Домой Бородавки Плоские бородавки: лечение, причины появления

Плоские бородавки: лечение, причины появления

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Плоские бородавки: лечение, причины появления. Удаление бородавок жидким азотом

Плоская бородавка является доброкачественным кожным образованием. Она представляет собой небольшой нарост размером до пяти миллиметров, который незначительно возвышается над поверхностью кожи. Такие бородавки чаще всего множественные и появляются группами на лице, голенях и тыльной стороне кистей. Диагноз ставится при визуальном осмотре образования. Для подтверждения может потребоваться проведение гистологического исследования. О том, как избавиться от плоских бородавок на руках, ногах и других частях тела, а также о причинах появления поговорим в этой статье.

Что это такое

Как уже говорилось выше, плоские бородавки считаются доброкачественными новообразованиями на коже. К счастью, они практически не склонны к злокачественной трансформации. Данный вид бородавок встречается крайне редко и составляет небольшой процент от всех возможных образований. Чаще всего такие наросты проявляются у детей или у молодых людей. Лечением плоских бородавок, а также их диагностикой занимается дерматолог. Удаляют их при помощи лазера, жидкого азота, электрокоагуляции и радиоволновым методом.

Причины возникновения

Любые бородавки, а также кондиломы и папилломы, появляются вследствие заражения человека ВПЧ (вирусом папилломы). Инфекция передается контактным путем: при рукопожатии, объятиях и через поцелуи. Также можно заразиться через перила и поручни, лифтовые кнопки, ручки дверей, библиотечные книги и другие различные вещи общего пользования.

Инфицирование ВПЧ также может происходить через небольшие повреждения (царапины и порезы) на коже или слизистых. Из верхних слоев кожи вирус попадает в организм человека, персистирует в нервной системе и задерживается там практически на всю жизнь. При этом он может долгое время не давать о себе знать. Появление наростов происходит в момент активного размножения инфекции в коже, что приводит к ее локальному разрастанию. Вирус проявляет активность во время снижения защитных функций человеческого организма. Помимо этого, причиной плоских бородавок могут быть: сильный испуг, эмоциональное перенапряжение и хронические стрессовые состояния.

Так как вирус папилломы постоянно находится в человеческом организме, это объясняет частое повторное возникновение плоской бородавки. Удаление новообразования неадекватным способом или травмирование может вызвать самозаражение ВПЧ. Это ведет к распространению патологии на здоровые участки кожного покрова и появлению на них новых плоских бородавок.

Особенности

Прежде чем заниматься лечением плоской бородавки, следует точно выяснить, что это она. Недуг представляет собой слегка возвышающийся над поверхностью кожи нарост с плоской верхушкой.

Плоская бородавка может быть любую форму, гладкую поверхность и четкие границы. Главной особенностью считается отсутствие огрубения кожи в месте проявления бородавки, из-за этого ее поверхность выглядит блестящей и гладкой, без каких-либо наростов. Цвет образования может соответствовать цвету здоровой кожи, а также меняться до светло-коричневого или розового, размер не превышает пяти миллиметров. Кожный рисунок на поверхности бородавки отсутствует.

Обычно наросты появляются группами, а их типичным местом образования является кожа лица, голени и тыльной поверхности рук. Как правило, образования не вызывают неприятных ощущений. Но у больных они влекут за собой психологический дискомфорт, связанный с косметическим дефектом, особенно если бородавка появилась на лице. Иногда в месте образования нароста может появляться легкий зуд.

От обыкновенной бородавки плоская отличается меньшим размером и плоской поверхностью, от подошвенной — другим местом образования, а от нитевидного нароста — отсутствием разрастаний.

Диагностика

Прежде чем начинать лечение плоской бородавки, дерматолог проводит визуальный осмотр области на которой находится нарост. Помимо этого, не исключено дополнительное дерматоскопическое исследование образования. После удаления нароста проводится гистологическое обследование его тканей, что позволяет подтвердить диагноз со стопроцентной точностью.

