Домой Бородавки Бородавки на шее: причины и лечение, как выглядит (ФОТО)

Бородавки на шее: причины и лечение, как выглядит (ФОТО)

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Бородавки на шее: причины и лечение

Бородавки на шее – это серьезный косметический дефект, который может стать причиной потери уверенности в своей привлекательности. С такими новообразованиями достаточно часто сталкиваются женщины старше 35 лет. Почему появляются такие наросты и как с ними бороться – об этом подробнее.

Причины появления и виды новообразований на шее

Причиной возникновения бородавок является активация вируса папилломы человека

Бородавки на шее появляются вследствие инфицирования вирусом папилломы человека (ВПЧ), которым заражены более 70% населения. Этот вирус легко проникает в организм контактно-бытовым и половым путем. Дети могут заражаться от матери непосредственно в момент прохождения по родовым путям.

  • папилломы;
  • плоские бородавки;
  • нитевидные бородавки (акрохорды);
  • кондиломы.

Папилломы – это небольшие круглые наросты на ножке, возвышающиеся над здоровым эпидермисом. Они мягкие на ощупь, с однородной структурой и умеренной пигментацией. Из папиллом могут расти волосы, сами наросты могут достигать больших размеров. От папиллом на шее не застрахован ни один человек, так как образование этих наростов вызывают самые распространенные штаммы ВПЧ.

Чаще всего на шее образуются папилломы

Плоские бородавки – это небольшие желтоватые пятнышки на коже, напоминающие маленькие бляшки. Они лишь незначительно возвышаются над кожей, внешне их можно заметить по измененному цвету, но не по структуре. Плоские бородавки наблюдаются у детей и подростков. Они не причиняют дискомфорта, их поверхность гладкая и ровная. Плоские бородавки обычно появляются небольшими группами на шее или на лице.

Нитевидные бородавки, или акрохорды, – это особый вид наростов, поражающий кожу шеи, век, подмышечных впадин. С такими новообразованиями на коже сталкиваются преимущественно люди после 35-40 лет, у молодых людей нитевидные бородавки не возникают. Отличительная особенность – небольшие размеры и вытянутая форма. В отличие от папиллом, которые представляют собой шарик на ножке, акрохорды являются вытянутым наростом, сплошной ножкой без утолщенной верхушки. Их размеры не превышают 2-3 мм в диаметре, но они могут сужаться в конце. Такие висячие бородавки на шее по цвету не отличаются от остального эпидермиса.

Кондиломы – это специфические бородавки на шее, легко узнаваемые по фото. Их структура сосочковая, контуры неровные, форма неправильная. Цвет кондилом – от желтоватого до розового. Если таких бородавок на шее много, они могут сливаться. Это приводит к образованию крупного нароста, формой напоминающего петушиный гребень или цветную капусту. Несмотря на то, что кондиломы на шее встречаются редко, такое новообразование является серьезным косметическим дефектом, так как может разрастаться до больших размеров.

Нужно ли удалять бородавки?

Домашнее удаление бородавок может привести к инфицированию и тяжелым осложнениям

Обычно пациенты хотят удалить бородавки на шее из эстетических соображений. Удалять такие наросты нужно не всегда. Например, акрохорды совершенно безопасны и не представляют угрозы для здоровья.

Решение о дальнейшей судьбе бородавок на шее, лечение которых заключается в их удалении, каждый принимает самостоятельно, но в некоторых случаях удаление проводится по медицинским показаниям. Обязательному удалению бородавки подлежат в следующем случае:

  • слишком большие размеры и постоянный рост новых наростов;
  • изменение цвета или структуры новообразования;
  • боль, зуд, жжение в области нароста;
  • частые повреждения во время мытья или ношения одежды.

Если наросты очень большие и постоянно увеличиваются в размерах, это свидетельствует о высокой активности вируса папилломы человека. В таком случае необходимо лечение, сначала медикаментозное, а затем и хирургическое.

Постоянные повреждения бородавки могут со временем привести к ее перерождению. Если бородавка на шее сдавливается одеждой (например, шарфом или воротом рубашки), легко задевается ногтями во время мытья или как-то иначе мешает, врачи рекомендуют удалить ее, чтобы избежать возможных осложнений в дальнейшем.

В случае, когда на шее появляются единичные наросты, которые не беспокоят пациента, удалять их не обязательно, однако следует пройти обследование у врача, чтобы исключить вероятность перерождения клеток папилломы в рак.

