Домой Бородавки Бородавка у ребенка на ноге: лечение, причины, как вывести

Бородавка у ребенка на ноге: лечение, причины, как вывести

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Причины, виды и лечение бородавок у ребенка на пальце ноги

Что такое бородавка

Это доброкачественное образование кожи, развитие которого провоцируется различными видами вируса папилломы человека. Подобные кожные «наросты» встречаются примерно у 14-15% детей дошкольного и школьного возраста. Локализация новообразований встречается самая разнообразная: лицо, шея, гениталии. Часто различные узелки появляются на пальцах ног, рук, подошвенной стороне стоп.

На микроскопическом уровне бородавка состоит из увеличенных в размерах клеток эпидермиса. Макроскопически патологические разрастания определяются как бугорки, узелки или бляшки. Если образование имеет ножку и шляпку, то оно называется папилломой.

Этиология и пути заражения

Основные причины возникновения бородавок — более 160 идентифицированных видов вируса папилломы человека (ВПЧ). Эти микроорганизмы содержат ДНК, а попадая в человеческий организм, легко проникают в эпителиальные клетки кожи и слизистых оболочек.

Основные пути инфицирования ВПЧ:

  • контактный путь: посредством рукопожатий, прикосновений, через предметы гигиены и обихода;
  • половой путь: характерен для заражения остроконечными кондиломами;
  • интранатальный путь: заражение происходит во время родов – от инфицированной матери к ребенку;
  • аутоинокуляция, или самозаражение: самостоятельное распространение вируса с одного участка тела на другой, например, во время бритья.

Вирус папилломы некоторое время способен сохранять жизнеспособность в общественных местах: в спортзалах, бассейнах, туалетах, банях и т.д. Кроме того, микроорганизмы легко проникают в организм человека через ссадины или царапины, которые могут очень маленькими и незаметными.

В 90-95% случаев иммунная система способна самостоятельно подавить деятельность вирусов .

Лишь на фоне тяжелых инфекций, стойкого или транзиторного иммунодефицита они начинают активно размножаться, вызывая заболевание. Причиной снижения защитных сил также выступает прием некоторых групп препаратов (гормоны, цитостатики).

Таким образом, частые ОРВИ или стрессы, хронические заболевания почек, щитовидной железы, сахарный диабет, неполноценное питание – провоцирующие факторы для активации папилломавирусной инфекции.

Классификация

Если была обнаружена бородавка у ребенка на ноге, она называется подошвенной. Это одна из излюбленных локализаций патологических образований. Они состоят из группы или пучков маленьких сосочков розового или беловатого цвета, которые окружены плотным валиком. На первый взгляд могут напоминать обычную мозоль.

Бородавки такой локализации сопровождаются дискомфортом и болями. Благодаря наличию большого количества поверхностно расположенных капилляров легко травмируются и кровоточат.

Классификация бородавок, встречающихся на теле человека:

  • Обыкновенные, или вульгарные. Имеют вид мелких округлых и безболезненных узелков с несколько шероховатой поверхностью. Они часто находятся на волосистой части головы, лице и пальцах.
  • Юношеские, или плоские. Представлены в виде небольших узелков бежевого или желтоватого цвета, которые слегка выступают над кожей. Обычно локализуются на шее, грудной клетке, животе, лице, на пальце ноги или руки, сгибах конечностей.
  • Генитальные, или остроконечные. Нередко передаются половым путем. Обнаруживаются на половых губах, вокруг входа во влагалище, у мальчиков могут быть на крайне плоти и коже головки полового члена.

Аногенитальные бородавки могут встречаться и у новорожденных детей в результате инфицирования во время родов. Они представляют собой мелкие группы из розовых узелков с заостренной верхушкой. Размещаются на коже вокруг ануса и промежности. Причинами появления образований на ладонно-подошвенных поверхностях рук и ног выступают определенные вирусы папилломы человека – 1, 3 тип, 27, 29 и 57.

Проявления болезни

После первичного заражения инкубационный период может длиться 3-6 месяцев. Регистрировались случаи, когда первые проявления болезни появлялись спустя 36 месяцев после контакта с инфекцией.

