Inflammation of the prostate, that is, the prostate, regardless of the cause of the disease, usually becomes chronic. In order for an effective treatment of chronic prostatitis to be achieved, it is necessary to know the reasons for it.
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 find out what is the best way to treat 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 the onset and exacerbation of the disease
Inflammatory diseases of the genitourinary system, rectum, due to close contact with the prostate, lead to the formation of an inflammatory focus. The vessels supplying the prostate are branches of the arteries of the bladder, rectum, posterior sacral artery, and the deep artery of the thigh. Any infectious focus present in these organs can enter the gland.
The presence of chronic infection at any location, for example, the paranasal sinuses, leads to a weakened immune system, and conditionally pathogenic microorganisms present on the skin, intestines and urethra become pathogenic. This leads to the development of a chronic process.
Disruption of blood circulation in the prostate due to stagnation of blood against the background of reduced physical activity leads to a deterioration in the supply of drugs to the prostate and complicates the treatment of chronic prostatitis inman.
The increased blood flow to the organs located in the pelvis occurs not only due to low physical activity, but also a number of factors:
- irregular sex life;
- interruption of sexual intercourse;
- smoke, drink alcohol;
- varicose veins of the lower limbs;
- paraproctitis and proctitis;
- thrombophlebitis of hemorrhoidal veins in the context of chronic hemorrhoids;
- fissures and fistulas of the anus;
- the tone of the vascular wall is regulated by the sympathetic and parasympathetic nervous systems, in case of disease in which the inflow and outflow of blood from the organ is disturbed;
- Perineal trauma in runners, cyclists, motorcyclists.
In case of sexually transmitted infections of the genitals, 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;
- chlamydia; mushrooms
- ; virus
- ;
- Escherichia coli;
- streptococci;
- enterococci;
- staphylococci.
These microorganisms are difficult to cure.
The hormonal activity after 40 years in a man gradually begins to wane. At first, it is asymptomatic.
A continuous decrease in the production of testosterone leads to a slight stagnation of the secretion of the prostate in its granules. Little by little, this stagnation is accentuated. The substances contained in the secretion of the prostate are not completely eliminated. The secretory, motor and barrier function of the prostate gland begins to suffer.
Citric acid in prostatic juice performs a bactericidal function, dilutes it. When there is not enough citric acid, a bacterial infection begins to develop. The level of citric acid in prostatic 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 the pubis;
- the pain periodically spreads through the rectum and sacrum;
- increased urination and pain, especially after hypothermia, stress;
- unusual dump;
- disorders of ejaculation, erection;
- premature ejaculation;
- excessive sweating;
- sleep disturbances;
- periodic increase in body temperature not more than 37, 2-37, 3 in the evening.
Dominant symptoms: pain, urinary disturbance or sexual dysfunction - depends on treatment for chronic prostatitis in men.
The main components of the treatment of diseases
Is chronic prostatitis treated?
It is necessary to highlight the main areas of processing:
- drugs;
- normalization of the regime of work and rest;
- rational nutrition;
- give up bad habits;
- physiotherapy, massage;
- folk remedies.
It is necessary to treat not only with drugs, but it is necessary to use all methods in a comprehensive manner. It is impossible to give preference to only one direction of treatment of prostatitis.
Drugs
Effective treatment of prostatitis should aim to eliminate the cause of the prostatitis. Medicines are selected individually by a doctor after performing the necessary diagnostic tests. We will take a lookhow and how to treat prostatitis, if it has already acquired a chronic form. The main directions of pharmacotherapy:
- antibiotics;
- anti-inflammatory drugs;
- antispasmodics to improve urine flow;
- uroantiseptics to eliminate urinary tract infections;
- drugs that improve arterial and venous blood flow;
- drugs that improve fluidity, reduce blood viscosity; vitamins
- ; enzymes
- ;
- sedatives, psychotherapeutic effects;
- correction of immune disorders;
- treatment of metabolic diseases and hormonal dysfunctions.
Antibacterial treatment
Curing chronic prostatitis will depend on appropriate antibiotic therapy. It is important to note that therapy and treatment of prostatitis will only be more effective if the type and stage of the disease are correctly determined.
Antibiotics are selected those that penetrate the prostate well, effectively act on the causative agent of infection. Some pathogens of chronic prostatitis, such as ureaplasma, are not sensitive to drugs as strong as:
- tetracyclines;
- certain cephalosporins;
- certain fluoroquinolones;
- some macrolides.
How to treat chronic prostatitis with antibiotics?
Groups of antibacterial drugs used for the treatmentbacterial prostatitis:
- Fluoroquinolones.
- Macrolides.
- Tetracyclines.
- Derivatives of 5-nitroimidzole.
- Cephalosporins 3-5 generations.
- Lincosamines.
- Sulfonamides.
