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Гормоны надпочечников регулируют жизненно важные функции: стресс-ответ, уровень сахара в крови, артериальное давление, электролитный баланс, обмен белков и жиров [3](https://premium-clinic.ru/kakovy-simptomy-nadpochechnikovoy-nedostatochnosti/). \n\nВыделяют два вида недостаточности [2](https://celitel05.ru/wiki/endokrinnye-bolezni/nadpochechnikovaya-nedostatochnost-simptomy-prichiny-i-metody-lecheniya/): \n1. **Первичная** (болезнь Аддисона) — поражение самих надпочечников [3](https://premium-clinic.ru/kakovy-simptomy-nadpochechnikovoy-nedostatochnosti/)[4](https://www.VIDAL.ru/encyclopedia/narusheniya-obmena-veshestv-endocrinoligiya/nedostatochnost-kory-nadpochechnikov). \n2. **Вторичная и третичная** — нарушение регуляции со стороны гипофиза и гипоталамуса [2](https://celitel05.ru/wiki/endokrinnye-bolezni/nadpochechnikovaya-nedostatochnost-simptomy-prichiny-i-metody-lecheniya/)[3](https://premium-clinic.ru/kakovy-simptomy-nadpochechnikovoy-nedostatochnosti/).\n\n\n\n## Причины\nНекоторые причины недостаточности коры надпочечников: \n* **Аутоиммунные процессы** — иммунная система атакует и разрушает надпочечники [7](https://mcecomed.ru/nadpochechnikovaya-nedostatochnost/)[10](https://HimkiMed.ru/zabolevaniya/nadpochechnikovaya-nedostatochnost.html). \n* **Инфекции** — вирусные, бактериальные или грибковые инфекции могут повредить надпочечники [7](https://mcecomed.ru/nadpochechnikovaya-nedostatochnost/). \n* **Генетические нарушения** — некоторые редкие генетические заболевания, например, врождённая аденогипофизарная дисфункция [7](https://mcecomed.ru/nadpochechnikovaya-nedostatochnost/). \n* **Травмы или операции** — травма или хирургическое удаление надпочечников [7](https://mcecomed.ru/nadpochechnikovaya-nedostatochnost/). \n* **Длительное применение глюкокортикостероидов** — продолжительное использование синтетических глюкокортикостероидных препаратов может подавлять естественную функцию надпочечников [7](https://mcecomed.ru/nadpochechnikovaya-nedostatochnost/).\n\n## Симптомы\nНекоторые симптомы недостаточности коры надпочечников: \n* постоянная утомляемость и слабость, усиливается к концу дня [3](https://premium-clinic.ru/kakovy-simptomy-nadpochechnikovoy-nedostatochnosti/); \n* гиперпигментация кожи и слизистых («бронзовая» окраска) [3](https://premium-clinic.ru/kakovy-simptomy-nadpochechnikovoy-nedostatochnosti/); \n* снижение массы тела, несмотря на обычное или сниженное питание [3](https://premium-clinic.ru/kakovy-simptomy-nadpochechnikovoy-nedostatochnosti/); \n* ортостатическая гипотензия — головокружение при резкой смене положения тела, обмороки [3](https://premium-clinic.ru/kakovy-simptomy-nadpochechnikovoy-nedostatochnosti/); \n* тошнота, рвота, боли в животе, понос или чередование с запором [3](https://premium-clinic.ru/kakovy-simptomy-nadpochechnikovoy-nedostatochnosti/); \n* психоэмоциональные нарушения — раздражительность, апатия, тревожность, депрессия, снижение памяти и концентрации [3](https://premium-clinic.ru/kakovy-simptomy-nadpochechnikovoy-nedostatochnosti/). \n\nВ тяжёлых случаях недостаточность переходит в острое угрожающее жизни состояние — **аддисонический криз** [3](https://premium-clinic.ru/kakovy-simptomy-nadpochechnikovoy-nedostatochnosti/).\n\n## Диагностика\nПри появлении признаков надпочечниковой недостаточности необходимо обратиться к эндокринологу [2](https://celitel05.ru/wiki/endokrinnye-bolezni/nadpochechnikovaya-nedostatochnost-simptomy-prichiny-i-metody-lecheniya/). Для выявления причин и постановки точного диагноза назначается комплексное обследование [2](https://celitel05.ru/wiki/endokrinnye-bolezni/nadpochechnikovaya-nedostatochnost-simptomy-prichiny-i-metody-lecheniya/). Некоторые методы диагностики: \n* анализы крови (общий и биохимический, на уровень кортикоидных гормонов, уровень адренокортикотропного гормона, калия, натрия, магния) [2](https://celitel05.ru/wiki/endokrinnye-bolezni/nadpochechnikovaya-nedostatochnost-simptomy-prichiny-i-metody-lecheniya/); \n* МРТ, КТ головного мозга, надпочечников [2](https://celitel05.ru/wiki/endokrinnye-bolezni/nadpochechnikovaya-nedostatochnost-simptomy-prichiny-i-metody-lecheniya/).\n\n## Лечение\nЛечение недостаточности коры надпочечников зависит от степени выраженности заболевания и его причин [5](https://semeynaya.ru/directions/endokrinologiya/nedostatochnost-kory-nadpochechnikov/). Например: \n* **При лёгкой форме** — назначение гормональных препаратов, которые компенсируют недостаток гормонов коры надпочечников [5](https://semeynaya.ru/directions/endokrinologiya/nedostatochnost-kory-nadpochechnikov/). \n* **В более тяжёлых случаях** — хирургическое вмешательство [5](https://semeynaya.ru/directions/endokrinologiya/nedostatochnost-kory-nadpochechnikov/). \n\nЕсли поражение надпочечников — следствие другого заболевания, важно сначала устранить первопричину [14](https://doct.ru/articles/zabolevaniya-nadpochechnikov.html).","linksData":[{"sourceId":1,"url":"https://viterramed.ru/departments/jendokrinologija/snizhenie-funktsii-nadpochechnikov","shownUrl":"https://viterramed.ru/departments/jendokrinologija/snizhenie-funktsii-nadpochechnikov","title":"Снижение функции надпочечников","shortUrl":"viterramed.ru","isTranslated":false,"description":"","greenUrl":"viterramed.ru"},{"sourceId":2,"url":"https://celitel05.ru/wiki/endokrinnye-bolezni/nadpochechnikovaya-nedostatochnost-simptomy-prichiny-i-metody-lecheniya/","shownUrl":"https://celitel05.ru/wiki/endokrinnye-bolezni/nadpochechnikovaya-nedostatochnost-simptomy-prichiny-i-metody-lecheniya/","title":"Надпочечниковая недостаточность — симптомы, причины и методы лечения — Справочник заболеваний. 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