Plantar warts - ua rau, tsos mob, 5 txoj kev tshem tawm niaj hnub no

Cov txheej txheem:

Plantar warts - ua rau, tsos mob, 5 txoj kev tshem tawm niaj hnub no
Plantar warts - ua rau, tsos mob, 5 txoj kev tshem tawm niaj hnub no
Anonim
cog qoob loo
cog qoob loo

Plantar warts yog benign neoplasms uas zoo li me me loj hlob. Qhov ua rau lawv tshwm sim yog HPV. Raws li ntau qhov chaw, los ntawm 70 mus rau 90% ntawm cov neeg tau kis tus kabmob papillomavirus tib neeg. Qhov chaw ntawm thaj chaw ntawm plantar warts yog qhov chaw txhawb nqa ntawm ko taw, lossis ntiv taw.

Lub hnub nyoog nruab nrab ntawm tus neeg mob uas muaj kab mob cog qoob loo yog 20-30 xyoo. Nyob rau tib lub sijhawm, ntau tshaj li ib nrab ntawm cov warts ploj mus ntawm lawv tus kheej, yam tsis muaj kev cuam tshuam sab nraud.

Spikes yog lub npe nrov tshaj plaws rau cov kab mob cog qoob. Lo lus no feem ntau siv rau hauv cov lus hais los ntawm cov neeg zoo tib yam. Kev kis kab mob ntawm tib neeg papillomavirus ua rau muaj kev loj hlob ntawm daim tawv nqaij.

Caus ntawm plantar warts

Ua rau ntawm plantar warts
Ua rau ntawm plantar warts

Ib kab mob yog ib qho pom pom ntawm HPV uas tus neeg kis tau. Muaj ntau hom kab mob - txog 100. Tom qab nkag mus rau hauv lub cev, lawv yuav tsis tshwm sim rau lawv tus kheej ntev. Lawv cov haujlwm yog inhibited los ntawm tib neeg lub cev tiv thaiv kab mob, nrog rau phagocytosis. Phagocytosis yog lub cev tiv thaiv kab mob uas tawm tsam thiab rhuav tshem cov kab mob nkag mus.

Kev kis tus kab mob nce ntxiv hauv cov xwm txheej hauv qab no:

  • Tus kab mob no tab tom nthuav tawm kev ua haujlwm ntau ntxiv.
  • Ib tug neeg muaj tus kabmob kis ncaj qha.
  • Tib neeg kev tiv thaiv tsis muaj zog.

Muaj ntau tus neeg kis tus kabmob - kwv yees li 90% ntawm tib neeg. Txawm li cas los xij, plantar papillomas tsis tshwm sim hauv txhua tus neeg. Nws tag nrho yog nyob ntawm lub xeev ntawm lub cev tiv thaiv kab mob. Qhov kev pheej hmoo ntawm lawv qhov tshwm sim nce ntxiv thaum tib neeg lub cev raug cuam tshuam los ntawm kev pheej hmoo, suav nrog: kev xav ntau dhau, kev ua haujlwm ntau dhau, tsis ua raws li cov cai ntawm kev nyiam huv ntawm tus kheej, uas yog, txhua qhov xwm txheej uas ua rau muaj kev tiv thaiv tsis muaj zog.

Koj tuaj yeem kis tus kab mob HPV txawm tias los ntawm kev tuav tes nrog tus neeg muaj mob, lossis thaum siv lwm tus neeg khau khiab lossis phuam so.

Yog tias peb xav txog cov kev pheej hmoo feem ntau, peb tuaj yeem paub qhov txawv ntawm cov hauv qab no:

  • Stop hyperhidrosis. Kev tawm hws ntau ntxiv ua rau kom xoob ntawm lub dermis, uas pab txhawb kev nkag mus ntawm tus kab mob mus rau hauv nws cov qauv sib sib zog nqus.
  • Kev raug mob rau ntawm daim tawv nqaij thiab cov mucous daim nyias nyias nrog tsim ntawm me me tawg, puas thiab khawb rau nws. Lawv yog lub rooj vag kis kab mob.
  • khaus khaus khaus ko taw. Los ntawm abrasions thiab calluses, tus kab mob tuaj yeem nkag mus rau hauv cov qauv sib sib zog nqus ntawm daim tawv nqaij.
  • Cov kab mob uas ua rau cov khoom noj tsis zoo ntawm cov ntaub so ntswg ntawm ko taw, xws li ntshav qab zib mellitus lossis atherosclerosis ntawm qis qis.
  • Siv cov ntsia hlau tsis muaj menyuam.
  • Mus saib lub pas dej da dej, sauna, da dej - txhua qhov chaw uas ko taw tuaj yeem cuam tshuam nrog cov kab mob hauv pem teb.

