Домой Бородавки Удаление подошвенных бородавок жидким азотом: преимущества и недостатки

Удаление подошвенных бородавок жидким азотом: преимущества и недостатки

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Криодеструкция подошвенных бородавок: особенность и эффективность процедуры

Бородавки – это доброкачественные новообразования на коже, причиной возникновения которых является ВПЧ. Плотные безболезненные наросты доставляют эстетический дискомфорт. При локализации в некоторых местах причиняют неудобства. Одним из таких мест являются подошвы. Удаление подошвенных бородавок жидким азотом – один из методов избавления от проявлений вируса папилломы человека на коже.

Особенности использования жидкого азота

Температура жидкого азота достигает -196 о С. С его помощью производится терапия доброкачественных и злокачественных образований на коже и слизистой. Этот метод лечения имеет название «криодеструкция». Слово kryos с греческого переводится, как «холод», а destructio – в переводе с латыни означает «разрушение».

При обработке папиллом, бородавок, кондилом происходит замораживание измененных клеток, их отмирание, отторжение от здоровой кожи. Процесс прижигания новообразования характеризуется, как малоболезненный. Для совершения процедуры удаления азотом иногда применяют местную анестезию. Отмирание нароста происходит в течение 3-6 дней. На ее месте остается небольшая ранка, требующая ухода. После полного заживления могут остаться малозаметные следы.

В каких случаях рекомендовано удаление подошвенной бородавки азотом

Борьба с проявлениями ВПЧ на коже с помощью замораживания жидким азотом рекомендована при различных видах бородавок:

  • плоских или юношеских;
  • обыкновенных (вульгарных);
  • нитевидных;
  • генитальных (остроконечных кондилом).

Криодеструкция подошвенных бородавок применяется детям, является распространенным и доступным способом устранения новообразований. Удалять можно единичные проявления ВПЧ на стопах и множественные. Прибегая к криотерапии, необходимо убедиться в отсутствии противопоказаний, к которым относятся следующие проблемы со здоровьем:

  • эпилепсия;
  • гипертония;
  • кожные высыпания в проблемном месте;
  • склонность к аллергии;
  • непереносимость хладагента;
  • сосудистая дистония;
  • воспаление любой локализации;
  • простудное, инфекционное заболевание, грипп.

Особенными показаниями для удаления нароста на подошве являются такие симптомы:

  • зуд;
  • боль при ходьбе;
  • увеличение в размере;
  • частое травмирование;
  • изменение цвета.

Преимущества и недостатки метода

Прижигание азотом бородавок на стопе обладает преимуществами и недостатками.

Плюсы Минусы
Доступная цена процедуры. Наличие противопоказаний.
Бескровность операции. Долгий период заживления.
Прижигание занимает 1-2 минуты. Часто задевается здоровая кожа вокруг подошвенной бородавки, особенно при удалении жидким азотом в домашних условиях.
Ранка, остающаяся после деструкции, не нуждается в особенном уходе. Болезненность при удалении, используют местную анестезию.
Нет необходимости в длительной подготовке пациента к процедуре. Вероятность появления небольшого шрама.
Существует возможность воздействия на большие бородавки, но может понадобиться несколько сеансов. Нежелательно применение на открытом месте.
Эффективность терапии характеризуется как высокая (полное выздоровление без рецидивов и осложнений происходит в 85-90% случаев). Возможность рецидива (в 10-15% случаев) и осложнений (в 5-8% случаев).

Отсутствие комплексного подхода к борьбе с бородавками, папилломами и кондиломами приводит к рецидиву болезни. Помимо применения противовирусных средств, требуется повышение иммунитета. Эффективность лечения и исключение повторного появления новообразований зависит от способности организма противостоять действию возбудителя. Опытными медицинскими специалистами назначаются еще иммуномодуляторы.

Комбинированный подход к лечению ВПЧ может гарантировать высокую эффективность лечения бородавок любым видом удаления наростов на коже, в том числе и жидким азотом.

Как проходит процедура

Криодеструкция подошвенной бородавки в условиях клиники происходит следующим образом:

  • При множественных образованиях или бородавке большого размера применяют анестезию местного действия.
  • Производится обеззараживание проблемного места антисептиком.
  • Специальным аппаратом с узкой трубкой и наконечником производится подача жидкого азота из баллона и воздействие на нарост.
  • Прижим аппликатора к телу новообразования задерживается на определенное время от 20 секунд до 2 минут, в зависимости от размера нароста и глубины проникновение его корней.
  • При необходимости через небольшой интервал времени (несколько минут) замораживание повторяется.

Вследствие влияния низкой температуры образование белеет, затвердевает. Спустя несколько часов может наблюдаться покраснение бородавки, возникновение небольшого пузыря с экссудатом внутри. Это происходит по причине воспалительной реакции на холодовой ожог. Волдырь покрывается коркой, которая отторгается через 3-7 дней. Рекомендуется не срывать струп до его самостоятельного отхождения во избежание образования рубца.

Вторым способом воздействия сжиженного газа на проявление ВПЧ является следующая процедура:

  1. Обезболивание и обеззараживание проблемного участка.
  2. Вместо аппарата используется палочка с ватным наконечником, которая опускается в термос с хладагентом и прикладывается к бородавке на несколько секунд.
  3. Процесс замораживания нароста повторяется 2-3 раза в зависимости от величины поражения.
  4. При неполном отторжении новообразования процедура может повториться спустя 10-12 дней.

В домашних условиях удалить нарост на ноге можно аптечным препаратом «Криофарма для стоп», действие которого основано на замораживании разрастания. Его температура достигает не менее -57 о С. Жидкий азот имеет температуру около -200 о С. Принцип использования состава такой, как в клинике.

При неполном устранении новообразования с первого раза следует прижечь его повторно. Боль, жжение, другие дискомфортные ощущения отсутствуют.

Уход за раной и профилактика появления

Удаление подошвенных бородавок азотом производит эффект холодового ожога, при котором возникает отек, образование волдыря. Позже струп и отторжение пораженной ткани. В процессе заживления проблемного участка важно следить за чистотой ранки, исключить присоединение инфекции. Не разрешается прокалывать пузырь или сковыривать корочку. Ранку необходимо обрабатывать любым антисептиком дважды в день до начала отторжения. Не рекомендуется прижигать пузырь агрессивными средствами вроде йода или спирта, лучше применить густой раствор перманганата калия или Хлоргексидин.

Чтобы предотвратить появление подошвенных бородавок следует оградить себя от заражения ВПЧ, которое часто происходит во время примерки чужой обуви, хождения босиком в бассейнах, саунах, общественных душевых. Вирус проникает в имеющиеся повреждения на коже ступней. В группу риска входят люди, имеющие:

  • диабетическую стопу;
  • плантарный фасциит;
  • мозоли и потертости на стопах;
  • гипергидроз ног;
  • трещины на пятках.

Чтобы предотвратить поражение подошвы ВПЧ, необходимо своевременно лечить повреждения на ногах, повышать иммунитет, не носить чужую обувь и пользоваться индивидуальными шлепками при посещении бани и сауны.

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