Домой Бородавки Бородавки, виды бородавок, лечение бородавок

Бородавки, виды бородавок, лечение бородавок

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Бородавки, виды бородавок, лечение бородавок

Бородавки – это небольшие, как правило, безболезненны наросты на коже, вызванные вирусом папилломы человека (ВПЧ).

Известно более чем 100 типов ВПЧ. ВПЧ поражает верхний слой кожи, и, как правило, проникает в организм через поврежденную кожу. Вирус вызывает быстрый рост верхнего слоя кожи, образуя бородавки.

Большинство бородавок, но не все, как правило, безвредны и исчезают сами по себе в течение нескольких месяцев или лет. Бородавки могут расти на любом участке тела. Они являются наиболее распространенными среди детей и молодых взрослых.

Порой бородавки могут быть уродующими, особенно если растут на лице или руках и доставляют своему хозяину психологический дискомфорт, а некоторые из них еще и зуд и боль.

Виды бородавок

Существует несколько видов бородавок. Они выглядят по-разному, имеют разную форму и растут на разных частях тела.

— Обыкновенные (вульгарные) бородавки растут чаще всего на руках, но они могут быть и на любом участке тела. Они имеют куполообразную форму с неровной ворсинчатой поверхностью, обычно серо-коричневого цвета, сухие, грубые, как будто ороговевшие на ощупь, зачастую болезненны, величиной от нескольких миллиметров до 1- 1,5 см. Несколько таких бородавок могут сливаться, образуя своеобразные бляшки.

— Подошвенные бородавки растут на подошвах ног и являются разновидностью обыкновенных бородавок. Они выглядят как жесткие, толстые участки кожи с темными пятнышками. Подошвенные бородавки могут вызывать боль при ходьбе, вызывая ощущения похожие на ходьбу по гальке босиком. Обычно такие бородавки появляются в местах давления обуви, особенно у сильно потеющих людей.

— Плоские, или юношеские бородавки обычно растут на лице, руках или ногах. Они небольшие 1-5 мм, имеют плоские вершины в виде неправильной формы узелков, и могут иметь розовый, светло-коричневый или светло-желтый цвет. Они возникают в основном у детей и подростков.

— Нитевидные бородавки обычно вырастают на лице, веках, подбородке, вокруг рта, в области губ и носа, шеи, под молочными железами и в подмышечных впадинах. Они имеют такой же цвет, как и кожа, и похожи на наросты, размером 5-6, торчащие из поверхности кожи. Травмирование нитевидной бородавки может привести к ее воспалению и распространению ВПЧ на другие участки кожи, где в последующем образуются новые бородавки.

— Околоногтевые бородавки растут вокруг ногтей и на ногтях. Они похожи на грубые наросты с неровной поверхностью и нечеткими границами. Околоногтевые бородавки могут повлиять на рост ногтей.

— Остроконечные кондиломы или генитальные бородавки растут на половых органах, в области лобка, и в области между бедрами.

У женщин остроконечные кондиломы могут расти на наружных половых органах, стенках влагалища, области между наружных половых органов, анусе, и шейке матки.

У мужчин они могут возникать на кончике или полового члена, мошонке, или анусе.

Остроконечные кондиломы также могут развиваться во рту или горле человека, который имел оральный половой контакт с инфицированным человеком. Они могут выглядеть как небольшие, телесного цвета шишки, похожие на цветную капусту. Во многих случаях они слишком малы, чтобы быть видимыми. Остроконечные кондиломы являются одним из наиболее распространенных типов передаваемых половым путем.

— Старческие бородавки (возрастные кератомы, себорейный кератоз) обычно развиваются у людей среднего возраста и пожилых людей и не связаны вирусной инфекцией. Большинство людей старше 40 лет имеют одно или несколько поражений, которые часто появляются на коже головы, шеи, лица и туловища, но может развиваться на любом участке кожи, за исключением ладоней и подошв. Они бывают серого, коричневого или черного цвета, рыхлые, пропитанные кожным салом, роговыми массами. Это неинфекционное, доброкачественное поражение вызвано разрастанием клеток — кератиноцитов в наружном слое кожи, процесс, который может быть связан с наследственностью или чрезмерным пребыванием на солнце.

