Домой Бородавки Бородавка на стопе — виды, причины, симптомы, диагностика и методы лечения

Бородавка на стопе — виды, причины, симптомы, диагностика и методы лечения

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Лечение бородавок на стопах — обзор лучших методов

В области нижних конечностей, на подошве, нередко появляются неприглядные наросты — подошвенные бородавки или шипицы (папилломы).

Это доброкачественные новообразования вирусной природы, которые могут болеть, причинять дискомфорт при ходьбе, портить внешний вид ноги. Бородавка на стопе легко удаляется современными методами или народными средствами, поэтому терпеть неудобства не стоит.

Разновидности бородавок

Подошвенные бородавки — одно из самых распространенных дерматологических заболеваний. Наросты формируются из эпителиальных клеток кожи, вызваны вирусом папилломы человека и обычно возникают на участках повышенного давления и трения на ноге (пальцы, пятка).

Шипица на стопе может появиться у взрослого и у ребенка — от возраста патология не зависит. И все-таки, чаще всего впервые различные бородавки образуются у подростков и детей в возрасте 7 – 16 лет, еще один пик заболеваемости приходится на 20 – 30 лет.

Существуют следующие виды бородавок на теле:

  1. Обыкновенные (вульгарные) — напоминают жесткий, ороговевший пузырек.
  2. Плоские — неправильной формы, невысокие, чаще образуются на руках, плечах.
  3. Подошвенные — появляются только на стопе, округлые, жесткие. Бородавки подкожные, при снятии с них верхнего слоя можно заметить черные точки.
  4. Нитевидные — длинные выросты на ножке, появляются в складках кожи.
  5. Кондиломы — представляют собой внутренние или внешние наросты в зоне половых органов, по форме напоминают цветную капусту.
  6. Старческие — не вирусные бородавки, а обусловлены возрастными изменениями кожи.

Многими специалистами подошвенные шипицы признаются разновидностью обыкновенных (вульгарных) бородавок. Кроме выпуклых шипиц, изредка встречаются так называемые колодцевидные — вдавленные в кожу углубления, которые быстро растут внутрь.

Причины появления бородавок

Непосредственная причина возникновения шипиц — заражение вирусом папилломы человека (ВПЧ). Есть огромное количество штаммов инфекции, чем обусловлено широкое разнообразие видов бородавок.

Подошвенные бородавки у ребенка или взрослого бывают обусловлены 1 – 4 типами ВПЧ, которые проникают в клетки эпителия кожи нижних конечностей и способствуют появлению симптоматики заболевания.

Чтобы у человека появились бородавки, необходимо снижение местной или общей иммунной защиты. Иммунитет может падать по разным причинам — как от частых ОРВИ, после перенесенных бактериальных болезней, так и при наличии грибковой инфекции ног, которая ослабляет локальный иммунитет. Вирус внедряется в организм при наличии ранок, ссадин, трещин, опрелостей на коже стоп.

Вероятность заболеть зависит и от активности вируса в организме носителя: если иммунитет работает в полной мере, ВПЧ будет находиться в латентной, подавленной форме и менее опасен для окружающих.

Повышает риск инфицирования бородавками наличие одного или нескольких факторов риска:

  • затяжные стрессы;
  • плохая экология;
  • труд на вредном производстве;
  • бессонница, переутомление;
  • нарушение гигиены ног;
  • гипергидроз ног;
  • ношение неудобной, некачественной обуви;
  • болезни сосудов ног — тромбозы, атеросклероз, варикоз;
  • трофические язвы;
  • деформация стопы на фоне артрита, ревматизма, подагры;
  • вредные привычки.

Чаще заражаются бородавками и те, кто злоупотребляют стиркой нижнего белья с агрессивными моющими средствами — это вызывает раздражение кожи, ее разрыхление и уменьшение защитного барьера.

У диабетиков болезнь тоже появляется чаще — сахарный диабет вызывает нарушение питания кожи стоп и резкое падение иммунитета.

При гормональных перестройках организма подверженность инфицированию выше, поэтому беременность, грудное вскармливание, подростковый возраст благоприятны для развития ВПЧ в организме.

