Домой Бородавки На руке у ребенка бородавка на — Детское здоровье

На руке у ребенка бородавка на — Детское здоровье

2010
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Детское здоровье

Как избавить ребенка от бородавки на руке

Бородавка — доброкачественное кожное новообразование. Причины — активизация папилломавирусной инфекции. Характерный нарост может появиться не только у взрослых людей, но и у детей. Бородавка на руке у ребенка возникает в результате проникновения возбудителя через микротравмы на коже при контакте с инфицированным человеком или использовании чужих средств обихода. Папилломавирус может передаться малышу от матери во время рождения. По статистике около 80% населения являются носителями вируса, но не у каждого человека возникает бородавка на пальце. Причины этого — хороший иммунитет, способный противостоять инфекции. Проникая в организм, вирус не сразу себя проявляет и «дремлет», но стоит иммунной системе малыша дать сбой, начинает активную жизнедеятельность и проявляется это в виде бородавок у ребенка на руке или других участках тела.

Симптоматика по виду новообразования

Бородавки на руках у детей бывают разных видов, и прежде чем лечить или выводить их, следует разобраться, какой именно нарост появился у вашего малыша.

  1. Вульгарные, или обыкновенные, бородавки — это наросты с плотной структурой и шершавой поверхностью. Размеры достигают 2 см. Чаще локализуются с внешней стороны кисти. Могут быть болезненными и кровоточить.
  2. Плоская бородавка на руке у ребенка (юношеская) — новообразование, немного возвышающееся над кожей. Поверхность нароста гладкая. Размер не более 5 мм. Появляются, как правило, в период полового созревания. Удалять их приходится в крайних случаях, поскольку после гормонального становления исчезают самостоятельно.
  3. Околоногтевая бородавка — локализуется на пальце руки, в области ногтевого ложа или под ним. Нарост может быть шарообразным или плоским. Поверхность шершавая. Такие новообразования нуждаются в лечении, поскольку становятся причиной разрушения ногтевой пластины.

Бородавки у детей могут исчезать самостоятельно, поэтому целесообразность лечения должен определять врач. Есть несколько критериев, которые служат показаниями к удалению:

  • нарост изменил цвет;
  • стремительно растет;
  • вызывает боль, зуд;
  • появилась кровоточивость, нагноение;
  • изменилась форма, структура.

Как вывести бородавку, которая видоизменилась и доставляет дискомфорт, подскажет врач дерматолог. Ни в коем случае не пытайтесь удалять ее самостоятельно, последствия могут быть непредсказуемыми.

Натертость на руке выглядит непривлекательно и если она безболезненная, то можно попробовать избавиться от нее, используя народные средства (все методы должны быть щадящими, дабы не травмировать нежную кожу ребенка).

Нетрадиционное лечение

Для того чтобы вывести бородавки на руках, не обязательно идти в аптеку, просто загляните на кухню, наверняка там найдется все необходимое.

  1. Приложите к новообразованию тампон, смоченный в уксусе (можно использовать лимонный сок), зафиксируйте, а через 3-4 часа снимите.
  2. Вымоченный в уксусе лук приматывают к бородавке и оставляют на ночь (овощ предварительно разбирают на пластины).
  3. Луковая кашица — наносят локально (заранее заклеив здоровую кожу вокруг лейкопластырем), фиксируют повязкой, снимают через 8-10 часов.
  4. Натертый картофель накладывают под повязку и оставляют на всю ночь.
  5. Нарезанные пластинами зубчики чеснока вымачивают в уксусе, прикладывают к наросту под повязку. Оставляют на 2 часа.
  6. Мякоть каланхоэ или алоэ накладывают под повязку, снимают через 8-10 часов.

Также можно делать ванночки для рук с содой или настоем полыни, они помогут размягчить нарост, после чего его верхний слой удаляют пемзой.

Если бородавка одиночная, избавиться от нее не сложно, но при множественном поражении следует обязательно показать ребенка врачу, который назначит соответствующее лечение.

