Chronic prostatitis

Long -term inflammation of the periodically aggravated prostate gland is called chronic prostatitis.The constant inflammatory process directly affects prostate work.

Chronic prostatitis is the most common pathology in men, which is observed in almost 30% of the strongest sex.

Classification of chronic prostatitis

• The acute course of prostatitis.It is accompanied by chronic pelvic pain syndrome - symptoms that are not associated with the presence of infection.Lasts three months and more. III A - Chronic prostatitis with the presence of an inflammatory component (in the secret of prostate, infection and leukocytes are found). III b - chronic prostatitis with the absence of an inflammatory component (pathogens and leukocytes in the prostate were not found).leukocytes in prostate secret).
• The risk of the disease is increased in people
• Not all men are subject to prostatitis.In the acute prostatitis risk group, the following category of people is included:
• Which lead an irregular intimate life and practice has also interrupted sex as a way to avoid undesirable pregnancy.
• Working on offices and drivers (a sedentary lifestyle causes blood stagnation in the basin).nicotine.
• Reasons

Bacterial prostatitis

Hereditary predisposition.

1. Regular hypothermia. Long abstinence.
2. Premature devastation of the bladder.
3. A sedentary lifestyle.
4. Geniturious system diseases (urethritis, pyelonephritis, cystitis).Venosa in the pelvis, caused by a sedentary way of life.

Razões

Prostatite bacteriana

• Predisposição hereditária.
• Hipotermia regular.
• Abstinência longa.
• Devastação prematura da bexiga.
• Um estilo de vida sedentário.
• Doenças do sistema geniturinário (uretrite, pielonefrite, cistite).
• Doenças venerais: clamídia, gonorréia, tricomoníase.

Estagnação venosa na pélvis, provocada por um modo de vida sedentário.

• Blood stagnation in the veins, caused by a sedentary lifestyle.
• Wearing tight pants, underwear or shorts.
• Stagnated phenomena caused by the constant tightening of the perineum.
• Irregular sex life.Sexual intercourse increases blood circulation in prostate veins.
• Alcohol, nicotine, drug addiction.
• A sedentary lifestyle.

Symptoms

• a weak urine flow, discomfort during urination.
• A sensation of non -empty bladder.
• Periodic pains.Scrotum.
• decreased libido, weak erection, rapid ejaculation.Involuntary morning erection disappears periodically or is completely absent.
• After intimacy, painful pain in the head of the penis may appear, which passes after about half an hour.
• Diagnosis
• In the presence of symptoms, the diagnosis of chronic prostatitis will not be difficult.With asymptomatic pathology, in addition to the patient's standard inspection or research, the use of additional research methods: laboratory and instrumental.It is necessary to determine the condition of the patient's immune and nervous systems.

Questionnaires and questionnaires allow complete information about the patient's health, pain intensity, urination, ejaculation, erection and psycho -emotional mood.

Laboratory diagnosis

Laboratory diagnostic methods allow us to determine what chronic prostatitis of nature: bacterial or more accuracy, as well as the most accuracypossible to establish the type of pathogen.If in the fourth urine sample or the prostate secret, the white blood cell indicator in the PZ over 10, the chronic inflammation of the gland is confirmed.If bacteria are not sown with increased leukocytes, the material is examined for the presence of well pathogens (sexually transmitted diseases).

Diagnóstico de laboratório

Os métodos de diagnóstico de laboratório permitem determinar o que a prostatite crônica da natureza: bacteriana ou abacteriana, bem como a mais precisão possível para estabelecer o tipo de patógeno. Se na quarta amostra de urina ou o segredo da próstata, o indicador de glóbulos brancos no PZ acima de 10, a inflamação crônica da glândula é confirmada. Se as bactérias não forem semeadas com o aumento de leucócitos, o material é examinado para a presença de patógenos do poço (doenças transmitidas sexualmente).

• An urethra stain is examined in a leukocyte laboratory, fungal, viral or bacterial flora.
• Urethra scraping is examined by the PCR method for detecting transmitted pathological microorganisms.
• A microscopic study of prostate secret is performed.The number of leukocytes, amyloids, macrophages and cowers-lalelemane is calculated.In addition, an immunological and bacteriological study is performed, with the help of which the number of non -specific antibodies is determined.
• Ten days after the study of the rectal finger, the blood is taken to determine the dog level in it.If the level exceeds 4.0 ng/ml, the patient receives a prostate biopsy to confirm or exclude the presence of a malignant tumor in the gland.

