Подошвенная бородавка у ребенка – это неприятное явление, требующее быстрого и эффективного лечения. Детские ноги имеют особенно нежную и чувствительную кожу, и наросты могут причинить болезненность и дискомфорт.
Причины появления
Долгое время существовала народная легенда о связи бородавок и жаб. В ней говорилось, что приобрести неприятные образования на коже можно после прикосновения к земноводным. Это выдумка: никакого отношения жабы к наростам не имеют. Причина возникновения опасное инфекционное заболевание – вирус папилломы человека.
Заражение ребенка происходит двумя способами: от матери-носителя во время прохождения малыша через родовые пути либо при бытовом контакте с вирусом. Появлению бородавок на ногах у ребенка предшествует посещение мест общественного купания или времяпрепровождения, примерка обуви заразного человека, использование чужих гигиенических приспособлений.
Зарегистрировано 85% зараженных по всему миру. Но с внешними признаками недуга сталкивается не каждый.
Попадая в организм, ВПЧ (вирус папилломы человека) оседает, находясь в латентном состоянии. Как только иммунная система дает сбой, а ее защита ослабевает, инфекция активируется. После на теле человека или в его внутренних органах проявляются наросты: папилломы, кондиломы или бородавки.
Проявление симптоматики любого типа ВПЧ начинается после:
- стресса или психологического потрясения;
- длительного приема антибиотиков;
- плохого питания;
- вакцинации;
- переохлаждения организма;
- сбоев в работе внутренних органов;
- употребления слишком острой, соленой или жирной пищи;
- физического изнеможения и усталости.
Способствуют заражению травмы конечностей, в том числе мозоли по причине ношения тесной обуви, излишняя потливость стоп, сахарный диабет или плантарный фасциит.
Особенности локализации
На ступне
Подошвенные бородавки образуются на внутренней части ступни. Если образование поразило ее тыльную часть – это не шипица. Появиться может на ноге под пяткой, на пятке, на подушечках под пальцами. Новообразования похожи на стержневую мозоль. Их характерное отличие – в черной точке по центру нароста (закупоренный капилляр). При соприкосновении с обувью возникают покраснение и неприятные болезненные ощущения.
На пятке
Подошвенные бородавки на пятках имеют внушительный размер. Разрастаясь, такая папиллома приобретает вид петушиного гребня. Шипица практически не выступает над поверхностью кожи. Ткани нароста имеют желтый или коричневый цвет с множеством вкраплений черного.
На пальце ноги
Бородавки пальцев ног имеют наименьший размер. Они занимают межпальцевое пространство, постоянно подвергаются трению и приносят неприятные болезненные ощущения. Новообразования могут окружить ногтевую пластину или основание пальца. В особо тяжелых случаях течения заболевания поражаются все пальцы стопы. Необходимо срочное вмешательство, явление мешает полноценной работоспособности конечностей.
Методы лечения
Лечение подошвенных бородавок у ребенка требует комплексного подхода. Если терапию направить на то, чтобы убирать внешние симптомы заболевания, эффект будет кратковременным. Удалить вирус из организма полностью не получится, но ввести его в пассивную фазу, при которой симптоматика не будет проявляться, можно. Для этого больному назначают прием противовирусных препаратов, иммуностимуляторов и процедуру по выведению наростов. В некоторых случаях удаление возможно осуществить в домашних условиях, используя при этом средства из аптеки или рецепты народной медицины.
В медучреждении
Эффективными препаратами, которыми принято лечить бородавки на стопе взрослого или у ребенка, являются Вартек, Ферезол, Солкодерм, Веррукацид, Кондилин. Данные средства имеют маслянистую консистенцию. Наносятся непосредственно на очаг поражения. Лекарства не используют детям младше 7 летнего возраста.
- Изопринозин – эффективный иммуностимулятор, действие которого позволяет иммунитету восстановиться и блокировать инфекцию. Препарат допустимо использовать с 3 лет.
- Виферон мазь – препарат противовирусного и иммуностимулирующего действия. Мазь используется после достижения ребенком 12 месяцев.