Способы инфицирования

Инфекция ВПЧ очень заразная, источник инфицирования — бессимптомный носитель вируса или человек, страдающий различными видами бородавок. Сейчас до 70 – 90 % людей заражено ВПЧ, в связи с чем риск столкнуться с ним очень высок. Основные способы передачи вируса — прямой контакт с кожей человека или контакт с его вещами.

Чаще всего человек инфицируется дома, при совместном использовании постельного белья, полотенца, тапочек. Прочие ситуации в доме или в других местах, где можно подхватить вирус:

  • через инструменты для педикюра, которые были плохо продезинфицированы;
  • в банях, саунах, бассейнах общего пользования;
  • в тренажерном зале;
  • при ношении, примерке чужой обуви.

На пляже заражения не случается — в условиях жары, под яркими солнечными лучами ВПЧ быстро гибнет.

Места локализации бородавок

В большинстве случаев бородавка на ступнях ног локализуется в области пятки, по бокам пятки: именно в этих местах у человека нередко имеются трещины кожи, куда вирус внедряется без труда. Бородавки могут появиться на пальцах ног снизу, вверху в области огрубения кожи, на местах соединения пальцев и стопы.

У детей, особенно грудного возраста, при инфицировании от матери в родах или впоследствии шипицы способны появиться даже на внешней стороне ножек. Из-за несформированности иммунной системы у малышей бородавки часто становятся множественными и охватывают несколько участков стопы.

Симптомы заболевания

У любого человека, инфицированного ВПЧ, вирус может переходить из одного состояния в другое. Пассивная фаза характеризуется его присутствием в базальном слое эпидермиса, медленным размножением или отсутствием деления клеток. В таком случае внешних признаков на коже нет. Когда вирус переходит в активную форму, начинается рост бородавки на ноге.

Вначале шипица выглядит на мелкая мозоль — уплотнение кожи, как бы опухлый участок на стопе. Поверхность его гладкая, форма — овальная, округлая (правильная), по цвету бородавка розоватая. У многих бородавка глянцевая — ее поверхность блестит. По мере роста меняются «внешность» образования и его размер.

Позже шипица покрывается ороговевшими клетками, на вид становится грубой, шероховатой, цвет — серым, желтоватым, коричневым, бурым. Шипица часто почернелая, что связано с ее загрязнением из-за рыхлой структуры. Может стать довольно большой — до 1 – 2 см, чем причиняет резкую боль при ходьбе.

Многие образования остаются по размеру в пределах 2 – 5 мм, чуть выступая над кожей или вовсе произрастают внутрь. Склонны к слиянию между собой, образуя конгломераты неправильной формы и разной величины. Вокруг бородавки может появляться ореол более темного или более светлого оттенка.

В описании бородавки важно отметить такой момент: если снять верхний грубый слой, можно отметить корень (стержень) — углубление в середине, уходящее внутрь дермы и мышечной ткани. Если сравнить шипицу и обычную мозоль, можно заметить важное отличие — для вирусных образований характерны закупоренные капилляры в виде темных точек, присутствуют бороздки, сосочки.

Прочие важные признаки шипиц:

  1. Первая сформированная бородавка признается материнской, остальные — дочерними. Обычно материнская бородавка самая крупная, наиболее склонна к слиянию с прочими образованиями.
  2. При распаривании ноги в воде бородавка становится «мохнатой», а в центре проявляется более темный оттенок.

  1. Избавиться от шипиц непросто из-за очень глубокого корня, который прочно крепится к мышцам стопы. При удалении верхней части шипица вновь вырастет из сохранившихся внутри сосочков.
  2. При высокой концентрации ВПЧ в крови на стопе появляются мозаичные бородавки — множественные образования в виде причудливого узора, каждое со своим корнем.

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Диагностика бородавок

Чтобы навсегда вылечить данную патологию, важно не предпринимать самостоятельные меры без врачебной диагностики. Следует обратиться к дерматологу, который точно определит вид бородавки, ее размер и глубину и назначит эффективное лечение.

Обычно доктор без труда ставит правильный диагноз по визуализации образования, но в сомнительном случае понадобится осмотр при помощи дерматоскопа. Под увеличением будет точно определены структура, цвет, параметры бородавки. Перед дерматоскопией с особенно крупных образований снимают верхний слой.

