diseases/giperholesterinemiya/","shownUrl":"https://www.smclinic.ru/diseases/giperholesterinemiya/","title":"Гиперхолестеринемия: причины, симптомы, классификация, осложнения и методы лечения в «СМ-Клиника»","shortUrl":"smclinic.ru","isTranslated":false,"description":"","greenUrl":"smclinic.ru"},{"sourceId":3,"url":"https://mc-liberty.ru/zabolevaniya/giperholesterinemiya/","shownUrl":"https://mc-liberty.ru/zabolevaniya/giperholesterinemiya/","title":"Гиперхолестеринемия (повышенный холестерин): симптомы, диета","shortUrl":"mc-liberty.ru","isTranslated":false,"description":"","greenUrl":"mc-liberty.ru"},{"sourceId":4,"url":"https://unclinic.ru/giperholesterinemija-vysokij-holesterin/","shownUrl":"https://unclinic.ru/giperholesterinemija-vysokij-holesterin/","title":"Гиперхолестеринемия — высокий холестерин | Университетская клиника","shortUrl":"unclinic.ru","isTranslated":false,"description":"","greenUrl":"unclinic.ru"},{"sourceId":5,"url":"https://genomed.ru/journal/obmen-veshhestv/giperholisterinemiya","shownUrl":"https://genomed.ru/journal/obmen-veshhestv/giperholisterinemiya","title":"Гиперхолестеринемия: проявления, диагностика и лечение | Медико-генетический центр «Геномед»","shortUrl":"genomed.ru","isTranslated":false,"description":"","greenUrl":"genomed.ru"},{"sourceId":6,"url":"https://medcentr-Sochi.ru/terapevt/giperholesterinemiya.html","shownUrl":"https://medcentr-Sochi.ru/terapevt/giperholesterinemiya.html","title":"Гиперхолестеринемия: причины, симптомы и лечение у врача терапевта в МКЦ «Проксима» (г. 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