Inflammation of prostate or prostatitis can occur in acute and chronic form.Most often, organ damage causes specific or non -specific infection, sometimes pathological changes are caused by stagnation of the pelvis.The main symptoms are urinary disorders and a decrease in efficiency.The treatment should be complex and includes the use of drugs and normalization of blood circulation in the pelvic organs in men.
Classification and features of prostatitis
Inflammation of prostate men is a pathology that significantly reduces the quality of life of patients and provokes many serious complications from both urine and sex.
Within the flow of prostatitis- The latter can occur independently (this is more common) or the result of an untreated acute process.
Classify prostate inflammation as follows:
- The first category or acute bacterial prostatitis.
- The second is chronic bacterial inflammation.
- Third or chronic abacterial prostatitis (chronic pelvic pain syndrome).3A - inflammatory and 3V - is not inflammatory.
- The fourth is the asymptomatic inflammation of the prostate mimic.
The first and second categories are determined by patients with a positive bacteriological study.The difference is that the first is diagnosed with the duration of the symptoms for up to 3 months.With the longer presence of clinical manifestations, chronic bacterial prostatitis is diagnosed.
The third category is also called chronic pelvic pain syndrome, as patients' main complaints are at least 3 months of pain.In the study of discharge (ejaculate, urine, the secret of the gland massage), the pathological microflora is not detected.When the number of leukocytes is increased, these analyzes include inflammatory prostatitis (category 3A), with their normal content - non -anti -inflammatory.
Most men identify one of the above categories because patients seek help due to certain symptoms of pathology.
Recently, doctors have identified the fourth subtype of the disease - asymptomatic prostatitis.A medical examination is diagnosed in an accident or when a person examines other diseases of the genitourinarinal system.The risk of this form lies in the fact that the pathological changes of the prostate are available, but the disease does not give subjective signs.This disease often leads to infertility.
Why burn in men in the urethra?
Reasons
Acute prostate inflammation occurs in men in 70% of cases due to 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 common.
In specific infections, acute prostatitis can be gonorrhea naseria (Neisseria gonorrheae), trichomonas vaginal trichomonas.
The predisposing factors are as follows:
- Performing a variety of surgical interventions on a human science organs.
- The urethra is a result of chronic and acute inflammatory processes of the urethra in the urethra.
- Power of diagnostic manipulations - cystoscopy, ureteroscopy, etc.
- Urine violation as a result of the benign hyperplasia of the prostate.
- Activation of conditionally pathogenic microflor (enterobacterium) into pathogen due to reduced immunity and other diseases of the body.
- An irregular sex life that leads to the stagnation of the secret in the prostate gland.
Chronic inflammation
If chronic prostatitis appears as a continuation of an acute process, the reason for it will be the same.In such a form of disease, primary predisposing factors become ::
- Msobacteria of tuberculosis.
- Clostria.
- Gonorrhoea and Trichomonas (can immediately cause chronic form without an acute period).
- Salmonella.
- Different types of fungi.
A phenomenon such as introprostic reflux - urine that enters the prostate gland through the output channels is an important role in the mechanism of the pathology- As a result of this process, the infection can easily penetrate the organ, multiply and cause inflammation.I am amplifying the reflux:
- Fimosis (narrowing the foreskin);
- reduction of urethral lumen;
- Balanopostitis (inflammation of the foreskin);
- The structure of the urethra with urolithiasis concrete.
Reflux and irregular sex life increase stagnant processes in prostate, which leads to active growth of microorganisms, strengthening and spread of inflammation.As a result, the areas of fibrosis (replaced by a dense, non -functional bond) and the formation of prostheses.This improves the pathological process and has serious consequences.
Abacterial chronic prostatitis
The chronic pelvic pain syndrome (ktrb) is synonymous with this disease and occurs without the presence of microorganisms during discharge detected by standard microbiological methods.
There are many theories about the appearance of pathology:
- infectious;
- chemical inflammation;
- immune.
The confirmation of the infectious theory is that when the polymerase chain reaction (PCR) is performed in the confrontal -glamar, the DNA of pathogens is presented.However, they do not detect other microbiological methods themselves.
