The treatment of warts is based on the removal of local proliferative warts, together with local or systemic immune enhancing treatment.
1, local drug treatment: for the most commonly used methods, the efficacy is more certain.
(1) 0.5% tincture of haematoxylin
It can inhibit epidermal cell mitosis and cause tissue necrosis, and has little side effects. Apply the drug twice a day, 3 days as a course of treatment, repeat the drug requires an interval of 4 days or more than 4 days. The main side effects are mild local erythema, edema, erosion, and pain.
(2) 10%-25% tincture of footleaf resin (or ethanol solution)
The mechanism of action is the same as that of the onychomycetin, but the irritation is large and can cause systemic absorption of toxic reactions. Pregnant women and children are prohibited.
(3) 5% fluorouracil
There are ointment and solution preparations, when used externally should pay attention to protect the normal skin. For the treatment of male urethral warts, inject 12ml of the cream with a nozzle or apply it with a cotton swab 4 times a day after the bladder has been emptied. For vaginal warts, wet gauze with 5% of the solution and insert it into the vagina for 2 hours.
(4) 25% to 50% trichloroacetic acid solution
This drug is not absorbed by the mucous membrane and skin, and can be used for the treatment of warts in pregnant women. It can be used once a day for 4 to 6 days, and can be used again at an interval of 1 week.
(5) Chinese medicine preparation (Paitling)
This drug is developed by the Chinese Academy of Sciences, for pure Chinese medicine preparations, through the cytotoxic effect of inhibiting the proliferation of warts cells, and HPV virus inhibition and killing effect. The two times a day for 3 days, stop 4 days for a course of treatment to get rid of warts and subclinical infection need 3-4 courses of treatment to prevent recurrence with 50 times the dilution of wet compresses on the affected area. The drug is safer, less local adverse reactions and light.
(6) Imiquimod
The new topical immunomodulator, by inducing the body to produce interferon to play anti-virus and anti-tumor ability, 3 times a week with the drug, a total of 4 months course of treatment.
2, physical therapy: is currently the main therapy to remove warts, the efficacy is certain.
(1) commonly used are CO2 laser, electric cautery or electric drying, freezing and microwave, etc.. Laser treatment warts removal rate is high, but the recurrence rate is also high, the urethral opening and anal canal warts recommended not laser treatment, in order to avoid the formation of scar stenosis; scar body patients to avoid using laser treatment.
(2) Ira photodynamic: special parts of the condyloma acuminata (such as warts occurring in the urethra, urethra, anal canal and around the opening of the vulva glands) can be directly selected Ira photodynamic therapy, good efficacy, recurrence less, no scar after treatment; after local laser or cryotherapy, warts often recurrence of patients, it is recommended that local Ira photodynamic therapy 3-4 times.
3, local injection of drugs: can choose interferon, contend photomycin and 5-fluorouracil.
4, surgical treatment: for larger damage or foreskin multiple warts damage, it is appropriate to choose surgical treatment, such as circumcision.
5, systemic treatment: currently used in combination with local treatment, can play a supplementary therapeutic role. You can use polymyxin, interferon, thymidine intramuscular injection as appropriate.
Then again, it is important to follow up after the treatment of condyloma acuminata, which should be done regularly, especially in the first 3 months, because condyloma acuminata is prone to recurrence, and any treatment cannot fully guarantee that the HPV virus will not recur. The actual fact is that you can find a lot of people who are not able to get a good deal on a lot of things.