Домой Бородавки Шипица на ноге

Шипица на ноге

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Шипица на ноге. Как избавиться, фото, лечение, удаление лазером, жидким азотом

Шипица на ноге – это доброкачественная опухоль, избавиться от которой можно с помощью криодеструкции, лазерной коагуляции, либо же путём её иссечения хирургическим методом терапии. Постороннее новообразование локализуется на подошвенной части стопы или между пальцами ног.

Что такое шипица на ноге

Шипица на ноге является опухолевым новообразованием, которое имеет округлую или продолговатую форму. Внешне напоминает сухую мозоль, внутри которой находится множество коричневых или чёрных нитевидных отростков. Доброкачественная опухоль возвышается над общим уровнем стопы на 1-2 мм.

Во время ходьбы и её соприкосновения с твёрдой поверхностью больной ощущает острую боль. Шипица является распространенным дерматологическим заболеванием, которое просто в диагностике, но тяжело поддаётся хирургическому и консервативному лечению.

В большинстве случаев шипица вызывается папилломавирусом человека 1, 4, 2, 57, 27 генотипов. Бородавки этого вида могут локализоваться на подошвенной части пальцев ног, между ними и на пятках. В местах расположения доброкачественной опухоли отмечается излишняя сухость кожи, образуются трещины, может изменяться цветовой оттенок эпителия.

В 27% случаев, если больной обладает крепкой иммунной системой, то выздоровление происходит самостоятельно в течение 15 недель от момента образования первой шипицы.

Отсутствие адекватной терапии приводит к переходу дерматологической болезни в хроническую форму с периодическим проявлением воспалительного процесса. Данное заболевание чаще всего встречается у детей возрастом до 10 лет и намного реже диагностируется у взрослых людей.

Виды шипицы на ноге

Шипица на ноге – это не опасное заболевание, избавиться от которого можно при условии приёма иммуностимулирующих средств и наружного воздействия на опухолевое новообразование. В таблице ниже указаны основные виды подошвенной бородавки, которые встречаются в дерматологической практике.

Вид шипицы Характеристика патологии
Плоская Наиболее распространённый тип подошвенной бородавки, который часто путают с сухой мозолью. Чтобы отличить доброкачественную опухоль этой разновидности от обычного натоптыша, необходимо напарить больную ногу в горячей воде, а затем посмотреть на поверхность новообразования. Сухая мозоль раскиснет и немного увеличиться в размерах, а на поверхности шипицы будут просматриваться множественные тёмные точки, которые словно нити пронизывают её тело от поверхности до корневой системы.
Конусообразная Этот вид шипицы имеет отличительную особенность, которая определяется визуально. Тело бородавки вытянуто и напоминает сосок. Существенно возвышается над общим уровнем кожной поверхности стопы. Может быть покрыто множественными эпителиальными отростками. Конусообразный тип шипицы также вызывается вирусом папилломы человека, но само новообразование является более болезненным. Опухоль существенно ограничивает движение больного, вызывает острую боль в момент соприкосновения подошвенной части ноги с твёрдым покрытием пола.

Вид шипицы определяется врачом-дерматологом во время внешнего осмотра больного участка эпидермиса. Разновидность опухоли не влияет на организацию терапевтического курса и продолжительность лечения. Отличается только клиническая картина проявления болезни и текущая симптоматика.

Стадии и степени шипицы на ноге

Шипица на ноге, избавиться от которой можно с помощью метода криодеструкции, развивается постепенно, увеличиваясь в размерах и прорастая вглубь стопы.

Выделяют следующие стадии дерматологического заболевания:

  • 1 стадия – на поверхности кожи образуется небольшое возвышение в виде горошинки, которое не вызывает боли или любого другого дискомфорта;
  • 2 стадия – постороннее новообразование начинает прорастать вглубь эпителиальных клеток, а ткани эпидермиса, находящиеся в окружности становятся более сухими, меняют телесный цвет на насыщенный жёлтый оттенок (во время ходьбы ощущается ноющее чувство боли, которое сразу же проходит, когда человек находится в состоянии покоя, а на стопу не оказывается статическое давление);
  • 3 стадия – в структуре шипицы образуется мощная и разветвлённая корневая система, бородавка в 2 раза увеличивается в диаметре, а эпителиальные клетки, из которых она состоит, становятся грубыми, приобретают серый цвет (человек не может стать на поражённый участок стопы, так как испытывает острую боль);
  • 4 стадия – на поверхности подошвенной части стопы, а также между пальцами ноги, образуются множественные бородавки, которые являются результатом разрастания опухоли не только вглубь эпителия, но и в стороны (возможно появление признаков пересыхания кожи, образование множественных трещин).

