Chronic prostatitis

The long inflammation of the prostate gland, is periodically aggravated called chronic prostatitis.The continuous inflammation process directly affects prostate work.

Chronic prostatitis

Chronic prostatitis is the most common pathology in men, observed in almost 30% of stronger sex.It is accompanied by chronic pelvic pain syndrome - symptoms that are not associated with the presence of infection.It lasts for three months and longerSubject to prostatitis.In acute prostatitis risk groups, the following categories are included:

that brings irregular life, as well as practicing interrupted sexual relations as a way to prevent unwanted pregnanciesbladder.

  • Inactive lifestyle
  • Prostatitis kronik bakteria.
  • Prostatitis kronik bukanlah sifat bakteria. Ia disertai dengan sindrom sakit panggul kronik - gejala yang tidak dikaitkan dengan kehadiran jangkitan. Ia berlangsung selama tiga bulan dan lebih lama.
  • III A - Prostatitis kronik dengan kehadiran komponen keradangan (dalam rahsia prostat, jangkitan dan leukosit dijumpai).
  • III B - Prostatitis kronik dengan ketiadaan komponen keradangan (patogen dan leukosit dalam prostat tidak dijumpai).
  • Prostatitis kronik adalah tanpa gejala (kekurangan gejala di hadapan leukosit dalam rahsia prostat).

Risiko penyakit meningkat pada orang

Tidak semua lelaki tertakluk kepada prostatitis. Di kumpulan risiko prostatitis akut, kategori orang berikut dimasukkan:

Symptoms of prostatitis
  1. Yang membawa kehidupan intim yang tidak teratur, dan juga mengamalkan hubungan seksual yang terganggu sebagai cara untuk mencegah kehamilan yang tidak diingini.
  2. Bekerja di pejabat dan pemandu (gaya hidup yang tidak aktif menyebabkan genangan darah di lembangan).
  3. Yang memakai seluar yang ketat.
  4. Mempunyai alkohol dan ketergantungan nikotin.

Sebab

Prostatitis bakteria

  • Kecenderungan keturunan.
  • Hipotermia biasa.
  • Pantang panjang.
  • Kehancuran pundi kencing.
  • Gaya hidup yang tidak aktif.
  • Penyakit sistem genitourinary (urethritis, pyelonephritis, cystitis).
  • Penyakit Veneral: Chlamydia, Gonorrhea, Trichomoniasis.

Gerakan vena di pelvis, yang diprovokasi oleh cara hidup yang tidak aktif.

  • Blood stagnation in the veins, provoked by an inactive lifestyle.
  • Wearing narrow pants, underwear or shorts.Sex Increases blood circulation in prostate veinsThe morning voluntary voluntary transaction disappears, or is completely absent.With symptom -free pathology, in addition to standard examination or patient review, the use of additional research methods: laboratory and instrumental.It is necessary to determine the condition of the patient's immune system and nerves.If in the fourth sample of the urine or the secret of the white blood cell indicator in the pz above 10, the chronic inflammation of the gland is confirmed.If bacteria are not sown with increased leukocytes, the substance is examined for the presence of pit pathogens in it (sexually transmitted disease).
  • Fenomena bertakung yang disebabkan oleh perakian perineum yang berterusan.
  • Kehidupan seks yang tidak teratur. Hubungan seks meningkatkan peredaran darah dalam urat prostat.
  • Alkohol, nikotin, ketagihan dadah.
  • Gaya hidup yang tidak aktif.

Gejala

manifestation of prostatitis
  • Aliran air kencing yang lemah, ketidakselesaan semasa kencing.
  • Perasaan tidak kosong.
  • Sakit berkala yang tajam.
  • Sindrom yang menyakitkan di bahagian bawah rongga perut.
  • Sakit di perineum, memancar dalam skrotum.
  • Penurunan libido, ereksi lemah, ejakulasi pesat. Urus sukarela pagi secara berkala hilang, atau tidak hadir sepenuhnya.
  • Selepas keintiman, sakit sakit di kepala zakar mungkin muncul, yang berlalu selepas kira -kira setengah jam.

