Домой Бородавки Подошвенная бородавка причины возникновения, лечение в домашних условиях

Подошвенная бородавка причины возникновения, лечение в домашних условиях

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Подошвенная бородавка как избавиться, чем лечить в домашних условиях

Затвердевшие наросты на подошвах не редкость. Люди часто принимают их за обычные мозоли, но причины возникновения таких новообразований бывают разными. Вирусную природу происхождения имеет подошвенная бородавка. В народе ее называют «шипицей» за болезненность при ходьбе, или «куриной жопкой» – за внешний вид. «Куриная» бородавка выглядит как сильно шероховатый ороговевший вырост на стопе, напоминающий цветную капусту, с черными точечками. Уплотнения часто болезненны, причиняют сильный дискомфорт. От них можно избавиться в домашних условиях, но это достаточно долгий процесс, без предварительной диагностики он может быть опасным. Лучше обратиться к специалисту. Современная медицина предлагает достаточное количество способов, позволяющих удалить папиллому быстро и безболезненно.

Причины и симптомы болезни

Подошвенные бородавки (как и другие) не просто косметический дефект. Образования не злокачественны, имеют инфекционную природу, вызываются вирусом папилломы человека. Он передается посредством контакта (прямого либо непрямого) с зараженным.

Науке известны более сотни подвидов ВПЧ. Их носителями является до 90% людей, но бородавки появляются далеко не у всех. Это зависит от состояния иммунной системы человека. Папилломы – признак ослабления защитных барьеров организма.

Дополнительные факторы риска проникновения вируса в организм:

  • сахарный диабет;
  • повышенное потоотделение;
  • услуги неквалифицированных мастеров педикюра;
  • атеросклероз;
  • частое использование раздражающих кожу средств бытовой химии (для стирки или уборки помещений);
  • неудобная, тесная обувь;
  • микроскопические повреждения кожных покровов;
  • нарушения кровообращения;
  • ношение синтетических носков;
  • плоскостопие;
  • слишком сухая кожа;
  • несоблюдение правил личной гигиены во время посещения бассейнов, общественных бань.

На ноги приходится очень большая нагрузка, поэтому они, при неправильном уходе, подвержены образованию не только папиллом. Перед тем как приступать к лечению, важно отличить их от мозолей или натоптышей. Сделать это можно по характерным признакам.

Симптомы подошвенной бородавки:

  • четко обозначенная граница;
  • диаметр до 2 см;
  • свежая шипица розоватая, затем усыхает, приобретая коричневато-желтый цвет. В некоторых случаях бывают черными, белесыми или сохраняют естественный оттенок кожи;
  • в первые дни бляшка гладкая, без кожного рисунка. Со временем она, подвергаясь давлению при ходьбе, становится шероховатой;
  • имеет многослойное строение. Под ороговевшей верхней частью можно обнаружить черные точечки – это тромбы, сформировавшиеся в поврежденных капиллярах;
  • вокруг крупной папилломы формируются пузыри и натоптыши;
  • новообразование, которое образуется первым, называется «материнским». Постепенно вокруг него начинают формироваться другие папилломы – дочерние. Со временем они сливаются, создавая обширные очаги поражения.

Наросты возникают у людей любого возраста. Особенностью подошвенных бородавок у детей является большая вероятность их самостоятельного исчезновения по мере совершенствования иммунной системы ребенка.

Места локализации

ВПЧ, проникая в организм, оседает в базальном слое эпидермиса. Пока вирус в пассивном состоянии, этот процесс происходит крайне медленно, без внешних проявлений.

Когда патоген, под воздействием провоцирующих факторов активизируется, он распространяется на слои дермы, подкожно-жировой клетчатки. Болеть подошвенная бородавка начинает, когда вирус поражает роговой слой эпителия. Папилломы обычно формируются на участках подошвы, испытывающих максимальные нагрузки при ходьбе. Бородавка оказывается зажатой между обувью и костью, смежные ткани уплотняются, передавливая нервы стопы. Наибольший дискомфорт доставляют шипицы на пятках, в области плюсневых костей.

Чтобы отличить папилломы от других кожных образований, необходимо пройти обследование.

