Домой Бородавки Бородавки на правой руке от чего

Бородавки на правой руке от чего

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Бородавки на правой руке от чего

Когда возникают на пальцах рук небольшие папулы, редко кому представляется это большой проблемой. Дефект по внешнему виду напоминает узелок, медицинское название которого – бородавка. Вылечить ее не так просто. Такие кожные образования являются доброкачественными, но они обладают вирусной природой. Когда появляются бородавки на руках – причины и лечение нужно знать, ведь ими может заразиться ваш ребенок и окружающие люди.

Плотные узелковые новообразования на коже телесного или светло-коричневого оттенка называют бородавками. Как правило, это доброкачественные наросты, которые передаются при контакте с больными. Выглядит папиллома, как кожное образование размером до 100 мм, которое имеет сморщенную и плотную текстуру. Маленькие наросты светлого оттенка по мере разрастания меняют цвет на коричневый или желтый. Основные места локализации – кожа в области ногтей, наружные части кистей, пальцы рук, места их соединений. Бородавки формируются у всех людей, независимо от возраста.

В результате активизации в организме человека вируса папилломы человека (ВПЧ) на теле возникают новообразования. Поскольку данная патология имеет вирусный характер, то передается она контактным способом: при использовании одежды зараженного, в бане, бассейне, общественном транспорте. Помимо вируса существуют и другие причины появления бородавок на руках на фоне сниженного иммунитета:

  • стресс;
  • травмы кожных покровов;
  • переохлаждение;
  • авитаминоз;
  • несоблюдение правил личной гигиены.

Различают четыре основных вида папиллом:

  1. Обыкновенные (вульгарные). Это плотные ороговевшие папулы, которые часто образуются на тыльной стороне рук. Диаметр вульгарных бородавок – от 1 до 10 мм. Большинство папул со временем проходит самостоятельно без лечения.
  2. Плоские (юношеские). Четко отграниченные образования с гладкой поверхностью. Возвышаются над кожей на 1-2 мм, имеют диаметр 1-5 мм. Плоские бородавки располагаются на лице, голенях, тыльной поверхности кистей.
  3. Старческие (кератомы). Доброкачественное новообразование на коже, развивающееся по причине среднего или пожилого возраста. Старческие бородавки возникают на шее, лице, в области предплечий и тыльной стороне рук.
  4. Подошвенные. Появляются на сильно потеющих ногах и в местах давления обуви. Подошвенные бородавки – это мелкие папулы желтовато-серого цвета с неровной грубой поверхностью. Такой вид наростов может вызывать временную трудопотерю.

При сильном иммунитете организм с вирусом папилломы справится самостоятельно за год. Но если этого не произошло, нужно убирать наросты с помощью медицины, независимо от причины. Перед тем как лечить бородавки на руках следует удостовериться в доброкачественности кожного образования. Для этого необходимо обратиться к дерматологу, который направит на обследование. Исходя из результатов анализов, врач подберет необходимую методику лечения. Эффективные способы избавления от папул:

  • криохирургия с жидким азотом;
  • лекарственные препараты;
  • фитотерапия;
  • электрокоагуляция;
  • лазерное удаление;
  • хирургическое удаление.

Лечение бородавок на пальцах рук лучше начинать с недорогих методов, пусть и не самых эффективных. Если они не помогают, тогда надо переходить к более дорогостоящим процедурам, агрессивным и болезненным. Сразу начинать лечение с хирургических методик неразумно, так как высок риск образования шрамов на обработанном участке и нет вероятности в снижении рецидива.

Вывести папулу можно с помощью медикаментозных препаратов кератолитиков. Фармацевтический рынок снабжен большим количеством лекарственных средств данной группы. Среди них лучшие:

  1. Колломак. Создан на основе молочной и салициловой кислоты, способствующими удалению нароста. Наносить препарат рекомендуется на пораженный участок кожи несколько раз в день по одной капле. Среди минусов использования – возможно появление жжения и зуда в месте нанесения.
  2. Дуофилм. Двухкомпонентный жидкий раствор в составе с салициловой и молочной кислотой. Принцип действия такой же, как у Колломака. Наносить жидкость нужно 1 раз в сутки после распаривания пораженного места. Нельзя применять детям до 2 лет.
  3. Веррукацид. Активные компоненты – метакрезол (антибактериальный) и фенол (антисептик). Не допускать попадания на слизистые. Перед нанесением надо бородавки на руках размягчить салициловой мазью, затем распарить в течение 15 минут, срезать ороговевшие наслоения, затем на подсушенную кожу наносить Веррукацид 7-10 раз с интервалом 3-4 минуты.

Неотъемлемая часть лечения папиллом – противовирусная терапия. Без иммуностимулирующих противовирусных препаратов наросты на руках вывести невозможно. Среди часто назначаемых дерматологами числятся:

  1. Аллокин Альфа. Широко используется для обширных папилломатозов. Препарат вводят подкожно в дозе 1 мг через день. Курс лечения – 6 инъекций. Может вызывать головокружение, слабость.
  2. Циклоферон. Схема лечения подбирается врачом в индивидуальном порядке, в зависимости от возраста пациента. Таблетки назначают 1 раз в сутки до приема пищи за полчаса. Среди противопоказаний: цирроз печени и аллергия на компоненты препарата.

Если вирусная бородавка на пальце руки не исчезает самостоятельно и не убирается медикаментозно, то применяют химический или хирургический метод. Сейчас бородавки с помощью скальпеля удаляют редко по причине возникновения крови. Это лишние риски инфицирования пациента и медперсонала. К тому же иссечение бородавки скальпелем считается устаревшим способом, который более травматичен, требует длительной реабилитации и оставляет шрамы. Современные методики удаления папиллом более щадящие.

Принцип действия лазера – это испарение патологических тканей. Дерматолог учитывает тип нароста, локализацию, возраст клиента. Аппарат настраивается так, чтобы количества энергии хватило на послойное удаление зараженных вирусом клеток. Специалист сам регулирует глубину проникновения лазера. Маленькие папулы исчезают уже после первого сеанса. Для удаления крупных бородавок может потребоваться несколько процедур. Преимуществом метода является то, что избавление от наростов происходит бескровно и почти без осложнений.

