medsovetМедицинский СоветMeditsinskiy sovet = Medical Council2079-701X2658-5790REMEDIUM GROUP Ltd.10.21518/2079-701X-2021-13-151-155medsovet-6412Research ArticleПРЕГРАВИДАРНАЯ ПОДГОТОВКА И БЕРЕМЕННОСТЬPREGRAVID PREPARATION AND PREGNANCYСтрии у беременныхStriae of pregnancyhttps://orcid.org/0000-0002-2458-419XДворянковаЕ. В.DvoriankovaE. V.

Дворянкова Евгения Викторовна, д.м.н., ведущий научный сотрудник

109029, Россия, Москва, ул. Средняя Калитниковская, д. 30

Evgeniya V. Dvoriankova, Dr. Sci. (Med.), Leading Researcher

30 , Srednyaya Kalitnikovskaya St., Moscow, 109029, Russia

dvoriankova@mail.ruЦентр теоретических проблем физико-химической фармакологии РАНРоссияCenter for Theoretical Problems of Physico-Chemical Pharmacology of the RASRussian Federation202116102021013151155Copyright © Дворянкова Е.В., 20212021Дворянкова Е.В.Dvoriankova E.V.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.med-sovet.pro/jour/article/view/6412

Возникновение стрий на коже может быть связано с рядом факторов: при быстром увеличении веса, гипертрофии мышц, эндокринопатиях, увеличении груди, как побочный эффект длительного местного применения сильных кортикостероидов. В редких случаях стрии могут быть осложнением при использовании тканевых расширителей. Наиболее часто этот косметический дефект развивается на коже бедер, живота, молочных желез у женщин и плеч у мужчин. Стрии беременных являются распространенным косметическим дефектом на коже. Развитие стрий связано с растяжением и разрывом соединительной ткани у предрасположенных лиц на фоне воздействия генетических и гормональных факторов. Появление striae gravidarum не оказывает значимого влияния на здоровье пациентов, однако косметический дефект, вызываемый появлением стрий, может вызвать психоэмоциональный (психоэмоциональный) стресс и привести к снижению качества жизни. Развитие стрий отличается определенной стадийностью. Начальный период развития стрий – красные (незрелые) стрии – характеризуется отсутствием изменений в эпидермисе и признаками воспаления в дерме. Появление белых (зрелых) стрий сопровождается нарушением архитектоники сети эластичных волокон и изменениями вязкоупругих свойств пораженной кожи, которая становится значительно менее эластичной. Для коррекции стрий применяют наружные средства, способствующие увлажнению и смягчению кожи, стимулирующие процессы образования коллагена, а также методы физиотерапевтического воздействия. Однако многие из них имеют противопоказания к применению во время беременности. В статье рассмотрены вопросы применения косметических средств, разрешенных во время беременности.

Striae may form on the skin due to a number of factors: rapid weight gain, muscle hypertrophy, endocrinopathies, breast enlargement, as a side effect of long-term topical use of strong corticosteroids. However, in some rare circumstances, striae can develop as a complication due to the use of tissue expanders. This cosmetic defect develops most often on the skin of the thighs, abdomen, mammary glands in women and the shoulders in men. Striae of pregnancy are a common cosmetic skin defect. The development of striae is associated with stretching and rupture of connective tissue in susceptible individuals against the background of influence of genetic and hormonal factors. The appearance of striae gravidarum does not have a significant effect on the health of patients, however, a cosmetic defect caused by the appearance of striae can generate psychoemotional (psychoemotional) stress and lead to a decrease in quality of life. The striae development occurs in certain stages. The initial period of striae development – red (immature) striae – is characterized by the absence of changes in the epidermis and signs of inflammation in the dermis. The appearance of white (mature) striae is accompanied by the architectural distortion of elastic fibre net and changes in the viscoelastic properties of the affected skin, which becomes much less elastic. The correction of striae requires topical treatment that help moisturize and soften the skin, stimulate the processes of collagen production, as well as physiotherapy techniques. However, many of them have contraindications for use during pregnancy. The article discusses the issues of the use of cosmetic products that can be used during pregnancy.

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The authors declare that there are no conflicts of interest present.