Медицинские препараты

Чем лечить бородавки, какие медикаментозные средства применять, должен определять врач. Обычно используют кератолитические и противовирусные препараты местного действия, но при обширном обсеменении может быть проведена системная терапия.

Поскольку вызывает образование наростов вирус папилломы человека, применяют лекарства противовирусного действия — это таблетки Гропринозин, Арбидол, Изопринозин. Кроме этого назначают иммуностимулирующие препараты и витаминотерапию. Также родителям следует обратить внимание на питание ребенка — обогатить его всеми необходимыми микроэлементами.

Наряду с этим проводят лечение бородавок на руке у ребенка препаратами наружного действия:

  • Кератолитическая Оксолиновая и бактерицидная Теброфеновая мазь — лекарства применяют вместе. Рекомендуют сначала распарить новообразование, сделав теплую ванночку из настоя лекарственных трав и обсушить место воздействия. Обработать сначала Оксолиновой, а спустя 15 минут нанести Теброфеновую мазь. Манипуляцию повторяют дважды на день.
  • Салипод — пластырь с кератолитическим действием. Наклеивают средство только на поверхность нароста (здоровые ткани не должны подвергаться воздействию). Оставляют на 24 часа, после чего снимают и удаляют размягченные слои новообразования. Процедуру повторяют в течение 1-2 недель.
  • Противовирусные и иммуностимулирующие средства, например гель Панавир и Интерфероновая мазь.

Для того чтобы быстро вывести бородавку у ребенка, могут быть использованы более агрессивные препараты, но их рекомендуют применять с 5 лет:

  1. Кератолитическое и антисептическое средство Колломак — наносят непосредственно на бородавку, после чего она размягчается и постепенно отторгается. Курс 5-7 дней.
  2. Некротизирующее средство Криофарма — замораживает новообразование (по сути, это домашняя криотерапия). Через 7-10 дней нарост отмирает.
  3. Прижигающим действием обладает раствор Ферезол — его наносят только на поверхность бородавки (на здоровой коже вызывает ожог). Достаточно 2-3 раза обработать нарост, после чего он мумифицируется и отпадет.
  4. Некротизирующий препарат Веррукацид — новообразование прижигают точечно, 3-5 раз с интервалом в несколько минут. Со временем бородавка засыхает и отмирает. Наносить аккуратно — на здоровой коже вызывает ожог.

Также можно использовать растворы Солкодерм, Суперчистотел или Ляписный карандаш, но предварительно проконсультируйтесь с врачом.

Методы удаления

Когда ни один из методов не дал положительных результатов, врач может рекомендовать убрать бородавку оперативным путем.

Криодеструкция

Замораживают нарост жидким азотом. При обширных поражениях требуется местная анестезия (единичные бородавки убирают без наркоза). После обработки на протяжении нескольких недель идет процесс отмирания нароста, только через 1-1,5 месяца струп отторгается.

Электрокоагуляция

Выжигают током переменной или постоянной частотности. Для проведения процедуры ребенку потребуется местное обезболивание. Используют специальный электрод, который иссушает бородавку — отмирание происходит мгновенно. Заживление требует 7-10 дней.

Лазеротерапия

Удаление лазерным лучом — наиболее подходящий метод для детей — безболезненный, бескровный, с дезинфицирующим действием, не оставляет следов. Нарост убирается в течение нескольких минут. Восстановление длится не дольше недели.

Радиоволновый метод

Бесконтактный способ, относится к инновационным процедурам. Радионож разрушает клетки новообразования, после чего оно отмирает. Манипуляция длится несколько минут. Период заживления 5-7 дней. Следов от вмешательства не остается.

Кроме этого может быть применено классическое иссечение (скальпелем), но в детском возрасте такую процедуру проводят очень редко, поскольку после воздействия остаются заметные рубцы. Хирургическое удаление показано при обширном обсеменении, когда более щадящие методы оказываются бессильны.