Диагностика

Диагностика и лечение папиллом на стопе проходят под контролем врача-дерматолога. Специалист проводит дерматоскопию – делает соскоб ороговевшего эпителиального слоя, отправляет его на анализ, чтобы подтвердить (или опровергнуть) присутствие вируса папилломы человека.

При необходимости делают УЗИ – это позволяет понять, насколько глубоко вросли подошвенные бородавки.

Дифференцированная диагностика проводится при:

  • подозрении на онкологию;
  • деформации стопы;
  • синдроме Райтера, чтобы отделить бородавку от кератодермии.

Они очень сильно болят, имеют форму кольца или полукруга. Дифференцируют их с помощью «анализа на RW» (реакция Вассермана).

Надо ли идти к врачу

Перед тем, как начинать лечить подошвенную бородавку, желательно проконсультироваться с лечащим врачом.

Определить это может только квалифицированный специалист. Срочно посетить дерматолога нужно, если бородавка:

  • резко увеличилась в размерах;
  • кровит;
  • почернела;
  • очень сильно болит;
  • неравномерно окрашена.

После обследования доктор подберет эффективную методику либо средство для удаления подошвенных бородавок.

Удаление подошвенных бородавок

Как избавляться от «куриной» бородавки должен решать врач. Часто пациенты совершают ошибку, обращаясь для удаления подошвенной папилломы к косметологу, принимая ее за стержневую мозоль. Шипица – вирусное заболевание, лечить ее следует в медицинском учреждении.

Проще всего удалить свежий (до трех месяцев с момента образования), единичный нарост. Эффективные способы механического уничтожения образований:

  • криодеструкция;
  • лазерная коагуляция;
  • электрокоагуляция;
  • радиоволновая хирургия;
  • хирургическое иссечение.

Проводить процедуры можно не всем. Они имеют ряд общих противопоказаний. В их числе:

  • гипертония;
  • злокачественные новообразования;
  • беременность;
  • сахарный диабет;
  • герпес в острой форме;
  • жар;
  • повреждения кожи в области воздействия;
  • воспалительные процессы в организме.

Разберем подробнее основные методики.

Криодеструкция

Под методом криодеструкции подразумевается удаление подошвенной бородавки жидким азотом (при температуре до – 196 C). Путем замораживания пораженные вирусом ткани уничтожаются, их место со временем занимают новые.

Криодеструкция проводится двумя способами:

  • стандартным, когда жидкий азот держат на поврежденном участке до появления вокруг шипицы белого круга;
  • агрессивным, при котором после осветления кожи вещество наносят еще на 15-20 секунд. Данный метод лечения является более эффективным, но он очень болезненный.

В случаях, когда требуется глубокая заморозка, возможно образование рубца, а поверхностное прижигание создает высокую вероятность рецидива. Если папиллома появилась более чем за полгода до момента обращения к врачу, эффективность метода составляет 39%. Свежие и некрупные новообразования повторно возникают крайне редко.

После прижигания азотом, область воздействия краснеет. Спустя несколько часов на этом месте формируется волдырь, наполненный серозной жидкостью. Он высыхает самостоятельно. Корочка держится еще пару недель, после ее отпадания заметен «свежий» эпителий.

Во время реабилитационного периода необходимо:

  • оберегать пораженное место от механических повреждений;
  • стараться не мочить ногу;
  • дважды в день обрабатывать ранку антисептиком.

К положительным моментам криодеструкции относятся: скорость проведения процедуры (она длится максимум 2 минуты), возможность проведения манипуляции без анестезии.

Лазерная коагуляция

Лазерное удаление подошвенной бородавки — самый популярный на сегодня способ лечения. Он основан на высокотемпературном воздействии лазерного луча на клетки кожи. Положительным моментом является возможность послойного выжигания. Во время процедуры глубина воздействия контролируется, оставляя неповрежденными здоровые ткани.

При удалении шипицы луч одномоментно «запаивает» капилляры, что исключает вероятность кровотечения. Рецидивы регистрируются очень редко.

Эффективность зависит от длины тепловой волны. Существуют три разновидности коагуляции:

  • углекислотный лазер помогает навсегда избавиться от наростов в 70% случаев. Он менее избирателен, в сравнении с другими. Есть риск затронуть здоровые слои кожи;
  • эрбиевый результативен в 75% обращений;
  • импульсный лазер самый надежный (эффективность достигает 95%).