Причины появления бородавок и факторы риска

Основной причиной появления бородавок является вирус папилломы человека.
Наиболее распространенным способом заражения бородавками является прямой контакт, такой как рукопожатие с человеком, который имеет бородавки на руках. Вы также можете заразиться вирусом ВПЧ от инфицированных предметов, таких как полотенца игрушки, поручни в общественном транспорте. Заражению вирусом способствуют повреждения на коже: трещины, царапины, раздражения и порезы.
Некоторые виды бородавок, такие как остроконечные кондиломы, передаются половым путем.

85% населения планеты являются носителями вируса ВПЧ, даже не подозревая об этом. К сожалению ВПЧ не излечим, и может протекать совершенно бессимптомно. Его активизацию обычно вызывает:

— Нервное расстройство или стресс
— Ослабление иммунной системы
— Переохлаждение организма
— Излишняя потливость
— Ношение синтетической одежды
— Ношение тесной обуви, а так же обуви из искусственных материалов
-Микротравмы.

Симптомы бородавок

Очень важно понимать, что под видом бородавок могут скрываться другие заболевания кожи, в том числе и злокачественные, например контагиозный моллюск, эпидермальный невус, сквамозная клеточная карцинома, симптомы которых схожи с симптомами бородавок.
Типичные бородавки представляют круглое или овальное возвышение над кожей с неровной поверхностью. Некоторые бородавки имеют гладкую или плоскую поверхность.

Бородавка может быть светлее, темнее по сравнению с кожей, но иногда бородавки могут быть и черного цвета.
Некоторые бородавки могут вызывать боль и зуд. Так например, остроконечные кондиломы вызывают дискомфорт в области половых органов и кровотечение во время полового акта.

Диагностика бородавок

Обычно достаточно простого физического осмотра кожи бородавок для постановки диагноза.
Биопсия может быть сделана, чтобы удостовериться, что это не рак кожи. Гистологическое исследование тканей бородавки после ее удаления позволяет подтвердить диагноз со 100% точностью.
Так же весьма полезно сделать тест на инфицированность ВПЧ.

Лечение бородавок

Не все бородавки нужно лечить. Как правило, они исчезают сами по себе в течение нескольких месяцев или лет. Это происходит потому, что, со временем, ваша иммунная система способна уничтожить вирус папилломы человека, который вызывает бородавки.
Не стоит пытаться удалить бородавку самостоятельно, прибегая к таким методам, как выжигание, вырезание ножом или бритвой, или любым другим способом. Целью лечения бородавок является уничтожить или удалить бородавку без создания рубцовой ткани, которая может быть более болезненной, чем сама бородавка.

Современная медицина располагает достаточным количеством лекарств для удаления бородавок. Тем не менее, не стоит самостоятельно удалять бородавки на лице и гениталиях, все-таки лучше обратиться за помощью к врачу или медсестре.
Способы лечения завися т от типа бородавок, симптомов и ее местонахождения.

Бородавки вокруг и под ногтями гораздо труднее вылечить, чем бородавки в других местах. Используйте пилочку для ногтей, что бы как можно ближе приблизиться к бородавке, когда ваша кожа влажная, например, после ванны или душа. Это также помогает удалить мертвые ткани. Не использовать одну и ту же пилочку каждый день, воспользуйтесь одноразовыми инструментами. Применяйте лекарство каждый день в течение нескольких недель или месяцев. Следуйте инструкциям на этикетке. Покройте бородавку с повязкой, чтобы предотвратить распространение инфекции.

Специальные подкладки для стопы могут помочь облегчить боль при подошвенных бородавках. Вы можете купить их в аптеке. Носите носки и просторную обувь, избегайте высоких каблуков.

Если вам не удается самостоятельно избавиться от бородавок при помощи медикаментозных средств, вам может потребоваться иное лечение:

Саллициловая кислота. Препараты, содержащие салициловую кислоту, например Подофиллин, как бы растворяют бородавку, размягчая кожу, но лечение ими может занять несколько недель или месяцев. Но стоит помнить, что препараты салициловой кислоты предназначены и должны применяться для лечения только обычных или подошвенных бородавок. Также препараты салициловой кислоты выпускаются в виде пластыря, который накладывается на пораженный участок. Эффективность метода составляет 17-76%.

