Chronic prostatitis (MKB-10. N41.1 code) is called an inflammatory process that is observed for more than three months in the prostate tissues.Its feature is that in almost 70% of all cases, it takes place without any symptoms.And only 15% of patients complain about the manifestations of the disease.All other men have symptoms that only partially indicate the development of prostatitis and can often address other diseases.Therefore, it is so important when any signs appear to see a doctor who will tell you after the testing how to treat chronic prostatitis.
Disease trait
Chronic prostatitis can diagnose not only in older people.People of young and middlehears are also subject to disease.At risk, those who lead the sitting lifestyle, adhere to sexual abstinence or experience of physical effort in Perinaj.That is, the probability of chronic prostatitis in drivers, athletes are much larger than everyone else.
Among all the diseases of the reproductive system of men, chronic prostatitis occupies the first place in overcoming, followed by cancer and benign hyperplasia Prostate Gland from the DGPG (prostate aden.Approximately every third man faced inflammation prostate, and each fifth suffers from chronic shape of the disease.
In most cases, the cause of chronic prostatitis is transmitted by the genitorial system diseases caused by infections.Slightly less often, it is caused by inflammatory processes associated with changing the hormone background of man.
Classification
Similar to other inflammatory diseases, chronic prostatitis can have acute and chronic phases.Its classification is based on the following features:
- The presence of leukocytes in urine.
- The presence of pathogenic bacteria in urine, ejaculation or secret glands.
Based on the classification, there are the following types of diseases:
- Asymptomatic inflammatory prostatitis is characterized by a lack of symptoms of chronic prostatitis.It is possible to recognize accidentally when the patient addresses a doctor with any other disease.
- Acute bacterial prostatitis.The patient has acute prostate tissue inflammation, pathogens are present in the urine, leading to increasing the temperature and the development of body intoxication.
- Chronic bacterial prostatitis.The doctor records typical signs of chronic inflammation.And in the analysis of urine and secrets, high content of leukocytes and bacteria have been discovered.
- Chronic pain in pelvis.Such pain is considered the main symptom, because the bacteria have not been discovered.To make a diagnosis of chronic prostatitis, the syndrome should be noticed in a man for at least 3 months.
Causes of disease
The main cause of chronic prostatitis is the penetration of pathogens (enterococci, intestinal or prayer sticks, etc.) in the prostate gland, etc.).Go to the prostate, bacteria can be in three ways:
- Through the urethra.
- Through blood.
- Through the lymph.
According to statistics, 90% of cases of chronic prostatitis is a consequence of the development of acute prostatitis or complications of urethritis.
In addition to intrusion in the prostate of bacteria, the causes of chronic prostatitis can be as follows:
- Sexual infections (STPP): Herpes, trichomon, gonococcus, chlamydia, etc.
- Stagnacle processes in the pelvic area, which may cause prostate inflammation.
- Reducing immunity.This can lead to: lack of vitamins, violation of hormone balance, hypothermia, allergic reactions, significant physical and emotional stress, non-infection infections, etc.
- Sedentary lifestyle.
- Lightweight weight.
- Improper sex life or disorders in an intimate sphere.
- Injuries early.
- Wearing tight bedding.
- Irranial nutrition (overcoming in a spicy food diet).
- Raising for urination.
- Breach of chair.
All this can lead to circulatory disorders in the pelvic area, contribute to standing phenomena and development of the inflammatory process.The consequences of lack of therapy are infertility and impotence.
Symptoms of the disease
The signs of chronic prostatitis can be very different.Most often the patient complains of:
- Performance reduction.
- Quick fatigue.
- Increased irritability.
- Anxiety.
- Sleep injury.
- Letargy.
- Loss of appetite.
- Increased sweating.
Among local symptoms:
- Moranting disorder.The patient feels frequent instincts, pain at the beginning and end of urination.
- Pain pain that can be given in groin, sacrum, scrotum, sub-blue bones or rectum.
- Pain for sex.
- Discharge on tension of muscle bowl.
Unlike the acute phase, a breach of sexual functions often happen in a chronic disease.This is associated with the fact that stagnant is also inflammatory processes, affect nerve endings that provide the transfer of impulses into the brain.As a result, erection violates, which weakens or ejaculation (premature ejaculation), sensations during orgasm (erased orgasm) are blunt.Such symptoms of chronic prostatitis in men lead to fear of proximity, irritability and as a result, sexual neurosis is developing.