После устранения подошвенных бородавок лазером в первые несколько дней нужно стараться не мочить ногу. Образовавшуюся корочку нельзя отдирать. Смазывать ее чем-либо не требуется.

Электрокоагуляция

Выжигание шипиц высокочастотными токами проводится под местной анестезией. Во время электрокоагуляции, как и в случае с лазерным воздействием, происходит приваривание поврежденных кровеносных сосудов, поэтому кровопотеря исключается.

Корочка после процедуры держится примерно 10 дней. Ранку в этот период нужно обрабатывать антисептиком.

Метод эффективен, если наросты небольшие, расположены близко к поверхности кожного покрова. При глубоком воздействии тока, может остаться шрам.

Радиоволновая хирургия

Удаление шипицы радиоволновым методом происходит под воздействием высоких частот (3,8-4,0 МГц) при помощи специального аппарата — Сургитрона. Манипуляция проводится бесконтактным способом. Активный электрод направляют на папиллому, она отсекается, не повреждая соседние ткани и не провоцируя кровотечения.

При выжигании бородавок Сургитроном эпителиальный слой кожи быстро восстанавливается. Шрамирование исключено. Процедура занимает несколько минут, полностью безболезненна, поскольку радиосигналы нейтрализуют нервные окончания в зоне воздействия. Вероятность рецидива составляет всего 2%.

Выжигании бородавок Сургитроном

Хирургическое иссечение

Хирургическое иссечение скальпелем — самый первый метод удаления шипиц. Сейчас он редко используется ввиду своей травматичности. Способ актуален, когда подошвенные бородавки поразили большую площадь стопы, либо имеют злокачественную природу.

Минусы методики заключаются в высокой вероятности рецидива, поскольку в процессе надреза зараженная кровь попадает на здоровую кожу. Остается шрам.

После иссечения на ранку накладывают швы, которые нужно обрабатывать (лучше в медицинском учреждении). Снимают их на 7-10 день после процедуры.

В послеоперационный период следует беречь место вмешательства от ультрафиолета. На два месяца необходимо отказаться от посещения саун и бассейнов. Запрещено наносить любые мази, за исключением назначенных врачом. Хорошо пропить витаминные комплексы, чтобы ускорить процессы регенерации, укрепить иммунитет.

Пока шипица маленькая, избавиться от нее можно попробовать без операции.

Аптечные средства для удаления подошвенной бородавки

Для лечения подошвенных бородавок применяются препараты различных фармацевтических групп.

  • иммуномодуляторы (Анаферон, Ципаган, Арбидол) активизируют выработку антител, стимулируют защитные механизмы. Иногда требуется прием иммуностимулирующих. Таких, как Рибомунил или Иммунал;
  • противовирусные (Оксолиновая мазь, Виферон, Панавир);
  • поливитамины (Компливит, Витрум, Алфавит) восполняют недостаток необходимых веществ, усиливают оборонительные функции кожи.

Эффективен против шипиц препарат комбинированного действия – Изопринозин. Он обладает как иммуномодулирующими, так и противовирусными свойствами. Рекомендован в случаях, когда формирование папиллом вызывает резкое снижение иммунитета.

Обязательно дополняют лечение средства местного действия – кремы, гели и мази от подошвенных бородавок.

Мягко, но при этом результативно действует в сочетании с другими препаратами мазь Вартокс. Мочевина в составе препарата размягчает новообразование, а глицирризиновая кислота снижает активность вируса.

Из других местных средств можно выделить:

  • карандаши (Чистотел, Ляпис);
  • пластыри чаще производят на основе салициловой кислоты, но бывают с другими активными компонентами;
  • жидкие препараты хорошо проникают в глубинные слои кожи, воздействуя на всю папиллому. К этой группе относятся: Суперчистотел, Йод, Дермавит;
  • кератолитики (Салипод, Ферезол) «расплавляют» пораженные ткани;
  • некротизирующие лекарства (Кондилайн, Солкодерм) уничтожают нарост путем прижигания либо мумифицирования патологичных клеток.

Лейкопластыри и карандаши очень удобны в использовании, но против крупных и старых шипиц не всегда помогают.

