Prostatitis is a pathology that progresses as an infectious and inflammatory process in the prostate gland (prostate), affecting its glandular and connective tissues.
The thorough treatment of prostatitis was involved in the 19th century when there was a tendency to increase this disease.The disease is purely male, since the iron of the prostate is an organ found in the body of men.Agencies of the age of forty and older years suffer from this disease, but medical statistics claim that in recent years the disease is significantly "younger": among the 25-28-year-old men, prostatitis is detected in 30% of cases.
However, the particularity of the diagnosis and the likelihood of hidden the course of the disease suggests that this number is much higher.Only a quarter of men 22-50 years have medical examinations, including a urologist who diagnoses prostatitis in 15% of cases from this amount.
What is it?
Simply put, prostatitis is an inflammation of the prostate gland, called prostate.Prostate iron is a secondary part of the male reproductive organs.It is located below the bladder around his neck.The fact is that the urethra passes through the prostate, that is, the prostate is around the urine tube.Just as a result, with an increase in prostate, the urine channel is compressed, which interferes with the urine.
What is the patron?
The prostate gland is the main organ of the male reproductive system.It is located in the place where the urethra and pipes throwing the seeds converge.Its functions:
- Development of prostaglandons, substances that help increase blood supply to the penis, which ensures erection.
- Participation in the development of testosterone along with the tests.
- Developing a secret to sperm liquefaction and ensuring sperm survival.
- Participation in the seed launch and the formation of orgasm.
- The obstacle to the urine entry into the seed liquid.
The position of the prostate makes it vulnerable to penetrate the pathogens from the urethra, the bladder and the deeper of the conductors.A large number of blood, lymph nodes penetrating the prostate can cause stagnation and swelling.And many nerve endings are the cause of the pain in the presence of inflammation.
Classification
Prostatitis in men has two forms:
- Acute.Symptoms of deterioration of prostatitis will occur in severe inflammation of the organ.The temperature for prostatitis in men in acute form increases significantly (up to 39 ° C).The processes of urination and abstraction cause severe pain.
- Chronic.The manifestations of the disease are not intense nature.The temperature can sometimes grow slightly, a human, from time to time, experiences urination.
The types of prostatitis in men are divided into two groups - bacterial and non -bacterial.
Sorting prostatitis:
- Bacterial.It results from the penetration of several varieties of microorganisms, streptococci, E. coli, staphylococci and prostate.Another possible reason is the complication after infectious diseases of the genital sphere - gonorrhea, chlamydia, trichomonal, mycoplasty.
- Sclerotic.This is due to the death of the organs cells and their replacement with sclerotic tissue.The reason is constipation, treatment with some drugs, frequent infections.It is impossible to treat this kind of prostatitis due to the lack of positive results.
- Prostatopotic.In this type of prostatitis, the symptoms are characterized by continuous pain in the pelvis.His reasons were not fully studied.Most likely are called perineum muscle injury, the reverse ending of the secret.
- Congestive.The most common variety.It is caused by stagnant procedures due to ceiling interruption, prolonged rejection of close contacts, sexual excesses.
- Calculation.It is characterized by the presence of stones in the prostate and the conductors.The manifestation may consist of acute pain in the urethra.
- Atypical.Pain syndrome occurs on the lower back, the legs, which is not a common manifestation of the disease.The success of treatment depends on the pathology stage, the presence of complications.
Causes
Prostatitis has many species determined by the causes of the disease.
The main factors that cause the appearance of prostatitis are as follows:
- Stagnant procedures.They occur with obesity, a sedentary lifestyle, since the microcirculation of blood in the pelvic organs is disturbed.As a result, the required amount of oxygen and nutrients does not reach the prostate.
- Injuries.Due to the mechanical damage to the tissues and organs of the pelvis (OMT), stagnation can occur, causing the inflammatory process.Such cases are often found in trucks due to a professional activity associated with a long -term sitting position and a steady injury to the chair hit by OMT.
- Infections.The bacteria fall into the prostate gland in various ways and ways.Young men who have sexual intercourse without contraception (condom) have a high risk of illness due to the penetration of pathogenic microorganisms (chlamydia, mycoplasmism, etc.).In addition, the onset of prostatitis occurs as a result of any inner chronic diseases.The malicious bacteria reach the prostate gland with the flow of lymph nodes or blood.Pathological microorganisms can also "go down" to the Urtra prostate.The disease is then caused by the diseases of the urinary tract (urethritis, pyelonephritis) with weakened immunity.
