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Это может произойти из-за заболеваний или негативного воздействия вредных агентов [2](https://gemotest.ru/info/spravochnik/zabolevaniya/pechyenochnaya-nedostatochnost/)[4](https://xn--d1abuo3e.xn--p1ai/diseases/pechenochnaya-nedostatochnost/). \n\nВыделяют два типа печёночной недостаточности [5](https://kdl.ru/patient/blog/pechenochnaya-nedostatochnosti): \n1. **Острая** — быстрое ухудшение функции печени, часто в течение нескольких дней или недель [5](https://kdl.ru/patient/blog/pechenochnaya-nedostatochnosti). \n2. **Хроническая** — постепенное ухудшение функции печени, развивающееся на протяжении нескольких месяцев или лет [5](https://kdl.ru/patient/blog/pechenochnaya-nedostatochnosti).\n\n\n\n## Причины\nНекоторые причины печёночной недостаточности: \n* **Вирусные гепатиты** (особенно B и C) — длительное воспаление приводит к замещению клеток печени рубцовой тканью [2](https://gemotest.ru/info/spravochnik/zabolevaniya/pechyenochnaya-nedostatochnost/)[6](https://www.fdoctor.ru/bolezn/pechenochnaya_nedostatochnost/). \n* **Злоупотребление алкоголем** — регулярное употребление спиртных напитков вызывает воспаление, накопление жира, разрушение клеток печени и замену на рубцовую ткань (цирроз) [6](https://www.fdoctor.ru/bolezn/pechenochnaya_nedostatochnost/). \n* **Некоторые лекарства и токсины** — передозировка препаратов, отравление ядовитыми грибами, промышленными химикатами [6](https://www.fdoctor.ru/bolezn/pechenochnaya_nedostatochnost/). \n* **Нарушения обмена веществ** — наследственные болезни, при которых в печени накапливаются вредные вещества (например, гемохроматоз — избыток железа, болезнь Вильсона — избыток меди) [6](https://www.fdoctor.ru/bolezn/pechenochnaya_nedostatochnost/). \n* **Аутоиммунные заболевания** — иммунная система организма ошибочно атакует клетки печени, вызывает хроническое воспаление [6](https://www.fdoctor.ru/bolezn/pechenochnaya_nedostatochnost/).\n\n## Симптомы\nНекоторые симптомы печёночной недостаточности: \n* постоянная усталость и слабость, чувство сильной утомляемости даже после отдыха [6](https://www.fdoctor.ru/bolezn/pechenochnaya_nedostatochnost/); \n* тошнота, иногда рвота [6](https://www.fdoctor.ru/bolezn/pechenochnaya_nedostatochnost/); \n* потеря аппетита [6](https://www.fdoctor.ru/bolezn/pechenochnaya_nedostatochnost/); \n* снижение веса [6](https://www.fdoctor.ru/bolezn/pechenochnaya_nedostatochnost/); \n* тяжесть, боль или дискомфорт в правом подреберье или в верхней части живота [6](https://www.fdoctor.ru/bolezn/pechenochnaya_nedostatochnost/); \n* диарея или запоры [6](https://www.fdoctor.ru/bolezn/pechenochnaya_nedostatochnost/). \n\nПо мере прогрессирования появляются другие симптомы: желтуха (пожелтение кожи и белков глаз), потемнение мочи, осветление стула, кожный зуд [6](https://www.fdoctor.ru/bolezn/pechenochnaya_nedostatochnost/). При тяжёлой форме печёночной недостаточности могут появляться кровотечения, судороги, потеря сознания [1](https://gutaclinic.ru/articles/priznaki-pechenochnoy-nedostatochnosti/).