Домой Бородавки Красная бородавка: причины, как удалить, Компетентно о здоровье на iLive

Красная бородавка: причины, как удалить, Компетентно о здоровье на iLive

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Красная бородавка

Медицинский эксперт статьи

В отличие от других бородавок, типичная красная бородавка не имеет отношения к воздействию вируса папилломы человека. Однако этиология новообразования может быть разной. Кроме того, подобное новообразование часто имеет неэстетичный вид, может доставлять дискомфорт. Сложно ли избавиться от такой бородавки, и как правильно это сделать, чтобы не навредить?

[1], [2], [3]

Код по МКБ-10

Причины красной бородавки

Специалисты не могут точно указать на причину формирования красной бородавки: предположительно, этиологическим фактором может выступать врожденная аномалия, либо приобретенные проблемы с сосудами и системой кровообращения.

Красный цвет нароста обусловлен его происхождением: он обладает сосудистой структурой, и наполнен кровью. Чаще всего такая структура представлена мельчайшими капиллярами, и чем больше таких сосудов, тем большие размеры имеет бородавка.

Красные бородавки чаще появляются во взрослом возрасте, и способствуют их появлению такие факторы:

  • травматические повреждения кожных покровов (царапины, трещинки, расчесы, проколы);
  • изменения кожных покровов, обусловленные резким похудением или, наоборот, набором веса (бородавка может появиться в складке или в области растянутой кожи);
  • гормональные изменения (имеются в виду резкие изменения – например, у беременных, при климаксе, при приеме гормональных контрацептивов, при гипертиреозе и пр.);
  • заболевания печени, хронический панкреатит;
  • опухолевые процессы.

В раннем детском возрасте появление красных бородавок часто бывает связано с нарушением развития сосудистой сети, либо с внутриутробной гипоксией.

[4], [5]

Симптомы красной бородавки

Бородавки красного цвета способны появиться где угодно, на любой части тела. Многие люди замечают у себя такие образования и живут с ними всю жизнь, не предпринимая никаких действий.

Красные бородавки относятся к доброкачественным кожным образованиям, и причины их возникновения не всегда становятся известными.

В зависимости от расположения на теле, от формы, наросты подразделяют не несколько типов.

Так, плоские красные бородавки на теле чаще формируются в области лица, на голове, конечностях (кистях, стопах). Средний размер этих наростов составляет 0,5-3 мм. Некоторые подобные образования через время исчезают самостоятельно, а некоторые приходится удалять после длительного безрезультатного лечения.

Обыкновенная красная бородавка на руке, пальцах практически всегда достаточно болезненная, мешает при движениях. Внешний вид её напоминает мозоль, однако структура может быть рыхлой с виду. Наиболее частая причина формирования нароста на конечностях и пальцах – это механические повреждения кожи.

Красная бородавка на ноге чаще обнаруживается либо на стопе, либо ниже коленного сустава. Она может беспокоить при ходьбе, повреждаться об одежду или обувь. Такие бородавки рекомендуется удалять в первую очередь.

Красные бородавки на лице, голове никогда нельзя пытаться удалить самостоятельно. Именно в этой области имеется высокий риск инфицирования: лучше не рисковать и обратиться в специализированную клинику к опытному специалисту-дерматологу.

Если проследить процесс появления красной бородавки, то вначале можно заметить формирование едва заметной сеточки из мельчайших капилляров. Далее на этом же месте образуется пятнышко, напоминающее маленькую красную точку. Ещё через некоторое время точка разрастается, формируется вырост – плоский или выступающий, бугристый. У каждого конкретного пациента внешний вид и локализация новообразований может существенно отличаться.

[6], [7]

Формы

Обычная красная бородавка может располагаться практически на любой части тела. Она имеет вид плотного узелка красного цвета, может обладать также желтоватым или розоватым оттенком.

Вокруг бородавки иногда появляются более мелкие образования. Кожные покровы над обычным наростом сухие, грубые и шершавые.

Плоская красная бородавка чаще располагается в области лица или на кистях: она имеет вид небольшого возвышения над кожей. Иногда такое образование имеет вид мозоли, с уплотненным роговым слоем. Если оно расположено возле ногтя, то его называют околоногтевым наростом. Часто такой нарост формируется при травмах и регулярном обкусывании ногтей.

