Zamkatimu
Kaya njerewere kuthetsedwa lero: laser, madzi asafe, electrocoagulation, etc. Imodzi mwa njira kwambiri Kufikika ndi mankhwala mankhwala. Kusankha njira zochotsera njerewere m'ma pharmacies ndi kwakukulu - zimasiyana ndi momwe amachitira pa mapangidwe osasangalatsa pa thupi.
Pali magulu angapo a ndalama za njerewere pamanja1.
- Kukonzekera zochokera salicylic acid (keratolytics), amene exfoliate njerewere.
- Mankhwala okhala ndi necrotizing kwenikweni. Chifukwa cha kupangika kwawo mwaukali, zimayambitsa kufa kwa minofu.
- Mankhwala oletsa tizilombo toyambitsa matenda. Amakhudza osati njerewere zokha, komanso kachilombo kamene kamayambitsa.
- Cryopreparations - imakhala ndi nayitrogeni yamadzimadzi, yomwe imakhudzidwa ndi zomwe ma cell amafa.
Mankhwala 10 apamwamba komanso otsika mtengo a njerewere m'manja mwa akulu malinga ndi KP
1. Kollomak
Kollomak ndi njira yothetsera ntchito kunja, yomwe ili ndi salicylic ndi lactic acid. Salicylic acid amawononga ndikutulutsa minofu ya epithelial, pomwe lactic acid imayambitsa kufa kwa maselo. Kuphatikiza apo, mankhwalawa ali ndi gawo la anesthesia, chifukwa chake njira yochotsera njerewere sizikhala zopweteka.
Kuchotsa njerewere m'manja, ndikokwanira kugwiritsa ntchito 1 dontho la mankhwala 1-2 pa tsiku mpaka kufa. Mtengo wa "Kollomak" ndi pafupifupi 280 rubles.
ContraindicationsMawu ofunikira: khanda, kulephera kwaimpso kosatha.
2. Pensulo ya lapis
Pensulo ya Lapis ndi njira yothetsera nkhondo, yomwe imadziwika kuyambira kale. Izi necrotizing mankhwala likupezeka mu mawonekedwe a mankhwala ndodo, amene osati cauterizes pathological maselo, komanso ali ndi bactericidal kwenikweni. Pensuloyo imakhala ndi nitrate yasiliva, yomwe imadziwika ndi antimicrobial action.
Kuchotsa njerewere m'manja ndi mbali zina za thupi, ndi kokwanira cauterize iwo ndi pensulo 1-2 pa tsiku, kenako mankhwala madera choyamba mdima ndiyeno kufa. Mtengo wa pensulo wa lapis umayamba kuchokera ku ma ruble 135.
Contraindications: hypersensitivity kwa silver nitrate. Zosagwirizana ndi organic zinthu, kloridi, bromides, ayodini.
3. Verrukacid
Verrukacid ndi njira yothetsera ntchito kunja kwa gulu la necrotizing mankhwala. The zikuchokera lili phenol ndi metacreazole, amene cauterize njerewere, kuwachititsa kufa.
Mankhwalawa amagwiritsidwa ntchito pogwiritsa ntchito pulogalamu yapadera. Ngati njerewere ndi 2 mm, ndi kokwanira kugwiritsa ntchito mankhwala kamodzi. Njerewere zazikulu zimapaka 3-4 motsatana mutatha kuyanika. Kuchotsa kungafunike chithandizo cha 4-5 pakadutsa sabata iliyonse. Mtengo wa Verrukacid ndi pafupifupi ma ruble 300.
Contraindications: pigmented nevi (timinofu), totupa m'malire ofiira a milomo ndi mucous zimagwira ntchito zosiyanasiyana, ana osapitirira zaka 7 zakubadwa. Musagwiritse ntchito mankhwala pamwamba pa khungu ndi malo oposa 20 cm2.