- Колломак – средство на основе салициловой кислоты. Размягчает кожный покров и способствует легкому избавлению от нароста. Салициловый крем применяется после 1 года жизни.
- Криофарма и Вартнер крио – препараты-аналоги воздействию жидкого азота. Замораживают бородавку, позволяя ее убрать. Запрещено использовать детям младше 4 лет.
В домашних условиях
Лечение дома возможно после консультации с врачом и его одобрения. Наросты обрабатывают перекисью водорода, раствором перманганата калия, уксусом. Народные рецепты предлагают использование:
- сока чистотела –сорванным растением обрабатывают 3 раза в сутки;
- зубчик чеснока – кусочек овоща прикладывают к образованию и фиксируют пластырем;
- использование пареного лука – луковицу пекут в духовке, после прикладывают к пораженному участку и обматывают натуральной материей.
Способы удаления
Если ребенок проходит процедуру удаления в клинике, выводить наросты можно одним из имеющихся методов:
- Лазерное удаление позволяет вывести шипицы с помощью лазерного луча. Метод примечателен тем, что риск рецидива после обработки исключен. Под действием лазера ткани нароста испаряются. Во время сеанса дерма может болеть, поэтому требует использование местной анестезии. После лазерного иссечения заживление проходит быстро и бесследно.
- Криодеструкция – вымораживание жидким азотом. Под действием низких температур ткани бородавки начинают чернеть, отмирают и разрушаются. Полное исчезновение происходит на протяжении 14 дней. После процедуры существует риск возникновения рубца на месте пораженного участка.
- Электрокоагуляция – для удаления новообразований применяется высокотемпературный импульсный ток. Процедура, исключающая кровотечения за счет запаивания мелких кровеносных сосудов. Удаленные папилломы можно использовать для исследований.
- Радиоволновое – устранение наростов путем воздействия радиоволн с высокой частотой. По отзывам, это самый быстрый и безболезненный способ вылечить кожу. Он бесконтактный, поэтому риск распространения инфекции исключаются.
- Хирургическое вмешательство – радикальный метод удаления. Используется в особо тяжелых случаях.
Как удалять наросты? Это определяют с учетом особенностей каждого пациента. Учитывается возраст ребенка, его способность переносить анестезирующие средства, болевой порог. Методы также отличаются ценовыми категориями, окончательное решение остается за родителями.
Противопоказания
Ограничения в лечении новообразований вирусной природы сугубо индивидуальны. Во внимание берется как состав используемых лекарств, так и возраст пациента. Удаление медикаментозными средствами противопоказано детям младше 1 года. При наличии аллергической реакции на компонент препарата лечение отменяется (или же лекарственный препарат заменяется).
Аппаратная терапия недопустима при наличии у ребенка тяжелых патологических заболеваний, острых инфекциях, заболеваниях кровеносной системы, онкологических процессах, повышенной температуре тела. Подобные процедуры не проводят новорожденным детям и диабетикам.
Домашнее лечение противопоказано в случаях сильного разрастания наростов. Если по причине образовавшихся папиллом больной не может самостоятельно передвигаться, то необходимая мера – лечиться в стационаре.
Родителям ребенка с проблемными образованиями на подошвах необходимо учитывать риски, которые сопровождают самостоятельное лечение. Самостоятельно распознать подошвенную бородавку не так просто. Для подтверждения диагноза врач назначает больному полное диагностическое обследование, включая лабораторные анализы и иммунограмму.
Уход за подошвенной бородавкой после устранения
Подошвенная бородавка на ноге требует особого ухода. Ноги ребенка должны находиться в чистоте и сухости. Ежедневная смена белья – обязательна мера, как и индивидуальные предметы гигиены.
Удобная обувь облегчит состояние ног и предотвратит повреждение нароста.
Появившаяся у ребенка подошвенная бородавка – не только косметический дефект. Это проблема, которая требует быстрого решения. Вовремя проведенное эффективное лечение поможет избавиться от неприятного явления и сократить период реабилитации.
Достаточно часто родители могут заметить появление подошвенных бородавок на ногах у ребенка. Новообразования без надлежащего лечения способны распространиться по ступне, вызывая физический, психологический дискомфорт.
