Домой Бородавки Бородавки на руках: консервативное лечение или удаление?

Бородавки на руках: консервативное лечение или удаление?

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Медицинский арсенал против бородавок на руках

На любом участке тела могут сформироваться наросты вирусного происхождения. Бородавки на руках, лице и ногах — наиболее распространенное проявление ВПЧ (вируса папилломы человека). Ученые доказали, что инфекция проявляется по-разному, в зависимости от генотипа вируса. Всего открыто более 100 генотипов, как безвредных, так и способных вызвать рак. Поэтому обязательно проконсультироваться с дерматологом, чтобы специалист определил тип и характер роста новообразования, дифференцировал ее от похожих кожных опухолей.

Бородавчатые наросты на пальцах и ладонях — причины появления

От 10% до 20% детей школьного возраста сталкивались с такой проблемой, как ВПЧ. Есть вирусы, которые преимущественно действуют на кожный покров верхних конечностей и вызывают появление бородавок на руках в области кистей и локтей. Инфекция передается в условиях повышенной температуры и влажности. Прием ванны и душа, посещение бани, купание в бассейне способствует быстрому распространению ВПЧ. Здесь существуют благоприятные факторы для передачи вирусов.

При неблагоприятном сочетании гормональных изменений и снижения защитных сил организма увеличивается риск активизации вируса папилломы. Среди причин ослабления иммунитета врачи чаще всего упоминают плохое питание, плохую экологию, стресс, усталость.

Способствуют активизации папилломавирусов:

  • респираторные вирусные инфекции, простуды;
  • избыточное производство кожного сала;
  • пренебрежение правилами гигиены;
  • заболевания внутренних органов;
  • царапины и ссадины на коже;
  • потливость.

Заражение различными типами ВПЧ легче происходит при наличии микротравм на теле, а ребенку трудно избежать всевозможных царапин и ссадин. Однако не все заразившиеся люди страдают от бородавок. Появление новообразований на коже зависит от состояния общего и местного иммунитета, предрасполагающих факторов. Сильная защита в случае инфицирования останавливает развитие вируса, переводит его в спящее состояние.

Локализация бородавок на руках объясняется частым соприкосновением кожи верхних конечностей дома и на улице, в транспорте. Ребенок, заметивший бугорок на руке, стремится расцарапать его, что способствует распространению ВПЧ на другие участки тела. Росту околоногтевых бородавок способствует привычка грызть ногти.

После заражения ВПЧ инфекция проникает в организм. ДНК вируса в базальном слое кожи вызывает усиление пролиферации клеток — быстрое созревание и кератинизацию. Увеличение кровоснабжения места активности ВПЧ тоже ускоряет деление зараженных клеток. Если процесс идет стремительно, то кожная опухоль появляется в течение 1–2 недель.

Бородавки на кистях рук: вульгарные и плоские

Многие знают или представляют, как выглядят бородавки на руках, но не подозревают о существовании различий между ними. Вульгарные наросты вирусного происхождения составляют до 70% всех кожных опухолей. Такие бородавки, как на фото, представляют собой узелки округлой формы, диаметром 3–10 мм, плотной консистенции. Они шероховатые на ощупь, имеют телесную, розовую или светло-коричневую окраску. Возникают на тыльной и внутренней стороне кисти.

Другие виды бородавок возникают под ногтем на руке (околоногтевые). Они наиболее болезненные, труднее поддаются лечению. Плоские бородавки составляют примерно 4% от всех случаев. Это маленькие наросты, округлой или овальной формы, от 1 до 9 мм в диаметре, слегка приподнятые над кожей, как волдыри после ожога крапивой. Поверхность гладкая, цвет розоватый, телесный или желто-коричневый.

Типичная локализация плоских бородавок — на тыльной стороне кисти, на локте, на коленях и наружной поверхности стопы. Не встречаются на подошвах и на ладонях. Отдельные мелкие бородавки на руках могут сливаться в большие группы, на этом участке появляется зуд, жжение. Чаще страдают дети и подростки. После полового созревания такие наросты исчезают сами по себе и больше не появляются. Также не отмечено развитие этого типа кожных опухолей у людей старше 40 лет.

Бородавки на кистях рук: лечить или не лечить?

Если беспокоит внешний вид наростов на коже, возникает дискомфорт, то нужно проконсультироваться с врачом. Специалист знает, как выглядят бородавки на руках, объяснит, какие существуют варианты лечения. Доктор поможет пациенту выбрать метод удаления нароста на коже, исходя из типа новообразования и финансовых возможностей клиента.