Лечение подошвенной бородавки в домашних условиях

Большинство людей предпочитают лечить подошвенную бородавку в домашних условиях. Это сделать гораздо проще, если она только появилась. Избавиться от шипицы с глубоко расположенными корешками без помощи специалиста скорее всего не получится. Кроме того, самостоятельно отличить «куриную» бородавку от других кожных проблем достаточно сложно.

Во время проведения процедур нужно соблюдать меры безопасности. Нога, а также все предметы, используемые для процедур, должны быть чистыми. Стопу вокруг шипицы перед прижиганиями лучше обработать жирным кремом.

Важно помнить, что лечение подошвенных бородавок предполагает их разрушение химикатами или ядовитыми веществами лекарственных растений. Это создает некоторые риски:

  • кожа вокруг нароста может получить сильный химический ожог;
  • не полностью извлеченная шипица производит «дочек», образуется множество близко расположенных новообразований, бороться с которыми трудно;
  • вирус можно перенести на здоровые ткани;
  • не квалифицированные действия иногда провоцируют «перерождение» клеток папилломы в злокачественные.

Чтобы избежать негативных последствий, нужно тщательно соблюдать инструкции по применению препаратов.

Холод

Убрать подошвенную бородавку холодом можно не только в поликлинике или косметологическом салоне, но и в домашних условиях.

В аптечной сети представлены подобные средства нескольких производителей. Одним из самых известных является крем «КриоФарма для стоп» , по своему действию он схож с процедурой вымораживания шипиц жидким азотом, но действует в щадящем температурном режиме.

Наносить препарат следует только специальным аппликатором (он входит в комплект), иначе можно травмировать здоровые участки стопы.

Использование крема противопоказано:

  • детям младше четырех лет;
  • во время беременности и лактации;
  • при наличии сыпи, кожных воспалений или травм в месте нанесения;
  • больным сахарным диабетом.

Чаще бывает достаточно одного применения. Если шипица старая, больших размеров, расположена глубоко — может потребоваться до трех сеансов. Между ними следует делать двухнедельные перерывы.

Аналогичным действием обладает препарат Вартнер крио и некоторые другие.

Пластырь от бородавок

Пластыри от подошвенных бородавок обладают рядом преимуществ, в сравнении с аналогичными препаратами в виде мазей и гелей. Основные из них:

  • отсутствие боли;
  • локальное воздействие непосредственно на проблемную зону;
  • минимальная вероятность побочных эффектов.

Главным плюсом такой формы выпуска является простота в использовании. Перед наклеиванием ногу надо хорошо распарить, затем вырезать кусочек лейкопластыря по размеру нароста, аккуратно наклеить. Перед применением лейкопластыря необходимо внимательно прочитать инструкцию, в которой указана длительность процедуры и курса лечения. Снимать пластырь надо аккуратно, предварительно подержав ногу в теплой воде.

От подошвенных папиллом наиболее эффективны:

  • Салипод;
  • Ultra Профи House;
  • Suda Epitact.

Все они имеют ряд противопоказаний, которые следует учитывать. Это:

  • повреждения кожных покровов;
  • индивидуальная непереносимость салициловой кислоты;
  • заболевания почек;
  • беременность и грудное вскармливание;
  • возрастные ограничения.

Если после прохождения обозначенного в инструкции курса лечения, положительный эффект отсутствует — обратитесь к врачу.

Яблочный уксус

Яблочным уксусом для лечения подошвенных бородавок пропитывают кусочек ваты, накладывают на нарост, бинтуют, оставляют на полчаса.

Затем убирают компресс, помещают ногу в горячую воду с настоем ромашки (5 столовых ложек сухих цветочков на литр кипятка). Через 20 минут шипицу растирают пемзой. Курс лечения от двух до трех недель, в зависимости от размера папилломы.

Настой из чабреца

Чтобы приготовить настой чабреца в два литра кипящей воды нужно высыпать стакан сухой травы, настаивать 3 часа.

Удалить подошвенные бородавки этим составом можно следующим способом: перед сном 60 минут держать ноги в тазу с подогретым раствором. Процедуру проводят через день, обычно бывает достаточно шести сеансов.

