北醫美容中心主任 皮膚科張宜菁醫師部落格 I-Jing Chang MD Dermatologist Taipei
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9/5/2019 0 評論

認識病毒疣

文/台北醫學大學附設醫院皮膚科醫師 張宜菁     
 病毒疣非常常見,不可不知!

病毒疣是一種皮膚的人類乳突病毒(HPV: Human papilloma virus)感染,非常常見。也許正在閱讀本文的您、在頭皮上、臉上、手上,目前就有一兩顆大小不一的小疹子或硬塊,不會痛也不會癢。不知道怎麼被傳染的,卻不知覺地傳染給自己的家人。所以這是大家都應該了解的皮膚傳染病。

病毒疣還分成好幾類

病毒疣還分成好幾類: 手腳常見的病毒疣,叫做「尋常疣」。通常外觀是顆表面粗糙的圓型硬塊,有時候會痛。腳底一群小粒的尋常疣、有時還會聚集成一大塊硬塊。另一種常見的,是長得幾乎有點像粉刺、肉色小小粒、長在臉上或身上的病毒疣。它的表面扁平,因此稱作「扁平疣」。其他還有表面長成一絲一絲尖形的「絲狀疣」、與俗稱菜花的「生殖器疣」等等。不論哪種類型,及早能開始治療是最明智的選擇,因為拖久了可能會長更大、更多,治療更費時、傳染力更強。(臨床照片請參考附圖)

病毒疣是怎麼傳染的?

病毒疣是藉由接觸傳染,也就是當您碰到門把、滑鼠、毛巾等,若這些共用的物品有被病毒疣患者摸過,您就有機會被傳染。我們很難追溯是何時被什麼傳染病毒疣的,因為當您被傳染到人類乳突病毒後,也需要幾個月的時間,才能長出一個夠大到能肉眼看得見的病毒疣。這時候您也想不起來幾個月前曾經碰到什麼物品、或接觸到什麼人了。值得提醒的是,當皮膚有破皮、傷口的部位,會比完整的皮膚,更容易染上病毒疣。所以皮膚有傷口的時候、要小心護理、盡快癒合。


該如何治療病毒疣?

除了盡量避免傳染以外,就是要盡早就醫治療病毒疣了。多數醫師公認最實用且有效的方式,仍是液態氮冷凍治療。因為他可以避免電燒手術或雷射手術製造的煙塵,裡面可能仍殘留病毒,經由呼吸進到人體的呼吸道黏膜;還有每個禮拜安排一次的冷凍治療,也幫助醫師發現您是否還有長新的、加緊治療。治療需非常有耐心。零下196度的液態氮,會一步步地破壞病毒疣與病毒,需治療多久,則看感染部位、病毒疣大小、還有個人免疫力、與是否仍處於容易接觸到病毒疣患者的環境等因素相關。愈多、越厚的病毒疣、通常需要至少2個月以上的密集治療。但是在臉上少數一兩顆的病毒疣,就會快許多。醫師會依病情建議您是否需要搭配藥物治療,並判斷用冷凍噴槍、還是用棉棒點冷凍治療最適合個別的病毒疣 。治療病毒疣並沒有捷徑,但建議大家堅持到底,避免復發與傳染擴大。當您懷疑自己皮膚上面長了疣,也可以到皮膚科門診請醫師檢查。(液態氮冷凍噴槍治療病毒疣請見附圖)
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    醫美如何美感自然又安全,皮膚問題怎麼照顧,讓留學美國哈佛皮膚科的張醫師,提供您正確醫療新知。

    預約張宜菁主任美容醫學諮詢與治療,請來電北醫附設醫院皮膚科(02)66367135, CHANGSKINLASER@GMAIL.COM

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"Dr. Chang is amazing at her work and was very attentive to my needs. I am from the United States, North Carolina, and I came to Taipei on a business trip with my husband. Dr. Chang was very informative and knowledgeable and explained everything to me in terms that I could understand. I met with Dr. Chang because of issues with fine lines and wrinkles, sun damage and an uneven skin tone. I received Fraxel Laser to my face and also Restylane injections to my chin, lips and under my eyes. I am extremely pleased with my results because they look very natural!! I would highly recommend Dr. Chang."

Theresa K.

I came across Dr I-Jing Chang's page on the Taiwan Medical University website by happy coincidence! I was looking for a good Taipei dermatology service that specialized in lip fillers, as that part of my face has lost volume as I have aged. I had a bad experience with lip filler some years ago in Taiwan at another clinic, and had since heard from other dermatologists here that fillers, especially for the lip, are not as common a procedure in TW as in the West. I had almost run out of hope that I could get a good treatment until I met Dr Chang.

From the first moment I met her, I had great confidence in her expert knowledge, her evaluation of my aesthetic needs and her true concern for patients. Now after having several treatments, including lip filler and Botox, my great first impression of Dr Chang has been more than confirmed. She is deeply knowledgeable about skin and aesthetic issues, and well trained in the US and in Taiwan. She is deeply empathetic, she is encouraging, she knows exactly what pain you might feel (and takes steps to minimize it), and she is an artist. She knows so much about what she is doing, and she truly cares about her patients.  The same goes for all her staff. The experience has been very positive, and I recommend her clinic very highly!
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Hello, I am a patient who is from California in the US. I have travelled to Taiwan for this particular skin treatment (fraxal) because the doctor is so amazing. In the past, I have tried so many luxury skincare lines, acid peels, microdermabrasion, and other such treatments for my acne and acne scarring. However, NONE of them can even compare to the wonderful effectiveness of this doctor. She has helped me so very much and I am extremely grateful. I cannot recommend her enough. She is the best and will give you the skin results you have always wanted. Definitely worth travelling around the world for! Book an appointment NOW!

Henry Hsu





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