Появление бородавок на ногах у ребенка вызвано вирусом папилломы человека (ВПЧ). Этим микроорганизмом заражены более чем 90 % всего населения планеты. Однако внешние проявления в виде наростов возникают далеко не у всех инфицированных людей. Возбудитель активизируется при благоприятных для него условиях. Столкнувшись с такой проблемой, необходимо в срочном порядке провести лечение подошвенных бородавок у детей. Иначе они быстро распространятся по телу ребенка.
Вирус папилломы: что это?
Появление бородавок на ногах у детей вызвано human papilloma virus или вирусом папилломы 1, 2, 4 типа. Всего насчитывают около 100 видов ВПЧ. Но только изучены еще не все.
Бородавки на стопе причисляют к доброкачественным новообразованиям. Нарастают они вследствие мутации клеток эпителиальной ткани. Патологические изменения происходят после активизации вируса в организме. До этого момента инфекция длительное время могла находиться в человеке, но не проявлять себя. Поэтому сложно определить точно момент заражения.
Всего встречают несколько разновидностей бородавок:
- плоские наросты;
- околоногтевые дефекты чаще всего встречаются на мизинце, реже на других пальцах;
- остроконечные кондиломы;
- подошвенные новообразования;
- старческие кератомы.
Обнаружив подошвенную бородавку у своего чада, не стоит сильно паниковать. Необходимо просто обратиться к специалисту. Терапией кожных заболеваний занимается врач-дерматолог.
Важно! Нельзя игнорировать появление патологии у ребенка. Родители должны учитывать возможность перерождения каждой борадавки в злокачественное образование.
Признаки патологии
Появление бородавок на стопе сложно не заметить. Новообразования выглядят, как небольшое уплотнение, имеющее границы. Папилломы на ноге у ребенка не разрастаются более 2 см. в диаметре. В основном встречаются овальные или округлые наросты, выступающие над поверхностью кожи на 2 – 3 мм.
Бородавки на ноге вначале такого же цвета, как кожные покровы у ребенка. Изредка встречаются розоватые, светло-коричневые наросты. Только со временем, после того, как поверхность новообразования становится шершавой, оно приобретает серовато-желтый оттенок. Посередине подошвенной бородавки у ребенка можно рассмотреть темную точку, или небольшое углубление (напоминает кратер).
В большинстве случаев патология проявляется единичным новообразованием. Дочерние бородавки на этом участке тела встречаются редко. Если все же на подошве, пальцах, верхней части стопы наблюдаются множественные высыпания, это указывает на значительное ослабление иммунной системы. Такую патологию называют мозаичными бородавками.
Зафиксированы случаи исчезновения патологического нароста без какого-то воздействия. Однако надеяться на это не стоит. Место расположения папиллом обуславливает постоянное травмирование обувью. Из-за этого наросты не только не исчезают самостоятельно, но и причиняют боль, дискомфорт.
Причины и провоцирующие факторы
Единственным виновником образования бородавок на конечностях является вирус. Заражаются им практически все еще в детстве. Почему же тогда патология проявляется не у всех инфицированных людей? Медики определили ряд факторов, способствующих активному воздействию возбудителя на организм.
- Инфекционные, вирусные заболевания.
- Ослабление иммунитета после длительного приема антибактериальных средств.
- Чрезмерная потливость ног, рук.
- Ношение неудобной, тесной обуви.
- Порезы, царапины, ожоги стоп.
- Различные дерматологические заболевания, нарушающие целостность кожных покровов.
- Несоблюдение правил индивидуальной гигиены (использование чужих полотенец, мочалок, несвоевременное мытье ног).
- Эмоциональное перенапряжение.
- Обострение гастроэнтерологических недугов.
- У младенцев, зараженных во время родов, папилломы проявляются из-за того, что иммунитет еще не успел сформироваться.
- Онкология.
- Сахарный диабет.
- Гепатит и другие тяжелые заболевания.
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Все эти причины угнетают иммунную систему, что и провоцирует появление на стопе у ребенка наростов.
