Домой Бородавки От чего и почему появляются бородавки на руках, лице: причины, как выглядят...

От чего и почему появляются бородавки на руках, лице: причины, как выглядят фото и лечатся, фото образований

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Почему образуются бородавки и как с ними бороться

С такой неприятностью, как бородавки, сталкиваются многие люди. Кто-то пытается не обращать на них внимания, а кому-то они приносят истинные страдания. Так ли безобидны эти образования и как можно от них избавиться?

Что такое бородавки и почему они появляются

Кожные наросты разной формы, размера и окраски, именуемые бородавками, являются следствием вирусного заражения. Эти доброкачественные образования довольно быстро растут, часто распространяются и рецидивируют. Появление наростов связано с попаданием в организм вируса папилломы человека (ВПЧ). Бородавчатые образования на коже — следствие локального размножения этого вируса, в ходе которого возбудитель способен изменять эпидермальные клетки, вынуждая их к патологическому росту.

Примерно у 60–65% всего населения планеты вирус есть в организме, при этом внешние проявления его присутствия, то есть бородавки, имеются у 10–12% носителей, а около 70% имели неприятные наросты в прошлом.

Современной медицине известны десятки видов ВПЧ, способных поражать кожный покров и вызывать изменения эпителия. С каждым видом бородавок ассоциированы определённые штаммы вируса.

Бородавки — это заразное заболевание, оно развивается в результате прямого или непрямого контакта с человеком, имеющим любой вид этих эпителиальных образований. При этом заразиться можно и от инфицированного с чистой кожей. Вирус также могут переносить животные. Период инкубации в среднем длится от месяца до полугода, иногда — более 2–3 лет. Однако не всегда заражение приводит к появлению бородавок. Только при благоприятных для вируса условиях он начинает бурно размножаться в эпидермисе.

Бородавки являются следствием заражения вирусом

ВПЧ может поражать не только кожу, но и слизистые оболочки разных органов — носа, рта, гениталий, мочевого пузыря и т. д.

Передача возбудителя происходит контактным или бытовым путём:

  • при непосредственном взаимодействии с больным — прикосновении, поцелуе;
  • через бытовые предметы, вещи общего или личного пользования: одежду и обувь, расчёски, игрушки, полотенца, кресла и поручни в городском транспорте, дверные ручки, спортивные тренажёры в общих залах;
  • таким видом, как подошвенные бородавки, часто заражаются при хождении разутым в бассейне, сауне, ношении обуви больного человека;
  • маленьким детям вирус может перейти от матери в процессе родоразрешения, при этом, кроме бородавок, может возникнуть папилломатоз дыхательных путей;
  • аногенитальный вид образований может передаваться при сексуальном контакте.

Возможно также самозаражение, или аутоинокуляция, что бывает не так уж редко. Бородавчатые разрастания около ногтей возникают из-за привычки обгрызать ногти и кожу на пальцах, а плоские образования на лице появляются из-за бритья или косметических процедур, связанных с возможным микротравмированием кожи, например, пилингом.

Бородавка — результат локального размножения вируса в коже

Патологии подвержены люди любого возраста, школьники — в несколько большей мере, чем взрослые.

Видео: откуда берутся бородавки

Что способствует развитию заболевания

Возбудитель проникает в человеческий организм через кожные повреждения — трещины, ссадины, царапины. Если иммунная система работает хорошо, то против вируса образуются антитела, обезвреживающие его, и он выводится из организма через полгода-год. Соответственно, образования на коже не формируются. Если иммунная защита (общая или кожная) нарушена, то вирус начинает активное размножение и изменение кожного эпителия — образуются бородавки того или иного типа.

Ослабить иммунитет могут различные болезни и определённые факторы:

  • перенесённые инфекции;
  • физические и эмоциональные перегрузки;
  • стрессовые ситуации;
  • хронические переохлаждения;
  • эндокринные патологии (диабет, ожирение);
  • витаминная недостаточность;
  • гормональные изменения — менопауза, беременность.

Восприимчивость к вирусу определяется индивидуальными особенностями организма. В связи со слабостью кожного иммунитета, папилломавирусной инфекции в большей степени подвержены дети и люди преклонного возраста. Помимо этих возрастных категорий, в группе риска — любители бассейнов, бань, саун, тренажёрных залов, люди, страдающие от повышенной потливости, а также работники, занимающиеся разделкой мясных туш и трудящиеся на птицефабриках.

