Домой Бородавки Лечение бородавок с помощью мазей

Лечение бородавок с помощью мазей

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Мази от бородавок

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Если бородавки, доброкачественные новообразования на коже, не вызывают дискомфорта или эстетических неудобств, то лучше их не трогать. Тем более, что с течением времени бородавки могут исчезнуть сами по себе.

Однако, часто эти образования доставляют неудобства и даже болезненные ощущения, в частности, подошвенные бородавки. Наросты на коже лица и на руках тоже не радуют их владельцев, особенно – крупные или когда их несколько. В этих случаях лучше бородавки удалить.

Современные методы избавления от бородавок разнообразны – от народных средств до радикальных вмешательств. Все же начинать лучше с применения обычных аптечных мазей от бородавок, весьма вероятно, что до хирургического вмешательства дело и не дойдет.

[1], [2], [3], [4], [5], [6]

Код по АТХ

Показания к применению мазей от бородавок

Показания к применению мазей от бородавок – обыкновенные (вульгарные) и юношеские бородавки на любых частях тела, остроконечные кондиломы, папилломы.

[7], [8], [9], [10], [11], [12]

Форма выпуска

[13], [14], [15], [16], [17], [18]

Противовирусная мазь от бородавок

Радикальные методы избавления от бородавок не так эффективны, как мази антивирусного действия, убирающие не только сами образования, но и причину их возникновения. При особо крупных и болезненных бородавках, расположенных в местах, причиняющих неудобства и поэтому требующих немедленного удаления, противовирусные препараты используются после хирургического вмешательства для профилактики рецидивов.

[19], [20], [21], [22], [23], [24], [25], [26], [27]

Оксолиновая мазь

Активный компонент мази – вирусоцид оксолин. Она предназначена для нанесения на кожу и слизистые.

Оксолин уничтожает вирусы и защищает клетки от проникновения в них вируса, препятствуя соединению вируса с покровом клеточной мембраны.

Препарат не обладает токсическими свойствами, не концентрируется в тканях. При нанесении на кожу поглощается примерно 5% препарата. Экскретируется с мочой в течение 24 часов.

Использование Оксолиновой мази во время беременности и лактации допускается.

Противопоказана при непереносимости оксолина.

Побочные эффекты после применения оксолиновой мази встречаются крайне редко. Это единичные случаи аллергического дерматита, а также поверхность кожи от мази может приобрести синий оттенок (его легко смыть водой).

Способ употребления: смазывать бородавку и здоровую кожу вокруг 3% оксолиновой мазью до исчезновения нароста (курс лечения от 2-х недель до 2-х месяцев). Можно использовать на любых участках тела. При обработке подошвенных бородавок рекомендуется распарить ноги и убрать некротизированную ткань для более результативного лечения.

Эффективность этой мази до сих пор не доказана, существуют более эффективные средства. Ее положительным качеством является безопасность из-за низкой поглощаемости и отсутствия общего воздействия на организм.

Хранить не более трех лет в оригинальной упаковке, соблюдая температурный режим не выше 10ºС, в темном месте. Беречь от детей.

Виферон мазь

Действующий ингредиент мази интерферон альфа-2 человеческий, иммуномодулятор, подавляющий разрастание тканей организма и развитие вирусов в их клетках. Среди вспомогательных компонентов мази токоферола ацетет и масло персиковых косточек, антиоксиданты, снимающие воспаление и восстанавливающие нормальный баланс кожи.

Системное влияние на организм практически отсутствует из-за низкой поглощаемости мази при местном использовании.

Выпускается в банке – 12г, тубе – 6г и 12г.

Использование мази Виферон во время беременности и лактации допускается.

Противопоказана грудным детям и при непереносимости ее ингредиентов.

Побочные эффекты от использования Виферона практически отсутствуют, в случаях обработки слизистых оболочек могут наблюдаться слабо выраженные насморк, чихание, жжение, которые сами собой пропадают при отмене препарата.

Мазь накладывают на бородавку и зону вокруг нее три или четыре раза в день. Продолжительность лечения от пяти дней (до достижения эффекта).

Виферон мазь можно использовать одновременно с любыми средствами, употребляемыми при терапии инфицирования вирусами кожи и слизистых оболочек.

Хранить, соблюдая температурный режим 2–8ºС, в темном помещении в течение одного года.

Панавир мазь

Активное вещество геля Панавир – экстракт побегов картофеля (гексозный гликозид), антагонист вируса папилломы человека.

Гексозный гликозид оказывает иммуномодулирующее действие, активизируя синтез интерферона. Прерывает процесс биосинтеза дочерней молекулы ДНК в инфицированных клетках, чем оказывает губительное действие на развитие вирусов.

Обладает способностью рассасывать шрамы и рубцы, используется в комплексе лечебных мероприятий после оперативного вмешательства по удалению бородавок с целью предупреждения рецидивов.

