Chronic prostatitis (code MKB-10. N41.1) is called inflammation process, observed for more than three months in the tissue of the prostate.Its feature is in nearly 70% of all cases, it proceeds without any symptoms.And only 15% of patients complain about the manifestations of the disease.All other men have symptoms that show part of the development of prostatitis and can often contact other diseases.Therefore, it is very important when any signs occur to see a doctor, after checking, will tell you how to treat chronic prostatitis.
The characteristics of the disease
Chronic prostatitis can be diagnosed not only in the elderly.Young and middle -aged people also suffer this disease.There is a risk that people who have a sedentary lifestyle, comply with sexual abstinence or experience physical strength in the perineum.That is, the probability of chronic prostatitis in drivers, athletes is much higher than others.
Among all men's reproductive system diseases, chronic prostatitis occupies the first position in the circulation rate, followed by cancer and benign hyperplasia of the prostate gland of DGPG (Adenoma prostate).About each third man faces prostatitis, and each of the five of them suffered from a chronic form of disease.
In most cases, the cause of chronic prostatitis is the infection of the genital system due to infection.A little less often, it is caused by inflammatory processes related to changes in a man's hormones.
Classify
Similar to other inflammatory diseases, chronic prostatitis may have acute and chronic phases.Its classification is based on the following features:
- The presence of leukemia in urine.
- The presence of pathogenic bacteria in urine, ejaculation or the secret of the gland.
Based on classification, the following diseases exist:
- Prostatitis has no symptoms characterized by the lack of chronic prostatitis symptoms.It can be determined by accident when the patient resolves a doctor with any other disease.
- Prostatitis acute bacteria.Patients with acute inflammation of prostate tissue, pathogens present in urine, leading to an increase in temperature and development of body poisoning.
- Chronic bacterial prostatitis.The doctor notes the typical signs of chronic inflammation.And in urine and secret analysis, high leukemia and bacteria are detected.
- Chronic pain syndrome in the pelvis.Such pain is considered a main symptom, because bacteria are not detected.To diagnose chronic prostatitis, the syndrome should be observed in a man for at least 3 months.
Causes of the disease
The main cause of chronic prostatitis is the penetration of pathogens (Enterococci, intestines or prayer sticks, etc.) into the prostate gland, etc.).Going to the prostate, bacteria can be in three ways:
- Through the urethra.
- Through blood.
- Through lymph.
According to statistics, 90% of chronic prostatitis cases are the result of the development of acute prostatitis or complications of urethritis.
In addition to entering the prostate gland of bacteria, the causes of chronic prostatitis may be as follows:
- Sexual infection (STPP): Herpes, Trichomonas, Gonococcus, Chlamydia, etc.
- The stagnant processes in the pelvic area can cause prostatitis.
- Reduce immunity.This can lead to: lack of vitamins, violate the balance of hormones, lower body temperature, allergic reactions, significant physical and emotional stress, infection not infected, etc.
- A sedentary lifestyle.
- Lightweight.
- Abnormal sex life or disorders within intimate range.
- Trimming injury.
- Wear narrow flax fabric.
- Unreasonable nutrition (dominant in the diet of spicy foods).
- The lining to urinate.
- Violation of chair.
All this can lead to circulating disorders in the pelvic area, contributing to stagnant phenomena and the development of inflammatory process.The consequences of lack of therapy are infertility and helplessness.
Symptoms of the disease
Signs of chronic prostatitis may vary.Usually, the patient complains about:
- Reduce performance.
- Fast fatigue.
- Increase discomfort.
- Perturbation.
- Sleep violations.
- Listless.
- Lost appetite.
- Increase sweat.
Among local symptoms:
- Urinating disorders.The patient felt frequent urge, pain in the head and end of urination.
- A pain that can be put into groin, sacrum, scrotum, extra or rectum.
- Painful for sex.
- Discharge at the tension of pelvic muscles.
Unlike the acute phase, in a chronic disease, violating sexual functions often occur.This is related to the fact that the stagnation is also the inflammatory process, affecting the ends of the nerve that provides impulse transmission into the brain.As a result, the violation of erection is possible, this weakens or ejaculation (premature ejaculation), the feeling of orgasm (orgasm) is dull.Such symptoms of chronic prostatitis in men lead to fear of intimacy, discomfort and thus, sexually developed neuropathy.
