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Темные пятна на кистях рук

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17 августа 2019


Когда на руках появляются пятна, они могут никак не мешать, не чесаться и не болеть. И все же некоторые люди испытывают дискомфорт от наличия такой косметической проблемы, поэтому хотят от нее избавиться. Прежде чем приступать к терапии, необходимо разобраться, почему пятна на руках появились.

Содержание

Виды пятен на руках

Пятна на руках могут быть разных цветов и покрывать разные части рук – локти, предплечья или кисти. Также пятна различаются по размеру (маленькие или огромные). Края у них обычно ровные, но находиться они могут как на верхнем слое коже (эпидермисе), так и касаться дермы. У некоторых людей возможны смешанные виды пигментации.

Важно. Особое внимание следует обратить на цвет пятен.

Пятна на коже рук зачастую имеют белый, коричневый или иметь розовый оттенок.

Белые пятна

Пигментация белого цвета на руках (врожденная либо временная) объясняется следующими факторами:

  1. Витилиго. При наличии данного заболевания иммунитет человека срабатывает неправильно, происходит разрушение меланоцитов и стремительное развитие процесса (появление пятен).
  2. Идиопатический каплевидный гипомеланоз. Причины этой патологии кожи остаются неизвестны, а сами пятна имеют маленькие размеры и оттенок светлее оттенка кожи человека. Появляются они либо в молодом возрасте из-за наследственной предрасположенности, либо во взрослые годы.
  3. Отрубевидный лишай. Его провоцирует дрожжеподобный грибок, присутствующий на эпидермисе. Под влиянием определенных условий грибок начинает активно размножаться, в результате чего поражается кожа рук.
  4. Беспигментный невус. Белое пятно, которое есть на коже человека с самого рождения. Как правило, оно имеет полукруглую форму, а растущие в этой зоне волосы бесцветны. Поскольку клетки невуса имеют способность перерождаться, это может привести к развитию опухоли.
  5. Белый лишай. Пораженная область приобретает белый окрас с нечеткими контурами. Иногда кожа на руках шелушиться, пораженные участки не загорают на солнце, однако белый лишай не опасен. Зачастую встречается у детей и проходит сам.

Некоторые из перечисленных заболеваний удастся различить самостоятельно, но лучше обратиться к врачу, заметив появление подобной пигментации.

Коричневые пятна и пигментация на руках

Пигментация коричневого цвета возникает из-за того, что клетки кожи под влиянием внешних либо внутренних причин более активно вырабатывают пигмент (меланин). Его избыток в определенных зонах меняет цвет эпидермиса от светло-коричневого до темного.

На цвет пятен влияют причины их появления. Так как точно определить, что спровоцировало проблему довольно сложно, рекомендуется посетить дерматолога – он назначит обследование и по полученным результатам составит клиническую картину. Если проблемы со здоровьем отсутствуют, избавиться от пигментации проще. В противном случае (если обнаружится какое-то заболевание) понадобится пройти полноценный курс лечения.

Итак, что способно повлиять на образование коричневых пятен на руках:

  1. Солнце. Этот фактор считается самым распространенным. Ультрафиолет может повредить клетки эпидермиса и при длительном пребывании под воздействием прямых солнечных лучей запускаются защитные механизмы организма. Сбой в процессе выработки меланина – это его реакция.
  2. Возраст. Как правило, пигментация в старости – следствие потери клетками способности контролировать выработку меланина. Проблема возникает у людей старше 40-50 лет, поскольку в указанном возрасте здоровье начинает ухудшаться.
  3. Генетическая предрасположенность. При генетической расположенности любой неблагоприятный фактор может спровоцировать появление коричневых пятен на руках у человека.
  4. Косметические средства. Некачественная косметика или средства, содержащие вредные компоненты и вещества, применяемые длительное время, также влияют на появление пигментации.
  5. Нехватка витаминов и минералов. К примеру, так организм сигнализирует о дефиците витамина C.
  6. Химические вещества. При контакте с сильнодействующими химическими веществами на коже рук иногда возникает аллергическая реакция, которая сопровождается появлением пятен.
  7. Проблемы со здоровьем. Кожные заболевания, нейрофиброматоз, заболевания печени или щитовидной железы, проблемы ЖКТ и хронический воспалительный процесс – эти и другие заболевания тоже сопровождаются появлением маленьких коричневых пятен.
  8. Изменение гормонального фона. С подобным сбоем сталкиваются многие люди. Особенно часто пятна на руках появляются у беременных женщин и тех, кто употребляет определенные препараты. На возникновение такого косметического дефекта влияет и выработка гормонов – с годами она меняется.
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Учитывая количество различных факторов, терапия для каждого пациента подбирается индивидуально.