Urologists are sure that prostatitis is not a lifelong diagnosis.If the treatment did not work quickly, then man should not give up and think if he has fully complied with all the requirements.Only the common actions and efforts of the physician and the patient, with confidence in the success of treatment, will help people feel healthy and therefore complete.
The first signs
In men, the first signs of prostatitis and treatment are due to deterioration of blood circulation in the prostate due to inflammation or spasm of blood vessels.The result is the lack of oxygen, the slowdown in metabolic processes and the formation of decomposition products that irritate the nerve endings of the bladder, penis, testicles and rectum.
The first symptoms can occur in this way:
- A stream of urine loses pressure.
- Intermittent urination;
- Pain in urination.
- The feeling that the evacuation is not completely.
- Frequent impulses for urination at night.
Prostatitis symptoms
The symptoms of prostatitis, which are mainly man usually draws as follows:
- At the beginning of the disease, when the prostate just begins to increase in volume, only presses the ureter slightly, which surrounds as a ring on the finger.Thus, one of the first symptoms of prostatitis will be considered a slight narrowing of the ureter and, consequently, some obstruction of urine transit is difficult to urinate.
- The problem that arises from this is rapid urination.First of all, this event does not cause concern, a man who has never woven up at night can withstand to empty the bladder once or twice a night and write it in an extra cup of tea at dinner.However, over time, breaks between urination will be significantly reduced.
- The presence of pain in the lower abdomen is also one of the first symptoms of prostatitis.They can be different in the feeling: pulling, pressing, exploding, usually bothering at the end of the day or after any power loads.
- Small erection disorders and premature ejaculation, of course, cause both man and his partner to some anxiety, but this is often attributed to fatigue and pressures.
Symptoms of bacterial prostatitis
The clinical picture of the symptoms of bacterial prostatitis depends on the form of the disease (acute or chronic), the phases of the lesson (deterioration or recession) and consists of various syndromes.
With acute bacterial prostatitis (worsening chronic bacterial prostatitis), man has the following symptoms:
- General inflammatory syndrome (a severe increase in body temperature, weakness, ribs, pain in the body).
- Local inflammatory syndrome (pain in the lower abdomen, crotch, Supralob area, intensified during intercourse, with prolonged abstinence, after defecation)
- Violations of violations by the genital sphere (painful, sluggish or intermittent urination, erection violation, ejaculation);
- Laboratory symptoms (changes in urine analysis, prostate secretion, seed fluid, and inflammatory displacements in the general examination of clinical blood);
In chronic bacterial prostatitis: More symptoms of frenzy are presented.From the deterioration, the symptoms are often not expressed, erased, small.In such cases, top complaints affect urination disorders, serious changes in erection, weakening sexual movement, violations of ejaculation (premature or prisoner), the emotional smoothness of his orgasm,
Symptoms of chronic prostatitis
Unlike acute form, the chronic form of prostatitis in men has an asymptomatic course and progresses latent (that is, without strong characteristics).The clinical picture is often deleted, with mild symptoms, patients do not pay proper discovery of proper attention and do not consider the need to seek medical attention, confuse the symptoms of prostatitis with prostate adenoma, which is extremely dangerous.The principles for the treatment of these diseases are completely different, as well as the possible complications with unwanted consequences.
The chronic form of prostate inflammation is expressed in mild pain in the perineum, pubic region and groin, passing by quickly.As a rule, the duration of sexual intercourse changes, both towards elongation and vice versa and brightness of sexual senses.The rejections appear from the urethra, especially in the morning, or the white flakes are visible in the urine with the naked eye.
Since the inflammatory process leads to the fact that the urethral lumen is limited, urine disorders occur, which men should pay attention to the first of all: urine current becomes weak, there can be urination in droplets or difficult at first or at the end.Many patients have a feeling of poor bladder evacuation or uncontrolled urine leakage.
The inflammatory process affects nerve endings irritating, leading to rapid urination, especially at night, as a rule, to small portions.All of these symptoms are certainly talking about the development of the pathological process and require immediate to see a doctor.
Diseases in which similar symptoms
Diseases that have similar symptoms to prostatitis can be differentiated from a series of differences between them:
- Urethritis is an inflammation of the urethra.With its development, it is extremely rare in men to increase body temperature.Pain syndrome is found in the genitals.If pain in the lower abdomen is observed, then the patient is suspected of cystitis.
- Epidymitis and orchitis are characterized by testicular damage and appendix.Due to the pathology, a man has a clear swelling of the scrotum and his redness.In contact with this, the skin of the skin becomes noticeable.During her touched testicles, the patient feels severe pain.
