Домой Бородавки Бородавки у детей виды, причины и лечение в домашних условиях

Бородавки у детей виды, причины и лечение в домашних условиях

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Бородавки у детей на стопе, на пальце как избавиться в домашних условиях

Бородавки — это доброкачественные образования вирусной природы. Сами по себе неприятные наросты не представляют угрозы для здоровья. Риск заключается в том, что выступающие шипицы легко травмируются, создавая угрозу занесения инфекции в кровь. Бородавки на руках или лице у детей, особенно в подростковом возрасте, могут стать причиной серьезных социальных проблем. Самолечением заниматься не стоит – многие средства, в том числе народные, для детей запрещены. При появлении папиллом необходимо обратиться к врачу, выяснить причину их формирования, пройти назначенный курс лечения.

Почему у ребенка появляются бородавки

Бородавки у детей появляются при заражении вирусом папилломы человека. Данный микроорганизм признан самым распространенным в мире. Науке известны около ста штаммов ВПЧ. Достоверно установлено, что его носителями являются более 70% людей. Передается патоген от человека к человеку контактно-бытовым путем.

В некоторых случаях вирус переходит ребенку от женщины во время родов, но чаще им заражаются малыши в возрасте от трех до пяти лет. В это время дети активно познают окружающий мир через прикосновения к предметам, повреждают кожу, не соблюдают правила личной гигиены.

Следующий пик распространения папиллом приходится на подростковый возраст, затем процесс идет на спад. Лечение бородавок у детей требуется не всегда, в большинстве случаев (по данным исследований в 93%) они проходят сами, после стабилизации гормонального фона, полноценного формирования иммунной системы. Перед исчезновением наросты могут чернеть, покрываться сосудистыми звездочками.

Если папилломавирусная инфекция принимает хронический характер течения, потребуется квалифицированная терапия. ВПЧ приживается в базальном слое эпидермиса, накапливается в клетках слизистых оболочек ребенка. В период от одного до шести месяцев после заражения патология протекает в скрытой форме. Если иммунитет крепкий, такая ситуация продлится долгие годы. Человек может даже не подозревать о наличии вируса в организме, но являться его носителем.

Активизироваться патоген может в любой момент, под влиянием ряда провоцирующих факторов. У детей распространенными «спусковыми крючками» его пробуждения являются:

  • привычка обгрызать ногти;
  • избыточное потоотделение;
  • недосып;
  • расчесывание следов от комариных укусов;
  • постоянные стрессы;
  • подростковые гормональные сбои;
  • переутомление;
  • часто повторяющиеся простудные заболевания;
  • отказ носить перчатки зимой и осенью;
  • авитаминоз;
  • постоянный контакт с носителем вируса;
  • использование чужих банных принадлежностей;
  • «сидячий» образ жизни;
  • натирающие шею воротнички;
  • курсовой прием антибиотиков.

Главное условие активации патогена с последующим формированием папиллом — сниженный иммунитет. Паниковать не стоит, но в некоторых случаях необходимо срочно обратиться к детскому врачу-дерматологу.

Это нужно сделать, если бородавка:

  • стремительно увеличивается;
  • кровоточит;
  • опухает;
  • меняет цвет;
  • воспаляется;
  • вызывает покалывающую боль.

Консультация специалиста потребуется, если шипицы появляются группами, которые сливаются в одно образование.

Диагностика заболевания

Дифференциальная диагностика бородавок направлена на исключение таких патологий, как:

  • контагиозный моллюск;
  • плоский красный лишай;
  • бородавчатый туберкулез.

Врач выслушает пациента, осмотрит проблемные участки кожи. Для уточнения диагноза потребуются лабораторные исследования. Это могут быть:

  • анализ крови на предмет обнаружения вируса папилломы человека;
  • гистология;
  • кольпоскопия;
  • соскоб тканей;
  • исследование молекул ДНК.

По результатам анализов определяют тип бородавки, при необходимости назначают лечение.


  • Разновидности и симптомы

    Бородавки у детей могут локализоваться на разных участках тела. У младенцев, заразившихся от матери при рождении, они обычно появляются на губах или слизистых оболочках органов носоглотки. Для малышей дошкольного возраста характерны папилломы на коленках, кистях, пальцах рук, ладошках. У подростков они концентрируются на спине, лице. Образования бывают одиночными либо множественными.

    ВПЧ видоизменяет клеточную структуру тканей кожи, слизистых оболочек, на поверхности тела формируются наросты. Они различаются по форме, размеру, цвету. Специалисты выделяют несколько видов папиллом. Разберем подробнее самые распространенные из них.

