Long -term inflammation of the prostate gland, periodically aggravated is called chronic prostatitis.The constant inflammatory process directly affects the work of the prostate.
Chronic prostatitis The most common pathology in men, which is observed in almost 30% of the stronger sex.
Classification of chronic prostatitis
- Acute prostatitis.
- Bacterial chronic prostatitis.
- Chronic prostatitis is not bacterial nature.It is accompanied by chronic pelvic pain syndrome - symptoms that are not associated with the presence of infection.It lasts three months and longer. III A - chronic prostatitis with the presence of an inflammatory component (in the secret of the prostate, pathogens and leukocytes were found).
- III B - chronic prostatitis with the absence of an inflammatory component (causative agents and leukocytes in the prostate were not detected).
- Chronic prostatitis is asymptomatic (lack of symptoms if there is a secret in the secretProstates of leukocytes).
- The risk of the disease is increased in people
not all men are subject to prostatitis.The risk group of acute prostatitis includes the following category of people:
who lead an irregular intimate life, and also practice interrupted sexual intercourse as a way to prevent an unwanted pregnancy.
- Working in offices and drivers (a sedentary lifestyle causes blood stagnation in the pelvis).
- Those that are close underwear.Dependence.
- Causes
- Bacterial prostatitis
Hereditary predisposition.
Regular hypothermia.
- Long -term abstinence.
- Untimely devastation of the bladder.
- Sed -fingering lifestyle.
- Diseases of the genitourinary system (urethritis, pyelonephritis, cystitis). venereal diseases: chlamydia, gonorrhea, trichomoniasis. venous.stagnation in the pelvis provoked by a sedentary lifestyle.
- Заболевания мочеполовой системы (уретрит, пиелонефрит, цистит).
- Венерические заболевания: хламидиоз, гонорея, трихомониаз.
Венозный застой в малом тазу, спровоцированный малоподвижным образом жизни.
- Stagnation of blood in the veins, provoked by a sedentary way of life.
- Wearing cramped pants, underwear or shorts. Stagnation caused by constant squeezing of the perineum.
- Unregular sex life.Sexual intercourse enhances blood circulation in the veins of the prostate.
- Alcoholic, nicotine, drug dependence.
- Sed -like lifestyle.
- Symptoms
Weak stream of urine, discomfort during urination.
- A feeling of not empty of the bladder.
- Sharp periodic pains.
- Painful syndrome at the bottom of the abdominal cavity.
- The pain in the perineum, irradiates in the perineum, irradiates in the perineum.scrotum.
- Libido decrease, weak erection, rapid ejaculation.The morning involuntary erection periodically disappears, or is completely absent.
- After intimacy, a aching pain in the penis head may appear, which passes after half an hour.
- Diagnostics
In the presence of symptoms, diagnosis of chronic prostatitis will not be difficult.With asymptomatic pathology, in addition to the standard inspection or survey of the patient, the use of additional research methods: laboratory and instrumental.It is necessary to determine the condition of the patient’s immune and nervous systems.
Questionnaires and questionnaires allow you to get complete information about the patient’s health, pain intensity, urination, ejaculation, erection, erection and psychoemotional mood
Laboratory diagnostics
Laboratory diagnostic methods allow you to determine which nature of chronic prostatitis: bacterial or abbrex, as well as maximum as possibleExactly install the type of pathogen.If in the fourth sample of urine or the secret of the prostate the indicator of white blood cells in the PZ above 10, chronic inflammation of the gland is confirmed.If the bacteria are not sown with increased leukocytes, the material is examined for the presence of PIT pathogens in it (diseases transmitted sexually).
Методы лабораторной диагностики позволяют определить, какой природы хронический простатит: бактериальной или абактериальной, а также максимально точно установить тип возбудителя. Если в четвертой пробе мочи или секрете простаты показатель лейкоцитов в ПЗ выше 10, подтверждается хроническое воспаление железы. Если бактерии не высеиваются при повышенных лейкоцитах, материал исследуют на предмет наличия в нем возбудителей ЗППП(Заболевания, передающиеся половым путём).
- A smear from the urethra is examined in the laboratory for the presence of leukocytes, fungal, viral or bacterial flora.