4. Antipapilloma
Antipappiloma ndi mankhwala ena odziwika bwino a njerewere. Mankhwalawa ndi zodzikongoletsera gel osakaniza ndi exfoliating kwenikweni. Zomwe zimapangidwira zimakhala ndi sodium hydroxide, yomwe imadziwika bwino kuti "caustic alkali".
Chogulitsacho chimagwiritsidwa ntchito ndi chogwiritsira ntchito ku zowonongeka zowonongeka. Poyamba amadetsedwa, kenako pambuyo pa masiku 2-3 amachotsedwa. Ngati chithandizo choyamba sichinathandize, ndondomekoyi ikubwerezedwa patatha masiku atatu. Mtengo wa mankhwalawa umayamba kuchokera ku ma ruble 190.
Contraindications: tsankho kwa zigawo zikuluzikulu, ana osapitirira zaka 12, mimba ndi mkaka wa m`mawere.
5. SuperCleaner
SuperClean ndi madzi ogwiritsidwa ntchito kunja omwe amawotcha njerewere ndikuletsa mawonekedwe atsopano. Mankhwalawa ali ndi sodium bicarbonate, sodium kolorayidi ndi sodium hydroxide, zomwe zimawononga ma neoplasms a pathological. Oyenera zochizira njerewere, papillomas, youma calluses ndi chimanga.
Asanayambe ndondomekoyi, malo omwe athandizidwe ayenera kutenthedwa. Dontho limodzi ndilokwanira kugwiritsa ntchito. Khungu lathanzi lozungulira malo ochiritsira liyenera kudzozedwa ndi zonona zonona, popeza madziwo ndi owopsa kwambiri. Mtengo wa SuperCleaner umayamba kuchokera ku ma ruble 55
Contraindications: ana osakwana zaka 12, mimba ndi mkaka wa m`mawere, zotupa pakhungu, tsankho kwa mankhwala, ambiri timadontho-timadontho m`malo kumene njerewere zili.
6. Clareol
Clareol ndi wofatsa woyeretsa gel osakaniza exfoliant. The zikuchokera lili sodium hydroxide, acrylate ndi dexpanthenol. Mankhwalawa amawotcha njerewere, kubwezeretsa khungu ndikuletsa kukula kwa njerewere m'malo omwewo.
Clareol imagwiritsidwa ntchito ku njerewere, pambuyo pake malo omwe amathandizidwa sangathe kunyowetsedwa kwakanthawi. Chidacho chimachita kunja ndi mkati, kulowa mkati mwa maselo. Exfoliation wa njerewere zimachitika mkati mwa sabata. Chowonjezera china cha Clareol ndikuti chimachita mosamalitsa, osawotcha minofu yoyandikana nayo. Mtengo wa mankhwalawa umayamba kuchokera ku ma ruble 1100.
7. Viferon
Mafuta a Viferon ndi mankhwala omwe ali ndi antiviral ndi immunomodulating effect, omwe ali ndi Interferon alfa-2b ndipo amagwiritsidwa ntchito pochiza njerewere zonyansa. Imapezeka osati mu mawonekedwe a mafuta odzola, komanso mapiritsi. Nthawi zina, kugwiritsa ntchito kwake mwadongosolo - kunja ndi mkati.2.
Mafuta a Viferon ayenera kugwiritsidwa ntchito pa njerewere ndi wosanjikiza woonda 3-4 pa tsiku, ndikugwira khungu mozungulira 1-2 mm kuzungulira. Zotsatira zake zimachitika pakadutsa masiku 7-10: njerewere zimasuluka pang'onopang'ono. Pankhaniyi, njerewere ziyenera kuthandizidwa kuti ziwonongeke, nthawi ndi nthawi kuchotsa khungu lotuluka ndi mwala wa pumice kapena fayilo ya msomali. Mtengo wa mafutawo umayamba kuchokera ku ma ruble 180.
Contraindications: Ana akhanda mpaka chaka chimodzi.
