Inflammation of the prostate, ie the prostate, usually becomes chronic regardless of the cause of the disease. In order to achieve effective treatment for chronic prostatitis, one needs to know the reasons 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 find out the best way to treat this terrible disease and what options are available to us. Let's start with the analysis of the most modern and effective methods of treating prostatitis in men.
Causes of the onset and worsening of the disease
Inflammatory diseases of the genitourinary system, the rectum, lead to the formation of an inflammatory focus due to the close contact with the prostate. The vessels that supply the prostate are branches of the arteries of the bladder, rectum, posterior sacral artery, and deep femoral artery. Any focus of infection in these organs can get into the gland.
The presence of chronic infection of any localization, for example, the paranasal sinuses, leads to a weakening of immunity, and conditionally pathogenic microorganisms that are present on the skin, in the intestines and in the urethra become pathogenic. This leads to the development of a chronic process.
Disruption of blood flow to the prostate due to blood stagnation against the background of decreased physical activity leads to a deterioration in the supply of drugs to the prostate and complicates the treatment of chronic prostatitis in men.
An increase in blood flow to the organs in the small pelvis is not only due to low physical activity, but also to a number of factors:
- irregular sex life;
- interruption of traffic;
- smoking, drinking alcohol;
- varicose veins of the lower extremities;
- paraproctitis and proctitis;
- Thrombophlebitis of the hemorrhoidal veins against the background of chronic hemorrhoids;
- fissures and fistulas of the anus;
- The tone of the vascular wall is regulated by the sympathetic and parasympathetic nervous system in a disease in which the inflow and outflow of blood from the organ is disturbed.
- Perineal trauma in drivers, cyclists, motorcyclists.
With genitourinary 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;
- chlamydia;
- mushrooms;
- viruses;
- Escherichia coli;
- streptococci;
- enterococci;
- staphylococci.
These microorganisms are difficult to cure.
Hormonal activity in a man after 40 years gradually begins to fade. At first it is asymptomatic.
A decrease in testosterone production repeatedly leads to a slight stagnation of the prostate secretions in the granules. This stagnation is gradually increasing. The substances contained in the secretion of the prostate are not completely removed. The secretory, motor and barrier functions of the secretion of the prostate begin to suffer.
The citric acid in prostate juice has a bactericidal function and dilutes it. When there isn't enough citric acid, a bacterial infection begins to develop. The citric acid level 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:
- Malaise, pain over the pubic bone;
- pain periodically shoots into the rectum and sacrum;
- increased urination and pain, especially after hypothermia, stress;
- uncharacteristic discharge;
- disorders of ejaculation, erection;
- premature ejaculation;
- excessive sweating;
- sleep disorder;
- periodic rise in body temperature no more than 37, 2-37, 3 in the evening.
The predominant symptoms: pain, urinary disorders, or sexual dysfunction - depend on the treatment of chronic prostatitis in men.
The main components of disease therapy
Is chronic prostatitis treated?
It is necessary to highlight the main areas of treatment:
- medicinal products;
- normalization of the working and resting state;
- rational nutrition;
- giving up bad habits;
- physiotherapy, massage;
- folk remedies.
It is necessary not only to treat with drugs, but to use all methods comprehensively. It is impossible to give preference to one direction of prostatitis therapy.
Medicines
Effective treatment for prostatitis should aim to eliminate the cause of prostatitis. Medicines are selected individually by a doctor after performing the necessary diagnostic tests. let's take a lookHow and how to treat prostatitisif it has already taken a chronic form. The main directions of drug therapy:
- antibiotics;
- anti-inflammatory drugs;
- antispasmodics to improve urine flow;
- Uroantiseptics for the elimination of urinary tract infections;
- drugs that improve arterial and venous blood flow;
- drugs that improve fluidity, lower blood viscosity;
- vitamins;
- enzymes;
- sedatives, psychotherapeutic effects;
- correction of immune diseases;
- Treatment of metabolic diseases and hormonal dysfunction.
Antibacterial therapy
Whether chronic prostatitis is curable depends on the selected antibiotic therapy. It is important to note that therapy and treatment for prostatitis will only be most effective if the type and stage of the disease are correctly determined.
Antibiotics are those that penetrate the prostate well and act effectively on the causative agent of the infection. Some chronic prostatitis pathogens, such asB. Ureaplasma, do not react as strongly to drugs as:
- tetracyclines;
- some cephalosporins;
- some fluoroquinolones;
- some macrolides.
How to treat chronic prostatitis with antibiotics
Groups of antibacterial drugs that are used to treatbacterial prostatitis:
- fluoroquinolones.
- macrolides.
- tetracyclines.
