Inflammation of the prostate or prostatitis can occur in acute and chronic form.Very often, damage to the organ causes a specific or non -specific infection, sometimes pathological changes develop due to congestive phenomena in the basin.The main symptoms are urination disorders and a decrease in power.The treatment should be complex and include the use of drugs and the normalization of blood circulation in the pelvic organs in men.
Classification and characteristics of prostatitis
Inflammation of the prostate in men is a pathology that significantly reduces the quality of life of patients and causes a series of serious complications both from the urinary and genital area.
Inside the prostatitis flow is acute and chronic.The latter can occur independently (this happens more often) or is a consequence of an unrelated acute process.
Classify the inflammation of the prostate gland as follows:
- The first category or acute bacterial prostatitis.
- The second is chronic bacterial inflammation.
- The third or chronic abotteric prostatitis (chronic pelvic pain syndrome).It is divided into 3A - inflammatory and 3V - non -inflammatory.
- The fourth is the asymptomatic inflammation of the prostate gland.
The first and second category is established by patients with a positive bacteriological examination.The difference is that the first is diagnosed with the duration of symptoms for no more than 3 months.With a longer presence of clinical manifestations, chronic bacterial prostatitis is diagnosed.
The third category is also called chronic pelvic pain syndrome, since the main complaint of patients is pain for at least 3 months.In the study of the discharge (ejaculate, urine, the secret of the gland after her massage), the pathological microflora is not detected.In the case of an increase in the number of leukocytes in these analyzes, inflammatory prostatitis is established (category 3A), with their normal - non -inflammatory content.
Most men identify one of the above categories, since patients seek help due to the presence of some symptoms of the pathology.
Recently, the doctors have identified the fourth subtype of asymptomatic prostatitis.It is diagnosed by chance to a medical examination or when a man suffers an examination for other diseases of the parental parent system.The danger of this form lies in the fact that pathological changes are available in the prostate gland, but the disease does not provide any subjective sign.This condition often leads to the development of infertility.
Because it burns in the urethra in men
Reasons
The inflammation of the acute prostate in men occurs in 70% of cases due to the infection of E. Coli.In other situations, the pathology is caused by enterobacteria such as pseudo -monad, klebsiella, Proteus.Staphyso and Streptococci are much less likely to be reason.
Of specific infections, acute prostatitis can be Gonorrhea Naseria (Neisseria Gonorrheae), Trichomonas Vaginalis Trichomonas.
The predisposing factors are:
- Conduct various surgical interventions on the parental -urinary organs of a man.
- The narrowing of the urethra due to chronic and acute inflammatory processes in the urethra.
- Diagnostic manipulations - cystoscopy, ureteroscopy, etc.
- Violation of urination due to benign hyperplasia of the prostate gland.
- Activation of the pathogenic microflora conditionedly (Enterobacterium) in pathogen under the influence of the reduction of immunity and other body diseases.
- Nonregata sex life, which leads to the stagnation of the secret in the prostate gland.
Chronic inflammation
If chronic prostatitis appears as a continuation of an acute process, its cause will be the same.In case of this form of the disease, the main predisposing factors become ::
- Tuberculosis mycobacteria.
- Clostria.
- Gonorrhea and Trichomonas (they can immediately cause a chronic form without an acute period).
- Salmonella.
- Various types of mushrooms.
In the mechanism of the emergence of the pathology, an important role is played by such a phenomenon as the intra -repriation reflux: the merger of the urine through the outlets of the outlet in the prostate gland.As a result of this process, the infection can easily penetrate the organ, multiply and cause inflammation.I have amplified reflux:
- phimosis (narrowing of the foreskin);
- reduction of urethra lumen;
- Balanopostitis (inflammation of the foreskin);
- Construction of the urethra with a cement for urolitiasis.
Irregular reflux and sex life increases stagnant processes in the prostate, which leads to the active reproduction of microorganisms, the strengthening and spread of inflammationAs a result of this, areas of fibrosis (replacement of normal tissue with non -functional connective dense) and form of prosthetic calculations.All this improves the pathological process and leads to serious consequences.
Abacterica chronic prostatitis
Chronic pelvic pain syndrome (KTRB) is synonymous with this disease and occurs without the presence of microorganisms in the discharge detected with standard microbiological methods.
There are several theories on the appearance of the pathology:
- infectious;
- Chemical inflammation;
- immune.
