Домой Бородавки Бородавки на ногах: причины и способы лечения

Бородавки на ногах: причины и способы лечения

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Бородавки на ногах

Бородавки на ногах – это не только эстетическая проблема, но и источник постоянного дискомфорта. Чаще всего болезненные наросты образуются в области подошвы. Такие новообразования называют подошвенными бородавками или шипицами. Прочие разновидности бородавок (плоские, вульгарные) могут выбрать местом локализации кожу нижних конечностей, межпальцевые промежутки или пальцы ступней.

Бородавки на ногах: причины и лечение

Основная причина образования бородавок – инфицирование вирусом папилломы человека. Вирусные частицы проникают в организм через микроповреждения кожного покрова при тесном контакте с носителем инфекции, совместном пользовании личными вещами или предметами быта. Папилломавирус широко распространен в окружающей среде. Риск подхватить инфекцию увеличивается в местах скопления людей – в общественном транспорте, бассейне, сауне.

Проникнув в организм, вирус папилломы не сразу начинает свою разрушительную работу. Если у человека сильный иммунитет, он может долгое время находиться в неактивном состоянии и «пробуждается» только при ослаблении иммунной защиты. Провоцирующим факторами становятся:

  • недавно перенесенные заболевания;
  • обострение хронических болезней;
  • наличие вредных привычек;
  • хронические стрессовые ситуации;
  • повышенное потоотделение (вирус интенсивно размножается во влажной среде);
  • ношение тесной и неудобной обуви;
  • нарушение норм личной гигиены.

Ослаблению иммунитета способствуют грибковые инфекции, сосудистые патологии, смена климата и прочие неблагоприятные условия. Любой из перечисленных факторов может стать толчком к активизации вируса, который начинает усиленно размножаться и формировать кожные наросты.

С особым вниманием следует подходить к соблюдению норм личной гигиены при посещении помещений с теплой и влажной средой – бассейна, тренажерного зала, бани, сауны. Основное правило – не пользоваться чужой обувью, полотенцами, мочалкой и прочими предметами гигиены. После принятия водных процедур ноги нужно вытирать насухо, особенно тщательно обсушивая промежутки между пальцами ног.

При появлении любого подозрительного новообразования на подошве, ступнях или в любой зоне нижних конечностей, необходимо обращаться к врачу. Только специалист может поставить правильный диагноз, отличить бородавку на ноге от мозоли или натоптыша и назначить адекватную терапию. Заниматься самолечением не стоит – это чревато нежелательными последствиями.

Разновидности бородавок на ногах

В зависимости от области локализации, на нижних конечностях могут сформироваться 4 вида новообразований:

Подошвенные бородавки (шипицы)

Этот тип бородавок вызывает существенный дискомфорт. Наросты на подошве появляются в местах наибольшего давления и при ходьбе причиняют сильную боль. Шипицы похожи на сухие мозоли, но имеют ряд отличий. Образование на подошве выглядит как белый узелок плотной структуры, выступающий над поверхностью кожи. Его основу составляют нитевидные волокна, которые способны проникать в дерму на большую глубину. Сдавливая нервные окончания, они вызывают болезненные ощущения.

Шипица редко бывает одиночной. Обычно на подошве сначала появляется крупная «материнская» бородавка, рядом с которой вскоре формируются образования помельче. Подошвенные бородавки тяжело поддаются лечению, так как имеют глубокие корни. Нередко, даже после удаления случаются рецидивы и наросты образуются вновь.

Как отличить шипицу от мозоли или натоптыша? Для этого можно провести несложный тест. Нужно распарить ноги в горячей воде – подошвенная бородавка станет «мохнатой». Если счистить размягчившийся роговой слой, то в центре основания появится углубление, на поверхности которого можно заметить черные точки. Это нитевидные отростки, которые уходят вглубь дермы. Подошвенная бородавка считается доброкачественным новообразованием, но в исключительных случаях, под влиянием химического или механического воздействия, может перерождаться. Поэтому шипицы рекомендуется своевременно удалять.

Вульгарные (обыкновенные)

Это самый распространенный тип бородавок, которые могут появиться практически на любой части тела, в том числе и на ногах. Излюбленное место локализации – межпальцевые промежутки, голени, пальцы стопы. Выглядят они как наросты неправильной формы с четко очерченными краями и шероховатой поверхностью, возвышающиеся над поверхностью эпителия.