- 5-nitroimidzole derivatives.
- Cephalosporins 3-5 generations.
- Lincosamine.
- sulfonamides.
Treatment with an antibiotic lasts 7-10 days, depending on the test results. During treatment with antibacterial agents, antifungal drugs that normalize the microflora of the gastrointestinal tract are necessarily prescribed.
Overall, the course of antibiotic therapy takes 2 to 4 weeks.
Ways of antibiotic administration:
- orally in tablets;
- intramuscular;
- intravenous;
- in the prostate;
- endolymphatic.
Based on the data from the examination and examination, the doctor will tell you what to treat and which antibiotic to use:
- ultrasound;
- complete blood count;
- Examination of prostate secretion;
- PCR;
- TRUSI;
- uroflowmetry.
Nonsteroidal anti-inflammatory drugs
The action of nonsteroidal anti-inflammatory drugs (NSAIDs) is associated with the normalization of vascular wall permeability and the restoration of microcirculation. They reduce the formation and prevent the absorption of existing inflammatory mediators. It is necessary to remember the property of NSAIDs to form ulcers in the stomach and duodenum.
How can you cure chronic prostatitis without getting stomach ulcers? 1 capsule of a proton pump inhibitor must be taken prophylactically in the evening.
It is considered the most rational to use rectal suppositories with LPS.
Immunomodulators
Immunomodulators are used to correct immune diseases.
Drugs 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 and destroy the adhesions that are always present in the chronic inflammatory process.
In addition, enzymes have a moderately pronounced function of stimulating immunity.
How do you treat chronic prostatitis with alpha-adrenergic blockers?
These drugs are prescribed by a doctor to:
- Get rid of spasms from the neck of the bladder, which develop against the background of edema and inflammation.
- Improve urine flow and normalize physiological urination.
- To coordinate the work of the muscles and sphincters of the bladder.
normalization of blood flow with medication
Normal blood flow is achieved when a sufficient diameter of the arteries brings blood to the veins that are involved in the outflow of deoxygenated blood. It is also necessary to reduce the viscosity of the blood and achieve its good flowability in the capillary bed.
In order to achieve a good result in the treatment of chronic prostate diseases,inflammatory diseases of the urethra, bladder and kidneysmust be treated.
Prostatitis inevitably reduces potency, weakens the libido and breaks the erection. These phenomena are always accompanied by symptoms of dysphoria, poor background mood, and mood swings. With these symptoms, they are prescribedSedatives, anxiolytics, antidepressants.
Physiotherapeutic influencing methods
The following methods of treating a chronic process are used to affect the prostate:
- Ultrasound
- electrophoresis;
- baths of hot water with decoctions of chamomile, linden, sage, thyme;
- warm enemas
- massage the prostate through the rectum;
- Hirudotherapy
- UHF;
- inductothermia;
- microwave resonance therapy.
Physiotherapy is contraindicated in patients with simultaneous prostate adenoma.
The severity of mental abnormalities and depressive manifestations depends on how often chronic prostatitis is treated. To speed up the process, without contraindications, it is necessary to add physiotherapeutic influence methods to treatment.
Diet recommendations
Standard recommendations for all chronic diseases in the form of refusal to be fried, salted, peppered or smoked in this situation are not enough. Effective treatment for prostatitis depends on a rational, balanced diet. It is necessary to add foods like celery, ginger, turmeric, and by-products to foods.
They contain:
- silicon, which normalizes the production of hormones in the body;
- B vitamins, remove 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, that rejuvenate sexual function.
Forapitherapythe following are used: natural honey, bee bread, Podmore, royal jelly, dead bees, bee pollen.
Beekeeping products have the following effects:
- bactericidal;
- fungicidal;
- bacteriostatic;
- tonic;
- antiviral;
- immunomodulatory effect.
Alternative treatment
The course of treatment for chronic prostatitis is necessarily supplemented by medicinal herbs, which should take into account all the listed mechanisms of the development of the disease. Then the effect of the therapy is fully achieved.
The following medicinal herbs can be used:
- nettle, sage, bearberry;
- mint, plantain, hernia;
- rose hips, yarrow, wormwood;
- thyme, birch buds, linden blossoms;
- Marsh dry herb, chamomile, feverfew.
The cure of chronic prostatitis depends on the long-term use of medicinal herbs according to the scheme in combination with drug anti-relapse courses.
Decoctions, infusions for ingestion, for baths, for microclysters are used. It is not recommended to use tinctures, that is, drugs containing alcohol. This prevents successful treatment of chronic urogenital diseases.
All of these drugs have good effects in the treatment of prostatitis with inflammatory, congestive, hormonal etiology.