Prostate inflammation, or prostatitis, can occur acute and chronicly.Most of the time, damage to the organ causes a specific or non -specific infection, sometimes pathological changes develop due to congestion phenomena in the pelvis.The main symptoms are urination disorders and a decrease in power.Treatment should be complex and include the use of medicines 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 various severe complications of the urinary and genital area.
Within the flow of prostatitis is acute and chronic.The latter can occur independently (this happens more often) or is a consequence of an unconscious process not treated.
Classify the inflammation of the prostate as follows:
- The first category, or acute bacterial prostatitis.
- The second is chronic bacterial inflammation.
- The third chronic abacterial prostatitis (chronic pelvic pain syndrome).It is divided into 3rd - inflammatory and 3V - no - inflammatory.
- The room 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, as patients' main complaint is pain for at least 3 months.In the study of high (ejaculate, urine, the secret of the gland after its massage), pathological microflora is not detected.In the case of an increase in the number of leukocytes in these analyzes, inflammatory prostatitis (category 3A) is established, with its normal - non -inflammatory content.
Most men identify one of the above categories as patients seek help due to the presence of certain symptoms of pathology.
Recently, doctors identified the fourth subtype of the disease - asymptomatic prostatitis.It is diagnosed by accident on a medical examination or when a man undergoes an examination to other diseases of the genitourinary system.The danger thus is the fact that pathological changes in the prostate gland are available, but the disease does not provide subjective signs.This condition usually leads to the development of infertility.
Why is it burning in the urethra in men
Reasons
Acute inflammation of the prostate in men occurs in 70% of cases due to E. coli infection.In other situations, pathology is caused by enterobacteria such as pseudo -monad, klebsiella, proteus.Staphyso and streptococci are much less likely to be the reason.
Of specific infections, acute prostatitis may be gonorrhea naseria (neisseria gonorrheae), Trichomonas vaginalis trichomonas.
The predisposing factors are:
- Conducting various surgical interventions in a man's genitourinary organs.
- Narrowing of urethra as a result of chronic and acute inflammatory processes in the urethra.
- Performance of diagnostic manipulations - cystoscopy, ureteroscopy, etc.
- Violation of urination as a result of benign prostate gland hyperplasia.
- Activation of conditionally pathogenic microflora (enterobacterium) in pathogenic under the influence of reduced immunity and other body diseases.
- Not regular 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, your cause will be the same.In the case of this form of disease, the main predisposing factors become ::
- Micobacteria of tuberculosis.
- Costria.
- Gonorrhea and trichomonas (can immediately cause a chronic shape without an acute period).
- Salmonella.
- Various types of fungi.
In the mechanism of the emergence of pathology, an important role is played by a phenomenon as an introsthetic reflux - urine cast through the output ducts in the prostate gland.As a result of this process, the infection can easily penetrate the organ, multiply and cause inflammation.I reflux amplified:
- phimosis (narrowing of the foreskin);
- Lumen reduction of the urethra;
- Balanoposthitis (inflammation of the foreskin);
- Construction of the urethra with concrete for urolithiasis.
Reflux and irregular sex life increase prostate stagnant processes, which leads to active reproduction of microorganisms, strengthening and spreading inflammationAs a result, the areas of fibrosis (replacing normal tissue with non -functional dense connectors) and the form of prosthetic calculations.All of this increases the pathological process and leads to serious consequences.
Chronic prostatitis ABACTERIAN
Chronic pelvic pain syndrome (KTRB) is synonymous for this disease and occurs without the presence of any microorganisms in the standard microbiological methods.
There are several theories of the appearance of pathology:
- infectious;
- Chemical inflammation;
- immune.
The confirmation of infectious theory is that by conducting a polymerase chain reaction (PCR) in the glamor of confrontation, the DNA of the pathogens 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).
- Trichomonada vaginalis (Trichomonas vaginalis).
The theory of chemical inflammation explains the 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 cellular structures and an inflammatory reaction.
According to immune theory, pathology emerges as a consequence of autoimmune processes or as a result of an immunity response to an alien antigen entering the organ.
In most cases, the cause of STB is not one, but its complex influence.
The provocative factor of asymptomatic prostatitis can be anyone who can cause the above categories, the difference only resides during this disease form.
Symptoms
Acute bacterial inflammation of the prostate gland is characterized by the appearance of general and local symptoms.
Firstly, there is pronounced pain in the suprapubic region and groin, as well as a violation of urination until it is completely interrupted.Of the general symptoms of patients, body aches, sweating, chills, fever, weakness.
Sometimes pain syndrome occurs only during defecation or in a sitting position.In some atypical cases, fever is the only sign of the disease.
With a pronounced pronounced edema, an acute delay of urine occurs.This is due to the fact that the body transmits the urethra and forms a mechanical obstacle to the output of the bladder content with its increased dimensions.At the same time, the patient's general condition is significantly worse: signs of intoxication increase every hour and, in severe cases, a violation of consciousness and even a coma may occur.
With premature diagnosis, complications such as abscess (suppression) of the prostate may occur with an additional pus advance in the urethra or rectum.As a result, fistulas are formed that require surgical intervention and reconstructive operations.
Manifestations of chronic bacterial inflammation of the prostate gland
The manifestations of this form of the disease are diverse and vary from the complete absence of symptoms to a clear exacerbation of the process.
In most cases, patients are concerned with various perineum and rectum pain, which can spread to the scrotum, sacro, penis and thigh.Sometimes pain syndrome acquires a paroxysmal, remaining character of neuralgia.
There is also discomfort in the urethra and frequent urination.Sometimes the urethra discharge is determined.They intensify during the day after walking, physical activity, defecation or massage of the prostate gland.