Basically, the genetic material of the following bacteria is found with etc.:
- Ureaplasma ureplasma ureylyticum).
- Mycoplasma hominis (mycoplasma hominis).
- Chlamydia trahomatis (chlamidia trachomatis).
- Trichomonade vaginalis (trichomonas vaginalis).
The theory of chemical inflammation explains CTB with an introstatic reflux, but in this case the cause is not bacteria, but the urine itself.After the prostate, cell structures cause damage and an inflammatory reaction.
According to immune theory, pathology arises as a result of autoimmune processes or immunity to the foreign antigen entering the organ.
In most cases, the reason for the etc. is not one, but its complex influence.
The provocative factor of asymptomatic prostatitis can be anyone who can cause the above categories, the difference is only in this form of the disease.
Symptoms
Acute bacterial inflammation of the prostate gland is characterized by the appearance of general and local symptoms.
First, the Suprapubic region and the legs are pronounced pain and the urination violation until it is completely stopped.General symptoms of patients, body pain, sweating, chills, fever, weakness.
The pain syndrome is sometimes only occurred in emptying or sitting.In some atypical cases, fever is the only sign of the disease.
Acute urine delay occurs with the prominent edema of the prostate- The reason for this is the fact that the body passes it to the urethra and forms a mechanical obstacle to the outflow of the bladder with increased dimensions.At the same time, the patient's general condition deteriorates significantly: signs of intoxication increase every hour, and in severe cases, awareness violations and even coma can occur.
Early diagnosis may occur by further breakthrough pu -k in the urethra or rectum in the urethra or rectum.As a result, fistulas develop that require surgical intervention and reconstruction operations.
A manifestation of chronic bacterial inflammation of prostate
The manifestation of this form of disease is varied and may vary from the complete lack of symptoms to the sharp aggravation of the process.
In most cases, patients are worried about the various intensity pains of perineum and rectum, which can spread to the scrotum, sacrum, penis and comba.- The pain syndrome sometimes acquires a character in Paroxysmal, which is reminiscent of neuralgia.
There is a discomfort in the urethra and frequent urination- Occasionally, we determine the discharge from the urethra.Walking, physical activity, emptying or prostate gland massage increases during the day after massage of the gland.
There is a sensitivity, pressure, overflow in the rectum and perineum- These symptoms increase after a long seated situation.This form of the disease is characterized by the appearance of inflammatory processes in the urine system, caused by the same microflor - cystitis, urethra, pyelonephritis.
Symptoms of abacterial prostatitis
CTB is characterized by a clinical picture of chronic bacterial inflammation of the prostate.
Patients are worried about pelvic and perineal pain for more than 3 months, while the results of bacteriological examination are negative.Different types of urinary disorders are characterized by:
- frequent urine choice;
- difficulty of urination (slow stream, need for further effort);
- Pain for isolated urine.
Occasionally there is a violation of sexual function - a decrease in libido, impotence.Often there are general symptoms in the form of weakness, headache.
Medication
The therapy is based on a recipe for antibiotics- In the chronic process, drugs are indicated by a group of fluoroquinolones.In acute prostatitis, beta-lactam antibiotics and aminoglycosides are prescribed.Treatment is performed in 2 stages:
- First, empirical therapy is prescribed (before the plants are received).To do this, use third -generation cefalosporins or fluoroquinolones.
- In the second phase, treatment is based on the resulting bacteriological data and sensitivity to antibacterial agents.
These groups of antibiotics are chosen to penetrate the hematoprostatic barrier and create high concentrations in the prostate gland.This allows you to eliminate the focus of the infection.Antimicrobial therapy is also prescribed for abacterial prostatitis, which is required for 2 reasons:
- Antibiotics significantly relieve patients in patients.
- It is very likely that the presence of prostate is difficult to determine during discharge with laboratory methods for microorganisms.
The treatment of chronic pelvic syndrome with antibiotics is as follows:
- Medicines from fluoroquinolones or doxi cyclic groups are prescribed for 2 weeks.
- A repeat examination of the secretion of the prostate gland is performed and the symptoms will continue to receive money for 4 weeks.
