Обзор методов лечения и удаления бородавок на пальце ноги
Бородавка или папиллома – это нарост на коже, вызванный папилломавирусом человека (ВПЧ). Образование доброкачественного характера, не представляет опасности для здоровья. Если крупный нарост расположен на ступне или пальцах ноги, она причиняет боль, дискомфорт при движении. Чтобы избежать этого, рекомендуется избавиться от бородавки на пальце ноги.
Механизм появления на пальце ноги
Большая часть населения поражено ВПЧ. Возбудитель передается при прямом контакте, через предметы быта, нестерильные поверхности в местах массового скопления людей. Инфекция не вызывает немедленного роста бородавок, годами может находиться в спящем состоянии. Для активации вируса требуется дополнительное условие:
- сниженный иммунитет — длительная болезнь, травма, стресс, истощение;
- гормональные изменения — переходный возраст, беременность, менопауза;
- пренебрежение правилами личной гигиены.
Дополнительные причины появления бородавок на ногах:
- узкая, сдавливающая обувь;
- повышенная потливость;
- повреждение кожи на стопах, открытые раны, царапины, трещины;
- переохлаждение.
Особенности возникновения, локализации на пальцах:
- на нижних поверхностях пальцев чаще возникают простые подошвенные (шипица, куриная бородавка) или плоские (основное тело нароста находится внутри тканей) папилломы. Особенно страдает большой палец, на который приходится основная нагрузка;
- между пальцами, в местах их сочленения со стопой;
- на верхних, боковых поверхностях появляются вульгарные (обычные) бородавки выпуклой формы;
- мизинец постоянно натирается обувью с трех сторон, возле ногтя;
- заразиться ВПЧ легко на педикюре через микропорезы кутикулы, повреждения покровных тканей, если не соблюдаются правила стерилизации инструментов. Тогда наросты возникают около ногтей, попадают под них при росте ногтевой пластины.
Методы избавления от бородавок на пальце ноги
Нежелательные образования могут различаться по таким критериям:
- внешнему виду — плоские, чуть выступающие, выпуклые, сферические, реже – на ножке;
- структуре — мягкая, твердая, зернистая, с темными вкраплениями, гладкая, внутренняя, поверхностная, с глубоким корнем;
- цвету — телесный, более светлый или совпадающий с прилегающими тканями, желтый, оттенки коричневого, красноватый, черный;
- размеру — от 1 мм до нескольких сантиметров в запущенном состоянии, в среднем 2-5 мм.
В зависимости от типа бородавки на пальцах ног назначается лечение. Врач проведет осмотр, сделает необходимые анализы, исключит злокачественный характер опухоли, посоветует способ избавления.
Аптечные препараты
Для избавления недавно проявившихся, мелких наростов на ноге подходят лекарства местного действия. Медикаменты можно разделить на группы:
- Размягчающие. Эффективный – Вортекс. Мазь уничтожает ВПЧ в тканях, на которые наносится. Другие препараты обладают только противомикробным эффектом и размягчают ороговевшие частички, которые постепенно удаляются механически: 3% оксолиновая мазь, салициловая кислота, Виферон, Доуфилм, Панавир, Солкодерм, Коломак, Ридоксол, кремы на основе ретиноевой кислоты. Схожее действие оказывают пластыри: Салипод, SudaEpitact, UltraHDR.Hause.
- Прижигающие, для более грубых бородавок: Веррукацид, Ферезол, Суперчистотел, перекись водорода, водяной раствор йода, касторки. Осложнением является боль, химический ожог, шрам. Более мягкие аналоги препарата: жидкости Дуофилм, Солкодерм, карандаши Wartner, Леккер-Суперчистотело, ляписный.
- Замораживающие: Криофарма, ВартнерКрио, МаксиВарт.
Малоинвазивные способы удаления
Для крупных, застарелых образований необходимо хирургическое вмешательство. Современные медицинские технологии позволяют совершать его без разрезов. Процедура избавления проводится с помощью аппарата:
- Лазер. Удаление пораженных тканей узконаправленным пучком света с заданной длинной волны. Он легко выжжет корень глубокой шипицы, оставив небольшую ямку или пятно. Сеанс занимает мало времени, воздействие безболезненное. Направление воздействия, зона поражения хорошо контролируются, здоровым тканям не причиняется вред. Восстановление проходит за несколько дней, рецидив исключен.
- Радиоволновое удаление. С помощью специального радионожа обрабатываются большие, глубокие наросты. Здоровые клетки не повреждаются, нет противопоказаний, может остаться шрам. Возможен последующий анализ удаленной ткани. Краткий послеоперационный период. Сургитрон — бесконтактный метод воздействия радиочастотной волной.