Типы бородавок

Наросты бывают разных типов. Локализация элементов и разновидность возбудителя определяют их внешний вид. Самыми распространёнными являются простые (вульгарные) — они составляют около 65–70% всех случаев, плоские и ладонно-подошвенные. Всего выделяют 8 клинических форм бородавок.

Таблица — разновидности вирусных бородавок

Тип бородавок Преимущественное расположение Характеристика
Вульгарные, или простые На коже пальцев, ладоней и тыльной стороне кистей; бывают на лице, голове, редко на слизистых. Обычно наростов много, часто сливаются между собой. Элементы выглядят как шероховатые узелки округлой формы. Цвет обычно не изменён, иногда бывают серо-жёлтые оттенки. Среди всех образований одно всегда самое большое (материнская бородавка). Если её удаляют, остальные самопроизвольно исчезают.
Ладонно-подошвенные глубокие Образуются на подошвах и ладонях. Представляют собой болезненные плотные бляшки величиной от нескольких миллиметров до 3–4 см в диаметре. Покрыты неоднородным роговым слоем, имеют жёлто-серый цвет.
Мозаичные подошвенные Чаще в передних отделах подошвы, под пальцами. Имеют множественный характер, за счёт этого придают поражённому участку мозаичный рисунок. Выглядят как чётко ограниченные выступающие уплотнения округлой формы размером до 1 см. Цвет со временем становится жёлто-розовым или светло-коричневым. На ощупь шероховатые, могут иметь углубление в центре, из-за тромбирования поверхностных капилляров на поверхности присутствует множество чёрных точек. Часто имеют трещины на поверхности. Выявляют в 30–35% случаев.
Плоские (юношеские) Чаще всего образуются на коже лица, тыльной стороне кистей (иногда под ногтями), на коленях, слизистых. Могут встречаться на головке пениса, слизистой шейки матки и прямой кишки. Встречаются у молодых людей (15–25 лет), диагностируют в 5% случаев. Представляют собой плоские гладкие образования, обычно телесного оттенка или коричневато-розовые. Форма чаще неправильная, может быть округлой.
Нитевидные (акроходы) Преимущественно на веках, шее, подмышками, в области паха, на груди. Выглядят как подвижные мягкие папулы на маленькой ножке, цвет бывает разным: от телесного до жёлто-коричневого. Вначале похожи на маленькую шишку, затем приобретают цилиндрическую форму, вытягиваются. Часто бывают у пожилых.
Бородавки мясников Поражают предплечья, локти и кисти Бывают у людей,соприкасающихся с сырым мясом (продавцов, раздельщиков). Образования выглядят как светлые выпуклые наросты, часто рыхлой консистенции. Как правило, безболезненные.
Остроконечные кандиломы, или аногенитальные бородавки Образуются в промежности, на гениталиях, иногда на слизистой щёк и языке, у малышей поражается носогубный треугольник. Имеют рыхлую консистенцию и строение в виде сросшихся долек, из-за этого похожи на гребень петуха или кочан цветной капусты. Растут на короткой ножке и часто разрастаются до очень крупных конгломератов. Имеют телесный оттенок, но так как легко травмируются, приобретают красный цвет и кровоточат.
Себорейный кератоз Образуются на лице (щеках, висках), туловище. Единственный тип, не связанный с вирусом папилломы. Возникают из-за разрастания поверхностного слоя эпителия. Сначала образуются коричневатые пятна, на которых формируются узелки, со временем трансформирующиеся в твёрдые роговые наросты тёмного цвета, покрытые чешуйками.

Фотогалерея — как выглядят бородавки разных типов

Чем опасны бородавки и нужно ли их лечить

На первый взгляд, бородавки приносят лишь психологический дискомфорт как косметический дефект. Однако не всё так безобидно. При значительном ослаблении иммунитета наросты увеличиваются в размерах, появляются новые образования, они захватывают всё большие участки здоровой кожи.

