Prostate inflammation, or prostatitis can occur in acute and chronic form.Often, damage to the organs causes specific or non -specific infections, sometimes pathological changes develop due to congestive phenomena in the pelvis.The main symptoms are urinary tract disorders and potential decreases.Treatment should be complex and includes the use of drugs and normalization of blood circulation in the pelvic organs in men.
Classification and characteristics of prostatitis
Prostate inflammation in men is a pathology that reduces the quality of life of the patient and causes several severe complications from both urinary and genital areas.
In the flow of prostatitis is acute and chronic.The latter can occur independently (this occurs more frequently) or as a result of untreated acute processes.
Classify inflammation of the prostate gland as follows:
- The first category, or acute bacterial prostatitis.
- The second is chronic bacterial inflammation.
- Third, or chronic abacterial prostatitis (chronic pelvic pain syndrome).It is divided into 3A - inflammation and 3V - non -inflammation.
- The fourth is the asymptomatic inflammation of the prostate gland.
The first and second categories are established by patients with positive bacterial examination.The difference is that the first is diagnosed with a period of symptoms for no more than 3 months.In the presence of longer clinical manifestations, chronic bacterial prostatitis is diagnosed.
The third category is also called chronic pelvic pain syndrome, as the main complaint of the patient is at least 3 months of pain.In the study of release (ejaculation, urine, gland secret after its massage), pathological microflora is not detected.In the case of increasing the number of leukocytes in this analysis, inflammatory prostatitis (category 3A) was established, with their normal content - non -inflammation.
Most men identify one of the above categories, as patients seek help due to the presence of certain pathological symptoms.
Recently, doctors have identified the fourth subtypes of the disease - symptomless prostatitis.It was accidentally diagnosed with a medical examination or when a man was undergoing an examination for another genitourinary system.The danger of this form lies in the fact that pathological changes in the prostate gland are available, but the disease does not provide subjective signs.This condition often leads to the development of infertility.
Why burns in the urethra in men
Cause
Acute prostate inflammation in men occurs in 70% of cases due to E. coli infection.In other situations, pathology is caused by enterobacteria such as pseudo -onad, klebsiella, proteus.Staphyso and Streptococci are more likely to be the reason.
From certain infections, acute prostatitis can gonorrhea naseria (Neisseria gonorrheae), trichomonas vaginalis trichomonas.
The predisposing factor is:
- Carry out various surgical intervention on a man's genitourinary organs.
- Narrowing of the urethra due to the chronic and acute inflammation process in the urethra.
- Diagnostic manipulation performance - cystoscopy, ureteroscopy, etc.
- Urinary tract infringement due to benign hyperplasia of the prostate gland.
- Activation of pathogenic microflora (enterobacterium) into pathogens under the influence of reduced immunity and other diseases of the body.
- Irregular sex life, leading to secret stagnation in the prostate gland.
Chronic inflammation
If chronic prostatitis appears as a continuation of the acute process, then the cause will be the same.In the event of this disease, the main predisposition factor is ::
- Mycobacteria tuberculosis.
- Clostria.
- Gonorrhea and Trichomonas (can cause chronic forms without acute periods).
- Salmonella.
- Different types of fungus.
In the mechanism of pathological emergence, an important role is played by phenomena such as intraprosthetic reflux - urine casting through the outlet into the prostate gland.As a result of this process, the infection can easily penetrate the organs, breed and cause inflammation.I strengthen the reflux:
- Phimosis (narrowing the fork);
- reduction of urethra lumen;
- Balanopostitis (inflammation of the fork);
- The construction of urethra with concrete for urolithiasis.
Reflux and irregular sex life improve the stagnant process in the prostate, leading to the active reproduction of microorganisms, strengthening and spread of inflammationAs a result, the area of fibrosis (replacing normal tissue with a solid non -function connector) and a form of prosthetic calculus.All of this improves the pathological process and leads to serious consequences.
Chronic prostatitis abacteria
Chronic pelvic pain syndrome (KTRB) is a synonym for the disease and occurs without the presence of any microorganisms in the release detected by standard microbiological methods.
There are several the theories of pathological appearance:
- contagious;
- chemical inflammation;
- Opposition.
