Почему в бородавке могут возникать болезненные ощущения
Бородавка – это доброкачественный вырост, состоящий из мутировавших клеток кожи. Их называют невус, папиллома, папула, шипица. Изменение структуры покровной ткани провоцирует ВПЧ. В нормальном состоянии такой нарост не доставляет беспокойства. Необходимо знать, что делать, когда болит бородавка.
Может ли болеть бородавка
- длительное однообразное раздражение, надавливание, трение об одежду или обувь;
- неудачная попытка удалить невус механическим путем, вывести аптечными препаратами или домашними методами;
- последствие случайной травмы;
- воспаление любого характера;
Чаще бородавка травмируется:
- на открытых участках тела – лицо, шея, кисти рук, пальцы, волосистая часть головы;
- на сгибах, сочленениях – в подмышках, паху, локтевых и коленных суставах;
- в естественных складках кожи (под грудью у женщин), при избыточном весе;
- на ладонях, которыми человек выполняет большинство действий;
- на стопах, которые служат опорой организму, выдерживают основной вес;
- одеждой могут травмироваться наросты на спине, боках, животе, бедрах.
Крупные, висячие, выпуклые папулы повреждаются чаще. Их можно случайно поранить или полностью оторвать. Опасно систематическое травмирование маленькой бородавки.
Причины боли при нажатии на бородавку
Бородавка может болеть при нажатии, если она выросла на подошве, пятке или пальцах ноги. Симптом острой резкой боли при движении, особенности структуры породили народные названия подошвенных наростов — шпора и шипица (от слова шип). Причины дискомфортных ощущений:
- тело невуса находится внутри кожи;
- в процессе роста увеличивающееся образование начинает давить, замещать собой здоровые клетки;
- глубокий корень может прорости через весь эпидермис, внедрится в подкожные слои;
- имеет плотную, отвердевшую структуру, которая при надавливании раздражает нежные, прилегающие ткани, вызывает реакцию нервных окончаний;
- во время опоры на ступни шипица испытывает огромное давление всем весом человека;
- нарост закрыт обувью, носками, чулками, что затрудняет поддержание его гигиены, проветривание, провоцирует рост патогенных микроорганизмов, развитие инфекции.
Образования, расположенные в других частях тела, испытывающие постоянное раздражение, повреждаются часто и начинают болеть.
Невус получает подпитку, сохраняет способность к росту. Корни некоторых клеточных образований могут соединяться с нервными окончаниями. Когда нарост длительно травмируется (натирается, сдавливается швом одежды), мозг получает соответствующий импульс, фиксирует зону устойчивого дискомфорта. Крупные наросты на ножке легко смещаются, тогда прилегающая к ним кожа натягивается. При последующем нажатии носитель будет чувствовать боль, реже — жжение.
Диагностика болезненного нароста
Болезненность бородавки может быть признаком ее онкогенности либо иных осложнений. Необходимо осмотреть внешний вид, понаблюдать за состоянием, зафиксировать возможные изменения. Следует насторожиться, если:
- быстрый рост, увеличение размера;
- форма перестает быть правильной, ее края становятся неровными, расползающимися;
- на новообразовании перестают расти волоски, исчезает нормальный кожный рисунок, поверхность делается гладкой, глянцевой либо наоборот неровной, бугристой;
- изменяется цвет, бородавка темнеет, окраска становится неоднородной;
- происходит шелушение частичек кожи, огрубение тканей, появляются трещины;
- после травмы ранка долго не заживает, из нароста сочится кровь, лимфа, гной;
- образование и кожа вокруг него начинает чесаться.
При появлении боли или любого признака необходимо обратиться за консультацией к дерматологу.
Врач произведет внешний осмотр нароста при помощи лупы или дерматоскопа. Его изменения наблюдаются в динамике, могут потребоваться замеры, фотографирование.