Причины возникновения бородавок у детей на руках и лице, особенности лечения в домашних условиях

Бородавки, появляющиеся у детей, вызывают беспокойство у большинства родителей. Подросток может подвергаться насмешкам одноклассников и испытывать большой дискомфорт при возникновении образований на лбу, губах или на носу.

Прежде чем удалять бородавки у детей «бабушкиными» методами, стоит обратиться к врачу. Специалист расскажет, какие современные эффективные и безболезненные методы используются в медицине. Лечение специальными препаратами не оставит рубцов на месте папилломы, в отличие от прижигания чесноком или другими народными средствами.

Причины возникновения бородавок

Почему у детей возникают бородавки? Причиной их появления на теле у малыша является вирус папилломы человека. В природе существует несколько его типов. Он попадает в детский организм через повреждения кожи — порезы, ранки. Заражение часто происходит в местах общего пользования (например, при купании в бассейне или аквапарке, в бане, сауне), при несоблюдении правил гигиены или непосредственном контакте с носителем заболевания.

Чаще всего заражение случается в возрасте 3-5 лет, когда ребенок активно познает мир. Однако это не значит, что годовалый малыш не может заболевать вирусом папилломы — иногда он получает его от матери при прохождении через родовые пути.

Инкубационный период может длиться очень долго, даже десятилетиями. Активному размножению вируса в организме и появлению кожных признаков способствуют:

  • постоянное недосыпание, усталость, переутомление, недостаток витаминов и частые стрессы;
  • часто вирусные бородавки у детей возникают при чрезмерной потливости — это благоприятное условие для развития вирусной инфекции;
  • период во время и после заболевания, особенно если малыша лечили антибиотиками;
  • привычка грызть ногти;
  • ношение чужих принадлежностей для бассейна – тапочек, шапочки, очков;
  • гормональные изменения в подростковом периоде;
  • расчесывание кожных покровов после укусов насекомых;
  • отказ от ношения перчаток или варежек в холодное время года;
  • причины возникновения папиллом по месту их локализации: они появляются на подошвах из-за ношения неудобной тесной обуви, на шее — из-за плотного натирающего воротника или шарфа.

Основное условие появления бородавок – пониженный иммунитет. Обнаружив новообразование на теле у малыша, родителям нужно серьезно задуматься о состоянии защитных сил детского организма.

Разновидности и симптомы

Появившись впервые, вирусные папилломы выглядят как маленькие прыщики, плотные внутри. Локализуются на руках, пальцах, ладошках, лице малыша — могут возникнуть на любом участке тела.

Существует несколько разновидностей бородавок, возникновению которых подвержены дети: они могут быть плоскими или выпуклыми, одиночными или групповыми. У малышей раннего и дошкольного возраста они часто появляются на руках, ступнях и коленях. У подростков – на спине и лице. Если новорожденный малыш заразился от матери при родах, то папилломы возникают у него на языке, губах, в носу или глотке.

Чаще всего бородавки не несут никакой угрозы здоровью ребенка, перерождение в злокачественные новообразования происходит редко. Опасность существует при случайном травмировании бородавки и занесении в нее инфекции. Как выглядят основные разновидности бородавок на руках, ладонях и лице, можно увидеть на фото.

Обыкновенная

Обыкновенная, или вульгарная, бородавка серого или желтоватого цвета, шарообразной формы. На ощупь плотная, высотой около 0,5 см.

Места расположения обыкновенных папиллом: на пальце, с тыльной стороны кисти, на ладонях, локтях и коленях. Они могут быть отдельными образованиями или находиться в группе (одна большая бородавка и много маленьких вокруг). Часто при удалении материнской папилломы все окружающие образования проходят бесследно.