    Обыкновенная

    Самой распространенной разновидностью наростов являются обыкновенные (или вульгарные) образования. Они выглядят как небольшие шарики сероватого, желтого либо телесного цвета. Возвышаются над поверхностью кожи примерно на 5 мм.

    Вульгарные выросты твердые, сухие, с шероховатой поверхностью. Иногда на шипицах заметны черные точечки, которые принято считать корешками образований. На самом деле — это микротромбы капилляров.

    Такие папилломы обычно безболезненны. Проблема в том, что чаще всего появляются такие бородавки у детей на руках, их легко травмировать. Маленькие дети отдирают шипицы самостоятельно. Это приводит к образованию ранок, еще большему разрастанию колоний наростов. Вирус распространяется на ткани лица.

    Плоская

    Плоские бородавки у детей чаще появляются в подростковом возрасте, под воздействием гормональных перестроек в организме. Они имеют гладкую поверхность желтого либо розоватого оттенка. Основная папиллома обычно сливается с «дочерними» образованиями. Формируется пятно с размытыми контурами. Плоская шипица приподнимается над кожей не более чем на пару миллиметров.

    Чаще всего подобные наросты локализуются в области:

    Такая папиллома может чесаться, вызывать болезненные ощущения.

    Лечение плоских бородавок на лице у ребенка нужно обязательно доверить специалисту. Выводя их народными средствами, можно спровоцировать образование рубцовой ткани на открытых участках кожи, что станет причиной насмешек одноклассников, развития комплексов у подростков.

    Филиформная

    Филиформные (или нитевидные) новообразования у детей встречаются редко. Такая папиллома представляет собой длинный тонкий нарост на ножке. Чаще формируются на веках, носу, шее, в уголках губ, на слизистых оболочках.

    Устранить такие новообразования нужно как можно скорее. Они очень заметны, «благодаря» своей форме легко надрываются, травмируются, начинают болеть и кровоточить.

    Подошвенная

    Подошвенная бородавка у ребенка требует лечения, потому что причиняет больше всего дискомфорта. Такие образования принято называть куриными жопками за их специфический внешний вид. Папиллома выглядит как ороговевший участок на стопе, чуть приподнятый, заключенный в своеобразное кольцо. По центру расположены черные точечки — капиллярные тромбы. Запущенные выросты покрываются бороздками, напоминающими соцветия цветной капусты, приобретают серый цвет. Подошвенные папилломы плоские или вдавлены, могут соединяться в мозаичные (кластерные) шипицы.

    Удаление подошвенных бородавок проходит трудно, в запущенных случаях длится несколько месяцев.

    Бородавки располагаются в разных частях стопы:

    Изредка формируются на ладонях ребенка. Появляются подошвенные бородавки по разным причинам.

    Наиболее распространенные из провоцирующих факторов:

    • сахарный диабет;
    • ношение малой обуви;
    • варикозы;
    • открытые травмы на стопах;
    • атеросклероз;
    • повышенное потоотделение;
    • плоскостопие;
    • несоблюдение гигиены;
    • сухая кожа ступней;
    • суставные заболевания.

    Перечисленные нарушения способствуют проникновению в организм и активации вируса папилломы человека, приводят к формированию подошвенных шипиц.

    Новообразования на ноге болезненны, доставляют дискомфорт во время ходьбы. Самую сильную боль причиняют пяточные бородавки, а также расположенные на подушечках пальцев ног.

    Удалить подошвенную бородавку ребенку можно разными способами, но выбирать их должен врач. Лечение проводить следует своевременно, поскольку корни, врастая вглубь стопы, пережимают нервные окончания. Двигательная активность малыша нарушается.

    Другие типы бородавок

    Из иных видов вирусных бородавок у детей стоит отметить околоногтевые — разновидность вульгарных папиллом, локализованных вокруг ногтей. Они формируются у малышей, имеющих вредную привычку обгрызать ногти или обрывать заусенцы.

    Подобные образования опасны тем, что могут привести к таким осложнениям, как:

    • деформация ногтевой пластинки;
    • занесение инфекции;
    • грибковые дерматологические заболевания.

    Остроконечные папилломы передаются в основном половым путем, поэтому в детском возрасте встречаются редко. Наибольшую опасность представляют кондиломы, разрастающиеся в обширные очаги на слизистых оболочках в форме цветной капусты.

    Такие новообразования требуют срочного врачебного вмешательства, поскольку есть риск их расползания по всему телу. Если кондиломы образуются на шейке матки, возникает возможность перерождения шипиц в злокачественную форму.

