Гиперандрогения у женщин – что она собой представляет? Какие последствия влечет заболевание? Приговор или можно вылечить данную патологию?

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Увеличение мышечной массы при гиперандрогении

Содержание:

1. Что собой представляет гиперандрогения у женщин?

2. Какая симптоматика присуща гиперандрогении?
2.1. Внешняя симптоматика
2.2. Внутренняя симптоматика

3. Как диагностируется гиперандрогения?

4. Лечение гиперандрогении у женщин
4.1. Медикаментозное лечение
4.2. Хирургическое лечение

5. Профилактика заболевания

 

Страшные цифры статистики свидетельствуют, что до 20% женщин страдают гиперандрогенией. Патология, из-за которой у милых представительниц слабой половины человечества появляются мужские черты в виде растительности на лице, грубого голоса, мужского телосложения. Почему так происходит? В этой статье попробуем разобраться, что собой представляет гиперандрогения у женщин, какие внешние проявления она имеет и можно ли ее вылечить?

Что собой представляет гиперандрогения у женщин?

Если не вдаваться в медицинские подробности, то можно сказать, что гиперандрогения у женщин – это комплекс разных проявлений, которые способствуют нарушению работы эндокринной системы и видоизменяют органы у женщины под воздействием андрогенов. Андрогены – это половые гормоны мужчин стероидной группы. У женщин их синтезируют яичники и кора надпочечников. При излишней выработке таких гормонов, а они вырабатываются женским организмом для продуцирования глюкокортикоидов (женских половых гормонов отвечающих за либидо), женский организм реагирует внешними мужеподобными изменениями.

Помимо внешних изменений в организме, гиперандрогения у женщин может стать причиной разлада:

  • менструального цикла;
  • обмена жиров и углеводов;
  • репродуктивной функции, что способствует развитию бесплодия.

В медицине выделяют три вида гиперандрогении у женщин исходя из органа, который синтезирует андрогены:

  1. Гиперандрогениюяичникового генеза. Развивается из-за замедления роста фолликулов и приводит к фолликулярной атрезии.
  2. Гиперандрогениюнадпочечникового происхождения. Обычно это врожденная патология, толчком к развитию которой служит адреногенитальный синдром. Именно он провоцирует критическое снижение уровня ферментов, которые ответственны за синтез глюкокортикоидов. Отсутствие этого женского гормона замещается прегненолоном, прогестероном и другими мужскими гормонами.
  3. Смешанную. Когда наблюдается выработка андрогенов сразу двумя органами.

Также делится патология на первичную и вторичную, наследственную и приобретенную.

Какая симптоматика присуща гиперандрогении у женщин?

Как известно, любая болезнь имеет свою симптоматику. Гиперандрогения у женщин может проявляться как внешними, так и внутренними симптомами. Рассмотрим их подробней.

Внешняя симптоматика гиперандрогении у женщин

Как уже было подмечено выше, при переизбытке андрогенов могут появиться внешние проявления в виде мужеподобных изменений в организме. Проявляются внешние симптомы так:

  • повышенным ростом волос на лице (гирсутизм), в местах нехарактерных у женщин;
  • появляется угревая сыпь, с ярко выраженным воспалением тканей. Как справится с такими внешними проявлениями местно, читайте в статье: «Как убрать следы от прыщей на лице»;
  • развивается себорея сухого или жирного типа;
  • появляется алопеция или, проще говоря, облысение. Если волосы выпадают, но уверенности, что заболевание присутствует – нет, то причиной их потери может быть, что-то другое, о возможных причинах можно прочесть в статье: «Почему выпадают волосы? Ищем причину появления проблемы и учимся ухаживать за ними правильно»;
  • нарушение обменных процессов провоцирует ожирение.

Избыточный рост волос на теле при гиперандрогении

Внутренняя симптоматика гиперандрогении у женщин

Что касается внутренних симптомов, то у женщин они, в основном, выражаются гинекологическими заболеваниями, а именно:

  • развитиеполикистоза (многочисленные кисты в яичниках);
  • у пожилых дам может присутствоватьстромальная гиперплазия яичников;
  • сбои и полное прекращение менструального цикла;
  • прекращение овуляции и бесплодие.