Диагностика

Если появились бородавки на шее, причины и лечение определяет врач. Обратиться следует к дерматологу, который проведет осмотр и направит на дополнительные анализы. Для установления типа нароста достаточно визуального осмотра. Дерматоскопия позволяет определить тип клеток и исключить рак кожи без непосредственного удаления бородавки. В случае, если в результате дерматоскопии у врача появились основания предполагать развитие злокачественного новообразования, папиллому удаляют и отправляют на гистологию.

При бородавках на шее лечение начинается с определения активности вируса. Если папиллом очень много, врач может назначить анализ ПЦР для определения штамма вируса ВПЧ и степени его активности.

Принцип лечения

Мелкие новообразования хорошо лечатся чистотелом

Как можно избавиться от бородавок на шее – зависит от их количества и активности вируса. Единичные наросты достаточно просто удалить, а вот при большом количестве папиллом необходимо комплексное лечение. Оно включает:

  • противовирусную терапию;
  • стимуляцию работы иммунной системы;
  • хирургическое удаление наростов.

Процесс удаления папилломы на шее в этом случае – это завершающий этап лечения, так как удалить бородавку можно только после снижения активности вируса. С этой целью применяют противовирусные препараты местного действия – Виферон, Ацикловир, Оксолиновую мазь. Эти лекарственные средства наносят на каждый нарост несколько раз в сутки на протяжении 2-3 недель. Затем необходимо сдать повторный анализ ПЦР, чтобы убедиться в снижении активности вируса.

К сожалению, полностью победить ВПЧ пока невозможно. Препараты лишь снижают его активность и повышают иммунитет человека, а дальнейшая борьба с вирусом осуществляется непосредственно самим организмом. Самоизлечение занимает длительный срок (по некоторым данным – вплоть до трех лет) и возможно только при условии крепкого иммунитета.

Народные методы лечения

Если появилась небольшая бородавка на шее, как убрать ее, знает народная медицина. Зная причины и консервативные методы лечения бородавки на шее, лечить папилломы можно и народными способами. Однако традиционная медицина не может предложить действенного и безопасного способа лечения, поэтому применять такие средства можно лишь на свой страх и риск.

  1. Удаление папиллом чистотелом: смочить ватную палочку в свежем соке растения, приложить к наросту на 1-3 секунды, в зависимости от его размеров. Повторять либо через день, если папиллома большая, либо каждые три дня, если нарост маленький.
  2. Смешать поровну сок чеснока и столовый уксус, смочить в растворе ватную палочку и обработать ею папиллому. Повторять ежедневно.
  3. Акрохорды можно смазывать касторовым маслом. Частота обработки – до 4 раз в день.

Удаление лекарственными препаратами

Как избавиться от бородавок на шее – это зависит от их размеров, для удаления наростов можно использовать специальные средства из аптеки. Противовирусные препараты используются для подавления активности вируса, а вот для устранения самой бородавки можно применять:

Супер Чистотел – это щелочное средство. Его необходимо использовать всего один раз, капнув ровно 1 каплю на верхушку нароста. Недостатки средства – сильная боль при использовании, риск образования шрама на месте папилломы.

Веррукацид – препарат на основе фенола. Он прижигает бородавку, нарушая ее кровоснабжение, в результате чего она быстро темнеет, уменьшается в размерах, а затем отпадает. Для удаления маленьких наростов достаточно использовать средство 1 раз. При папилломах крупных размеров допускается несколько нанесений, с условием трехдневного перерыва между обработками бородавки.

Солкодерм – средство на основе нескольких кислот. Также вызывает некроз тканей, но действует более мягко, чем препараты с фенолом или щелочами. Средство нельзя использовать для удаления кондилом.

Перед применением перечисленных средств рекомендуется проконсультироваться с врачом.

Хирургические методы

Удалять бородавки рекомендуется, если они подвергаются частому повреждению

Разобравшись, почему появляются бородавки на шее, становится ясно, что быстро и безопасно убрать их достаточно сложно. Самый эффективный метод – это профессиональное удаление наростов. С этой целью применяют:

  • криодеструкцию (прижигание жидким азотом);
  • послойное выжигание бородавки лазером;
  • воздействие на белковые структуры электротоком (электрокоагуляция).

Эти методы наиболее предпочтительны, так как не оставляют шрамов. Удаление нароста занимает от 30 секунд до 15-20 минут, в зависимости от его размеров и выбранного метода.

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