    Как вывести

    Комплекс терапевтических мероприятий должен подобрать детский специалист-дерматолог. Помимо непосредственного устранения нароста, нужно принять меры по укреплению иммунитета. В некоторых случаях применяют противовирусные лекарства.

    В зависимости от степени распространения инфекции, возраста ребенка назначают следующие средства от бородавок:

    • иммуностимулятор Панавир рекомендуют в особо тяжелых случаях в инъекционной форме. Для лечения детей чаще используют препарат в виде гелей либо спреев;
    • цитостатики приостанавливают размножение опухолевых клеток;
    • Блеоцин активирует иммунную систему организма, блокирует распространение патогена.

    Дополнить лечение стоит изменением питания ребенка. В ежедневный рацион следует добавить:

    • морскую рыбу;
    • цитрусовые;
    • морковь;
    • яблоки;
    • томаты;
    • орехи;
    • редис;
    • зелень;
    • чернику;
    • болгарский перец.

    Чай или кофе хорошо заменить отваром шиповника.

    Ограничить следует употребление:

    • животных и комбинированных жиров;
    • колбас;
    • солений;
    • консервантов;
    • фаст-фуда;
    • свиного сала;
    • газировок.

    Такой режим питания укрепит иммунитет, улучшит общее состояния здоровья ребенка. От крупных шипиц только при помощи здорового питания избавиться, конечно, не получится, но процесс выздоровления значительно сократится.

    Для непосредственного устранения новообразований выбирают один из трех способов:

    Последний используется для лечения детей, когда медикаментозная терапия не эффективна. Народные средства малышам нужно наносить с осторожностью. Консервативное лечение действует на вирус быстрее, после него редко остаются шрамовые следы.

    Аптечные средства

    Препараты для домашнего лечения папиллом подбирает доктор, в зависимости от возраста ребенка, вида наростов.

    От детских бородавок назначают следующие аптечные средства:

    • Фторурациловая, Фторафуровая мази борются с наростами, мягко воздействуя на нежную кожу;
    • Колломак на основе салициловой кислоты способствует размягчению измененных тканей шипиц;
    • Панавир-гель уничтожает не только поверхностную ткань образования, но и его корешки;
    • Вифероновая, Интерфероновая мази подавляет активность ВПЧ, нормализуют деятельность иммунной системы;
    • Оксолиновую мазь используют в качестве противовирусного средства.

    К каждому из перечисленных препаратов прилагается инструкция, с указанием возрастной группы, для которой предназначено лекарство. Соблюдать все предписания нужно в точности, если иное не рекомендовано лечащим врачом. Обычно мазь применяют трижды в день. Длительность курса варьируется от 4 до 60 дней, в зависимости от препарата.

    Кислотные или щелочные прижигающие препараты (например, Суперчистотел, Солкодерм, Кандилин, Подофиллин) врачи назначают детям очень редко из-за высокой вероятности повредить кожу малыша.

    Вывести бородавки на руках или ногах у ребенка можно попробовать йодом либо перекисью водорода (3%). Растворами пропитывают ватную палочку, наносят на образования несколько раз в день, пока они не исчезнут.

    Детям постарше наросты убирают препаратами для криодеструкции. Наиболее известные крема данной группы – КриоФарма, ВартнерКрио. Их действие аналогично прижиганию жидким азотом, но аптечные средства более щадящие. Применяют такие препараты однократно. Если спустя пару недель положительный результат не достигнут, процедуру допустимо повторить.

    От подошвенных бородавок у ребенка старше семи лет помогает Веррукацид, содержащий в составе метакрезол и фенол.

    Оптимальный вариант для детей – пластыри от бородавок. Лучше использовать Салипод, Mediplast или Салициловый. Применять их следует так:

    1. Вырезать по размеру шипицы.
    2. Наклеить на нарост.
    3. Через 48 часов снять.
    4. Аккуратно обработать образование пемзой.
    5. Налепить свежий кусочек.

    В таком режиме продолжать лечение 2 недели. Наклейки помогут в борьбе с грубыми бородавками на стопе у ребенка.

    К преимуществам данной формы выпуска относятся следующие моменты:

    • средства просты в использовании;
    • удаление наростов с помощью пластыря не вызывает у малыша неприятных ощущений;
    • они доступны по цене, продаются без рецепта в любой аптеке.

    Пациентам, у которых под воздействием местных средств бородавки не исчезают, рекомендовано механическое удаление новообразований.

