Prostatitis is an inflammation of the tissue of the prostate gland, its edema.This is the term that determines the inflammation of the prostate gland.
Prostate- Part of the male reproductive system that produces a specific secret that supplies and protects sperm.By reducing the smooth muscle fibers of the prostate and seed bubble capsule, the seminal fluid is released into the urethra - ejaculation (ejaculation).
Prostatitis can only develop in men.Over the last 20 years, the frequency of prostatitis has increased about half, and now, in the dawn of the 21st century, it has suffered from almost half of the male population on the ground aged 20 to 50 years.It is estimated that after 30 years, 30%of men suffer from prostatitis after 40-40%, after 50 - 50%, etc.
Prostatitis Classification:
- spicy;
- asymptomatic inflammation;
- chronic bacterial;
- Inflammatory chronic pelvic pain.
Prostatitis complaints:
- Various urination disorders associated with narrowing of the lumen of the urethra:
- Difficult start of urination;
- periodic urination;
- low stream of urine;
- Urination has dropped;
- feeling of incomplete emptying of the urethra;
- Inadvertent urine leakage.
- Symptoms caused by nerve endings:
- rapid urination;
- Frequent urination at night;
- emergency urination;
- Urination of small ports;
- Urinary uncertainty.
- Lower abdominal pain, inguinal areas, inner surface of the thighs or lower back may occur various sexual disorders.
There are several causes of prostatitis:
- Sexually transmitted infections: chlamydia, ureaplasma, mycoplasma, herpes virus, cytomegalovirus, trichomonads, gonococcus, genus Candida, E. coli can affect the urethra and be detected in prostate tissue;
- impaired blood circulation in the pelvic organs (stagnation in the prostate leads to its inflammation);
- Sitting lifestyles (drivers, office employees, employees);
- Long sexual abstinence interrupted by sexual contact or artificial prolongation of sexual contact;
- impaired immunity;
- Frequent hypothermia (lovers of extreme relaxation: diving, surfing, biodedar and skiing);
- Stress: mental and physical overload;
- violation of allergic status;
- hormonal imbalance;
- Vitamin deficiency and trace elements.
Treatment of acute and chronic prostatitis
While with the therapy with acute prostatitis of difficulties, as a rule, there is no, chronic prostatitis of the correction is not always busy.
There is a general treatment tactics to conduct patients with acute prostatitis:
- Observing rest in bed.
- The appointment of antibacterial drugs.
- Prohibition of prostate massage even to obtain a prostate secret.The ban is due to a high risk of sepsis.
- The appointment of drugs aimed at normalizing the microcirculation of blood, to increase its smoothness and viscosity.I thank the effect of these drugs that it is possible to achieve leakage of lymph and venous blood from the inflamed gland, to reduce toxic manifestations and to remove the decay products from the body.
- Oral administration of NSAIDs or other tablet analgesics.They are prescribed to reduce pain.
- In their practice, urologists widely use rectal candles to have an analgesic effect to reduce inflammation.These include the same components as in tablet medicines, but thanks to local administration, the effect is enhanced.You can use prostatitis candles with propolis.
- If the patient suffers from severe intoxication of the body, the administration of rheological solutions, as well as detoxifying agents and electrolytes in hospital, is indicated.
- Surgery is necessary if the possibility of independent emptying of the bladder is completely absent or an abscess of the prostate is formed.
The use of antibiotics to treat bacterial prostatitis is a must.If the disease starts acute, there are symptoms of intoxication, then antibacterial drugs are prescribed as quickly as possible, wait for the results of the bacterial flora tests in this case are inappropriate and dangerous.
The doctor chooses medicines from the group fluoroquinolones.This may be levofloxacin, ciprofloxacin.Such empirical therapy is due to the fact that fluoroquinolones have activity in connection with bacteria that most often provoke prostatitis -this is a gram -negative pathogenic flora and enterococci.In addition, fluoroquinolones have a destructive effect on Gram -positive and anaerobic bacteria, as well as on atypical infectious agents, such as chlamydia.By introducing the metabolic processes of protein metabolism, the antibiotic destroys their nucleus, leading to the death of the microorganism.