Confirmation of infectious theory is that when the polymerase chain reaction (PCR) in glamar is facing, pathogenic DNA is lowered.However, other microbiological methods are not detected.
Basically, the following bacterial genetic materials are found with STB:
- Ureaplasma Ureplasma Urealyticum).
- Mycoplasma Hominis (Mycoplasma Hominis).
- Chlamydia Trahomatis (Chlamidia trachomatis).
- Trichomonade vaginalis (trichomonas vaginalis).
The theory of chemical inflammation describes CTB by intraprostatic reflux, but in this case, the cause is not bacteria, but the urine itself.Once in the prostate, it causes damage to the cellular structure and the inflammatory response.
According to immune theory, pathology arises as a result of the autoimmune process or the result of immune response to foreign antigens entering the organs.
In most cases, the cause of STB is not one, but their complex influence.
Factors that cause prostatitis without symptoms can be anyone who can cause the above category, the difference is only in the form of the disease.
Symptom
Acute inflammation of the prostate gland is characterized by the emergence of general and local symptoms.
In the first place it is called pain in the suprapubic region and in the throat, as well as the urinary tract until it is completely stopped.From the general symptoms of the patient, pain in the body, sweating, chills, fever, weakness.
Sometimes the pain syndrome occurs only during drainage or in a sitting position.In some unusual cases, fever is one sign of disease.
With significant prostate edema, the delay of acute urine occurs.This is due to the fact that the body sends the urethra and forms a mechanical barrier to the outflow of the bladder content with increased dimensions.At the same time, the general condition of the patient is getting worse: signs of increased intoxication with hours, and in cases of severe consciousness and coma may occur.
With the soon -out diagnosis, complications such as abscess (suppuration) of the prostate with the breakthrough of pus in the urethra or rectum may occur.As a result, a fistula is formed that requires surgical intervention and reconstructive operation.
Manifestations of inflammation of chronic bacterial prostate glands
The manifestation of the form of the disease is diverse and varies from the absence of complete symptoms to sharp process improvements.
In most cases, patients are concerned about various intensity pain in the perineum and rectum, which can spread to the scrotum, sacrum, penis and thighs.Sometimes the pain syndrome has a paroxysmal character, reminiscent of neuralgia.
There is also frequent discomfort in the urethra and urine.Sometimes the release from the urethra is determined.They are increasing during the day after walking, physical activity, drainage or massage of the prostate gland.
There is a feeling of severity, pressure, overflow in the rectum and perineum.These symptoms are increasing after a long seating position.The form of the disease is characterized by the emergence of inflammation in the urinary system caused by the same microflora - cystitis, urethritis, pyelonephritis.
Symptoms of abakteral prostatitis
CTB is characterized by clinical picture of prostate chronic bacterial inflammation.
Patients are concerned about pelvic and perineal pain for more than 3 months, while bacteriological examinations are negative.Different types of urinary disturbance are characteristic:
- frequent selection of urine;
- difficulty in urinating (lamb flow, requirements in additional endeavors);
- Pain for isolated urine.
Sometimes there is a violation of sexual function - a decrease in libido, impotence.There are usually common symptoms in the form of weakness, headache.
Treatment with medications
The basis of therapy is an antibiotic prescription.In the chronic process, medicines from the fluoroquinolon group are indicated.In acute prostatitis, beta-lactam antibiotics and aminoglycosides are prescribed.Treatment is carried out in 2 stages:
- Initially, empirical therapy is prescribed (before receiving the plant).To do this, use the third cephalosporin -Generation or fluoroquinolones.
- In the second stage, the treatment is performed according to the resulting bacterial data and the sensitivity of the antibacterial agent.
These groups of antibiotics are selected for the reason they penetrate the hematoprostatic obstruction and produce a high concentration of active ingredients in the prostate gland.This allows you to eliminate the focus of the infection.With abacterial prostatitis, antimicrobial therapy is also prescribed, which is required for 2 reasons:
- Antibiotics relieve the patient.
- There is a high probability of presence in prostate that is difficult to determine by the laboratory method of microorganisms in release.
The treatment regimen with antibiotics in chronic pelvic pain syndrome is as follows:
- Medicines from a bunch of fluoroquinolon or doxycycline for 2 weeks are prescribed.