- Pyelonephritis is accompanied by pain in the lower back area and reduced urination.In a patient with such a disease, there is an increase in total body temperature.Blood loss is not excluded during urination.
- Cystitis is often confused with urethritis.Often these two pathological processes develop parallel to each other.In the event of illness, man must constantly visit the toilet.At the end of the urination process, a pair of blood drops can be released.
Chronic prostatitis can be confused with prostate adenoma or malignant tumor in this organ.In the latter case, the patient will have significant blood loss during urination and a remarkable deterioration in the general state of health.
Diagnosis
Prostatitis in men is mainly diagnosed on the basis of the analysis of patient complaints.With the help of a special complex questionnaire, the doctor is clarified and the symptoms of the disease are clarified and studied.
The following are diagnostic measures:
- Study of the synthesis of the prostate secret (if there is no acute form of the disease: it is impossible to carry out the procedure due to severe pain).
- Pulse rectal examination.
- Ultrasound examination of the prostate to confirm the suspicions of prostatitis and the shaping of precise diagnosis.
- Biopsy?
- tomography (computer/magnetic nuclear) of a small basin-if necessary;
- Cystoscopy.
- Urography.
In addition, men go through some general tests that can clarify the image of the disease:
- Urophometer?
- A sample of urine, measured by three glasses.
- Research on Mears & Stamey, measured with two glasses of urine (the first section excludes urethral infection (infection, infection), the second - the absence/presence of the inflammatory process in the kidneys, the bladder).
- Urine sample to determine its residual volume, prostate ultrasound.
- Clinical urine analysis.
- The average part of the urine for microbiological research.
Diagnosis requires diversification of prostatitis with cystitis, urethritis, prostate adenomas, prostate cancer.
What is the risk of prostatitis?
The consequences depend on age, immune system, the presence of bad habits.Thus, in the people of an age group, with weakened immunity, with alcoholism, drug addiction and immunodeficiency syndrome, the consequences of the disease are more difficult.
- The effect of prostatitis on the strength of damaged iron, with disapproval of functional activity, reduces the production of substances involved in the formation of the construction of a human genital.The consequence of prostatitis is a sluggish emission of liquid seed during contact, decrease in the fullness of the senses during intercourse, in advanced forms of erectile dysfunction.
- The effect of prostatitis on conception.The damaged prostate strongly reduces the activity of producing a secret quality necessary to maintain the activity of sperm in a woman's birth channel.The secret of the inflammatory prostate, entry into sexual intercourse on a woman's family paths reacts with the immune rejection of the female body, the development of gynecological diseases and the inability to conceive.
- Prostatitis causes damage to the gland and the body.Inflammation complicated by the microflora increases the risk of prostate abscess.Removal - natural melting part of the gland's parenchyma by forming a capsule around the fireplace.The disease with the formation of mineralized computers in the cavity - the consequence of the prostate complicated by the prostate who has been damaged by the reflux.The consequence of prostatitis is also: acute ishuria, urolithiasis, renal failure, inflammation of genitals and other diseases.
Bacterial prostatitis treatment
Treatment of bacterial prostatitis is one of the most difficult tasks of modern urology.Despite the achievements of diagnosis and early detection of the disease, only 30% of cases can be achieved.In most cases, the aim of the constant long -term recession is sought.
The modern treatment of bacterial prostatitis consists of various drug blocks:
- Antibacterial therapy for 4-6 weeks.Selection medicines are fluoroquinolones.Reserves antibiotics - protected penicillins, macrolides.
- Relocation of pain syndrome.It is achieved by the use of non -hybian anti -inflammatory drugs in the form of candles (preferably) or tablets.
- With a combination of anxiety and pain, it is recommended to use antidepressant selective inhibition of the reverse conception of serotonin.
- Urinary disorders.Alfa-1-Adreno blocks are used.Reserve preparations are 5-alfa reduction inhibitors.
Local treatment for infectious prostatitis is limited due to the risk of complications (sepsis).The microcosms are used with chamomile solutions, calendula.
Acute treatment of prostatitis
In the treatment of acute prostatitis, it is important that systemic antibacterial therapy is significant.Most of the time, the treating physician determines the patient to take certain medicines.In the event of a prostatitis as a consequence of sexually transmitted diseases, treatment also includes other medicines.
The treatment continues according to the severity of the disease.Can last from two days in seven days.After the main course, the doctor provides a course of treatment support for the patient.
In the treatment process of treatment, it is important to observe a mild status, preferably bed.There must be sufficient hydration, including at least eight glass of water each day.The patient can get analgesic, antipyretic results.Perhaps periodic use for the treatment of seating bath prostatitis.In acute bacterial prostatitis, after sufficient treatment, the patient is fully recovered.The manifestation of complications is rarely possible: sometimes, due to the prostatitis of acute form, a human can develop a prostate's abscess or syringes.