Diagnostik

Dengan kehadiran gejala, mendiagnosis prostatitis kronik tidak akan sukar. Dengan patologi tanpa gejala, sebagai tambahan kepada pemeriksaan standard atau tinjauan pesakit, penggunaan kaedah penyelidikan tambahan: makmal dan instrumental. Adalah perlu untuk menentukan keadaan sistem imun dan saraf pesakit.

Soal selidik dan soal selidik membolehkan anda mendapatkan maklumat lengkap tentang kesihatan pesakit, intensiti kesakitan, kencing, ejakulasi, ereksi dan mood psycho -emotional.

Diagnosis of prostatitis

Diagnostik Makmal

Kaedah diagnostik makmal membolehkan anda menentukan prostatitis kronik alam: bakteria atau abakteria, serta yang paling tepat mungkin untuk menubuhkan jenis patogen. Jika dalam sampel keempat air kencing atau rahsia prostat penunjuk sel darah putih di PZ di atas 10, keradangan kronik kelenjar disahkan. Sekiranya bakteria tidak disemai dengan leukosit yang meningkat, bahan tersebut diperiksa untuk kehadiran patogen pit di dalamnya (penyakit yang disebarkan secara seksual).

  • Smear from the urethra is examined in the laboratory for leukocytes, fungi, viruses or bacterial flora.The number of leukocytes, amyloids, macrophages and cowers-lawn are calculated.In addition, immunological and bacteriological studies were conducted, with the help of non -specific antibodies.If the level exceeds 4.0 ng/ml, then the patient is prescribed prostate biopsy to confirm or exclude the presence of malignant tumors in the gland.
  • Diagnosis is based on the results of the study.Ultrasound helps to exclude other diseases, controls the effectiveness of the therapy used, determines the prostate dimensions, organ echo structures, as well as density and uniformity of seed bubbles.Myography and study of pelvic floor muscles help identify neurogenic disorders that often accompany chronic prostatitis.
  • CT, tomography and MRI are used to install differential diagnoses, in particular, prostate oncology.This method will help identify pathology in the pelvic organs or spinal columns.In treatment, penicillin, fluoroquinol, cephalosporins, tetracycline, macrolides are used.They affect pathogenic microorganisms, accumulating in tissues.Taking antibiotics allow you to reduce inflammation, eliminating the leading cause of bacterial form - infection.Antibiotics are produced in the form of tablets, candles or injections. 

Diagnosis dibuat berdasarkan hasil kajian.

Diagnostik instrumental

Ultrasound

Torus kelenjar membolehkan anda mengenal pasti bentuk dan tahap patologi. Ultrasound membantu mengecualikan penyakit lain, mengawal keberkesanan terapi yang digunakan, menentukan dimensi prostat, struktur echo organ, serta kepadatan dan keseragaman gelembung benih. Miografi dan kajian urodinamik otot lantai pelvis membantu mengenal pasti gangguan neurogenik yang sering menemani prostatitis kronik.

CT, tomografi dan MRI digunakan untuk memasang diagnosis pembezaan, khususnya, onkologi prostat. Kaedah ini akan membantu mengenal pasti patologi dalam organ panggul atau lajur tulang belakang.

Rawatan prostatitis kronik

Ubat

  1. Ubat antibakteria. Dalam rawatan, penisilin, fluoroquinol, cephalosporins, tetracycline, makrolida digunakan. Mereka mempengaruhi mikroorganisma patogen, terkumpul dalam tisu. Mengambil antibiotik membolehkan anda mengurangkan keradangan, menghapuskan penyebab utama bentuk bakteria - jangkitan. Antibiotik dihasilkan dalam bentuk tablet, lilin atau suntikan. 
  2. Anti -Non -steroidal drugs.Means used in the early stages of the disease.The main components of the drug: diclofenac, ketoprofen.Smooth pain and eliminating inflammation.Most are produced in the form of rectal candles. 
  3. Antispasmodics.The analogy of these medicines is muscle relaxants.The active component is baclofen.It acts on smooth muscles, resulting in pain and cramps being eliminated. 
  4. Alpha-blockers.The effects of medicine allow you to eliminate pain and relieve cramps.Components, acting on nerve cells and blood vessels, relieves pain.Restored blood circulation nourishes the organ with the necessary ingredients. 

