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[1](https://www.mos-clinics.ru/diseases/zheltukha/)[10](https://vmclinic.ru/blog/zheltukha-u-vzroslykh/). Билирубин вырабатывается в таких количествах, что печень не успевает его утилизировать [10](https://vmclinic.ru/blog/zheltukha-u-vzroslykh/). \n* **Заболевания печени** (гепатиты, цирроз, токсические поражения) [10](https://vmclinic.ru/blog/zheltukha-u-vzroslykh/). Нарушают способность гепатоцитов перерабатывать билирубин [10](https://vmclinic.ru/blog/zheltukha-u-vzroslykh/). \n* **Проблемы с оттоком желчи** (камни в жёлчном пузыре, опухоли, стриктуры желчевыводящих путей) [1](https://www.mos-clinics.ru/diseases/zheltukha/). \n* **Наследственные формы** — врождённые состояния, при которых печень изначально «не умеет» правильно связывать билирубин [10](https://vmclinic.ru/blog/zheltukha-u-vzroslykh/). \n* **Инфекции и системные воспаления** — даже тяжёлое ОРВИ, осложнённое нарушениями обмена, может спровоцировать временную форму желтухи [10](https://vmclinic.ru/blog/zheltukha-u-vzroslykh/).\n\n## Симптомы\nПомимо характерного пожелтения кожи и слизистых, могут наблюдаться: \n* потемнение мочи [1](https://www.mos-clinics.ru/diseases/zheltukha/)[10](https://vmclinic.ru/blog/zheltukha-u-vzroslykh/); \n* обесцвечивание кала [1](https://www.mos-clinics.ru/diseases/zheltukha/)[10](https://vmclinic.ru/blog/zheltukha-u-vzroslykh/); \n* зуд кожи [1](https://www.mos-clinics.ru/diseases/zheltukha/)[10](https://vmclinic.ru/blog/zheltukha-u-vzroslykh/); \n* повышенная утомляемость и слабость [1](https://www.mos-clinics.ru/diseases/zheltukha/); \n* тошнота, потеря аппетита [1](https://www.mos-clinics.ru/diseases/zheltukha/); \n* боли в правом подреберье [1](https://www.mos-clinics.ru/diseases/zheltukha/). \n\nВыраженность симптомов зависит от первопричины желтухи и степени накопления билирубина [1](https://www.mos-clinics.ru/diseases/zheltukha/).\n\n## Диагностика\nДля определения причины желтухи используют различные лабораторные и инструментальные исследования [13](https://www.fdoctor.ru/simptom/zheltukha/): \n* **Биохимический анализ крови** — определяет уровень общего, прямого и непрямого билирубина, показатели функции печени [13](https://www.fdoctor.ru/simptom/zheltukha/). \n* **Анализ мочи** — определяет наличие билирубина и уробилиногена — это помогает отличить печёночную желтуху от механической [13](https://www.fdoctor.ru/simptom/zheltukha/). \n* **Анализ кала** — отсутствие или уменьшение стеркобилина указывает на закупорку жёлчных путей [13](https://www.fdoctor.ru/simptom/zheltukha/). \n* **Ультразвуковое исследование (УЗИ)** — выявляет камни в жёлчном пузыре, расширение протоков, опухоли, увеличение печени и селезёнки [13](https://www.fdoctor.ru/simptom/zheltukha/).\n\n## Лечение\nТерапия зависит от формы и причины желтухи [13](https://www.fdoctor.ru/simptom/zheltukha/). Её цель — устранить основное заболевание, нормализовать уровень билирубина и предупредить осложнения [13](https://www.fdoctor.ru/simptom/zheltukha/). \n\n**Некоторые методы лечения**: \n* медикаментозная терапия (гепатопротекторы, антивирусные препараты, желчегонные средства) [1](https://www.mos-clinics.ru/diseases/zheltukha/); \n* хирургическое вмешательство при механической желтухе [1](https://www.mos-clinics.ru/diseases/zheltukha/); \n* диета с ограничением жиров и алкоголя [1](https://www.mos-clinics.ru/diseases/zheltukha/). \n\n**При появлении желтухи необходимо обратиться к врачу** для проведения комплексного обследования и назначения адекватной терапии [2](https://Megapteka.ru/specials/simptomy-i-lechenie-5670).","linksData":[{"sourceId":1,"url":"https://www.mos-clinics.ru/diseases/zheltukha/","shownUrl":"https://www.mos-clinics.ru/diseases/zheltukha/","title":"Желтуха: симптомы, диагностика, профилактика и лечение","shortUrl":"mos-clinics.ru","isTranslated":false,"description":"","greenUrl":"mos-clinics.ru"},{"sourceId":2,"url":"https://Megapteka.ru/specials/simptomy-i-lechenie-5670","shownUrl":"https://Megapteka.ru/specials/simptomy-i-lechenie-5670","title":"Желтуха: Симптомы, причины и лечение","shortUrl":"Megapteka.ru","isTranslated":false,"description":"","greenUrl":"Megapteka.ru"},{"sourceId":3,"url":"https://www.kp.ru/doctor/bolezni/zheltuha-u-vzroslyh/","shownUrl":"https://www.kp.ru/doctor/bolezni/zheltuha-u-vzroslyh/","title":"Желтуха у взрослых: виды, симптомы, причины, лечение, профилактика в домашних условиях","shortUrl":"kp.ru","isTranslated":false,"description":"","greenUrl":"kp.ru"},{"sourceId":4,"url":"https://www.Renewal.ru/voprosy-zdorovya/chto-takoe-zheltukha/","shownUrl":"https://www.Renewal.ru/voprosy-zdorovya/chto-takoe-zheltukha/","title":"Желтуха у взрослых и детей: что это, причины, признаки, лечение","shortUrl":"Renewal.ru","isTranslated":false,"description":"","greenUrl":"Renewal.ru"},{"sourceId":5,"url":"https://medlineservice.ru/articles/zheltukha/","shownUrl":"https://medlineservice.ru/articles/zheltukha/","title":"Желтуха | Причины возникновения, основные симптомы, лечение у взрослых и детей","shortUrl":"medlineservice.ru","isTranslated":false,"description":"","greenUrl":"medlineservice.ru"},{"sourceId":6,"url":"https://polyclin.ru/articles/zheltukha/","shownUrl":"https://polyclin.ru/articles/zheltukha/","title":"Желтуха — причины, виды, симптомы, лечение","shortUrl":"polyclin.ru","isTranslated":false,"description":"","greenUrl":"polyclin.ru"},{"sourceId":7,"url":"https://ProBolezny.ru/zheltuha-pechenochnaya/","shownUrl":"https://ProBolezny.ru/zheltuha-pechenochnaya/","title":"Печёночная (паренхиматозная) желтуха: причины, симптомы и лечение в статье инфекциониста Князева В. 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