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Шишки на ногах у ребенка причины

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17 августа 2019

Гигрома, или синовиальная киста — это плотная, но эластичная на ощупь «шишка» на суставе, заполненная вязкой жидкостью. Гигрома у ребенка на ноге чаще всего появляется над коленом или в подколенной ямке (киста Бейкера), реже на голени или стопе. Обычно ее находят у детей младшего школьного возраста (6-10 лет).

Размер кисты под или над коленом либо на голени редко превышает три сантиметра, и сама по себе не опасна. Однако большая припухлость сковывает движения конечности, сдавливает кровеносные сосуды и соседние нервные корешки и может лопнуть, поэтому, заметив шишку у малыша, нужно немедленно обратиться к педиатру.

Причины

Синовиальная киста возникает, когда в суставе происходят болезненные изменения. В одном случае фрагмент синовиальной оболочки сустава выпячивается сквозь микроразрыв суставной сумки, и вскоре полость заполняется жидкостью. Во втором — ее оболочку и содержимое формируют измененные клетки соединительной ткани — однако киста никогда не перерождается в злокачественную опухоль. Среди причин, которые провоцируют гигрому, выделяют:

  • однократную травму — вывих, ушиб, растяжения, разрывы и надрывы связок;
  • длительные чрезмерные нагрузки на сустав (у непоседливых малышей и при занятиях спортом);
  • неудобную обувь;
  • малоподвижный образ жизни (слабые, нетренированные связки легко травмируются);
  • врожденные патологии суставов, связок и сухожилий.

Кисты чаще появляются у детей, чьи родители или другие кровные родственники тоже страдали от этой патологии. Ее могут вызвать и некоторые наследственные аутоиммунные заболевания, например ревматоидный артрит и болезнь Бехтерева.

Симптомы и диагностика

Маленькие гигромы, особенно кисты Бейкера, родители находят у своих детей случайно, нащупав в подколенной ямке или на щиколотке округлое уплотнение. Киста на колене более заметна, но так похожа на шишку от ушиба, что ни малыш, ни его мама не обращают на нее внимания. Однако если тщательнее обследовать припухлость, то кисту легко отличить от других опухолей:

  • на ощупь она плотная, но эластичная;
  • она неподвижна, но кожа над ней сдвигается свободно;
  • кожа над кистой не изменена;
  • вначале она не болит, но если на нее нажать, ребенок почувствует боль или неприятное ощущение.

Некоторые гигромы растут медленно, другие увеличиваются в размерах за одну-две недели, воспаляются или лопаются. В подколенной ямке много нервных окончаний и кровеносных сосудов, и ребенок жалуется на боль при ходьбе, «мурашки» или онемение. Если киста лопнула и ее содержимое вытекло в сустав, ткани вокруг нее воспаляются, а кожа над гигромой краснеет и шелушится.

Врач расспросит пациента и его маму, когда появилось образование, с чем, по их мнению, оно может быть связано, на что жалуется малыш. После осмотра ему назначат дополнительные обследования — УЗИ, рентген, МРТ, а при необходимости кисту проколют тонкой иглой и возьмут на анализ жидкость из ее полости.

Методы лечения гигромы у ребенка

Небольшие шишки у детей и подростков иногда рассасываются сами собой. Однако опухоль на ноге у малыша может оказаться не кистой, а симптомом более опасной болезни, поэтому не стоит рисковать и самостоятельно ставить ребенку диагноз.

Безоперационные методы

К методам лечения гигромы без операции в первую очередь относят медикаментозную и физиотерапию. Консервативными способами воздействия на нее также считаются раздавливание, пункция (прокол) и выпаривание капсулы лазером.

  1. Самый простой и безболезненный способ лечения — компрессы с мазью Вишневского или раствором Димексида. Мазь на марлевой повязке или отрезок бинта, смоченный в разбавленном 1:5 Димексиде накладывают на сустав в области гигромы, сверху кладут пергамент или целлофан и укутывают шарфом. Компрессы с мазью Вишневского делают на ночь, а с Димексидом — два раза в день, утром и вечером.
  2. Если началось воспаление, пациенту назначат НПВП (Ибупрофен, Индометацин, Диклофенак) в таблетках, уколах или в виде мазей.
  3. Размягчить капсулу, вернуть подвижность суставу, снять боль и воспаление помогают физиопроцедуры: УВЧ (облучение кварцевой лампой), ультразвуковая и магнитотерапия, электрофорез, обертывания с парафином и озокеритом. Эти процедуры проводят в поликлинике, курс лечения — 8-10 дней.