Способы лечения патологии
Когда появляется бородавка на пальце ноги у ребенка, на подошве, ступне, ее нужно обязательно показать врачу. После диагностики он составит план лечения, учитывая возраст пациента, клиническую картину, индивидуальные особенности ребенка. Для маленьких детей подходят далеко не все методики, применяемые в терапии у взрослых людей.
Многие дерматологи вообще считают, что не обязательно проводить удаление подошвенной бородавки, если она не мешает, не кровоточит, не болит от постоянных травм. Через 1, 5 – 2 года наросты обычно проходят самостоятельно. При этом за новообразованием постоянно нужно следить.
Но большинство специалистов советуют все-таки избавиться от патологии, как можно скорее. Рассмотрим существующие способы того, как вывести бородавку.
Медикаментозное лечение
Избавление от патологии данным способом подразумевает физическое воздействие на нарост при помощи кремов, мазей, растворов. В аптечных пунктах представлен большой выбор препаратов, обеспечивающих распад тканей папилломы. Прежде, чем использовать препарат, необходимо проконсультироваться с врачом, прочесть инструкцию для того чтобы знать, как вылечить патологию без вреда для здоровья.
Кабинетная процедура подразумевает обкалывание проблемной зоны интерфероном у детей старшего возраста или обработку нароста составом, содержащим перекись водорода.
Для домашнего применения обычно назначают следующие эффективные препараты от бородавок:
- Салициловая мазь – это кератолитический противовоспалительный препарат, предназначенный для наружного применения. Действующим веществом медикамента является кислота. Она оказывает противовоспалительное, антисептическое действие. После ежедневного применения, бородавки с пальчиков стоп сходят. Перед этим они размягчаются.
- Суперчистотел – препарат, предназначен для избавления от бородавок всех видов, в том числе и подошвенных наростов.
- Солкодерм – раствор, позволяющий мумифицировать бородавку у ребенка. Разрешен к применению с 5 лет. В результате ежедневного нанесения средства, нарост высушивается, затем отпадает.
- Салипод – специальный пластырь, предназначенный для наклеивания на наросты. Необходимо избегать контакта со здоровыми тканями, так как препарат может вызвать ожог.
- Противовирусные средства угнетают активность ВПЧ, попутно стимулирую иммунную систему ребенка. В комплексной терапии для выведения наростов на ножках малыша назначают Изопринозин. Для детей постарше применяют Ацикловир, Панавир, Циклоферон.
- Гели Альдара, Панавир помогают укрепить иммунитет, деактивировать вирус. Препараты эффективны в борьбе с подошвенными, плоскими наростами, папилломами на ножке.
- Оксолиновую мазь в концентрации 3 % назначают для лечения подошвенного папилломатоза как у взрослых, так и у детей. При небольших размерах наростов они быстро исчезают, не оставляя шрамов.
Важно! Если неправильно выбрать, применять препарат для ребенка от бородавок, ситуация может усугубиться. Здоровые ткани травмируются, загнивают, а само новообразование способно дать осложения.
Удаление лазером и жидким азотом
Для выведения наростов применяют криодеструкцию. Новообразование аккуратно обрабатывают жидким азотом. Методика не имеет противопоказаний. Поэтому применяется для устранения внешних проявлений вируса папилломы у детей. После процедуры происходит отмирание клеток выпуклого участка. На его месте образуется корочка, замещающаяся со временем здоровой тканью.
Еще один способ того, как избавиться от новообразования на ноге, подразумевает воздействие на нарост лазерным лучом. Эта методика считается самой передовой, эффективной, безопасной. Обработанный участок на ступнях, быстро заживает. Лазерным лучом срезается бородавка. Параллельно происходит улучшение микроциркуляции крови, питания тканей, стимуляция регенерационных процессов. Терапия лазером обеспечивает местное антимикробное, противовирусное, даже против аллергенное воздействие.
Неприятным сюрпризом для каждой мамочки станет появление бородавки на ножке у ребенка. Заразиться инфекцией можно практически повсеместно. Кожа стоп у малышей достаточно мягкая и нежная. Это способствует стремительному распространению бородавок на подошве ноги.