Выпускается в тубе – 3г, 5г, 10г и 30г.

Исследования препарата на лабораторных животных отрицательного воздействия на репродукцию и формирование плода не показали. Использование Панавира во время беременности допускается при условии, что польза для матери превосходит возможную опасность патологий у плода. Поскольку фармакокинетика геля недостаточно изучена, при назначении его кормящей матери во время использования данного средства грудное вскармливание прекращают.

Противопоказанием к применению является сенсибилизация к ингредиентам геля и возраст 0-17 лет.

При использования Панавира может появиться небольшое покраснение и легкий зуд в области применения геля.

Употребляется дважды в сутки от пяти до десяти дней. О случаях передозировки данной мази от бородавок и негативных последствиях от взаимодействия с другими лекарственными средствами неизвестно.

Хранить три года при температурном режиме 2-25ºС в сухом темном недоступном для детей помещении.

Интерфероновая мазь

Включает два действующих ингредиента: интерферон альфа-2 человеческий и комплексный иммуноглобулиновый препарат, соединенных на основе ланолина.

Антивирусное действие интерферона альфа-2 человеческого состоит в проникновении в клетки и синтезе там белка, останавливающего развитие вирусов на любой стадии. Активирует собственный иммунитет человека против бактерий, вирусов, простейших.

Второй ингредиент – лиофилизат белкового коллодия иммуноглобулинов IgG, IgM, IgA, экстрагированных из плазмы человеческой крови. В комплексном иммуноглобулиновом препарате часть IgM и IgA составляет от 15 до 25%, что повышает его эффективность при местном применении.

Взаимодействие составляющих мази обеспечивает хороший противомикробный эффект внутри клетки и вне ее вследствие непосредственного уничтожения вирулентных организмов и активизации собственного иммунитета. Благодаря существенному увеличению белковой массы в мази интерфероны сохраняют устойчивость к агрессивной среде в местах инфицирования.

Выпускается в тубах и банках – 5г, 10г, 30г.

Противопоказана при непереносимости ингредиентов. Использование интерфероновой мази во время беременности и лактации допускается.

Употреблять один или два раза в день в течение одной-двух недель. В случае большого количества остроконечных кондилом и папиллом мазь можно сочетать с деструктивными манипуляциями, используя как до, так и после них для профилактики рецидивов.

Совместное использование мази вместе с антибиотиками и другими препаратами допустимо.

Хранить, соблюдая температурный режим 4-10ºС, в затемненном месте не более одного года.

Ацикловир мазь

Монопрепарат с одноименным действующим компонентом, синтетический аналог пуринового нуклеозида дезоксигуанидина, естественного элемента дезоксирибонуклеазы.

Подобие ацикловира его оригиналу позволяет ему вступать во взаимодействие с вирусными ферментами, при этом прерывая процесс воспроизводства вируса. В инфицированных клетках вызывает реакцию присоединения остатка фосфорной кислоты и образовывает ацикловира монофосфат. Гуанилатциклаза катализирует реакцию превращения монофосфата в дифосфат, а еще несколько клеточных ферментов — в активный ацикловира трифосфат, который интегрируясь в дочернюю дезоксирибонуклеазу вируса, останавливает процесс его воспроизводства.

Действие ацикловира направлено выборочно на биосинтез дезоксирибонуклеазы вируса. На аналогичные процессы в человеческих клетках ацикловир не воздействует.

Мазь, нанесенная на здоровую поверхность кожи не определяется в крови и моче, на инфицированную кожу – наблюдается небольшая абсорбция. Экскретируется почками (до 9,4% нанесенного количества).

Выпускается в тубах весом 10г.

Противопоказана при непереносимости ингредиентов, беременным и кормящим женщинам, детям до двух лет.

Вызывает побочные эффекты в виде раздражений и отеков кожи и слизистых, пропадающие после прекращения применения мази. При продолжительном употреблении может шелушиться кожа.

Применение одинаково для любого возраста – наносить на инфицированную поверхность с интервалом в 4 часа от пяти до десяти дней.

Незначительное всасывание мази практически исключает возможность передозировки.

Одновременное применение с иммуномодуляторами увеличивает антивирусную активность.

Мазь не применяется на слизистых полости рта, носа, глаз, влагалища.

Хранить, соблюдая температурный режим 8-15°С, в сухом темном недоступном для детей помещении не более двух лет.

[28], [29], [30], [31], [32], [33], [34]

Мази для удаления бородавок

Салициловая мазь

Эта мазь – давно известное средство для удаления бородавок. Активный компонент мази – салициловая кислота, снимающая воспаления, обеззараживающая участки нанесения, убирающая ороговевшие частицы кожного покрова.

В период беременности салициловой мазью можно обрабатывать небольшие участки кожи в объеме не более 5 мл (1г). Перед началом лечения необходимо проконсультироваться с врачом.