Tib neeg daim tawv nqaij yog sawv cev los ntawm ob peb txheej: epidermis, dermis thiab subcutaneous rog. HPV cuam tshuam rau lub epidermis - nws basal txheej. Rov tsim dua, cov hlwb ntawm tus kab mob nkag mus rau hauv txhua txheej ntawm daim tawv nqaij. Outwardly, nws zoo li daim tawv nqaij ntawm ko taw yog ntxhib.

HPV yog dab tsi? HPV belongs rau tsev neeg ntawm papoviruses uas tuaj yeem kis tau cov mucous ntawm cov kabmob thiab cov hlwb epithelial ntawm daim tawv nqaij. Tus kab mob no muaj nws tus kheej DNA, uas nkag mus rau tib neeg lub hlwb thiab ua rau lawv tsim cov kab mob tshiab.

Txhua tus kab mob HPV tau muab faib ua 2 pawg loj:

  • Nrog cov khoom oncogenic, uas yog, cov uas tuaj yeem ua rau mob qog noj ntshav.
  • Tsis muaj peev xwm oncogenic.

Cov tsos mob ntawm cov kab mob qog nqaij hlav ua rau thawj hom HPV, tab sis qee zaum lawv tuaj yeem tshwm sim thaum lub cev kis tau hom 2 thiab 4 HPV. Cov papillomaviruses no tsis yog oncogenic.

Txhua tus neeg uas muaj kev sib deev kis tau tus kab mob HPV. Cov kab mob txaus ntshai tshaj plaws yog cov kab mob suav nrog 6, 11, 16, 18. Lawv tuaj yeem ua rau condylomas, papillomas thiab ua rau lawv cov qog nqaij hlav.

Cosmetologist Yuliana G. - Plantar warts, dab tsi tseem ceeb kom paub?

Symptoms of a plantar wart

Tus kab mob tsis ua haujlwm nyob hauv lub basal epidermis. Nws maj mam rov tsim dua nws cov ntawv luam, uas tsis tuaj yeem ua rau cov stratum corneum ntawm daim tawv nqaij puas.

Yog tus kab mob no ua haujlwm, nws nce nrawm, nkag mus rau cov txheej txheem sab saud ntawm daim tawv nqaij thiab tshwm sim nws tus kheej nrog cov tsos mob hauv qab no:

  • Ib lub plaque ci ntsa iab tshwm ntawm ib leeg, uas tom qab ib ntus dhau los ua keratinized thiab ua ntxhib rau qhov kov.
  • Cov kab mob qog nqaij hlav tuaj yeem loj li 2 cm. Lawv nce 3 hli saum npoo ntawm daim tawv nqaij. Cov duab ntawm wart yog puag ncig los yog oval. Thawj qhov tshwm sim ntawm daim tawv nqaij yog tus poj niam wart, nws yuav muaj qhov loj tshaj plaws, thiab tus ntxhais kev loj hlob yuav loj hlob los ntawm nws, uas yog me me. Raws li tus kab mob loj tuaj, cov pob qij txha tuaj yeem ua ke rau hauv ib qho quav loj.
  • Warts mob vim muaj kev nyuaj siab rau lawv thaum taug kev. Kev loj hlob yog sandwiched ntawm ib leeg thiab cov pob txha, nws tuaj yeem ua rau lub siab ntawm cov hlab ntsha. Hauv qhov no, ib tus neeg yuav raug mob txhua lub sijhawm thaum nws nqis los ntawm txhais ceg.
  • Cov xim ntawm cov pob txha yog xim av lossis daj daj.
  • Cov txheej keratinized ntawm kev loj hlob tuaj yeem npog nrog cov dots dub. Cov no yog cov capillaries uas nkag mus rau ntawm daim tawv nqaij hauv qhov chaw cuam tshuam. Lawv thrombosed, uas ua rau cov tsos ntawm cov ntsiab lus sib xws. Nws yog ua tsaug rau xws li "specks" uas ib tug tuaj yeem paub qhov txawv ntawm wart los ntawm callus.

Yuav ua li cas tshem tawm cov kab mob cog qoob loo? 5 Txoj Kev Niaj Hnub No

Yuav ua li cas tshem tawm ib tug plantar wart
Yuav ua li cas tshem tawm ib tug plantar wart

Koj tuaj yeem tshem tawm cov wart hauv chaw ua haujlwm ntawm tus kws kho mob lossis tus kws kho kom zoo nkauj sai, nyab xeeb thiab tsis mob. Teeb meem tuaj yeem tshwm sim yog tias wart tau nkag mus rau hauv cov khaubncaws sab nraud povtseg ntawm cov dermis.