It is not easy to treat chronic prostatitis.How long will take medication depending on the degree of pathology and development time of the disease.It is important to remember that if the symptoms of the disease have disappeared, this does not mean the final treatment.The serious consequences of chronic prostatitis include gland scars.This process can turn to the urethra.
Diagnosis
When he went to the doctor, he would ask the patient the symptoms available.Pay special attention to the frequency and nature of pain, weak urination, sexual dysfunction.But due to the fact that chronic prostatitis may occur without any signs, certain studies are necessary:
- Clinical urine analysis and bacteria in which leukemia and the presence of pathogenic microorganisms are determined.
- Secret analysis may contain bacteria.
- A shaving from the mucosa in which leukemia is determined, the presence of great macromoles and body amyloid.
- Transuretral ultrasound allows determining an echoBroblast of chronic prostatitis and determining the condition of the prostate.
High quality diagnosis is an important part of accurate treatment, as it can distinguish chronic prostatitis from other diseases with similar signs.
Treatment
This disease should have an integrated approach for treatment.In this case, patients need long -term treatment.The treatment of chronic prostatitis will be an individual for each patient.Normally, patients do not need to be hospitalized and he can be treated at home.A completely different problem is when the acute phase of the disease or its seriousness to the chronic inflammatory platform of the prostate can be treated.In a hospital, antibacterial therapy is used and detoxified.If necessary, an activity is necessary.
Drug therapy
To comprehensively treat chronic prostatitis, the drug is prescribed in men, its effects to eliminate infections, normalize blood circulation and hormone level.To do this, use:
- Antibiotic.
- Non -inflammatory drugs.
- Anti -anti -opposite substances.
- Immune treatment kit.
- Angioprotector.
- Vasodilators.
Before the appointment, the doctor will analyze the pathogen.If the disease is not the source of bacteria, the treatment with antibiotics will be short.In the case of not being able to identify pathological microorganisms with laboratory methods, a histological analysis of the prostate tissue is used.
When disease relapses, antibacterial therapy is prescribed for prevention purposes.For this, a drug used, was used during treatment, but in a lower dosage.
Knowing what chronic prostatitis is and what can cause its development, experts will pay attention to the pressure inside the prostate and the ability to decrease.If this function is reduced, the phenomenon of stagnation and prostatitis may occur in the pelvis.Alpha blockers are prescribed for normalization of uterine pressure.
You can avoid pain and take medicine with candles.
For complaints about fast and painful urination, nonsteroidal anti -inflammatory drugs are used with alpha blockers.
In the case of ineffective anti -anti -antibiotics and symptoms such as pain and uncomfortable preservation, treatment is adjusted so that it is directed in:
- Eliminate pain.To do this, use three -round antidepressants.
- Normalization of urination.Treatment is prescribed after urinary analysis.With the hyperactivity of the sphincter, antihistamine drugs, three -round antidepressants and wash the bladder with indicated disinfectant solutions.With the inefficiency of such treatment, neuropathy and physiotherapy are used.
The method is not the method
For more effective tablet treatment, the doctor may recommend physical therapy (electrophoresis, pronunciation, laser therapy, mud treatment) and increase the body temperature across the bridge, which is taken into account the current changes in the tissue of the prostate and related diseases.When exposed to 40 degrees temperature, the immunity of the cell is activated.When exposed to 45 degrees, the inhibition of nerves occurs, helping to prevent pain.The use of laser therapy has a biological stimulating effect.
In the absence of contraindications, the patient is carried out by the prostate.Usually the patient is prescribed a psychotherapy process and special exercises that can enhance the muscles of the perineum.
Treatment with folk remedies
Along with the use of drugs, the manifestations of chronic prostatitis are treated by folk methods.Such treatment increases immunity and pain relief.For this, in addition to herbal preparations, infusion and decoction of herbs, bathrooms, etc.
Phytopreparation treatment is at least 1 month and should be prescribed by a doctor, because some of them may have contraindications to use.Folk method suggested:
- Abundant drinks (tea with Linden, roses, raspberries).
- Every day before meals, you need to drink 1 glass of fresh juice of carrots, pears, cucumbers.
- If the patient is tormented by pain, the needle leaf bath is used, 37 degrees.The duration of the procedure is 20 minutes.
- If the patient is not allergic to honey, he should eat up to 100 grams of the product every day.
- At home, you can be independent as a puppet -based bullet or honey.You need to put them within 1 month.To prepare candles with propolis, take a mixture of glycerol, gelatin and water in a ratio of 5: 1: 2. Add lena there and distribute the mixture on the skin paper.Put everything in the refrigerator, where the bullets are completely frozen.