Плоская

Плоская бородавка почти не выступает над поверхностью кожи. Ее цвет практически не отличается от естественного оттенка кожи. Может быть серого или желтого цвета. Возникает, как правило, на локтях, коленях и лице (на носу, губе или лбу). Причиной появления плоских вирусных папиллом являются гормональные изменения. Им наиболее часто подвержены юноши и девушки в подростковом возрасте. Наросты могут исчезнуть самостоятельно в течение полугода.

Филиформная

Филиформные (нитевидные) бородавки часто расположены на лице – вокруг глаз, на шее, носу, около рта. Они вырастают в местах складок кожи и участках с наиболее тонким эпидермисом. Имеют вытянутую форму и длинную ножку. Этот тип папиллом наиболее часто возникает у взрослых людей, редко — у дошкольников и подростков.

Подошвенная

По названию этого вида бородавок понятно, что появляются они преимущественно на подошвах ступней ребенка, на пальцах ног. Они глубоко проникают внутрь кожи и имеют серый или желтый цвет. При ходьбе и надавливании на папиллому возникает боль.

На ступне они чаще всего возникают в больших количествах, вокруг наблюдаются черные точки, кожный рисунок при этом исчезает. При несвоевременном лечении они врастают в кожу и плохо поддаются удалению. Для их уничтожения жидким азотом понадобится минимум 3-4 процедуры. Иногда такое лечение растягивается на месяцы — все зависит от того, насколько прочно наросты закрепились в эпидермисе.

Заражение происходит через примерку обуви на голую ногу, ношение чужой обуви. Этот тип бородавок является самым заразным.

Другие типы бородавок

Бородавки у детей бывают и околоногтевыми. Они часто возникают у малышей, которые грызут ногти или заусенцы. Это еще один веский довод для отучения ребенка от этой вредной привычки.

Другой вид бородавок — остроконечные. Они группируются в соцветия и передаются в основном половым путем, поэтому в детском возрасте практически не встречаются. Такие папилломы требуют срочного лечения.

Диагностика

Симптомы, которые должны насторожить родителей и послужить поводом для экстренного визита к дерматологу:

  • бородавка быстро увеличивается в размерах;
  • возникают целые группы папиллом, которые впоследствии сливаются в единый нарост;
  • образование стало менять цвет, или появилась кровь;
  • есть болезненные ощущения в виде покалываний.

Врач направит пациента на анализ крови на выявление типа вируса папилломы и отправит бородавку на гистологическое исследование.

Особенности лечения

Папилломы у ребенка часто проходят самостоятельно в течение нескольких лет за счет укрепления иммунитета. Однако в зависимости от локализации бородавки могут причинять малышу значительный дискомфорт. Особенно это касается подошвенных образований, которые вызывают боль при ходьбе. Бородавки можно вывести в домашних условиях с помощью мазей, пластыря или прижигания, но под строгим контролем дерматолога.

Лечение папилломы заключается не только в удалении образования, но и в противовирусной терапии, целесообразность которой определит специалист. Несмотря на это, избавиться от вируса папилломы человека полностью, к сожалению, практически невозможно — в период снижения иммунитета он снова заявит о себе.

Препараты для внутреннего и наружного применения

Наружные средства для устранения бородавок:

  • Мази (оксолиновая, салициловая, фторурациловая) втираются в наросты в течение 2 недель до того момента, пока они не станут черными (подробнее в статье: можно ли применять оксолиновую мазь новорожденным?).
  • Прижигание специальными средствами (Солкодерм, Дуофилм, Суперчистотел) не применяется в отношении детей раннего возраста, обычно их начинают только по достижении 2 лет — лучше делать это под контролем специалиста, чтобы не осталось шрамов.
  • Салипод — это пластырь, который клеится на пораженный участок и меняется дважды в день в течение 14 дней. Есть и другие пластыри, применяемые для удаления папиллом, какой именно подойдет ребенку — подскажет специалист.

Кроме этого, ребенку назначаются:

  • противовирусные препараты (Панавир);
  • иммуномодулирующие средства (Виферон, Иммунал).