    Салонные процедуры

    Радикальные способы выведения папиллом на теле ребенка рекомендуют, когда наросты множественные, крупные, мешают малышу, не поддаются терапевтическому лечению.

    Современные методы имеют ряд существенных преимуществ. Во-первых, они позволяют добиться положительного результата в короткие сроки, минимизируют вероятность рецидива.

    Сегодня распространено несколько вариантов избавления от папиллом:

    • удаление бородавок у ребенка жидким азотом происходит под влиянием низких температур. Процедуру проводят под местной анестезией. Вмешательство исключает вероятность кровопотери. Большое значение имеет квалификация специалиста. Глубину воздействия рассчитать сложно. Если корни шипицы глубоко вросли в кожу, может потребоваться повторная процедура;
    • лазерное удаление бородавок рекомендовано самым маленьким детям. Операция длится несколько минут, без болезненных ощущений, практически лишена противопоказаний. Папиллома выжигается послойно, от наружного слоя до корня. Антисептические свойства лазера сокращают процесс заживления ранки. Удаление бородавок у детей лазером хорошо еще и тем, что не оставляет следов (при условии грамотного ухода в первый месяц после вмешательства);
    • электрокоагуляция проходит с использованием специального аппарата, излучающего токи высокой частоты. Метод используется для устранения небольших бородавок, без длинных корешков.

    Несмотря на относительную безвредность перечисленных процедур, на восстановление кожных покровов в месте вмешательства потребуется некоторое время. В этот период за ранкой нужно правильно ухаживать.

    Реабилитация после удаления бородавки лазером, током или азотом предусматривает следующие правила:

    • образовавшуюся в области воздействия корочку надо беречь от повреждения (сдирать ее нельзя!);
    • первые три дня ранку запрещено мочить, тереть вихоткой;
    • регулярно проводить обработку антисептическими препаратами: раствором хлоргексидина (0,5%), марганцовкой, календулой;
    • когда корочка отпадет, особенно если папиллома выжигалась на видном месте, хорошо обрабатывать участок кожи гелем Контрактубекс — это поможет предотвратить шрамирование.

    Бородавка отмирает спустя 5-10 дней после вмешательства. Затем минимум 30 дней ребенку запрещается купаться в водоемах, ходить в бассейн, загорать на солнце или в солярии. Девочкам подросткам надо объяснить, что нельзя маскировать ранки декоративной косметикой.

    Перед тем как выводить бородавку у ребенка каким-либо способом, следует посоветоваться с врачом, поскольку подобные процедуры разрешены не всем.

    Общими противопоказаниями к аппаратному удалению наростов являются:

    • дерматологические воспаления в области формирования папиллом;
    • аллергические реакции;
    • герпес;
    • сахарный диабет;
    • расположенные рядом родинки;
    • злокачественный характер новообразований.

    Если по каким-либо причинам невозможно воздействие современными методами, ребенку проводят хирургическое иссечение скальпелем. Операция достаточно болезненная, создает риск распространения папиллом, поскольку кровь, зараженная ВПЧ, может попасть на соседние ткани. Такой способ удаления подходит для уничтожения множественных, крупных шипиц.

    Эффективность перечисленных процедур зависит от индивидуальных особенностей организма ребенка. Средняя результативность приведенных методов составляет от 51 до 95%. Рецидивы наблюдаются у 24% пациентов, прошедших аппаратное лечение.

    Небольшие наросты можно попробовать убрать с помощью народных средств.

    Народные методы

    Кожные наросты у детей в домашних условиях надо удалять с осторожностью. Растительные ингредиенты, которые используются для лечения, являются мощными аллергенами. Кроме того, неумелыми действиями можно вызвать на нежной коже ребенка сильный ожог.

    Для укрепления иммунитета малыша, хорошо поить его отваром шиповника.

    Избавиться от бородавок на руках у ребенка помогут целебные ванночки. Для их приготовления используют:

    • чабрец;
    • ромашку;
    • масло чайного дерева;
    • календулу.

    Чтобы сделать растительный настой, нужно стакан выбранной травы (можно комбинировать растения) залить двумя литрами кипятка, дать настояться пару часов. Подогреть, держать в жидкости руки ребенка по 20 минут один раз в два дня. Курс лечения — неделя.

    Эффективным методом избавления от папиллом являются компрессы, приготовленные в домашних условиях.