- Before going to bed, you should make an enema with the guitar.To do this, 1 teaspoon of dried vegetable is brewed in 1 liter of boiling water.
Treatment with pumpkin seeds, aloe vera juice, parsley, chestnuts and cellandine are also considered effective.Parsley has anti -inflammatory effects and can restore sexual function.Fitotherapists recommend this treatment with this factory:
- Drink 1 teaspoon of parsley every day before meals.
- 4 teaspoons of vegetable seeds poured 250 ml of boiling water and insisted on heat during the night.The next day they drink 1 spoon per hour.
- 100 g of grinding root of the tree is poured with 1 liter of water, burn slowly and boil for 10 minutes.A decoction is taken during the day.
An effective tool is pumpkin seeds.About 30 such particles contain a daily zinc dose, this is necessary for men's health.For treatment, you can do such a tool.500 g of pumpkin seeds are crushed in a meat grinder and mixed with 200 grams of natural honey.The ball is made from the results of the results, the size of the walnut.Every day you need to eat 2 balls like that.
Pull the glue to enhance the defense of the body and reduce inflammation.You can buy its alcohol in a pharmacy.To treat, you need to drink a glass of milk daily with 1 teaspoon of alcohol like that.
In addition, licorice drugs, St.John's Wort, Echinacea is used for treatment, also used in the case of the disease without clear symptoms.
Surgery
Typically, chronic prostatitis does not cause symptoms and patients seeking medical assistance when serious changes in the prostate have occurred and chronic prostatitis is helpless.In addition, such complications can cause a patient's health threat.An example of complications can be called prostate sclerosis.
Due to the fact that such complications are often revealed in young men, doctors use minimally invasive surgery.The indication of it is: movie, releasing non -voluntary urine, or vice versa, its delay, prostate abscess, significantly increasing the size of the size, blockade of the urethra or bleeding.There are types of surgical intervention indicated for chronic inflammation:
- Circumcision - used when patients with films.During operation, the foreskin is dissected.
- Prostate surgery is a radical activity in which the prostate is completely removed.It is done in case of suspicion of the presence of a malignant tumor.
- The prostate removal is part of the gland removal, in case of changing its sclerosis.
- Eliminate adhesion.
- Drainage of cysts or abscess.It is produced by endoscopy.For drainage systems, a special tube has a camera at the end used.Such a device is put into the heart of the urethra and allows control of the operation process.
- In the case of complaints of various sexual disorders (infringing orgasm, pain ejaculation, etc.), the patient is performed by an incision of Erystarmal ducts.
The result of surgical intervention will depend on the timeliness of the diagnosis.In case of prostate adenoma, the manifestations of chronic prostatitis can be lubricated.This is observed in 70% of cases.25% of men learn about the development of chronic prostatitis during the Adenoma test.And only 5 % of patients - during the prevention test.
Conditions for activity are inadequate with the treatment of conservation.Therefore, operating is necessary to prevent complications and improve the quality of life.
However, it should be noted that even after surgery, it can return to prostatitis.This happens in nearly half of the active people.Contraindications for any activity is:
- Diabetes.
- Liver pathology.
- Respiratory system disease.
- Mental disorders.
- Heart disease.
Prognosis of the disease
All people facing such a diagnosis are concerned about whether chronic prostatitis can be cured?The disease is considered to be cured if the symptoms do not appear a significant time, the level of white blood cells in the urine is normal, in the secret of the prostate without pathogenic bacteria, urination and sexual function are recovered.
Typically, the prognosis is the advantage in case the disease does not lead to irreversible processes and the patient observes the treatment as prescribed for him.
Prevention of disease
Each man in the middle should prevent the prevention of diseases of the genital system, which will also help reduce chronic prostatitis.Enough for this:
- Compliance with the foundation of a healthy lifestyle, playing sports.
- Eat correctly.It is important to consume a lot of protein foods (meat and low -fat fish, dairy products, eggs) and limit the amount of animal fat.At the same time, canned foods, salty, salty and alcohol foods should be excluded from the menu.
- Regular sex life.It is important to avoid unprotected sex.
To prevent prostate disease, each man, especially after 35 years, must monitor health and live a dynamic life.No need to ignore a medical examination, always helping to identify prostatitis promptly and start treatment.It is important to remember that it is cured if it is detected in the initial stage and the patient observes all the doctor's prescriptions.