Treatment chronic prostatitis
Treatment of chronic prostatitis should be complex, including etotropic therapy, physiotherapy, immunity correction:
- Antibiotic therapy.The patient has been prescribed long-term antibacterial courses (within 4-8 weeks).The choice of type and dosage of antibacterial drugs, as well as the determination of the course of the treatment is performed individually.The drug is selected based on the sensitivity of the microflora based on the effects of urine sowing and the secret of the prostate.
- Physiotherapy.To improve blood circulation, exposure to laser, ultrasonic waves and electromagnetic vibrations are used.If it is impossible to carry out physiotherapeutic procedures, the patient has prescribed hot pharmaceuticals.
- Prostate massage.The gland massage has an overall effect on the affected organ.During the massage, the inflammatory secret that accumulates in the prostate gland is pressed on the conductors, then enters the urethra and removes from the body.The process improves blood circulation to the prostate, which allows for the minimization of stagnation and provides the better penetration of antibacterial drugs into the tissue of the affected organ.
In years, long -term inflammation, an immune consultation is indicated for the choice of regular immunosuppressive treatment.The patient receives recommendations for a lifestyle change.The introduction of certain changes in the lifestyle of a patient with chronic prostatitis is both therapeutic and preventive measure.The patient is recommended to normalize sleep and awakening, create a diet and conduct moderate physical activity.
Folk remedies
There are many home recipes that help fight prostatitis.
Here are some of them:
- Vaccines have an anti -inflammatory effect.Eating 200 grams of this berry per day, you will support the health of your men.
- The parsley, first of all, became famous as a cooking spice.But in addition, it also contains many beneficial substances, including those that the male body needs.Get parsley juice for 1 tablespoon.large.3 times a day 30 minutes before meals.This will help relieve inflammation and create sex life.
- Five hundred grams of peeled raw pumpkin seeds, move through a meat grinder and mix with 200 grams of honey.Make small balls from the resulting mass.Eat before you eat 2 times a day, slowly, chewing carefully.Pumpkin seeds contain a large amount of zinc, which is essential for men's health.
- Take the green chestnut peel with spikes, chop and pour boiling water.Consume in the form of a tea.
- Rub three hundred grams of onions in a brief consistency, add 100 grams of honey, 600 ml of dry wine.Keep 1 week in a dark and cool place, mix periodically.Intensity.Use 2 tablespoons.large.3 times a day before meals.Effective in treating chronic prostatitis.
Some physical exercises will help accelerate recovery.They emphasize blood circulation in the pelvic area and, consequently, to the prostate.
- Deep occupations below the knee level.The optimal number of times is 100. Run 3 times a week.If this number has not been done so far, perform occupations in various approaches with breaks.
- Shears.Sit on the floor, rest your hands on the floor behind you.Stretch your feet in front of you, break them from the floor.Cross them together.The movements look like the work of the scissors.
- Lying on your back, bend your feet on your knees, bring it to your chest.Grab them with your hands.Keep the attitude for up to 20 minutes.
- Normal walking also eliminates stagnation perfectly.
You can complete this complex with other exercises that activate and warm the muscles.
Prevention
Prevention of home prostatitis includes the following recommendations:
- Weightlifting is prohibited, especially if a person has weak physical activity.
- A contrast shower improves well.Can be taken in front of the coatus.
- In the diet, you need to include more raw fruits, vegetables, berries.Pumpkin seeds, garlic, honey, plums, parsley, nuts are useful.
- It is necessary to exclude mayonnaise, ketchup, salt and marinades from the menu.
- The amount of alcohol consumed should be reduced to a minimum.
- To improve the health of the prostate gland, smoking must be ruled out.It is because of this that small oxygen enters its tissue, which is why the signs of prostatitis, impotence occur.
- You have to fight the receptor.To do this, you need to move more, participate in physical culture.
- It is necessary to deal with stress, minimize the effect of negative emotions.
- Hypothermia should be avoided.In the car you have to equip a heated seat.
- It is recommended to perform exercises to prevent stagnant phenomena in the pelvis.
- To increase power, you need to create sex life.Male health is very harmful to switch sexual intercourse.Long -term sexual abstinence is not allowed.
Properly established physical and sexual activity, compliance with all doctor's recommendations helps get rid of prostatitis.Prostatitis is dangerous because it is able to cause persistent disorders of sexual function and infertility.