It is not easy to treat chronic prostatitis.How long will it have to take medications depending on the degree of pathology and the duration of disease development.It is important to remember that the symptoms of the disease disappeared, it does not mean final cure.The heavy consequences of chronic prostatitis include the scarring glands.This process can be switched to the urethra.
Diagnosis of the disease
When you go to the doctor, they will ask the patient with the symptoms available.Special attention is paid to the frequency and nature of pain, impaired urination, sexual dysfunction.But due to the fact that chronic prostatitis can occur without any events, the studies needed:
- Clinical and bacterial analysis of urine in which the amount of leukocytes and the presence of pathogenic microorganisms are determined.
- Analysis of a secret that can contain bacteria.
- Sanction of the servant in which the amount of leukocytes is determined, the presence of macrophages and amiloidal bodies.
- The transuretral ultrasound allows the identification of the echoblock chronic prostatization and determine the state of the prostate.
High quality diagnosis is a significant part of the correct treatment, as it allows the distinction of chronic prostatitis from other pathologies with similar signs.
Treatment
This disease should have an integrated approach to therapy.In this case, the patient should adjust to long treatment.The chronic prostatitis treatment regime will be an individual for each patient.Usually a patient does not need hospitalization and can be treated at home.A completely different thing is when the acute phase of the disease or its deterioration with the background of chronic inflammation prostate is subject to treatment.Antibacterial therapy is used in the hospital, and the deintoxic is done.If necessary, surgery is needed.
Drug therapy
For a comprehensive treatment of chronic prostatitis, medications are prescribed in men, whose performance is intended to remove infection, normalization of blood circulation and hormone levels.To do this, use:
- Antibiotics.
- Anti-anal non-asteroid drug.
- Anticholinergic agents.
- Immunomodulators.
- Angiprovers.
- Vasodilatives.
Before scheduling a meeting, the doctor will analyze the pathogen.If the disease is not a bacterial origin, then the course of antibiotic therapy will be short.In case it is not possible to determine the type of pathological microflora with laboratory methods, the histological analysis of the prostate tissue is used.
With the relapse of the disease, antibacterial therapy is prescribed for the purpose of prevention.This is used for a medicine that has already been used during treatment, but in a lower dosing.
Knowing which is chronic prostatitis and which can cause its development, the specialist will pay attention to the pressure within the prostate and its ability to reduce.If this function decreases, stagnated phenomena and prostate inflammation may occur in the pelvis.Alpha-blockers are prescribed for the normalization of intrauterine pressure.
You can avoid painful injections and taking pills using a candle.
For fast and painful urination complaints, non-steroidal anti-inflammatory drugs are used in combination with alpha-blockers.
In the event of the assumption of antibiotics, they have proven inefficient and symptoms such as pains and thines preserved, the treatment is adjusted so that it is directed at:
- Elimination of pain.To do this, use tricyclic antidepressants.
- Normalization of urination.The treatment is prescribed after the urinodynamic analysis.With the hyperactivity of sphincter, antihistamines, tricyclic antidepressants and bladder flush are indicated by antiseptic solutions.Neuromodulation and physiotherapy is used with the inefficientness of such treatment.
Methods of Neployment
In order for treatment to be more efficient, the doctor can recommend physiotherapy (electrophoresis, phonopholes, laser therapy, mud treatment) and transit hyperthermia, which is considered into account the existing changes in prostate and related diseases.When exposed to 40 degrees temperatures, cell immunity is activated.When exposed to a temperature of 45 degrees, the inhibition of nerve endings appear, which helps stop pain.The use of laser therapy has a biostimulating effect.
In the absence of controincincing, the patient performs prostate glands.Patients are often prescribed by the course of psychotherapy and special exercises that can strengthen the muscles of the perineum.
Treatment to folk drugs
With the use of medications, chronic prostatitis events are treated with folk methods.Such treatment increases immunity and reduces pain.For this they are used, except plant preparations, infusions and decoction plants, beaches, etc.
The course of cure treatment is at least 1 month, and they need to be prescribed by a doctor, because some of them may have contraindications for use.Treatment to folk methods suggests:
- Realist drink (teas with linden, rose, raspberry).
- Every day before meals you have to drink 1 glass of freshly squeezed bright juice, pears, cucumbers.
- If the patient tortures pain, coniferous baths, a temperature of 37 degrees are used.The duration of the procedure is 20 minutes.