\n\n## Диагностика\nДиагностикой печёночной недостаточности занимается терапевт или гастроэнтеролог [6](https://www.fdoctor.ru/bolezn/pechenochnaya_nedostatochnost/). Для подтверждения диагноза назначают различные лабораторные и инструментальные исследования [6](https://www.fdoctor.ru/bolezn/pechenochnaya_nedostatochnost/). Например: \n* **Анализы крови (печёночные пробы)** — основной инструмент для оценки функции печени [6](https://www.fdoctor.ru/bolezn/pechenochnaya_nedostatochnost/). Анализируют уровни билирубина, АЛТ, АСТ, щелочной фосфатазы, альбумина и других показателей [6](https://www.fdoctor.ru/bolezn/pechenochnaya_nedostatochnost/). \n* **Ультразвуковое исследование органов брюшной полости** — позволяет оценить размеры, структуру печени, увидеть признаки цирроза, жировой болезни, опухолей, наличие жидкости в животе (асцита) и состояние кровотока в сосудах печени [6](https://www.fdoctor.ru/bolezn/pechenochnaya_nedostatochnost/).\n\n## Лечение\nЛечение печёночной недостаточности зависит от её причины, степени тяжести и наличия сопутствующих заболеваний [13](https://premium-clinic.ru/metody-lecheniya-pechyonochnoy-nedostatochnosti/). Некоторые методы лечения: \n* **Устранение причин** — например, противовирусная терапия при вирусных гепатитах, отказ от алкоголя при алкогольном поражении печени [13](https://premium-clinic.ru/metody-lecheniya-pechyonochnoy-nedostatochnosti/). \n* **Поддерживающая терапия** — направлена на облегчение симптомов и поддержку функций печени [13](https://premium-clinic.ru/metody-lecheniya-pechyonochnoy-nedostatochnosti/). Может включать диетотерапию, гидратацию, лечение асцита [13](https://premium-clinic.ru/metody-lecheniya-pechyonochnoy-nedostatochnosti/). \n* **Хирургические вмешательства** — в некоторых случаях может потребоваться хирургическое вмешательство для устранения причины печёночной недостаточности [13](https://premium-clinic.ru/metody-lecheniya-pechyonochnoy-nedostatochnosti/). \n* **Трансплантация печени** — в тяжёлых случаях печёночной недостаточности, когда другие методы лечения неэффективны [13](https://premium-clinic.ru/metody-lecheniya-pechyonochnoy-nedostatochnosti/).","linksData":[{"sourceId":1,"url":"https://gutaclinic.ru/articles/priznaki-pechenochnoy-nedostatochnosti/","shownUrl":"https://gutaclinic.ru/articles/priznaki-pechenochnoy-nedostatochnosti/","title":"Печеночная недостаточность: симптомы и признаки у взрослых, диагностика","shortUrl":"gutaclinic.ru","isTranslated":false,"description":"","greenUrl":"gutaclinic.ru"},{"sourceId":2,"url":"https://gemotest.ru/info/spravochnik/zabolevaniya/pechyenochnaya-nedostatochnost/","shownUrl":"https://gemotest.ru/info/spravochnik/zabolevaniya/pechyenochnaya-nedostatochnost/","title":"Печёночная