Домой Бородавки Мази от бородавок: ТОП самых эффективных мазей на руках и ногах

Мази от бородавок: ТОП самых эффективных мазей на руках и ногах

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Мази от бородавок

Для удаления есть ряд способов, например, мази (кремы, гели). У них много плюсов: удобно применять, можно использовать в домашних условиях, нет сильных неприятных ощущений. В аптеках большой выбор таких средств: есть очень эффективные, а бывают и откровенные пустышки. Какую же мазь от бородавок лучше выбрать и почему?

Нужно, чтобы мазь не просто на время маскировала симптомы, а полностью устраняла бы нежелательные образования.

Различают такие виды мазей:

  • с антивирусным действием (влияют на непосредственную причину возникновения бородавок);
  • кератолитические – отшелушивают отмершие клетки кожи;
  • цитотоксические, разрушающие ДНК клеток – блокирующие их деление.

После удаления наростов часто используются заживляющие мази, стимулирующие процессы регенерации кожи. Мази могут быть сделаны на основе кислот, лекарственных растений, также применяются местные ретиноиды, которые останавливают рост и отшелушивают клетки. При выборе нужно проконсультироваться с врачом, потому что какие-то препараты желательно применять в комплексе, а другие (например, ретиноиды) комбинировать с прочими средствами нельзя.

В целом мази действуют довольно мягко (в отличие от прижигающих препаратов, которые демонстрируют эффект быстрее, но при этом агрессивно влияют на кожу).

Антивирусные мази от бородавок

Такие средства воздействуют на причину их возникновения – вирус папилломы человека. Есть препараты, которые усиливают иммунный ответ (то есть имеют иммуномодулирующее действие), другие вызывают разрушение вирусных частиц (оказывают противовирусное действие). Такие мази назначаются только врачом, нужны, если новообразований много, они имеют рецидивирующий характер, то есть далеко не во всех случаях. Иногда специалист усиливает действие мази системным противовирусным средством (при иммунодефицитах и иных патологиях).

  • Оксолиновая мазь. Для борьбы с бородавками подходит 3% мазь, концентрация действующего вещества в которой намного выше, чем в привычном варианте. Пользоваться ею надо будет долго: от месяца до двух, нанося на кожные образования несколько раз (1-3) в день. Если используется эта мазь от бородавок на руках (или других участках кожи), можно наносить ее тонким слоем и покрывать вощеной бумагой, так она будет действовать дольше. Препарат снижает активность вирусов, его часто рекомендуют использовать в составе комплексной терапии для снижения риска рецидивов бородавок.
  • Мазь «Виферон». Действующим веществом данного средства является интерферон альфа-2, который обладает иммуномодулирующими свойствами. Также в состав мази входит витамин Е, известный своим противовоспалительным и регенерирующим действием. Лечение обычно длится около месяца (точнее должен сказать врач), небольшое количество мази аккуратно втирают в бородавки 3 раза в сутки. Мазь подходит для людей любого возраста, в том числе и детей. Ею можно пользоваться беременным и кормящим женщинам.
  • Мазь «Риодоксол» – достаточно сильное средство для борьбы с плоскими и подошвенными бородавками. Обладает выраженным противовирусным действием, имеет антисептические, бактериостатические свойства. Можно использовать для лечения детей, но только по рекомендации врача. Мазь наносят на бородавки несколько раз в день (1-3), курс составляет от одной до четырех недель.
  • Крем «Алдара». Действующее вещество – имиквимод – имеет выраженную противовирусную активность. Подходит для лечения перианальных и генитальных кондилом. Пользоваться такой мазью надо осторожно, строго следуя инструкции: наносить на пораженные участки три раза в неделю (через день) на ночь, так, чтобы она оставалась на коже на 6-10 часов. Лечение продолжается до исчезновения новообразований, но курс не должен составлять более 16 недель.
  • Гель «Панавир». В его основе – активные вещества растительного происхождения. Гель обладает противовирусными и иммуномодулирующими свойствами, а потому не только удаляет кожные новообразования, но и снижает вероятность их рецидивов. Наносить на бородавки его надо пять раз в день, в зависимости от количества образований и их размеров курс длится от 4 до 10 дней.

