Inflammation of the prostate gland, i. e. the prostate, regardless of the cause of the disease, as a rule, becomes chronic. In order to achieve an effective treatment of chronic prostatitis, it is necessary to know for what reasons 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 treat this terrible disease, what options are available to us. Let’s start by analyzing the most modern and effective methods for treating prostatitis in men.
Causes of onset and worsening of the disease
Inflammatory diseases of the genitourinary system, rectum, due to close contact with the prostate gland, lead to the formation of an inflammatory focus in it. The vessels that feed the prostate are branches of the arteries of the bladder, rectum, posterior sacral artery, and deep thigh arteries. Any infectious focus present in these organs can enter the gland.
The presence of a chronic infection of any localization, for example, the paranasal sinuses, leads to a weakening of the immune system and microorganisms with pathogenic condition present in the skin, intestines and urethra become pathogenic. This leads to the development of a chronic process.
Disruption of blood circulation in the prostate gland due to stagnation of blood against a background of reduced physical activity leads to deterioration of the prostate gland medication supply 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 a number of factors:
- irregular sex life;
- cessation of sexual intercourse;
- smoking, drinking alcohol;
- varicose veins of the lower extremities;
- paraproctitis and proctitis;
- hemorrhoidal vein thrombophlebitis on the background of chronic hemorrhoids;
- cracks and fistulas of the anus;
- the tone of the vascular wall is regulated by the sympathetic and parasympathetic nervous systems, in the case of a disease of which the entry and exit of blood from the organ is disrupted;
- perineal trauma to drivers, cyclists, motorcyclists.
In the case of sexually transmitted urogenital 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;
- gonococcus;
- gardnerellas;
- ureaplasma;
- chlamydia;
- mushrooms;
- viruset;
- Escherichia coli;
- streptococci;
- enterococci;
- staphylococcus.
These microorganisms are difficult to cure.
Hormonal activity after 40 years in a man gradually begins to fade. At first, it is asymptomatic.
A steady decline in testosterone production leads to a slight stagnation of the secretion of the prostate gland into its granules. Little by little, this stagnation increases. Substances contained in prostate secretions are not completely removed. The secretory, motor, and barrier function of the prostate gland begins to suffer.
Citric acid in prostate fluid 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 prostate fluid is directly related to the amount of testosterone in the blood.
Clinical picture of the disease
Symptoms of chronic prostatitis in men:- discomfort, pain above the pubis;
- pain periodically releases into the rectum and sacrum;
- increased urination and soreness, especially after hypothermia, stress;
- uncharacteristic download;
- ejaculation disorders, erection;
- premature ejaculation;
- excessive sweating;
- sleep disturbance;
- periodic increase in body temperature not more than 37. 2-37. 3 in the evening.
Predominant symptoms: pain, urinary disorders or sexual dysfunction - depends on the treatment of chronic prostatitis in men.
Key components of disease therapy
Is Chronic Prostatitis Treated?
it is necessary to emphasize the main areas of treatment:
- medicine
- ;
- normalization of work and rest regime;
- rational food;
- giving up bad habits;
- physiotherapy, massage;
- folk remedies.
it is not only necessary to treat with medicine, but it is necessary to use all methods in a complex way. It is impossible to give priority to any direction of prostate therapy.
Medications
Effective treatment of prostatitis should aim to eliminate the cause of prostatitis. Medications are selected individually by a physician after performing the necessary diagnostic tests. Let’s take a lookhow and how to treat prostatitis, if it has already acquired a chronic form. Main directions of drug therapy:
- antibiotics;
- anti-inflammatory drugs;
- antispasmodics to improve urine flow;
- uroantiseptics to eliminate urinary tract infections;
- medicines that improve arterial and venous blood flow;
- medicines that improve fluidity, reduce blood viscosity;
- vitamins; enzyme
- ;
- sedatives, psychotherapeutic effects;
- correction of immune disorders;
- treatment of metabolic diseases and hormonal dysfunction.
Antibacterial therapy
Whether chronic prostatitis is curable will depend on well-chosen antibiotic therapy. Importers It is important to note that the therapy and treatment of prostatitis will be more effective only if the type and stage of the disease is determined correctly.
Antibiotics are chosen those that penetrate well into the prostate, act effectively on the cause of the infection. Some pathogens of chronic prostatitis, such as ureaplasma, are not sensitive to drugs as strong as:
tetracycline;- some cephalosporins;
- some fluoroquinolones;
- some macrolides.
How to treat chronic prostatitis with antibiotics?
Groups of antibacterial drugs used to treatbacterial prostatitis:
- Fluoroquinolones.
- Macrolide.
- Tetracycline.
- 5-nitroimidzol derivatives.
- Cephalosporins 3-5 generations.
- Lincosamines.