Салициловую мазь намазывают на бородавки один раз в два-три дня суточном объеме 10мл (2г), на обработанный участок накладывают стерильный бинт и закрепляют. Перед каждой обработкой поверхность бородавок освобождают от некротизированных частичек кожи и обеззараживают. Употребляют мазь до полного исчезновения нароста. Подошвенные бородавки обрабатывают после размягчения их в теплой воде.

Противопоказана при дисфункции почек, сенсибилизации к аспирину, в грудном возрасте. Не используется для удаления родинок, бородавок, находящихся на лице и гениталиях, бородавок, на которых растут волоски.

Салициловая мазь может стать причиной раздражения кожи в зоне нанесения, небольшого увеличения температуры тела.

Салициловая кислота при совместном применении с другими средствами для наружного использования повышает их абсорбцию, обостряет побочные эффекты от применения метотрексата и противодиабетических средств, на основе сульфонилмочевины. Мазь не рекомендуется употреблять совместно с резорцином (реагируют с образованием плавящейся смеси) и оксидом цинка (реагируют с образованием нерастворимого цинка салицилата).

Хранить при температурном режиме не выше 20ºС не более двух лет. Беречь от детей.

Цинковая мазь

Действующее вещество мази – оксид цинка, его суспензия в вазелине обладает противомикробными, вяжущими, смягчающими и одновременно подсушивающими свойствами. Защищает поверхность кожи от неблагоприятных воздействий, уменьшает экссудативные проявления.

Изменяет натуральные свойства белков, образовывая их соединения с цинком. Способствует процессу синтеза коллагена, придающего коже прочность и эластичность.

Выпускается в банках, в тубах – 20 г.

Использование беременными и кормящими женщинами вполне допустимо.

Противопоказана в случае острых гнойных поражений кожной поверхности и/или гиперчувствительности к компонентам мази.

Не допускается попадание мази в глаза, первая помощь – хорошо промыть водой.

В случаях длительного употребления может быть кожный зуд, покраснение, высыпания, известны единичные случаи аллергии.

Употреблять от двух до шести раз в день, предварительно очистив место нанесения. Можно накладывать повязки с мазью. Длительность курса терапии индивидуальна.

Признаки передозировки от употребления Цинковой мази не известны.

Данные о влиянии совместного применения мази с другими лекарственными средствами отсутствуют.

Цинковая мазь хранится не более пяти лет в темном помещении с температурным режимом не более 15ºС, недоступном для детей.

Мазь чистотел

Соком чистотела с незапамятных времен выводят бородавки. Но это средство доступно только летом. В любое время года можно использовать бальзам Чистотел, оказывающий обезболивающее, заживляющее, дезинфицирующее действие. Останавливает кровотечение и воспалительный процесс, развитие доброкачественных новообразований.

Выпускается в тубе объемом 20мл.

Чистотел токсичен, поэтому применять мази на его основе во время беременности и лактации не следует.

При повышенной чувствительности к чистотелу мазь противопоказана.

Для удаления бородавок наносить на них бальзам однократно на протяжении двух-трех дней, предварительно распарив бородавки и обработав скребком или пемзой для удаления огрубевшей кожи.

Хранить не более года в сухом прохладном помещении.

Мазь Вишневского

Действующими веществами мази являются ксероформ и деготь в равных частях, оказывающие дезинфицирующее, раздражающее и противовоспалительное действие. Обладает заживляющими свойствами, стимулируя процесс кровоснабжения в тканях.

Поставляется в банках – 100г, тубах – 40г.

Использовать во время беременности и лактации не рекомендуется.

Противопоказан при сенсибилизации к фенолу и препаратам на его основе, а также к любому ингредиенту мази.

Продолжительное лечение мазью Вишневского может привести к проявлениям аллергии в месте нанесения, а также к фоточувствительности.

Мазь Вишневского два-три раза в день намазывают на бородавку Сверху накладывают повязку, делая перевязки один раз через два-три дня. Лечение продолжают до исчезновения бородавки.

Попадание мази на слизистые оболочки не рекомендуется, после перевязки необходимо хорошо вымыть руки для предотвращения соприкосновения со слизистыми.

Передозировка может привести к аллергии.

Совместное употребление с другими наружными средствами может привести к негативным последствиям.

Хранить не более пяти лет, соблюдая температурный режим 8-15ºС, в защищенном от света помещении. Беречь от детей.

Ихтиоловая мазь

Действующий компонент ихтиол (битуминосульфонат аммония), обладающий противовоспалительным, дезинфицирующим и болеутоляющим воздействием. В систему кровообращения при наружном применении не попадает.

Выпускается в тубах – 30мг, контейнерах и банках – 25 мг.

