Мозоль — маленькая неприятность на коже с довольно болезненными ощущениями.
Подвергаются этому неприятному явлению в основном стопы и ладони. Каждый человек хоть раз в жизни сталкивался с этой проблемой. Она сопровождает привыкание к новой обуви, появляется при выполнении непривычных манипуляций и нагрузок на руки или ноги. Например: бег, длительная ходьба. Огородникам знакома ситуация, когда весной после использования садового инвентаря на коже рук появляются » водянки «.
Чтобы разобраться о чем речь, необходимо немного теории. Мозоль — кожное образование, полученное в результате механического воздействия или давления на верхние слои эпителия.
Проявляется в двух видах:
- Сухая мозоль — область твердых ороговевших клеток
- Мокрая мозоль – мозольная водянка с прозрачным водянистым наполнением. Встречаются альтернативные названия: водная мозоль или » водянка «.
Процесс возникновения
Образованию этой проблемы предшествует трение кожи об твердую сдавливающую обувь, одежду, рабочий инвентарь. Зонами повышенного риска являются поверхности стоп, пятки, внутренняя часть ладони, пальцы. Редкими случаями считаются возникновения расслоения эпидермиса в местах соприкосновения кожи с внутренними швами вещей, рюкзаков, сумок. Повышенная влажность ткани на теле значительно увеличивает степень риска появления этого вида повреждений целостности кожного покрова.
Как избавиться от пяточной шпоры?
Нам постоянно пишут письма читатели, с вопросами "Как бороться с грибком ног? Что делать с неприятным запахом ног? и другие острые вопросы наших читателей" Наш ответ прост, есть много народных средств. Но есть и более действенные средство от грибка ARGO DERM, которые сейчас разработали врачи. Собственно, относительно данного средства давал интервью А. Мясников, советуем ознакомиться.
Водянка
Если во время трения сдвигаются верхние слои кожи относительно друг друга и между ними появляется полость, наполненная прозрачной субстанцией, то возникает водяная мозоль. Сам процесс происходит практически незаметно. Сначала возникает дискомфорт, незначительный отек и болезненные ощущения. При обращении внимания на проблему в это время, прекращение работы, смену обуви, травматизм будет выражен покраснением раздраженного участка кожи. Если игнорировать первые симптомы, то в течение нескольких часов появится водянка, заполненная жидкостью. Это лимфа.
Лимфа (с латыни«lympha» – «влага») — межклеточная субстанция, которая окружает каждую клетку нашего организма, вязкая, прозрачная, без запаха, содержит большое количество лимфоцитов. В организме лимфа выполняет транспортную функцию обмена веществ. Она содержит в себе смесь из различных белков, солей, лимфоцитов (клеток, отвечающих за локализацию и уничтожение инородных тел в организме).
Появление водянки на коже причиняет значительную боль и неудобство. Лимфа, которая находится внутри, сохраняет повреждение внутреннего слоя кожи от заражения, под ней начинает формироваться новый слой эпителия. Следует попытаться сохранить водянку до тех пор, пока мозоль сама не пройдет. Но в реальной ситуации пузырек при малейшем касании начинает болеть, стенки образования могут не выдержать давления и лопнуть. В такой ситуации жидкость вытекает и остается мокрая ранка.
Встречаются случаи, когда внутренняя жидкость водянки имеет ярко выраженный красный или бурый оттенок. Это не страшно, просто капилляры были расположены слишком близко к поверхности кожи и в процессе трения повредились. Таким образом, небольшое количество крови смешалось с лимфой и приобрело кровянистый цвет.
Отдельное внимание следует обратить, если водянка приобрела желтоватый или зеленоватый оттенок, края воспалились, сочится жидкость, гной. Это свидетельствует о присоединении стрептококковой инфекции и требует немедленного начала лечения.
Лечение
Хорошая новость — специализированного лечения водянки практически не требуют и его можно провести в домашних условиях. Если водянка небольшая, достаточно устранить причину возникновения и наклеить на поверхность кожи пластырь — антисептик. Заживление произойдет природным путем в течение недели. Главное — заботится о смене пластыря два раза в день. На ночь оставлять поврежденный участок открытым. Если мозолистая водянка имеет большие размеры или причиняет слишком чувствительную боль, ее нужно проколоть. Врачи не рекомендуют это делать, так как может произойти инфицирование.
В случае самостоятельного прокола появляются серьезные шансы ухудшить состояние водянки, поэтому следует придерживаться инструкции:
- Место прокалывания кожи необходимо тщательно продезинфицировать. Можно смазать водянку зелёнкой, йодом, спиртом.
- Следует использовать только стерильную иглу. Обычную швейную иголку протереть спиртом или раскалить над огнем.
- Прокол кожи делают сбоку пузыря параллельно его основанию. Для хорошего дренажа во время заживления нужно сделать несколько проколов
- Сразу же после прокалывания водянки берется ватный тампон или диск, смоченный раствором перекиси водорода. В направлении от середины пузыря к месту прокола прижимается вата и легким надавливанием удаляется жидкость из полости волдыря.
- Смазать поврежденное место антибактериальной мазью.