    Приведем несколько популярных народных рецептов:

    • смешать мед с кашицей чеснока (либо лука) до консистенции густой сметаны. Наносить на ночь, заклеив сверху пластырем;
    • перетертый хрен (можно заменить выжатым соком растения) смешать с солью, накладывать на болячки, сверху закреплять бинтом;
    • прикладывать к детским бородавкам натертый сырой картофель;
    • разрезанный чистый лист алоэ (предварительно его нужно несколько дней выдержать в холодильнике) прикладывать к бородавке у ребенка на пальце тыльной стороной, как только он высохнет — заменить новым кусочком;
    • соединить яблочный уксус с кипяченой водой в соотношении 2:1, пропитывать раствором стерильную ватку, прикладывать к новообразованию;
    • раз в день накладывать на бородавку мякоть томата;
    • втирать в проблемные места сметану, перемешанную с солью;
    • три столовых ложки высушенной полыни настоять два часа в 200 г кипятка (накрыв раствор крышкой). Смазывать полученной жидкостью пораженные области несколько раз в сутки;
    • натереть кожицу двух плодов лимона, залить полустаканом столового уксуса (не эссенции!). Настаивать 7 дней, периодически встряхивая емкость. Процедить, протирать наросты.

    Для удаления бородавок детям можно использовать:

    • сок одуванчика;
    • древесную золу;
    • выжимку каланхоэ;
    • сырое мясо;
    • капустный сок;
    • банановую кожуру;
    • растолченные ягоды рябины;
    • половинки кислых яблок.

    Указанными компонентами надо несколько раз в день хорошенько смазывать места локализации наростов. Процедуру повторяют минимум трижды в день.

    Пожалуй, самый известный метод народной медицины для устранения шипиц — обматывание основания бородавки шелковой ниточкой. Особенность лечения в том, что таким образом прерывается снабжение тканей образования кислородом и питательными веществами. Благодаря такому воздействию бородавка иссыхает, затем отмирает. Некоторые заменяют нитку тугой повязкой, но действовать следует крайне осторожно, чтобы не спровоцировать некроз здоровых клеток кожи.

    Некоторые родители прекращают лечение, как только нарост высохнет и отпадет. Это неправильно, поскольку неизвестно, удалены ли корни. Если они остались неповрежденными, папилломы появятся вновь.

    Профилактика

    Чтобы бородавки у ребенка не появлялись, нужно принять следующие меры предосторожности:

    • отучить от дурной привычки обгрызать ногти или сосать пальцы;
    • научить правилам личной гигиены, следить за их соблюдением;
    • следить за тем, чтобы ребенок всегда мыл руки, возвращаясь с прогулки;
    • устранить причины повышенной потливости;
    • разработать рацион, наполненный необходимыми витаминами и микроэлементами;
    • поощрять занятия физкультурой, активные игры на свежем воздухе;
    • все микротравмы необходимо сразу обрабатывать антисептическими препаратами;
    • оберегать от стрессовых ситуаций;
    • покупать малышу качественную обувь и одежду, подходящую по размеру;
    • объяснить, что в бассейне нужно пользоваться только своими тапочками, полотенцами.

    Прежде чем лечить бородавки, обязательно проконсультируйтесь с дерматологом, четко соблюдайте все врачебные рекомендации. Не экспериментируйте с народными средствами. Агрессивными прижиганиями детской кожи можно усугубить ситуацию.

    Если доктор назначил аппаратную процедуру устранения папиллом, внимательно отнеситесь к выбору учреждения для ее проведения. Проверьте все необходимые документы, убедитесь в достаточной квалификации специалиста, который будет ее проводить. От этого напрямую зависит результат лечения.

    Девочкам подросткам стоит сделать прививку от ВПЧ. Первая вакцина была одобрена в 2006 году в Канаде. Она действует главным образом на генотипы инфекции, провоцирующие развитие рака шейки матки, либо появление генитальных папиллом.

    В лечебных целях прививки не ставят, поэтому вакцинировать ребенка необходимо до того, как вирус папилломы человека попал в кровь.

    В большинстве случаев бородавки не наносят вреда здоровью ребенка. Их озлокачествление происходит достаточно редко. Обычно перерождение связано с травмированием или неквалифицированным устранением образования. Следует внимательно наблюдать за папилломами, если они изменятся в оттенке, размере, выглядят воспаленными — незамедлительно обратиться к врачу, пройти назначенное лечение. Как удалять бородавки на руках у ребенка должен решать только детский дерматолог. Все методики имеют определенные противопоказания, возрастные ограничения, побочные эффекты. Самостоятельно разобраться в разнообразных аптечных препаратах не получится. Народные средства, несмотря на видимую безвредность, бывают опасны для детского организма. Самолечением можно нанести серьезный вред здоровью малыша.


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