Домой Бородавки Какой врач лечит бородавки: к какому врачу идти удалять бородавку

Какой врач лечит бородавки: к какому врачу идти удалять бородавку

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К какому врачу обращаться с бородавками

Бородавки возникают как следствие активности вируса папилломы человека в организме. Располагаться они могут на самых неожиданных местах, включая половые органы и слизистые оболочки. Бородавки опасны тем, что они могут трансформироваться в меланому – рак кожи, поэтому нельзя оставлять такие новообразования без внимания. Из этой статьи вы узнаете, какой врач лечит бородавки, и как вовремя распознать их опасность.

Что такое бородавки

Для начала нужно разобраться, что собой представляют бородавки. В сущности, это заболевание кожи, которое характеризуется появлением мелких образований. Величина таких образований колеблется от 1мм до 1-го и более сантиметров.

Причина возникновения бородавок носит вирусный характер. Они могут передаваться от человека к человеку через простое рукопожатие или при использовании предметов, которыми пользовался больной человек. Инкубационный период может длиться несколько месяцев. Так что при образовании бородавок на вашем теле, вам может быть очень трудно вспомнить, кто вам мог их “подарить”.

Нужно сказать, что бородавки бывают разные, потому отношение к ним должно быть крайне деликатным. Они могут располагаться как на тыльной стороне рук, так и на лице и даже на волосистой части головы. На ногах бородавки обычно бывают на подошве. Если на руках они безболезненные, то на ногах они могут доставлять массу неудобств. Их образованию могут способствовать потение ног, давление обуви.

Особое место занимают юношеские бородавки, возникающие в подростковом возрасте. Обычно эти бородавки небольшого размера и располагаются они на руках и лице. При любом виде бородавок необходимо обратиться к врачу, чтобы исключить возможность каких-либо других кожных болезней.

Так, за бородавки порой принимают остроконечные кондиломы, требующие обращения к венерологу и урологу. Любое новообразование на коже должно требовать к себе максимального внимания. Случается, что за бородавку принимается опухоль на коже, а это крайне опасно, особенно если вы собираетесь её удалять. Не следует в данном случае обращаться и к народным средствам!

В ином случае лучше заняться лечением бородавок. Лечение должен проводить врач, у него вы должны наблюдаться на протяжении всего периода лечения. Нужно сказать, что неправильное лечение может способствовать перерождению бородавки в злокачественную опухоль. Поэтому обращайтесь лишь к специалистам.

Виды бородавок

Бородавки диагностируется чаще в детском и подростковом возрасте, но могут быть и у взрослых людей. В медицине выделяют следующие виды бородавок:

  1. Простая/вульгарная. Наиболее распространенный вид новообразования на коже, в 70% случаев диагностируется у детей школьного возраста. Чаще всего бородавки такого вида появляются на кистях, но могут присутствовать и на кайме губ и на шее. Простые бородавки отличаются присутствием одной самой крупной, «материнской» бородавки – если ее удалить, то и более мелкие новообразования исчезают.
  2. Плоская/юношеская. Встречаются редко – всего до 4% случаев диагностирования. Располагаются на тыльной стороне кистей, по кайме губ, на головке полового члена, на слизистой ротовой полости.
  3. Ладонно-подошвенная. Появляются в местах самого активного давления неудобной обуви. Диагностика такого вида бородавок часто затруднена, потому что специалист должен дифференцировать рассматриваемое новообразование от натоптыша, мозолей.
  4. Нитевидная. Отличается специфическим внешним видом – небольшой «хвостик» из тонкой кожи, их может быть много и расположены они всегда «кучно». Чаще всего обнаруживаются в подмышечных впадинах, на шее, под грудью/молочными железами.

Способы удаления бородавок на теле и руках напрямую зависит от того, какой именно вид новообразования будет диагностирован у пациента.

Стоит знать еще одну особенность бородавок – они не имеют какого-то одного точного описания «внешнего вида». Например, подошвенная бородавка может представлять собой небольшое округленное уплотнение с темным центром, а вот простая бородавка – это нарост на коже, имеющий неоднородную структуру. Проще всего ответить на вопрос «как выглядит бородавка», если она относится к нитевидному виду – на коже появляется «сосулька», не причиняющая боли или раздражения. Примечательно, что частое трение о бородавку приводит к ее воспалению и раздражению – она становится красной, может причинять боль.

Откуда берутся бородавки

Всему виной вирус папилломы человека (ВПЧ), который чаще всего передается при непосредственном контакте с бородавкой или личными вещами зараженного. За появление бородавок на коже ответственны четыре из нескольких десятков типов ВПЧ.

ВПЧ можно смело назвать «хитрым». Человек может долгое время не подозревать о том, что стал обладателем ВПЧ.

От момента заражения до появления кожных образований может пройти от недели до нескольких месяцев.

Места локализации

К какому врачу обращаться с бородавками зависит непосредственно от места расположения наростов.