This is the first group of most effective drugs.Also, with prostatitis, experts prescribe the following drugs:

treatment
  1. anesthetic drugs.Usually prostatitis is accompanied by control during urination and severe pain.It is recommended to use microclysters that directly affect iron.Prostatitis can trigger the function of the hormone system. 
  2. Anticolinergic drugs.Normalizing urine, improves potential and restores blood circulation.
  3. Biological regulator.The expansion of the beef prostate is a major component of the drug.They help relieve swelling, reduce inflammation.
  4. Pengawal selia biologi. Ekspans dari prostat lembu adalah komponen utama ubat -ubatan. Mereka membantu melegakan bengkak, mengurangkan keradangan.
  5. Immunomodulators.The main cause of prostatitis is the decline in immunity.Therefore, drugs that stimulate immunity are used in therapy.The disease causes problems with potential and stance.Symptoms are reflected in the state of male psycho.The soothing product restores the nervous system.Such medicines must be prescribed for men with daily stress. In some cases, tranquilizers are set, which can be purchased only with recipes.The dose and duration of admission are prohibited.
  6. Antihistamines.Remove the gland report.Contains narcotics, so free intake is prohibited.
  7. People's recovery
The recovery of the people

Pumpkin seeds.The raw pumpkin seeds are cleaned from the husk.They use 20 pieces before eating three times a day, for three to four months.

  1. Camomile tea.It is recommended to prepare daily in sufficient amounts for daily use.Add 30 g of chamomile dish and pour it with boiling water (200 ml).After insisting for half an hour, strain, carefully squeezing the flowers.Divide the infusion into equal parts and drinks daily.This 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 aloe and honey -chopped wine.Give it in the refrigerator for a week.Drink tincture on teaspoon before meals.
  2. Western infusion.For half a glass of boiled water, take a drop of juice.Drink the solution in the morning after breakfast.Increase daily dose with one fall.The maximum dose is 30 points.Then reduce the dose with one fall daily.At the end of the course, a two -week break was taken, after which the drug could be taken back.
  3. Parsley Juice.To treat chronic prostate, stems and fine parsley leaves collapse or grind in mortar.Put the mass on the gauze and dial the formed juice.Take the medicine before eating, it is best in 30 minutes.The dose of the juice for acceptance is one or two tablespoons.Frequency of receipt three times a day.
  4. Jus Parsley. Untuk merawat prostat kronik, batang dan daun pasli halus runtuh atau mengisar dalam mortar. Letakkan jisim pada kasa dan dailkan jus yang terbentuk. Ambil ubat sebelum makan, sebaik -baiknya dalam 30 minit. Dos jus untuk penerimaan adalah satu atau dua sudu. Kekerapan penerimaan tiga kali sehari.
  5. Propolis.Tincture from propolis for alcohol is taken for chronic prostatitis for six months.Grate a piece of propolis on a fine grater 100 g.The crushed mass poured 200 ml of pure medicine alcohol.Put the solution in a glass container and store for at least 10 days in a dark place, shaking every three days.Tincture tension.

Candles made of propolis reduce inflammation in the gland, relieve pain and restore all organ cells.Freeze 7 grams of propolis and shake fine.Melt one hundred grams of goat fat and connect it with propolis.From the cooled mixture, make candles, 1.5 - 2 cm long.

diet

Diet

During chronic prostatitis, you cannot fall into extremes and exclude any product.Food should be full, so that a man can receive all the vitamins, minerals and useful ingredients and trace elements.Restrictions in nutrition can lead to the fact that iron will not accept the important elements needed for quality work.Diets of patients with chronic prostatitis should consist of products that are easily absorbed so that the body does not spend much effort for digestion.Teams are needed for the body to fight the pathology.They do not recommend practicing starvation without agreeing to a specialist.Food rejection will lead to a breakdown of power, which is unacceptable to patients suffering from chronic forms of prostatitis.It is recommended to conduct fasting days.Improper nutrition can interfere with the prostate gland, so daily diet adjustments are included in the therapy course.

