The pathology of the prostate gland, which develops due to inflammatory processes in it, is called prostatitis disease.
More often than others, an infectious form of prostatitis occurs.The infection capable of impressing the prostate by penetrating from the urethral hole or other organs and glands of the genital.
The causes of prostatitis
Any person taken from surprise or understanding the inevitability of the disease due to the exacerbation of provocative factors can guess the course of prostatitis.
The prostate gland is a place for the transit of the urethral canal, therefore the inflammatory process in a diseased organ, which leads to an increase in its structures, leading to impaired emptying of the bladder.
A binary nomenclature is used to diagnose various forms of inflammation of the prostate gland:
- chronic non -infectious;
- chronic infectious;
- acute infectious;
- Sharp not infectious.
Prostatitis varieties are due to a complex of provocative factors in certain circumstances.
The first factor that is statistically prevalent in men of young and age before overlapping - infections transmitted by the sexual partner.Venus diseases, especially at the stage of symptomatic remission, are able to leave behind an infection in a hidden state or prostate lesions that have progressed even after the elimination of an infectious agent.
Signs of prostatitis in men
It is difficult to diagnose an infectious or non -infectious form of prostate inflammation based solely on the similarity of the symptoms.
If the following signs of prostatitis are detected, it is necessary to carry out a complete diagnosis of methods for detecting the disease:
- During the emptying of the bladder, pain and intensity are experienced, after the end of urination the patient experiences a burning sensation in the urethra;
- body temperature exceeds normal;
- The feeling of incomplete emptying of the bladder after the end of urination does not leave the sick person for some time;
- The pain in the period between frequent trips to the toilet is felt in the crotch, inguinal and abdominal areas reflected in the legs, butt, pelvis and sacrum;
- Lethargy and malaise.
A person can form suspicion of prostatitis if at least two of them become noticeable from the whole list and symptoms.A specific sign of the inflammatory process in the prostate is the temperature difference measured in different parts of the body.The model of temperature changes is related to the location of the focus of inflammation: the closer to it, the higher the temperature.
Possible complications
Complications after prostatitis occur in the absence of medical intervention in the course of the disease or incorrect formation of treatment regimen.
Medical practice shows the most frequent distribution after prostatitis:
- lack of erection and ejaculation;
- the spread of the inflammatory process of the nearby organs of the genius system;
- cytological disorders leading to the inability of sperm to fertilize eggs;
- reduction of libido;
- Mental and neurotic conditions that reduce the quality of life and health of a person as a whole.
After prostatitis, the penis sharply reduces the ability to harden and perform with blood.Possible sexual intercourse ends quickly compared to the recent full sex life.Not all sexual contact ends with ejaculation.
With the development of the latter, acute pain occurs, the process of impaired urine outflow (its delay or incontinence) threatens to move to the chronic level.The performance of a person in this state is doubtful.
A person's condition can only normalize during long -term psychological work with the patient against the background of drug therapy.The failures in sex life impede the more desire to continue sex life.
The result of pathology is infertility in a first -degree person.It is important in this condition to eliminate the cause of infertility in a timely manner due to the lack of the ability to cure second -degree infertility with a medicine method.Proper treatment can be prescribed by a urologist.Therefore, men should not neglect the signs of prostatitis.
Diagnostics
The diagnostic examination scheme is directly dependent on the complaints and signs with which the patient addresses the urologist or other doctor.The diagnosis of prostatitis in men can be made at home and at a medical institution.
The initial diagnostic stage is the collection of history data.The doctor performs an external examination of the genitals and listens to the patient's complaints.Based on the initial data, a diagram of a more diagnostic study of a sick person is constructed.
At this stage of the development of medicine, the list of questions was published on the questionnaire, which the patient completed before a visit to the doctor's office.Thus, the time of the patient and the doctor is rescued.
The first mandatory stage of the patient's examination with signs of prostatitis is the test of the prostate gland from the rectum.
The doctor determines the degree of increase in the inflammation organ, its density, the uniformity of the consistency, or the presence of nodes or seals, the degree of pain during palpation.
Before the palpation, the cavity of the intestinal cavity is performed.
In the absence of an inflammatory process in the prostate there is no pain, with prostatitis, the intensity of the pain may be different and their localization is felt in the groin, rectum, perineum and sacrum.In this case, it is contraindicated in a number of procedures, such as cystography.
For a microscopic examination of prostate secretion, the patient is performed by prostate massage through the rectum.
With the desire to urinate until the end of the prostate massage, this cannot be done until the prostate secretion decreases from the opening of the urethral.
The procedure ends with the subject glass of the microscope along the opening of the urethra, after which the spreading is painted and microscopic analysis according to the following parameters:
- The presence of leukocytes and the calculation of their quantity;
- the amount of lecithin;
- The activity of pathogenic microorganisms and their presence.
The detection of bacteria in the visual area of the smears shows the infectious type of prostatitis.
The number of leukocytes in the visual field of more than 2 indicates the inflammatory process in the prostate.For a reliable result of a microscopic examination, it is necessary to properly take a fence for analysis and competent to draw the medicine.
The above tests are mandatory, additional examinations are prescribed by the doctor selectively, depending on the doctor's suspicions about the nature of the inflammation.