- Закрыть ранку антисептическим пластырем или марлевой повязкой с ватным диском.
До полного заживления следует менять повязку не реже двух раз в день.
Если кожица водянки лопнула сама или в полости начался процесс воспаления, перед накладыванием мази необходимо удалить омертвевшую верхнюю часть. Тщательно обработать от гноя перекисью водорода.
В идеале стенки волдыря лучше не трогать. Они естественным способом защищают ранку от заражения и препятствуют механическому повреждению нового слоя кожи.
Способы предотвращения
Главной причиной возникновения водянок на коже является трение и невнимательность. Наше здоровье только в наших руках и зависит оно от соблюдения рекомендаций при выборе вещей, техник безопасности при работе с инструментами, инвентарем. Нельзя забывать обращать внимание на сигналы организма, когда человек чувствует дискомфорт и болезненные ощущения.
Примеряя обувь, нужно обращать внимание, не съезжает ли нога по подошве, не слишком ли сдавливает кожу на пальцах и пятку. После покупки не надо спешить сразу одевать обновку на длительные прогулки и мероприятия, нужно разносить её дома. Во время работы на приусадебном участке обязательно нужно использовать защитные перчатки. Эти простые правила позволят сохранить целостность кожи и с чувство комфорта.
Мокрая мозоль: пути решения проблемы
И немного о секретах Автора
Вы когда-нибудь испытывали невыносимые боли в суставах? И Вы не понаслышке знаете, что такое:
- невозможность легко и комфортно передвигаться;
- дискомфорт при подъемах и спусках по лестнице;
- неприятный хруст, щелканье не по собственному желанию;
- боль во время или после физических упражнений;
- воспаление в области суставов и припухлости;
- беспричинные и порой невыносимые ноющие боли в суставах.
А теперь ответьте на вопрос: вас это устраивает? Разве такую боль можно терпеть? А сколько денег вы уже "слили" на неэффективное лечение? Правильно — пора с этим кончать! Согласны? Именно поэтому мы решили опубликовать эксклюзивное интервью Олега Газманова, в котором он раскрыл секреты избавления от болей в суставах, артритов и артрозов.
Мозоль — это механическое повреждение кожи. Кожа — как слоёный пирог. Она состоит из плотных слоёв клеток; эти слои плотные сами по себе, но между собой скреплены чуть менее надёжно. Длительное трение и/или давление приводит к тому, что верхний слой кожи роговеет (читай: мертвеет) и отстаёт от нижележащего — получается "сухая" мозоль. Если в процессе повреждаются более глубокие слои кожи или даже капилляры, то образовавшийся кожный "пузырь" может заполняться лимфой или кровью.
В плане угрозы образования мозолей в группе риска влажные ноги в тесной обуви (влажная кожа становится менее ровной и испытывает более жестокое трение об обуви и влажный носок, например) или наоборот сухие руки в контакте с пыльным шершавым инструментом или тяжёлой ношей с неудобными ручками (так частицы пыли и песка на черенке лопаты дополнительно раздражают поверхность кожи, ускоряя её ороговение и отмирание).
К слову, не рекомендуется просто срезать/прокалывать мозоли без дополнительной обработки, потому как следующий слой кожи сам по себе более нежный, так ещё и дополнительно раздражён и, возможно, повреждён тем же самым трением. Срезав такую мозоль, вы не только некоторое время будете испытывать сильный дискомфорт при прикосновении к поврежденному участку, но и можете занести туда какую-нибудь гадость.
Водяная мозоль — это содержащий прозрачную жидкость пузырь, образовавшийся на коже в результате ее механического повреждения трением. Проще говоря, это то, что в народе называется «водянка». Наиболее часто водяные мозоли образуются в соприкасающихся с обувью местах ступней и на участках ладоней и пальцев, удерживающих инструмент при работе. При правильном подходе к лечению и бережном отношении к поврежденному участку кожи водяная мозоль быстро заживает, не оставляя никаких следов.
Общие сведения
Механизм образования «водянки» связан с трением, которое приводит к сдвигу поверхностного слоя кожи относительно расположенных ниже слоев. В большинстве случаев начальные изменения кожи, возникающие под воздействием трения, остаются незамеченными. Дальнейшее воздействие приводит к окончательному отслаиванию поверхностного слоя кожи и образованию полости, которая постепенно наполняется межклеточной жидкостью. Так на подвергающемся трению участке появляется водяная мозоль.
Причины возникновения водяных мозолей
Основной фактор, вызывающий образование водяной мозоли, — это трение. Так, при носке слишком тесной, неудобной или жесткой обуви трению подвергаются наиболее тесно соприкасающиеся с ней участки кожного покрова стопы. Появлению «водянки» при этом способствует потливость ног или наличие дырки в носке. Водяная мозоль может образоваться и на теле, если какой-то участок кожи постоянно трется о слишком тесную одежду. При длительной работе с инструментом (например, во время вскапывания земли, работы пилой, чистке овощей, игры в теннис) на коже кисти также может образоваться водяная мозоль. Образование подобных мозолей более часто встречается у людей с нежной и чувствительной кожей, при усиленном потоотделении.