Мази с кератолитическим и цитостатическим действием

  • Салициловая мазь (10 %). Привычное многим, доступное и распространенное средство. Действующее вещество – салициловая кислота. Курс терапии составляет 2-3 недели. Это хорошая мазь от подошвенных бородавок на ногах, а также от плоских новообразований. Ее наносят на 6-8 часов, покрывают повязкой и пластырем.
  • Крем-паста «Вартокс», активным веществом которой является мочевина, размягчает бородавку, затем ее совсем не сложно удалить (пемзой или чем-то подобным). Назначается при подошвенных наростах. Средство наносят на бородавки достаточно толстым слоем, покрывают повязкой, которую закрепляют пластырем, и оставляют на сутки. Затем удаляют ту часть бородавки, которая уже успела размягчиться. Подобных процедур нужно 2-3, затем кожа в большинстве случаев приходит в норму.
  • Мазь «Уродерм», действующим веществом которой также является мочевина, может применяться даже для лечения детей. Способствует размягчению кожи. Мазь наносят на бородавку на 2-8 часов, заклеивают лейкопластырем. Затем удаляют размягченные ткани и, если нужно, повторяют процедуру.
  • Гель «Кондилокс», действующим веществом которого является цитостатик подофиллотоксин, помогает в борьбе с генитальными бородавками. Пользоваться им надо только после консультации со специалистом. Стандартная схема: три дня гель наносится на бородавки утром и вечером, затем четыре дня – отдых. Таких семидневных циклов может быть 4 и больше, до достижения видимого результата.

Смягчающие, заживляющие, антисептические мази

  • Бальзам (линимент) Вишневского – препарат с антибактериальными, регенерирующими, смягчающими, противовоспалительными свойствами. В его составе – березовый деготь, ксероформ, касторовое масло. Эту мазь против бородавок наносят на новообразования, затем их надо закрыть повязкой и зафиксировать пластырем (так средство не растечется и не испачкает одежду, постельное белье). Мазь можно использовать для компрессов. Наносить нужно 2-4 раза в сутки, можно на ночь.
  • «Левомеколь». Эта мазь, в состав которой входят хлорамфеникол, метилурацил, макрогол 1500, обладает антибактериальным, регенерирующим действием, способствует укреплению местного иммунитета. При помощи данного средства невозможно полностью устранить бородавки, но оно помогает подавить активность вирусных частиц, борется с воспалительными процессами. Мазь наносится на бородавку, а затем пораженное место заклеивается пластырем.
  • Цинковая мазь. Хорошо смягчает кожу, заживляет. Помогает избежать вторичного инфицирования, может применяться в сочетании с другими средствами (или после них, для скорейшего заживления кожи).
  • Ихтиоловая мазь. Обладает антимикробными, антисептическими, противовоспалительными свойствами. Может применяться для борьбы с бородавками на любом участке тела, кроме слизистых оболочек. Наносится мазь дважды в сутки. Курс лечения составляет от одной недели.
  • Крем-гель «Малавит». В его составе – набор действующих веществ растительного, минерального, природного происхождения: мумие, камедь лиственницы, кора пихты и дуба, кедровая смола, сосновые и березовые почки, комплекс серебра и меди, эфирные масла, родниковая вода, молочная кислота и ее соли, экстракты целебных трав, масло виноградных косточек, глицерин, ментол. Благодаря этому препарат обладает антисептическим, противобактериальным, смягчающим, заживляющим действием. Гель «Малавит» применяется при различных видах бородавок, в том числе и генитальных. Подходит для детей и взрослых, редко вызывает возникновение побочных действий. Гель наносят на новообразования (на кусочке марли) и заклеивают пластырем, оставляют мини-компресс на ночь. Через некоторое время бородавка начинает зеленеть, потом темнеть. С этого момента процедуры проделываются реже, например, дважды в неделю. Когда бородавка подсыхает и на ней появляются черные точки, лечение считается законченным, дальнейшее применение геля не нужно, бородавку надо удалить, предварительно распарив ее. Если кожа на образованиях очень грубая, распаривание можно проводить и перед каждым нанесением геля – так он подействует быстрее.