Если вылечить вирусное заболевание не удалось, то вывести бородавку можно с помощью проникновения азота. Этот метод удаления не убирает внутреннюю причину, но быстро воздействует на саму папиллому. Криодеструкция проводится с помощью аппликатора, который воздействует на бородавку посредством глубокой заморозки, не затрагивая здоровые кожные покровы. Новообразование после замораживания бледнеет, уплотняется, потом краснеет и отекает. Спустя 10-14 дней бородавка исчезает, а на ее месте образуется розовое пятно. Преимущества процедуры:

  • доступные цены;
  • минимальные риски по развитию шрамов;
  • исключение распространения вируса,

Вылечить плотные образования на коже можно воздействием электрического тока. Процедура проводится с помощью специального прибора коагулятора, через который проходит высокочастотный ток. Электрод, находящийся на конце прибора, нагревается, после чего бородавки под воздействием высокой температуры выжигаются. Преимущество метода:

  • процедура занимает мало времени;
  • для широкого разрастания хватает одного сеанса;
  • невысокая стоимость;
  • минимальный травматизм;
  • не требуется подготовка к процедуре;
  • невозможность заражения вирусом.

Лечение ребенка от бородавок, независимо от причины, лучше начинать с применения природных компонентов в домашних условиях. Преимущество такой терапии в том, что действие народных рецептов проверено временем. Природные компоненты почти не имеют побочных реакций со стороны неокрепшего организма. Предки для избавления от мелких и крупных материнских бородавок применяли лечебные травы, свежие овощи, лук и чеснок.

Бороться с этой разновидностью вируса помогает уксусная кислота, но к лечению ребенка следует подходить с особой осторожностью, ведь даже с помощью домашнего яблочного уксуса можно получить серьезный химический ожог. Применение простое – нужно смазывать уксусным раствором бородавки или делать компрессы, закрывая их пластырем, несколько раз в день до полного исчезновения наростов.

Это лекарственное растение в составе имеет более 20 разных ядовитых веществ, уничтожающих не только вирус папилломы, но и возбудителей других кожных заболеваний. Чистотел в народе называют бородавником, поскольку трава может удалить даже крупные наросты. Собирать растение нужно только в период цветения – май-июнь. Свежевыжатый сок чистотела (или измельченный порошок сухой травы) наносят до 4 раз в день на бородавку до тех пор, пока она не пропадет.

С давних времен использовали лук для лечения папиллом, независимо от причины их возникновения. При первых признаках дискомфорта, когда новообразование начинает расти, необходимо разрезать луковицу и мазать свежевыжатым соком место поражения. Рекомендуется процедуру делать на ночь, заклеивая пластырем обработанный луком нарост. Существует еще один рецепт, который более результативен, если инфекция поражает обширные места на руке:

  • в целой луковице вырежьте серединку, наполните ее поваренной солью;
  • положите лук на блюдце, дождитесь образования сока;
  • смазывайте соком пораженные места утром и вечером до исчезновения проблемы.

Если не удалось определить причину появления папилломы, но неэстетичный нарост мешает жить, можно попробовать прижечь его йодом. Раствор характеризуется противомикробным действием, обладает прижигающим эффектом при высокой концентрации. Лечение кожных новообразований йодом проводится с помощью ванночек или методом смазывания поврежденных участков. Дополнительно можно обрабатывать нарост масляным раствором витамина А.

Судя по отзывам с фото в интернете, положительный эффект у взрослых наблюдается уже через несколько дней после начала лечения. Иногда требуется несколько недель, чтобы папилломы начали сходить. Если человек сталкивается с неприятными ощущениями после нанесения йода на нарост, то наносить средство лучше по контуру новообразования. Не рекомендуется данный метод применять детям без консультации с педиатром.

Хотя бородавки не являются смертельно опасными для человека, убирать их нужно, чтобы не заразить окружающих. К тому же новообразования бывают очень неэстетичными, поэтому приносят обладателю массу неудобств. Чтобы избежать заражения вирусом папилломы, нужно следовать некоторым правилам:

  • укреплять иммунитет здоровым образом жизни;
  • соблюдать личную гигиену;
  • тщательно мыть руки после посещения общественных мест;
  • ограничить контакт с людьми, имеющими папилломы.

Существует много причин, почему появляются бородавки на руках. Нарушение обычно связано с инфицированием организма или патологическим сбоем работы внутренних органов. Подобные новообразования чаще всего носят доброкачественный характер. Но при отсутствии своевременного лечения наросты могут увеличиваться и воспаляться.

Бородавки представляют собой узелковые плотные новообразования. Состоят они из разросшихся клеток верхних слоев кожи. Цвет может быть светло-коричневым или телесным. По мере увеличения оттенок изменяется на желтоватый или насыщенно-коричневый. Чаще всего возникают наросты в области пальцев рук, на наружных частях кистей или около ногтей.

Бывают следующие типы бородавок:

  • остроконечные кондиломы;
  • вульгарные;
  • нитевидные;
  • подошвенные;
  • плоские.

Остроконечные кондиломы по виду напоминают гребень петуха — наросты телесного цвета гладкие, и чаще появляются на слизистых. Нитевидные наросты имеют рваные края, подошвенные — плотные округлые плоские выросты, поражают ступни и мешают при ходьбе. На пальцах, ладонях и в области предплечья возникают обычно плоские или вульгарные бородавки — подкожные образования, поверхность которых гладкая или ороговевшая.

Бородавки на руке появляются неожиданно. Их нередко путают с обычными мозолями. Но различаются они даже визуально. Под тонким слоем натертой кожи возникает водянистое содержимое. Плоские «сухие» мозоли отличаются наличием кожного рисунка, которого нет на бородавках.

Самые распространенные причины появления бородавок на руках — инфицирование организма вирусом папилломы человека. Заражение может произойти абсолютно незаметно для человека, и на протяжении длительного времени болезнь находится в «спящем» состоянии, никак себя не проявляя.

Передается вирус контактно-бытовым способом — через рукопожатия или использование бытовых предметов, которыми раньше пользовался больной ВПЧ. Выходит на поверхность и растет новообразование при определенных условиях. Спровоцировать это могут:

  • травмы на коже;
  • снижение иммунитета;
  • неправильное питание;
  • переохлаждения организма;
  • слишком влажная или сухая кожа;
  • недостаточная гигиена;
  • острые или хронические заболевания;
  • гормональные сбои;
  • стрессы.

Определить, от чего появляются бородавки, может врач. Причины могут зависеть от возраста — маленькие дети чаще страдают от обострения вируса в результате недостаточной гигиены рук, подростки — от гормональных перемен в результате полового созревания. У взрослых образоваться они могут в результате злоупотребления спиртным, курения и постоянных нервных нагрузок.