Важно начать лечить кисту на первой стадии заболевания, пока она еще маленькая и мягкая. Когда капсула уплотнится, ее уже не удастся убрать консервативными методами, то есть без хирургического вмешательства.

Удаление

Существует несколько методов избавиться от кистозного образования: пункция, раздавливание, выпаривание лазером и хирургическое удаление. Как именно будут удалять гигрому, зависит от ее локализации, величины и других факторов (сколько лет пациенту, есть ли воспаление или риск того, что капсула лопнет и т.д.). У маленьких детей кисту над коленным суставом или под ним удаляют под общим наркозом, а на голени — под общим или местным.

  1. Пункция. Кисту прокалывают толстой иглой и вытягивают ее содержимое, а в полость вводят противовоспалительные или другие лекарства (например, препарат для склеивания ее стенок).
  2. При раздавливании «шарик» энергично вминают (вправляют) в сустав. Иногда отверстие, через которое выбухает гигрома, со временем закрывается, но если при вдавливании киста лопнет, в суставе может начаться нагноение.
  3. Выпаривание лазером. Его делают после пункции — сначала из кисты выкачивают содержимое, а потом через иглу вводят в нее тончайший световод и полностью выпаривают оболочку кисты.
  4. Во время оперативного вмешательства шишку удаляют обычным или лазерным скальпелем вместе с окружающими ее измененными тканями. В современных клиниках операцию делают щадящим эндоскопическим методом, через несколько небольших проколов.
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Полностью избавиться от гигромы позволяют только лазерное выпаривание и операция, так как капсула кисты удаляется полностью. Пункция и вдавливание позволяют убрать мягкие небольшие шишки, но чаще всего они появляются снова.

Народные рецепты

Если у малыша нет аллергии на мед и его продукты, на ночь делайте ему утепленные компрессы на основе меда. Как и аптечные мази, они размягчают шишку, снимают воспаление и уменьшают боль.

  1. Отбейте до сока лист капусты, смажьте медом и приложите к кисте, сверху накройте целлофаном и перевяжите теплой тканью.
  2. Смешайте в равных пропорциях сок алоэ и мед, добавьте в смесь ржаную муку, чтобы получилось вязкое «тесто». Положите лепешку на область гигромы, сверху — целлофан и укутайте колено.
  3. Мазь с прополисом делают из смеси измельченного прополиса (2 ст. л.) и сливочного масла (100 г). Смешайте компоненты, прогрейте на медленном огне три часа и процедите. Такие компрессы можно накладывать утром и вечером.

Домашние процедуры можно сочетать с другими консервативными методами. Однако перед тем как начинать применять народные рецепты, лучше проконсультироваться с врачом.

Профилактика

Предотвратить появление гигромы невозможно, но вполне реально уменьшить риск ее возникновения. Следите, чтобы малыш достаточно отдыхал после подвижных игр, но и не давайте ему проводить много времени за телевизором или у компьютера. Прислушивайтесь к его жалобам на боли в суставах, особенно если он занимается спортом, и если вы заметили на его теле новообразование, не тяните с обращением к врачу.

Если у ребенка на ноге шишка, то чаще всего это связано с увеличением косточки на стопе. Данное явление довольно выражено, поэтому его несложно распознать при первоначальном осмотре. О том, что может спровоцировать образование шишки на стопе, и что нужно делать в таком состоянии — далее в статье.

Причины и провоцирующие факторы

Шишки на ногах у ребенка могут локализоваться на пальчиках, сверху или снизу ступни. Чаще всего на развитие данной патологии влияют следующие факторы:

  • генетическая предрасположенность к вальгусной деформации;
  • бурсит;
  • артроз суставов;
  • плоскостопие в запущенной форме протекания;
  • остеопороз;
  • нарушение работы эндокринной системы;
  • ранее перенесенные травмы стопы и голени;
  • врожденные аномалии стопы;
  • церебральный паралич;
  • дефицит кальция;
  • использование слишком тесной неудобной обуви, которая приводит к деформации стопы;
  • полиомиелит.