Лечение пятен на руках

После посещения врача и проведения обследования, специалист назначает определенные препараты или народные средства. Следует отметить, что при наличии таких заболеваний, как псориаз, витилиго, нейродермит и других, полное избавление от пигментации невозможно. В этих случаях пациент может только контролировать течение болезни, чтобы не допустить рецидивов и ухудшения состояния здоровья.

Тяжелее всего происходит терапия пятен, которые появились из-за нарушения синтеза пигмента кожи. Если на руках присутствуют определенные типы пятен (например, веснушки), то лечить их и вовсе не нужно. Если же причина возникновения проблемы заключается в воздействии холода или тепла, тогда пигментация вскоре пройдет самостоятельно. А когда пятна на коже шелушатся, дерматолог прописывает пациенту специальные мази и крема (Пантенол и т.п.).

Чтобы обесцветить возрастные пятна коричневого цвета нередко назначают кремы с отбеливающими свойствами, в составе которых также присутствуют мягкие стероиды и гидрохинон.

Даже если на коже появились маленькие пятнышки и они не вызывают опасения, желательно посетить врача, чтобы исключить более серьезные проблемы со здоровьем.

Руки, как и лицо, — это такая часть тела, которая постоянно находится на виду. Пигментные пятна зачастую не вызывают болевых ощущений, дискомфорта, жжения или зуда, но, тем не менее, считаются серьезным косметическим дефектом. Участки гиперпигментации на руках могут возникать как в зрелом возрасте (после 40-50 лет), так и у молодых пациентов (чаще всего, у девушек). Однако не стоит считать чрезмерную пигментацию сугубо косметическим дефектом – повышенная выработка меланина может быть признаком некоторых болезней внутренних органов. Поэтому так важно знать, почему появляются пигментные пятна на руках и как от них избавиться.

Какие бывают пигментные пятна на руках?

Нарушения пигментации можно условно поделить на 2 основных вида: участки гиперпигментации и белые пигментные пятна на руках. Гиперпигментация обусловлена, прежде всего, чрезмерной выработкой меланина – основного пигмента в организме человека. Белые пигментные пятна свидетельствует о том, что данный пигмент синтезируется в недостаточных количествах.

Также все пигментные пятна могут локализоваться на разных участках кожи: ладонях, пальцах, тыльной стороне кисти, предплечье, плече. Иногда появляются незаметные участки пигментации, а позже они могут сливаться и образовывать большие пятна. В ходе обследования врач также определяет, насколько глубокое поражение – иногда процессом затронут только эпидермис, а иногда даже глубокие слои дермы.

Причины, провоцирующие появление гиперпигментации на руках

На сегодняшний день не установлено единственного этиологического фактора, который вел бы к возникновению пигментации на коже рук. Однако учеными установлена связь между некоторыми факторами и появлением пигментных пятен.

Воздействие ультрафиолета

УФ-излучение в небольшом количестве положительно влияет на состояние кожи, однако чрезмерно долгое пребывание под прямыми солнечными лучами (или в солярии) может ухудшить состояние здоровья. Ультрафиолет может повредить клетки кожи, что ослабляет защитные функции эпидермиса и приводит к усиленной секреции меланина – появляются коричневые пигментные пятна.

Возрастные изменения

Большинство пациентов впервые обнаруживают участки гиперпигментации после 40-55 лет. Это связано с тем, что состояние здоровья в этом возрасте ухудшается, иммунная система работает хуже, поэтому организм не может контролировать синтез меланина.

Отягощенная наследственность

Родители могут передавать своим детям склонность к появлению чрезмерной пигментации – это обусловлено некоторыми особенностями кожи, которые иногда наследуются.

Контакт с некоторыми раздражителями и химическими веществами

Любой раздражающий фактор, который воздействует на кожу, нарушает местные реакции иммунитета, что приводит к изменениям в клеточном метаболизме. Агрессивные химические вещества, красители, бытовая химия, некачественная косметика, механическое воздействие (трение, сдавливание) – чаще всего от действия этих факторов страдает именно кожа рук. На фоне неблагоприятного воздействия кожа становится сухой, появляются коричневые пятнышки.

Сопутствующие хронические патологии

Влиять на обмен меланина могут различные патологические процессы, которые протекают во внутренних органах. Часто участки гиперпигментации появляются на фоне заболеваний нервной, эндокринной, пищеварительной системы и могут стать первым симптомом болезни.