Бородавки красные на мошонке и половых органах часто имеют остроконечную или плоскую форму. Они появляются у активных в половом плане взрослых людей. Таких новообразований бывает достаточно много, они могут периодически травмироваться, нарушая нормальное течение половой жизни.

[8]

Осложнения и последствия

Красная бородавка редко вызывает осложнения, если её не трогать, не травмировать и не пытаться избавиться от нароста самостоятельно. В противном случае последствия могут быть следующими:

  • бородавка может увеличиться в размере, распространиться в виде множественных высыпаний;
  • может произойти инфицирование, нагноение, развитие воспалительной реакции;
  • красная бородавка при повреждении может сильно кровоточить;
  • редко, но бородавка может приобрести злокачественное течение.

Чтобы избежать неприятностей, удалять новообразование нужно у квалифицированного специалиста. Для этого существует масса всевозможных медикаментозных, аппаратных и хирургических методов. Наиболее оптимальный метод подберет доктор, после оценки имеющихся противопоказаний и общего состояния здоровья пациента.

[9], [10], [11], [12], [13], [14], [15], [16], [17]

Диагностика красной бородавки

Определение типичных красных бородавок для врача обычно не затруднительно: диагноз ставится сразу же после осмотра и ощупывания новообразования. При осмотре доктор учитывает характерный цвет, обесцвечивание при надавливании, локализацию и другие признаки.

Если возникают трудности с диагностикой, а также при неэффективном лечении красной бородавки целесообразно проведение гистологического исследования. Гистология помогает обнаружить такие нюансы, как эпидермальный акантоз и папилломатоз, гипер и паракератоз с длинными сосочковыми элементами. Капилляры дермы определяются хорошо, и зачастую бывают тромбированными, с присутствием по окружности мононуклеарных клеток. Если красная бородавка имеет отношение к вирусу папилломы человека, то будут обнаружены кератиноциты с эксцентричной локализацией пикнотического ядра с койлоцитами. Инфицированная структура может обладать небольшими эозинофильными гранулами, а при кондиломах обнаруживается небольшой акантоз и паракератоз. Иногда в последних определяются койлоциты на фоне усиления сосудистого рисунка.

Общие анализы при диагностике красной бородавки необязательны. При подозрении на присутствие вируса папилломы человека делают соскоб с новообразования и отправляют материал на ПЦР-диагностику. Этот вид исследования помогает определить разновидность ВПЧ.

Инструментальная диагностика обычно ограничивается биомикроскопией кожных покровов, осмотром с лупой или в лампе Вуда, биопсией новообразования.

[18]

Дифференциальная диагностика

Дифференциальная диагностика красной бородавки проводится с красным плоским лишаем, при котором обнаруживается восковый блеск и красновато-фиолетовый цвет нароста. Дифференциации требует также бородавчатый кожный туберкулез: при этой патологии в наростах присутствует воспалительный инфильтрат и фиолетово-красный венчик по периферии.

В сложных случаях для дифференциации применяется биопсия – микроскопическое исследование взятых из бородавки тканей. Процедура проводится в условиях клиники, при помощи специального диагностического оборудования.

[19], [20], [21], [22], [23]

К кому обратиться?

Лечение красной бородавки

У большинства людей красные бородавки не требуется как-либо лечить или спешить от них избавляться. Помощь врача необходима только в отдельных ситуациях:

  • если бородавка вдруг стала болезненной;
  • если появился зуд, либо отек вокруг новообразования;
  • если красная бородавка начала кровоточить;
  • если нарост продолжает увеличиваться в размерах;
  • при изменении цвета бородавки с красного на более темный или даже черный.

По поводу лечения красной бородавки обычно обращаются к доктору дерматологу. Не следует сразу идти в салоны красоты или другие учреждения, в которых обещают удалить красную бородавку бесследно: вначале необходимо пройти диагностику и убедиться, что это действительно бородавчатое образование, а не другая опасная патология.

Чаще всего от красной бородавки избавляются хирургическим способом. Но существует и медикаментозное лечение, которое в ряде случаев может оказаться эффективным. Такое лечение бывает разным:

  • с применением гормональных препаратов;
  • с применением местных склерозирующих средств, которые вызывают некроз клеток нароста.

И первый, и второй способ применяет только медицинский специалист, учитывая все возможные риски и противопоказания.

