Inflammation of the prostate gland, ie the prostate, regardless of the cause of the disease, usually occurs chronically. In order to achieve effective treatment of chronic prostatitis, we need to know why it occurs.
Good health, dear readers. We continue to understand the problem of chronic prostatitis, its causes, symptoms and treatment options.
In this article we will try to understand what is the best way to deal with this terrible disease, what options are available to us. Let's start by analyzing the most modern and effective methods of treating prostatitis in men.
Causes of onset and worsening of the disease
Inflammatory diseases of the urinary tract, the rectum, due to close contact with the prostate gland, lead to the formation of inflammatory focus in it. The vessels that supply the prostate are branches of the bladder arteries, the rectum, the posterior sacral artery and the deep femoral artery. Any infectious lesion present in these organs can enter the gland.
The presence of a chronic infection of any location, for example, the sinuses, leads to a weakening of immunity and conditionally pathogenic microorganisms present in the skin, intestines and urethra becomes pathogenic. This leads to the development of a chronic process.
Interruption of blood flow to the prostate gland due to stagnation of blood in the context of reduced physical activity leads to a deterioration in the supply of drugs to the prostate gland and complicates the treatment of chronic prostatitis in men.
Increased blood flow to the organs located in the pelvis occurs not only due to low physical activity, but also due to various factors:
- irregular sex life?
- cessation of sexual intercourse?
- smoking, alcohol consumption.
- varicose veins of the lower extremities?
- cracks and fistulas of the anus.
- The tone of the vascular wall is regulated by the sympathetic and parasympathetic nervous systems, in case of a disease whose inflow and outflow of blood from the organ is disturbed.
- perineal injury to riders, cyclists, motorcyclists.
In the case of urogenital sexually transmitted infections, the disease can not always be completely cured - this is the reason for the development of chronic prostatitis. The most common pathogens are:
- Trichomonas?
- mycoplasma?
- gonococci;
- gardnerellas;
- ureaplasma?
- χλαμύδια;
- mushrooms?
- viruses?
- Escherichia coli;
- streptococci?
- enterococci;
- staphylococci.
These microorganisms are difficult to cure.
Hormonal activity after 40 years in a man gradually begins to weaken. Initially, it is asymptomatic.
Decreased testosterone production again and again leads to a slight stagnation of prostate secretion in its granules. Slowly, this stagnation is increasing. The substances contained in prostate secretion are not completely removed. The secretory, kinetic, blocked function of the prostate gland begins to suffer.
Citric acid in prostatic juice performs bactericidal function, dilutes it. When there is not enough citric acid, a bacterial infection begins to develop. The level of citric acid in prostate juice is directly related to the amount of testosterone in the blood.
The clinical picture of the disease
Symptoms of chronic prostatitis in men:
- feelings of discomfort, pain above pubic?
- the pain periodically erupts in the rectum and in the sanctuary.
- increased urination and pain, especially after hypothermia, stress.
- non-typical rejection.
- ejaculatory disorders, erection
- premature ejaculation?
- excessive sweating
- sleep disorder?
- periodic increase in body temperature not more than 37, 2-37, 3 at night.
Predominant symptoms: pain, urinary incontinence or sexual dysfunction - depends on the treatment of chronic prostatitis in men.
The main components of the treatment of diseases
Is chronic prostatitis curable?
It is necessary to highlight the main areas of treatment:
- drugs;
- normalization of work and rest regime;
- rational diet?
- to stop bad habits.
- physiotherapy, massage?
- folk remedies.
It is necessary to treat not only with medication, but it is necessary to make full use of all methods. It is impossible to prioritize any direction of treatment with prostatitis.
Medicines
Effective treatment of prostatitis should aim to eliminate the cause of prostatitis. The drugs are selected separately by a doctor after performing the necessary diagnostic tests. Let's take a lookhow and how to treat prostatitis, if it has already become chronic. The main instructions of the drug treatment:
- antibiotics?
- anti-inflammatory drugs?
- antispasmodics to improve urine flow.
- urinary anticoagulants to eliminate urinary tract infections
- medicines that improve arterial and venous blood flow.
- drugs that improve fluidity, reduce blood viscosity.
- vitamins?
- enzymes?
- sedative, psychotherapeutic effects?
- correction of immune disorders?
- treatment of metabolic diseases and hormonal dysfunction.
Antibacterial therapy
Whether chronic prostatitis is treatable depends on appropriate antibiotic treatment. It is important to note that the treatment and cure of prostatitis will only be more effective if the type and stage of the disease are correctly identified.
Antibiotics are selected those that penetrate well into the prostate, act effectively on the causative agent of the infection. Some chronic prostatitis pathogens, such as ureaplasma, are not as sensitive to drugs as:
- tetracyclines;
- some cephalosporins?
- some fluoroquinolones?
- some macrolides.
How to treat chronic prostatitis with antibiotics?
Groups of antibacterial drugs used for treatmentbacterial prostatitis:
- Fluoroquinolones.
- Macrolides.
- Tetracyclines.