The confirmation of the infectious theory is that when leading a polymerase chain reaction (PCR) in the glamorous comparison, the pathogens DNA is revealed.However, other microbiological methods are not detected.
Basically, the genetic material of the following bacteria is found with STB:
- Ureaplasma ureplasma urealyticum).
- Mycoplasma Hominis (Mycoplasma Hominis).
- Chlamydia Trahomatis (Chlamidia Trachomatis).
- Trichomonade Vaginalis (Trichomonas Vaginalis).
The theory of chemical inflammation explains the CTB by means of an intraprostatic reflux, but in this case the cause is not bacteria, but the urine itself.Once in the prostate, it causes damage to cellular structures and an inflammatory reaction.
According to immune theory, pathology was born as a consequence of autoimmune processes or as a result of an response of immunity to an alien antigen that enters the body.
In most cases, the cause of STB is not one, but their complex influence.
The provocative factor of asymptomatic prostatitis can be anyone who can cause the above categories, the difference lies only during this form of illness.
Symptoms
The acute bacterial inflammation of the prostate gland is characterized by the appearance of general and local symptoms.
Firstly, pain in the superfubic region and horse are pronounced, as well as a violation of urination until it is completely stopped.General symptoms of patients, pain in the body, sweating, chills, fever, weakness.
Sometimes pain syndrome occurs only during defecation or sitting position.In some atypical cases, fever is the only sign of the disease.
With a pronounced edema, an acute urine delay occurs.This is due to the fact that the body transmits the urethra and forms a mechanical obstacle to the outflow of the content of the bladder with its increased dimensions.At the same time, the general condition of the patient is significantly worsened: the signs of intoxication increase with every hour and in more serious cases a violation of consciousness can occur and even a coma.
With a premature diagnosis, complications such as the abscess (suppuration) of the prostate can occur with a further turning point of PUS in the urethra or in the rectum.Consequently, phystoles are formed that require surgical interventions and reconstructive operations.
Manifestations of chronic bacterial inflammation of the prostate gland
The manifestations of this form of the disease are different and vary from the complete absence of symptoms to a strong exacerbation of the process.
In most cases, patients are worried about the pain of various intensity in the perineum and in the rectum, which can spread to the scrotum, the sacred, the penis and the thigh.Sometimes pain syndrome acquires a paroxysmal character, reminiscent of neuralgia.
There are also discomfort in the urethra and frequent urination.Sometimes the unloading from the urethra is determined.They intensify during the day after walking, physical activity, defecation or massage of the prostate gland.
There is a feeling of gravity, pressure, overflow in the rectum and perineum.These symptoms intensify after a long sitting position.This form of the disease is characterized by the appearance of inflammatory processes in the urinary system caused by the same microflora - cystitis, urethritis, pielonefritite.
Symptoms of abotteric prostatitis
CTB is characterized by a clinical picture of the chronic bacterial inflammation of the prostate.
Patients are worried about pelvic and perineal pain for more than 3 months, while the results of the bacteriological examination are negative.Different types of urination disorders are characteristic:
- frequent selection of urine;
- difficulty in urination (slow flow, necessity in further efforts);
- Pain for isolated urine.
Sometimes there are violations of sexual function: a decrease in libido, helplessness.Often there are general symptoms in the form of weakness, headache.
Treatment with medicines
The basis of therapy is the prescription of antibiotics.The chronic process indicates the drugs of the Fluorochinoloni group.In acute prostatitis, beta-lactam and aminoglycoside antibiotics are prescribed.The treatment is carried out in 2 phases:
- At the beginning, empirical therapy is prescribed (before receiving crops).To do this, use third generation cephalosporins or fluorochinoloni.
- In the second phase, the processing is carried out according to the resulting bacteriological data and the results for sensitivity to antibacterial agents.
These groups of antibiotics are chosen for the motif that penetrate through the ematoprostatic barrier and create a high concentration of the active substance in the prostate gland.This allows you to eliminate the focus of the infection.With abotteric prostatitis, antimicrobial therapy is also prescribed, which is necessary for 2 reasons:
- Antibiotics significantly breed patient patients.
- There is a high probability of the presence in the prostate which is difficult to determine from the laboratory methods of microorganisms in the exhaust.
The treatment regime with antibiotics in chronic pelvic pain syndrome is as follows:
- A drug of a group of fluorochinoloni or doxicicline is prescribed for 2 weeks.
