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Это конечная стадия многих серьёзных заболеваний печени — как вирусного, так и неинфекционного происхождения [7](https://fnkc-fmba.ru/zabolevaniya/tsirroz-pecheni/). \n\n**Лечением** занимается гастроэнтеролог или гепатолог [3](https://comfort.sovamed.ru/zabolevaniya/tsirroz-pecheni/)[12](https://voronezh.sovamed.ru/zabolevaniya/tsirroz-pecheni-simptomy-lechenie-diagnostika/).\n\n\n\n## Причины\nНекоторые причины цирроза печени: \n* **Злоупотребление алкоголем** — регулярное употребление больших доз разрушает клетки печени и запускает процесс фиброза [6](https://www.fdoctor.ru/bolezn/tsirroz_pecheni/)[7](https://fnkc-fmba.ru/zabolevaniya/tsirroz-pecheni/). \n* **Вирусные гепатиты B, C, D** — хронические инфекции печени приводят к воспалению и постепенному замещению здоровой ткани рубцовой [6](https://www.fdoctor.ru/bolezn/tsirroz_pecheni/). \n* **Неалкогольная жировая болезнь печени** — связана с ожирением, сахарным диабетом и метаболическим синдромом, накопление жира в печени провоцирует хроническое воспаление и фиброз [6](https://www.fdoctor.ru/bolezn/tsirroz_pecheni/). \n* **Аутоиммунные заболевания** — например, аутоиммунный гепатит, первичный билиарный или склерозирующий холангит, при которых иммунная система ошибочно атакует клетки печени [7](https://fnkc-fmba.ru/zabolevaniya/tsirroz-pecheni/). \n* **Наследственные нарушения обмена веществ** — например, болезнь Вильсона (накопление меди) или гемохроматоз (избыток железа) [7](https://fnkc-fmba.ru/zabolevaniya/tsirroz-pecheni/). \n* **Токсическое поражение органа** — возможно при длительном приёме некоторых лекарств, отравлениях химикатами, тяжёлой интоксикации [7](https://fnkc-fmba.ru/zabolevaniya/tsirroz-pecheni/).\n\n## Симптомы\nНа ранних стадиях цирроз может протекать бессимптомно [6](https://www.fdoctor.ru/bolezn/tsirroz_pecheni/). По мере прогрессирования появляются следующие признаки: \n* усталость и слабость [6](https://www.fdoctor.ru/bolezn/tsirroz_pecheni/); \n* потеря аппетита [6](https://www.fdoctor.ru/bolezn/tsirroz_pecheni/); \n* снижение веса [6](https://www.fdoctor.ru/bolezn/tsirroz_pecheni/); \n* желтуха (пожелтение кожи и глаз) [6](https://www.fdoctor.ru/bolezn/tsirroz_pecheni/); \n* тошнота [6](https://www.fdoctor.ru/bolezn/tsirroz_pecheni/); \n* тяжесть в правом подреберье [6](https://www.fdoctor.ru/bolezn/tsirroz_pecheni/); \n* отёчность ног и живота [6](https://www.fdoctor.ru/bolezn/tsirroz_pecheni/); \n* зуд кожи [6](https://www.fdoctor.ru/bolezn/tsirroz_pecheni/); \n* сосудистые звёздочки (телеангиэктазии) на коже [6](https://www.fdoctor.ru/bolezn/tsirroz_pecheni/); \n* покраснение ладоней (пальмарная эритема) [6](https://www.fdoctor.ru/bolezn/tsirroz_pecheni/); \n* кровотечения (носовые, из дёсен) из-за нарушения свёртываемости крови [6](https://www.fdoctor.ru/bolezn/tsirroz_pecheni/).