Откуда берется облысение и опасно ли оно для здоровья?

Облысение_причины_

Зожник разбирается, откуда берется облысение, опасно ли оно для здоровья и является ли облысение каким-либо сигналом развития других заболеваний.

Потеря 50-100 волосинок в день – это нормально, ведь у каждого волоса есть жизненный цикл и на его месте вырастает новый.

Фазы роста волос

Фазы роста волос.

Однако если у человека появляется множество участков, где волосы стали заметно тоньше или образовались залысины – это означает, что он действительно начинает лысеть. В этом случае диагностируют болезнь под названием алопеция.

Чаще всего облысение вызывается наследственными факторами, но в большинстве остальных случаев выпадение волос можно остановить. Для этого необходимо как можно раньше обратиться к дерматологу.

степени_облысения

Шкала стадий облысения Норвуда-Гамильтона.

Почему лысеют люди

Алопеция развивается в любом возрасте у 1-2% населения планеты и поражает не только волосы на голове, но и на других участках тела. Если волосы начали выпадать внезапно, причина может скрываться в болезни, рационе питания, приеме лекарств или даже рождении ребенка.

Если волосы выпадают постепенно и это становится более заметным с каждым годом, в этом случае человек, скорее всего, столкнулся с наследственной алопецией.

Вот основные причины облысения:

Заболевания волос

• Андрогенная (наследственная) алопеция – самая распространенная причина выпадения волос.

Когда андрогенная алопеция развивается у мужчин, у них часто образуются залысины – особенно на макушке. У женщин андрогенная алопеция проявляется в виде заметного истончения волос. В редких случаях все происходит наоборот – у мужчин наблюдается истончение волос, а у женщин – образование залысин. Почему это происходит – ученые пока не знают.

Очаговая (гнездовая) алопеция

Для очаговой алопеции характерны образования гладких, круглых залысин на голове или других частях тела. По предположениям ученых, причиной развития очаговой алопеции является аутоиммунное заболевание – когда наш организм атакует сам себя. В случае с облысением организм поражает свои же волосы. Также очаговая алопеция может развиваться из-за воспалительных процессов. В 10-25% случаев этот вид облысения передается генетически.

очаговое облысение

Зачастую у людей с очаговой алопецией крепкое здоровье, а у 50-80% из них волосы могут вернуться на место без лечения.

Рубцовая алопеция

Это редкое заболевание развивается у вполне здоровых людей. Рубцовая алопеция разрушает волосяные фолликулы, образовывая на их месте рубцы. В этом случае волосы не могут вырасти заново, а лечение направлено на снижение воспаления, которое и поражает волосяные фолликулы.

Центробежная рубцовая алопеция

Облысение образуется в центре головы с дальнейшей прогрессией. Пораженный участок становится гладким и блестящим. Выпадение волос может быть как быстрым, так и очень медленным. В случае быстрой потери волос человек может ощущать покалывание, жжение, боль или зуд в коже головы. Если на месте облысения не образовались рубцы, лечение способно возобновить рост волос.

Другие болезни и нарушения, вызывающие облысение

Основные заболевания

Облысение может быть первым признаком около 30 заболеваний, из которых выделяют болезнь щитовидной железы, витилиго и анемию. По оценкам медиков, болезни щитовидки наблюдаются у 8-25% людей с облысением, а витилиго – у 2,5-4% пациентов. Часто лечение этих заболеваний позволяет остановить потерю волос или возобновить их рост.

Недавно перенесенные краткосрочные болезни

Значительная потеря волос может наблюдаться после серьёзной операции, высокой температуры и сильной инфекции. Даже недавно перенесенный грипп может быть виновником выпадения волос. Эту разновидность облысения дерматологи иногда называют телоген миазмы.

Лучевая и химиотерапия у больных раком

Облысение может случиться после прохождения курса лучевой и химиотерапии. Эта потеря волос — временная.

Дерматоксикоз волосистой части головы

Это заболевание является заразным и часто встречается у детей. Без своевременного лечения дерматоксикоз может стать причиной облысения.

Трихотилломания

Похоже на Старика Хоттабыча: это нарушение заставляет людей постоянно выдергивать собственные волосы. Некоторые страдающие от трихотилломании жалуются, что чувствуют сильную нужду вырывать свои ресницы, брови, волосы в носу и на других частях тела. Неудивительно, что у многих больных обнаруживаются сопутствующие психические расстройства.

Гормоны и стресс:

• Рождение ребенка

После рождения малыша из-за снижения уровня эстрогенов у некоторых женщин выпадают волосы. Это временное явление, ведь через несколько месяцев волосы восстанавливаются.