Что вызывает?
Заболевание имеет инфекционную природу. Подошвенные бородавки возникают в результате воздействия вируса папилломы человека. Эта инфекция легко попадает в организм и быстро распространяется по кровотоку. Вирусы папилломы человека сильно повреждают эпителиальные клетки, что приводит к появлению на коже различных бородавок.
Обычно инфицирование происходит контактно-бытовым методом. Малыши, которые посещают детский сад, могут заразиться бородавками гораздо быстрее.
Нарушение правил личной гигиены способствует проникновению инфекции в детский организм. Малыш также может заразиться, посещая спортивные секции. Часто бородавки возникают у детей, которые занимаются в бассейне.
Развитие заболевания происходит не у всех малышей.
Генетической предрасположенности к данной болезни нет. Только при врожденном инфицировании вирусом папилломы человека бородавки могут появиться уже у новорожденных детей. Большее количество случаев зарегистрировано у детишек в возрасте от 8-14 лет. Обычно они заражаются после контакта с ребенком, у которого есть на коже бородавки.
На появление бородавок у ребенка воздействуют несколько факторов:
Исходный уровень иммунитета. Часто болеющие дети или малыши с иммунодефицитами больше предрасположены к инфицированию. Ослабленная иммунная система просто не способна справиться с вирусом. Это приводит к быстрому развитию инфекции внутри детского организма и появлению неблагоприятных симптомов.
Хронические заболевания. У малышей с сахарным диабетом наблюдается больший риск появления бородавок на ногах и ступнях. Это связано с особенностью нарушенного кровотока и иннервации на нижних конечностях при диабете 2 типа.
Избыточная потливость стоп способствует более быстрому развитию подошвенных бородавок у малышей.
Ношение неправильной обуви провоцирует появление бородавок на пальцах. Это происходит в результате избыточного давления обуви на отдельные участки стопы. Если изделие сделано из материала с плохой воздухопроницаемостью, то риск появления бородавок также возрастает в несколько раз.
Психоэмоциональные нагрузки и сильный стресс. Эти факторы часто приводят к развитию истощения. Оно, в свою очередь, способствует снижению уровня иммунитета, что обуславливает более легкое инфицирование вирусом папилломы человека.
Как выглядит?
Подошвенные бородавки часто бывают множественными. Как правило, сначала появляется один элемент. Через некоторое время, если не было проведено лечение, количество бородавок возрастает в несколько раз. Первые наросты появляются обычно около пальцев или на местах избыточного давления – на бугорках, которые располагаются ниже пальчиков стоп.
В большинстве случаев бородавки находятся на подошвах. Но также могут встречаться наросты на тыльной поверхности стоп. Обычно они темного или серого цвета. Некоторые варианты подошвенных бородавок могут иметь коричневую окраску. По периферии образований – выраженное шелушение.
Бородавки на стопах обычно немного возвышаются над поверхностью кожи и достаточно выпуклые. У некоторых малышей они могут быть плоскими. Размер бородавок составляет от 4-5 мм до 1 см. У малышей в 3 года могут встретиться элементы более большего диаметра. Размер и форма бородавок зависит от подтипа вируса, который вызвал данную болезнь.
Нарост покрыт несколькими слоями эпителиальных клеток, что придает ему достаточно плотную текстуру.
При попытке отскоблить кожные слои сделать это не удается. В ряде случаев даже может возникнуть капиллярное кровотечение.
Если внимательно присмотреться, то внутри каждой бородавки можно увидеть одну или несколько черных точек. Они уходят достаточно глубоко в нижележащие слои кожи.
Если во время ходьбы или ношении неправильно подобранной обуви возникает избыточное трение, то это может привести к травматизации. Такая ситуация часто приводит к кровоточивости в области нароста и даже возможному вторичному инфицированию. В этом случае у ослабленных малышей может возникнуть сильное воспаление или нагноение.
Диагностика
Если у ребенка появились бородавки на стопах, то его нужно обязательно показать врачу-дерматологу. Доктор проведет необходимое обследование и поставит точный диагноз. Не все кожные наросты можно трактовать, как бородавки. Зачастую многие подошвенные элементы могут быть вызваны и грибками. Для исключения грибковой инфекции требуется проведение дополнительных тестов.