Особенно хорошо вирус развивается в теплой и влажной среде, поэтому наибольшую опасность заражения представляют бассейны, бани и тренажерные залы. Руки постоянно контактируют с окружающей средой, поэтому болезнь чаще поражает их.

Определить, что новообразование является именно бородавкой, просто. Достаточно визуального осмотра узелка, который имеет свои специфические особенности. К ним относятся:

  • округлая форма;
  • размер в пределах 10 мм;
  • шероховатая поверхность;
  • отсутствие кожного рисунка;
  • цветовое отличие от кожи;
  • незначительное возвышение над поверхностью покрова.

При надавливании на нарост не возникает болезненных ощущений. Даже если образование травмируется, боли и крови может не быть. Но повреждения представляют определенную опасность — повышается риск покрытия папилломами более обширных участков кожи.

При благоприятных для вируса условиях мелкие наросты начинают увеличиваться. В этот период возможно появление легкого зуда. При травмах кожи вблизи новообразования повышается вероятность образование дополнительных бородавок.

Бородавки имеют специфическое визуальное проявление, что значительно упрощает диагностику. Даже если нарост не причиняет ощутимого дискомфорта, лучше обратиться к специалисту и избавиться от проблемы. Обязательно посетить врача необходимо, если появились следующие симптомы;

  • активном размножении бородавок;
  • выделении жидкости из наростов;
  • изменении поверхности;
  • болезненных ощущениях;
  • быстром росте новообразования;
  • появлении красного оттенка.

Помимо стандартного осмотра врачу могут понадобиться дополнительные методы исследования — гистология, ПЦР-анализ, дерматоскопия или дайнджен-тест. Необходимость подобных процедур определяется индивидуально. В некоторых случаях они помогают выявить причины и подобрать лечение бородавок на руках.

Появление бородавок на руках говорит о проблемах с иммунитетом, поэтому рекомендуется комплексная терапия. Необходимо убрать сам нарост и устранить причины его появления. Даже небольшие травмы новообразования опасны вторичным инфицированием, что простимулирует развитие вируса. Кроме того, бородавчатый человек — источник опасности для окружающих.

Чтобы выбрать оптимальный способ лечения, необходимо понять, от чего появляются бородавки. Специалисты рекомендуют комплексную терапию, включающуюся в себя противовирусные, иммуномодуляторы и местную обработку, убирающие основные симптомы.

Лекарственное средство широкого спектра действия: противовоспалительное, иммуномодулирующее и противовирусное. Способен подавлять активность вируса на ранних сроках. Может использоваться для лечения взрослых и детей старше четырех лет.

Как лечить бородавки Циклофероном решает врач, дозировка и продолжительность курса определяется индивидуально. Не подходит для беременных, кормящих, страдающих от цирроза печени и при индивидуальной непереносимости компонентов. Выпускается в форме таблеток.

Раствор для наружного применения на основе лауромакрогола, салициловой и молочной кислоты. Обладает кератолитическим действием: провоцирует отторжение ороговевшего слоя кожи, благодаря чему можно вылечить мельчайшие бородавки и остроконечные кондиломы.

Жидкость наносится точечно на появившийся нарост 1-2 раза в день по капле. Перед применением следует обработать кожу антисептическим раствором. Максимальная продолжительность лечения — одна неделя. Сразу после обработки проблемное место может побаливать, не исключается вероятность легкого жжения.

Раствор с аппликатором, состоит из смеси салициловой и молочной кислот. Оказывает прижигающее действие на бородавки. С помощью специальной кисточки средство точечно наносится на новообразования, до двух раз в сутки. Когда препарат высохнет, накладывается пластырь. Курс лечения должен составлять максимум семь дней. Подходит для лечения детей от двух лет, запрещается для обработки бородавок на лице или в области гениталий.

Раствор, который отпускается по рецепту. В состав входят антисептик фенол и антибактериальное составляющее — метакрезол. Прижигает папилломы, остроконечные кондиломы, любые типы бородавок и сухие мозоли. Использовать средство нужно с максимальной осторожностью: на здоровой коже может появиться ожог.

Дозировка и способ применения зависят от типа поражения кожи. Нитевидные бородавки и мелкие образования обрабатываются только один раз. Бородавки размером до 3 мм смазываются 3-4 раза, повторная порция наносится после подсыхания предыдущей. Плотные ороговевшие поверхности предварительно обрабатываются кератолитической мазью, которую нужно оставить на 10-12 часов. После кожа распаривается, роговые наслоения удаляются. Только после этого осторожно капается препарат.

Щелочной раствор, предназначенный для ликвидации бородавок, папиллом и плотных мозолей. В составе нет натурального чистотела, но препарат оказывает схожее действие. После нанесения жидкость разъедает весь нарост вместе с корнем, вызывая некроз «неправильных» тканей. Средство выпускается в форме флакона с жидкостью или удобного фломастера.

Ороговевший участок предварительно распаривается в горячей воде или отваре ромашки. Когда рука высохнет, кожа вокруг нароста обильно смазывается жирным детским кремом или вазелином. Суперчистотел наносится точечно, необходимо избегать его попадания на слизистые или здоровую кожу. Если ощущаешься легкое жжение — значит, раствор начал свою работу. Повторять обработку можно через неделю.

Раствор с кислотами — азотной, уксусной, молочной и щавелевой. Подходит для лечения доброкачественных поражений поверхности кожи. Соприкасаясь с наростом, компоненты влияют только на патологически измененную ткань, вызывая ее мумификацию. Сразу после нанесения кожа обесцвечивается, приобретает желтоватый или сероватый оттенок. По мере отмирания, бородавка становится темно-коричневой и в итоге отваливается.

Желательно, чтобы процедура с использование Солкодерма проводилась врачом или хотя бы опытным квалифицированным косметологом. Кожа вокруг проблемного участка протирается эфиром или этиловым спиртом, потом применяется препарат. Может потребоваться предварительное удаление ороговевшего слоя кожи. Повторять процесс до тех пор, пока ткани не изменят свой цвет.

Если консервативные способы терапии не принесли результата, врачи рекомендуют более радикальные методы — хирургическое удаление нароста. Процедуры относятся к малоинвазивным операциям и зачастую выполняются под местной анестезией или совсем без обезболивания. Удалять образования самостоятельно в домашних условиях категорически запрещается.