Indications rau deletion:

  • Kev loj hlob ua rau tus neeg mob.
  • Kev loj hlob los ntshav.
  • Kev loj hlob yog loj.
  • Kev suav nrog tshwm sim ntawm wart.

Koj tuaj yeem tshem tawm cov kab mob hauv qab no:

  • Tshem tawm nrog lub teeb laser.
  • tshem tawm Nitrogen.
  • Moxibustion nrog cov zaus tam sim no
  • xov tooj cua tsim tawm tshem tawm.
  • Kev tshem tawm ntawm wart.

1 Cryosurgery

Cryodestruction
Cryodestruction

Lub wart raug rau kua nitrogen. Nws kub txog -196 ° C. Thaum lub wart raug kho nrog qhov kub qis, nws cov hlwb raug rhuav tshem thiab tuag. Cov tawv nqaij ntawm qhov chaw ntawm kev raug activates lub cev tiv thaiv kab mob. Yog hais tias lub hnub nyoog ntawm wart tsawg tshaj li rau lub hlis, ces nws yuav muaj peev xwm tshem tau nws nrog ib tug high degree ntawm probability (txog 84%). Yog hais tias wart muaj nyob rau ntawm daim tawv nqaij ntau tshaj rau lub hlis, ces qhov kev vam meej poob mus rau 39%.

Cov txheej txheem tuaj yeem ua tau raws li kev cai lossis nruj. Hauv thawj kis, qhov kev loj hlob raug rau cov kua nitrogen kom txog thaum lub teeb halo tshwm nyob ib ncig ntawm nws. Nrog rau txoj kev txhoj puab heev ntawm kev raug mob, wart yog kho rau lwm 5-20 vib nas this tom qab qhov tsos ntawm lub teeb-xim halo nyob ib ncig ntawm nws.

Kev paub qhia tau hais tias kev tshem tawm cov pob txha mos yog qhov ua tau zoo dua li kev tshem tawm pob txuv.

Daim tawv nqaij ntawm qhov chaw kho mob yuav liab thiab o. Tom qab ob peb feeb, cov npuas uas muaj kua yuav tshwm rau ntawm nws. Tom qab ib lub lim tiam, cov npuas no yuav qhuav, thiab lub crust yuav tsim nyob rau hauv nws qhov chaw. Nws yuav poob tsis pub dhau 14 hnub thiab tsis tuaj yeem tawg tawm.

Cov lus pom zoo rau kev tu tawv nqaij tom qab tshem tawm qhov kev loj hlob ntawm nws:

  • Lub vial ntawm kua yuav tsum tsis txhob qhib.
  • Qhov chaw kho mob tsis tas yuav tsum tau kaw nrog daim nplaum.
  • Koj tuaj yeem ua daim ntaub qhwv tawm ntawm daim ntaub qhwv kom tiv thaiv kev kis kab mob.
  • ob zaug ib hnub, qhov txhab kho nrog 2% cawv.
  • Dej yuav tsum zam ntawm qhov chaw kho ntawm daim tawv nqaij.

Pros of plantar wart tshem tawm los ntawm cryosurgery:

  • Cov ntaub so ntswg zoo sai, tsis muaj caws pliav nyob hauv thaj chaw kho mob.
  • Kev kho mob tsis tas yuav tshuaj loog.
  • Lub sijhawm tshem tawm yog 2 feeb.

Cons ntawm cryodestruction:

  • Yog tias tsuas yog cov khaubncaws sab nraud povtseg ntawm daim tawv nqaij tau kho, lub pob tw yuav rov tsim dua.
  • Ib qho chaw pigment tuaj yeem tshwm sim ntawm thaj chaw ntawm daim tawv nqaij qhov chaw uas cov wart siv los ua.
  • Yog cov txheej txheej tob ntawm daim tawv nqaij raug kho, ces caws pliav tuaj yeem nyob ntawm nws.

2 Laser Coagulation

Laser coagulation
Laser coagulation

Tshem tawm cov wart nrog lub laser yog txo kom cauterization ntawm cov ntaub so ntswg overgrown. Lub nqaj coagulates cov hlab ntsha los ntawm kev kaw lawv cov lumen kom tsis txhob los ntshav.

