Long -term inflammation of the prostate gland, periodically aggravated is called chronic prostatitis.The constant inflammatory process directly affects prostate work.
Chronic prostatitis is the most common pathology in men, which is observed in almost 30% of the strongest sex.
Classification of chronic prostatitis
- The acute course of prostatitis.
- Chronic bacterial 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, infection and leukocytes).
- III B - chronic prostatitis with the absence of an inflammatory component (pathogens and leukocytes in the prostate have not been found).Prostate secret).
- The risk of the disease has increased in people
Not all men are subject to prostatitis.In the acute prostatitis risk group, the following category of people includes:
which lead an irregular intimate life and also practice the sexual intercourse interrupted as a way to prevent unwanted pregnancy.
- Working in offices and drivers (a sedentary lifestyle causes blood stagnation in the pelvis).
- Which wear tight underwear.
- Having dependence on alcohol and nicotine.Bacterial
- Hereditary predisposition.
Regular hypothermia.
Long abstinence.
- Devastation of the bladder premature.
- A sedentary lifestyle.
- Diseases of the parental parent system (urethritis, pyelonefritis, cystitis).
- Veneral diseases: sensational, gonorrhea, tricomoniasis.
- venous stagnation in the pelvis, caused by a lifestylesedentary.
- Malattie venerali: clamidia, gonorrea, tricomoniasi.
Stagnazione venosa nel bacino, provocato da uno stile di vita sedentario.
- Blood stagnation in the veins, caused by a sedentary lifestyle.
- Wearing narrow pants, underwear or shorts.
- Stagnant phenomena caused by constant squeezing of the perineum.
- Irregular sex life.Sexual intercourse improves blood circulation in the veins of the prostate.
- Alcohol, nicotine, drug addiction.
- A sedentary lifestyle.
Symptoms
- a weak flow of urine, discomfort during urination.
- A sensation of non -empty bladder.
- PERIODIC PERIODICAL SLOCES.
- Painful syndrome on the bottom of the abdominal cavity.libido, weak erection, rapid ejaculation.The involuntary morning erection disappears periodically or is completely absent.
- After intimacy, painful pain may appear in the head of the penis, which passes after about half an hour.
- Diagnostic
- In the presence of symptoms, the diagnosis of chronic prostatitis will not be difficult.With the asymptomatic pathology, in addition to the standard inspection or the patient survey, the use of further research methods: laboratory and instrumental.It is necessary to determine the condition of the patient's immune and nervous system.
Questionnaires and questionnaires allow you to obtain complete information on patient health, the intensity of pain, urination, ejaculation, erection and psycho -emotional emotional mood.Thoroughly possible to establish the type of pathogen.If in the fourth urine sample or the secret of the prostate the white blood cell indicator in the patient above 10, the chronic inflammation of the gland is confirmed.If the bacteria are not sown with an increase in leukocytes, the material is examined due to the presence of pathogens in it (the diseases transmitted sexually).
Questionari e questionari ti consentono di ottenere informazioni complete sulla salute del paziente, l'intensità del dolore, la minzione, l'eiaculazione, l'erezione e l'umore emotivo psico -emotivo.
Diagnostica di laboratorio
I metodi di diagnostica di laboratorio consentono di determinare quale natura la prostatite cronica: batterica o abatterica, nonché i più accuratamente possibile per stabilire il tipo di agente patogeno. Se nel quarto campione di urina o il segreto della prostata l'indicatore dei globuli bianchi nella PZ sopra 10, viene confermata l'infiammazione cronica della ghiandola. Se i batteri non vengono seminati con aumento dei leucociti, il materiale viene esaminato per la presenza di agenti patogeni in esso (le malattie trasmesse sessualmente).
- A strip of the urethra is examined in the laboratory for leukocytes, fungal flora, viral or bacterial.
- The scraping from the urethra is examined with the PCR method for detecting transmitted pathological microorganisms.