- Криодеструкция. Бородавка мгновенно замораживается при контакте с хладагентом (жидкий азот обладает экстремально низкой температурой). Если папиллома большая, застарелая, нужный результат будет достигнут после нескольких процедур. При глубоком залегании патогенных тканей затруднительно убрать все пораженные клетки, есть риск рецидива на том же месте. Метод болезненный, длительное заживление обработанного участка, который требует тщательной обработки и ухода, остается видимый послеоперационный след.
- Химическое выжигание. Внутрь бородавки с помощью иголки вводится химический реагент (пирогенал). При его реакции с живыми клетками происходит резкий выброс тепла, нарост на пальце сгорает изнутри, сухая корка отвалится через несколько дней. Процедура избавления болезненная, восстановление занимает несколько недель.
- Диатермоэлектрокоагуляция. Срезание пораженных тканей с помощью электрической петли (тока высокой частоты). Малоэффективна при глубоких, плоских наростах.
Хирургические способы
Надежный, эффективный способ – традиционная хирургическая операция при помощи скальпеля.
В зависимости от типа бородавки врач выберет подходящую методику, глубину, площадь операционного вмешательства, объем иссечения. Для избавления необходим местный наркоз. Чтобы исключить повторное развитие образований всегда удаляется немного прилегающих здоровой ткани. На этом месте на пальце останутся послеоперационные рубцы. До полного заживления пациент может утратить возможность ходить, опираясь на поврежденную конечность.
Народные средства
От бородавок на пальцах ног можно избавиться в домашних условиях. Размягчающим, прижигающим действием, схожим с медицинскими препаратами, обладает свежий сок растений: чистотел, молочай, чеснок, одуванчик, календула, полынь, золотой ус. Им можно смазывать образования, делать компрессы, примочки. Для усиления эффекта сок чистотела смешивается с чесночным или луковым. К пораженному участку можно прибинтовать сырое яблоко, картошку, хрен, лист капусты, рябиновые плоды. Помогают избавиться толченый мел, березовая, порошок ивовой коры, прополис (пчелопродукт).
Проверенные народные рецепты для избавления от наростов:
- Снять пленки с нескольких пластиков репчатого лука, замочить их на несколько часов в уксусной кислоте. Когда пропитаются, наложить на зараженную поверхность, забинтовать. Рекомендуется оставить на всю ночь.
- В емкость влить 50 мл чистой воды, всыпать 1 большую ложку поваренной соли, положить свежее пюре из большой зрелой сливы. Перемешать, настаивать 24 часа, после добавить 15 мл уксуса 9%. Делать компрессы на ночь.
- Пропустить через пресс зубчик чеснока, соединить с небольшим количеством уксуса, добавить пшеничную муку до консистенции теста, залепить бородавки.
- Тесто можно приготовить из пшеничной муки, разведенной уксусной кислотой (70%);
- Уксусную эссенцию соединить с равным количеством глицерина, обрабатывать нарост получившейся мазью.
От бородавки на пальце ноги избавиться в домашних условиях можно, но следует помнить о возможных последствиях. Есть риск развития кожных заболеваний, воспалительных, некротических процессов, повреждений покровов тела, переноса инфекции на здоровые участки. Бездумное самолечение опасно.
Прогноз лечения и как избежать рецидива
Средства для полного избавления ВПЧ в крови, тканях носителя не существует. Установлено более 170 вирусных штаммов. Чтобы исключить рецидивы заболевания, рекомендуется вместе с любым видом терапии пропить курс противовирусных, иммуномодулирующих препаратов: Изопринозин, Виферон, Кипферон, Генферон, Гропринозин, Цитовир3. Разрушая белки в структуре ВПЧ, препараты позволяют продержать его в угнетенном состоянии длительное время, подталкивают синтез естественных интерферонов, повышают сопротивляемость организма вирусам, приостанавливают развитие имеющихся, появление новых бородавок. Комплексное воздействие на проблему изнутри и снаружи – самое эффективное. Можно избавиться от бородавок, локализованных на ногах, но лечение должен назначать и контролировать квалифицированный доктор.
Кожа на ступнях ног и пальцах постоянно испытывает воздействие, как опора тела. Рекомендуется повышать местный иммунитет. Для этого подойдут периодические компрессы с Имиквимодом, ванночки для ног с солью, содой, йодом, хозяйственным мылом, травяными, хвойными отварами, эфирными маслами (чайное дерево, эвкалипт, ель, сосна, пихта), витаминизированными растворами.
Удаление бородавок на пальцах ног позволит сохранить легкость походки и отличное самочувствие. Чтобы не рисковать здоровьем, необходимо проконсультироваться с врачом, получить качественное лечение. Укрепление иммунитета – лучшая профилактика вирусов и избавления от наростов.
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