Чтобы наверняка избавиться от бородавки используются:

  • хирургическое иссечение;
  • электрокоагуляция;
  • радиоволны;
  • крио-воздействие;
  • лазер.

Решать, что делать с бородавками, должен лечащий врач. Каждый способ имеет свои особенности, преимущества и недостатки.

Самым травматичным способом является классическое хирургическое иссечение. Назначают его при необходимости удалить бородавку с глубоким подкожным корнем. Анестезия при этой процедуре обязательна, процесс реабилитации достаточно долгий и болезненный.

Лазерное удаление считается наиболее комфортным и безболезненным методом, но процедура отличается высокой стоимостью. Вероятность рубцевания минимальна, рецидивы происходят редко. Заживление занимает несколько дней.

При электрокоагуляции воздействие на новообразование оказывается высокочастотным током. Кровь при этом исключается, но на месте ранки может остаться заметный рубец. Используется для маленьких наростов, не имеющих глубокого укоренения.

При радиоволновом удалении происходит разрез бородавочных тканей. Боли при процедуре нет, заживление — беспроблемное. При криозаморозке проблемный участок прижигается жидким азотом. Рубцевание тканей при этом исключается, но существует небольшой риск повторного появления бородавки на руке.

Правильное сбалансирование питание и здоровый образ жизни помогут укрепить организм для активного сопротивления вирусу. А для устранения новообразований допустимо использовать средства народной медицины. Перед выбором рецепта желательно проконсультироваться с врачом.

Небольшие наросты убираются с помощью чесночного сока. Свежий зубчик измельчается и помещается на вату или бинт. С помощью такого мешочка легко добыть из кашицы жидкость, которую следует наносить на бородавки. Подходит также сок алоэ: кусочек листа прикладывается к бородавке на ночь и закрепляется пластырем.

Для борьбы с крупными кондиломами эффективен сок чистотела. Подходит только свежее растение. Следует сорвать стебель и обработать нарост ярко-желтой жидкостью, которая появится на месте срыва. Смазывать бородавки нужно несколько раз в день, чем чаще — тем быстрее сойдет новообразование.

На ночь разрешается делать луковый компресс. Один средний корнеплод запекается в духовке, измельчается и остужается. Кашица прикладывается к бородавке, приматывается полиэтиленом и бинтом. Утром можно дополнительно обработать нарост соком алоэ или прижечь йодом.

Наиболее эффективный способ защиты от возникновения бородавок — вакцинация от ВПЧ. Но делать ее целесообразно еще в детском возрасте. Если вирус уже попал в организм, избавиться от него раз и навсегда не получится. Зараженному остается только бороться с появляющимися наростами или пытаться предотвратить их появление.

Инфицированный человек должен регулярно заниматься повышением иммунитета. Этому способствуют:

  • достаточное пребывание на свежем воздухе;
  • умеренные физические нагрузки;
  • правильное питание;
  • прием витаминно-минеральных комплексов;
  • отказ от вредных привычек;
  • избегать переохлаждений;
  • правильный распорядок дня.

Если проявляются симптомы любых заболеваний, не стоит пускать дело на самотек — следует обращаться к врачу и вовремя начинать лечение. Касается это и самих бородавок. Если они проявились однажды, необходимо узнать, как лечить новообразования.

Бородавки – кожные наросты, которые могут образовываться на любом участке тела. И руки не являются исключением. Если бородавки возникают на руках, то это не только неприятно, но еще и очень некрасиво. Поэтому перед обладателями подобных «подарков природы» встает вопрос о том, как от них избавиться. Однако лечение бородавок – это сложный процесс, который не всегда приводит к выздоровлению.

Но сначала разберемся в том, что же представляют собой эти кожные образования. Бородавка – это разросшаяся кожная ткань, точнее говоря, ткань верхних слоев кожи – эпидермиса. В медицине их относят к доброкачественным образованиям. Бородавки очень редко могут перерождаться в злокачественные опухоли.

От чего появляются бородавки, что стоит за этой болезнью? Причины появления большинства бородавок хорошо известны. Обычно болезнь является следствием заражения вирусом папилломы. Именно поэтому бородавки часто называют еще и папилломами. Попадая в организм, вирус заражает кожные ткани. Инкубационный период вируса составляет от месяца до полугода. По прошествии этого времени клетки кожи начинают усиленно воспроизводиться. В результате и появляются бородавки на руках.

У многих людей вирус никак себя не проявляет, и папилломы у них не возникают. Что не мешает им, однако, оставаться вирусоносителями.

Бородавками в равной степени болеют мужчины и женщины. Они могут возникать в любом возрасте. Однако чаще всего интенсивное возникновение бородавок происходит в период детства и юношества.

Обычно цвет бородавок совпадает с цветом кожи. Размер образований – от нескольких мм до 1 см. Форма бородавок – полукруглая или уплощенная. На ощупь бородавки кажутся плотными и сухими. Поверхность бородавок может быть как гладкой, так и шероховатой или покрытой бугорками. Бородавки могут встречаться как поодиночке, так и группами.

Существует несколько десятков разновидностей вируса папилломы человека. Тем или иным видом вируса заражено примерно 80% населения. Но не все виды вируса ответственны за образование бородавок на руках. Только у 20% людей эти кожные наросты возникают на руках.

К основным разновидностям бородавок относятся:

  • плоские,
  • подошвенно-ладонные,
  • вульгарные,
  • остроконечные,
  • кератомы,
  • нитевидные.

Бородавки на руках чаще всего относятся к классам вульгарных, подошвенно-ладонных и плоских. Разберем кратко особенности этих видов бородавок.

Вульгарные бородавки – разновидность бородавок, которая встречается чаще, чем все остальные. Она может появляться у людей любого возраста. Бородавки обычно имеют вид полушария, реже – конуса. Их цвет – телесный, серый или коричневый. Часто располагаются группами, могут срастаться друг с другом. Нередко появляются вблизи травмированных участков кожи.

В отличие от вульгарных бородавок, плоские бородавки чаще встречаются подростковом возрасте. Их отличает немного уплощенная форма. Размер плоских бородавок обычно небольшой – не более 3-4 мм. Цвет – розовый, желтый или телесный. Нередко данные образования проходят самостоятельно.

На руках могут появляться и подошвенные бородавки (шипицы). Эти бородавки нередко могут быть похожими на мозоли. Цвет варьируется от бледно-желтого до коричневого. В центре нередко бывает видно белое пятно. Это говорит о том, что в данном месте находится корень образования.

