Домой Бородавки С бородавками к какому врачу обращаться: следует идти к дерматологу, он лечит...

С бородавками к какому врачу обращаться: следует идти к дерматологу, он лечит их

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Кто занимается удалением бородавок, к какому врачу надо обращается?

Врач по бородавкам – это специалист, который может провести диагностику наростов, определить методы устранения ВПЧ, папилломатозных образований максимально безопасным путем. Избавляться от подозрительных элементов рекомендуется только под врачебным контролем, Бородавки –доброкачественные образования на коже человека, которые появляются при поражении организма вирусом папилломы человека. Имеют природу невоспалительного характера, вследствие объемных форм могут легко травмироваться.

В каких случаях нужно обращаться в поликлинику?

Если вы заметили у себя новообразование — следует сразу же посетить специалиста. Дело в том, что данное образование может быть, как обычной бородавкой, так и предвестником онкологического заболевания, особенно если у вас много родинок. Для устранения сомнений и проведения первичной диагностики подойдет дерматолог или дерматовенеролог.

Бородавка — это сигнал в первую очередь для вас — что иммунные силы организма снижены, и вирус папилломы начал проявлять себя. Чтобы не дать ВПЧ распространиться по всему организму — надо применять меры!

Лечить или удалять?


Бородавки, доставляющие неудобства и вызывающие боль стоит удалить.
Новообразования, вызванные ВПЧ и вызывающие у человека неудобства, однозначно рекомендуется удалить. Но иссечение нароста не уничтожает вирус, он остается в крови и образования могут появиться на теле снова, причем, довольно скоро.

Суперчистотел от бородавок

Чтобы подавить инфекцию, врач, наравне с удалением, назначает медикаментозную терапию.

Заболевание лечат противовирусными препаратами (таблетки, уколы). Нередко, после лекарственной терапии наросты исчезают сами по себе. Но усыхание крупных бородавок придется ждать долго, поэтому их лучше сразу убрать консервативным методом.

Какой доктор лечит вирус у детей и взрослых

Выбор врача зависит от внешнего вида новообразования и вашего самочувствия в целом! А также от доступности необходимого специалиста.

Если вы заметили бородавку у ребенка. то следует об этом побеспокоится и показать его участковому педиатру, которые сориентируют вас дальше. Бородавка появилась у вас — бегите к своему терапевту. А он вас направит к нужному доктору.

Дерматолог

Данный врач проведет осмотр вас и решит, нужны ли вам дополнительные диагностические процедуры: анализ крови, ПЦР или биопсия. В любом случае он подтвердит или исключит злокачественность новообразования путем врачебного осмотра и при необходимости — изучит гистологию данного образования.

Хирург

Данный специалист занимается непосредственно удалением бородавок. Удаление возможно производить путем

  • Обычного хирургического вмешательства — врач иссекает бородавку при помощи скальпеля и накладывает швы. Минусы в том, что остаются шрамы и долго заживает. Плюс в качественном и полном удалении бородавки вместе с корнем.
  • Радиоволнового или лазерного прижигания — производится при помощи абляционного лазера. Тонкий пучок лазера воздействует на ткань человека и прогревает от 50 до 400 градусов. Тем самым достигается полная гибель вируса и разрушение повреждённых клеток. Плюсы в эффективности и быстрой заживляемости. А также в отсутствии шрамов и рубцов. Схожий принцип действия у метода электрокоагуляции.
  • Криодеструкция — является холодным методом, состоит в удалении образования при помощи воздействия жидким азотом. Плюсы в практическом отсутствии болезненных ощущений при процедуре. После лечения бородавка темнеет и отделяется.
  • Химического прижигания.

Онколог

Хороший дерматолог при обнаружении злокачественного характера у вашей бородавки, порекомендует вам обратиться к онкологу.

Врач осмотрит вас, опросит на предмет жалоб, соберет анамнез и направит на диагностику:

  • Биопсия.
  • Цитологическое исследование.
  • Иммунологический анализ крови.
  • Дайджин-тест.
  • Анализ на определение онкомаркеров.
  • Кольпоскопия.

При подозрении на рак груди, врач может направить вас на осмотр к маммологу.

Венеролог

К этому специалисту следуют обратиться при появлении новообразований в области паха, на половых органах, в области заднего прохода. После осмотра врач может назначить вам прием противовирусных препаратов и средств, укрепляющих иммунитет.

Косметолог

К данному врачу следуют обратиться при появлении бородавок на лице, в зоне декольте, руках или стопах. Чаще всего к такому специалисту прибегает женщины.

Косметолог после осмотра может провести вам удаление бородавки методом криотерапии или химического прижигания. Минусы в том, что зачастую косметологические кабинеты не обладают нужным оборудованием для более точной диагностики и удаления бородавок.

Виды, признаки и причины возникновения

Существуют следующие разновидности бородавок:

  1. Вульгарный тип возникает у школьников на руках. Проявляется в виде розово бледного узелка. Если удалить самую большую (матку), остальные бородавки исчезнут сами. Возникают на фоне микротравм, низкого иммунитета, потливости.
  2. Плоские образования наблюдаются до 25 лет. Телесного оттенка, гладкие. Часто развиваются на шее, лице и тыльной стороне руки. Может возникнуть на половом члене.
  3. Подошвенный вид считается самым болезненным. Их трудно отличить от мозолей. Могут быть вогнутыми, выпуклыми. Появляются бородавки на ногах там, где больше трения. Причина развития аналогична вульгарным.
  4. Старческие наросты наблюдаются у людей в пожилом возрасте. Это темное пятно, которое со временем достигает 5 см. Обычно их не видно, но иногда они могут доставлять дискомфорт.
  5. Остроконечные могут возникать в промежности, под грудью, на гениталиях у женщин и мужчин. По внешнему виду розовые, бледного оттенка. При трении могут чернеть. Создают колонии.
  6. Нитевидные.
  7. Куриные.
  8. Другие вирусные наросты.

