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Prostatitis to men: first signs and treatment

Most often, inflammation of the prostate gland is caused by various infections that fall into it from the bladder, urethra or rectum.Prostatitis can also be a complication of tonsils, influenza, tuberculosis.

Treatment of prostatitis requires an integrated approach to get rid of the symptoms of this disease and avoid complications, you should consult a doctor and not yourself -feel.

What is it?

Prostatitis - inflammation of the seed gland (prostate) - prostate.It is manifested by frequent urination with a mixture of blood, pus in the urine, pain in the penis area, scrotum, rectum, sexual disorders (raising violations, early spill, etc.), sometimes delayed urine.Probably by the abscess of the prostate gland, inflammation of the testicles and supplements, which threatens infertility.The adhesion of the infection leads to inflammation of the upper parts of the genitourinary system (cystitis, pyelonephritis).

Prostatitis treatment varies depending on that form of disease in a human.So bacterial prostatitis can occur in both acute form and as a chronic disease.Very often, non -bacterial prostatitis is also diagnosed as a chronic disease.Such a variety of prostatitis is also called a chronic pelvic pain syndrome.In such patients, all the characteristic symptoms of the prostate are observed, but there are no bacteria in the secret of the prostate.

The prostate develops with the penetration of an infectious agent, which enters the prostate tissue from the organs of the genitourinary system (urethra, bladder) or distant inflammatory concentration (with pneumonia, flu, grates, supply).

There are a number of risk factors that increase the chance of prostate.

A man in focus

Why does prostatitis develop?

Currently, the reasons for prostatitis development are divided into two major groups:

  1. Infection(Infections are sexually transmitted (penetration into the pathogen tissue - germs, viruses, bacteria, fungi, etc.): also the presence of chronic infection seals (chronic tonsils, sinusitis, kidney pathology), pelvic organs, etc.).
  2. Not -infectant (stagnant)(Reducing immunity, hypothermia, decreased physical activity, sedentary lifestyle, long -term sexual abstentions and, conversely, excessive sexual activity, alcohol abuse, etc.).

Thus, it emphasizes that the isolated hit of the pathogen in the organ tissue is not always and may not necessarily be the cause of the development of the disease.The most often defined pathogen is E. coli (86 %), then - klebsyelly, proteus, enterococci, pseudomonas stick.With regard to streptococci, staphylococci, chlamydia, mycoplasma, researchers' thoughts of the thought of their importance in the development of the disease.Extremely is extremely rare for the causes of prostate that become specific pathogens (pale treponema, a koch stick, etc.).

ClaSSIFICaTION

For the alleged reason, inflammation of the prostate is divided into:

  1. Acute bacterial - pathogenic microflora causes serious damage to the prostate tissue with a pronounced inflammatory reaction.Most often it develops with infection with gonococci and other pathogens.
  2. Chronic bacterial-socialism of pathogenic or conditional pathogenic bacteria causes slow inflammation, whose activity remains for more than 2 months.As a rule, pathogens are streptococci, staphylococci, E. coli, klebsiella, mycoplasma, ureaplasma, chlamydia, herpesvirus, and yeast -like candidate fungi.
  3. Chronic abacterial - in the presence of an inflammatory process in the prostate, it is not possible to detect a causal microflora.A similar form of the disease develops when urine is thrown into the prostate gland channels, venous blood stagnation in the pelvis, a violation of its emptying (rare or very frequent spill).In the latter case, the disease is called stagnant prostatitis.

Symptoms of prostatitis and first signs

In a man, the first signs of prostatitis are very diverse and include a complex of seed violations:

  • involuntary urination;
  • the appearance of discomfort and pain during urination;
  • frequent urination;
  • Sitting pain prolonged in the perineum;
  • reduction of power;
  • urination problems, raising violations and sexual desire, infertility;
  • difficulty in urinating, sensation of obstacles during urination;
  • weak current during urination;
  • The sensation is not completely emptying the bladder after urination;
  • the inability of a rise or a decrease in the duration of an elevation;
  • decreased sexual desire;
  • In some cases, male infertility is the main symptom of prostatitis.

Symptoms of acute prostatitis

There are three stages of acute prostatitis, which are characterized by the presence of a certain clinical view and morphological changes:

  1. Acute catarrhal prostatitis.Patients complain of rapid, often painful urination, pain in the sacrum and perineum.
  2. Acute follicular prostatitis.The pain becomes stronger, sometimes radiates to the anus, intensifies during defecation.Uring is difficult, urine flows with a thin flow.In some cases, urine delay is observed.Subfebrilite or moderate hyperthermia.
  3. Acute parenchymal prostatitis.Pronounced overall intoxication, hyperthermia up to 38-40 ° C, chills.Disorders disorders, often an acute delay in urination.Sharp, pulsating pain in the perineum.Difficult to defect.