В зависимости от разновидности, бородавки могут расти на всем теле, а в частности:

  • на ноге и руке, на стопе;
  • в зоне подмышек, под грудью и на ее поверхности;
  • на лице, шее и голове;
  • на мужских и женских половых органах;
  • на слизистой оболочке влагалища, пищевода, гортани;
  • во рту. на языке и внутренней поверхности щек и губ;
  • на теле под одеждой.

Причины появления

Подхватить вирус папилломы человека (ВПЧ) очень легко.

Достаточно иметь близкий контакт с человеком, у которого имеются наросты на коже.

Однако заболевание проявляется не сразу, а бородавки могут начать расти только через несколько месяцев или лет после заражения.

Факторы, влияющие на активность ВПЧ:

  • ослабление иммунитета;
  • обострение хронических заболеваний;
  • стресс;
  • неполноценное питание;
  • вредные привычки;
  • пассивный образ жизни.

Что делать, если бородавка уже появилась

Вернемся к результатам опроса. Всего 28% респондентов с бородавками обращались к врачу. Похоже, перспектива хирургических процедур удаления пугает сильнее, чем сама бородавка. 34% участников исследования пробовали удалять бородавки самостоятельно, а 16% – решили не предпринимать никаких действий, так как не придавали этому значения.

Почему от бородавок нужно избавляться

Тем, кто все еще сомневается, стоит ли удалять бородавки, важно знать следующее.

  • Во-первых, бородавки заразны. Для этого достаточно непосредственного контакта с бородавкой или предметами личной гигиены ее носителя.
  • Во-вторых, бородавки имеют свойство «завоевывать территорию», то есть распространяться на здоровые участки кожи. Этот процесс называется аутоинокуляцией (самозаражением).

Очевидно, что с бородавками проще бороться на ранних стадиях заболевания, что позволит сэкономить время, усилия и средства в дальнейшем. Тем более, что в аптеках можно приобрести средства для самостоятельного удаления бородавок.

Когда нужно обращаться к врачу

  • если бородавка довольно быстро меняет форму, цвет, или же все вместе;
  • если бородавка имеет неоднородный цвет;
  • если границы бородавки расплывчаты (в таком случае, скорее всего, это не бородавка);
  • если бородавка болит или постоянно травмируется (при этом повышается риск перерождения ее во что-то более серьезное);
  • если количество бородавок постепенно увеличивается;
  • если бородавка кровоточит или чешется;
  • если бородавка образовалась в области гениталий.

Какой врач лечит бородавки у детей и взрослых

При появлении наростов на любом участке тела, следует обращаться к доктору, который специализируется на лечении заболеваний кожи – дерматологу.

  • Именно он проводит осмотр и решает, необходима ли дальнейшая диагностика (анализ крови, ПЦР-тест, биопсия).
  • В некоторых сомнительных случаях, когда бородавка имеет признаки злокачественной опухоли, дерматолог может порекомендовать идти на консультацию к онкологу или дерматоонкологу.
  • В большинстве случаев доктор принимает решение удалить бородавку, после чего ее ткани отправляются на гистологическое исследование, чтобы убедиться в отсутствии злокачественных признаков.
  • Бородавки на молочных железах у женщин могут стать причиной рака груди и нуждаются в осмотре маммолога.

Удаление бородавок

Удаление бородавок – это радикальный метод и проводится он несколькими способами. Бородавки могут удаляться при помощи лазера. Наряду с этим используются методы криотерапии и электрокоагуляции. Можно эффективно удалять бородавки с помощью гомеопатических препаратов. Каждый метод имеет свои сильные и слабые стороны. При выборе метода удаления бородавки врач обычно руководствуется местом расположения бородавки на теле. Так, удаление лазером может оставить после себя рубцы. Образование рубцов иногда наблюдается и после использования аппарата Сургитрон, Поэтому именно врач должен подобрать способ удаления бородавок: в зависимости от того , где расположены бородавки.

Криотреапия – это тоже прижигание, но только жидким азотом. Процедура достаточно неболезненная и не оставляет после себя рубцов. Говоря об этих двух методах, стоит отметить, что их применение исключает контакт с кровью, что крайне важно. Доверить удаление бородавок можно лишь врачу со стажем в данной области.

После удаления бородавок необходимо подумать о том, чтобы вновь не заразиться этой инфекцией. Ни в коем случае нельзя бородавки отрывать или перевязывать ниткой у основания, чтобы они самостоятельно отпали! Такое неразумное поведение может привести к большим проблемам со здоровьем – например, образовавшаяся рана может инфицироваться, вследствие перетягивания основания новообразования может нарушиться кровоток. Как избавиться от бородавок на руках у детей и взрослых, какие процедуры помогут забыть о новообразованиях на теле и лице, расскажет врач-дерматолог или косметолог – можно обратиться к любому из указанных специалистов. Существует три основных метода избавления от бородавок:

Лазеротерапия. Обычно такой метод применяют для удаления бородавок в самых нежных и болезненных местах, либо в том случае, если пациент желает избежать образование рубцов. Удаление бородавки на лице лазером – оптимальное решение, так как процедура эта безболезненна, не требует длительного восстановительного периода и после проведения ее на коже не остается рубцов и шрамов.