Необходимо проведение лабораторных анализов, среди которых:
- общий анализ крови и мочи;
- изучение вирусной природы, конкретного типа инфекции, что определяется при помощи ПЦР – диагностики (полимеразно-цепной реакции);
- выявление злокачественного характера образования, на что указывают онкомаркеры, для проведения таких анализов применяется биопсия, последующее лабораторное исследование полученных образцов;
- используются дополнительные методы диагностики: рентгенограмма, термография кожи, компьютерная или магнитно-резонансная томография; радиоиммунологическое обследование.
После проведения тщательного анализа бородавки доктор назовет точный диагноз, назначит адекватное лечение.
Методы снятия воспаления
Если онкологическая природа новообразования не подтвердилась, боль и воспалительный процесс на пораженном участке необходимо снять. При механическом повреждении требуется:
- промыть повреждение;
- провести обеззараживание антисептиком: 3% перекисью водорода, спиртом, Хлоргексидином, растворами Фурацилина, Мирамистина, Бетадина;
- прижечь ранку при помощи йода, зеленки или марганцовки, чтобы остановить кровь;
- наложить сверху стерильную повязку (бинт и вату либо воздухопроницаемый пластырь на тканевой основе);
- при нагноении необходимо уничтожить внесенную в ранку бактериальную инфекцию: смазать мазью или гелем на основе антибиотиков (Левомицитин, Левомеколь, Банеоцин), приложить ватный тампон, закрепить его повязкой;
- следить за состоянием повреждения, дважды в день менять повязку до полного выздоровления;
- исключить повторные повреждения бородавки.
Болевой симптом в зоне нароста можно снять местным анестезирующим средством (Лидокаином, Найз-гелем).
Стоит ли удалить бородавку, что травмируется и болит
Бородавку на спине, руке или ноге легко повредить, сорвать, не заметив этого.
Удаление новообразования, которое часто повреждается, расположено в травмоопасном месте, — лучшая профилактика его перерождения в злокачественную опухоль. Надежным методом профилактики остается традиционное хирургическое иссечение пораженных тканей. Недостатком операции является ее болезненность и шрам, который остается на месте удаления. С развитием медицинских технологий появились малотравматичные способы удаления кожных наростов. Справиться с проблемой помогают:
- лазер;
- электро- и радиокоагуляция;
- жидкий азот.
Методики исключают рецидив заболевания. Процедура должна проводиться в специализированном медицинском учреждении, на сертифицированном оборудовании, обученным персоналом либо доктором соответствующей квалификации (хирургом – дерматологом, хирургом – онкологом). Удаленные бородавки необходимо подвергнуть гистологическому исследованию. По согласованию с доктором, допустимо применять для удаления и снятия боли аптечные препараты или средства народной медицины (сок чистотела, сырого картофеля, чеснока).
Возможные осложнения и меры предосторожности
Отдельные штаммы ВПЧ обладают повышенной онкогенностью. Систематическое травмирование бородавки, неправильное лечение, ее прижигание химическими или растительными препаратами угрожает развитием раковой опухоли. Невылеченное воспаление может вызвать образование гнойника на месте ранки, изъязвление кожи, некроз тканей, заражение крови. Кроме болевых симптомов, человек чувствует повышение температуры тела, появление слабости, резкое ухудшение самочувствия.
При наличии бородавок на коже необходимо соблюдать меры предосторожности:
- оберегать невус от любого вида негативного воздействия, случайных травм, повреждений на работе, в быту (надевать перчатки, защитную одежду, заклеивать папулу пластырем);
- не использовать разъедающие, абразивные средства для обработки кожи (скраб, химический пилинг), не проводить травмирующие косметические процедуры;
- выбирать одежду, обувь по размеру, которая не будет сдавливать тело, из мягких тканей, без грубых швов;
- защищать кожу от ультрафиолета;
- не беспокоить, не расчесывать, не раздражать кожу;
- изучить все отметины на коже, отслеживать их состояние, изменения;
- соблюдать личную гигиену.
Бородавки часто раздражают хозяина своим неэстетическим видом. Их внутренняя структура несет угрозу здоровью. Боль в области нароста – сигнал для обращения к врачу.
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