- A microscopic study of the prostate secret is conducted.The number of leukocytes, amyloids, macrophages and cower-lalemans are calculated.In addition, an immunological and bacteriological study is conducted, with the help of which the number of non -specific antibodies is determined.
- Ten days after the study of the rectal finger, the blood is taken to determine the level of the dog in it.If the level exceeds 4.0 ng/ml, the patient is prescribed a prostate biopsy to confirm or exclude the presence of a malignant tumor in the gland.
The diagnosis is made on the basis of the results of the studies.
Instrumental diagnostics
The gland bull allows you to identify the shape and stage of the pathology.The ultrasound helps to exclude other diseases, control the effectiveness of the therapy used, determine the size of the prostate, the structure of the echo of the organ, as well as the density and uniformity of the seed bubbles.Myographical and urodynamic studies on the muscles of the pelvic floor help to identify neurogenic disorders that often accompany chronic prostatitis.
CT, tomography and magnetic resonance imaging are used to install a differential diagnosis, in particular the oncology of the prostate.These methods will help to identify pathologies in the pelvic organs or in the spine.
Treatment of chronic prostatitis
drug
- antibacterial drugs.In the treatment, penicillin, fluorochinol, cephalosporins, tetracycline, macrolids are used.They affect pathogenic microorganisms, which accumulate in the tissues.The intake of antibiotics allows to reduce inflammation, eliminating the main cause of the bacterial form: the infection.Antibiotics are produced in the form of tablets, candles or injections.
- Non -pounded anti -inflammatory drugs.The means are used in the initial phase of the disease.The main components of the drugs: diclofenac, ketoprofen.Fine pain and eliminate inflammation.Mainly produced in the form of rectal candles.
- Antispasmodic.The analogues of these drugs are muscle relaxing.The active component is Baclofen.It acts on smooth muscles, due to which pain and cramps are eliminated.
- Alpha-blockers.The effect of drugs allows you to eliminate pain and relieve cramps.The components, which act on nerve cells and blood vessels, relieve pain.The restored blood circulation has the organ with the necessary substances.
This is the first group of drugs that is the most effective.In addition, with prostatitis, experts prescribe the following drugs:
- anesthetic drugs.Prostatitis is often accompanied by reins during urination and severe pain.It is recommended to use microclyster that directly affect iron.
- Hormones.Prostatitis can cause the functioning of the hormonal system.
- Anticholinergic drugs.Normalize urination, increase power and restore blood circulation.
- Biological regulators.The expansions from the catfish prostate are the main components of the drugs.They help to relieve swelling, to reduce inflammation.
- Immunomodulators.The main reason for prostatitis is a decrease in immunity.Therefore, drugs that stimulate immunity are used in therapy.
- Seding drugs.The disease causes problems with power and erection.The symptoms are reflected in the psycho -emotional state of men.Relaxing products restore the nervous system.These medicines must be prescribed for men who experience daily stress. In some cases, tranquilizers are prescribed, which can only be purchased by recipe.The dosage and duration of admission are prohibited.
- Antistamine.Remove the reports of the gland.It contains narcotic substances, therefore independent intake is prohibited.
Popular remedies
- Pumpkin seeds.The raw pumpkin seeds are cleaned from the peel.They use 20 pieces before meals three times a day, for 3-4 months.
- Tea of chamomile.It is recommended to prepare daily in a sufficient amount for everyday use.Put a plate of 30 g of chamomile and pour it with boiling water (200 ml).Having insisted for half an hour, filtering, squeezing the flowers carefully.Divide the infusion into equal parts and drinks 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, it connects aloe and chopped wine to honey.Insist in the refrigerator for a week.Drink the tincture on a teaspoon before meals.
- Western infusion.By half a glass of boiled water, take a drop of juice.Drink the solution in the morning after breakfast.Increases the dosage of a drop daily.The maximum dose is 30 drops.Then reduce the dosage of one drop a day.At the end of the course, a two -week break is taken, after which medicine can be resumed.