The diagnosis is based on the results of studies.Ultrasound helps to exclude other diseases, control the efficacy of the therapy used, to determine the prostate dimensions, the organ's echo structure, as well as the density and the uniformity of the seed bubbles.Miography and Urodynamic Studies of Pelvic Floor Muscles help identify neurogenic disorders that usually accompany chronic prostatitis.

CT, tomography and magnetic resonance imaging are used to install a differential diagnosis, in particular, prostate oncology.These methods will help identify pathologies in the pelvic organs or spine column.

Treatment of chronic prostatitis

Medication

Antibacterial medications.In treatment, penicillin, fluoroquinol, cephalosporins, tetracycline and macropolides are used.They affect pathogenic microorganisms, accumulating in tissues.Taking antibiotics allows to reduce inflammation, eliminating the main cause of bacterial form - infection.Antibiotics are produced in the form of tablets, candles or injections. 

1. Medicamentos antibacterianos. No tratamento, são utilizadas penicilina, fluoroquinol, cefalosporinas, tetraciclina e macrólidos. Eles afetam os microorganismos patogênicos, acumulando -se nos tecidos. Tomar antibióticos permite reduzir a inflamação, eliminando a principal causa da forma bacteriana - infecção. Os antibióticos são produzidos na forma de comprimidos, velas ou injeções. 
2. Non -esteroid anti -inflammatory drugs.The averages are used at the early stage of the disease.The main components of medicines: diclofenac, ketoprofen.Fine pain and eliminate inflammation.Produced mainly in the form of rectal candles. 
3. Antispasmodic.The analogs of these drugs are muscle relaxing.The active component is baclofen.It acts in smooth muscles as a result of which pain and cramps are eliminated. 
4. Alpha-blockers.The effect of medications allows you to eliminate pain and relieve cramps.The components, acting in nerve cells and blood vessels, relieve pain.Restored blood circulation nourishes the organ with the necessary substances. 

This is the first group of medicines that is the most effective.In addition, with prostatitis, experts prescribe the following medications:

1. Anesthetic drugs.Often prostatitis is accompanied by reins during urination and intense pain.It is recommended to use microclysters that directly affect iron.
2. Hormones.Prostatitis can cause the hormonal system to function. 
3. Anticholinergic drugs.Normalize urination, increase power and restore blood circulation.
4. Biological regulators.Cattle prostate extensions are the main components of drugs.They help relieve swelling, reduce inflammation.
5. Immunomodulators.The main reason for prostatitis is a decrease in immunity.Therefore, drugs that stimulate immunity are used in therapy.
6. Drugs Sedding.The disease causes power and erection problems.Symptoms are reflected in the psycho -emotional state of men.The soothing products restore the nervous system.These medications should be prescribed for men who experience daily stress. In some cases, tranquilizers are prescribed, which can be purchased only by revenue.The dosage and the duration of admission are prohibited.
7. Antihistamines.Remove reports from the gland.Contains narcotic substances, therefore, independent intake is prohibited. Popular remedies

Pumpkin seeds.The raw pumpkin seeds are clean from the shell.They use 20 pieces before meals three times a day for three to four months.

1. Chamomile tea.It is recommended to prepare daily in a sufficient amount for daily use.Place a 30 g chamomile plate and pour with boiling water (200 ml).Having insisted for half an hour, tension, carefully tightening the flowers.Divide the infusion into equal parts and drink per day.The tool eliminates pain and relieves inflammation in the male gland.
2. 500 ml of honey from Linden.Take 500 g of honey, aloe leaves and red wine.In glass dishes, connect honey and wine chopped with honey.Insist in the fridge for a week.Drink tincture on a teaspoon before meals.
3. Western infusion.For half a glass of cooked water, bring a drop of juice.Drink the morning solution after breakfast.Increase the dose on a drop daily.The maximum dose is 30 drops.Then reduce the dose by one drop a day.At the end of the course, a two -week break is performed, after which the medicine can be taken again.
4. Infusão ocidental. Para meio copo de água cozida, leve uma gota de suco. Beba a solução de manhã após o café da manhã. Aumente diariamente a dose em uma gota. A dose máxima é de 30 gotas. Em seguida, reduza a dose em uma gota por dia. No final do percurso, é realizada uma pausa de duas semanas, após o que o remédio pode ser tomado novamente.
5. Salsa juice.To treat the chronic prostate, the rods and parsley leaves are finally collapsed or grinded into a mortar.Put the dough in the gauze and dial the juice formed.Take the medicine before meals, preferably 30 minutes.The dose of juice for reception is one or two tablespoons.Reception frequency three times a day.
6. Propolis.Alcohol's tincture of purpose is taken for chronic prostatitis for six months.Grate a piece of purpose in a thin 100 g grater.The crushed mass spills 200 ml of pure medical alcohol.Place the solution in a glass container and store for at least 10 days in a dark place, shaking every three days.Strain the tincture.