Symptoms of chronic prostatitis

In rare cases, chronic prostatitis becomes the result of an acute process, however, as a rule, chronic prostatitis with deleted symptoms develops primary.The temperature occasionally rises to under -febrile values.A patient with chronic prostate marks unpleasant sensations or poor pain in the perineum, discomfort during the act of urination and defecation.The most characteristic symptom of chronic prostatitis is poor discharge from the urethra during the act of defecation.

It should be remembered that chronic primary prostatitis develops over a considerable period of time.He is preceded by prostate (blood stagnation in the capillaries), gradually transforming into abacterial prostatitis (the initial stage of inflammation).

Chronic prostatitis is often a complication of a chronic inflammatory process caused by the causative agent of a specific infection (chlamydia, trichomonas, ureaplasma, gonococcus).Symptoms of a specific inflammatory process in many cases mask manifestations of chronic prostate.It is possible a slight increase in pain during urination, poor pain in the perineum, low discharge from the urethra during defecation.A slight change in the clinical figure and the binding of chronic prostatitis often pass unnoticed by the patient.

Chronic prostate can be manifested by a burning sensation in the urethra and perineum, dysuria, sexual disorders, increased fatigue.The consequence of violations of power (or fear of these violations) often becomes mental depression, anxiety and irritability.The clinical photography of chronic prostate does not always include everything, without exception, listed groups of symptoms, varies in different patients and changes over time.

There are three main characteristic syndrome of chronic prostatitis:

  • Dysurian syndrome (urination disorder).

As a result of inflammation in chronic prostatitis, the volume of the prostate that squeezes the ureter increases.The ureter lumen decreases.A patient with prostate has a frequent incentive to urinate, a feeling of incomplete bladder emptying.As a rule, dysuric phenomena are expressed in the early stages of chronic prostate.Then, the compensating hypertrophy of the bladder muscle layer and urethra develops.The symptoms of dysuria during this period are weakening, and then again increased during decompensation of adaptive mechanisms.

  • Pain syndrome in chronic prostatitis.

There are no pain receptors in the prostate fabric.The cause of chronic prostate pain becomes almost inevitable, due to abundant intrigue of the pelvic organs, involvement in the inflammatory process of the nerve trails.

Patients with chronic prostate complain of pain of varying intensity - from poor, pain to intense sleep, violating sleep.There is a change in the nature of the pain (improvement or weakening) by shed, excessive sexual activity or sexual abstinence.The pain radiates to a scrotum, sacrum, twist, sometimes in the lumbar region.It should be borne in mind that lower back pain occurs not only with the prostatitis.The cause of pain in this area can be osteochondrosis and a number of other diseases.

  • Disordishes sexual disorders in chronic prostatitis.

In the initial stages of chronic prostatitis, moods can develop, which manifest differently in different patients.Patients may complain of frequent night erections, deleted orgasm or deterioration of a rise.Accelerated ejaculation is associated with a decrease in the level of excitement of the organ center.Pain for shedding can cause a patient to reject prostatitis from sexual activity.In the future, sexual disorders become more pronounced.In the advanced phase of chronic prostate, powerlessness develops.

The degree of sexual disorder in chronic prostatitis is determined by many factors, including the sexual constitution and the patient's psychological state.Potential violations and dysuria can be caused by both changes in the prostate gland and the suggestion of the patient, which, when detected by chronic prostatitis, expects the inevitable development of sexual disorders and urination disorders.Especially often the psychogenic screen and dysuria develops in suggestive, alarming patients.

Powerful, and sometimes the very threat of potential sexual disorders, it is difficult to transfer to patients with prostate.Often there is a change in character, irritability, quarrel, excessive concern for their health and even "removal to illness".

Complications

As complications of acute and chronic prostatitis, a number of serious diseases and conditions occur.So, in a man who was sick of prostate, the number of male sex hormones can decrease significantly, which causes a decrease in sexual desire.As a result, a person has ongoing problems with an elevation.Moreover, the difficulties with the power to a man suffering from prostatitis can arise as a result of a number of psychological problems.

Another serious complication of chronic prostate is infertility, which is observed in approximately 40% of patients suffering from a chronic form of the disease.