Аппаратные методы терапии

Если папиллома мешает малышу, врач предложит ее убрать. Если предстоит удалить ее на лице, нужно взвесить с врачом все «за» и «против», поскольку в некоторых случаях не избежать появления шрама.

Аппаратные методы устранения бородавок достаточно современные и эффективные, к ним относятся:

  • Криодеструкция — замораживание бородавки жидким азотом, после чего она отмирает. Избавиться от неприятного нароста можно за один сеанс, однако не исключен риск его повторного появления.
  • Лазерное удаление. Лазер удаляет папиллому послойно до самого корня. При выполнении процедуры делается местная анестезия. Данный метод можно использовать и у малышей. Его преимущество состоит в отсутствии крови при операции и быстром зарастании рубца. Корочка сходит на 5 день, а на полное восстановление дается около 1 месяца. У лазеротерапии есть одна особенность – она не проводится летом, на загорелой коже.

Лазерное удаление бородавок

Народные средства

Иногда папилломы перерождаются в злокачественные образования, поэтому народные методы у детей надо применять с особой осторожностью. Перед тем как что-то испробовать на своем ребенке, лучше согласовать это с лечащим врачом.

Кроме того, традиционное медикаментозное лечение более эффективно, потому что воздействует на первопричину бородавки – вирус папилломы, а не только на ее внешнее проявление. После консервативной терапии редко остаются шрамы и рубцы, что очень важно, когда удаление проводится на лице малыша.

Часто для удаления бородавок в домашних условиях используется:

  • свежий сок чистотела — им обрабатывают папиллому 2 раза в сутки;
  • чеснок — дольку разрезают пополам и прикладывают к пораженному месту 2 раза в день (можно использовать чесночную кашицу, смешанную с мукой);
  • компрессы из мелко натертого сырого картофеля;
  • прикладывание листьев лекарственного алоэ или каланхоэ.

Бородавки на руке у ребенка: почему появляются и как лечить

Бородавка — доброкачественное новообразование инфекционной природы в форме узелков или сосочков. Причиной возникновения становятся различные штаммы вируса папилломы человека (ВПЧ). Заражению подвергаются и взрослые, и дети.

Бородавка у ребенка чаще вырастает на пальцах рук, как результат бытовых контактов с зараженными людьми и предметами. Папиллома иногда рассасывается сама собой, но пока вирус живет в организме, могут появиться новые образования. Они подлежат удалению, чтобы не распространялись по телу, не травмировались, не передавались другим.

Почему вырастают бородавки

Заражение ребенка папилломавирусом происходит в таких ситуациях:

  • во время родов — от матери новорожденному;
  • при поцелуях, контактах с кожей человека, имеющего наросты;
  • из-за прикосновений к игрушкам, книгам, письменным принадлежностям, бытовым предметам общего пользования.

Благоприятные условия для ВПЧ:

  • несформировавшийся иммунитет у младших или ослабленный у старших детей;
  • немытые руки, привычка сосать пальцы, обгрызать ногти;
  • необработанные ранки, кожные раздражения;
  • скудное, с недостаточным содержанием витаминов и микроэлементов, питание;
  • заболевания — сахарный диабет, частые простуды, паразитарные инфекции, нарушения пищеварительной системы, аллергия;
  • длительные курсы медикаментозного лечения;
  • психологические травмы.

Симптоматика ВПЧ

Вирус скрыто развивается в организме около полугода. Он вызывает мутацию клеток, искажая их естественное строение и механизм роста. Бородавки — это и есть симптом ВПЧ.

Опасность бородавок

Появление кожных образований не вызывает особой тревоги у родителей. Но ВПЧ поражает не только кожу, но и слизистые оболочки. Высока вероятность попадания онкогенов 16, 18 типа, которые запускают злокачественные процессы. Если анализ бородавки на пальце руки указывает на эти типы, нужно искать наросты в зоне ануса, гениталий, зева и на других слизистых.