недостаточность — что это такое, симптомы, стадии, лечение","shortUrl":"gemotest.ru","isTranslated":false,"description":"","greenUrl":"gemotest.ru"},{"sourceId":3,"url":"https://www.msdmanuals.com/ru/home/%D0%BA%D0%BE%D1%80%D0%BE%D1%82%D0%BA%D0%BE-%D0%BE-%D0%B3%D0%BB%D0%B0%D0%B2%D0%BD%D0%BE%D0%BC-%D0%B7%D0%B0%D0%B1%D0%BE%D0%BB%D0%B5%D0%B2%D0%B0%D0%BD%D0%B8%D1%8F-%D0%BF%D0%B5%D1%87%D0%B5%D0%BD%D0%B8-%D0%B8-%D0%B6%D0%B5%D0%BB%D1%87%D0%BD%D0%BE%D0%B3%D0%BE-%D0%BF%D1%83%D0%B7%D1%8B%D1%80%D1%8F/%D0%BF%D1%80%D0%BE%D1%8F%D0%B2%D0%BB%D0%B5%D0%BD%D0%B8%D1%8F-%D0%B1%D0%BE%D0%BB%D0%B5%D0%B7%D0%BD%D0%B5%D0%B9-%D0%BF%D0%B5%D1%87%D0%B5%D0%BD%D0%B8/%D0%BF%D0%B5%D1%87%D0%B5%D0%BD%D0%BE%D1%87%D0%BD%D0%B0%D1%8F-%D0%BD%D0%B5%D0%B4%D0%BE%D1%81%D1%82%D0%B0%D1%82%D0%BE%D1%87%D0%BD%D0%BE%D1%81%D1%82%D1%8C","shownUrl":"https://www.msdmanuals.com/ru/home/%D0%BA%D0%BE%D1%80%D0%BE%D1%82%D0%BA%D0%BE-%D0%BE-%D0%B3%D0%BB%D0%B0%D0%B2%D0%BD%D0%BE%D0%BC-%D0%B7%D0%B0%D0%B1%D0%BE%D0%BB%D0%B5%D0%B2%D0%B0%D0%BD%D0%B8%D1%8F-%D0%BF%D0%B5%D1%87%D0%B5%D0%BD%D0%B8-%D0%B8-%D0%B6%D0%B5%D0%BB%D1%87%D0%BD%D0%BE%D0%B3%D0%BE-%D0%BF%D1%83%D0%B7%D1%8B%D1%80%D1%8F/%D0%BF%D1%80%D0%BE%D1%8F%D0%B2%D0%BB%D0%B5%D0%BD%D0%B8%D1%8F-%D0%B1%D0%BE%D0%BB%D0%B5%D0%B7%D0%BD%D0%B5%D0%B9-%D0%BF%D0%B5%D1%87%D0%B5%D0%BD%D0%B8/%D0%BF%D0%B5%D1%87%D0%B5%D0%BD%D0%BE%D1%87%D0%BD%D0%B0%D1%8F-%D0%BD%D0%B5%D0%B4%D0%BE%D1%81%D1%82%D0%B0%D1%82%D0%BE%D1%87%D0%BD%D0%BE%D1%81%D1%82%D1%8C","title":"Основная информация: Печеночная недостаточность - Справочник MSD Версия для потребителей","shortUrl":"msdmanuals.com","isTranslated":false,"description":"","greenUrl":"msdmanuals.com"},{"sourceId":4,"url":"https://xn--d1abuo3e.xn--p1ai/diseases/pechenochnaya-nedostatochnost/","shownUrl":"https://xn--d1abuo3e.xn--p1ai/diseases/pechenochnaya-nedostatochnost/","title":"Печеночная недостаточность: симптомы и признаки","shortUrl":"медэп.рф","isTranslated":false,"description":"","greenUrl":"медэп.рф"},{"sourceId":5,"url":"https://kdl.ru/patient/blog/pechenochnaya-nedostatochnosti","shownUrl":"https://kdl.ru/patient/blog/pechenochnaya-nedostatochnosti","title":"Печеночная недостаточность признаки и симптомы анализы для диагностики и профилактика","shortUrl":"kdl.ru","isTranslated":false,"description":"","greenUrl":"kdl.ru"},{"sourceId":6,"url":"https://www.fdoctor.ru/bolezn/pechenochnaya_nedostatochnost/","shownUrl":"https://www.fdoctor.ru/bolezn/pechenochnaya_nedostatochnost/","title":"Печеночная недостаточность","shortUrl":"fdoctor.ru","isTranslated":false,"description":"","greenUrl":"fdoctor.ru"},{"sourceId":7,"url":"https://medcentr-Sochi.ru/gastroehnterolog/pechenochnaya-nedostatochnost.html","shownUrl":"https://medcentr-Sochi.ru/gastroehnterolog/pechenochnaya-nedostatochnost.html","title":"Печеночная недостаточность: симптомы, причины и лечение у врача гастроэнтеролога в МКЦ «Проксима» (г. 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