Домой Бородавки Вульгарные (простые, обыкновенные) бородавки: причины, лечение, удаление, фото

Вульгарные (простые, обыкновенные) бородавки: причины, лечение, удаление, фото

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Вульгарные бородавки: причины, лечение, удаление

Вульгарные бородавки – это вирусные бородавки на коже человека. Причина — вирус папилломы человека. Это самый распространенный тип бородавок у человека. Синонимы – простые, или обыкновенные бородавки. Лечение у дерматолога. Метод лечения — удаление.

Для врачей и студентов — код по МКБ10: B07 (вирусные бородавки).
Сейчас я рассмотрю все, что касается этого заболевания кожи: основные причины, симптомы, расскажу как лечить вульгарные бородавки, чем их удаляют и как предупредить в дальнейшем их появление.

Причина и механизм заражения

Запомните: причина появления вульгарных бородавок — это уже известный нам вирус папилломы человека (тип 2). Прочитать всю информацию о ВПЧ.

Заражение происходит в детстве. На травмированную кожу (ссадины, царапины у детей часты) попадает вирус и проникает в кожу. Находясь в организме, он постепенно размножается в базальном слое кожи и спустя несколько месяцев появляются обыкновенные бородавки.

Надо уточнить, что не у всех детей появляются симптомы в виде бородавок. Если иммунитет у ребенка достаточно сильный, то он может справиться с инфекцией, не допустив проявления заболевания на коже. Просто вирус будет находиться в организме, а проявлений заболевания не будет.

Но, к сожалению, в настоящее время детей с высоким иммунитетом очень мало, и почти у 90% детей появляются такие вот обыкновенные бородавки.

Симптомы

Клинические проявления заболевания просты.

На коже пальцев рук и на тыле кистей и стоп появляются округлые возвышения размером от 3 до 10 мм, не больше. При этом характерной особенностью данного заболевания является множественный характер высыпаний.

То есть рядом с одной простой бородавкой на руке может вскоре появиться вторая, дочерняя, затем рядом еще одна и т.д.

Еще один признак, характерный именно для вульгарных бородавок в большинстве случаев – это так называемые целующиеся бородавки. Это такое их расположение, когда на двух соседних пальцах, напротив друг друга, соприкасаясь друг с другом при смыкании пальцев, появляются две простые бородавки.

Точно такое же расположение может быть характерно и для подошвенной и ладонной их локализации, когда они вырастают с обеих сторон от какой-то складки кожи, например, от складки при сгибании пальца руки или ноги.

Внимание: на подошвах и на ладонях у людей появляются подошвенные бородавки. Сразу скажем, что это разновидность обыкновенных, а вызываются они 1 типом ВПЧ и имеют более крупные размеры.

Длительность высыпаний – обычно несколько месяцев. Спустя 6-8 месяцев, а то и раньше, обыкновенные бородавки проходят сами собой.

Запомните: если простые бородавки сами собой не прошли через год, а их количество даже увеличилось, это говорит о резком снижении иммунитета! Надо обязательно обследоваться у врача-терапевта или иммунолога.

Диагностика

Диагноз ставится просто – по внешнему виду. Даже начинающий врач-дерматолог поставит диагноз без труда. Если пациент пожелает, можно сделать анализ ПЦР – это помогает в определении типа вируса ВПЧ.

На начальной стадии вульгарные бородавки следует отличать от контагиозного моллюска (читать про моллюск более подробно).

Лечение

Запомните: без лечения вульгарные бородавки проходят сами через 3-6-8 месяцев, а иногда через 1-1,5 года.

Когда их надо лечить у врача-дерматолога в косметической клинике?

1) Когда они мешают (при ходьбе, при письме, при работе руками с музыкальными инструментами, при занятиях спортом и т.д.)

2) Когда их много и они приносят косметический дискомфорт (невозможно поздороваться, подать руку и т.д.)

Есть 3 направления лечения вульгарных бородавок:

  • Удаление
  • Противовирусная терапия (используется при множественных бородавках и большой распространенности)
  • Укрепление иммунитета (применяется при явных признаках снижения иммунитета)

Самый быстрый метод лечения на сегодняшний день – хирургический, то есть – удаление.

1) Удаление вульгарных бородавок лазером.

Лазерный луч постепенно испаряет ткань образования, на месте которого образуется маленькая корочка. Эта корочка потом обязательно отпадет и на ее месте появится здоровая кожа. Лазерное удаление – дешевый и эффективный современный метод.

Врач обмакивает ватку в жидкий азот и замораживает ткань бородавки. При этом после заморозки образуется небольшой пузырь в коже, как после ожога, который потом заживает, а нарост отваливается, остается здоровая кожа.

Метод также дешевый и доступный для всех.

3) Радиоволновой метод на аппарате «Сургитрон».

Производится воздействие на бородавку волнами высокой частоты, которые буквально испаряют ткань.

Этот метод чем-то похож на лазерное удаление, но в сравнении с ним он более дорог и встречается не во всех клиниках.

Врач-хирург после обезболивания тканей новокаином производит иссечение бородавки с помощью металлической нити под током (аппарат работает по методу выжигателя по дереву – там тоже нить под током).

Такой способ выполняется только в хирургических клиниках под местной анестезией. В настоящее время используется очень редко, так как лазерное и радиоволновое удаление менее травматично и более эффективно.

Производится хирургом под местной анестезией. На сегодняшний день такой метод также используется очень редко, так как есть менее травматичные и менее затратные (лазер, жидкий азот).

6) Удаление прижигающими средствами

Используются местнонекротизирующие средства, вызывающие ожог кожи и отмирание бородавки.

— колломак — действует мягко (подробнее).

Народные средства

Можно. Особенно в тех случаях, когда бородавки еще только начинают появляться на коже, еще только размером со спичечную головку.

1) Смазывание соком чистотела. Летом, когда растет чистотел, следует сорвать его и смазывать поверхность бородавки его оранжевым соком. Так делать по несколько раз в день. Излечение обычно происходит за несколько недель.

2) Смазывание соком чеснока, либо прикладывание пластинки чеснока. С чеснока срезают пластик и прикладывают к поверхности обыкновенной бородавки. Сверху – пластырь. Так делают каждый день. Результат – также излечение в течение 1 месяца.

Остальные способы и методы народной медицины малоэффективны. И, если говорить серьезно, то если вульгарные бородавки вообще не трогать, то они пройдут через 3-4 месяца сами.

3) Смазывание лаком для ногтей.

4) Смазывание клеем БФ6. Сам метод и отзыв — перейти

5) Метод с сухой марганцовкой. Метод и отзыв — читать

Профилактика

Как таковой профилактики появления обыкновенных бородавок нет. Потому что полностью оградить ребенка от игр на улице, от общения невозможно.

Но повысить уровень иммунитета ребенка перед вирусной инфекцией очень даже необходимо. Тогда и степень клинических симптомов и проявлений будет значительно меньше.

1) Ношение свободной обуви (зимой – теплая, летом – проветриваемая)

2) Физическая культура, закаливание

4) Меньше стрессов для ребенка, хотя бы дома

5) В холодный период года – травяные настои и отвары, с медом (если нет аллергии) и замороженными ягодами

6) Научить ребенка соблюдать правила личной гигиены в общественных местах

Запомните: у взрослых вульгарных бородавок быть не должно.

А если они появляются — это сигнал о сниженном иммунитете. Надо принимать меры для его повышения.

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