Дифференцировать заболевание нужно с мозолями, последствиями сифилиса, контагиозным моллюском, гиперкератозом стоп, другими новообразованиями. Если шипиц на стопе слишком много, обязательно рекомендуется сдать анализ крови на ВПЧ, выполнить УЗИ стопы, чтобы установить глубину прорастания образований.

Лечение патологии

Лечение бородавок заключается в местном воздействии и разрушении их структуры, включая самые глубокие слои новообразований.

Есть множество современных методик — выжигание препаратами, удаление лазером, жидким азотом или радиоволнами. При глубоком прорастании есть риск возвращения проблемы, поэтому рекомендуется удалять новообразование хирургическим путем.

Обязательно нужно избавиться от шипицы, если нарост:

  • сильно болит;
  • мешает при ношении обуви;
  • кровоточит;
  • быстро растет;
  • имеет несколько стержней;
  • слишком большой.

Важно отметить необходимость системной терапии от ВПЧ. Курс нужен для подавления вируса, который остается в организме на всю жизнь и может вызывать появление бородавок на других участках тела. Обязательно проводят терапию медикаментами при сниженном иммунитете, при наличии сопутствующих хронических заболеваний, после затяжных инфекций.

Больному показано применение таких лекарств:

  • противовирусные средства, препараты интерферона — Циклоферон, Виферон, Изопринозин;
  • иммуномодуляторы — Амиксин, Тактивин, Имунорикс;
  • растительные средства — эхинацея, элеутерококк;
  • витаминные, минеральные комплексы.

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Аптечные препараты от бородавок

В домашних условиях можно делать процедуры по выведению шипиц при помощи лекарств из аптеки. Безболезненно воздействуют на наросты, помогая убрать их с поверхности ноги. К сожалению, во многих случаях стержень шипицы остается внутри, поэтому со временем новообразование появляется на прежнем месте.

Мази от бородавок

Существует несколько видов мазей против шипиц — на основе растений, противовирусные, некротизирующие. Среди растительных препаратов обычно рекомендуют выводить бородавки средствами на основе чистотела. Экстракт этого растения помогает самостоятельно делать прижигание новообразования без боли, буквально за несколько сеансов.

Мази с некротизирующим действием содержат различные кислоты (Солкодерм, Суперчистотело), поэтому работать с ними нужно осторожно, чтобы не повредить здоровую кожу. Единичные папилломы вполне можно удалить таким образом, но на стопе может остаться небольшой шрам.

Мази с противовирусным действием помогают остановить рост бородавки, но полностью не удаляют нарост. Все кремы и мази используют под повязку 3 – 20 дней, а предварительно распаривают ногу в теплой воде.

Самые известные мази и кремы против бородавок, которые можно легко найти в аптеке:

  • оксолиновая;
  • салициловая;
  • колхаминовая;
  • теброфеновая;
  • интерфероновая;
  • Риодоксол;
  • Стефалин;
  • Панавир;
  • Алдара.

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Мозольные пластыри

Вывести шипицу поможет хороший мозольный пластырь Салипод. Он эффективен против мелких образований и помогает обойтись без длительного нанесения кремов и без помощи аппаратных методик.

Пластырь изготовлен на основе серы и салициловой кислоты, его вырезают строго по размеру бородавки и приклеивают к ней на 2 суток. Процедуры нужно делать 1 – 3 раза и более, пока бородавка полностью не отойдет от здоровой кожи.

Современные методики против бородавок

Малоинвазивные методы удаления шипиц на ногах хорошо зарекомендовали себя против всех видов и форм новообразований. Они помогают избавляться от проблемы без операции и без госпитализации в короткие сроки.

Криодеструкция

Даже в домашних условиях сейчас можно применять специальные аэрозоли с аппликаторами, которые содержат азот. Составы позволяют править состояние кожи ноги, «замораживая» бородавку низким температурным воздействием. Например, препарат Вартнер Крио за 2 – 3 процедуры выводит новообразование без остатка.

В клиниках криодеструкцию шипиц делает специалист, который точно рассчитывает дозу и глубину воздействия азота. Правильное применение препарата позволит избежать появления шрамов и повторного роста бородавки. Процедура короткая, но болезненная, поэтому детям ее проводят с местной анестезией. После лечения нельзя контактировать с водой до появления плотной корки, а само проблемное место нужно обрабатывать марганцовкой около 7 дней.