Более подробно о видах бородавок и их симптомах смотрите далее в видео.

Кто занимается удалением наростов, куда идти?

Удалением наростов или пигментированных новообразований, возвышающихся, над уровнем кожи занимается как дерматолог, так и онколог, и хирург.

Данные образования запрещено удалять прижиганием или криотерапии т. к. это затруднит дальнейшее гистологическое изучение удаленной бородавки. Здесь рекомендуют методы электрокоагуляции или лазерного воздействия.

Способы лечения

После постановки диагноза кожный врач предложит необходимый метод лечения. Существует их несколько:

  • Лазер — эффективное облучение, без боли уничтожает новообразование и сам вирус;
  • Жидкий азот – процедура обморожения: бородавка белеет, появляются волдырь, в течение недели-двух ранка заживает;
  • Электрокоагуляция — требует обезболивания: ее срезают, после регенерации остается небольшой шрамик;
  • Иммуномодуляторы — препараты, способные усиливать иммунитет для борьбы с вирусом;
  • Лекарства – при регулярном смазывании кантаридином или креозолом образования могут начать разрушаться.

Известны и народные методы лечения. Но без совета врача пользоваться ими не стоит.

Как проходит консультация?

Как вы знаете, перед началом любого лечения происходит осмотр пациент, выясняется что это за болезнь, выбирается метод и способ лечения, проводятся различные консультации и т. д.

Что необходимо взять на прием

На первичный прием необходимо взять документы, удостоверяющие личность, полис и медкарту с поликлиники. Также если у вас имеются на руках результаты прошлых обследований и анализов — обязательно возьмите т. к. поможет поставить диагноз, и скорректировать лечение.

Какие анализы назначают

Дерматолог обычно назначает:

  • Общие анализы крови и мочи.
  • ПЦР-тест.
  • Биопсия.
  • Анализ крови на ВИЧ, сифилис и гепатиты.
  • Анализ на ЗППП.
  • Кольпоскопия.

При необходимости анализы на антитела к ВПЧ, цитологические тесты, УЗИ, копрограмма.

Как проходит осмотр наростов на руках, ногах, других частях тела?

  1. Врач осматривает карту, изучает все данные и проводит опрос жалоб у пациента.
  2. Далее, осматривает пораженный участок (напр. ногти, кожа рук или головы).
  3. Осматривает все кожные покровы и доступные слизистые оболочки (полость рта и носа).
  4. Пальпируются основные лимфоузлы.
  5. Выставляется предварительный диагноз.
  6. Далее, отправляют на анализы, после получения результатов, которых, врач может дать первые рекомендации по лечению.

Методы лечения

В зависимости от клинической картины врач может назначить хирургическое лечение и медикаментозное. Хирургическое лечение — это удаление бородавки путем криотерапии, прижигания, скальпеля, электрокоагуляции или лазерного иссечения.

Медикаментозное заключается в приеме препаратов, повышающих иммунитет и антибиотиков.

Механизм появления бородавок

Появляются доброкачественные опухоли при активизации вируса папилломы человека. ВПЧ может находиться в неактивном состоянии, в спящей фазе. Провоцируют активизацию роста новых кожных элементов пониженный иммунитет, стрессы, хроническая патология, гормональные сбои. Человек может заражать сам себя через микротрещины на коже: трещины стопы, порезы при бритье на лице, подмышках, на ногах. При несоблюдении личной гигиены поражается слизистая оболочка рта (язык, небо), веко, появляются генитальные кондиломы при беспорядочной половой жизни.

ВПЧ обладает тропностью только к поверхностному слою кожи, слизистой оболочки, никогда не попадает в кровь, лимфу, в нервные ганглии.

Возбудитель активно размножается в коже, излюбленная локализация на теле человека – ступни, спина, интимные места (между ягодицами, половые органы), руки, ноги (на пальцах стоп).

Методы лечения не разработаны. Врач удаляет бородавку, но причина остается существовать в организме, корректировать следует иммунную систему, образ жизни, чтобы предотвратить появление новых кожных наростов.

Существует ли профилактика?

Специфической профилактики появления бородавок не проводят. Для предотвращения прогрессирования соответствующей проблемы используют методы укрепления иммунитета:

  • Полноценное питание.
  • Коррекция режима работы и отдыха.
  • Минимизация телесных контактов с людьми, страдающими от бородавок.
  • Устранение стрессовых факторов.

Полностью защититься от бородавок нельзя. Проблема не относится к слишком серьезным, но доставляет человеку определенный дискомфорт. Для быстрого устранения неприятных новообразований достаточно обратиться за специализированной помощью.

Осложнения

Аногенитальные бородавки при определенных условиях (например, в случае заражения инфекциями, передающимися половым путем, снижения общего и/или местного иммунитета) способны увеличиваться в размерах и разрастаться, тем самым ухудшая сексуальную жизнь человека и существенно снижая качество его жизни.

Кроме того, может развиваться воспаление и нагноение аногенитальных бородавок, а также их изъязвление вследствие продолжительного механического воздействия на них. В редких случаях возможно их злокачественное перерождение.

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