В пожилом возрасте (более 55 лет) на коже рук возможно появление еще одного вида бородавок – себорейных кератом. Эти бородавки не связаны с вирусом папилломы. Причины появления кератом точно не установлены. Цвет себорейных кератом обычно желтоватый или черный, они имеют круглую или овальную, слегка приплюснутую, форму. Размер – от 5 мм до 4 см.

Бородавки могут появляться на различных участках кожи рук – от локтевого сгиба до пальцев и ногтей. Обычно они не беспокоят пациента, хотя в некоторых случаях могут быть болезненными и вызывать зуд, особенно в том случае, если они располагаются на кончиках пальцев, возле ногтей, и т.д.

Поскольку бородавки вызываются вирусом папилломы, то появление бородавок (папилломатоз) относится к инфекционным заболеваниям. Причем это заболевание может передаваться от человека к человеку. Причины заражения не всегда могут быть очевидными. Это может быть непосредственный контакт, например, рукопожатие или использование общих предметов, например, полотенец, мочалок. Даже прикосновение к руке человека, покрытой бородавками, может привести к заражению. Передаваться вирус может и через дверные ручки, поручни в транспорте и т.д. Особенно вирус любит влажные и теплые помещения – бани, сауны, тренажерные залы, бассейны. А вот на открытом воздухе вирус быстро погибает.

Однако в большинстве случаев одного этого условия – попадания вируса на поверхность ладоней, недостаточно. Необходимо, чтобы на поверхности руки были бы небольшие ранки или трещины, через которые вирус мог бы попасть в глубинные слои кожи. Также на повышение вероятности заболевания папилломатозом влияют гормональные изменения и состояние иммунной системы человека. Ослабленный иммунитет приведет к тому, что вирус будет беспрепятственно размножаться в организме. А сильный иммунитет победит вирус, и бородавки на коже не возникнут. Или исчезнут вскоре после их возникновения. У здоровых людей примерно 75% бородавок рассасывается самопроизвольно в течение 3 лет после появления.

Оказывают свое влияние на развитие заболевания и другие причины:

  • вредные привычки,
  • недостаток витаминов,
  • неудовлетворительная гигиена рук,
  • слишком сухая или мокрая кожа,
  • стрессы,
  • переохлаждения,
  • применение иммуносупресорных препаратов,
  • повышенное потоотделение,
  • онихофагия (привычка грызть ногти).

Также больной может заражать бородавками сам себя. Этот процесс называется аутоинокуляцией. Например, если появились бородавки на стопе, больной начинает их трогать. В результате вирус переходит на руки, и на них тоже могут начать появляться папилломы.

Травмы и порезы кожи вблизи существующей бородавки могут привести к появлению новых бородавок в этом месте.

Если бородавки не беспокоят человека, то он обычно не стремится идти к врачу по этому поводу. И все-таки существует ряд симптомов, при которых рекомендуется обратиться к врачу за консультацией:

  • выделение жидкости из бородавок;
  • активное размножение папиллом;
  • изменение вида нароста;
  • увеличение размеров бородавок;
  • появление болезненности и зуда, признаков воспаления.

Диагностика бородавок не представляет значительной сложности. Обычно достаточно простого осмотра. И только в трети случаев требуются гистологические исследования. При диагностике применяются дерматоскопия, ПЦР-анализ на вирус. Себорейные кератомы необходимо дифференцировать от меланомы, а прочие виды бородавок – от сифилитических кондилом и мозолей. Последнее сделать очень легко, поскольку для этого существует ряд диагностических признаков. Во-первых, мозоль не причиняет боль при сдавливании. На мозоли отчетливо проявляется кожный рисунок. Кроме того, мозоль не кровоточит при травмах, в отличие от папилломы.

Часто папилломы у человека остаются на всю жизнь. Однако в юношеском и детском возрасте возможно самопроизвольное исчезновение папиллом.

Однако взрослым пациентам особо надеяться на это не стоит. Разумеется, бородавка может пройти и сама собой. Но обычно папилломы остаются на теле и даже увеличиваются в числе. Поэтому для избавления от кожных новообразований необходимо провести их лечение. Ведь папилломы не только легко травмируются и кровоточат, они также и выглядят неэстетично. Посторонние избегают общения с человеком, покрытым кожными наростами, боясь заражения (и не без оснований). В результате у самого больного развивается комплекс неполноценности, что приводит к стрессам, неврозам и, как следствие, ко многим другим болезням. Помимо этого существует риск переноса вируса на другие участки тела, например, на лицо.

Прочие показания к лечению папилломатоза:

  • слишком большой размер образований,
  • воспаление папиллом,
  • состояние иммунодефицита у пациента,
  • высокая вероятность травмирования образований.

Специфической терапии, направленной на вирус папилломы человека, не существует. Поэтому лечение папилломатоза носит в основном симптоматический характер и сводится к удалению образований. Прочие методы лечения, такие, как укрепление иммунитета, имеют вспомогательное значение.

Для укрепления иммунитета и неспецифической антивирусной терапии применяются средства с интерфероном и иммуномодуляторы (Циклоферон, Виферон, изопринозин), витаминные комплексы.

Папилломы на руке вылечить проще, чем на других участках тела. Связано это с тем, что кожа на руке относительно грубая, и после удаления наростов образуются сравнительно небольшие рубцы, которые относительно быстро заживают.

Удалять папилломы можно как медикаментозным методом, так и аппаратным или хирургическим. Многие пациенты предпочитают щадящее действие лекарственных средств. Кроме того, курс лечения при помощи препаратов в домашних условиях часто обходится дешевле, чем удаление образований у врача. Однако недостатком домашнего лечения может быть его значительная продолжительность.

Аппаратные и хирургические методы помогают избавиться от папилломы за 1-2 сеанса. За этим может последовать относительно короткий период реабилитации, пока кожа будет заживать.

Из медикаментозных средств чаще всего используются:

  • кератолитические препараты,
  • препараты на основе кислот и щелочей (Суперчистотел, Солкодерм),
  • препараты на основе нитрата серебра,
  • противоопухолевые средства (Фторурацил),
  • препараты фенола (Веррукацид),
  • оксолиновая мазь,
  • настойка йода,
  • перекись водорода,
  • ляписный карандаш,
  • народные средства на основе трав,
  • замораживающие аэрозоли (Вартнер Крио, Криофарма).