Самым распространенным обследованием является проведение гистологического исследования. Как правило, для этого врач делает соскоб с кожного роста. Полученный материал отправляется в лабораторию, где врач-гистолог делает точное заключение о том, какая причина вызвала образование нароста на коже ребенка.
Чем вылечить?
Лечить бородавки нужно обязательно. Игнорирование кожных наростов в надежде, что они самостоятельно исчезнут – абсолютно не верная тактика. Некоторые родители думают, что бородавки проходят самостоятельно. Такие случаи действительно зарегистрированы. Однако встречаются очень редко.
Лечение бородавок — задача, которая требует огромного терпения и положительного настроя на достижение результата. Многие отзывы родителей, которые проводили лечение бородавок у ребенка, также это подтверждают. Не все методы приводят к полному излечению от этой болезни с первого раза. Зачастую приходиться прибегать к повторному удалению бородавок или замены способа это сделать.
Все виды лечения можно разделить на два вида:
Прижигание в домашних условиях.
Терапия в медицинских учреждениях.
Прижигание в домашних условиях
Для того, чтобы устранить бородавки с кожи, существует огромное количество самых разнообразных советов. Многие из них действительно помогают устранить наросты, а другими рекомендациями пользоваться даже опасно.
Вывести бородавки с кожи в домашних условиях достаточно сложно.
При выборе способа устранения бородавки помните о том, что кожа ребенка очень чувствительна к воздействию любых химических веществ. Часто у малышей младше трех лет возникают сильные ожоги.
Наиболее часто в домашней практике для прижигания и устранения бородавок используют:
Чистотел. Для этой цели прекрасно подходит сок этого лекарственного растения. Отвары, приготовленные из аптечного сырья, обладают меньшей эффективностью. Лучше проводить такое лечение в летнее время, когда можно найти цветущие растения. Сок, вытекающий при срезе чистотела, оказывают сильное прижигающее действие на бородавки. Метод можно использовать в течение нескольких недель до достижения эффекта.
Использование противовирусных мазей. Подойдет 5% -ая теброфеновая мазь. Назначается она обычно на 10-14 дней. Входящие в состав биологически активные компоненты оказывают губительное действие на вирусы папилломы человека. Обычно положительный эффект наступает через 2 недели с начала использования.
Лекарственные средства, обладающие прижигающим действием. К ним относятся «Суперчистотел» или «Ферезол». Данные препараты нужно использовать только на пораженные участки. Постепенно участки кожи очищаются и приобретают здоровый вид.
Лечение в медицинских учреждениях
В некоторых случаях и особенно при запущенном процессе устранить бородавки в домашних условиях не получается. Помочь родителям могут врачи-дерматологи, которые удаляют наросты с кожи и проводят комплекс всей необходимой терапии.
Среди медицинских способов устранения бородавок следующие:
Криодеструкция. В этом случае наросты выжигаются с поверхности кожи жидким азотом. Процедура может быть достаточно болезненной. При обширных повреждениях на стопах криодеструкция может быть для ребенка очень дискомфортно. Однако эффективность такого метода очень высокая. Как правило, наросты удаляются с кожи с первого раза.
Лазерное иссечение. Лучи, которые вырабатывает лазер, проникают во все слои кожи. Это позволяет удалять даже самые глубоко расположенные бородавки. После этого метода могут остаться небольшие рубцы, которые часто проходят самостоятельно.
Хирургическое удаление. Применяется только в ограниченных случаях при неэффективности всех других методов лечения. Хирург убирает образования с кожи с помощью скальпеля и хирургических инструментов. Перед проведением процедуры малышу проводится местная анестезия.
Лечить подошвенные бородавки нужно сразу, как только появились первые признаки болезни. Только своевременное удаление позволит предотвратить быстрое размножение этих элементов на стопах. Подошвенные образования весьма эффективно излечиваются.
Подробнее о бородавках вы узнаете из передачи доктора Комаровского.
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