В повышенной зоне риска к образованию косточки на ноге находятся дети, которые:

  • страдают от ожирения;
  • родились недоношенными;
  • дети, часто страдающие от вирусных и инфекционных заболеваний;
  • дети, которые занимаются профессиональным спортом.

Важно! При выявлении шишки на ноге под кожей у ребенка стоит незамедлительно обратиться к врачу. Первоначально нужно пройти осмотр у ортопеда. При необходимости также может потребоваться осмотр и консультация хирурга, эндокринолога, травматолога и других специалистов.

Локализация и особенности

Шишка на внешней стороне стопы в большинстве случаев вызвана вальгусной деформацией. При пальпации такие образования очень плотные, могут быть болезненными.

Шишки на пальчиках обычно появляются при повышенной физической нагрузке, во время которой происходит трение пальцев об обувь. Начинает развиваться данная шишка с появления мозолей и уплотнений кожи.

Образования снизу ступни чаще всего являются натоптышами. Данные плотные и весьма болезненные области кожи могут возникнуть в том случае, если ребенок ходит с упором на носочки.

Характерные симптомы

В большинстве случаев начало развития шишки заметить нетрудно. По мере прогрессирования патология может сопровождаться следующими симптомами:

  • покраснение кожи;
  • образование мозолей;
  • уплотнение кожи;
  • нарушение функций сустава;
  • боль при ходьбе и при пальпации кожи.
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Поражение суставов и костей

Чаще всего причиной поражения костно-суставной системы у детей является заболевание под названием артрит. Поспособствовать образованию шишки на ноге при этом могут следующие виды данной патологии:

  1. Реактивный артрит. Обычно возникает после перенесенной бактериальной инфекции.
  2. Инфекционный артрит. Развивается при поражении вирусами и бактериями, которые были занесены через кровь.
  3. Ревматоидный артрит. Медики выделяют наследственную предрасположенность к заболеванию. Патология поражает крупные и мелкие суставы.
  4. Ревматический артрит. Способствует появлению хронического воспаления в суставах. Чаще всего от болезни страдают дети до 16 лет.

Диагностика и цели лечения

Диагностика шишки на ноге у детей начинается с осмотра ортопеда. Для оценки степени деформации стопы выполняется рентгенография. Она помогает оценить необходимость в хирургическом вмешательстве.

Для дифференциации шишки на ноге от других опасных заболеваний может выполняться УЗИ и КТ.

Лечебная терапия подбирается для каждого пациента индивидуально, исходя из выполненного заболевания и степени его запущенности. Традиционная терапия ставит перед собой следующие цели:

  • укрепление мышц и связок;
  • устранение воспалительного процесса;
  • распределение правильной нагрузки на стопы (при плоскостопии)
  • лечение поражения мягких тканей.

Особенности лечения

При выявлении шишки на ноге могут использоваться следующие методы лечения:

  1. Массаж. Профессиональное выполнение данной процедуры улучшит кровообращение в стопе, снимет спазмы и мышечное напряжение.
  2. Лечебная физкультура. Показана при плоскостопии и предрасположенности ребенка к данному заболеванию. Параллельно с этим малышу нередко назначаются специальные ортопедические стельки, которые позволят снизить нагрузку со стопы.
  3. Физиопроцедуры. При шишках на ноге чаще всего используются озокерит, электрофорез, грязевые и солевые ванночки для ног.
  4. Оперативное вмешательство. Назначается только в том случае, когда вышеописанные консервативные методы терапии оказались не достаточно эффективными. В ходе такой процедуры хирург удаляет шишку на стопе и восстанавливает правильное положение большого пальца в случае его смещения.

Народные средства

Сразу стоит отметить, что использовать народные методы лечения при шишке на ноге у ребенка нужно крайне осторожно. С помощью данных рецептов можно только облегчить состояние малыша и снизить воспалительный процесс. От первопричины недуга народные методы избавиться не помогут.

