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Характеризуется [4](https://Megapteka.ru/specials/simptomy-i-prichiny-6084): \n- **Протеинурией** — выведением большого количества белка с мочой [4](https://Megapteka.ru/specials/simptomy-i-prichiny-6084); \n- **Гипоальбуминемией** — снижением содержания альбумина в крови [4](https://Megapteka.ru/specials/simptomy-i-prichiny-6084); \n- **Гиперлипидемией** — повышенным уровнем липидов и липопротеинов в крови [4](https://Megapteka.ru/specials/simptomy-i-prichiny-6084); \n- **Отёками** [4](https://Megapteka.ru/specials/simptomy-i-prichiny-6084).\n\n\n\n## Причины\nНефротический синдром может возникнуть на фоне различных заболеваний и состояний [1](https://www.fdoctor.ru/bolezn/nefroticheskiy_sindrom/): \n* **Первичные причины**: гломерулонефрит (воспаление клубочков почек), мембранозная нефропатия, фокально-сегментарный гломерулосклероз [3](https://www.accuniq.ru/support/blog/zdorove/nefroticheskiy-sindrom-pochek/). \n* **Вторичные причины**: системные заболевания (сахарный диабет, волчанка, амилоидоз), инфекции (гепатиты, ВИЧ, малярия), лекарственные и токсические поражения почек [3](https://www.accuniq.ru/support/blog/zdorove/nefroticheskiy-sindrom-pochek/). \n\nИногда причину синдрома выявить не удаётся (идиопатический вариант) [8](https://www.KrasotaiMedicina.ru/diseases/zabolevanija_urology/nephrotic-syndrome).\n\n## Симптомы\nНекоторые симптомы нефротического синдрома: \n* отёки, которые могут быть локальными или охватывать всё тело [4](https://Megapteka.ru/specials/simptomy-i-prichiny-6084); \n* прибавка в весе из-за скопления жидкости [4](https://Megapteka.ru/specials/simptomy-i-prichiny-6084); \n* быстрая утомляемость и сонливость [4](https://Megapteka.ru/specials/simptomy-i-prichiny-6084); \n* отсутствие аппетита [4](https://Megapteka.ru/specials/simptomy-i-prichiny-6084); \n* диарея [4](https://Megapteka.ru/specials/simptomy-i-prichiny-6084); \n* выделение пенистой мочи [4](https://Megapteka.ru/specials/simptomy-i-prichiny-6084); \n* бледность и сухость кожи, ломкость волос и ногтей [4](https://Megapteka.ru/specials/simptomy-i-prichiny-6084); \n* онемение конечностей [4](https://Megapteka.ru/specials/simptomy-i-prichiny-6084). \n\nУ детей симптомы проявляются более выражено: ребёнок становится вялым, отказывается от еды, живот раздувается из-за скопления жидкости в брюшной полости (асцит) [4](https://Megapteka.ru/specials/simptomy-i-prichiny-6084).\n\n## Диагностика\nПри подозрении на нефротический синдром необходимо обратиться к нефрологу, специалисту по патологиям почек и нарушениям обмена веществ [10](https://doct.ru/diseases/nefroticheskiy-sindrom.html). Для диагностики могут назначить: \n* **Лабораторные анализы**: общий анализ мочи, биохимический анализ крови [10](https://doct.ru/diseases/nefroticheskiy-sindrom.html). \n* **Инструментальные методы**: ультразвуковое исследование почек, по показаниям — МРТ, КТ, а также рентгенологические методы для исключения других причин [10](https://doct.ru/diseases/nefroticheskiy-sindrom.html). \n* **Биопсию почки** — при необходимости уточнения диагноза и определения дальнейшей тактики [10](https://doct.ru/diseases/nefroticheskiy-sindrom.html).\n\n## Лечение\nЛечение нефротического синдрома направлено на устранение его причины и снижение симптомов [3](https://www.accuniq.ru/support/blog/zdorove/nefroticheskiy-sindrom-pochek/). 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