Множественные бородавки, особенно на лице, представляют собой серьёзный косметический дефект

Кондиломы в области гениталий, помимо психологического дискомфорта, приводят к проблемам в интимных отношениях. Травматизация образований влечёт за собой их инфицирование, появление зловонных выделений с болью и зудом. Самое неприятное — это то, что кондиломы могут озлокачествляться.

Легко травмируются нитевидные бородавки, сами по себе они не проходят, их нужно только удалять. Большие неудобства доставляют наросты в области подошвы — боль при хождении, быстрое распространение, возможность инфицирования.

Бородавки могут осложняться бактериальной инфекцией при травмировании

В случае восстановления нормальной работы иммунитета вирусные бородавки (обыкновенные, подошвенные, плоские) могут самопроизвольно исчезнуть. У кого-то это случается через полгода после их появления, но чаще всего процесс очищения кожи происходит в течение двух лет. Однако в половине случаев бородавки возвращаются вновь, особенно характерно рецидивирующее течение для вульгарного и подошвенного типов.

На собственном опыте я перенесла все «прелести» глубоких подошвенных бородавок. И хотя эта неприятность случилась ещё в старшие школьные годы, до сих пор помню ужасный дискомфорт и боль при ходьбе, когда бородавки начали появляться на давящих участках подошвы. По детской глупости, не зная, что за напасть меня посетила, я пыталась бородавки самостоятельно выковыривать. Эти эксперименты заканчивались кровоточащими углублениями на стопах и очень сильной болью. Такие мучения мелкие, но невероятно вредные образования доставляли мне целый год. Но потом буквально в течение недели одна за одной бородавки начали будто отторгаться кожей. Они просто засохли и вывалились из своих «гнёзд». Со временем небольшие ямки, оставшиеся после них, исчезли без следа. С высоты своего возраста и опыта я прекрасно теперь понимаю, что несколько походов к дерматологу могли бы легко избавить от столь длительных мучений.

Лечить бородавки, особенно множественные и расположенные на лице, в области гениталий, в местах трения, на подошвах, можно и нужно. Для этого современная дерматология предлагает много эффективных способов.

Видео: разновидности бородавок, какие из них представляют опасность

Способы борьбы с бородавками

Лечение бородавок основано на разрушении или удалении наростов механически или посредством медикаментозных средств. Для химической деструкции могут быть использованы препараты — Солкодерм, пластырь с кантаридином, 30% салициловая кислота или 60% салициловая мазь. Для предотвращения распространения вирусной инфекции на здоровую кожу применяют мази — Виферон мазь, Теброфеновую, Оксолиновую.

Пациентам со сниженной иммунной защитой, тем, у кого бородавки образовались вокруг гениталий или на слизистой ротовой полости, назначают курс лечения:

  • противовирусными средствами:
    • Ацикловиром;
    • Панавиром;
    • Новирином;
    • Гроприносином;
  • иммуномодулирующими препаратами:
    • Иммуналом;
    • Полиоксидонием.

После этого приступают к удалению элементов.

Фотогалерея: средства, применяемые для терапии бородавок

Хирургический метод

Оперативное удаление в настоящее время проводят нечасто, так как существует современная аппаратура, позволяющая ликвидировать нарост менее травматично. Хирургическим путём удаляют очень крупные образования на гениталиях и те, что вызывают сомнения в доброкачественности. Процедура проводится хирургом-дерматологом. Врач проводит местную анестезию, глубоко вырезает бородавку и накладывает косметический шов. Заживление раны занимает приблизительно 2 недели, остаётся небольшой светлый рубец.

Удаление бородавки методом иссечения применяется в настоящее время не очень часто

Криодеструкция

Метод заключается в замораживании образования жидким азотом. При этом вода в клетках бородавки трансформируется в ледяные кристаллы, которые разрушают клеточные стенки. На месте прижигания может образовываться волдырь и незначительное воспаление, которое проходит через пару дней. За это время под пузырём образуется здоровая кожа.

Жидкий азот не применяют при сильном ослаблении иммунитета. Не прижигают бородавки на лице, так как могут остаться небольшие шрамы. После того как волдырь лопается, нужно наложить на этот участок стерильную салфетку. Если молодая кожа травмируется, можно применить мазь Левомеколь, что ускорит заживление.

Бывает, что корень образования не погибает, тогда применяют повторное прижигание через 2–3 недели после первой процедуры.