Лечение чесноком

Противовирусное действие чеснока используется для лечения многих заболеваний. В том числе с его помощью можно достаточно быстро вывести подошвенную бородавку.

  • Распарить ногу.
  • Удалить мягкий верхний слой папилломы.
  • Приложить тертый чеснок (1 зубчик).
  • Наклеить сверху пластырь.
  • Оставить на ночь.

Можно смазывать бородавку чесночным отваром. Для его приготовления нужно три измельченных зубчика чеснока залить кипятком (треть стакана). Оставить на час, затем процедить. Процедуры проводить ежедневно. Курс лечения две недели.

Чистотел

Эффективным средством в борьбе с шипицами является чистотел. Растение содержит в составе кислоты, которые уничтожают вирус.

  • снимает воспаление;
  • способствует заживлению ранок;
  • уменьшает зуд;
  • стимулирует иммунную защиту, благодаря витаминам А и С в составе;
  • действует как обезболивающее, облегчает ходьбу.

Чтобы избавиться от бородавок, их нужно трижды в день натирать соком чистотела (свежий имеет ярко-желтый цвет), предварительно распарив ноги и соскоблив верхнюю часть нароста пемзой.

Медный купорос

Медным купоросом обрабатывают от грибков различные поверхности. Боится его и папилломавирус.

Для приготовления средства надо смешать медный купорос со сливочным маслом (по столовой ложке каждого ингредиента).

Раз в день смазывать бородавку сначала салициловой мазью, поверх – изготовленной смесью. Держать 12-20 часов, затем вымыть ногу. Во время процедуры должно ощущаться слабое жжение.

Народные средства

Вывести застарелые подошвенные бородавки в домашних условиях скорее всего не получится, а вот побороться со свежими стоит.

Приведем несколько популярных рецептов:

  • растворить в половине стакана теплой воды по столовой ложке соли и уксуса (9%), поместить в раствор сливу . Через пару часов вытащить фрукт, измельчить. Полученную кашицу наложить на проблемную зону, закрепив бинтом либо носком. Держать компресс три часа;
  • два часа настаивать три столовых ложки засушенной полыни в стакане кипятка. Смазывать раствором стопы ежедневно по четыре раза;
  • очень действенна обычная банановая кожура . Ее нужно изнаночной стороной прикрепить к папилломе, менять раз в сутки. Курс лечения – неделя;
  • известное средство от подошвенных бородавок – картофель. Клубень надо разрезать, ежедневно протирать стопы;
  • приматывать к шипице на ночь листочки каланхоэ ;
  • нанести на бородавку кашицу из перетертых листьев хрена , сверху обмотать полиэтиленом;
  • распарить ногу, прилепить прополис , закрепить его пластырем. Проводить процедуру три дня;
  • четырежды в день смазывать подошвы отваром зверобоя (столовую ложку травы на стакан воды).

Избежать рецидивов помогут профилактические меры.

Профилактика

Чтобы предотвратить развитие подошвенных бородавок, минимизировать риск их повторного образования необходимо:

  • каждый день мыть ноги;
  • брать свою обувь в бассейны, общественные бани. Не ходить босиком;
  • носить обувь по размеру;
  • нормализовать вес;
  • носки выбирать из натуральных материалов;
  • при повышенной потливости обрабатывать стопы специальными средствами (например, Формагелем).

Очень важно принять меры для укрепления иммунитета:

  • заниматься физкультурой;
  • больше гулять;
  • отказаться от вредных привычек;
  • соблюдать режим дня;
  • хорошо высыпаться;
  • избегать стрессов.

В межсезонье желательно пропивать витаминные комплексы.

Подошвенные бородавки не представляют непосредственной угрозы для здоровья, но их болезненность при нагрузках существенно ухудшает качество жизни. Вирус папилломы человека быстро поддается излечению, если сразу обратится к специалисту. Неотъемлемой частью терапии являются мероприятия по укреплению иммунной системы человека. Именно от качества защитных барьеров организма зависит активность патогена. Оставлять проблему без внимания нельзя – инфекция может вызвать осложнения. Кроме того, клетки доброкачественных наростов способны в некоторых случаях переродиться в раковые. Сильный иммунитет легко подавит ВПЧ, как следствие, проявлений в виде подошвенных бородавок не будет.

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