- A study repeated on the secretion of the prostate gland and with a decrease in symptoms, continue to receive funds up to 4 weeks, is conducted.
Treat patients with asyntomic prostatitis according to the following indications:
- infertility;
- before the operation on the prostate gland as prevention;
- When determining pathogenic microorganisms in discharge;
- With an increase in the level of antiprostatic antibodies in the blood and positive analysis of the microbiological examination.
Other means
With prostatitis, drugs are prescribed by the alpha-blocker group.These products increase the maximum and medium speed of the urine flow, reduce tone in the urethra wall and eliminate the incomplete opening of the bladder neck when emptying.Thanks to these effects, the phenomena are eliminated as:
- frequent and painful urination;
- decrease in flow flow;
- The need for an additional effort to secrete urine.
The characteristic representatives are alfuzosine, tamsulosine and doxazine, are particularly relevant in the chronic forms of the disease.The course of treatment of these drugs is at least 3 months.
Anti -inflammatory drugs non -pounds are prescribed as symptomatic therapy.They reduce inflammatory phenomena, edema, reduce pain.Use drugs such as diclofenac, ibuprofen, nimesulide and others.The duration of the treatment with these drugs must not exceed 4 weeks.The intake of these drugs is performed strictly after eating, since they have an irritating effect on the stomach wall.
In addition to the tablets, local treatment is also used.To this end, patients are prescribed drugs in candles such as Vitaprost, Prostacle, Urooprost, etc.They are also shown with prostate adenoma.
Phytotherapy
In traditional medicine, the dwarf palm fruit extract is widely used.Active substances reduce inflammatory phenomena, edema and have a vasoprotective effect (strengthens the wall of the blood vessels).
The African plum cortex has similar effects.
Natural origin has a drug like the prostacle.It is made by the prostate gland of cattle.It has an anti -inflammatory effect and reduces the phenomena of prostate adenoma.
Popular remedies
You can treat prostatitis using popular remedies.First of all in terms of effectiveness - the use of oil seeds.You can buy this tool in pharmacies.Accept it for 1 tablespoon.the.3 times a day, the course of treatment is 3-4 months.As prevention of prostate diseases, all men can be consumed by 30 pumpkin seeds before meals once a day.They must be taken in rough form, since after the healing properties are lost.
For treatment, you can use pumpkin seeds prepared according to the following recipe:
- 0.5 kg of peeled seeds are crushed on a grinder or meat blender.
- They add 200 g of honey and mix everything up to a homogeneous mass.
- Form balls of 2-3 cm in size.
They are kept in the refrigerator, they take a piece 30 minutes before meals.This tool should be chewed for 2-3 minutes and absorbed and not swallow.The course of treatment is 6 months.
The healing effect with prostatitis has an infusion of leaves or a hazelnut bark decoction.To prepare the first product, you need to take 1 tablespoon.the.Dry leaves and prepare in a glass of boiling water.You have to insist for 30 minutes and take 1/4 of the resulting solution 4 times a day.For a bark decoction, 1 tablespoon.the.The ground raw materials pour 200 ml of water and cook with water for 30 minutes.Subsequently, medicine should be cooled and 1/4 cup 4 times a day.
The therapeutic effect with prostatitis has parsley.It has an anti -inflammatory effect and allows you to restore sexual activity.In this case, parsley juice is used.To do this, the vegetables are crushed to the state of the baby food and tightens the liquid by it through the gauze, folded 3-4 times.Accept it for 1 tablespoon.the.3 times a day.
Treats prostatitis at home and medicinal herbs.One of these is Wormwood.It allows you to relieve inflammation and save the body from the pathogen.It is taken in a dry shape in the first 3 days - every 2-3 hours is absorbed in the mouth.The next four days reduce the number of techniques to 5. Every day at night, microclimates are made by the grass.
To do this, prepare an infusion: for 1 tablespoon.the.It is necessary to take 1 liter of water.Boil the composition and let it cool at +40 degrees.Subsequently, the solution must be filtered.It is necessary to make injections in the anus (100 ml), as well as in the urethra (50 ml).The procedures must be performed within a week.Are shown in the chronic process.When you lead the jerk and microclemism, PUS is possible: this is a normal phenomenon that indicates the effectiveness of the treatment.
Conclusion
In combination with the main methods for the treatment of disease, physiotherapy, prostate massage and body acupuncture.
Living with chronic prostatitis means regularly suffering a complete examination and therapy, since there is a high probability of loss of reproductive function.