Sometimes, the formation of prostate stones and cysts is marked as complications of prostate.An even more scary complication is prostate sclerosis: a condition where iron decreases and ceases to function completely.In this case, the patient is sentenced to persistent pain, urination problems, sexual disorders.

Prostate adenoma, which is benign education, often develops exactly as a result of the prostate.With adenoma, surgical intervention is inevitable.

The most frightening complication of prostate in men is prostate cancer, which is fraught with the most severe consequences.

All of these complications, as well as directly from chronic prostatitis, significantly exacerbated a person's life.This is why competent treatment of prostate is extremely necessary.

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prostate

Troubleshooting

Thanks to active agitation and ubiquitous advertising today, even school students know not only about symptoms but also how to treat a prostate.However, the lack of any signs prevents not only the right medication but also make a timely diagnosis.The best way to prevent inflammation is to visit the clinic more often.Therefore, so often prostatitis diagnosis is performed during a preventive examination by a urologist.

If there are complaints, an experienced doctor may already suspect prostate inflammation and prescribe the appropriate tests, among which they often perform:

  • rectal finger examination;
  • Analysis of secretion and seed fluid;
  • ultrasound examination of the prostate;
  • Urine and blood analysis;
  • Taking a stain from the urethra.

How to treat prostatitis?

Prostatitis in men is treated depending on the form of the disease.

Acute inflammation is an indication of the hospital hospitalization of the patient at the urological hospital, with chronic patients undergoing the course of home therapy.If the cause of the disease was a sexually transmitted infection, both partners should take antibiotics.

Treatment of acute prostatitis

During acute inflammation, a man shows peace, complete abstain from sex, and an easily soluble diet.You should reject alcohol, smoking, spicy spicy vessels, preservatives, fatty foods.

Medicines used for treatment in a hospital:

  • AntibioticsCephalosporinal series - devastatingly affecting the most popular pathogenic bacteria.The first 5 days they are administered intravenously, from day 5 to 10 intramuscular treatment;
  • Antiprotozoal and antibacterial agents- accumulate in the prostate, are active in relation to the most common pathogens of the disease;
  • Anti -inflammatory drugs(NSAID) - normalize body temperature, eliminate pain, stop the inflammatory process.They are prescribed in the form of tablets, rectum candles, intramuscular injections (paracetamol, nimessil);
  • Disinoxale- Accelerate the secretion of microbial toxins from the body, improve blood microcirculation in the prostate gland.Intravenous points are presented;
  • Blocks adrenergic receptors α1- Relax the smooth muscle strands of the prostate gland, due to which urine flow restores.It is taken inside in the form of tablets.

This is the way the basic treatment regimen looks, which the doctor complements, if necessary, other prostate medicines.It is important to completely pass a course of therapy in order to minimize the risk of chronic process.

Treatment of chronic prostatitis

Chronic prostate therapy depends directly on that stage the disease is located.If the disease worsens, then treatment is similar to treatment with acute bacterial prostatitis.

When the disease is in the phase of remission, the man will experience the following symptoms:

  • Small painful sensations that occur rarely, but regularly;
  • A feeling of severity in the prostate area, the lumbosacral area, in the genital area;
  • In some cases, dysuric disorders have joined: increased urination, pain during bladder emptying, etc.;
  • Perhaps a deterioration in psycho -emotional well -being, depressive mood in the background of which sexual failures occur.

There are a contradiction number in the issue of chronic inflammation therapy.Scientists have not yet reached a consensus about whether antibiotics are to be prescribed, or this is not necessary.Those experts who insist on taking antibacterial drugs believe that bacterial flora in a secret taken for tests simply could not get.

Another, and most scientists show that the antibiotic should only be taken if the bacterial flora is isolated.Abacterial prostatitis with the lack of symptoms is not treated with antibacterial agents.

They offer the following patient tactics:

  1. Reception of the NSAIDs course.
  2. Appointment of funds aimed at normalizing lymph flow and to improve blood microcirculation in the body.
  3. Reception of immunomodulatory drugs.
  4. To eliminate problems with raising, the use of antidepressants and sedatives is indicated.
  5. To strengthen the pelvic muscles, regular physical activity helps to normalize blood circulation.It is best if it is a specially compiled complex of physiotherapy exercises.Physiotherapeutic procedures have a good-effect-rectal electrophoresis, translective microwave hyperthermia, UHF, magnetic laser therapy, etc.These procedures help get rid of pelvic pain syndrome.