- Scrap from the urethra is examined by the PCR method for the detection of pathological microorganisms transmitted.
- The microscopic study of the prostate secretion is carried out.The number of leukocytes, amyloid, macrophages and cowers-lalelemana are calculated.In addition, an immunological and bacteriological study is carried out, with the help of which they determine the amount of non -specific antibodies.
- Ten days after rectal finger examination, blood is taken to determine the level of the dog in it.If the level exceeds 4.0 ng/ml, then the patient is prescribed a prostate biopsy to confirm or exclude the presence of a malignant tumor in the gland. The diagnosis is exhibited on the basis of the results of the studies.
Instrumental diagnosis
Trust of the gland allows you to identify the shape and stage of pathology.Ultrasound helps to exclude other diseases, control the effectiveness of the therapy used, determine the dimensions of the prostate, the echo structure of the organ, as well as the density and uniformity of the seed bubbles.Miography and urodynamic studies of the pelvic floor muscles help to identify neurogenic disorders that often accompany chronic prostatitis.
CT, tomography and MRI are used to establish a differential diagnosis, in particular, the prostate oncology.These methods will help to identify pathologies in the pelvic organs or spinal column.
Treatment of chronic prostatitis
medication
- Antibacterial drugs.In the treatment, penicillin, fluoroquinol, cephalosporins, tetracycline, macrolides are used.They affect pathogenic microorganisms, accumulating in the tissues.Taking antibiotics allows you to reduce inflammation, eliminating the main cause of the bacterial form - infection.Antibiotics are produced in the form of tablets, candles or injections.
- Nesteroid anti -inflammatory drugs.Means are used at the initial stage of the disease.The main components of the drugs: diclofenac, ketoprofen.Fine pain and eliminate inflammation.Mostly produced in the form of rectal candles.
- Antispasmodics.Analogs of these drugs are muscle relaxants.The active component is Baclofen.It acts on smooth muscles, as a result of which pain and cramps are eliminated.
- Alpha-blockers.The effect of drugs allows you to eliminate pain and relieve cramps.The components, acting on nerve cells and blood vessels, relieve pain.Restored blood circulation nourishes the organ with the necessary substances.
This is the first group of drugs that is the most effective.Also, with prostatitis, experts prescribe the following drugs:
- painkillers.Often prostatitis is accompanied by reins during urination and severe pain.It is recommended to use microclysters that directly affect the iron.
- Hormones.Prostatitis can provoke the functioning of the hormonal system.
- Anticholinergic drugs.Normalize urination, increase potency and restore blood circulation.
- Biological regulators.Expanses from the prostate of cattle are the main components of the drugs.They help relieve swelling, reduce inflammation.
- Immunomodulators.The main reason for prostatitis is a decrease in immunity.Therefore, drugs that stimulate immunity are used in therapy.
- Single drugs.The disease provokes problems with potency and erection.Symptoms are reflected in the psycho -emotional state of men.Soothing products restore the nervous system.Such medicines must be prescribed for men who experience daily stress. In some cases, tranquilizers are prescribed, which can be purchased only by recipe.The dosage and duration of administration is prohibited.
- Antihistamine drugs.Remove the reports of the gland.Contains narcotic substances, so independent intake is prohibited.
Folk remedies
- Pumpkin seeds.Raw pumpkin seeds are cleaned from the husk.They use 20 pieces before meals three times a day, for three to four months.
- Roamer's infusion.It is recommended to prepare daily in an amount sufficient for daily use.Put in a dish 30 g of chamomile and pour it with boiling water (200 ml).Having insisted for half an hour, strain, carefully squeezing the flowers.Divide the infusion into equal parts and drink per day.The tool eliminates pain and relieves inflammation in the male gland.
- 500 ml of linden honey.Take 500 g of honey, aloe leaves and red wine.In glass dishes, connect honey chopped aloe and wine.Insist in the refrigerator for a week.Drink tincture on a teaspoon before meals.
- Celandine infusion.For half a glass of boiled water, take a drop of juice.Drink the solution in the morning after breakfast.Daily increase the dosage by one drop.The maximum dose is 30 drops.Then reduce the dosage by one drop per day.At the end of the course, they take a two -week break, after which the medicine can be taken again.