8. Oxolinic mafuta 3%
Mankhwala ena odziwika bwino a njerewere, kuphatikiza pamanja, ndi mafuta oxolinic. Chifukwa cha antivayirasi, mankhwalawa amatha kuthana ndi ma virus omwe alowa m'thupi ndikuteteza ma cell athanzi kuti asafalikire.
The mafuta ntchito kwa njerewere 2-3 pa tsiku. Akagwiritsidwa ntchito, amapanga filimu yopyapyala yopuma pamtunda. Njira ya mankhwala, pafupifupi, kumatenga milungu iwiri. Mtengo wa mankhwalawa ndi pafupifupi ma ruble 45.
Contraindications: hypersensitivity kwa zigawo zikuluzikulu za mankhwala, mimba ndi mkaka wa m`mawere, ana osakwana zaka 2 zakubadwa.
9. Salicylic mafuta
Chomwe chimagwiritsidwa ntchito popanga mafutawo ndi salicylic acid, chomwe ndi gawo lalikulu lazinthu zambiri za keratolytic (exfoliating). Salicylic acid imakhala ndi anti-yotupa komanso antimicrobial zotsatira, imathandizira kuyeretsa bala kuchokera ku mafinya ndikuchiritsa mwachangu, imathandizira ndi njerewere, kuphatikiza pamanja.
Mafutawa amawapaka pakhungu asanatengedwe ndi mankhwala opha tizilombo kamodzi masiku angapo. Kuti musachotse mafuta odzola, tikulimbikitsidwa kukulunga malo ochizira ndi bandeji wosabala. Mtengo wa mankhwalawa, pafupifupi, ndi pafupifupi ma ruble 29.
Contraindications: tsankho kwa salicylic acid, aimpso kulephera, mimba ndi mkaka wa m`mawere, ana osakwana zaka 2 zakubadwa.
10. Boroxyl
Mafuta odzola kuti agwiritse ntchito kunja kwa Boroxyl ali ndi potaziyamu hydroxide, komanso zinthu zachilengedwe zachilengedwe: zotulutsa za khungwa lakuda la msondodzi, mtengo wa tiyi, Indian azadirachta, aloe vera. Boroxyl imathandizira kuchotsa njerewere, papillomas ndi condylomas.
Ntchito mankhwala njerewere 2-3 pa tsiku. Njirayi imabwerezedwa kwa masiku angapo mpaka njerewere mdima, zomwe patapita nthawi zidzagwa zokha. Mtengo wa mankhwalawa umachokera ku ma ruble 610-650.
Contraindicatedi: thupi lawo siligwirizana zigawo zikuluzikulu, ana osapitirira zaka 7, mimba ndi mkaka wa m`mawere.
Momwe mungasankhire njira yothetsera njerewere pamanja
Musanagule mankhwala a njerewere pamanja, muyenera kufunsa dokotala. Ngati simuli dokotala, simungathe kunena motsimikiza kuti muli ndi njerewere, osati neoplasm yoopsa. Ngakhale madokotala nthawi zina kokha pambuyo kufufuza histological angathe kudziwa molondola - ndi njerewere kapena khansa yapakhungu, kutanthauza njira zosiyana kwambiri za chithandizo.3.
Posankha mankhwala ochotsa njerewere ogwira mtima komanso otsika mtengo, ndikofunikira kuganizira zamitundu yosiyanasiyana: kuchuluka kwa njerewere, kukula kwake, komwe zili komanso momwe zidawonekera kale. Zaka, thanzi ndi chikhalidwe cha ntchito ya wodwalayo ziyeneranso kuganiziridwa.
Ndemanga za madokotala za njira kuchotsa njerewere
Ngakhale zimawoneka zophweka, kuyesa kudzichiritsa nokha ma warts kungakhale ndi zotsatira zoopsa.