The duration of treatment with an antibiotic is 7 to 10 days, depending on the results of the test. Without fail, when treating with antibacterial agents, antifungal drugs are prescribed, agents that normalize the microflora of the gastrointestinal tract.
In total, the duration of the antibiotic therapy lasts 2 to 4 weeks.
Routes of administration of antibiotics:
oral- in tablet form;
- intramuscularly; intravenous
- ;
- inside the prostate;
- endolymphatic.
How to treat and which specific antibiotic to use, the doctor will tell you, based on the examination data, the examination:
- ultrasound
- ;
- complete blood count;
- study of the secretion of the prostate;
- PCR;
- TRUSI;
- uroflowmetry.
Nonsteroidal anti-inflammatory drugs
The effect of nonsteroidal anti-inflammatory drugs (NSAIDs) is associated with the normalization of the permeability of the vascular wall, the restoration of microcirculation. They reduce education and prevent absorption of existing inflammatory mediators. It is necessary to remember the property of NSAIDs to form ulcers in the stomach and duodenum.
How to cure chronic prostatitis without having stomach ulcers? It is necessary to take for prophylactic purposes 1 capsule of proton pump inhibitor in the evening.
It is considered the most rational to use rectal suppositories with LPS.
Immunomodulators
Immunomodulators are used to correct immune disorders.
Medicines are prescribed by a doctor, dosages are selected individually.
The non-specific resistance of the organism is normalized by vitamins and microelements.
Enzymes
Enzyme preparations improve the access of antibiotics and NSAIDs to the prostate, destroying adhesions still present in a chronic inflammatory process.
In addition, enzymes have a moderately pronounced function of stimulating immunity.
How to treat chronic prostatitis with alpha adrenergic blockers?
These drugs are prescribed by a doctor at:
- Eliminates spasms in the neck of the bladder, which develop against the background of edema and inflammation.
- Improve urine flow, normalize physiological urination.
- To coordinate the muscles and sphincters of the bladder.
Normalization of blood flow with medication
Normal blood flow is obtained with an adequate diameter of the arteries bringing blood to the veins involved in the flow of oxygen-depleted blood. It is also necessary to reduce the viscosity of the blood and achieve its good fluidity in the capillary bed.
To achieve a good result in the treatment of chronic prostate diseases, it is necessary to treatinflammatory diseases of the urethra, bladder and kidneys.
Prostatitis inevitably reduces potency, weakens libido, ruptures erection. These phenomena are always accompanied by symptoms of dysphoria, basic bad mood, mood swings. With these symptoms they are prescribedsedatives, anxiolytics, antidepressants.
Methods of influence of physiotherapy
The following methods of treating a chronic process are used to affect the prostate:
- ultrasound electrophoresis
- ;
- hot water baths with decoctions of chamomile, lime, sage, thyme;
- hot enemas
- massage of the prostate through the rectum;
- hirudotherapy
- UHF; Inductothermy
- ; Microwave resonance therapy
- .
Physiotherapy is contraindicated in patients with concomitant prostatic adenoma.
The severity of psychological abnormalities and depressive manifestations depends on the amount of chronic prostatitis treated. To speed up the process, in the absence of contraindications, it is necessary to add physiotherapeutic influencing methods to the treatment.
Dietary recommendations
Standard recommendations for all chronic diseases in the form of refusal to fry, salt, pepper, smoked in this situation is not enough. Effective treatment of prostatitis depends on a rational and balanced diet. It is necessary to add such foods as celery, ginger, turmeric, apiproducts to food.
They contain:
- silicon, which normalizes the formation of hormones in the body;
- B vitamins, eliminate toxins and restore redox processes;
- chromium, germanium, selenium, zinc normalize the work of the sympathetic and parasympathetic systems;
- vitamins C, A normalize the permeability of the cell membrane, have antioxidant properties;
- essential amino acids, omega 3, which 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;
- toned;
- antiviral;
- immunomodulatory effect.
Alternative treatment
Treatment of chronic prostatitis is necessarily supplemented with medicinal herbs, which should take into account all the listed mechanisms of the development of the disease. Then the effect of therapy will be fully achieved.
The following herbal medicines can be used:
- nettle, sage, bearberry;
- mint, plantain, hernia;
- rose hips, yarrow, wormwood;
- thyme, birch buds, linden flowers;
- dry marsh algae, chamomile, motherwort.
The cure of chronic prostatitis depends on the long-term use of herbal medicines according to the scheme in combination with anti-relapse drug treatments.
We use decoctions, infusions for ingestion, for baths, for microclysters. It is not recommended to use tinctures, that is, drugs containing alcohol. This prevents the successful treatment of chronic urogenital diseases.
All these drugs have a good effect in the treatment of prostatitis with inflammatory, congestive and hormonal etiology.