- Sulfonamide.
The course of treatment with an antibiotic is 7-10 days, depending on the test results. Undoubtedly, during treatment with antibacterial agents, antifungal drugs are prescribed, agents that normalize the microflora of the gastrointestinal tract.
In total, the course of antibiotic therapy lasts from 2 to 4 weeks.
Ways of administering antibiotics:- orally in tablets;
- muscularly;
- intravenously;
- inside the prostate;
- endolymphatic.
Your doctor will tell you what to treat and what antibiotic to use, based on examination data, examination:
- ultrasound
- ;
- complete blood count;
- study of prostate secretion;
- PCR;
- TRUSI;
- uroflowmetria.
Non-steroidal anti-inflammatory drugs
The effect of non-steroidal anti-inflammatory drugs (NSAIDs) is associated with normalization of vascular wall permeability, restoration of microcirculation. They reduce the formation and prevent the absorption of existing inflammatory mediators. It is necessary to remember about the property of NSAIDs to form ulcers in the stomach and duodenum.
How to cure chronic prostatitis without getting a stomach ulcer? Necessary it is necessary to take with a prophylactic purpose 1 capsule of a proton pump inhibitor in the evening.
It is considered more rational to use rectal suppositories with LPS.
Immunomodulators
Immunomodulators are used to correct immune disorders.
Drugs are prescribed by a doctor, doses are chosen individually.
The body's nonspecific resistance is normalized by vitamins and trace elements.
Enzymes
Enzyme preparations improve the access of antibiotics and NSAIDs to the prostate, destroying the adhesions that are always present in the chronic inflammatory process.
Furthermore, enzymes have a pronounced moderate function of stimulating immunity.
How to treat chronic prostatitis with alpha-adrenergic blockers?
These medicines are prescribed by a doctor for:
- Eliminate spasm from the bladder neck, developing against the background of edema and inflammation.
- Improve urine flow, normalize physiological urination.
- To coordinate the muscles and sphincters of the bladder.
Normalize blood flow with medication
Normal blood flow is achieved with an adequate diameter of the arteries that carry blood to the veins involved in the flow of oxygen-depleted blood. It is also necessary to reduce the viscosity of the blood and to achieve its good flow 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 strength, weakens libido and disrupts erections. These phenomena are always accompanied by symptoms of dysphoria, low background humor, mood swings. With these symptoms, they are describedsedatives, anxiolytics, antidepressants.
Methods of impact of physiotherapy
The following methods of treating a chronic process are used to affect the prostate:
- ultrasound
- electrophoresis;
- hot water baths with chamomile, linden, sage, thyme;
- warm enemas
- massage of the prostate gland through the rectum;
- hirudotherapy
- UHF;
- inductotherm;
- microwave resonance therapy.
Physiotherapy is contraindicated in patients with concomitant prostate adenomas.
The severity of psychological abnormalities and depressive manifestations depends on how chronic prostatitis is treated. To speed up the process, in the absence of contraindications, it is necessary to add physiotherapeutic methods of influencing treatment.
Diet Recommendations
Standard recommendations for all chronic diseases in the form of fried, salted, pepper, smoked rejection in this situation are not enough. Effective treatment of prostatitis depends on a rational, balanced diet. It is necessary to add foods such as celery, ginger, turmeric, apiproducts to the food.
They contain:
- silicon, which normalizes the formation of hormones in the body;
- B vitamins, remove toxins and restore redox processes;
- chromium, germanium, selenium, zinc normalize the work of sympathetic and parasympathetic systems;
- vitamins C, A normalize the permeability of the cell membrane, have antioxidant properties;
- essential amino acids, omega 3, that renew sexual function.
Forapitherapyused: natural honey, bee bread, podmore, royal jelly, dead bees, bee pollen.
Beekeeping products have the following effects:
- bactericidal;
- fungicide;
- bacteriostatic;
- tonic;
- antiviral;
- immunomodulatory effect.
Alternative Treatment
The course of treatment of chronic prostatitis is necessarily supplemented by medicinal plants, which must take into account all the listed mechanisms of disease development. Then the effect of therapy will be fully achieved.
The following medicinal plants may be used:
- nettle, sage, cranberry;
- mint, delli, hernie;
- hips, yarrow, wormwood;
- thyme, birch buds, linden flowers;
- dry husk, chamomile, bark.
The cure of chronic prostatitis depends on the long-term use of herbs according to the scheme in combination with anti-relapse courses of drug therapy.
Used decoctions, infusions for swallowing, for baths, for microcluster. It is not recommended to use tinctures, ie medicines containing alcohol. This prevents successful treatment of chronic urogenital diseases.
All these drugs have a good effect in the treatment of prostatitis with inflammatory, congestive, hormonal etiology.