Виды бородавок

Бородавки различаются по цвету, размеру, форме, клиническим проявлениям, подтипу вируса, вызвавшему их появление. Специалисты выделяют такие основные виды:

  • Обыкновенные бородавки – похожи на узелки серо-черного, желтого, светло-серого цвета, округлые или неправильной формы, диаметр их составляет 2-10 мм. Обычно они не доставляют неприятных ощущений, но при расположении в местах, которые часто травмируются, могут болеть. Появляются на любых участках кожи (чаще на пальцах, коленях, локтях, лице). Для лечения в основном назначают противовирусные и кератолитические препараты.
  • Плоские – желтовато-коричневые, красные или розовые гладкие папулы, часто возникают в детском и подростковом возрасте. Основная локализация – лицо. Достаточно трудно поддаются лечению, но во многих случаях проходят самостоятельно.
  • Подошвенные и ладонные – появляются на коже подошв и ладоней, могут причинять боль (особенно на ногах – при движении, стоянии). Это плоские кожные образования, покрытые ороговевшим эпителием. Для лечения таких бородавок есть много средств (кератолитических, противовирусных, народных).
  • Генитальные – возникают в перианальной, параректальной области, на слизистой полового члена или половых губ. Представляют собой плоские или бархатистые папулы, располагаются в одиночку или скоплениями, иногда похожи на шершавые наросты на ножке. Генитальные бородавки зачастую не вызывают неприятных симптомов, но их следует обязательно лечить под контролем специалиста. Может понадобиться комбинация местных и общих средств.

Перед лечением бородавок стоит показать их врачу, особенно если они болят, кровят, их слишком много. Иногда под видом этих безобидных наростов могут маскироваться более серьезные заболевания кожи и даже меланома.

Подход к лечению

Выбор мази зависит от многих условий: вида бородавок, их распространенности, локализации, образа жизни, возраста человека, его состояния здоровья и наличия сопутствующих заболеваний. Можно экспериментировать, подбирая мазь от бородавок на стопе, но при наличии новообразований на лице лучше прибегнуть к более эффективным и современным методам (лазерной терапии, криодеструкции). Не стоит заниматься самолечением при появлении бородавок у детей, чтобы не травмировать нежную кожу. В целом в детском возрасте бородавки часто проходят без лечения, но если их слишком много или они постоянно рецидивируют, ребенку может понадобиться обследование и использование противовирусных, иммуностимулирующих и иммуномодулирующих средств.

Бородавки часто появляются при беременности, однако в этот период необходимо очень аккуратно относиться к выбору лекарственных средств, в том числе и мазей (некоторые недооценивают местные препараты, полагая, что при нанесении на кожу невозможно причинить вред плоду, но это не так). Есть препараты, которые нельзя использовать, есть те, которые можно применять под контролем врача. Многие бородавки после рождения ребенка проходят сами собой.

Если при всех принятых мерах результатов нет или количество бородавок увеличивается, после удаления они появляются вновь или начинают сильно беспокоить (болеть, чесаться), не нужно откладывать визит к врачу (терапевту, дерматологу, возможно, инфекционисту). В таких случаях может понадобиться комплексная терапия, то есть не только мазь для удаления бородавок, но и системные средства (противовирусные, укрепляющие иммунитет).

К специалисту нужно обратиться и при возникновении побочных эффектов. В этом случае врач либо полностью меняет назначения, либо рекомендует другую частоту и длительность использования мази.

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