Бородавки у ребенка на ноге обычно локализуются на подошве стопы в виде плотных и умеренно болезненных новообразований. В некоторых отдельных случаях они располагаются вровень с неизмененной кожей и имеют зернистую поверхность. В отдельную клиническую форму выносят бородавки, которые имеют вид распространенных участков гиперкератоза – утолщения кожи с одновременным ее огрубением. Они обнаруживаются на том месте стопы, где имеются глубокие трещины. Подобные наросты часто доставляют сильную боль, что значительно мешает передвижению. Иногда они могут изъязвляться, кровоточить, особенно в результате травмы или чрезмерного трения.

Диагностика

Обследование на вирусы папилломы человека может проводиться как при отсутствии жалоб (например, после контакта с больным или после посещения общественных бассейнов, бань), так и при появлении типичных жалоб.

Информативные методы диагностики:

  • цитологический анализ – метод обнаружения особых клеток, койлоцитов, и увеличения количества клеток эпителия в биоптате, взятого с «нароста» на коже;
  • ПЦР, или полимеразная цепная – современный метод определения ДНК вируса в крови, моче, слюне;
  • серологический анализ – выявление в периферической крови антител к белкам вируса. Наличие именно иммуноглобулинов M говорит об активном течении инфекции;
  • метод гибридизации нуклеиновых кислот – еще один способ выявить ДНК возбудителя;
  • гистологический анализ – определение типа клеток в образовании с помощью микроскопии.

Для исследований может использоваться ткань «нароста», слюна, моча или кровь пациента. Определение в крови только иммуноглобулинов класса G является малоинформативным, поскольку они говорят о том, что человек когда-либо сталкивался с инфекцией, а не болеет ею сейчас.

Иммуноглобулины G – это белки иммунной памяти, которые могут сохраняться в крови десятки месяцев.

К какому врачу идти, если появились бородавки? Назначить обследования и терапию может педиатр, врач-дерматолог. При лазерном удалении новообразований важна предварительная консультация с хирургом.

Не стоит обращаться за инвазивным лечением в косметологические клиники или кабинеты, где нет медицинской лицензии и врачей, которые имеют право проводить такие процедуры. Подобные вмешательства возможны только после установления точного диагноза.

Методы терапии

Максимально допустимый срок, при котором до 65% бородавок могут самостоятельно исчезнуть – 2 года. Если они беспокоят дольше, то рекомендуется обратиться к врачу с целью диагностики и выбора тактики терапии.

На просторах интернета можно встретить множество статей о том, как вывести бородавки в домашних условиях. Однако использование лука, чистотела или перетягивание ниткой не так уж безобидны. Такие методики могут нанести вред, стать пусковым моментом для появления новых высыпаний или присоединения вторичной инфекции.

Возможные эффективные методы лечения:

  • Салициловая кислота – используется местно, помогает в 70-75% случаев. Является безопасным и удобным для самостоятельного применения препаратом.
  • Трихлоруксусная кислота, 5-фторуроцил – средства для местного использования, которые обладает значительно меньшим эффектом в сравнении с салициловой кислотой и хирургическим удалением.
  • Лечение жидким азотом (криотерапия) – механическое удаление наростов с помощью низкой температуры (-196℃). После процедуры появляется пузырь, который со временем лопается, а получившаяся рана заживает.
  • Лазерное удаление – хирургический способ избавления от нежелательных высыпаний, который отлично подходит при их локализации на большом пальце ноги, руках, лице.

Применение внутрь иммуномодуляторов или противовирусных средств не эффективно в борьбе с папилломавирусной инфекцией.

Профилактика

Существует вакцина против некоторых видов ВПЧ, которую рекомендуют делать всем детям начиная с 11-12-летнего возраста.

Итак, бородавки – это инфекционное поражение кожи, причиной которого выступают вирусы. Типичная их локализация – подошвы, ладони, гениталии, кожа лица и шеи. В большинстве случаев они вызывают физический и психологический дискомфорт. Способ терапии должен подбираться врачом индивидуально после прохождения пациентом полноценного обследования.

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