Наступление менопаузы

Во время наступления этого периода женщины часто сталкиваются с выпадением волос. Опять таки, со временем их рост восстанавливается. Однако не стоит ожидать, что после достижения 40 лет у женщины сохранится тот же объем волос, который был раньше.

Стресс

Причиной потери волос может быть переживание травмирующего события (смерть близкого человека, развод).

Питание

Потеря веса

Некоторые замечают выпадение волос после потери более 7 кг. Чаще всего это наблюдается в течение 3-6 месяцев после похудения. Это достаточно распространенное явление, хотя со временем волосы возвращаются без помощи медикаментов или специальных процедур.

Избыток витамина А (ретиноиды)

Одна из вероятных причин выпадения волос – слишком много витамина А в рационе. Особенно это касается людей, которые принимают этот витамин в виде дополнительной добавки. Как только потребление ретиноидов снижается к норме, рост волос возобновляется.

Норма витамина А для людей в возрасте 18 лет и старше составляет 900 мкг для мужчин и 700 мкг для женщин. Самые богатые ретиноидами продукты включают: говяжью, телячью, куриную, свиную печень и печень индейки, запеченный с кожей картофель, шпинат, морковь, дыню, тыкву, абрикос, козий сыр, сыры чеддер и рикотту. Если вы увлекаетесь продуктами из этого списка (особенно печенью), возможно причина облысения скрывается именно в этом.

Недостаток белка

Когда организм недополучает свою норму белка, он распределяет имеющийся протеин в порядке первоочередной важности. Один из способов такого распределения – экономия на росте волос. Достаточно всего 2-3 месяца дефицита белка в организме, чтобы спровоцировать облысение.

Железодефицитная анемия

Результаты некоторых исследований показывают, что железо может играть важную роль для роста и здоровья волос. Недостаток этого микроэлемента может проявляться в виде облысения, особенно у женщин в предменопаузный период (S. Y. Park et al., 2013).

Расстройства пищевого поведения

У людей, которые страдают от анорексии и булимии, потеря волос – это обычное явление.

Прием лекарств или анаболиков

Прием некоторых препаратов так же может быть виновником облысения. К ним относятся:
• Лекарства для разжижения крови,
• Препараты для лечения сердца, артрита, подагры, гипертонии, депрессии,
• Противозачаточные. Иногда облысение наблюдается уже после того, как женщина перестает принимать таблетки,
• Анаболические стероиды.

слишком частое расчесывание

Уход за волосами

К облысению могут приводить отдельные прически, а также использование приспособлений и продукции по уходу за волосами.

Частые обесцвечивания или перманентные завивки могут привести к ломкости волос. Регулярное или неправильное использование красок, гелей, релаксантов или лака так же повреждает волосы.

Постоянное использование фена. Выходящий из фена горячий воздух может перегревать жидкость, которая находится в стержне волос, из-за чего они становятся ломкими. Дерматологи рекомендуют давать волосам возможность сохнуть без помощи фена. Также не стоит слишком часто использовать утюжки для выравнивания и плойки.

Волосы ломаются из-за плотно зажатых заколок, зажимов и резинок.

• Если вы на протяжении очень долгого времени носите косички, хвостик или используете жесткие бигуди, у вас может развиться тракционная алопеция. Она развивается в результате физического повреждения волосяного стержня – когда волосы плотно стягиваются. После отказа от подобных причесок есть высокая вероятность, что волосы отрастут заново. Если же на поврежденных участках кожи образовались рубцы, залысины останутся навсегда.

Следующие манипуляции с волосами так же ведут к их ломкости:

• Слишком много шампуня,
• Очень частое расчесывание (100 и более в день),
• Растирание мокрых волос полотенцем,
• Расчесывание влажных волос.

Курение

По мнению ученых, отказ от курения – это один из факторов, который помогает сохранить волосы. Ральф Трюеб из Швейцарии в своем научном обзоре говорит о том, что сигаретный дым негативно влияет на капилляры волосяных сосочков. Кроме того, генотоксиканты, которые содержится в сигаретном дыме, повреждают ДНК волосяных фолликул.

Также курение вносит неразбериху в систему ремоделлирования роста волос и провоцирует высвобождение провоспалительных цитокинов, из-за чего развиваются фолликулярные воспаления и фиброз. В конечном итоге курение (включая пассивное) способствует развитию андрогенной алопеции.

Опасна ли алопеция для здоровья?