Проявление водяной мозоли
В начальном периоде в месте трения появляется покраснение, небольшая отечность и болезненность. Затем на коже возникает пузырь, заполненный прозрачной жидкостью — водяная мозоль. В этой стадии водяная мозоль может причинять значительную боль, малейшее прикосновение к пузырю вызывает напряжение его стенок и усиление боли. При любой механической травме (удар, сдавливание, продолжающееся трение и т. п.) происходит разрыв пузыря и содержащаяся в нем жидкость начинает вытекать. Если происходит отрыв стенок пузыря, то на коже остается красная мокнущая ранка.
После разрыва водной мозоли может произойти ее инфицирование. Опасность попадания стафилококковой или стрептококковой инфекции намного больше, если мозоль вскрылась с отрывом стенки. К признакам инфекционного процесса относятся: краснота, выходящая за пределы мозоли, интенсивная боль без механического воздействия, помутнение находящейся в водяной мозоли жидкости, наличие вокруг мозоли корочек желтого цвета, выделение из мозоли гноя, подъем температуры.
Лечение водяной мозоли
В большинстве случаев лечение водяной мозоли можно провести самостоятельно. Маленькие мозоли обычно не доставляют болезненных ощущений и не вскрываются сами по себе. Поэтому их просто накрывают пластырем, предохраняющим их от травмирования. Если же водяная мозоль большого размера, то она причиняет значительный дискомфорт и чревата разрывом. Такую «водянку» лучше проколоть. Наиболее благоприятным для прокола временем считаются первые сутки с момента появления пузыря на коже.
Прокалывание водяной мозоли нужно проводить с обязательным соблюдением некоторых правил, позволяющих избежать попадания в мозоль инфекции. Во-первых, необходимо дезинфицировать место прокола. Для этого смазывают водяную мозоль йодом или зеленкой. Во-вторых, прокол можно производить только стерильной иглой. Можно взять обычную булавку или швейную иглу. Для стерилизации ее нужно подержать в спирте или прокалить над огнем.
Прокол следует делать сбоку водяной мозоли, вводя иглу почти параллельно поверхности кожи. Ни в коем случае нельзя прокалывать мозоль перпендикулярно ее поверхности, так как при этом игла травмирует дно мозоли. Чтобы отток жидкости из водяной мозоли происходил постоянно, лучше сделать несколько проколов. Главное не переусердствовать и сохранить стенки пузыря. Они словно природная повязка покрывают расположенную внутри водяной мозоли нежную кожу и защищают ее от повреждения и инфицирования.
После того, как проколы сделаны водяную мозоль аккуратно прижимают марлевой салфеткой так, чтобы из нее вышла вся имеющаяся жидкость. Если со временем мозоль снова наполнится содержимым, необходимо будет повторить прокол. Для предупреждения развития инфекции после прокола на водяную мозоль накладывают содержащую антибиотик мазь. Затем закрывают мозоль защитным пластырем, который следует менять не реже 2 раз в сутки и снимать на ночь.
Если вскрытие водяной мозоли произошло самопроизвольно и с отрывом ее стенки, образовавшуюся рану необходимо очистить и продезинфицировать, наложить антибактериальную мазь и накрыть мозоль марлевой подушечкой с лейкопластырем. Последняя будет защищать водяную мозоль от загрязнения и травмирования, создавая благоприятные условия для ее заживления.
В случае попадания в водяную мозоль инфекции требуется ее вскрытие с удалением стенок, так как в закрытой мозоли создаются благоприятные условия для развития инфекционного процесса и нагноения. Поэтому при инфицировании следует обратиться за помощью к врачу-хирургу. С соблюдением всех правил асептики он проведет вскрытие и первичную обработку инфицированной водяной мозоли, наложит повязку с обеспечением дренирования раны и назначит местное антибактериальное лечение.
Профилактика водяных мозолей
Профилактика образования «водянок» — это, прежде всего, защита кожи от трения. Лучшим средством от их появления на руках является работа в защитных перчатках. Чтобы уберечь от них ноги, необходимо тщательно подходить к выбору обуви. Она должна быть не тесной и удобной при первой же примерке. Для занятий спортом лучше покупать специальную обувь и одежду, предназначенную именно для выбранного вида спорта.
Закрытую обувь следует всегда носить на носок. Причем акриловый носок лучше защищает ногу от трения, чем хлопчатобумажный. Дело в том, что хлопчатобумажная ткань становится грубой уже через пару стирок. Она не дает испаряться поту и при этом намокает вместе с ногами, что усиливает трение. Для усиленных нагрузок (длительная ходьба, бег, прыжки, спортивные игры) лучше надевать два носка: акриловый, а поверх него хлопчатобумажный.
Влажная кожа быстрее подвергается растиранию с образованием водяной мозоли. Поэтому перед тем, как взяться за нож для чистки овощей следует тщательно вытереть руки. Если речь идет об обуви, то ее необходимо тщательно просушивать и бороться с потливостью ног. В настоящее время существует большой выбор различных кремов и спреев, уменьшающих потоотделение на ногах. С этой целью можно использовать обыкновенный тальк, посыпая им подошвы и межпальцевые промежутки.
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