Also, these drugs are very effective in the treatment of prostatitis, as they have the ability to quickly penetrate the tissues of the prostate gland and into the seminal bubbles, accumulating there at high concentrations.The therapeutic effect also enhances the fact that the prostate in the inflamed state has a very high permeability.
This group of medicines is also replaced if after 24-48 hours of the start of the administration, the patient's condition has not improved or if he does not tolerate them well.In this case, optional drugs are macrolides, antibiotics of a group of cephalosporins or lincosamids.
Increasingly, bacteria for prostatitis are becoming insensitive to most modern antibiotics.Therefore, prostatitis is often not able to cure completely, the disease goes into chronic form.
If the recovery after 14 days from the onset of medication does not occur, then the treatment regimen should be adjusted again, but the treatment of prostatitis may not last less than 14-30 days.But the prescription of antibiotics is performed by the doctor, focusing on the data from the clinical picture of the disease and the results of the bacteriological sowing of the prostate content by determining the sensitivity of sown microorganisms to certain antibiotics.
Complications of prostatitis
Net prostatitis has every chance of entering a chronic form of prostatitis, and in men over 40, prostate adenoma associated with hormonal imbalance can develop (after 40 years in men, testosterone production is reduced and estrogen secrets increase).
Prostate adenoma- Benign prostate hyperplasia - this is the presence of pathological benign prostate growth located in the circumference of the urethra.
Prostate adenoma is one of the most common diseases in elderly men.
During a detailed study, signs of prostate adenoma at the age of 40-50 are observed in 25%of men, 50-60 years in 50%, in 60-70 to 65%, at the age of 70-80 years to 80%, over 80 years-90%of men.
Manifestations of prostate adenoma
Prostate tissue growth with age leads to an increase in the organ, which causes narrowing of the urethra and manifests as the following symptoms:
- Improper and difficult urination - urination is especially common at night.
- Weight loss of urine flow is one of the first symptoms of the disease, which most often goes unnoticed to other symptoms of the disease.
- The feeling of incomplete emptying of the bladder is often disguised under rapid urination in the morning.Such men complain that despite the normal frequency of urination during the day, in the morning they should urinate 3-4 times with an interval of 10-15 minutes.
- Imperial (sudden, difficult urination) is one of the symptoms forcing a man to see a doctor.
- Urine and incontinence.
The main differences between prostatitis and prostate adenoma:
| Prostate adenoma | Prostatitis | |
| What happens in the prostate gland? | One or more small nodes are formed, which gradually grow and press the urethra. | Inflammation develops in the tissue of the prostate gland. |
| What age is it more common? | Usually after 40 years.Lorely at a younger age. | Most often after 20-40 years. |
| Why does it occur? | The exact causes are not fully established.It is considered one of the manifestations of male menopause. | The main reasons:
|
| Treatment characteristics | They use medicines in severe cases - surgical treatment (excision of overgrown prostate tissue). | Usually, antimicrobial, anti -inflammatory, painkillers are prescribed. |
Prevention measures
There are also some recommendations that will enhance the health of men:
- Physical activity.At least 10 minutes of morning time should be dedicated to simply charging.The same rule is relevant to the sitting work.
- The contrast shower is also an excellent tool for improving his well.
- As for the food, it is necessary to include raw pumpkin seeds in your diet (phytopreparation based on pumpkin seeds, nettle extract, palm extract + zinc and selenium in capsules. Normalizes testosterone metabolism and hormonal background, reducing the growth of iron stroke. Relieves.
- You need to refuse marinated products, especially this is true of different sauces with the addition of vinegar - mayonnaise, ketchup, salting, marinades, etc.
- Fighting excess weight (improves metabolism throughout the body).
- Turn off wearing things tightly in the crotch of things: pants, pants.
Exclude accidental sexual contact as a means of preventing sexual infections.Sexual life must be established.Incomplete sexual acts, unrealized erections are very harmful.