\n\n## Диагностика\nДля диагностики цирроза печени могут назначить: \n* **Лабораторные исследования** — общий анализ крови, биохимический анализ (АЛТ, АСТ, щелочная фосфатаза, общий белок) [12](https://voronezh.sovamed.ru/zabolevaniya/tsirroz-pecheni-simptomy-lechenie-diagnostika/). \n* **Инструментальные методы** — ультразвуковое исследование органов брюшной полости (УЗИ), компьютерная томография (КТ), магнитно-резонансная томография (МРТ) [12](https://voronezh.sovamed.ru/zabolevaniya/tsirroz-pecheni-simptomy-lechenie-diagnostika/). \n* **Биопсию печени** — морфологическое инвазивное исследование, которое является золотым стандартом в диагностике цирроза [13](https://ProBolezny.ru/cirroz-pecheni/).\n\n## Лечение\nЛечение цирроза печени направлено на устранение причин его возникновения, уменьшение симптомов болезни, профилактику развития осложнений [8](https://msk.RamsayDiagnostics.ru/blog/cirroz-pecheni/). Некоторые методы: \n* **Рациональная диета** — высококалорийная и высокобелковая, при асците — низкосолевая [14](https://yandex.ru/health/turbo/articles?trbsrc=turbo&out-of-frame=1&id=5303). \n* **Лечение основного заболевания**, на фоне которого развился цирроз [14](https://yandex.ru/health/turbo/articles?trbsrc=turbo&out-of-frame=1&id=5303). Например, при вирусных гепатитах — противовирусная терапия, при алкогольном стеатогепатите — исключение приёма алкоголя [14](https://yandex.ru/health/turbo/articles?trbsrc=turbo&out-of-frame=1&id=5303). \n* **Симптоматическое лечение** — например, купирование зуда [14](https://yandex.ru/health/turbo/articles?trbsrc=turbo&out-of-frame=1&id=5303). \n* **Хирургическое лечение** — при неэффективности консервативного лечения, сохранённых резервах организма и учёте возрастных показателей принимают решение о трансплантации печени [14](https://yandex.ru/health/turbo/articles?trbsrc=turbo&out-of-frame=1&id=5303). \n\n**Цирроз печени — необратимое состояние**, но при ранней диагностике и адекватном лечении его прогрессирование можно замедлить [6](https://www.fdoctor.ru/bolezn/tsirroz_pecheni/).","linksData":[{"sourceId":1,"url":"https://www.OnClinic.ru/tsirroz-pecheni/","shownUrl":"https://www.OnClinic.ru/tsirroz-pecheni/","title":"Цирроз печени - причины, симптомы, диагностика, лечение и профилактика","shortUrl":"OnClinic.ru","isTranslated":false,"description":"","greenUrl":"OnClinic.ru"},{"sourceId":2,"url":"https://www.smclinic-spb.ru/zabolevaniya/tsirroz-pecheni","shownUrl":"https://www.smclinic-spb.ru/zabolevaniya/tsirroz-pecheni","title":"Цирроз печени - симптомы, признаки, стадии и лечение","shortUrl":"smclinic-spb.ru","isTranslated":false,"description":"","greenUrl":"smclinic-spb.ru"},{"sourceId":3,"url":"https://comfort.sovamed.ru/zabolevaniya/tsirroz-pecheni/","shownUrl":"https://comfort.sovamed.ru/zabolevaniya/tsirroz-pecheni/","title":"Цирроз печени: причины, симптомы и лечение","shortUrl":"comfort.sovamed.ru","isTranslated":false,"description":"","greenUrl":"comfort.sovamed.ru"},{"sourceId":4,"url":"https://www.smclinic.ru/diseases/tsirroz-pecheni/","shownUrl":"https://www.smclinic.ru/diseases/tsirroz-pecheni/","title":"Цирроз печени – симптомы, признаки, причины, стадии и лечение у женщин и мужчин в Москве в «СМ-Клиника»","shortUrl":"smclinic.ru","isTranslated":false,"description":"","greenUrl":"smclinic.ru"},{"sourceId":5,"url":"https://volgograd.medsi.ru/spravochnik-zabolevaniy/tsirroz-pecheni/","shownUrl":"https://volgograd.medsi.ru/spravochnik-zabolevaniy/tsirroz-pecheni/","title":"Цирроз печени. 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