Химиодеструкция. Химические методы в лечении бородавок применяются относительно редко. Эти методы основаны на прижигании (смазывании) бородавки достаточно едкой кислотой или щелочью, обычно это разовая мера, часть курса лечения. Для этих целей применяют трихлоруксусную кислоту, которая вызывает омертвление (некроз) тканей и последующее их отмирание.

Криотерапия (замораживание бородавок). Криотерапия может быть выполнена как в домашних условиях, так и в кабинете врача. Для применения в домашних условиях существует препарат «Криофарма» — средство криотерапии, убивающее вирус и удаляющее бородавки путем их замораживания. Не смотря на то, что криотерапия является относительно щадящим методом лечения бородавок, она не должна использоваться для детей младше 4 лет, беременных или кормящих женщин, и у людей, страдающих диабетом. Так же криотерапия представляет большой риск образования рубцов. Эффективность метода составляет 69-100%, последующие рецидивы 10-15%.

Электрокоагуляция. Это метод удаления бородавки при помощи электрического тока, когда ее «срезают» тонкой металлической петлей под током высокой частоты, который помогает избежать кровотечения, а заодно и обеззаразить ткани. Процедура проводится под местной анестезией и весьма эффективна и сравнима разве что с лазером. При помощи данной процедуры можно успешно удалять бородавки, родинки и папиллом на лице и с любых других частей вашего тела. Электрокоагуляция не должна применяться для лечения герпес в активной фазе и злокачественных новообразований. Эффективность метода составляет 80-95%.

Лазерная терапия. Лазер применяется в случае трудных для удаления бородавок. При помощи лазера бородавка удаляется послойно под местной анестезией. На месте удаленной бородавки остается небольшое углубление, которое бесследно исчезает через 1-2 недели, поэтому лечение бородавок лазером на сегодняшний день является самым эстетичным средством от бородавок среди всех известных сегодня методов лечения бородавок. Благодаря своей безболезненности этот метод подходит даже для самых маленьких детей. Одним из важных преимуществ лазера является то, что удаленное новообразование не появляется вновь. Эффективность метода составляет 60-92,5%.

Хирургическое иссечение бородавок. Этот метод применяется достаточно редко, в случае очень больших бородавок или нескольких бородавок, слившихся в одну. Эта процедура, когда новообразование удаляется при помощи хирургического скальпеля, после чего на это место накладывается хирургический шов. Хирургическое лечение бородавок не желательно применять на лице из-за образования шрамов и рубцов, тем не менее, этот метод может быть весьма эффективен для удаления подошвенных и генитальных бородавок. Эффективность метода составляет 45-60% и вероятность рецидива от 40-55%.

Медикаментозное лечение. Медикаментозное лечение бородавок сводится к приему противовирусных препаратов, которые способствуют подавлению активности ВПЧ. К таким препаратам относятся: Аллокин-альфа, Виферон, Генферон, Изопринозин, Иммуномакс, Ликопид, Эпиген интим. Эффективность метода составляет 70- 95%.

Иммунотерапия. Иммунотерапия является развивающейся формой лечения бородавок, которая активизирует собственные системы защиты организма. Поскольку все бородавки вызываются вирусом папилломы человека (ВПЧ), стимулирование иммунной системы специальными препаратами, принимаемыми внутрь орально или в виде инъекций, может помочь вашему организму бороться с вирусом папилломы человека, как результат — исчезновение бородавок.
Иммунотерапия часто используется на бородавки, которые оказались устойчивыми к салициловой кислоте, криотерапии и хирургии. Не смотря на кажущуюся простоту и эффективность метода, иммунотерапия имеет ряд противопоказаний:

— Применение бета-блокаторов или препаратов, подавляющих иммунную систему
— Лихорадка
— Грипп
— Крапивница
— Аллергические реакции
— Астма
— Трансплантация органов
— Вагинальные дрожжевые инфекции, например, молочница
— Беременность или кормление грудью.

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