Наиболее эффективными методами народного лечения шишки на ноге являются:

  • выполнение йодовых сеточек;
  • компрессы с теплым картофелем;
  • выполнение примочек из травяных отваров (коры дуба, ромашки, лопуха);
  • солевые ванночки с добавлением йодной настойки;
  • компрессы из намыленной простым мылом шерстяной теплой ткани.

Профилактика

Для снижения риска образования шишки на стопе у ребенка стоит придерживаться следующих мер профилактики:

  1. Правильно подбирать ребенку обувь. Она не должна быть слишком грубой или тесной, иметь высокий каблук. Лучше всего отдавать предпочтение удобной ортопедической обуви, выполненной из натуральных материалов.
  2. Выполнять регулярную гимнастику для стоп.
  3. Избегать сильных физических перенапряжений стоп.
  4. Обеспечить ребенку хорошо сбалансированное питание. Рацион должен быть богат полезными веществами и витаминами.
  5. Своевременно обращаться к врачу и начинать лечение при любых типах поражений суставов стоп.

Шишки на ногах у ребенка под кожей – серьезная патология, не сулящая малышу ничего хорошего. Подобные красные шишки приносят массу неудобств, влияют на активность и развитие ребенка. Новообразования болезненны и снижают активность малыша.

Ребенок чувствует дискомфорт и постоянные боли в ногах, особенно при увеличении нагрузок и активном движении. Дети часто находятся в подвижном состоянии. Больно для малыша, если образования появились на стопе. Когда малыш начинает жаловаться на боли, возрастающие по мере роста шишки, родителям ребенка стоит уделить внимание лечению.

Причины возникновения

Основными причинами появления шишек под кожей становятся травмы различного характера, большие нагрузки на ноги. Во время игры во дворе у ребенка появляется вероятность заработать вывих суставов, постепенно преобразующийся в шишки, начинающие стремительно расти. Образования постепенно становятся красные, болят и воспаляются, причиняя ребёнку неудобство.

К распространенным причинам, вызывающим формирование шишки на ногах ребенка, относятся:

  • Обувь, неудобная для ребенка;
  • Факторы, усиливающие предрасположенность;
  • Эндокринные заболевания, к примеру, нарушение функционирования щитовидной железы;
  • Ослабление связок и костного аппарата в связи с вымыванием кальция.

Увеличивает вероятность образования шишки на ногах у ребенка наличие отдельных заболеваний и факторов:

  • Разрушение суставов и хрящей, развитие серьезного заболевания – артроза;
  • Бурсит стимулирует образование шишки на ногах;
  • Экзостоз и остеопороз, нарушающие прочность и целостность кости;
  • Кости становятся хрупкими при протекании онкологических заболеваний.

Важно обращаться за помощью врача при обнаружении даже небольших шишек на ножках ребенка, вызывающих дискомфорт. Правильно подобранное лечение сделает процесс избавления от патологии быстрым и безболезненным для малыша.

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Востребовано для ребенка консервативное лечение на ранних стадиях формирования шишки. Если опухоль полностью сформирована, не стоит отказываться от лечения в целях профилактики. При запущенной стадии развития назначается операция. Видов хирургического удаления немало, доктор назначит приемлемый вариант для ребенка.

Цели лечения

При проведении лечения перед врачом и родителями ребенка стоит задача:

  • Полностью купировать болевой синдром;
  • Ликвидировать по возможности, стабилизировать воспалительный процесс вокруг шишки, снижая покраснение;
  • Профилактические мероприятия, позволяющие застопорить развитие и увеличение шишки;
  • Полное восстановление активности и двигательной функции ребенка.

Комплекс мер при лечении

Положительные результаты при лечении у ребенка шишек, проявляющих телесный цвет либо красный, дает комплекс правильно подобранных мероприятий. Самостоятельно подобное лечение назначать нельзя. Рекомендации озвучит лечащий доктор. Чаще лечение состоит из:

  • Массажа поврежденных участков ног;
  • Лечебной гимнастики, помогающей сохранить подвижность ребенка и нормализующей процессы в ногах;
  • Теплые ванночки для стоп.

Рекомендуется использование различных процедур физиотерапии. Грамотное лечение эффективно снимает боль при сильных проявлениях, купирует развитие воспалительного процесса. Среди востребованных процедур выделяют:

  • Озокерито-парафинолечение в виде аппликаций;
  • Электрофорез с использованием новокаина;
  • Фонофорез гидрокортизона.