Обязательно проводят лечение бородавок на руках в следующих ситуациях:

  • возникли язвы, кровотечения в области бородавки;
  • стали появляться дочерние новообразования;
  • бородавка начала быстро расти;
  • наросты сливаются в группы.

Хотя сами по себе бородавки не опасны для жизни и здоровья человека, не болезненны, однако не следует пренебрегать лечением. Появление наростов вирусного происхождения сигнализирует о сбое в работе иммунной системы организма. Даже при наличии одной опухоли на руке повышается вероятность инфицирования других участков тела, в том числе лица и половых органов. Случайное травмирование бородавки может вызвать развитие бактериальной инфекции, нагноение.

Вульгарные, плоские и околоногтевые бородавки не относятся к злокачественным новообразованиям. Однако существует вероятность перерождения в раковую опухоль любого нароста на теле. Есть случаи самостоятельной регрессии кожных опухолей на пальцах и ладонях. Так, около 75% образований спонтанно исчезает в течение 2–3 лет. Успешное лечение и удаление, а также регрессия, не гарантируют полного выздоровления. Вирус сохраняется в организме в неактивном состоянии, поэтому наросты вновь могут сформироваться при снижении иммунной защиты.

Как избавиться от бородавок на пальцах и ладонях?

Все существующие способы удаления доброкачественных наростов на руках относятся к нескольким группам. Наиболее востребованные — недорогие медикаменты и средства народной медицины. Хирургическое лечение, а именно выскабливание патологических тканей, используется все реже. Более перспективные методики — удаление бородавок на руках лазером, радиоволнами, жидким азотом или электрической коагуляцией. Все способы можно сопровождать применением иммуномодулирующих и противовирусных средств.

Выбор процедуры зависит от типа, местоположения и размера нароста. После применения большинства методик остаются шрамы или меняется цвет участка кожи. Также некоторые способы и средства нельзя использовать, если бородавок много, они крупные. Некоторые процедуры могут быть слишком болезненными, особенно для детей.

Криотерапия широко используется благодаря доступности замораживающих агентов, простоте выполнения манипуляций. В домашних условиях можно воспользоваться аэрозолем Криофарма. Однако после оттаивания ощущается сильная боль, появляется крупный волдырь, часто с кровянистым содержимым. Кроме того, именно при заморозке возникает большой риск образования рубцов. В некоторых случаях требуется повторное лечение, так как бородавки снова растут.

Для достижения наилучшего косметического эффекта врачи рекомендуют лазерную терапию. Почему? Хороший специалист контролирует интенсивность и глубину воздействия луча на патологические ткани. После процедуры лучше проходит заживление на месте удаленного нароста.

Электрокоагуляция — еще один бескровный метод борьбы с бородавками. Ток высокой частоты используется для избавления от маленьких наростов на кистях рук и коленях. На подошвах ног электрокоагуляция применяется редко.

Бородавки на руке: удаление аптечными средствами

Вещества для растворения и прижигания наростов на кистях рук относятся к разным классам. Это могут быть кислоты (азотная, трихлоруксусная, салициловая, молочная). Препараты, которые содержат эти вещества: Колломак, Солкодерм, Салициловый спирт. Салициловую мазь следует применять длительно — 1–3 недели.

Можно воспользоваться жидкостями Суперчистотел или Суперчистотело леккер, содержащими щелочные растворы. Сходным образом действуют на кожные образования фенол и трикрезол в составе препаратов Веррукацид, Ферезол. Если применять эти средства из аптеки, то потребуется одна процедура.

Традиционно используется ляписный карандаш, который содержит нитрат серебра (азотнокислая соль). Щелочные растворы и ляпис — самые дешевые средства в аптеках. Их недостатки заключаются в привыкании, рецидивах, покраснении или почернении кожи.

Следует осторожно применять все перечисленные вещества, так как они могут вызвать ожоги расположенных рядом здоровых тканей. Лучше, если первую процедуру выполнит врач, затем можно дома самостоятельно действовать по инструкции доктора. Желательно наносить на здоровую кожу вокруг бородавки жирный крем для рук.

Перед использованием любого из аптечных препаратов или средств альтернативной медицины необходимо в течение 5–10 минут распарить пораженный участок. Затем нужно потереть твердую бородавку пемзой или срезать роговой валик маникюрными ножницами. Затем надо обработать кожу антисептическим раствором, высушить и нанести средство против бородавок.

Данный материал размещен в познавательных и ознакомительных целях, не является профессиональным медицинским советом либо научным материалом и не может служить заменой врачебной консультации.

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