Кроме того, перед лечением плоских бородавок на лице и других частях тела проводится ПЦР-анализ, а также для исключения онкозаболеваний пациентам с новообразованиями рекомендуется обследование на ВПЧ высокого канцерогенного риска.

Терапия

Пациенты часто замечают самостоятельное исчезновение наростов. Следует отметить, что из-за своей формы они крайне редко подвергаются травмированию и не приносят особого неудобства. Поэтому решение об удалении образования связывают лишь с желанием больного убрать косметический дефект.

В народной медицине существует много рецептов устранения новообразований. Стоит знать, что самолечение может привести к развитию негативных проявлений, а также к распространению ВПЧ по всему организму и появлению новых бородавок. Если нарост сильно мешает, следует обратиться за консультацией к дерматологу. Врач сможет подобрать самый оптимальный метод лечения плоской бородавки на лице и других частях тела. Также при необходимости будет назначена противовирусная терапия.

Учитывая то, что наросты очень часто локализуются на лице, необходимо сразу отметить, что для их удаления не подходит электрокоагуляция и хирургическое иссечение, так как эти методы ведут к появлению на месте удаления рубцов. Лечение холодом также не подходит, так как вызывает опасность очень глубокого замораживания кожи. И после также появится рубец.

Самыми эффективными методами лечения плоских бородавок считаются радиоволновой способ и удаление при помощи лазера. Такая терапия дает положительный косметический результат, так как применение этих средств позволяет воздействовать на образование на оптимальной глубине. Помимо этого, оба способа обеспечивают единовременную коагуляцию сосудов, что препятствует дальнейшему распространению патологии.

Помимо радикальных методов лечения, существует и местная терапия. К ней относится применение кремов и мазей от плоских бородавок. На лице особенно актуально использовать именно этот метод. При комплексном подходе к лечению мази с кератолитическим эффектом не только дают отличный результат и борются с наростами, но и помогают восстановлению кожи. Также следует отметить, что после их применения не остается шрамов.

Осложнения

К осложнениям удаления плоских бородавок относятся: образование рубцов, ожоги, неполное удаление новообразования, приводящее к его повторному появлению. Следует отметить, что применение современных способов терапии, а также опытность и профессионализм врача, осуществляющего удаление, сводят к минимуму возможность проявления осложнений.

Но все же ни один способ не может дать стопроцентной гарантии отсутствия повторного возникновения нароста после его удаления. Это связано с тем, что вирус папилломы постоянно находится в организме, и при благоприятных условиях может вызвать появление бородавки вновь. Стоит отметить, что удаление бородавок во время проведения курса противовирусной терапии способствует переходу инфекции в латентное состояние, что существенно снижает риск повторного возникновения.

Удаление бородавок жидким азотом

Жидкий азот представляет собой прозрачную жидкость без запаха и цвета. Его температура кипения составляет минус 196 градусов. Удаление новообразований азотом происходит путем криодеструкции клеток. При воздействии низких температур, возникающих во время испарения жидкого азота на кожу, бородавка разрушается.

Это происходит за счет выраженного спазма капилляров и образования в них, в межклеточной жидкости и внутри клеток кристалликов льда, которые двигаются вокруг своей оси. Как следствие — прекращение кровообращения в биологических структурах. За счет этого тормозятся все обменные процессы, вследствие чего происходит разрушение и гибель клеточных структур и оболочек.

Когда нельзя

Удаление бородавок жидким азотом противопоказано при:

  • аллергических реакциях на холод;
  • индивидуальной непереносимости азота;
  • наличии герпеса или острых воспалений вблизи места воздействия;
  • наличии острых инфекционных болезней;
  • беременности и кормлении грудью;
  • психоэмоциональной неуравновешенности;
  • повышенном артериальном давлении;
  • при расположении болезненных новообразований в области бородавки;
  • эпилепсии.

Как проводится

Жидкий азот является прекрасным лекарством от плоских бородавок на руках и ногах. Удалять наросты таким способом на лице не рекомендуется, так как существует риск образования рубцов. Удаление бородавок холодом осуществляется при помощи:

  • замораживающего спрея;
  • специального резервуара с жидким азотом и сменными наконечниками, разными по диаметру;
  • обычного деревянного аппликатора с тампоном из ваты на конце.

Сначала наконечником слегка вдавливают нарост в течение пяти секунд. При повторном сеансе длительность воздействия увеличивают от 10 до 30 секунд. Ватный тампон дополнительно смачивают по мере того как жидкий азот испаряется с него. Положительные результаты достигаются при повторном проведении процедуры спустя месяц

Преимущества и недостатки

К положительным сторонам процедуры можно отнести следующее:

  • невысокая стоимость одного сеанса;
  • отсутствие специальных подготовительных процедур;
  • кратковременность сеанса;
  • воздействие жидкого азота исключает распространение инфекции область вокруг бородавки.

Недостатки способа и возможные последствия:

  • перед процедурой необходимо обезболивание;
  • в зависимости от места образования нароста возможны сильные болевые ощущения после сеанса на протяжении первых двух суток;
  • если бородавка крупная, существует большая вероятность необходимости повторного сеанса или даже нескольких;
  • при неправильной оценке врачом времени воздействия на нарост и его глубины возможно получение ожога и появление рубца на коже после заживления.

Отзывы

Лечение плоских бородавок жидким азотом приводит к различным реакциям, отзывам и впечатлениям от процедуры у пациентов. Большинство людей отмечают следующее:

  • многие пациенты жалуются на болевые ощущения во время процедуры и в течение двух дней после, особенно это заметно у детей;
  • по отзывам многих пациентов, эффективность удаления наростов жидким азотом очень высокая (проведение нескольких процедур в отдельных случаях объясняется большим размером нароста, недостаточным воздействием на корни бородавки, а также пониженным иммунитетом);
  • обычно после сеанса назначаются иммуномодуляторы и витаминотерапия.
  • после процедуры зачастую появляется вздувшийся пузырь, что вызывает дискомфорт у пациентов;
  • недостатком метода считается необходимость постоянной обработки места удаления;
  • большинство пациентов называют способ самым доступным и простым.

Зачастую специалисты прописывают для лечения плоских бородавок мази: оксолиновую, салициловую, «Метронидазол» (гель), интерфероновый гель или крем с тербофеном.

Как правило, эти препараты назначают одновременно. Например, размягчение бородавки происходит с помощью оксолиновой мази, а затем проводится воздействие на нее при помощи интерферонового геля.

Для удаления плоских бородавок у подростков отлично зарекомендовал себя гель «Метронидазол». Он производит местный противовирусный и антиоксидантный эффект, а также снимает воспалительный процесс. Этим средством обрабатывают наросты дважды в день, в утреннее и вечернее время.

Терапевтический курс составляет от одного до четырех месяцев, но результат виден уже после двух недель применения «Метронидазола» от плоских бородавок. Отзывы об этом препарате носят исключительно положительный характер. К тому же это аптечное средство избавлено от жиров, поэтому гель не оставляет следов на одежде.

Как навсегда убрать бородавки

Любое лечение бородавок должно быть комплексным мероприятием и включать в себя не только удаление новообразований, но и прием противовирусных препаратов. Без радикального избавления от наростов не обойтись в случае их появления на открытых участках тела, таких как шея и лицо.

Системная противовирусная терапия включает в себя использование препаратов, которые оказывают воздействие на ВПЧ. Она должна сочетаться с укреплением защитных сил организма. Это связано с тем, что активизации вируса папилломы способствует пониженный иммунитет. Для его укрепления необходимо:

  1. Пройти курс приема поливитаминов.
  2. Использовать настойки и отвары лекарственных растений, таких как эхинацея, женьшень и элеутерококк.
  3. Применять иммуностимуляторы.
  4. Укреплять организм при помощи физической активности и закаливания.

Важно все вышеперечисленное согласовывать с врачом.

Заключение

Современная медицина использует много разных методов для удаления плоских бородавок: лазер, радиоволновой метод, жидкий азот, крема и мази. Человеку, столкнувшемуся с наростами впервые, стоит посетить врача, который проконсультирует и назначит правильное комплексное лечение.

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