Здесь все неоднозначно. Результаты многих наблюдательных исследований как подтверждают, так и опровергают связь облысения с некоторыми серьёзными болезнями. К тому же взоры исследователей главным образом направлены на самую распространенную – андрогенную (наследственную) алопецию.

Существует ли возможная связь между другими видами облысения и серьёзными заболеваниями – отдельный вопрос.

В систематическом обзоре и мета-анализе 2013 года ученые из США рассмотрели 7 наблюдательных исследований с общим количеством участников 8994 человека. В результате была обнаружена статистически значительная связь между алопецией в области макушки и раком простаты. Однако сами ученые предостерегают, что в обзор попали только наблюдательные исследования, которые обладают слабой доказательной силой.

В том же году в British Medical Journal был представлен ещё один мета-анализ наблюдательных исследований, в которых участвовали мужчины. После анализа данных ученые связали облысение на макушке (но не на фронтальной части головы) с ишемической болезнью сердца. Опять таки, специалисты отмечают, что эту связь еще предстоит перепроверить.

Что касается женщин, то в 2005 году ученые из Ирана провели исследование, чтобы проверить, повышает ли андрогенная алопеция их шансы столкнуться с ишемической болезнью сердца. Результат эксперимента показал, что у женщин с облысением в возрасте моложе 55 лет такая связь также может присутствовать.

Вывод – андрогенная алопеция может выступать в качестве фактора риска для развития рака простаты и ишемической болезни сердца.

Креатин провоцирует облысение?

Прием этой спортивной добавки может ускорить процесс выпадения волос у уже лысеющих мужчин, хотя окончательных данных на этот счет не имеется. Все из-за того, что креатин повышает уровень дигидротестостерона (DHT), который способствует облысению у людей, восприимчивых к его (DHT) действию.

Однако нужно отметить, что дигидротестостерон связывают с выпадением волос лишь у тех, кто имеет наследственную предрасположенность к облысению.

 

Источники:

  • Hair loss, American Academy of Dermatology,
  • F. Spano, J. C. Donovan, Alopecia areata. Part 1: pathogenesis, diagnosis, and prognosis, Can Fam Physician. 2015 Sep; 61(9),
  • S. Y. Park, S. Y. Na et al., Iron Plays a Certain Role in Patterned Hair Loss, J Korean Med Sci. 2013 Jun; 28(6),
  • Vitamin A, U.S. Department of Health & Human Services, National Institutes of Health,
  • Food Sources of Vitamin A, Dietitians of Canada,
  • J. James, Rao N. et al., Traction Alopecia in Sikh Male Patients, J Am Board Fam Med September-October 2007 vol. 20 no. 5 497-498,
  • Trüeb R.M., Association between smoking and hair loss: another opportunity for health education against smoking, Dermatology. 2003;206(3):189-91,
  • Amoretti A., Laydner H., Bergfeld W., Androgenetic alopecia and risk of prostate cancer: a systematic review and meta-analysis, J Am Acad Dermatol. 2013 Jun;68(6),
  • T. Yamada, K. Hara et al., Male pattern baldness and its association with coronary heart disease: a meta-analysis, BMJ Open. 2013; 3(4),
  • Mansouri P., Mortazavi M et al., Androgenetic alopecia and coronary artery disease in women, Dermatol Online J. 2005 Dec 1;11(3):2,
  • Does creatine cause baldness, Examine.

 

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Откуда берется облысение и опасно ли оно для здоровья?: 166 комментариев

  1. Александр

    «Андрогенная (наследственная) алопеция – самая распространенная причина выпадения волос.
    Когда андрогенная алопеция развивается у мужчин, у них часто образуются залысины – особенно на макушке. У женщин андрогенная алопеция проявляется в виде заметного истончения волос. В редких случаях все происходит наоборот – у мужчин наблюдается истончение волос, а у женщин – образование залысин. Почему это происходит – ученые пока не знают.»

    Что за бред?! Любой трихолог Вам скажет что андрогенная или андрогенетическая алопеция возникает из-за влияния Андрогенов(общее собирательное название группы стероидных мужских половых гормонов) на фолликулы волос, а вот восприимчивость этих самых фолликул как раз-то вопрос генетики человека и в 80% случаев передается с геном по материнской линии.(то есть есть фолликулыподверженные влиянию адрогенов, а есть те которые нет)
    И да, обращаться надо не к дерматологу, а к трихологу в случае возникновении симптомов алопеции.
    Поражен чудовищной неиформированностью тех людей кто составлял данную статью

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