- Mankhwala apadera a pharmacy a warts angagwiritsidwe ntchito ndi njira zina zodzitetezera. Ndikofunika kupewa kuvulazidwa kwa khungu lozungulira, chifukwa izi zimadzaza ndi kufalikira kwa ndondomekoyi (kuwonjezeka kwa zipolopolo) ndi chitukuko cha dermatitis. Komanso, sindikanati ndikulimbikitseni kudzipangira mankhwala a warts ndi malo omwe ali pa nkhope - chiopsezo cha zipsera ndi chachikulu kwambiri. Kudziletsa nokha sikuvomerezeka pamaso pa ma warts angapo komanso mavuto okhala ndi chitetezo chokwanira. Mulimonsemo, njerewere zambiri ndi njira ya atypical ya ndondomekoyi ndi chifukwa chochotsera mavuto aakulu amkati.
Chowonadi ndi chakuti njerewere ndizofanana kwambiri ndi ma neoplasms ena, kotero kuti kukaonana ndi dermatologist ndikofunikira kuti mupewe matenda oopsa. Ndi matenda otsimikizika, pali njira zingapo zopangira zochitika. Ngati warts ndi osakwatiwa ndipo samayambitsa kukhudzidwa kwamphamvu kwa wodwalayo (chilema chodzikongoletsera kapena kuvulala kwawo kosatha), mukhoza kuwapatsa mwayi woti apite okha. Nthawi zambiri chitetezo chathu chimatha kupirira papillomavirus palokha. Izi nthawi zambiri zimachitika mkati mwa miyezi 8 mpaka zaka ziwiri.
Ngati njirayi ndi yosavomerezeka, kapena ma warts alipo nthawi yayitali, mutha kugwiritsa ntchito njira zowachotsa (laser, radio wave, electrocoagulation), kapena cryodestruction, amakumbukira. Dermatologist Svetlana Zelentsova.
Mafunso ndi mayankho otchuka
Mayankho a mafunso otchuka okhudza chithandizo cha njerewere pamanja Wosankhidwa wa Sayansi ya Zamankhwala, dokotala wa mankhwala ophatikizira odana ndi ukalamba, dermatologist, trichologist Svetlana Zelentsova.
Nchifukwa chiyani njerewere zimawonekera pamanja?
Koma izi sizikutanthauza kuti njerewere adzaonekera mwamsanga pambuyo kukhudzana. Papillomavirus yaumunthu, kamodzi m'thupi, ikhoza kukhala yobisika kwa nthawi yaitali ndipo sichidziwonetsera mwa njira iliyonse. Ndi nyengo yabwino, imayendetsedwa, imayamba kuchulukirachulukira mu epithelium, zomwe zimabweretsa kusintha kosasangalatsa.
Kuopsa kwa njerewere kumawonjezeka ndi immunodeficiency states (kuphatikizapo kachilombo ka HIV), malo ofunda a chinyezi (dziwe, kusamba). Mitundu ina ya kachilomboka imatha kupatsira ana kuchokera kwa makolo4.
N'chifukwa chiyani njerewere m'manja ndi zoopsa?
Chimachitika ndi chiyani ngati njerewere pamanja sizikuthandizidwa?
Sources:
- 2014 British Dermatological Association Guidelines for Treatment of Warts http://www.dermatology.ru/node/34429
- Kuchita bwino kwa interferon alfa 2b kuchiza ma warts osachiritsa odwala omwe ali ndi vuto la DOCK8. National Center for Biotechnology Information USA. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4112510/
- Wart - zizindikiro ndi chithandizo. Vilshonkov AIM, 2019. https://probolezny.ru/borodavka/#10
- Matenda a Papillomavirus (warts): mbali zachipatala ndi chithandizo. Journal: Clinical Dermatology ndi Venereology. M., 2011. https://www.mediasphera.ru/issues/klinicheskaya-dermatologiya-i-venerologiya/2011/5/031997-28492011518#:~:text=Ointment%20oxolinic%203%25%20(unguentum 20oxolini,phenol%20(60%25)%20 ndi triresol%20%20(40%25)