От обычных красных бородавок могут помочь и некоторые аптечные препараты:

  • пластыри на основе кератолитиков (с молочной или салициловой кислотой);
  • аппликаторы с гелевой основой, в составе которой присутствует 40% трихлоруксусная кислота.

Среди наиболее известных и популярных пластырей можно назвать такие, как «Салипод», «Ультра Профи Хаус», «Суда Эпитакт» и пр.

Лекарства, которые может назначить доктор

При доказанном вирусном происхождении красной бородавки доктор обязательно назначит противовирусное лечение. Местное применение соответствующих препаратов предупреждает распространение инфекции на здоровые участки в случае, когда красную бородавку невозможно или сложно удалить. Для этой цели используют оксолиновую мазь, мази Виферон или Теброфен. Дозировку и продолжительность терапии определяет врач.

Иногда практикуют втирание 5% фторурациловой мази, 0,5% колхаминовой мази, 20% интерферона, трихлоруксусной кислоты.

Внутрь может быть назначен прием оксида магния в количестве 0,2 г трижды в сутки на протяжении 14-20 дней. Показано местное применение препаратов, в состав которых входит салициловая и бензойная кислота, третиноин. Частота использования таких мазей – дважды в сутки, на протяжении нескольких недель.

При гемангиомах может использоваться склеротерапия. Сущность такого метода заключается в том, что в красную бородавку вводят склерозирующее вещество (зачастую в качестве такого вещества применяется 70% этиловый спирт). Такое лечение эффективное, но достаточно болезненное и продолжительное.

[24], [25], [26], [27]

Народное лечение при красной бородавке

Известно несколько способов, при помощи которых многие пациенты смогли избавиться от красной бородавки в обычных домашних условиях. Скажем сразу: перед использованием таких методов лучше посоветоваться с доктором, так как не ко всем новообразованиям допускается применение народных способов лечения.

Те рецепты, которые мы приведем далее, смогли помочь излечиться от красной бородавки многим людям.

  • Снимают кожуру со спелого банана, нарезают её на квадратные кусочки (примерно 2 на 2 сантиметра), согласно количеству бородавок. На каждый кусочек с мягкой стороны кладут измельченный чеснок. Прикладывают чесночной стороной к бородавке, закрепляют повязкой.
  • Натирают на мелкой терке мытую сырую картофелину (от кожуры очищать не нужно, только помыть). Наносят тертую массу на красную бородавку, прикрывают кусочком марли, бинтуют и оставляют на несколько часов.
  • Лист каланхоэ разрезают вдоль, прикладывают разрезанной стороной к бородавке, снимают через несколько часов.
  • Полынь в количестве 2-х ст. л. заливают одним литром кипятка, настаивают в течение получаса, используют для прикладывания примочек на область красной бородавки.
  • Берут измельченные листья конского каштана, заливают кипятком из расчета 1 ст. л. листьев на 0,5 л воды. Настаивают в течение получаса под крышкой. Применяют для ванночек (особенно удобно, если красные бородавки располагаются на пальцах, кистях или ступнях).

[28], [29], [30]

Лечение травами: дополнительная помощь

  • Ежедневно обрабатывают красную бородавку свежим соком растения золотой ус, а сверху – касторовым маслом. Курс терапии – около недели.
  • До шести раз в сутки наносят на красную бородавку сок одуванчика или чистотела. Длительность лечения зависит от размеров образования и может составлять от 2-х недель до полутора месяцев.
  • Измельчают несколько ягод красной рябины, прикладывают получившуюся кашицу к бородавке, фиксируют пластырем, оставляют на ночь.
  • Обрабатывают красную бородавку ежедневно аптечной настойкой прополиса или соком растения мусорный клоповник.
  • Осторожно втирают в область бородавки молотую порошкообразную траву шпорника.

[31], [32]

Гомеопатия

Гомеопатическое лечение можно подключать к основному при многочисленных разрастаниях красных бородавок, либо когда количество образований упорно растет.

Гомеопатия безопасна, поэтому может применяться для лечения пациентов любого возраста, и даже женщин во время беременности. Однако нельзя самостоятельно подбирать препараты: обычно этим занимается врач-гомеопат, который учитывает массу нюансов, важных для качественного лечения.