The analysis of the secret of the urethra is performed by a catheter -like tool.The top of the metal coating is wounded cotton wool.Before the analysis passes, urination is off for 2-3 hours.Otherwise, the microflora is washed in the external environment.The doctor introduces a cotton swab of approximately 4 cm inside the hole of the penis and makes rotating movements.The urethral smear is examined for the presence of DNA residues and bacteria.Urine analysis is a means of detecting blood cells: red blood cells and leukocytes, protein (usually missing or present in traces of quantities).
When making mistakes in analyzing the symptoms of smearing urethra and prostatitis, urine sowing is prescribed for bacteriological analysis.
The disadvantage of the method is the long -term expectation of a colony of pathogenic microorganisms (up to 1 week).
Sowing is done by a comparative method after a fence of three parts urine (beginning, middle and end of bladder emptying).A greater number of pathogenic microorganisms in one of the samples give the assumption for the main focus of the infection.The detection in the first part of the urine of the bacteria does not cause the inflammation to confirm.The second and third part of the urine, exceeding the number of detected microorganisms, give a basis for clarifying the location of inflammation (respectively in the urethra and bladder).
The degree of deviation of sexual function from the norm is checked by analyzing the sperm for viscosity and other physico-chemical indicators for the environment, activity and viability of male gametes and sperm is rarely prescribed.
The ultrasound through the study clarifies the density of the diseased organ and other parameters obtained after examination of the prostate finger through the rectum.
The prostate gland is visible in two ways: ultrasound of the rectum and ultrasound through the abdominal cavity.In the case of suspicion of adenoma and prostate cancer, the doctor may prescribe additional blood tests, the SO dog test.
The fence is made of vein, a blood test detects (excludes) the presence of RSA protein that occurs in malignant tumors.At home, the patient may suspect prostatitis by focusing on the color and turbidity of the urine, the symptoms of the disease.
How to treat at home
Delivery of pharmaceuticals
If there are signs of prostatitis, men should not self -dare, the drugs presented below should only be prescribed by a doctor.
The preparations suggested for therapeutic prostatitis are distinguished by different forms and pharmaceutical properties.More often than others, candles are prescribed for the use of rectals.
The justification for the choice of doctors is related to the proximity of the effects of the components of the rectal suppositories and the prostate gland.
The condition for the effective effect of the active substance of the candles on the tissue of the organ is the peace of the patient in the lying position for 30 minutes after administration of the rectal drug.Candles inactivate pathogenic microflora and have an analgesic effect.
Intramuscular and intravenous injections contribute to the fastest effect on the diseased organ by spreading through the blood.
Immediately after urination, instilations are prescribed aimed at penetrating the healing substances into the prostate through the urethral hole.The maximum amount of application is 5 ml.
The forms of prostatitis tablets are more known as antibiotics, divided into 3 groups and successfully deal with the possible variety of spectrum of types of pathogenic microflora.
Warm microclysms with introduced substances are performed in the evening.The main condition for the use of the enema is the inadmissibility of the gland tension and the compliance with the temperature regime.Refers to folk methods for the treatment of prostatitis.
Antibacterial agents
A well -chosen antibiotic is the key to successful prostatitis healing.To choose an antibiotic, with the appearance of signs of prostatitis, a bacterial analysis of the secret of the prostate (urethra, urine) is required.
In an acute form of prostatitis, antibiotics are prescribed a wide range of actions:
- Tetracyclines are the least versatile for the variety of pathogenic bacteria;
- Penicillins are used for non -specific microflora, as well as for residual coccal infection after gonorrhea.Are active in connection with the particular pathogenic microflora, inactivating it with clavulanic acid;
- Fluoroquinolones have the most wider effect on pathogenic microflora;
- Cephalosporins are the most effective means of destroying the cell walls of bacterial murein, but limited use is associated with high toxic properties, which does not allow the use of allergic diseases, meningitis, etc.;
- Macrolides have the smallest toxicity of all antibiotics, but their effectiveness is in doubt.
Preparation of prostatitis medicines at home
Folk methods that can be used at home will help reduce the symptoms and signs of prostatitis.But you need to understand that it is only necessary to use them in connection with modern medicines that the doctor prescribes.
From asparagus, the juice is extracted and drunk during the day in unlimited quantities.The daily rate of consumption of asparagus juice should not be less than 0.5 liters if the patient wants to notice a positive result from the treatment.
Propolis candles are made at home alone.For this purpose, 40 grams of propolis are poured with a glass of medical alcohol, the mixture is dissolved and evaporated until the consistency of the stone is obtained.
At 1:20 ratio, propolis and cocoa butter are mixed, then form candles for rectal administration and stored in the refrigerator.
Every day you are required to enter 1 candle into the rectum before going to bed.The course lasts 1 month.To eliminate the signs of prostatitis, the treatment is performed with 2-3 courses, rest after treatment should be 1 month.
With excess body weight, prostate iron may increase in volume.To return the prostate gland to the original size, some patients arrange hunger in which obesity and hyperplasia of the prostate disappear.
If the causes of the prostate enlargement are related only to body weight, then the problem disappears, but the determination of the causes should not be discarded by the doctor's competence.
Preventive therapeutic gymnastics
Inflammation in the prostate gland, which is diagnosed on the signs described above, is the most effective eliminated with the simultaneous effect of several environmental factors, including proper nutrition and therapeutic gymnastics.
A properly organized complex of exercise helps to prevent severe inflammatory processes and prevent complications after prostatitis.
The exercise complex begins to effectively manifest itself with a morning five -minute duration.It is recommended that you move more in the form of tourism, swimming, horse and skiing.