- Parsley juice.To treat the chronic prostate, stems and leaves of parsley are finely crumble or grind in a mortar.Put the mass on gauze and dial the formed juice.Take the medicine before meals, preferably in 30 minutes.The dose of juice for reception is one or two tablespoons.Reception frequency three times a day.
- Propolis.Tincture from propolis for alcohol is taken for chronic prostatitis for six months.Grate a piece of propolis on a fine grater of 100 g.The crushed mass pour 200 ml of pure medical alcohol.Place the solution in a glass container and store for at least 10 days in a dark place, shaking every three days.Strain the tincture.
Candle -made candles reduced from the propolis reduce inflammation in the gland, relieve pain and restore all the cells of the organ.Freeze 7 grams of propolis and shake finely.Melt one hundred grams of goat fat and connect it with propolis.From the cooled mixture, make candles, 1.5 - 2 cm long.
Diet
Do not fall into extremes with chronic prostatitis and exclude any products.Food should be full, so that a man can receive all the necessary vitamins, minerals and beneficial substances and trace elements.Restrictions in nutrition can lead to the fact that the iron will not receive important elements necessary for its quality work.The patient’s diet with chronic prostatitis should consist of easily absorbed products so that the body does not spend a lot of effort on digestion of food.Forces are necessary for the body to combat pathology.They do not recommend practicing starvation without agreeing this with a specialist.Refusal of food will lead to a breakdown of forces, which is unacceptable for a patient suffering from a chronic form of prostatitis.It is recommended to carry out fasting days.Improper nutrition can disrupt the prostate gland, so the adjustment of the daily diet is included in the course of therapy.
Surgical treatment
Endoscopic intervention is a modern method of surgical treatment, in which invasive intervention is minimized.The patient’s rehabilitation occurs faster.It is indicated when blocking the output and seed ducts, sclerosis of the seed tubercle.The operation is indicated in the diagnosis of sclerosis of the prostate and the seed bubble, the presence of calcinates in the gland, adenoma.If during the operation the secret is dense, serous-native and viscous, then the gland is completely removed with electrical cutting, conducting spot coagulation of blood vessels and the installation of trocar cystostoma.With exacerbation of pathology, surgery is strictly contraindicated.
Physiotherapeutic treatment
- Thermotherapy - using specific equipment, perform a controlled uniform heating of the male gland and urethra.The procedure is carried out by a track or transrectal method, when heated through the rectum or urethra.Thermal exposure enhances local arterial and capillary blood flow, increases the number of functionally active capillaries, increases the body's protective properties, stimulates the lymph flow and the withdrawal of harmful particles as much as possible, optimizes local metabolism.
- Laser therapy - the course of treatment is determined individually, depending on the form and stage of pathology.On average, five to seven procedures are enough.Act on the organ through the skin or transrectal.It contributes to the speedy recovery and stopping of symptoms.
- Needle ablation is an outpatient outpatient intervention.Used to eliminate symptoms of prostatitis.
Other treatment methods
- Prostate massage - helps cure and prevent the development of the disease.The procedure is performed by a specialist using antiseptics and aseptics to eliminate infection entering the organ.It can cause an acute delay in urine and the spread of inflammation (up to sepsis) if hyperplastic changes are observed in the organ.Massage is contraindicated with expressed stagnation of blood in the veins the presence of stones and cysts in the prostate.The best way to rid a prostate from stagnant secretion is natural ejaculation.
- Gymnastics for the bladder - with weakening of the muscle tone of the bladder and its sphincter, urine incontinence is observed.To eliminate this symptoms, special exercises are effective.
- Instillation - drugs are poured into the back of the urethra.To make the procedure painless, local anesthesia is carried out.The specialist determines the number of sessions individually.It can lead to the development of complications.
Prevention
Simple rules for the prevention of chronic prostatitis:
- The chronic stage is always a result of late diagnosed, incorrectly treated or not treated acute prostatitis.Therefore, you need to regularly undergo a proportion from a urologist.
- Protect the pelvic region from hypothermia and injuries.
- Get rid of bad habits.
- Lead an active lifestyle.
- Avoid stressful situations.
Any man can develop chronic prostatitis.It is necessary to observe simple preventive measures to reduce the risk of pathology.