При беременности Ихтиоловую мазь применяют только по назначению врача. Кормящим матерям необходимо следить, чтобы мазь не попала в рот к ребенку.

Противопоказана при гиперчувствительности к составляющим мази и в возрасте 0-11 лет.

Изредка может вызывать аллергию.

Как правило, мазь наносится на бородавку два-три раза в сутки, не втирается, закрывается марлевой повязкой. После процедуры рекомендуется хорошо вымыть руки, чтобы избежать контакта мази со слизистыми оболочками.

Совместное употребление Ихтиоловой мази с другими наружными средствами, особенно имеющими в составе соли йода, тяжелых металлов, алкалоиды, может привести к негативным последствиям.

Хранить не более пяти лет, соблюдая температурный режим 15–20 °C, в темном помещении с низкой влажностью воздуха.

Бетадин мазь

Действующее вещество – повидон-йод, обладает бактерицидным и фунгицидным действием. Активен по отношению к вирусам и простейшим. Попадая на кожу или слизистые оболочки, йод освобождается от связывающего его йодоформа и образовывает с белками клеток патогенной микрофлоры йодамины. Повреждая таким образом клеточные мембраны патогенных микроорганизмов, способствует их уничтожению. Обладает мощной антибактериальной активностью против грамположительных и грамотрицательных бактерий (кроме возбудителя туберкулеза).

При использовании мази йод практически не абсорбируется.

Беременным и кормящим женщинам использовать не рекомендуется.

Противопоказана при гиперфункции щитовидной железы и ее аденоме;

болезни Дюринга; детям до 1 года; сесибилизации к йоду и другим составляющим мази. При дисфункции почек – с осторожностью.

Может провоцировать аллергию.

Употреблять два или три раза в день, нанося на бородавки тонким слоем.

Частое употребление на значительной площади поверхности кожи и слизистых оболочек может спровоцировать системную обратную абсорбцию йода и временное искажение результатов тестирования функций щитовидной железы.

Не употребляется совместно с другими антисептиками, особенно щелочными, ферментативными и ртутными; с препаратами радиоактивного йода.

Хранить не более трех лет, соблюдая температурный режим 15-25°С. Беречь от детей.

[35]

Мазь от бородавок для детей

Новообразования у ребенка обязательно нужно показать врачу, удалять их без диагностики опасно. Обычно у детей бородавки проходят сами и лучше их не трогать. Однако, если они доставляют ребенку неудобства, можно попытаться избавиться от бородавок с помощью мази.

При выведении бородавок дома нужно соблюсти несколько простых условий. Детям не рекомендуется обрабатывать сразу несколько участков кожи. Нельзя самостоятельно избавляться от бородавок на лице у ребенка – избежать некрасивого шрама практически невозможно. Также нужно учитывать, что для устранения бородавки должно пройти некоторое время (примерно две недели). Нужно набраться терпения и не экспериментировать с различными средствами. Однако, если за два месяца никаких видимых изменений не произошло, мазь нужно отменить.

Мазь от бородавок для детей должна обладать щадящим действием и к ее компонентам у ребенка не должно быть аллергии. Выбирая мазь, нужно внимательно ознакомиться с ее составом. Желательно проконсультироваться с врачом. Применять мазь только в соответствии с инструкцией.

Для выведения бородавок у детей можно воспользоваться салициловой мазью. Детская доза мази не более 1мл в сутки. Можно обрабатывать кожу детям старше года.

Оксолиновая мазь тоже обладает щадящим действием и может применяться от бородавок у детей старше двух лет. Лечение будет длительным, до трех месяцев.

Теброфеновая мазь тоже применяется для устранения вульгарных бородавок у детей. Также из противовирусных мазей для детей можно выбрать Виферон мазь и Интерфероновую мазь.

В настоящее время существует немало средств избавления от бородавок, из них многими можно пользоваться в домашних условиях. Тем не менее, рекомендуется проконсультироваться с врачом перед началом лечения, каким бы безобидным выбранное средство вам ни казалась.

Фармакодинамика

Мази от бородавок по способу действия бывают:

  • удаляющие бородавку, вызывая некроз ее тканей, тем не менее, не устраняющие причины ее появления – вируса папилломы человека;
  • антивирусные мази, останавливающие размножение и рост ВПЧ не только в поверхностных клетках кожи, но и в более глубоких.

[36]

Способ применения и дозы

Все мази от бородавок накладываются прямо на новообразование, антивирусные – еще и на здоровую кожу вокруг 2-4 раза в сутки (как сказано в инструкции). Мази действуют более мягко, чем жидкие прижигающие средства. От применения мазей не остается шрамов и рубцов, с помощью большинства из них можно убирать бородавки на лице.

Для более эффективного действия мази перед удалением бородавок на подошвах их предварительно распаривают в ванночке.

[37], [38], [39], [40], [41], [42], [43]

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