- Parsley juice.To treat the chronic prostate, the stems and leaves of the parsley are finely crumbled or ground in a mortar.Put the mass on gauze and compose the format formed.Take medicine before meals, preferably in 30 minutes.The dose of reception juice is one or two tablespoons.Reception frequency three times a day.
- Propolis.The propolis tincture for alcohol is taken for chronic prostatitis for six months.Scratching a piece of propolis on a nice grated 100 g.The crushed mass pour 200 ml of pure medical alcohol.Put the solution in a glass container and keep for at least 10 days in a dark place, shaking every three days.Filter the tincture.
The candles made in Propolis reduce inflammation in the gland, breed the pain and restore all the organ cells.Freeze 7 grams of propolis and shake finely.Look a hundred grams of goat fat and connect it to propolis.From the cooled mixture, prepare candles, 1.5 - 2 cm long
Diet
During chronic prostatitis, you should not fall into extremes and exclude any product.Food should be full, so that a man can receive all the vitamins, minerals and beneficial substances necessary and trace elements.Restrictions in nutrition can lead to the fact that 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 for the digestion of food.Forces are necessary for the body to fight the pathology.They do not recommend to practice hunger without agreeing this with a specialist.The refusal of food will lead to a breakage of the forces, which is unacceptable for a patient suffering from a chronic form of prostatitis.It is recommended to perform days of fasting.An improper diet can stop the prostate gland, therefore the adaptation of the daily diet is included during the therapy.
Surgical treatment
Endoscopic intervention is a modern surgical treatment method, in which invasive intervention is reduced to a minimum.The patient's rehabilitation occurs faster.It is indicated when blocking the output and seed ducts, the seed tubercle sclerosis.The operation is indicated in the diagnosis of the prostate sclerosis and the seed bubble, the presence of calculates in the gland, adenoma.If during the operation the secret is dense, serous and viscous native, the gland is completely removed with the electric cut, leading the clotting to stitches of the blood vessels and the installation of Cisstoma Trocar.With exacerbation of the pathology, surgery is strictly contraindicated.
Physiotherapy treatment
- Thermotherapy - using specific equipment, perform a controlled uniform heating of the male and urethra gland.The procedure is performed by a trap track or method, if heated through the rectum or urethra.The thermal exposure improves the blood arterial blood and capillary flow, increases the number of functionally active capillaries, increases the protective properties of the body, stimulates the lymphatic flow and the production of harmful particles as much as possible and optimizes local metabolism.
- Laser therapy - the course of treatment is determined individually, depending on the shape and stage of the pathology.On average, five to seven procedures are sufficient.Act on the organ through the skin or transrett.It promotes rapid recovery and arrest of symptoms.
- The ablation of the needle is an outpatient clinic.Used to eliminate prostatitis symptoms.
Other treatment methods
- Prostate massage - helps to treat and prevent disease development.The procedure is performed by a specialist using antiseptic and aseptic to eliminate infections that enter the organ.It can cause acute delay in the urine and the spread of inflammation (up to sepsis) if hyperplastic changes are observed in the organ.The massage is contraindicated with express stagnation of the blood in the veins the presence of stones and cysts in the prostate.The best way to free a prostate from stagnant secretion is natural ejaculation.
- Gymnastics for the bladder - When weakening the muscle tone of the bladder and its sphincter, the incontinence of the urine is observed.Special exercises are effective for eliminating these symptoms.
- Instillation: drugs are paid in the back of the urethra.To make the procedure painless, local anesthesia is performed.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 consequence of acute prostatitis with late diagnosis, treated in a wrong way.Therefore, it is necessary to regularly undergo a prosecutor with a urologist.
- Protect the pelvic area from hypothermia and injuries.
- Raisted with bad habits.
- Driving an active lifestyle.
- Avoid stressful situations.
Any man can develop chronic prostatitis.It is necessary to observe simple preventive measures in order to reduce the risk of pathology.