Домой Бородавки Бородавки на ногах и ступнях у детей: причины и лечение

Бородавки на ногах и ступнях у детей: причины и лечение

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Причины и лечение бородавок на ногах у детей

Бородавки на любой части тела возникают после попадания в организм вируса папилломы человека (ВПЧ). Способствуют их проявлению стрессы, снижения иммунитета, травмы, а также многое другое. Малыши в силу своей неусидчивости очень часто получают ссадины, царапины на ногах, переохлаждают их в осенне-зимний период. Это способствует появлению бородавок на ногах у детей, особенно в дошкольном, младшем школьном возрасте. Выбор метода лечения у ребенка должен подбираться индивидуально с учетом нежности кожи и большого риска рецидива заболевания.

Почему появляются бородавки у детей?

Причиной появления кожных образований служит ВПЧ. Считается, что к 10 годам жизни 70% населения уже является носителем этого вируса. Существует более 100 штаммов ВПЧ, некоторые из которых способный вызывать рак кожи, полипы и раки шейки матки, кишечника, мочевого пузыря. Передается инфекция контактно-бытовым путем, через кожу. Дети заражаются при использовании общих игрушек, расчесок, совместных играх, общении с инфицированными взрослыми. Попадая в организм вирус оседает в нервных окончаниях, расположенных в среднем слое кожи. Он может находиться там годами и даже десятилетиями, прежде чем возникнут благоприятные условия для его проявления.

Мелкие травмы, частые простуды, чрезмерный контакт с больным человеком – основные причины роста и развития бородавок у ребенка. Единожды проявив себя, ВПЧ уже нельзя так просто подавить. Неправильно подобранное лечение будет только способствовать дальнейшему распространению и увеличению количества наростов.

Вопреки расхожему мнению, невозможно заразиться ВПЧ от животных. Все его виды передаются исключительно от человека к человеку, а поскольку к 20-ти годам им инфицировано порядка 96% населения, то какая-либо профилактика его заражения бессмысленна.

Наиболее верный путь – стараться уменьшить воздействие факторов, стимулирующих активизацию вируса.

Общая классификация видов наростов

Вне зависимости от места расположения выделают три вида папиллом, отличающихся по форме и строению, но причины появления — сходны:

  1. Плоские – образования, чьи поперечные размеры преобладают над высотой. Не выступают над кожей более чем на 2 мм, имеют телесную или серую окраску. По строению имеют множества долек различной величины, шершавы. Часто встречаются на подошвенной поверхности стопы, ладони местах, подверженных усиленному трению.
  2. Остроконечные – маленькие, нитевидные образования серого или коричневого цвета. Выступают на 1 – 2 мм, в толщину не превышают 1 мм. Как правило, множественные и располагаются в местах повышенной потливости и трения: ягодично-бедренная складка, подколенная ямка.
  3. Простые – наросты телесного или серого цвета, могут достигать 5 – 10 мм в высоту и примерно таких же размеров в ширину. По строению схожи с плоскими папилломами, но значительно выступают над кожей. Могут содержать в себе волосы. Часто возникают на пальцах ступни, кисти. Такие бородавка на ноге у ребенка могут иметь вид головки, висящей на ножка. Зачастую имеется материнская и множество дочерних бородавок, расположенных вокруг главной.

Особенности расположения на ноге ребенка

На ягодицах, бедре и голени редко возникают наросты. Это связано с малым количеством нервных окончаний в этих областях. На коленке или голеностопном суставе могут появляться плоские формы папиллом, редко склонные к проявлению рецидивов, дочерних образований. В подколенной ямке изредка появляются остроконечные кондиломы, чаще всего группами по 2 – образований.

Наиболее подвержена бородавочной инфекции в силу своей частой травматизации, переохлаждению, повышенной потливости, несоблюдению правил гигиены в детском коллективе (хождение босиком по кафелю, использование чужих шлепок и пр.) ступня.

Различают несколько видов бородавок стопы по их локализации:

  1. На тыльной стороне.
  2. На подошве:
  • в области пятки;
  • на своде стопы;
  • на наружной поверхности;
  • в предплюсневой области;
  1. На пальцах:
  • на подошвенной поверхности;
  • на тыльной поверхности;
  • между пальцами.

Лечение бородавок у ребенка аптечными средствами

Как удалить бородавку у ребенка правильно лучше всего решать вместе с дерматологом или косметологом. Во-первых, следует брать во внимание то, что детский организм, подошвенный нарост в том числе, склонен к усиленной регенерации, что может приводить к рецидивам. Во-вторых, при чрезмерно агрессивном лечении велик риск не только оставления шрама на месте нароста, но и формирования у ребенка боязни проводить как последующее лечение проявлений ВПЧ, так и любых иных лечебных манипуляций.

Если бородавочный нарост небольших размеров, то сначала можно попытаться убирать его с помощью всевозможных мазей, присыпок и прочего. Чаще всего это остроконечная бородавка на ноге, которую можно свободно обрабатывать, не опасаясь за случайное вытирание препарата. Лечение проводится рядом препаратов, в том числе:

Кератолитики – мази, присыпки, гели, иные средства наружного применения. Они растворяют наружный, роговой слой новообразования, вызывая его гибель. После этого нарост гибнет и исчезает. Эти лекарства слабоэффективны против крупных бородавок на ногах у ребенка, ими достаточно тяжело вывести множественные образования и не лечат причины возникновения.

Противовирусные – выпускаются в тех же лекарственных формах, что и кератолитики (мази, гели и т.д.), но связывают и уничтожают вирус. Эффективность подобного лекарства от бородавок под сомнением, т.к. проникнуть внутрь нервных окончаний и уничтожить причину их появления, ВПЧ, на данный момент невозможно.

Иммуностимуляторы – средства для внутреннего применения, призванные повысить общую устойчивость организма к различным инфекциям. В силу своего неспецифического и ненаправленного воздействия невозможно целенаправленно убрать папиллому с помощью такой терапии. Иммуностимуляторы и иммуномодуляторы более приемлемы как средство профилактики возникновения или рецидива бородавок. В странах Европы и США на данный момент не применяется лекарство от бородавок этого типа, а все имеющиеся на данный момент средства причисляются к БАДам, в некоторых препаратах и вовсе не было выявлено действующее вещество при детальном изучении.

Хирургические методы лечение наростов на ногах

Криодеструкция – замораживает наросты, которые сами отпадают через 2 – 3 дня. Чаще всего применяется жидкий азот. Наиболее щадящий, а также эффективный метод для удаления бородавки у ребенка. Метод не поможет при крупных образованиях, но легко справляется с множественными и групповыми папилломами. Применяется лечение при плоских или остроконечных новообразованиях.

Термокоагуляция – технология сходна с таковой при криодеструкции, однако папилломы убираются с помощью высоких температур или электрической дуги. Аналогично с предыдущим типом лечения используется при локализации бородавок между пальцами, на подошве. За счет уничтожения всей микрофлоры высокой температурой риск развития инфекционных осложнений крайне низок.

Лазерное выжигание – если речь идет о том, как вылечить нарост, занимающий большую площадь, избежать образования рубца, то стоит обратиться к лазерной методике. Лечение дает возможность послойно, вплоть до десятых частей миллиметра удалить патологическую ткань с максимальным сохранением здоровой.

Хирургическое удаление – самый эффективный путь лечения, если бородавки на ногах у детей крупные и часто рецидивируют. Проводится местная анестезия, после чего образование иссекается вместе с подлежащими тканями. Это способствует значительному снижению количества рецидивов.

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