Электрокоагуляция

Удалить шипицы можно методом электрокоагуляции. Этот способ не подходит для избавления от старых, очень больших новообразований, которые слишком глубоко проросли в кожу. Средние и малые шипицы можно убрать прижиганием специальным прибором с высокочастотным или постоянным током.

Длительность лечения — до 15 минут, проводится под местным обезболиванием. После образуется корочка, которая со временем отпадает. На месте воздействия током нередко образуется шрам.

Лазерная коагуляция

Лазерное прижигание бородавок сейчас практикуется повсеместно, выполняется при помощи хирургического лазера. Папиллому выпаривают под действием высокой температуры, что помогает полностью обеззаразить рану и предотвратить любые воспалительные процессы. Корочка после лазерного удаления шипиц отпадет примерно через 10 дней, после чего не останется никакого следа на коже.

Радиоволновое удаление

Процедура выполняется радионожом, который выводит новообразование и прижигает мелкие сосуды, что помогает избежать кровотечения. Методика наиболее прогрессивная и точная, но имеет существенный минус — высокую стоимость. Обычно радиоволновый метод применяют для избавления от наростов на лице и других открытых зонах.

Хирургическое лечение бородавок

Операцию по удалению бородавок в наше время назначают редко, преимущественно при наличии очень глубоких, множественных, мозаичных шипиц.

Необходимо удалять наросты скальпелем, если они регулярно кровоточат либо есть сомнение в дифференцировании с более опасными (раковыми, предраковыми) опухолями.

Операция проводится под местным или общим наркозом, после накладывается повязка. Человек находится в больнице 3 – 7 дней, затем его трудоспособность постепенно восстанавливается.

Химическое удаление папиллом

Этот метод заключается в выжигании папиллом химическими препаратами на основе кислот, фенола, йода, ретиноидов или щелочей. Они вызывают отмирание пораженной ткани через ожог и некротизирование. Метод очень болезненный, детям не подходит.

Применяются следующие средства:

  • Гидроокись калия, натрия;
  • Веррукацид;
  • Салициловая кислота;
  • Колломак;
  • Дуофилм.

Народные средства от бородавок

В народе практикуется множество методов удаления бородавок. Вот эффективные рецепты:

  1. Выжать сок из стебля чистотела, смазывать им бородавку дважды в день до ее исчезновения.
  2. Взять зубчик чеснока, натереть место бородавки перед сном. Повторять терапию 2 недели — за это время наросты исчезнут.
  3. Отрезать небольшой кусочек лука, поместить его в уксус до полного пропитывания. Примотать лук к папилломе, через сутки удалить нарост при помощи нитки (срезать размягченные ткани).

  1. Натереть на мелкой терке картошку вместе с кожурой, прикрепить как компресс к бородавке на ночь, после удалить новообразование.
  2. Отжать сок алоэ, желательно чтобы растение было старше 7-летнего возраста. Соком комнатной температуры пропитать тряпочку, приложить как компресс к бородавке на всю ночь. Повторять терапию 14 дней. Бородавка станет уменьшаться и исчезнет.
  3. Залить уксусом куриное яйцо в скорлупе, подождать до полного растворения яйца. Этим средством мазать шипицу каждый день до полного удаления.

к содержанию ↑

Последствия заболевания

Так как подошвенные бородавки находятся на стопах, куда приходится весь вес человека, ходьба может стать буквально невыносимой от боли. Крупные наросты сдавливают нервы, нарушают кровообращение стопы.

Подошвенные шипицы не способны трансформироваться в рак, так как вызвавшие их разновидности ВПЧ не онкогенные, и все-таки боль и дискомфорт будут значительными.

Профилактика бородавок

Для профилактики следует тщательно соблюдать гигиену тела и стоп, не пользоваться общими предметами обихода, обувью, бельем с зараженными людьми, не носить некачественную, жмущую обувь, при появлении ранок сразу обрабатывать их антисептиками.

Чтобы повысить иммунитет, важно снижать уровень стресса, не допускать бессонницы, закаливаться, правильно питаться.

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