Treat patients with asymptomic prostatitis according to the following indications:
- infertility;
- prostate miral before prevention;
- When determining pathogenic microorganisms during emptying;
- With the level of antiprostatic antibodies in the blood and positive analysis of microbiological examination.
Other means
In case of prostatitis, medicines are prescribed from the Alpha-Bocker group- These products increase the maximum and average speed of the urine current, reduce the sound in the wall of the urethra and eliminate the incomplete opening of the bladder's neck when it is excreted.Thanks to these effects, the phenomena are eliminated:
- frequent and painful urination;
- decrease in stream flow;
- The need for further efforts to select urine.
Typical representatives are alfuzzin, tamsulosin and doxazine, especially relevant in chronic forms of the disease.At least 3 months during the treatment of these drugs.
No -steroid anti -inflammatory drugs are prescribed as symptomatic therapy- Reduce inflammatory phenomena, edema, and reduce pain.Use medicines such as diclofenac, ibuprofen, nimesulide and others- The duration of treatment with these drugs should not exceed 4 weeks.Take these drugs strictly after a meal because they have an irritating effect on the stomach wall.
In addition to tablets, local treatment is also used- For this purpose, patients are prescribed drugs such as Vitaprost, Prostacle, Urooprost, etc.
Phytotherapy
In traditional medicine, dwarf palm fruit extract is widely used- Active substances reduce inflammatory phenomena, edema and have vasoprotective effects (confirm the walls of the blood vessels).
The African plum bark has a similar effect.
Natural origin has a medicine like Prostacle.The cattle are made from the prostate gland.It has an anti -inflammatory effect and reduces the prostate phenomena of adenoma.
Folk medicines
You can treat prostatitis with folk medicines- First in terms of efficiency - the use of oil seeds.You can buy this device in pharmacies.Accept for 1 tablespoon.l.Three times a day treatment is 3-4 months.As a prevention of prostate diseases, you can consume 30 pumpkins a day before meals.- These should be taken in raw form as they are lost after healing properties are lost.
You can use the pumpkin seeds made according to the following recipe:
- 0.5 kg of peeled seeds are crushed on a meat grinder or blender.
- 200 g of honey is added and everything is mixed until homogeneous mass.
- The balls are 2-3 cm in the form.
These are stored in the refrigerator and take one piece 30 minutes before a meal.This tool should be chewed, absorbed and not swallowed for 2-3 minutes.The course of treatment comes from 6 months.
The healing effect of prostatitis is the infusion of leaves or peanut bark decoction- 1 tablespoon to make the first product.l.Dry leaves and cook in a glass of boiling water.You need to stick it for 30 minutes and bring the resulting solution 1/4 four times a day.1 tbsp for the brew of the bark.l.The grinding raw materials pour 200 ml of water and cook in a water bath for 30 minutes.The medicine should then be cooled 4 times daily and 1/4 cups.
The therapeutic effect of prostatitis has parsley greens- Anti -anti -inflammatory effects and allows you to restore sexual activity.In this case, the parsley can be used.To do this, the greens are crushed to the state of the stomach and squeezes the liquid through the gauze, folded 3-4 times.Accept for 1 tablespoon.l.Three times a day.
Treat prostatitis and herbs at home- One is the worm.This allows the inflammation to alleviate and save the body from the pathogen.It is taken in dry form for the first 3 days - absorbed in the mouth every 2-3 hours.The next four days will reduce the number of techniques to 5.Microclisms are made from the grass every night.
To do this, make an infusion: 1 tablespoon.l.1 liter of water should be taken.Boil the composition and let it cool to +40 degrees.The solution should then be filtered.Injections in the anus (100 ml) and in the urethra (50 ml) must be prepared.The procedures must be implemented within one week.These are presented in the chronic process.Pus is possible when completing ducking and micro -elmism - this is a normal phenomenon that indicates treatment efficiencyOr
Conclusion
It is used in combination with the main methods of the disease, physiotherapy, prostate massage and organ acupuncture.
Cohabitation in chronic prostatitis means that they are regularly overview and therapy because the loss of reproductive function is most likely.