  • Криодеструкция. Подразумевается использование жидкого азота, который буквально выжигает новообразование, не оставляя следов на коже, хотя в некоторых случаях мелкий шрам и возможен. После удаления бородавок жидким азотом пациент должен будет избегать нахождения под прямыми солнечными лучами, в будущем на месте проведения процедуры может остаться небольшое белесое пятно.
  • Лекарственная терапия. Она используется вкупе с вышеуказанными методами. Существует масса препаратов, которые оказывают местное воздействие и способствуют более быстрому уничтожению бородавки. Самое эффективное средство от бородавок – экстракт чистотела, который наносится точечно на новообразование. Не стоит самостоятельно применять растение чистотел для лечения бородавок – попадая на здоровую кожу, сок его вызывает сильнейшие ожоги.
  • Избавление от рассматриваемого типа новообразований на коже должно носить комплексный характер. Мало посетить врача и узнать, от чего появляются бородавки на пальцах или лице, нужно обязательно выполнять все назначения и рекомендации специалиста. Даже при грамотном лечении рецидивы заболевания регистрируются довольно часто – в 40-50% случае бородавки вновь появляются.

    Больше информации о том, что такое бородавки, к какому врачу обратиться для лечения подошвенной бородавки и что подразумевается под термином «общая терапия при вирусе папилломы человека» можно получить на страницах нашего сайта.

    Можно ли удалить бородавки самому

    Бородавки можно удалять дома самостоятельно, но только после диагностики специалиста.

    Существуют специальные выжигающие фармацевтические средства, которые способны уже после первого применения убрать нарост:

    • «Криофарма » действует по принципу жидкого азота, разрушает ткани и бородавка отпадает в течение 1–2 недель после прижигания ее раствором;
    • «Суперчистотел» на основе сока растения обладает прижигающим и некротизирующим действием и наносится ежедневно до полного исчезновения нароста;
    • «Ферезол» — раствор на основе фенола разъедает бородавку и обеззараживает, которым смазывают нарост несколько раз по мере его высыхания и выдерживают 20–40 минут, процедуру повторяют через неделю;
    • салициловая кислота и пропитанные ее пластыри постепенно размягчают бородавки, после чего они отваливаются, лечение нужно продолжать, пока нарост не отпадет вместе с корнем.

    Эти препараты токсичны, могут привести к ожогу тканей вокруг бородавки, поэтому применять их нужно с осторожностью. Нежелательно в домашних условиях удалять бородавки в местах с особо нежной и чувствительной кожей (на лице, шее, молочных железах и половых органах). Также нужно следить за тем, чтобы бородавка ушла полностью, не осталось корня или любой другой ее части. Способность бородавок к размножению настолько велика, что даже маленькая частичка тканей может стать источником заражения здоровых участков дермы.

    Бородавки – это внешние проявления неудовлетворительного внутреннего состояния организма. Важно не просто избавиться от симптомов болезни, а непрерывно вести борьбу с вирусом. Иммунная система человека в состоянии самостоятельно справиться с возбудителем заболевания, если оказать ей посильную помощь. Для этого достаточно просто вести здоровый и активный образ жизни, укреплять организм спортом и полезной пищей.

    Осложнения

    Аногенитальные бородавки при определенных условиях (например, в случае заражения инфекциями, передающимися половым путем, снижения общего и/или местного иммунитета) способны увеличиваться в размерах и разрастаться, тем самым ухудшая сексуальную жизнь человека и существенно снижая качество его жизни.

    Кроме того, может развиваться воспаление и нагноение аногенитальных бородавок, а также их изъязвление вследствие продолжительного механического воздействия на них. В редких случаях возможно их злокачественное перерождение.

    Рекомендации пациентам при наличии бородавок

    • Поскольку в двух третях случаев в течение двух лет происходит спонтанное разрешение бородавок, их можно наблюдать без лечения.По мере разрешения старых очагов могут появляться новые бородавки. Это не является следствием неудачного лечения, а представляет собой часть естественного течения заболевания при инфекции ВПЧ.
    • Лечение часто занимает многие недели и месяцы, поэтому для успеха терапии необходимо терпение и настойчивость.
    • Инструменты, которые использовались для удаления бородавок, такие как пилочка для ногтей и пемза, не должны применяться на здоровой коже или другими людьми. По той же причине, если бородавки находятся на участках кожи, имеющих волосяной покров, для удаления волос в этих зонах следует пользоваться депиляторами или электробритвами, либо вовсе не удалять волосы, ограничивая тем самым распространение бородавок.
    • Для контроля и оценки результатов лечения необходимо повторное посещение врача. • Если пациент проводит лечение самостоятельно, контрольные визиты к врачу он может планировать по своему усмотрению.

    Профилактика

    Профилактические мероприятия включают:

    • вакцинацию четырехвалентной вакциной (против ВПЧ типов 6 и 11, 16, 18,);
    • исключение случайных половых контактов;
    • использование барьерных методов контрацепции (презерватив);
    • соблюдение правил личной гигиены;
    • своевременное и адекватное лечение инфекционно-воспалительных болезней органов малого таза;

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