Laser coagulation tuaj yeem tshwm sim hauv ib txoj hauv kev xaiv:

  • Tshem tawm los ntawm carbon dioxide laser. Lub wart yog raug rau lub teeb infrared. Nyob rau tib lub sijhawm, nws tsis tuaj yeem ua tiav cov txiaj ntsig xaiv, yog li muaj qhov tshwm sim siab ntawm kev raug mob ntawm daim tawv nqaij noj qab haus huv. Qhov kev ua tau zoo ntawm kev kho yog 70%.
  • Erbium laser tshem tawm. Lub wavelength nrog txoj kev tshem tawm no tsuas yog 2940 nm, piv rau 10600 nm, xws li hauv kev kho cov tawv nqaij nrog lub laser carbon dioxide. Hom kev tshem tawm wart no txo qhov kev pheej hmoo ntawm caws pliav ntawm daim tawv nqaij. Qhov kev vam meej ntawm kev kho yog 75%.
  • Kev tshem tawm nrog lub tshuab hluav taws xob xoo hluav taws xob. Lub wavelength ntawm xws li nthwv dej tsuas yog 586 nm. Hauv qhov no, lub zog yog nqus los ntawm oxygenated hemoglobin. Wart capillaries raug rhuav tshem nyob rau hauv thawj qhov chaw, nyob rau hauv parallel, kev tiv thaiv yog stimulated. Qhov kev vam meej ntawm kev kho yog 95%.

Tom qab tshem tawm cov wart, ib daim ntawv scab nyob rau hauv nws qhov chaw. Nws yuav ploj hauv 10 hnub. Nws tsis pom zoo kom lubricate nws nrog txhua txoj kev nrog cov nyhuv antiseptic. Tsis txhob ntub lub wart.

Pros ntawm laser wart tshem tawm:

  • Tsis muaj caws pliav ntawm qhov chaw tshem tawm.
  • Tissues heal sai.
  • Lub caij nyoog ntawm kev tsim rov tshwm sim yog tsawg heev.
  • Nyob zoo cov ntaub so ntswg nyuaj nyuaj.

Tsuas yog qhov tsis zoo ntawm cov txheej txheem yog nws tus nqi siab.

3 Electrocoagulation ntawm plantar warts

Kev tshem tawm cov kab mob plantar los ntawm electrocoagulation
Kev tshem tawm cov kab mob plantar los ntawm electrocoagulation

Lub wart raug rhuav tshem los ntawm cov dej ntws ntau zaus. Cov txheej txheem yuav tsum tau siv tshuaj loog hauv zos. Lub voj coagulation yog muab tso rau ntawm wart. Nws yog ib qhov chaw ntawm tam sim no uas ua rau kev tuag ntawm cov hlwb loj hlob. Qhov kub ntawm qhov chaw kho mob yog siab heev, uas tso cai rau capillaries coagulate thiab tiv thaiv los ntshav.

Tom qab tshem cov wart, lub pob zeb yuav tshwm nyob rau hauv nws qhov chaw, uas yuav poob tawm ntawm nws tus kheej hauv 10 hnub lossis ntxov dua.

Tom qab cov txheej txheem, yuav tsum tau ua raws li cov lus pom zoo hauv qab no:

  • Qhov chaw ntawm daim tawv nqaij yuav tsum tsis txhob raug dej.
  • Cov pob zeb tsis tuaj yeem tshem tawm, nws yuav tsum poob ntawm nws tus kheej.
  • Thaum thawj lub limtiam, koj yuav tsum kho cov tawv nqaij nrog cov tshuaj uas muaj cov tshuaj tua kab mob. Qhov ntau ntawm cov txheej txheem 2 zaug hauv ib hnub.

Pros ntawm electrocoagulation:

  • txoj kev tsis kim.
  • Tsis muaj kev pheej hmoo los ntshav thaum lub sijhawm nws.
  • Cov txheej txheem tsis siv sijhawm ntev dua ib feeb.

Cons ntawm electrocoagulation:

  • Nws yuav tsis tshem qhov kev loj hlob me me.
  • Tom qab kev kho mob, daim tawv nqaij yuav tawm qhov caws pliav.
  • Yog tias cov txheej txheej sab saum toj ntawm lub dermis tau kho, ces qhov yuav tshwm sim ntawm tus kab mob tseem nyob.