Шипица, находящаяся на 1 или 2 стадии своего развития, хорошо поддаётся консервативному лечению с помощью лекарственных средств, удаляющих поверхностную и корневую часть опухоли. Наличие 3 и 4 стадии болезни требует радикальных методов лечения с применения лазерной терапии, криодеструкции и хирургического вмешательства.

Симптомы шипицы на ноге

Шипица на ноге, избавиться от которой можно самостоятельно в домашних условиях, проявляется характерными признаками болезненного состояния эпителия.

Первые симптомы шипицы на ноге выглядят следующим образом:

  • появление округлого или вытянутого новообразования на подошвенной части нижней конечности или между пальцами;
  • доброкачественная опухоль немного отличается внешне, она имеет более серый оттенок на общем телесном фоне стопы;
  • кожная поверхность в области поражения конечности более сухая, шершавая на ощупь;
  • во время нажатия на бородавку пальцами рук, либо при ходьбе, ощущается острая или ноющая боль, которая проходит в течение 1-2 мин. после того, как человек находится в состоянии покоя;
  • в местах локализации дерматологического заболевания возможно образование мелких трещин, из которых выделяется сукровичная жидкость;
  • после пропаривания ног в горячей воде, визуально видно, что эпителиальная структура шипицы состоит из множества мелких нитей чёрного цвета, которые являются корневой системой опухолевого новообразования.

Почернение шипицы, её воспаление, образование гнойных нарывов, абсцессов, выделение экссудата с неприятным запахом являются нетипичными признаками данного заболевания. Подобная симптоматика может свидетельствовать о перерождении доброкачественной опухоли в рак кожи.

Причины появления шипицы на ноге

Шипица на ноге, избавиться от которой можно путём её вырезания хирургическим методом, появляется в результате инфицирования кожи жизнеспособными вирионами папилломавируса человека. Для того, чтобы патогенные микроорганизмы преодолели иммунный барьер и привели к образованию доброкачественной опухоли, на организм человека должны воздействовать следующие факторы:

  • ежедневный стресс, психоэмоциональное перенапряжение;
  • наличие сопутствующих заболеваний кожи в виде дерматомикоза стоп;
  • ношение некачественной обуви, выполненной из синтетических материалов, в условиях которых происходит излишняя потливость ног;
  • заболевание сосудистой системы нижних конечностей (тромбофлебит, варикозное расширение вен);
  • искривление стоп или неправильно поставленная походка;
  • несоблюдение элементарных правил личной гигиены, которые выражаются в продолжительном отсутствии водных процедур, ношении грязных носков;
  • неудобная обувь с жёсткими стельками;
  • избыточная масса тела, которая создаёт дополнительное давление на поверхность стоп;
  • посещение общественных мест с повышенным уровнем влажности в виде бассейнов, бань, парилок, душевых, если голая поверхность стопы касалась пола, ковриков;
  • ослабление защитных функций иммунной системы, которое вызвано продолжительными вирусными или инфекционным заболеваниями.

Шипица, которая часто повреждается в результате механических или химических воздействий, может переродиться в злокачественное новообразование. Устранение основных причин появления подошвенной бородавки позволяет предупредить повторное инфицирование кожи стопы папилломавирусом человека.

Диагностика шипицы на ноге

Шипица на ноге, избавиться от которой можно путём комплексного лечения постороннего новообразования, легко определяется врачом-дерматологом в процессе внешнего осмотра поверхности стопы.

Кроме того, доктор может назначить прохождение следующих видов диагностического обследования:

  • забор венозной крови для проведения её биохимического анализа и выделение штамма ВПЧ;
  • биопсия частички опухолевого новообразования с дальнейшим гистологическим исследованием, чтобы исключить фактор перерождения бородавки в рак кожи;
  • сдача капиллярной крови с пучки безымянного пальца для её клинического анализа;
  • сбор утренней мочи для выполнения общего анализа и получения информации о состоянии здоровья пациента в целом;
  • осмотр более глубоких слоёв эпидермиса в области расположения шипицы, а также изучение её клеточной структуры с помощью специального устройства – дерматоскопа (процесс диагностики выполняется профильным специалистом врачом-дерматологом или онкологом).

Завершающим этапом обследования является отбор мазков с поверхности стопы в области расположения бородавки, а также между пальцами ног. Это необходимо для того, чтобы исключить возможное наличие грибковой инфекции, а также её патогенное влияние на состояние здоровья кожи. Диагностика в частной клинике в среднем обойдётся в 2000-2500 руб. В государственной больнице услуги внешнего осмотра, а также проведение вышеперечисленных анализов выполняется на бесплатной основе.

Когда необходимо обратиться к врачу

Обращение к профильному специалисту должно состояться, как можно раньше. Шипица хорошо поддаётся внешнему медикаментозному лечению с полным удалением её поверхностной части и подкожной корневой системы.

Промедление с визитом к профильному специалисту, чревато переходом опухоли на более поздние стадии развития. В результате этого может потребоваться её хирургическое иссечение, которое займёт больше времени, потребует больших материальных затрат и продолжительной реабилитации.

Профилактика шипицы на ноге

Чтобы не допустить появления шипицы на поверхности кожи стопы, а также между пальцами ног, необходимо ежедневно выполнять простые правила профилактики, которые заключаются в следующих действиях:

  • соблюдать базовые правила гигиены ног, каждый вечер омывать их тёплой водой с мылом, вытирать чистым сухим полотенцем, стирать носки;
  • избегать посещения общественных бань, бассейнов, душевых, саун, либо же защищать кожу стоп резиновыми тапками, которые ограничат контакт эпидермиса с инфицированным полом;
  • в летнее время года не ходить босиком;
  • носить только свою обувь, не позволяя её обувать другим лицам;
  • своевременно лечить заболевания внутренних органов с хронической формой течения, которые систематически снижают защитную функцию иммунной системы;
  • не реже 1 раза в 12 мес. проходить курс приёма витаминно-минеральных комплексов, которые укрепляют организм, повышают сопротивляемость к вирусным и бактериальным инфекциям.

Для того, чтобы минимизировать вероятность заражения кожной поверхности стоп вирусом папилломы, рекомендуется ограничить общение с людьми, которые имеют плоские или висячие бородавки на других частях тела (пальцы рук, молочные железы, подмышки, шея, спина, интимная зона).

Методы лечения шипицы на ноге

Избавление от шипицы на ноге возможно с помощью лекарственных препаратов наружного применения, народных средств терапии, а также прочих методик, предусматривающих радикальное удаление постороннего новообразования.

Лекарственные препараты

В отличие от обычных бородавок шипицу вылечить гораздо сложнее. Потребуется более продолжительная терапия и регулярное нанесение агрессивных растворов на поверхность доброкачественной опухоли. Для достижения положительного терапевтического результата применяются следующие препараты:

Салициловая кислота

Каждый вечер перед отходом ко сну необходимо парить больную ногу в горячей воде. Средняя продолжительность процедуры – 15 мин.

После этого размягчённая шипица обрабатывается пензой, чтобы размягчить тело опухоли.

На поверхность стерильной бинтовой повязки наносится Салициловая кислота, а затем фиксируется на шипице с помощью медицинского пластыря.

Процесс лечения продолжается на протяжении 7-10 недель. Средняя стоимость 1% раствора Салициловой кислоты во флаконе ёмкостью 40 мл, составляет 20 руб.

Трихлоруксусная кислота

Может наноситься на поверхность шипицы без проведения предварительной обработки и подготовки кожи.

Лечебная процедура выполняется в вечернее время суток, когда больной отдыхает, либо же собирается ложиться спать. На поверхность бородавки наносится 1-2 капли трихлоруксусной кислоты.

После этого на неё накладывается стерильная марлевая повязка. Очень важно, чтобы раствор кислоты не попадал на здоровые ткани. В противном случае будет химический ожог. Срок терапии составляет от 7 до 20 дней в зависимости от стадии шипицы. Стоимость 50 мл раствора трихлоруксусной кислоты 10% концентрации составляет 800 руб.

Пластырь салипод

Накладывается непосредственно на поверхность подошвенной бородавки.

Перед выполнением лечебной процедуры рекомендуется вымыть больную ногу в горячей воде с использованием мыла.

Пластырь меняют ежедневно, приклеивая новый перед сном. Средняя продолжительность курса терапии – 1 мес. Цена препарата – 180 руб.

Супер чистотел

Это лекарственное средство наружного применения, в составе которого находится едкий натрий.

Обработка шипицы выполняется 1 раз в 3 дня до полного исчезновения бородавки.

Необходимо строго соблюдать правила безопасности, не допуская попадания раствора щелочи на здоровую кожу, слизистую оболочку ротовой полости и глаз.

Назначение вышеперечисленных препаратов должно осуществляться исключительно лечащим врачом-дерматологом. Самовольная терапия опасна, способна привести к химическим ожогам и стимулировать перерождение шипицы в злокачественную опухоль.

Народные методы

Кроме традиционных аптечных средств лечения шипицы существуют народные средства терапии, которые предусматривают использование следующих рецептов.

Чистотел

В период активного цветения чистотела необходимо срывать стебли растения и смазывать подошвенную бородавку его жёлтым соком. Обработка кожи выполняется 2 раза в день до полного исчезновения опухоли.

Мякоть чеснока

Для приготовления этого домашнего лекарства потребуется взять 1 зубок чеснока, а затем измельчить его до состояния кашицы. Полученная масса выкладывается на стерильный марлевый бинт и фиксируется на поверхности шипицы с помощью пластыря. Процедура проделывается на ночь перед сном, а утром чесночная масса удаляется.

Выжигание уксусом

Для проведения лечения достаточно кухонного уксуса, который используется в консервировании овощей и приготовления маринадов. В растворе 9% уксусной кислоты выполняется смачивание ваты, которая прикрепляется непосредственно к шипице на 30 мин. По истечению указанного времени она удаляется.

Народные методы лечения доброкачественных новообразований данного типа должны быть согласованы с лечащим врачом-дерматологом. Для получения положительного терапевтического эффекта может потребоваться от 1 до 3 мес. ежедневной терапии.

Прочие методы

Для удаления шипицы, которая находится на 3-4 стадии развития, могут потребоваться более радикальные терапевтические методы.

Если медикаментозные растворы наружного применения не приносят ожидаемого эффекта, то могут быть использованы следующие способы лечения:

    криодеструкция – выжигание шипицы раствором жидкого азота;

Избавиться от шипицы на ноге можно с помощью азота, однако, если шипица вызвана вирусом ВПЧ есть вероятность что вырастит новая

  • лазерная коагуляция – воздействие на тело опухоли с помощью лазера;
  • хирургическое удаление – используется вырезание шипицы скальпелем, а пациент получает местный наркоз;
  • коагуляция электрическим током – новообразование выжигается путём использования электрических импульсов.
  • Терапия шипицы с помощью криодеструкции, лазерной и электрической коагуляции являются наименее травматичными способами. Средние сроки восстановления повреждённых тканей кожи составляют 5-7 дней.

    Необходимое количество сеансов определяется врачом-дерматологом. В среднем может потребоваться от 2 до 5 процедур. Полное заживление раны после хирургического удаления длится около 10 дней.

    Возможные осложнения

    Прогноз на полное выздоровление и удаление шипиц без риска рецидива болезни является положительным, но при условии, что будет проводиться комплексная терапия.

    Отсутствие адекватного лечения, либо же полное игнорирование дерматологического заболевания, способно привести к следующим осложнениям:

    • сильное пересыхание кожной поверхности в области расположения доброкачественного новообразования, шелушение, омертвление и облезание поверхностного слоя эпидермиса;
    • растрескивание пересушенных эпителиальных тканей, выделение сукровицы и риск бактериального заражения стоп;
    • разрастание подошвенных бородавок по всей поверхности стопы;
    • потеря возможности самостоятельно передвигаться в связи с тем, что доброкачественные новообразования распространились по всей подошве;
    • перерождение шипицы в раковую опухоль с метастазированием в костную ткань, которая способна привести к ампутации пальцев или стопы, а также продолжительному курсу химиотерапии.

    Шипица на ноге – это постороннее новообразование, которое является очень заразным. Контакт здоровых участков кожи с поверхностью подошвенной бородавки, способен привести к вторичному инфицированию ВПЧ. Избавиться от эпителиальной опухоли возможно, но для этого необходимо начинать лечение, как можно раньше.

    Рекомендуется использовать препараты для укрепления иммунной системы, удалять бородавку лекарственными препаратами наружного применения, применять средства криодеструкции, лазерной коагуляции или хирургическое иссечение шипицы.

    Оформление статьи: Мила Фридан

    Видео о лечении шипицы на ноге

    Как лечить шипицу — подошвенную мозоль:

    347 КОММЕНТАРИИ

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