There is a sense of gravity, pressure, overflowing in the rectum and perineum.These symptoms intensify after a long position seated.This form of the disease is characterized by the appearance of inflammatory processes in the urinary system caused by the same microflora - cystitis, urethritis, pyelonephritis.
Symptoms of ABACTERIAN PROSTATITIS
CTB is characterized by a clinical image of chronic prostate bacterial inflammation.
Patients are concerned about pelvic and perineal pain for more than 3 months, while the results of bacteriological examination are negative.Different types of urination disorders are characteristic:
- Selection of frequent urine;
- Difficulty in urination (slow flow, need in additional efforts);
- Pain for isolated urine.
Sometimes there are violations of sexual function - a decrease in libido, impotence.There are often general symptoms in the form of weakness, headache.
Medicine treatment
The basis of therapy is the prescription of antibiotics.In the chronic process, drugs of the fluoroquinolões group are indicated.In acute prostatitis, beta-lactam antibiotics and aminoglycosides are prescribed.The treatment is performed in 2 steps:
- In the first, empirical therapy is prescribed (before receiving harvests).To do this, use third generation cephalosporins or fluoroquinolones.
- In the second stage, the treatment is performed according to the resulting bacteriological data and the results of antibacterial agents sensitivity.
These groups of antibiotics are chosen because they penetrate the hematoprostatic 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 abactry prostatitis, antimicrobial therapy is also prescribed, which is required for 2 reasons:
- Antibiotics significantly relieves patients in patients.
- There is a high probability of prostate presence that is difficult to determine by microorganism laboratory methods in discharge.
The antibiotic treatment regime in chronic pelvic pain syndrome is as follows:
- A medicine of a group of fluoroquinolions or doxycycline for 2 weeks is prescribed.
- A repeated study of prostate gland secretion is performed and, with a decrease in symptoms, they continue to receive funds up to 4 weeks.
Treat patients with asymptomic prostatitis according to the following indications:
- infertility;
- before operation in the prostate gland as a prevention;
- By determining pathogenic microorganisms in the discharge;
- With an increased level of antiprostatic blood antibodies and positive analysis of microbiological examination.
Other means
With prostatitis, the medicines are prescribed from the alpha-blocker group.These products increase the maximum and average speed of urine flow, reduce tone on the urethra wall and eliminate the incomplete opening of the bladder neck when it is emptying.Thanks to these effects, phenomena are eliminated as:
- frequent and painful urination;
- decrease in flow flow;
- The need for an additional effort to secrete the urine.
The characteristic representatives are alfuzosin, tamsulosin and doxazine, are especially relevant in the chronic forms of the disease.The course of treatment of these drugs is at least 3 months.
Non -esteroid anti -inflammatory drugs are prescribed as symptomatic therapy.They reduce inflammatory phenomena, edema, reduce pain.Use medicines such as diclofenac, ibuprofen, nimesulida and others.The duration of treatment with these medications should not exceed 4 weeks.Taking these medications is performed strictly after eating as they have an annoying effect on the stomach wall.
In addition to tablets, local treatment is also used.To this end, patients receive candles in candles such as vitaprost, prostacle, urooprost, etc.They are also shown with prostate adenoma.
Phytotherapy
In traditional medicine, dwarf palm fruit extract is widely used.Active substances reduce inflammatory phenomena, edema and have a vasoprotective effect (strengthens the wall of blood vessels).
The African plum bark has similar effects.
Natural origin has a drug as a prostacular.It is made of the cattle prostate gland.It has an anti -inflammatory effect and reduces prostate adenoma phenomena.
Popular remedies
You can treat prostatitis using popular medicines.Firstly, in terms of effectiveness - the use of oil seeds.You can buy this tool in pharmacies.Accept -for 1 tablespoon.l.3 times a day, the course of treatment is 3-4 months.As a prevention of prostate diseases, all men can be consumed by 30 pumpkin seeds before meals once a day.They need to be taken in gross form, because after frying 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 in a meat grinder or blender.
- They add 200 g of honey to them and mix everything to a homogeneous mass.
- 2 to 3 cm in size form form.
They are stored in the refrigerator, take a piece 30 minutes before meals.This tool should be chewed for 2-3 minutes and absorbed, not swallow.The course of treatment is 6 months.
The cure effect with prostatitis has a leaf infusion or a hazelnut bark.To prepare the first product, you should take 1 tablespoon.l.Dry leaves and prepare in a glass of boiling water.You need to insist for 30 minutes and take 1/4 of the resulting solution 4 times a day.For a shell decoction, 1 tablespoon.l.Matters -Prime Moved Pour 200 ml of water and cook in bath -a water for 30 minutes.After that, the medicine should be cooled and taken 1/4 cup 4 times a day.
The therapeutic effect with prostatitis has green parsley.It has an anti -inflammatory effect and allows to restore sexual activity.In this case, parsley juice is used.To do this, the greens are crushed to the state of porridge and squeezes his liquid through gauze, folded 3-4 times.Accept -for 1 tablespoon.l.3 times a day.
Treat prostatitis at home and medicinal herbs.One of them is Wormwood.It allows to relieve inflammation and save the body from the pathogen.It is taken in dry form in the first 3 days - every 2-3 hours, it is absorbed in the mouth.For the next four days reduce the number of techniques to 5. Every day at night, microclisms are made of the grass.
To do this, prepare an infusion: for 1 tablespoon.l.It is necessary to bring 1 liter of water.Boil the composition and let cool the +40 degrees.After that, 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.They are shown in the chronic process.When performing shower and microclemism, the pus is possible - this is a normal phenomenon that indicates the effectiveness of treatment.
Conclusion
In combination with the main methods of disease treatment, physiotherapy, prostate massage and acupuncture of the organ.
Living with chronic prostatitis means regularly undergoing comprehensive examination and therapy, as there is a high probability of loss of reproductive function.