Гиповитаминоз и нехватка минералов

Особенно часто коричневые пигментные пятна появляются в зимний и весенний период – это те поры года, когда организм нуждается в витаминах. Если какого-либо витамина или минерала не хватает, то некоторые реакции (например, выработка меланина) не могут нормально протекать. Это связано с тем, что витамины в большинстве случаев являются важной составляющей ферментов, которые катализируют (ускоряют) химические реакции в организме.

Гормональные нарушения

Резкие перепады уровня гормонов также могут сказываться на состоянии кожи – очень часто пигментные пятна на руках появляются в период беременности, лактации, менопаузы или при длительном приеме гормональных препаратов (например, комбинированных оральных контрацептивов).

Белые пигментные пятна: основные причины

Как и гиперпигментация, белые пигментные пятна также могут возникать на фоне гормональных нарушений или чрезмерного воздействия ультрафиолета. Но также синтез меланина снижается при некоторых кожных заболеваниях, которые требуют консультации специалиста.

Витилиго

Это хроническое заболевание, при котором на коже появляются очаги очень светлой кожи (так называемые, белые пигментные пятна). На сегодняшний день неизвестна точная причина заболевания, но большинство ученых склоняется к тому, что витилиго – это разрушение меланоцитов на определенном участке кожи, которое вызвано нарушениями в работе иммунной системы и воздействием агрессивных факторов внешней среды.

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Отрубевидный лишай

Вызвано это заболевание условно-патогенными грибками, которые в норме присутствуют на коже человека. Но при нарушении иммунитета, начинают активно размножаться и поражать эпидермис, что приводит к депигментации кожи.

Белый невус

В 1-3% случаев невусы (родинки) не содержат пигмента. В этом случае, даже волосы, которые растут на этом участке кожи, обесцвечиваются. В случае быстрого роста такого невуса, необходимо срочно обратиться к дерматологу, ведь существует риск развития злокачественной опухоли кожи.

Лечение: как избавиться от пигментных пятен на руках?

Вывести пигментные пятна возможно, но для этого нужно своевременно обратиться к дерматологу. Только специалист сможет точно определить причину такого состояния. Возможно, понадобится консультация гастроэнтеролога, эндокринолога и других докторов. Как правило, при данном состоянии помогают отбеливающие крема, методы народной медицины и аппаратная косметология – комплексное применение данных методов терапии может избавить от пигментных пятен на руках в короткие сроки.

Популярные средства от пятен на руках: отбеливающие мази и крема

В аптеках и в Интернете на данный момент есть большое количество отбеливающих масок, мазей и кремов – некоторые из них привозят из Китая, Кореи, некоторые выпускают популярные европейские бренды лечебной косметики. Порой бывает сложно разобраться во всем этом разнообразии, поэтому всегда нужно внимательно читать состав – как правило, все отбеливающие крема содержат несколько основных действующих веществ. Особой популярностью пользуются следующие мази от пигментных пятен:

  • лечебная косметика с гидрохиноном. Это мощный отбеливающий препарат, который в короткие сроки помогает убрать пигментацию благодаря подавлению синтеза меланина. Является канцерогеном, поэтому применять его можно только под контролем врача.
  • косметические продукты с высоким содержанием гликолевой кислоты. Данное вещество не только регулирует выработку меланина, но и отшелушивает ороговевшую кожу.
    мази и крема с аделаиновой кислотой. Этот компонент позволяет удалить все участки чрезмерной пигментации, а также оказывает выраженное противовоспалительное действие.
  • средства с эфирными маслами. Как правило, лечебная косметика, которая состоит из натуральных компонентов, включает в себя комплекс эфирных масел, каждое из которых обладает своими свойствами. Это приводит не только к улучшению цвета кожи, но и к интенсивному ее увлажнению. Представителем такой косметики является крем «До и после», о котором можно узнать в этой статье.

Помните, что перед применением любого косметического средства от пигментных пятен, особенно если это средство корейской медицины, необходимо проконсультироваться с дерматологом и косметологом, а также провести аллергическую пробу. Нужно нанести на внутреннюю поверхность предплечья немного средства и посмотреть за состоянием кожи в течение 20-35 минут – если не появился отек, покраснение или зуд, то такую косметику можно использовать!