Вульгарные бородавки могут быть разных размеров и оттенков (от желтоватого до темно-коричневого). Такие образования обычно безболезненны. Дискомфорт может возникать, если нарост подвергается трению об одежду или давлению обуви. Обыкновенные бородавки легче поддаются лечению и реже рецидивируют после удаления.

Плоские

Плоские или юношеские бородавки обычно образуются у подростков, в период полового созревания. Но и взрослые пациенты не застрахованы от их появления при ослаблении иммунитета или гормональных сбоях. Новообразования появляются в области стоп, голеней или бедер. На подошвах такие бородавки не образуются.

Выглядят они как плоские наросты телесного цвета с гладкой поверхностью, практически сливающиеся с поверхностью кожи. Подобные новообразования не доставляют особого беспокойства, лишь в момент формирования они могут провоцировать легкий зуд. Плоские бородавки на ногах удаляют редко, так как никакой угрозы они не представляют. Иногда такие образования исчезают самостоятельно, без всякого лечения.

Остроконечные кондиломы

Аногенитальные бородавки или остроконечные кондиломы появляются в результате незащищенного секса или беспорядочных половых связей от партнера-носителя инфекции. Область локализации – половые органы. При отсутствии лечения и прогрессировании процесса кондиломы быстро распространяются на область паха и ягодиц и могут поражать верхнюю часть бедер.

Лечение таких бородавок – комплексное, терапию должны проходить оба половых партнера. Исключить повторное заражение поможет соблюдение норм личной гигиены и использование средств защиты. Узнать больше о методах борьбы с аногенитальными бородавками можно на нашем сайте в соответствующем разделе.

Как лечить бородавки на ногах

Выбор схемы лечения определяется врачом после постановки диагноза, с учетом типа бородавок, области локализации и возможных противопоказаний.

Медикаментозные методы

Основу медикаментозной терапии составляют средства с противовирусным и иммуномодулирующим действием. Пациенту назначают препараты Изопринозин, Имиквимод, Ацикловир, которые подавляют активность вируса. Схему лечения дополняют медикаментами, укрепляющими иммунную систему (Виферон, Интерферон). Для наружной обработки используют противовирусные гели Панавир, Ацикловир, оксолиновую мазь.

Кроме того, в процессе лечения используют следующие группы препаратов:

  • Кератолитики – средства для размягчения грубого рогового слоя. Их наносят на распаренную бородавку с целью размягчения и отслоения нароста. Большинство таких препаратов содержат в своем составе салициловую кислоту. Образования обрабатывают препаратами Коломак, Дуофилм или салициловой мазью.
  • Препараты с мумифицирующим действием. Их основу составляют химические компоненты, прижигающие бородавку. В результате ее ткани отмирают и нарост исчезает. Популярные средства – ляписный карандаш, Суперчистотел, Ферезол, Веррукацид. Во избежание химического ожога и поражения здоровой кожи, использовать такие средства следует с осторожностью.
  • Препараты для домашней криотерапии – Криофарма или Вартер Крио. Принцип действия направлен на вымораживание тканей бородавки. Этот метод хорошо зарекомендовал себя при удалении подошвенных и обыкновенных бородавок. Замораживающий состав наносят на нарост в соответствии с инструкцией. Длительность воздействия зависит от типа, размеров и структуры образования. Под влиянием холода ткани бородавки некротизируются и вскоре бородавка отмирает.

Использовать перечисленные средства можно только после консультации с дерматологом. Комплексное лечение бородавок на ногах довольно длительное, требует терпения и соблюдения врачебных рекомендаций. Если терапия не дает результата, рекомендуется устранять новообразования радикальным способом.

Удаление бородавок

Избавиться от бородавок на ногах можно разными способами:

  • Криодеструкция иди вымораживание жидким азотом. Под влиянием низких температур ткани бородавки отмирают и через несколько дней нарост отпадает.
  • Электрокоагуляция. Нарост прижигают высокочастотным током, который генерирует специальный аппарат. Минус метода – риск образования рубцов на месте удаленной бородавки.
  • Удаление лазером. Тепловое излучение лазера послойно испаряет ткани образования, одновременно обеззараживания кожу и исключая кровотечение. Этот метод справляется с самыми сложными и застарелыми образованиями.
  • Радиоволновой метод. Ткани бородавки разрушают высокочастотными радиоволнами. Это новый и достаточно дорогой бесконтактный способ, обеспечивающий щадящее действие и отсутствие рубцов.

Современные методы с применением лазера или радионожа считаются наиболее эффективными и безопасными. В числе преимуществ – короткий реабилитационный период и отличный эстетический результат, отсутствие риска осложнений и повторных рецидивов.

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