Из кератолитиков (препаратов, ускоряющих отшелушивание эпидермиса) наибольшее распространение получила салициловая кислота. К сожалению, выведение папиллом при помощи этого препарата – небыстрый процесс, который может занять несколько месяцев. То же можно сказать и об использовании некротизирующих препаратов, растворов кислот и щелочей, народных средств.

В качестве примера препарата, содержащего салициловую кислоту, можно привести Колломак. Его необходимо наносить на образование 2 раза в день. Курс терапии составляет неделю.

Суперчистотел – одно из самых популярных средств для выведения папиллом. Оно состоит из смеси сильных щелочей. Препарат наносится на образование при помощи пластикового аппликатора. Курс терапии – 3 дня.

Среди народных средств широкое распространение получил сок чистотела – растения, которое издавна использовалось в народной медицине в качестве средства от папиллом. Собственно говоря, об этом свидетельствует даже само название растения. Соком чистотела следует смазывать образование раз в день. Если средство вызывает сильное жжение, то можно проводить данную процедуру раз в два дня. Также используют отвар или настойку чистотела. Их прикладывают к папилломе несколько раз в день. Другие растительные средства, применяемых для терапии папиллом – сок чеснока, картофеля, каланхоэ и алоэ.

Криофарма – препарат, содержащий диметиловый эфир и пропан. Лечебный эффект возникает благодаря созданию низкой (до –60°С) температуры при распылении аэрозольного баллончика. Курс терапии – 10-14 дней.

При выведении папиллом лекарственными препаратами необходимо предварительно размягчить кожу при помощи теплых ванночек. Токсичные препараты следует наносить точечно, на сами кожные выросты, и следить за тем, чтобы состав не попал бы на здоровую кожу. Для защиты участков кожи за пределами наростов на эти участки можно нанести вазелин. Если папиллом в определенном месте растет несколько, то начинать лечение следует с самой большой из них (материнской). Если она пройдет, то велика вероятность, что исчезнут и остальные.

Перед началом терапии медикаментозными средствами и препаратами на основе растений, следует убедиться в том, что образование имеет доброкачественную природу. Для этого необходимо предварительно проконсультироваться у специалиста.

К аппаратным и хирургическим методам пациенты чаще всего прибегают в случае неэффективности медикаментозных. К аппаратным методикам относятся:

  • радиоволновой,
  • криогенный,
  • лазерный,
  • электрокоагуляционный.

При радиоволновом методе основным инструментом является радионож. Он испускает радиоволны высокой частоты, которые нагревают папиллому и удаляют ее с поверхности кожи. При лазерном методе на нарост направляются лучи лазера высокой энергии. Однако результат при этом получается аналогичный – бородавка очень быстро выжигается с поверхности кожи. Период реабилитации занимает немного времени – примерно 15-20 дней. Другие достоинства радиоволнового и лазерного метода – их бесконтактность и безболезненность, отсутствие рубцов. Однако эти методы довольно дороги. Если папиллом достаточно много, то терапия может оказаться пациенту не по карману.

В отличие от лазерного и радиволнового метода при электрокоагуляционном применяются электроды, которые касаются поверхности кожи. Через них пропускается ток высокой частоты, действующий на местном уровне, который также эффективно выжигает папиллому с поверхности кожи. Однако этот метод эффективен только при образованиях небольшого размера.

Удалять папилломы можно не только теплом, но и холодом. На этой особенности основан криогенный метод. Поверхность папилломы при этом обрабатывается жидким азотом с температурой –200 °С. Это также вызывает разрушение тканей, пораженных патологией. Рубцы после удаления папилломы отсутствуют. Длительность процедуры составляет всего несколько минут. Эта операция не всегда безболезненна, поэтому проводится под местной анестезией. Время восстановления тканей после процедуры – 10-15 дней.

Хирургический метод в последнее время стал менее популярен. Однако он достаточно дешев и универсален. В частности, он показан для удаления папиллом с глубоко залегающим корнем. Метод заключается в вырезании папилломы обычным скальпелем. Операция проводится под местным обезболиванием. Недостаток метода – большой шов и длительный период восстановления.

Вырезать папилломы самостоятельно в домашних условиях запрещается. Такая операция может привести к сепсису, нагноению, тяжелым воспалительным процессам.

Ни один способ удаления папиллом не дает стопроцентной гарантии того, что не будет рецидива. Ведь вирус из организма никуда не исчезнет, и при ослаблении иммунитета вновь даст о себе знать в виде появления нового кожного нароста. Через 3-4 месяца папилломы вновь возникают у 20% пациентов. Наибольший процент рецидивов – после удаления хирургическим методом, наименьший – при лазерном методе.

Профилактику папилломатоза необходимо начинать еще в детстве – ведь значительная часть кожных наростов образуется именно в этом возрасте. Возникновение папиллом свидетельствует о том, что иммунная система у человека не в порядке. Поэтому нужно заниматься ее укреплением:

  • соблюдать распорядок дня и нормализовать сон;
  • следить за рационом, который должен содержать достаточное количество витаминов и минералов;
  • лечить простудные заболевания;
  • заниматься физкультурой и спортом.

Взрослым необходимо отказаться от вредных привычек. Рекомендуется следить за тем, чтобы вирус не попал в организм. Для этого необходимо соблюдать элементарную гигиену кожи, лечить ранки и травмы, не пользоваться чужими вещами личной гигиены, такими, как полотенца.

Появлению бородавок способствует поражение кожных покровов вирусом папилломы. Заразится таким видом инфекционного заболевания, может абсолютно каждый человек, чаще всего такие образования появляются на руках.

Появление бородавки очень часто сопровождается большим количеством неприятных симптомов, и имеют неэстетический вид. Многие люди не знают, что предпринимать при появлении бородавки на руках и чем лечить образование, поэтому рекомендовано обращаться в таких ситуациях к специалисту.

Бородавки на руках могут быть различной формы и цвета, чаще всего коричневого или светлого цвета в и виде плотных узелков с шероховатой поверхностью. Сами образования на руках редко вызывают неприятные ощущения, однако, при частых контактах с жидкостью и твердыми предметами бородавки повреждаются, и появляется болезненные ощущения и зуд.

Очень часто при отсутствии лечения единичного образования на руках появляются другие бородавки. Кроме того, сможет увеличиться риск занесения инфекции в места поражения на руках, что приведет к воспалительным образованиям и необходимости удалять бородавки на руках хирургическим вмешательством.