Более безобидные папилломы опасны тем, что дети могут поранить их, сорвать. В ранку с грязью заносится масса микробов. Начинается воспалительный процесс, нагноение.

Существует несколько вариаций папиллом. На руках у детей встречается 2 вида:

  • Вульгарные папилломы — ороговевшие наросты-шишки, диаметр которых может быть крохотным или достигать 1 см. У детей белой расы они немного темнее кожи. Структура срединной части несколько бугристая. Формируются на кистях с внешней и внутренней стороны, в том числе на пальцах. У ребенка с привычкой откусывать заусенцы, простые бородавки окружают ногти. Близкорасположенные вульгарные папилломы имеют свойство срастаться по несколько штук. Из-за их плотной структуры чувствуется стянутость кожи. Дети бессознательно ощупывают, расцарапывают это место.
  • Плоские образования представляют собой бесцветные, гладкие, слегка выпуклые папулы. Размер не превышает 3 мм. Располагаются россыпью на обратной стороне кисти. У младенцев в этой зоне возникает зуд, раздраженность кожи.

Способы лечения

Родителям не стоит самостоятельно удалять папилломы детям. Где непрофессионал видит обычную бородавку, врач путем дерматоскопии, гистологии может идентифицировать более серьезную проблему. Без промедления ребенок направляется на обследование, если:

  • предполагаемая бородавка быстро увеличивается;
  • в узелке и вокруг него появилось покраснение;
  • за короткий срок образовалось много папиллом, они продолжают распространяются.

В рядовых ситуациях дерматолог рекомендует консервативный способ лечения. Это могут быть мази на основе салициловой кислоты, лейкопластыри для удаления папиллом. Действующие вещества, проникая в нарост, разрушают его изнутри. После лечения на коже не остается и следа. Одновременно назначают лекарственные препараты для укрепления иммунитета.

Быстро и удобно удаляют кожные наросты амбулаторно высокочастотным током, лазерным лучом, низкой температурой.

Удаление током

Прибор для электрокоагуляции снабжен электродом в виде металлической петли, шарика, иглы, ножа. На него подаются электроволны:

  • длинные режущие — для удаления вульгарных бородавок;
  • короткие прижигающие — для плоских образований.

Операция проходит под местной анестезией. На месте удаления образуется струп. Через 12 суток он отпадает без образования шрама.

Удаление лазером

Тонкий луч лазерного прибора отличается высокой точностью, скоростью воздействия. Процедура удаления занимает пару минут, проходит практически безболезненно и абсолютно бескровно. Под действием высокотемпературного луча тело папилломы испаряется, а вирус гибнет. Одновременно прижигаются мелкие сосуды. После заживления рубца не будет.

Удаление заморозкой

Вымораживание аномальной ткани называют криодеструкцией. Для безболезненного удаления применяют жидкий азот. Ткань бородавки теряет чувствительность, становится белой. Иногда бывают покалывающие или слегка жгущие ощущения. При оттаивании образуется небольшой волдырь и припухлость вокруг. Пузырь в течение последующих дней сходит, может остаться едва заметный след.

Народные рецепты

Растительные средства содержат вещества, способствующие усыханию кожных наростов. Нужно проследить, чтобы ребенок раньше времени не сорвал бородавку.

  1. Способ удаления чесноком очень давний и весьма успешный. Зубчик чеснока натереть, намазать одиночное образование. Можно прикладывать тонкие чесночные слайсы. Сверху заклеить небольшим кусочком пластыря. Через сутки снять, проверить, как идет процесс. Если папиллома не отделилась, нашлепку приклеить назад. Учитывая нежность кожи малыша, можно подмешать к чесноку немного детского крема. Не стоит одновременно прижигать чесноком несколько бородавок.
  2. Оранжевый сок из надломленного стебля чистотела поможет вывести разные папилломы. Процедура выполняется по 2 раза в течение 2 дней. Спустя некоторое время бородавка пропадет.
  3. Избавиться от папиллом помогает смазывание несколько раз в день рябиновым соком.
  4. Картофель тоже лекарство от бородавок. Вымытый клубень натереть с кожурой или отрезать плоский кусочек. Приложить к папилломе, заклеить скотчем.
  5. Выводят бородавки отваром полыни. Для его приготовления столовую ложку измельченной травы заливают 200—220 мл кипятка, варят 10 минут и процеживают после остывания. Смоченным в отваре марлевым тампоном накрывают папиллому и фиксируют пластырем. В течение дня аппликацию освежают 3—4 раза. Процедуру нужно повторять до того момента, пока нарост не отпадет.