Аппаратная косметология в борьбе с излишней пигментацией

В клинической практике применяют несколько основных способов борьбы с пигментацией с помощью аппаратного лечения:

  • терапия лазером. Требуется курс процедур, в ходе которых на эпидермис воздействует лазер, что приводит к разрушению пигмента;
  • химический пилинг. Инвазивная процедура, благодаря которой можно снять верхние слои эпидермиса и химическими средствами воздействовать на кожу;
  • дермабразия. Механическое воздействие на кожные покровы, в ходе которых пигментные пятна «снимаются», становится видна кожа без поражений;
  • криотерапия. На ткани воздействуют с помощью жидкого азота – вследствие этого клетки отмирают и отторгаются. Иногда нужно несколько процедур криотерапии для полного удаления пигментации.

Аппаратная медицина позволяет быстро и эффективно избавиться от гиперпигментации, но без предварительной консультации врача состояние кожи может ухудшиться после таких процедур.

Нетрадиционная медицина: эффективно ли?

Методы народной медицины также пользуются популярностью, однако применять их можно только после консультации доктора. Наиболее эффективными признаны следующие методы народной медицины:

  • лимонный сок. Им смазывают пораженные участки кожи 3-4 раза в день. Иногда к соку лимона добавляют мед, яичный белок, лавандовое масло.
  • кисломолочная продукция. Сметана, кефир и био-йогурты обладают способностью отбеливать кожу, поэтому рекомендуют наносить данные кисломолочные продукты на кожу рук 2 раза в день.
  • огурец. Для примочек применяют кашицу из огурца – данный продукт натирают на мелкой терке и наносят на руки 2 раза в день (на 20-35 минут).

Пигментные пятна на руках – это проблема, которая может доставлять постоянный психологический дискомфорт. Однако благодаря современным методам терапии, можно быстро избавиться от этой проблемы – нужно только вовремя обратиться в лечебное учреждение.

Казалось бы, что страшного в пигментных пятнах на руках? Не болят, не чешутся. Но их появление огорчает, потому что намекает на возраст — не зря же такие пятна называют «старческой гречкой». Подскажем, как быть.

Пигментные пятна: что это такое

Любые локальные изменения цвета кожи — это следствие избытка или, наоборот, дефицита пигмента меланина. А он дарит нам:

  • красивый загар;
  • обаятельные веснушки;
  • кокетливые родинки.

Пигментные пятна — лишь внешнее проявление деятельности меланина, у которого очень серьезная миссия — защищать клетки кожи от повреждений (в частности, в результате воздействия ультрафиолета). Когда защита слабеет, усиливается риск травмирования клеток и, как следствие, появления на коже новообразований.

Нестабильность меланина, который либо выстреливает темными пятнами, либо вдруг пропадает, свидетельствует о нарушении этой защиты.

Пигментные пятна – это следствие избытка или, наоборот, дефицита пигмента меланина. © iStock

Виды пигментных пятен на руках

Пятна на руках бывают всех мыслимых размеров, от точек до «островов». Палитра оттенков не то чтобы очень богатая, но некоторое разнообразие все же наблюдается. Пятна бывают:

  • желтые;
  • коричневые;
  • красные всех оттенков — от розового до винного;
  • белые.
Читайте также:  Из за чего чешется жопа

Причины возникновения пигментных пятен на руках

Ультрафиолет

В 90% случаев основная причина — солнце. На участках кожи, которые в небольших дозах, но постоянно подвергаются воздействию УФ-лучей, вокруг меланоцитов (это клетки-производители меланина) возникает воспалительная реакция. И она провоцирует еще более активный синтез пигмента.

Кроме того, лучи повреждают лежащие в дерме фибробласты (они синтезируют коллаген, эластин, гиалуроновую кислоту). Фибробласт дает сигнал пигментным клеткам защитить его от солнца при помощи дополнительного меланина. А неравномерность расположения пигментированных зон связана с транспортировкой меланина в зоны с фотоповреждением.

Гормональные изменения

К состояниям, при которых уровень гормонов нестабилен, относятся:

  • беременность;
  • прием гормональных препаратов (включая контрацептивы);
  • менопауза.

Заболевания

Недуги печени тоже могут сопровождаться желтыми и коричневыми пятнами на руках. Также есть мнение, что некоторые инфекции провоцируют снижение выработки меланина, и тогда на фоне болезни или сразу после выздоровления развивается витилиго.

Гиповитаминоз, например, с ерьезный дефицит витамина С может вызвать гиперпигментацию.

Стресс иногда приводит к витилиго, то есть локальному прерыванию выработки меланина.