Криодеструкция бородавок — очень распространённый метод их удаления

Удаление током (электрокоагуляция)

Метод применяется при малых размерах образований и в случае необходимости провести гистологическое исследование элемента. Электрокоагуляция противопоказана при нарушении свёртываемости крови, её не применяют при беременности и у детей. Процедура проводится под местной анестезией. Бородавка удаляется специальной петлёй или электроножом, при этом сосуды запечатываются для профилактики кровотечения.

После процедуры образуется корочка, под которой происходит процесс заживления. Срывать корочку самостоятельно нельзя, её нужно обрабатывать порошком Банеоцин или 5% раствором марганцовки. Через 7–10 дней корочка отпадает самостоятельно. Недостатком метода является вероятность остаточного дефекта на коже, если было удалено крупное образование.

Методом электрокоагуляции удаляют небольшие образования

Применение лазера

Метод используется довольно часто. Процедура заключается в точечном воздействии на бородавку лазерным лучом, который выпаривает воду из клеток образования и запаивает мельчайшие сосуды, питающие нарост. На месте воздействия остаётся сухая корочка, которая отпадает раньше чем через неделю. Достоинство процедуры в простоте, быстром восстановлении и отсутствии рубцов и пигментации.

Лазерное удаление бородавок применяется в большинстве случаев

Радиоволновое удаление

Новейший метод борьбы с бородавками — применение радионожа. Врач проводит процедуру с помощью аппарата Сургитрон — излучателя радиоволн высокой частоты. После анестезии бородавку иссекают послойно или одномоментно, при этом кровотечение отсутствует. Метод высокоэффективен, даёт отличный косметический результат.

Удаление бородавок с помощью радиоволн — новое слово в дерматологии

Прогноз и вероятность повторных образований зависят от состояния иммунитета и своевременности проведённого лечения.

Особенности терапии у детей и беременных

У детей бородавки часто проходят самостоятельно. Прибегают к медикаментозному или оперативному удалению наростов, если бородавки:

  • широко распространены;
  • склонны к воспалению;
  • быстро увеличиваются в размерах, меняют цвет;
  • подвергаются постоянному травмированию.

У детей старшего возраста применяют радиоволновой метод, прижигание жидким азотом, удаление лазером, электрокоагуляцию. В качестве противорецидивного лечения назначают препараты-иммуномодуляторы: Генферон лайт, Иммунал.

Видео: доктор Комаровский о бородавках у детей

Во время беременности удалять обыкновенные бородавки не рекомендуется. Решение о том, стоит ли использовать радикальные методы, назначить медикаменты или применить выжидательную тактику до родов, принимается врачом индивидуально. Остроконечные кондиломы на гениталиях удаляют с применением радиоволнового метода, криодеструкции или лазера. Такие процедуры проводят после 16 недель гестации.

Профилактически меры

Специфической профилактики бородавок не существует.

Разработаны и применяются вакцины против ВПЧ определённых типов, которые способны вызывать папилломатоз, однако профилактических средств против вирусных штаммов, вызывающих образование обычных бородавок, нет. Против 6 и 11 типов вируса, вызывающих появление аногенитальных кондилом, разработана вакцина Гардасил.

Чтобы избежать появления бородавок, необходимо:

  • соблюдать правила личной гигиены, не ходить босиком в общественных местах;
  • не пользоваться чужой обувью, одеждой, полотенцами и т. д.;
  • укреплять иммунитет: правильно питаться, закаляться, избегать стрессов и нормализовать режим сна, труда и отдыха, заниматься спортом, лечить хронические инфекции.

Для профилактики распространения бородавок при наличии единичного элемента рекомендуется:

  • не травмировать образование;
  • не заниматься самолечением;
  • бороться с потливостью кожи, так как влажность способствует распространению бородавок по телу.

Лечить бородавки нужно в соответствии с рекомендациями специалиста

Бородавки являются не только косметическим дефектом, часто они доставляют физические неудобства, поэтому в большинстве случаев от них приходится избавляться. Заниматься самолечением с применением сомнительных средств врачи категорически не рекомендуют, так как это может привести к последствиям в виде тяжёлых ожогов, грубых рубцов, а в самых тяжёлых случаях — к злокачественному перерождению.

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