Профилактические мероприятия

  1. При появлении узелков и папул на руках родителям нужно позаботиться об укреплении иммунитета ребенка. Эффективно борются с вирусами витамин С и цинк. Они же защитят от простуды, очень нежелательной во время и после лечения бородавок.
  2. Важно, чтобы дети младшего и старшего возраста получали сбалансированное сытное питание. Обязательны в рационе свежие соки и фрукты.
  3. Нужно приучить малышей к мытью рук после игр со сверстниками, с чужими игрушками. Родители должны выявлять и обрабатывать даже самые мелкие травмы на коже.
  4. Необходимо подсказать ребенку, как избегать стрессов. Создать в семье комфортную атмосферу, чтобы он чувствовал себя защищенным.
  5. Свежий воздух, летнее оздоровление, занятия спортом укрепят детский организм и не дадут шансов бородавкам.

Перед применением любого народного средства для удаления бородавки нужно проконсультироваться с дерматологом. Важно помнить, что кожа ребенка отличается особой чувствительностью, поэтому для малыша оптимальным будет лечение под врачебным контролем.

Бородавки у детей на руках

У детей часто появляются бородавки на подошвах, лице или руках – плоские и гладкие, нитевидные или круглые, а также шероховатые вирусного происхождения.

Причины

Дети заражаются вирусом папилломы:

  • при контакте непосредственно с носителем;
  • при контакте с игрушками носителя вируса и бытовыми предметами в общественных местах и детских учреждениях;
  • при посещении бассейна, пляжей.

Благоприятными факторами для возникновения и развития ВПЧ у детей, становятся:

  • ослабленная иммунная система;
  • сахарный диабет;
  • привычка обгрызать ногти, обкусывать заусенцы;
  • оставленные без обработки царапины, ранки, ожоги;
  • привычка брать в рот грязные игрушки, концы карандашей и ручек.

Иногда причины возникновения подногтевых бородавок неизвестны.

Осложнения

В некоторых случаях наросты не нуждаются в лечении, но чаще разрастаются и причиняют боль, особенно при надрыве тела бородавки, проколе и пр. Если бородавки появляются на лице ребенка, значит, они есть на руках или стопах. При дислокации бородавок на стопах, на руках (локтях и под мышками) они будут создавать неудобство при ходьбе, цепляться за одежду с рукавами и постоянно травмироваться – растираться или отрываться, затем кровоточить.

Сквозь ранки могут попасть гноеродные бактерии, что приводит к абсцессу в зоне образования, увеличению их в размере, размножению. Это приносит сильное страдание ребенку болевыми ощущениями, зудом и жжением.

Виды бородавок

  • Место дислокации вульгарных бородавок на суставах пальцев, на тыльной и ладонной поверхности кистей, вокруг ногтей при заусенцах и из-за привычки отгрызать ногти. Они могут представлять небольшой, неровный и шероховатый узелок (уплотнение). Наличие черных точек говорит о затромбировании мелких сосудов, что принимают ошибочно за корень бородавок.
  • Плоские бородавок в виде веснушек можно обнаружить на тыльной стороне кистей и на лице, они могут быть множественными и располагаться группами.
  • Быстро растущих акрохорд – нитевидных или пальцеобразных новообразований чаще встречают у губ, носа, глаз, в уголках ногтей, между пальцами и на тыльной стороне ладони.