Starting the treatment of chronic prostate at home, you should allocate in a long war, as it is not always possible to cure it within weeks or even months.It is recommended to combine various methods and tools for therapy, it is useful to improve medication therapy with households.With stagnant prostate, regular sex is needed, interrupted sexual acts are unacceptable.

The patient's psycho -emotional background is important: depression, depression, problems in personal life and sexual spheres are able to deny all the efforts of doctors.

Prostate physiotherapy and massage

Prostate massage.Currently, it is one of the main techniques in the treatment of prostate.Many experts believe that treatment of prostatitis without this procedure is not at all impossible.However, there is no reliable clinical data on how effective the massage is not.Many patients mark a significant improvement in their condition according to many criteria after a massage course.Therefore, let us consider the methodology of this procedure and the mechanism of its therapeutic effect.

To perform the procedure, the patient occupies a position of the knee elbow.Thanks to this position, the pelvic muscles are as smooth as possible.The doctor places on rubber gloves, the index finger of the gloves is lubricated with a gel -shaped lubricant.The index finger is masterfully inserted into the anus anus.Next, you should feel the front wall of the rectum.After being implored for the prostate, the urologist produces the brain pressure.

Thanks to the pressure on the prostate gland, the mechanical squeezing of the gland in the urethra occurs.In the urethra, a leak of the latter occurs.It is recommended every time after the prostate massage to perform a microscopic analysis of the prostate secret to evaluate the dynamics of the process.

However, allocation of prostate secret is not the only positive effect on massage.Also, circulation is activated in the prostate gland, which leads to an improvement in the resistance of the infection and the acceleration of damaged tissue restoration.

Microwave therapy with microwaves.Local exposure to high high frequency electric waves leads to an increase in temperature in the heated area.With an increase in local temperature at a level of 39-40 degrees, expanding blood flow, blood flow, attracting immune cells to focus and activating them to combat infection.Also, an increase in temperature leads to a decrease in smooth muscle spasm, which leads to better drainage of prostate secret and a decrease in pain.

Diet

The diet for prostatitis in men is based on the principles of a healthy diet and the restriction of harmful foods.The diet is chosen taking into account the severity of the manifestation of the disease and the characteristics of the body.All products that cause allergies or deterioration of symptoms fall under stops.

Basic Diet Principles:

  • Adding garlic and onions to dishes, mustard;
  • Menu compilation, taking into account the irritation phase;
  • rejection of any type of alcohol and smoking;
  • Exception from the diet of spices, preservatives, semi -finished products, sharp and salty dishes;
  • Regular nutrition, preferably at the same time;
  • Complete the diet with physical exercises and walking;
  • rejection of fat and smoked dishes;
  • Consumption of vegetable salads, plants;
  • minimal heat treatment of fruits and vegetables;
  • Limiting salt and sweets;
  • Continuous maintenance of a diet and rejection of harmful products.

Beneficial food:

  • a variety of soups (rich soups are undesirable);
  • Cereals (oats, millet, buckwheat, and others), pasta, spaghetti;
  • Fat vegetables (olive oil is highly recommended);
  • fresh herbs, fruits and vegetables (melon and watermelon, zucchini and squash, parsley and salad, green and cauliflower peas, cucumbers and tomatoes, beets, potatoes and carrots);
  • group products with sour shirt (bifido, yogurt, ayran, cottage cheese, fermented, kefir, sour cream);
  • Low meat and ocean fish;
  • Gray bread;
  • dried fruit;
  • heart

One of the very important substances in the prevention of prostate is zinc, so you often have to consume healthy seafood, pumpkin seeds that have a lot of zinc, white birds, nuts and beef.

How to prevent prostate development at any age?

  1. The use of methods of contraception barriers, especially when it comes to anal sex;
  2. Timely treatment of IST;
  3. Regular sexual life, bringing relationships to full shedding;
  4. Prevention of turning injuries when class, traumatic sports should be used by all possible methods of protection;
  5. Compliance with personal hygiene;
  6. Providing sufficient physical activity.

Despite the fact that today prostate is not associated with the risk of developing adenoma or prostate cancer, the disease brings a lot of suffering to its owner.A man tired of chronic pain, feeling his sexual weakness, tired of prolonged treatment, varies significantly from the outside and experienced doctors determine such patients at first sight.To avoid such fate, you need to be careful about your health, carefully protected with any new partner and treat sexually transmitted diseases in time.

Prostatitis is not fully treated in all cases, but an experienced urologist is able to significantly improve the patient's condition and the quality of his life.