4 Xov tooj cua yoj phais txoj kev

Xov tooj cua yoj phais txoj kev
Xov tooj cua yoj phais txoj kev

Lub wart raug tshem tawm nrog ib qho tshwj xeeb electrode uas tawm xov tooj cua nthwv dej. Qhov no ua rau cov hlwb wart tsuas yog evaporate ntawm daim tawv nqaij. Thaum lub sij hawm cov txheej txheem, cov hlab ntsha yog cauterized, uas tiv thaiv kev loj hlob ntawm los ntshav. Nyob rau hauv qhov chaw uas cov tawv nqaij loj hlob siv los ua, ib daim ntawv crust. Nws yuav poob ntawm nws tus kheej ob peb hnub.

Thawj 2 hnub tom qab tshem tawm cov kev tsim kho, qhov chaw kho mob yuav tsum tsis txhob ntub dej. Nws yog txwv tsis pub rhuav tshem cov crust mechanically.

Qhov zoo ntawm txoj kev suav nrog:

  • Cov ntaub so ntswg zoo tsis raug kev txom nyem thaum lub sijhawm ua haujlwm.
  • Scarring ntawm qhov chaw kho tawv nqaij yog tsawg.
  • Risk ntawm rov tshwm sim ntawm wart tsis tshaj 5%.

Qhov tsuas yog qhov tsis zoo ntawm txoj kev yog tus nqi siab ntawm tus txheej txheem.

5 Kev phais pob txha tshem tawm

Kev phais tshem tawm ntawm wart
Kev phais tshem tawm ntawm wart

Ntawm no, tus kws kho mob txiav tawm lub wart nrog ib tug scalpel. Nco ntsoov ua tshuaj loog hauv zos. Lub qhov txhab yog sutured. Tshem nws hauv ib lub lim tiam lossis ua ntej me ntsis. Lub ntsiab kom zoo dua ntawm txoj kev yog nws yuav siv tau los tshem tawm cov loj hlob.

Qhov tsis zoo ntawm kev phais kev phais muaj xws li qhov tseeb tias tom qab kis rau ntawm daim tawv nqaij, nti yuav nyob twj ywm rau ntawm nws. Lub caij nyoog ntawm kev rov qab los kuj tseem nyob.

Tom qab tshem cov wart, cov lus pom zoo hauv qab no yuav tsum ua raws:

  • Cov pob zeb uas tau tshwm sim hauv nws qhov chaw tsis raug tshem tawm lossis tshem tawm.
  • Tsis txhob tso dej nkag rau thaj chaw kho ntawm daim tawv nqaij.
  • Daim tawv nqaij yuav tsum tsis txhob raug tshav ntuj ncaj qha.
  • Cov tawv nqaij tsis smeared nrog cov cream lossis tshuaj pleev.
  • Rau 30-60 hnub txwv tsis pub mus xyuas lub pas dej, sauna thiab da dej.
  • Rau cov ntaub so ntswg rov qab sai tshaj plaws, koj yuav tsum tau noj cov vitamin complexes.

Yog daim tawv nqaij tsis kho tau ntev, lossis ua rau mob, koj yuav tsum mus ntsib kws kho mob.

Contraindications uas yog tib yam rau txhua txoj kev tshem tawm wart:

  • Malignant neoplasms.
  • Lub sijhawm muaj menyuam.
  • Tshuaj tawv nqaij ib ncig ntawm kev loj hlob.
  • mob herpes.
  • High lub cev kub.
  • ntshav siab.

Yuav ua li cas txo qhov mob?

Yuav ua li cas txo qhov mob
Yuav ua li cas txo qhov mob

Kev siv cov orthopedic insoles tso cai rau koj tshem tawm cov load ntawm ko taw. Qhov tseeb yog tias txhawm rau txo qhov mob, ib tus neeg sim tsis txhob nqis los ntawm thaj chaw cuam tshuam. Qhov no ua rau lub fact tias lub load ntawm ko taw yog faib unevenly thiab incorrectly. Insoles txo qhov mob thiab pab kom tus neeg txav mus los ib txwm.

Koj yuav tsum xaiv insoles ua ke nrog tus kws kho mob, suav nrog qhov hnyav ntawm tus neeg, qhov loj ntawm nws ko taw thiab tus yam ntxwv ntawm cov kab mob.

Nws raug nquahu kom hnav khau nrog pob taws. Kev siv cov insoles tso cai rau koj txhawm rau txhawm rau cov leeg nqaij thiab ligaments, nrog rau nqus cov cuam tshuam ntawm ko taw hauv av. Lawv tuaj yeem ua los ntawm cov khoom siv ntuj tsim thiab hluavtaws. Hauv thawj kis, tus nqi ntawm cov khoom yuav siab dua.

Cov Lus Qhia Dermatologist - Yuav ua li cas tshem tawm cov kab mob cog qoob loo. Ua rau thiab kho:

Pom zoo: