Домой Бородавки Средства от бородавок в аптеке

Средства от бородавок в аптеке

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Средства от бородавок

Бородавки относятся к доброкачественным новообразованиям кожи и слизистых оболочек, имеют инфекционную природу. Встречается как у взрослого человека, так и у ребенка. Некоторые из них входят в группу предраковых состояний в связи с высокой канцерогенностью (вызываются онкогенными штаммами папилломавируса). Средства от бородавок имеют разную направленность действия (подавление вирусного агента, модулирование иммунной системы, удаление кожного нароста).

Особенности использования медикаментозных лекарств от бородавок:

  • положительного эффекта можно достичь в 70-80 % случаев;
  • требуется длительное лечение;
  • некоторые препараты обладают большим количеством побочных явлений (иммуномодуляторы, цитотоксические средства);
  • необходим строго индивидуальный подбор к составлению схемы лечения;
  • чтобы эффективно удалить бородавки, допустимо сочетать различные методы (медикаментозные, хирургические и народные).

Противобородавочные средства

Препараты для лечения бородавок, принятые в Европейском сообществе, представлены в таблице.

Препараты местного действия

Кератолитики и прижигающие средства

Салициловая кислота, молочная кислота, уксусная кислота, пероксид водорода.

Системные и местные ретиноиды (препараты-модификаторы клеток)

Модуляторы иммунного ответа

Схема лечения

Все формы болезни в независимости от внешних различий и зоны поражения имеют единую схему лечения, поскольку основная причина их возникновения обусловлена вирусом папилломы человека (ВПЧ). Это ДНК- содержащий широко распространенный вирус (известно более 100 с таксономических типов, из которых наиболее опасными из-за онкогенности являются – 16, 18, 31, 35, 39).

Группы лекарственных средств

В аптеке средства от бородавок выпускаются в нескольких формах:

  • для местного применения (крема, мази, гели, растворы);
  • для системного использования (таблетки, инъекции).

Зачастую требуется сочетание приведенных методов для устранения новообразования и подавления действия возбудителя. Выбирать конкретный препарат или их сочетание следует, ориентируясь на локализацию процесса (например, для подошвенных бородавок, ввиду постоянного давления, оптимальным выбором будет лекарственный пластырь).

Препараты местного действия

К аптечным препаратам с хорошим местным действием относятся:

Солкодерм

Это водный раствор, главными действующими компонентами, которого являются органических кислоты (уксусная, щавелевая и молочная). Механизм действия основан на местных окислительно-восстановительных реакциях, в результате которых возникает мумификация патологически измененной ткани (местный некроз кожи в результате выжигания растворами кислот). После отмирания патологических клеток появляется раневая поверхность, которая, как правило, заживает первичным натяжением. При использовании средства для усиления действия и глубины проникновения раствора требуется дополнительное механическое воздействие шпателем.

Обрабатывать кожные покровы требуется однократно до появления желтого окрашивания бородавки на коже или белого на слизистых оболочках. Полное отмирание нароста происходит через несколько часов, а струп формируется в течение 5-14 дней. Через 3-5 дней оценивают результат (в редких случаях требуется повторное применение).

На данный момент одно из лучших средств – выведение бородавок происходит в 80 % случаев. Рецидивы возникают редко и этим объясняются положительные отзывы данного лекарственного средства. Не рекомендуется использовать на слизистых оболочках самостоятельно, поскольку есть риск возникновения химического ожога.

Криофарма

В состав входит пропан и диметиловый эфир. Подвергает ткани образованию некроза при помощи глубокого замораживания (в качестве хладагента используется жидкий азот). Так же как и с кислотными препаратами в большинстве случаев достаточно одного использования для полного удаления небольшого новообразования. Оценку результатов лечения проводят через 5–10 дней. Избавляться от наростов требуется с большой осторожностью, поскольку есть риск некроза здоровых тканей.

Веррукацид

В состав лекарственного препарата входит фенол и метакризол, которые способны выжигать новообразование. Частично обладают антисептическим эффектом. Чаще используется против подошвенных бородавок. Наносится однократно точечно при помощи специально шпателя. Может приводить к образованию ожогов.

Суперчистотел

Выпускается в форме жидкости, содержащей гидроокись калия и натрия. Относится к сильным раздражающим средствам. Для лечения бородавок требуется наносить лекарственное средство 1-2 раза в день на протяжении 5 дней. Недопустимо с его помощью удалять образования на коже лица.

Салипод

Это специфическое лекарственное средство, выпускаемое в форме пластыря и содержащее салициловую кислоту и серу. Оптимальный вариант для лечения подошвенных бородавок. Каждый пластырь клеится на 6-8 часов к образованию. Весь курс терапии составляет 14 дней. Как правило, достаточно 2-3 пластырей для полного отмирания бородавки. Возникшая раневая поверхность заживает на протяжении 20 дней. Редко используют в детском возрасте.

Подофиллотоксин (Кондилин)

Выпускается в виде раствора и обладает выраженным цитотаксическим действием. Применяют 2 раза в сутки в течение 3 дней, затем перерыв 4 дня. Длительность лечения не более 5 недель. Оптимальный вариант для самостоятельного применения пациентами (обладает минимумов побочных явлений). Чаще используется при наличии образований в аногенитальной области.

Другие средства местного действия

В данной категории рассматриваются препараты, не обладающие кератолитическими свойствами, и относящиеся к другим группам лекарственных средств, но имеющие местное действие.

Иммуномодулятор. Выпускается в форме мази для наружного применения и обладает иммуностимулирующим и противовоспалительным эффектом. Не вызывает непосредственного прижигания образования в отличие от кислот, но способен тормозить размножение вируса в очаге. Наносить требуется 3-4 раза в день на протяжении 2-3 недель. Практически не имеет побочных явлений.

Выпускается в форме геля и обладает ярко выраженным местным противовирусным эффектом. В основе лежат растительные компоненты, поэтому препарат уступает в силе ряду синтетических лекарственных средств. Однако лекарство практически не имеет побочных реакций и допустимо к применению на любых областях (ноги, руки, пальцы, туловище, лицо). Применять 2-3 раза в день на протяжении 7-10 дней.

Относится к индукторам интерферонов и выпускается в виде 5 % крема. Требуется смазывать пораженный участок 3 раза в неделю на протяжении 14–24 дней (весь курс не должен превышать 4 месяца).

Средства общего действия

Некоторые представители системных лекарственных средств:

Иммуномакс

Является активатором противовирусного иммунитета, относится к растительным лекарственным средствам. Выпускается в виде порошка по 200 ЕД во флаконах для инъекций. Иногда данный препарат комбинируют с одним из местных для усиления эффекта от лечения (например, с Солкодермом). Назначается по 1 флакону 1 раз в день на 1, 2, 3, 8, 9 и 10 сутки. Редко после курса терапии возникает рецидив болезни (положительный эффект в 90 %).

Изопринозин (инозин пранобекс)

Является иммуномодулятором, стимулирует противовирусную защиту организма, оказывая воздействие на клеточный иммунитет, также обладает частичным противовирусным действием. Назначается по 2 таблетки 3 раза в день в сочетании с местной терапией. Курс в среднем составляет 28 дней.

Интреферон

Состоит из группы белков (интерфероны альфа), синтезированных лейкоцитами здоровых доноров, в ответ на воздействие вируса-индуктора интерферона. Чаще применяется в лечении других, более опасных вирусных инфекций (гепатит С и В, ВИЧ-инфекция), но в качестве иммуномодулятора иногда применяется для лечения бородавок. Выпускается в виде ампул для подкожного, внутримышечного или внутривенного введения. Для лечения бородавок используют в дозе от 1,5 до 3 млн МЕ внутримышечно или подкожно на протяжении 4 недель. Имеет выраженные побочные явления при длительном использовании.

Гепон

Относится к иммуномодуляторам, представляет собой синтетический олигопептид. Используется для усиления работы иммунной системы (активизирует макрофаги, цитокины). Кроме того, способен подавлять репликацию вируса. Часто используется в сочетании с местными средствами или после хирургического иссечения образования. Системно назначается в дозе 10 мг перорально 1 раз в день или по 0,02-0,04% раствора для местной обработки кожи 1 раз в день.

Оценка эффективности использования монотерапии или комбинированной терапии проводится через 3-6 месяцев после курса лечения. Основным показателем эффективности является отсутствие рецидивов болезни.

Советы врача

Для эффективного лечения бородавок показано соблюдение некоторых общих рекомендаций:

  1. Комплексный подход к лечению. Одновременное использование наружных и внутренних методов лечения позволяет эффективно удалить нежелательные новообразования с кожи и снизить концентрацию вируса в кровяном русле.
  2. Соблюдение полного курса лечения, установленного специалистом с финальным контролем по окончании лечения.
  3. Обязательное воздействие на работу иммунной системы с целью ее укрепления. Выполнение данной рекомендации позволит уменьшить риск рецидивов. Особое значение данная рекомендация имеет в периоды, связанные с большим количеством простудных заболеваний (осеннее-зимний сезон), которые приводят к истощению и ослаблению иммунной системы.
  4. Периодический контроль у специалиста, поскольку заболевание имеет склонность к хронизации и переходу в длительное бессимптомное носительство (трудно поддается лечению и полной элиминации из организма даже при использовании современных методов лечения). Требуется лабораторный и физикальный осмотр не реже 1 раза в год с целью контроля над штаммами вируса (специалисты – гинеколог и дерматовенеролог). Особенно актуален осмотр при кондиломах и папилломах, расположенных на слизистых оболочках (в частности, на шейке матки). Это связано с высоким канцерогенным риском возбудителя и большой вероятностью развития рака без должного и своевременного лечения.
  5. Соблюдение правил здорового образа жизни, к которым относится правильное питание, умеренные физические нагрузки и нормализация режима сон-бодрствование.
  6. Тщательное соблюдение правил гигиены. Особенное значение данный фактор приобретает в общественных местах, где возникает наибольший риск инфицирования (бани, бассейны).

Выполнение данных правил снизит риск повторного возникновения образований и позволит несколько стабилизировать работу иммунной системы.

Единственным надежным методом против онкогенных штаммов ВПЧ является профилактическая вакцинация. На данный момент существует два одобренных препарата: вакцины «Гардасил» и «Церварикс». Такая профилактика снижает риск заражения 16 и 18 штаммами вируса, которые имеют наибольший онкологический риск.

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