Surgical treatment

operation

Endoscopic intervention is a modern surgical treatment method, where invasive intervention is minimized.Patient recovery occurs faster.It is shown when blocking output and seed tract, tubercle seed sclerosis.This operation is shown in the diagnosis of prostate sclerosis and seed bubbles, the presence of calcinates in the gland, adenoma.If during the secret operation, serous-asli and viscous, then the gland is completely removed with electrical cuts, which handles blood vessels and the installation of cystostoma trocar.With the disadvantages of pathology, surgery is strictly contraindicated.This procedure is performed by a track or transprectal method, when heated through the rectum or urethra.Thermal exposure increases local arterial and capillary blood flow, increases the number of active capillaries, improves body protection properties, stimulates lymph flow and as much harmful particle output as possible, and optimizes local metabolismFlat -rata, five to seven procedures are enough.Act on the organs through the skin or transprectal.Promotes rapid recovery and stops symptoms.Used to eliminate symptoms of prostatitis.This procedure is performed by experts using antiseptic and aseptic to eliminate infections entering the organs.It can cause acute delays in the urine and the spread of inflammation (up to sepsis) if hyperplastic changes are observed in the organs.Massage is contraindicated with blood stagnation specified in the presence of stones and cysts in the prostate.The best way to get rid of prostate from unstable secretion is natural ejaculation.

  1. Thermotherapy - Menggunakan peralatan tertentu, melakukan pemanasan seragam terkawal kelenjar lelaki dan uretra. Prosedur ini dijalankan oleh kaedah trek atau transrektal, apabila dipanaskan melalui rektum atau uretra. Pendedahan terma meningkatkan aliran darah arteri dan kapilari tempatan, meningkatkan bilangan kapilari aktif yang aktif, meningkatkan sifat pelindung badan, merangsang aliran limfa dan output zarah berbahaya sebanyak mungkin, dan mengoptimumkan metabolisme tempatan.
  2. Terapi Laser - Kursus rawatan ditentukan secara individu, bergantung kepada bentuk dan tahap patologi. Rata -rata, lima hingga tujuh prosedur sudah cukup. Bertindak pada organ melalui kulit atau transrektal. Menggalakkan pemulihan cepat dan menghentikan gejala.
  3. Ablation jarum adalah klinik pesakit luar. Digunakan untuk menghapuskan gejala prostatitis.
Other methods

Kaedah rawatan lain

  1. Urut prostat - membantu menyembuhkan dan mencegah perkembangan penyakit ini. Prosedur ini dilakukan oleh pakar menggunakan antiseptik dan aseptik untuk menghapuskan jangkitan memasuki organ. Ia boleh menyebabkan kelewatan akut dalam air kencing dan penyebaran keradangan (sehingga sepsis) jika perubahan hiperplastik diperhatikan dalam organ. Urut dikontraindikasikan dengan genangan darah yang dinyatakan dalam urat kehadiran batu dan sista dalam prostat. Cara terbaik untuk menghilangkan prostat dari rembesan yang tidak stabil adalah ejakulasi semulajadi.
  2. Gymnastics for the bladder - when weakening the bladder muscle and its sphincter, urine incontinence is observed.Special training is effective in eliminating these symptoms.
  3. Instillation - Drugs are poured behind the urethra.To create a painless procedure, local anesthesia is performed.Experts determine the number of sessions individually.It can lead to the development of complications.Therefore, you need to undergo regular prosecutor examinations with urologists.

Protect pelvic areas from hypothermia and injury.It is necessary to observe the steps that are easy to reduce the risk of pathology.

Prevention of prostatitis

  • Tahap kronik selalu menjadi akibat dari terlambat yang didiagnosis, dirawat secara tidak betul atau tidak dirawat prostatitis akut. Oleh itu, anda perlu menjalani pemeriksaan pendakwa secara berkala dengan ahli urologi.
  • Lindungi kawasan panggul dari hipotermia dan kecederaan.
  • Menghilangkan tabiat buruk.
  • Memimpin gaya hidup aktif.
  • Elakkan situasi tekanan.

Mana -mana lelaki boleh mengembangkan prostatitis kronik. Adalah perlu untuk memerhatikan langkah -langkah pencegahan yang mudah untuk mengurangkan risiko patologi.