The candles made of propolis reduce inflammation in the gland, relieve pain and restore all cells of the organ.Freeze 7 grams of purpose and shake finely.Melt a hundred grams of goat fat and connect -a with Propolis.From the cooled mixture, make candles, 1.5 - 2 cm in length.

Diet

During chronic prostatitis, you should not fall into extremes and exclude products.Foods must be full so that a man can receive all vitamins, minerals and beneficial substances and beneficial elements.Nutrition restrictions can lead to the fact that iron will not receive important elements necessary for your quality work.The diet of the patient with chronic prostatitis should consist of products easily absorbed so that the body does not strive too much on food digestion.Forces are necessary for the body to combat the pathology.They do not recommend hunger without agreeing with a specialist.Food refusal will lead to a collapse of forces, which is unacceptable for a patient who suffers from a chronic form of prostatitis.It is recommended to perform fasting days.Inadequate nutrition can disrupt the prostate gland;Therefore, the adjustment of the daily diet is included in the course of therapy.

Surgical Treatment

Endoscopic intervention is a modern method of surgical treatment, in which invasive intervention is minimized.Patient rehabilitation occurs faster.It is indicated when blocking output ducts and seeds, seed tuber sclerosis.The operation is indicated in the diagnosis of prostate sclerosis and seed bubble, the presence of calcinetes in the gland, adenoma.If during operation, the secret is dense, native and viscous, the gland will be completely removed with electrical cutting, conducting the coagulation of the point of blood vessels and the installation of cystoma Trocare.With the exacerbation of the pathology, surgery is strictly against -indicated.

Physiotherapeutic treatment

1. Thermotherapy - Using specific equipment, perform a controlled uniform heating of the gland and male urethra.The procedure is performed by a track or transrectal method, when heated by the rectum or urethra.Thermal exposure increases arterial and local hair flow, increases the number of functionally active capillaries, increases the protective properties of the body, stimulates lymphatic flow and harmful particle output as much as possible and optimizes local metabolism.
2. Laser therapy - The course of treatment is determined individually, depending on the form and stage of the pathology.On average, five to seven procedures are sufficient.Act on the organ through the skin or transrectuals.Promotes the rapid recovery and stop of symptoms.
3. Needle ablation is an outpatient clinic.Used to eliminate symptoms of prostatitis.

Other treatment methods

1. Prostate massage - helps cure and prevent the development of the disease.The procedure is performed by a specialist using anti -spaces and asepts to eliminate the infection entering the organ.It can cause acute urine delay and the dissemination of inflammation (up to sepsis) if hyperplastic changes are observed in the organ.The massage is against -expressed with the express blood stagnation in the veins the presence of stones and cysts in the prostate.The best way to deliver a prostate of stagnant secretion is natural ejaculation.
2. Bladder gymnastics - when weakening bladder muscle tone and its sphincter, urine incontinence is observed.Special exercises are effective in eliminating these symptoms.To make the procedure painless, local anesthesia is performed.The expert determines the number of sessions individually.This can lead to the development of complications.
3. Prevention

Simple rules for the prevention of chronic prostatitis:

Chronic stage is always a consequence of late acute prostatitis diagnosed, incorrectly or untreated.Therefore, you need to regularly pass a prosecutor with a urologist.

• Protect the pelvic area of hypothermia and injury.
• Free from bad habits.
• Bringing an active lifestyle.
• Avoid stressful situations.
• Any man can develop chronic prostatitis.It is necessary to observe simple preventive measures in order to reduce the risk of pathology.

Qualquer homem pode desenvolver prostatite crônica. É necessário observar medidas preventivas simples, a fim de reduzir o risco de patologia.