Диагностика

Сам факт появления тела бородавки достоверно подтверждает проникновение вируса в организм. Иногда проводят биопсию и исследуют кусочек бородавки под микроскопом.

Лечение

Врачу необходимо показывать каждый необычный нарост на руках и иных участках тела ребенка, а не удалять их самостоятельно. Это могут быть злокачественные новообразования. К тому же подобное удаление и самолечение может привести к рубцам и шрамам, особенно на лице.

Лечить бородавки у ребенка можно самыми распространенными методами:

  • Аптечными средствами – салициловой мазью и иными растворами на основе кислоты салициловой. При обработке здоровые участки кожи не затрагивают, только тело бородавки.
  • Лейкопластырем с действующим веществом – применяют для активных деток.

Используя лечение аптечными препаратами, необходимо придерживаться инструкции и использовать один препарат, а не проверять на детях все средства сразу.

Можно вывести новообразования традиционными способами лечения:

  • разрушением образований электрическим током;
  • криодекструкцией;
  • лазером.

Все данные способы не противопоказаны детям, так достаточно безболезненные и эффективные.

Лечение бородавок по видам

Для лечения обычных бородавок, особенно, если их много у ребенка, лучше выбрать:

  • удаление электрокоагуляцией или диатермокоагуляцией на фоне гипносуггестивной терапии, лазером или хирургическим путем под местной анестезией;
  • жидким азотом, пергидролью, трихлоруксусной кислотой, 20%-ным раствором Подофиллина;
  • мазями: Флореналя (2-3%), интерфероновой (50%), оксолиновой (2%) колхициновой;
  • фотохимиотерапией: на бородавку наносят препарат Метоксипсорален в течение двух дней, он воздействует на образование спустя полчаса или час.

Плоские бородавки у ребенка легче лечить:

  • рефлексо- , психо- и гипносуггестивной терапией;
  • приемом внутрь таких препаратов, как очищенная сера, окись магния, витамин А (по детской схеме);
  • кератолитическими мазями с салициловой кислотой, Резорцином, кислотами: молочной и бензойной;
  • эритемными дозами ультрафиолетовых лучей, пограничными лучами Букки, УВЧ-терапией, фонофорезом через интерфероновую мазь (50%);
  • кюретажем;
  • применением Фрезола, трехуксусной кислоты или Кантаридина – химических веществ, наносящихся непосредственно на бородавку для исключения ожога здоровой кожи.

Средства народной медицины

В домашних условиях, но под контролем педиатра, удаление бородавок на руках проводят:

  • Настоем чеснока на уксусе из яблок: кашицу из 4 долек чеснока заливают яблочным уксусом (0,5 ст.) и настаивают 2 недели. Ежедневно смазывают новообразование на руках до ее усыхания.
  • Чесночно-уксусной мазью: к кашице из чеснока добавляют растопленный нутряк (по 1 ч. л.) и уксус (4 ч. л.). Прикладывают на бинтике на ночь к бородавке и фиксируют пластырем.
  • Соком или эссенцией чистотела. Чтобы не причинить ожог ребенку, необходимо приклеить пластырь к ручке с дырочкой для бородавки, затем палочкой ее прижигают.
  • Применением Алломедина, Суперчистотела, мази Оксолиновой или Салициловой после распаривания бородавки в содовой ванночке и приклеивания пластыря с дырочкой для бородавки.

Профилактика

В качестве профилактики необходимо постоянно повышать ребенку иммунитет с помощью продуктов, богатых витаминами и микроэлементами, чаще гулять с ним на лоне природы, у водоемов, приучать к спорту и соблюдению гигиены тела, отучать от привычки грызть ногти, брать грязные пальцы и предметы в рот, кушать грязные фрукты и овощи. Необходимо не оставлять без внимания любую травму и нарушение целостности кожного покрова ребенка, посредством которого ВПЧ проникает в организм ребенка и провоцирует появление бородавок.

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