«Винные пятна» — красные или фиолетовые, родимые или приобретенные — это гемангиомы, результат расширения и разрастания кровеносных сосудов на том или ином участке тела.

Переохлаждение. Холодовая травма рук может впоследствии проявиться в виде белых пятен.

Причины возникновения пигментных пятен на руках после 40, 50, 60 лет

Еще недавно можно было развести руками и сказать: «Ну что вы хотите — возраст!» Но современных женщин такой ответ не устраивает. Мы стали дольше жить, и сейчас 50-летние и по физической форме, и по амбициям лет на 10–15 моложе своих родителей в том же возрасте. Поэтому старческие пигментные пятна на руках (лентиго) — те самые, мелкие коричневые вперемешку с более крупными посветлее — основательно портят жизнь.

Их истинная причина — не число прожитых лет, а количество времени, проведенного на солнце, и солнечных ожогов, полученных, начиная с младенчества. Подобные травмы быстрее исчерпывают запас прочности меланоцитов.

Другая крайность — обморожения, которые со временем приводят к снижению пигментации.

Можно ли избавиться от пигментных пятен на руках

Пигментация на руках — это результат достаточно серьезных внутренних изменений. Избавляться от них — занятие трудоемкое и длительное. Процедуры, которые предлагают в клиниках, конечно, эффективнее, чем домашний уход. Хотя и среди отбеливающих косметических средств появились действенные препараты.

В любом случае максимального эффекта можно добиться, сочетая профессиональный и домашний уход.

Косметологические процедуры

Пилинг

Он удаляет поверхностный слой кожи и стимулирует ее глубокое обновление — без пигментных пятен.

Любой химический пилинг в той или иной мере помогает избавиться от нежелательной пигментации, но разработаны и специальные препараты от пигментных пятен.

Например, AHA-пилинг Pigment Balancing Peel, SkinCeuticals. Его эффективность определяется сочетанием двух компонентов:

эксфолианта на основе гликолевой и лимонной кислот;

осветляющей пудры из аскорбиновой кислоты (витамина С) и экстракта эмблики.

Оба состава смешивают, что обеспечивает максимальную концентрацию действующих веществ.

Максимального эффекта в избавлении от пигментных пятен можно добиться, сочетая профессиональный и домашний уход © iStock

Фототерапия

Световые импульсы разрушают меланин, и сразу после процедуры обработанные участки темнеют еще больше. Но очень скоро кожа начинает отшелушиваться и на ее месте появляется новая, без пятен.

Лазер

Самый популярный метод избавления от пигментации действует по тому же приципу, что и фототерапия (разница в длине световой волны) — лазером обрабатываются пигментированные участки. В результате отшелушивается верхний слой, стимулируется обновление кожи «с чистого листа».

Представляет собой вариацию световой терапии, довольно быстро выводит поверхностные пигментные пятна.

Косметика для домашнего применения

Кремы

В качестве антипигментных кремов для рук используют те же средства, что и для лица. Наиболее эффективные из них содержат ретинол и его производные плюс другие вещества, способные влиять на светочувствительность. В связи с этим такие средства применяют на ночь.

Сыворотки

Отличаются более высокой концентрацией действующих веществ, используются в вечернее время. Некоторые препараты не рекомендуются для ежедневного применения.

Обзор средств для коррекции и профилактики пигментации

Антиоксидантный гель для сухой и нормальной кожи Phloretin CF Gel, SkinCeuticals

Стабилизированный витамин С, флоретин и феруловая кислота уменьшают повреждения клеток, вызванные солнечным излучением, стимулируют синтез коллагена, делая кожу более упругой.

Сыворотка для ровного тона кожи Clearly Corrective Dark Spot Solution, Kiehl’s

Против пигментных пятен, вызванных фотоповреждением и другими причинами, работает формула с витамином С, экстрактами березы и пиона. Средство делает тон кожи более ровным, придает сияние, служит профилактикой дальнейшей пигментации.

Солнцезащитный крем «Эксперт защита», SPF 50, Garnier Ambre Solaire

Средство с витамином Е и высоким солнцезащитным фактором предупреждает фотостарение, одним из признаков которого является гиперпигментация.

Питательное солнцезащитное молочко Lait Solaire, SPF 50, Biotherm

Средство с легкой текстурой и мощной антиоксидантной формулой с астаксантином оберегает кожу тела (и рук в том числе) от повреждающего действия ультрафиолета и заботится о том, чтобы предупредить гиперпигментацию в качестве побочного эффекта загара.

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