- 5-Nitroimidol derivatives.
- Cephalosporins 3-5 generations.
- Lincosamines.
- Sulfonamides.
The course of treatment with an antibiotic is 7-10 days, depending on the test results. Without failure, during treatment with antibacterial agents, antifungal drugs are prescribed, agents that normalize the microflora of the gastrointestinal tract.
Overall, the course of antibiotic treatment lasts from 2 to 4 weeks.
Methods of administration of antibiotics:
- orally in tablets.
- intramuscularly?
- intravenously.
- inside the prostate?
- intraymphatic.
How to treat and what specific antibiotic to use, your doctor will tell you, based on the test data, the test:
- ultrasound?
- whole blood count?
- study of prostate secretion?
- PCR;
- TRUSI;
- uroflowmetry.
Non-steroidal anti-inflammatory drugs
The effect of non-steroidal anti-inflammatory drugs (NSAIDs) is related to the normalization of vascular wall permeability, the restoration of microcirculation. They reduce education and prevent the absorption of existing inflammatory mediators. It is necessary to remember about the property of NSAIDs for the formation of ulcers in the stomach and duodenum.
How to treat chronic prostatitis without having a stomach ulcer? It is necessary to take 1 proton pump inhibitor capsule at night for prophylactic purposes.
It makes sense to use rectal suppositories with LPS.
Immunomodulators
Immunomodulators are used to correct immune disorders.
Medications are prescribed by a doctor, doses are selected separately.
The body's non-specific resistance is normalized by vitamins and trace elements.
Enzymes
Enzyme preparations improve the access of antibiotics and NSAIDs to the prostate, destroying the attachments that are always present in the chronic inflammatory process.
In addition, enzymes have a moderately strong immune-boosting function.
How is chronic prostatitis treated with alpha-adrenergic blockers?
These medicines are prescribed by a doctor:
- Eliminate spasm from the neck of the bladder, developing in the context of swelling and inflammation
- Improve urine flow, normalize normal urination.
- To coordinate the work of the muscles and sphincters of the bladder.
Normalize blood flow with drugs
Normal blood flow is achieved with a sufficient diameter of the arteries by bringing blood to the veins involved in oxygen flow. It is also necessary to reduce blood viscosity and achieve good fluidity in the capillary bed.
To achieve a good result in the treatment of chronic prostates, it is necessary to treatinflammatory diseases of the urethra, bladder and kidneys.
Prostatitis inevitably reduces activity, weakens libido, breaks erection. These phenomena are always accompanied by symptoms of discomfort, low mood in the background, mood swings. With these symptoms, they are prescribedsedatives, anxiolytics, antidepressants.
Influence methods of physiotherapy
The following methods of treating a chronic procedure are used to infect the prostate:
- ultrasound
- electrophoresis?
- hot water baths with a decoction of chamomile, linden, sage, thyme;
- hot enemas
- prostate massage through the rectum?
- hirudotherapy
- UHF;
- inductothermy;
- Microwave resonance therapy.
Physiotherapy is contraindicated in patients with concomitant prostate adenoma.
The severity of psychological abnormalities and depressive manifestations depends on how well chronic prostatitis is treated. To speed up the process, in the absence of contraindications, it is necessary to add physiotherapeutic methods of influence to the treatment.
Diet suggestions
The standard recommendations for all chronic diseases in the form of refusal for fried, salted, pepper, smoked in this case are not enough. Effective treatment of prostatitis depends on a sensible, balanced diet. It is necessary to add foods such as celery, ginger, turmeric, by-products to food.
Contains:
- silicon, which normalizes the formation of hormones in the body.
- B vitamins, removal of toxins and restoration of redox processes
- chromium, germanium, selenium, zinc normalizes the work of the sympathetic and parasympathetic systems.
- vitamins C, A normalizes the permeability of the cell membrane, has antioxidant properties.
- essential amino acids, omega 3, that rejuvenate sexual function.
Forapitherapyare used: natural honey, bee bread, podmore, royal jelly, dead bees, bee pollen.
Beekeeping products have the following effects:
- bactericidal?
- fungicide?
- bacteriostatic?
- tonic?
- antiviral?
- immunoregulatory effect.
Alternative therapy
The course of treatment of chronic prostatitis is necessarily supplemented with medicinal herbs, which should take into account all the reported mechanisms of disease development. Then the result of the treatment will be fully achieved.
The following medicinal herbs may be used:
- nettle, sage, raspberry;
- mint, plane tree, hernia?
- rose hips, yarrow, wormwood;
- thyme, birch buds, linden flowers;
- dirty dry sack, chamomile, motherwort.
The treatment of chronic prostatitis depends on the long-term use of medicinal herbs according to the regimen in combination with anti-relapse programs.
Decoctions are used, infusions for swallowing, for baths, for microclists. The use of tincture, ie drugs containing alcohol, is not recommended. This prevents the successful treatment of chronic urogenital diseases.
All these drugs have a good effect in the treatment of prostatitis inflammatory, congestive, hormonal etiology.