Бородавки образовываются между пальцами рук вследствие большого количества причин:

  • В результате снижения защитных функций организма;
  • Неправильное питание употребление большого количества вредных продуктов;
  • Частые стрессовые ситуации;
  • Недостаточное количество витаминов в организме;
  • Появление мелких царапин и порезов, которые не были своевременно обработаны антибактериальным средством;
  • Сбои функционирования сальных желез на руках;
  • Гормональные сбои;
  • Неправильная гигиена рук.

Бородавки на руках являются инфекционным видом заболевания кожных покровов.

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%0A

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%0A

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%0A

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%0A

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%0A

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    %0A

    %D0%94%D0%BB%D1%8F%20%D0%B2%D0%B7%D1%80%D0%BE%D1%81%D0%BB%D1%8B%D1%85%20%D0%BB%D1%8E%D0%B4%D0%B5%D0%B9%20%D0%BD%D0%B0%D0%B8%D0%B1%D0%BE%D0%BB%D0%B5%D0%B5%20%D1%87%D0%B0%D1%81%D1%82%D0%BE%20%D0%B8%D1%81%D0%BF%D0%BE%D0%BB%D1%8C%D0%B7%D1%83%D1%8E%D1%82%D1%81%D1%8F%20%D1%81%D0%BB%D0%B5%D0%B4%D1%83%D1%8E%D1%89%D0%B8%D0%B5%20%D1%80%D0%B5%D1%86%D0%B5%D0%BF%D1%82%D1%8B%20%D1%83%D1%81%D1%82%D1%80%D0%B0%D0%BD%D0%B5%D0%BD%D0%B8%D1%8F%20%D0%B1%D0%BE%D1%80%D0%BE%D0%B4%D0%B0%D0%B2%D0%BE%D0%BA%20%D0%BD%D0%B0%20%D1%80%D1%83%D0%BA%D0%B0%D1%85:

    %0A

      %0A
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    • %D0%A1%D0%BE%D0%BA%20%D0%BB%D0%B8%D0%BC%D0%BE%D0%BD%D0%B0%20%E2%80%93%20%D0%B4%D0%BB%D1%8F%20%D1%82%D0%BE%D0%B3%D0%BE%20%D1%87%D1%82%D0%BE%D0%B1%D1%8B%20%D0%B2%D1%8B%D0%B6%D0%B5%D1%87%D1%8C%20%D0%B1%D0%BE%D1%80%D0%BE%D0%B4%D0%B0%D0%B2%D0%BA%D1%83%20%D0%BD%D0%B0%20%D1%80%D1%83%D0%BA%D0%B5%20%D0%BD%D0%B5%D0%BE%D0%B1%D1%85%D0%BE%D0%B4%D0%B8%D0%BC%D0%BE%20%D0%BD%D0%B0%D0%BD%D0%BE%D1%81%D0%B8%D1%82%D1%8C%20%D1%82%D0%BE%D1%87%D0%B5%D1%87%D0%BD%D1%8B%D0%BC%20%D1%81%D0%BF%D0%BE%D1%81%D0%BE%D0%B1%D0%BE%D0%BC%20%D1%81%D0%BE%D0%BA%20%D0%BB%D0%B8%D0%BC%D0%BE%D0%BD%D0%B0%20%D0%BD%D0%B0%20%D0%BF%D0%BE%D0%B2%D0%B5%D1%80%D1%85%D0%BD%D0%BE%D1%81%D1%82%D1%8C%20%D0%BE%D0%B1%D1%80%D0%B0%D0%B7%D0%BE%D0%B2%D0%B0%D0%BD%D0%B8%D1%8F%20%D1%87%D0%B5%D1%80%D0%B5%D0%B7%20%D0%BA%D0%B0%D0%B6%D0%B4%D1%8B%D0%B5%20%D1%82%D1%80%D0%B8%20%D1%87%D0%B0%D1%81%D0%B0.%20%D0%9F%D0%BE%D1%81%D0%BB%D0%B5%20%D0%BD%D0%B0%D0%BD%D0%B5%D1%81%D0%B5%D0%BD%D0%B8%D1%8F%20%D0%B1%D0%BE%D1%80%D0%BE%D0%B4%D0%B0%D0%B2%D0%BA%D1%83%20%D0%BD%D0%B5%D0%BE%D0%B1%D1%85%D0%BE%D0%B4%D0%B8%D0%BC%D0%BE%20%D0%B7%D0%B0%D0%BA%D0%BB%D0%B5%D0%B8%D1%82%D1%8C%20%D0%BF%D0%BB%D0%B0%D1%81%D1%82%D1%8B%D1%80%D0%B5%D0%BC.%20%D0%A1%D1%80%D0%BE%D0%BA%20%D0%BB%D0%B5%D1%87%D0%B5%D0%BD%D0%B8%D1%8F%20%D0%BD%D0%B5%20%D0%B1%D0%BE%D0%BB%D0%B5%D0%B5%2010%20%D0%B4%D0%BD%D0%B5%D0%B9; %0A
    • %D0%9A%D0%BE%D0%BC%D0%BF%D1%80%D0%B5%D1%81%D1%81%20%D0%B8%D0%B7%20%D0%BB%D1%83%D0%BA%D0%B0%20%D0%B8%20%D1%83%D0%BA%D1%81%D1%83%D1%81%D0%B0%20%E2%80%93%20%D0%BF%D0%BE%D0%BB%D0%BE%D0%B2%D0%B8%D0%BD%D1%83%20%D1%80%D0%B5%D0%BF%D1%87%D0%B0%D1%82%D0%BE%D0%B3%D0%BE%20%D0%BB%D1%83%D0%BA%D0%B0%20%D0%BD%D0%B5%D0%BE%D0%B1%D1%85%D0%BE%D0%B4%D0%B8%D0%BC%D0%BE%20%D0%B8%D0%B7%D0%BC%D0%B5%D0%BB%D1%8C%D1%87%D0%B8%D1%82%D1%8C%20%D0%B4%D0%BE%20%D1%81%D0%BE%D1%81%D1%82%D0%BE%D1%8F%D0%BD%D0%B8%D1%8F%20%D0%BA%D0%B0%D1%88%D0%B8%20%D0%B8%20%D1%81%D0%BC%D0%B5%D1%88%D0%B0%D1%82%D1%8C%20%D1%81%20%D0%BB%D0%BE%D0%B6%D0%BA%D0%BE%D0%B9%20%D1%83%D0%BA%D1%81%D1%83%D1%81%D0%B0,%20%D0%BD%D0%B0%D0%BD%D0%BE%D1%81%D0%B8%D1%82%D1%8C%20%D0%BF%D0%BE%D0%BB%D1%83%D1%87%D0%B5%D0%BD%D0%BD%D1%8B%D0%B9%20%D0%BA%D0%BE%D0%BC%D0%BF%D1%80%D0%B5%D1%81%D1%81%20%D0%B4%D0%B2%D0%B0%20%D1%80%D0%B0%D0%B7%D0%B0%20%D0%B2%20%D0%B4%D0%B5%D0%BD%D1%8C,%20%D0%B7%D0%B0%D1%84%D0%B8%D0%BA%D1%81%D0%B8%D1%80%D0%BE%D0%B2%D0%B0%D1%82%D1%8C%20%D0%BF%D0%BE%D0%B2%D1%8F%D0%B7%D0%BA%D0%BE%D0%B9.%20%D0%98%D1%81%D0%BF%D0%BE%D0%BB%D1%8C%D0%B7%D0%BE%D0%B2%D0%B0%D1%82%D1%8C%20%D0%B4%D0%BE%20%D0%BF%D0%BE%D0%BB%D0%BD%D0%BE%D0%B3%D0%BE%20%D0%B8%D1%81%D1%87%D0%B5%D0%B7%D0%BD%D0%BE%D0%B2%D0%B5%D0%BD%D0%B8%D1%8F%20%D0%BE%D0%B1%D1%80%D0%B0%D0%B7%D0%BE%D0%B2%D0%B0%D0%BD%D0%B8%D1%8F. %0A