Также есть риск развития сахарного диабета.

Бывают случаи, когда женщинам страдающим гиперандрогенией удавалось забеременеть. Чаще всего такая беременность заканчивалась выкидышем.

Как диагностируется гиперандрогении у женщин?

Возрастных ограничений патология не имеет, и симптомы болезни могут проявиться в любом возрасте. Довольно часто пациентки даже не подозревают, что у них присутствует гиперандрогения. Проходя к врачу, с подозрением на определенное заболевание, они с ужасом узнают свой диагноз. Доктор первоначально проводит анамнез, записывая все жалобы, после направляет на прохождение лабораторных анализов и инструментальных исследований. Все это делается для:

  • во-первых, подтверждения факта повышения уровня андрогенов в крови;
  • во-вторых, обнаружения источника их выработки. Это может быть новообразование,поликистоз или другое заболевание.

Для полной диагностики рекомендуется сделать УЗИ органов малого таза. Эта может быть трансабдоминальный метод диагностики или использование трансвагинального аппарата. Некоторые врачи отдают предпочтение диагностики органов малого таза с помощью магнитно-резонансного томографа.

Диагностика гиперендрогении

Лечение гиперандрогении у женщин?

Основное, отчего отталкиваются врачи при назначении лечения – это фоновое заболевание. После выяснения первопричины целью медикаментозной терапии  или хирургического лечения, становится:

  • ликвидация внешних проявлений (лишней растительности, корректировка веса, телосложения), для избавления от лишней растительности, возможно, будет полезна статья: «Как избавиться от волос на подбородке»;
  • нормализация менструального цикла;
  • активация стабильной овуляции посредством гормональной терапии;
    лечение основного заболевания вызывающего гиперандрогению.

Медикаментозное лечение

Если женщина обратилась вовремя к специалистам, и диагноз был поставлен правильно, то можно применять медикаментозное лечение. Обычно врачом назначаются глюкокортикоиды и комбинированные оральные препараты, которые оказывают антиандрогенное действие. Они обеспечивают продуцирование гонадотропинов, при этом подавляют секреции овариальных мужских гормонов, блокируя андрогеновые рецепторы. Такая терапия у женщин, может продлиться до года и более. Спектр других, дополнительных препаратов назначается исходя из органа, который провоцирует выработку мужских гормонов.

К сожалению, довольно часто постановка диагноза происходит довольно поздно, что делает медикаментозную терапию неэффективной. В таких случаях могут назначаться ингибиторы стероидогенеза как подготовка к оперативному вмешательству.

Хирургическое лечение

Хирургическое лечение может быть достаточно разным. Опять-таки все зависит от органа, продуцирующего патологию.

  1. Если заболевание связано споликистозомяичников (самая распространенная причина), то выбирают щадящее оперативное вмешательство в виде лапароскопической электрокоагуляции яичников. При ее проведении прижигают ткани яичника в определенных точках. Могут делать операцию и консервативным методом – клиновидная резекция, при которой иссекаются ткани яичника, но ныне этот метод не так популярен.
  2. Если «виновником» является опухоль на яичниках или надпочечниках, то терапия производится только в онкологическом стационаре. По возможности образование удаляется хирургическим путем, а больной назначают химиотерапию, лучевую или гормональную терапию. При таком лечении довольно часто у женщины выпадают волосы, а процесс их восстановления затягивается на года, как помочь волосяному покрову отрасти быстрее, читайте статью: «Как сделать, чтобы волосы росли быстрее».

Аллопеция при гиперандрогении у женщин

Профилактика заболевания

У такой патологии особых специфических методов профилактики нет. Но для сведения к минимуму риска развития гиперандрогении у женщин нужно соблюдать общий режим (сон, прогулки на свежем воздухе), правильное питание, каким оно должно быть, читайте в статье: «Здоровая пища, что она собой представляет?».

Не рекомендуется при такой проблеме использовать стероидные препараты, ни для похудения, ни для занятий в спортзале.

Довольно часто при постановке диагноза гиперандрогения у женщин, молодым особам нужна реабилитация психолога, так как не все представительницы прекрасной половины человечества могут нормально воспринять мужеподобные изменения в организме.

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