- Repeated studies of the prostate gland secretion were conducted and with decreased symptoms, they continued to receive up to 4 weeks.
Treat patients with prostatitis without symptoms according to the following leads:
- infertility;
- prior to surgery on the prostate gland as prevention;
- when determining pathogenic microorganisms in release;
- With increased levels of antiprostatic antibodies in the blood and positive analysis of microbiological examination.
Another way
With prostatitis, drugs are prescribed from the Alpha-Blocker group.This product increases the maximum speed and average urine flow, reduces tone on the urethra wall and eliminates incomplete neck opening on the bladder when it clears.Thanks to this effect, the phenomenon is eliminated as:
- frequent and painful urine;
- decrease in flow;
- The need for additional efforts to remove urine.
Representatives of the characteristics are alfuzosin, tamsulosine and doxazin, they are very relevant in the form of chronic diseases.This medicine treatment course is at least 3 months.
Anti -non -ssteroidal drugs are prescribed as symptom therapy.They reduce the phenomenon of inflammation, edema, reduce pain.Use drugs like Diclofenac, Ibuprofen, Nimesulide and others.The duration of treatment with these medicines should not exceed 4 weeks.Taking these medicines is done strictly after eating, as they have an annoying effect on the abdominal wall.
In addition to tablets, local treatment is also used.For this purpose, the patient is prescribed such medications in candles as vitaprost, prostacle, urooprost, and others.They are also indicated by prostate adenomas.
Phytotherapy
In traditional medicine, dwarf palm extracts are widely used.The active ingredient reduces the phenomenon of inflammation, edema and has a vasoprotective effect (strengthening the blood vessel wall).
African plum skin has the same effect.
Natural origin has a prostacle -like drug.It is made from the prostate gland.It has an anti -inflammatory effect and reduces the phenomenon of prostate adenoma.
The recovery of the people
You can treat prostatitis using folk remedies.In the first place in terms of effectiveness - the use of oil seeds.You can buy this tool at a pharmacy.Receive for 1 tbsp.L. 3 times a day, treatment is 3-4 months.As a prevention of prostate disease, all men can be eaten by 30 pumpkin seeds before eating a day.They should be taken in raw form, because after frying the healing properties disappear.
For treatment, you can use pumpkin seeds provided according to the following recipe:
- 0.5 kg of peeled seeds crushed on a meat grinder or grinder.
- They add 200 g of honey to them and mix everything up to homogeneous mass.
- Ball shape 2-3 cm in size.
They are kept in the fridge, taking one piece 30 minutes before meals.The tool should be chewed for 2-3 minutes and absorbed, and does not swallow.The course of treatment is 6 months.
Healing effects with prostatitis have the absorption of leaves or boil hazel skin.To prepare the first product, you must take 1 tbsp.L. dried leaves and drinks in a glass of boiling water.You need to insist for 30 minutes and take 1/4 of the solution produced 4 times a day.To boil the skin, 1 tbsp.L. Grinding raw material pour 200 ml of water and cook in a water bath for 30 minutes.After that, the medicine should be cooled and taken 1/4 cup 4 times a day.
Therapeutic effects with prostatitis have 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 a shiny condition and squeeze the liquid from it through the gauze, folded 3-4 times.Receive for 1 tbsp.L. 3 times a day.
Treat prostatitis at home and herbal medicine.One of them is wormwood.It allows you to relieve inflammation and save your body from pathogens.It is taken in dry form in the first 3 days - every 2-3 hours it is absorbed in the mouth.The next four days reduce the number of techniques to 5. Every day at night, microcism is made from grass.
To do this, prepare the infusion: for 1 tbsp.L. It needs to take 1 liter of water.Boil the composition and let it cool to +40 degrees.After that, the solution must be filtered.It should make injections into the anus (100 ml), as well as in the urethra (50 ml).The procedure must be performed within a week.They are shown in the chronic process.During douching and microclemism, pus is possible - this is a common phenomenon that shows the effectiveness of treatment.
Conclusion
In combination with the main methods of treating diseases, physiotherapy, prostate massage and organ acupuncture are used.
Living with chronic prostatitis means to regularly undergo comprehensive examination and therapy, as there is a high probability of loss of reproductive function.