- If the patient does not have honey allergy, it is recommended to eat up to 100 grams of products per day.
- At home, you can independently make complaints based on propolis or honey.You have to put them in 1 month.To prepare candles with propolis, take a mixture of glycerol, gelatine and water in proportions 5: 1: 2. Add propolis there and distribute the mixture on parchment.Put everything in the refrigerator, where the complaints are completely freeze.
- Before going to bed, it is recommended to make Enema with the wing.To do this, 1 teaspoon of dry plants are crying in 1 liter of boiling water.
Treatment with pumpkin seeds, aloe juice, parsley, chestnut and cealand are also considered effective.The parsley has an anti-inflammatory effect and is able to restore the sexual function.Fothertarapeuti recommend this treatment with this plant:
- Drink 1 teaspoon of parsley juice every day before eating.
- 4 teaspoises pour 250 ml of boiling water and insisted in the thermos for the night.The next day they drink infusion of 1 tablespoon of each hour.
- 100 g of crushed plant root is poured 1 liter of water, put the content of the fire and cook for 10 minutes.The decoction is drunk during the day.
Effective tool is pumpkin seeds.About 30 such seeds contain the daily dose of zinc, which is necessary for male health health.You can make such a tool for treatment.500 g The pumpkin seeds were demolished in the meat grinder and mixed with 200 grams of natural honey.The balls are made of the resulting mass, walnut size.You must eat 2 such balls every day.
Propolis helps strengthen body defense and mitigate inflammation.You can buy his tincture in the pharmacy.You must drink a glass of milk with 1 teaspoon of such tincture every day for treatment.
In addition, sweet, Saint John, echinacea are used to treat, which are also used in cases where the disease occurs without obvious symptoms.
Surgery
Often, chronic prostatitis does not give symptoms, and patients seek medical attention when serious changes in the prostatical gland appeared, and chronic prostatitis has already been powerless.In addition, such complications can represent the patient's health threat.An example of complications can be called a prostate sclerosis.
Due to the fact that such complications are often revealed in young men, doctors use minimal invasive operation.The indication for its use is: Fimosis, an involuntary urine edition or, vice versa, its delay, abscess prostate, a significant increase in glands in size, urethral blockade or bleeding.There are types of surgical interventions that are indicated for chronic inflammation:
- Circums - used when the patient has Fimosis.During the operation, the forescreen is dissected.
- Prostratektomy is radical work during which the prostate is completely removed.It is carried out in case of doubt in the presence of a malicious tumor.
- Prostate resection is partly the removal of the gland, in case of its sclerotic change.
- Elimination of adhesion.
- Drain cyst or abscess.It is produced by endoscopy.A special tube with a camera is used for drainage at the end.Such a device was introduced into lumen urethra and allows the operation to control the operations.
- In the case of complaints from different sexual disorders (violation of orgasm, painful ejaculation, etc.), the patient is performed by a cut of e-crannel channels.
The result of surgical intervention will depend on the timestime of diagnosis.In cases where there is a prostate adenome, then 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 study adenum.And only 5% of patients - during preventive examination.
The condition for surgery is the lack of an effect with the conservative treatment of the disease.Therefore, the operation is needed to prevent complications and improving the quality of life.
However, it must be borne in mind that even after surgery is possible to return prostatitis.This happens in almost half of the operated operated.Contraindication to any operation:
- Diabetes.
- Liver pathology.
- Diseases of respiratory systems.
- Mental disorders.
- Heart disease.
Forecast of diseases
Everyone who is facing such a diagnosis are interested in whether chronic prostatitis can be cured?The disease is considered healed if symptoms do not show up significant time, the level of leukocytes in the urine is under normal, in the secrecy of the prostate there are no pathogens bacteria, urination and sexual function.
The most common forecast is favorable in cases where the disease has not led to irreversible processes, and the patient notes treatment prescribed by him.
Disease prevention
Each middle man should prevent the prevention of the genitorial system disease, which will also help reduce the probability of chronic prostatitis.Enough for this:
- Follow the foundation of a healthy lifestyle, play sports.
- Eat right.It is important to consume a lot of protein groceries (low greasy meat and fish, dairy, eggs) and limit the amount of animal fats.At the same time, canned food, sharp, salty dishes, alcohol 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 follow health and lead active life.There is no need to ignore the medical examination, which always helps identify prostatitis at time and start your treatment.It is important to remember to heal if it is detected in the initial phase, and the patient notes all doctor's recipes.