Большую популярность при лечении шишки на ногах ребенка приобрели ортопедические приспособления, помогающие значительному улучшению состояния. К примеру:

  • Прокладки, которые вставляются возле мест образования шишки, защищают от натирания;
  • Прокладки между пальцами, предотвращающие врастание ногтя;
  • Для обхвата и фиксации стопы используются специальные манжеты.

При присутствии деформации стоит покупать обувь для ребенка с ортопедическими стельками, максимальным образом снимающую нагрузку с поврежденных участков.

Мази для лечения

Составляющей консервативного терапевтического лечения считается использование специальных мазей. При наличии в составе противовоспалительных компонентов мази способствуют снятию болевого синдрома и остановке воспаления. Шишки становятся не настолько красные.

Лечебные мази выполняют указанные функции:

  • Устраняют окончательно отек;
  • Ликвидируют болевые ощущения;
  • Защита стоп ребенка от невозвратимых процессов деформации стопы.

Самостоятельно справиться мази с образованием не в силах. Если их использование сочетать с прочими методами комплексного лечения, получится добиться весомых результатов. Помните, любое средство обнаруживает противопоказания, использовать препараты без назначения и согласия врача строго запрещается.

Нетрадиционная медицина

Обратившись к рецептам народной медицины, не получится на сто процентов избавиться от шишек на ножках ребенка. Потребуется комплексное применение домашних средств и рецептов традиционной медицины.

Чтобы не нанести вред ребенку, рекомендуется обратиться к ортопеду. Доктор подтвердит либо опровергнет целесообразность народных решений.

  • Поможет подобрать обувь, которая не навредит, принесет пользу при формировании стопы;
  • Разработает комплекс упражнений для укрепления и правильного формирования ножки ребенка;
  • Назначит проведение физиотерапии, включая применение профессионального массажа.

Профессиональный врач порекомендует использование народных рецептов в комплексе с консервативными рецептами. Совместное воздействие поможет снять отек, уменьшить болевые ощущения, нормализовать кровообращение.

Ежедневно возможно делать легкие ванночки для ног ребенка с добавлением йода и соли. Среди рецептов народной медицины встречаются рекомендации по проведению компрессов. Прикладывания делают с использованием лопуха и скипидара, прополиса, тертого сырого картофеля. Средства не несут вреда ребенку, помогут снять воспаления, красные шишки посветлеют, перестанут сильно беспокоить ребенка.

Для снятия воспаления используют отвары лекарственных трав. Такие препараты допустимо готовить из зверобоя, лекарственной ромашки, корня лопуха.

Подобные предписания не встретишь в научной литературе. А самостоятельное применение способно спровоцировать аллергические реакции. Крайне важно выслушать мнение доктора.

Профилактика

В детском возрасте необходимость предохранительных действий объяснить ребенку сложно, но приучить к простым вещам вполне возможно. В первую очередь родители обязаны всегда следить за обувью малыша. Она должна быть удобной, изготовленной из натуральных материалов снаружи и изнутри.

Помните, ногам детей присуще свойство постоянно расти. Купленная недавно вещь по размеру завтра окажется тесной, причиняющей дискомфорт крохе, который он не сможет объяснить родителям.

С малышом стоит проводить регулярные беседы о правилах поведения при игре. Если ребенок получит травму и ударится, требуется немедленно сообщить родителям — для принятия срочных мер либо ежедневного наблюдения за последствиями.

Всегда важна гигиена, если малыш вовремя не вымоет ножки и ручки, через крошечную царапину попадёт инфекция, способная спровоцирует появление нароста.

Для детей в любом возрасте важно выполнение физических упражнений. Разучите специальный комплекс для укрепления костно-мышечного аппарата стопы.

Для ребенка шишка на ноге означает труднопреодолимые неудобства, при нагрузке на ножки и тазобедренный сустав у крохи появляется хромота, ребёнок начинает постоянно жаловаться на боли. Красные шишки для малыша – беда, с которой следует бороться.

Вся информация в статье представлена в информационных целях, применять ее самостоятельно не рекомендуется. Каждое действие согласуется с ортопедом!

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