На начальном этапе назначают гомеопатические препараты в специальной дозировке, чтобы подготовить организм к максимально возможному ответу. Основной курс подразумевает применение увеличенного количества средства. Чаще всего лечебный курс рассчитан на 2-4 недели.

Для избавления от красных бородавок могут использоваться такие препараты гомеопатии:

  • Антимониум крудум – особенно рекомендуется для устранения бородавок на конечностях;
  • Каустикум – подходит для удаления мягких широких красных бородавок, расположенных, в том числе, и на лице;
  • Аргентум нитрикум – может применяться при локализации бородавки на половых органах;
  • Туя – применяется при многочисленных наростах и при повторном появлении проблемы.

[33]

Хирургическое лечение при красной бородавке

На сегодняшний день известно несколько методов, позволяющих радикально избавиться от красной бородавки:

  • Метод криодеструкции, более известный как «прижигание» с помощью жидкого азота. Обычно для устранения красной бородавки бывает достаточно одной или двух процедур. Новообразование исчезает практически бесследно. Минус данного способа – это невозможность точно проконтролировать глубину проникновения заморозки, поэтому иногда лечение приходится проводить повторно.
  • Лазерное удаление – распространенный и наиболее комфортный способ для борьбы с красной бородавкой. Лазерная процедура проводится двумя способами: это коагуляция при помощи карбондиоксидного лазера или с использованием эрбиевого лазера. Красную бородавку удаляют слой за слоем. Для процедуры может понадобиться местное обезболивание продолжительностью до 2-х минут. Впоследствии на участке, где ранее была бородавка, остается небольшая впадинка, которая исчезает в течение нескольких недель.
  • Электрокоагуляция – это удаление красной бородавки с использованием высокочастотного тока. После процедуры на обработанном участке остается струп – своеобразная корочка, которая через некоторое время отторгается, обнажая здоровую кожу. Следов от бывшего нароста, как правило, не остается. Но при глубоко посаженных бородавках такой метод не рекомендован, так как после глубокого воздействия на коже может сформироваться заметный рубцовый след.
  • Оперативное иссечение – это относительно редкий способ избавления от красной бородавки. Его применяют, если новообразование имеет достаточно глубокую посадку: его иссекают хирургическим путем, после чего накладывают швы. Уход осуществляется, как за обычной послеоперационной раной. После заживления на месте операции формируется рубец.

[34], [35], [36]

Профилактика

К сожалению, на данный момент не существует какого-либо специфического способа профилактики появления красной бородавки. Однако врачи делятся проверенными советами, как минимизировать риск появления подобной проблемы. Вот несколько таких важных рекомендаций:

  • Нужно приучить себя и своих близких тщательно мыть руки по приходу с улицы.
  • Следует осторожно относиться к посещению бани, сауны, солярия. Если вы никогда раньше не посещали баню, посоветуйтесь с врачом на тему возможных противопоказаний. Не загорайте в солярии или под солнечными лучами в активный период солнца, не находитесь на пляже долго, избегайте солнечных ожогов.
  • Важно беречь кожу от всяческих повреждений. А если такое повреждение все же произошло, то нужно грамотно обработать рану и, при необходимости, обратиться к доктору.
  • Необходимо следить за своим здоровьем, корректировать питание, не допускать нарушений в обмене веществ. Рацион питания должен включать в себя достаточное количество витаминных и минеральных компонентов, также следует соблюдать баланс жиров, белков и углеводов. Не меньшее значение имеет также отказ от употребления спиртного и от курения.

[37], [38], [39], [40], [41], [42]

Прогноз

Красная бородавка в большинстве случаев не представляет какой-либо опасности для здоровья пациента: она может доставлять лишь определенные эстетические неудобства. Однако, если такой нарост располагается в месте, которое часто подвергается механическому раздражению, то это действительно может привести к развитию осложнений. К таким местам относят стопы, зоны плотного прилегания резинок, бретелек или других элементов одежды.

Применение народных методов по отношению к бородавке не всегда одобряется врачами: иногда возникают неблагоприятные последствия в виде изъязвлений, присоединения инфекции, нагноения, усиления роста образования.

В целом, прогноз можно отнести к разряду благоприятных. Из-за неясной этиологии появления проблемы нельзя гарантировать, что после удаления красная бородавка не появится вновь – в том же, либо в другом месте.

[43]

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