    %0A

    В детском возрасте необходимо с особой осторожностью проводить такие виды лечения в домашних условиях.

    Наиболее часто используют такие средства:

    • Компресс из картофеля – половину клубня картофеля измельчить и наложить на место образования, компресс накладывается перед сном. Рекомендовано проводить в течение 5 дней для детей старше 3 лет;
    • Сок одуванчика – необходимо сок свежо сорванного растения наносить на бородавку на руке ребенка и заклеивать пластырем. Курс лечения не более 3 дней. Применяется с возраста 5 лет;
    • Отвар череды – необходимо столовую ложку череды залить стаканом кипятка, настаивать в течение 40 минут. Ватный диск смочить отваром и прикладывать к бородавке на руке, менять компресс через каждые два часа. Курс лечения производится в течение 5 дней. Допустимый возраст для лечения от 6 месяцев.

    Для того чтобы предотвратить возникновение бородавок на руках необходимо соблюдать следующие методы профилактики:

    • %D0%A2%D1%89%D0%B0%D1%82%D0%B5%D0%BB%D1%8C%D0%BD%D0%BE%20%D0%BC%D1%8B%D1%82%D1%8C%20%D1%80%D1%83%D0%BA%D0%B8%20%D1%81%20%D0%B0%D0%BD%D1%82%D0%B8%D0%B1%D0%B0%D0%BA%D1%82%D0%B5%D1%80%D0%B8%D0%B0%D0%BB%D1%8C%D0%BD%D1%8B%D0%BC%D0%B8%20%D1%81%D1%80%D0%B5%D0%B4%D1%81%D1%82%D0%B2%D0%B0%D0%BC%D0%B8; %0A
    • %D0%A1%D0%B2%D0%BE%D0%B5%D0%B2%D1%80%D0%B5%D0%BC%D0%B5%D0%BD%D0%BD%D0%BE%20%D0%BE%D0%B1%D1%80%D0%B0%D0%B1%D0%B0%D1%82%D1%8B%D0%B2%D0%B0%D1%82%D1%8C%20%D0%BF%D0%BE%D0%B2%D1%80%D0%B5%D0%B6%D0%B4%D0%B5%D0%BD%D0%B8%D1%8F%20%D0%BA%D0%BE%D0%B6%D0%B8%20%D0%B0%D0%BD%D1%82%D0%B8%D1%81%D0%B5%D0%BF%D1%82%D0%B8%D0%BA%D0%BE%D0%BC; %0A
    • %D0%9F%D0%BE%D1%82%D1%80%D0%B5%D0%B1%D0%BB%D1%8F%D1%82%D1%8C%20%D1%81%D0%BF%D0%B5%D1%86%D0%B8%D0%B0%D0%BB%D1%8C%D0%BD%D1%8B%D0%B5%20%D0%B2%D0%B8%D1%82%D0%B0%D0%BC%D0%B8%D0%BD%D0%BD%D1%8B%D0%B5%20%D0%BA%D0%BE%D0%BC%D0%BF%D0%BB%D0%B5%D0%BA%D1%81%D1%8B%20%D0%B4%D0%BB%D1%8F%20%D1%83%D0%B2%D0%B5%D0%BB%D0%B8%D1%87%D0%B5%D0%BD%D0%B8%D1%8F%20%D1%81%D0%BE%D0%BF%D1%80%D0%BE%D1%82%D0%B8%D0%B2%D0%BB%D1%8F%D0%B5%D0%BC%D0%BE%D1%81%D1%82%D0%B8%20%D0%BF%D0%B5%D1%80%D0%B5%D0%B4%20%D0%B2%D0%B8%D1%80%D1%83%D1%81%D0%B0%D0%BC%D0%B8%20%D0%B8%D0%BC%D0%BC%D1%83%D0%BD%D0%BD%D0%BE%D0%B9%20%D1%81%D0%B8%D1%81%D1%82%D0%B5%D0%BC%D1%8B; %0A
    • %D0%9F%D0%BE%D1%81%D0%BB%D0%B5%20%D0%BF%D0%BE%D1%81%D0%B5%D1%89%D0%B5%D0%BD%D0%B8%D1%8F%20%D0%BC%D0%B5%D1%81%D1%82%20%D1%81%20%D0%BF%D0%BE%D0%B2%D1%8B%D1%88%D0%B5%D0%BD%D0%BD%D0%BE%D0%B9%20%D0%B2%D0%BB%D0%B0%D0%B6%D0%BD%D0%BE%D1%81%D1%82%D1%8C%D1%8E%20%D0%BF%D1%80%D0%B8%D0%BD%D0%B8%D0%BC%D0%B0%D1%82%D1%8C%20%D0%B4%D1%83%D1%88; %0A
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