Regardless of the cause of the disease, inflammation of the prostate gland, ie the prostate, becomes chronic. To achieve an effective treatment for chronic prostatitis, you need to know what causes it.
Health, dear readers. We continue to understand the problem, causes, symptoms and treatment options of chronic prostatitis.
In this article, we will try to understand what is the best way to treat this terrible disease and what options we have. Let's start by analyzing the most modern and effective methods of treating prostatitis in men.
Causes of onset and exacerbation of the disease
Inflammatory diseases of the genitourinary system, rectum, due to close contact with the prostate gland, cause an inflammatory focus. The vessels that feed the prostate are the vessels in the bladder, rectum, posterior sacral artery, and deep femoral artery. Any infectious focus in these organs can enter the gland.
The presence of any localization, such as a chronic infection of the paranasal sinuses, weakens the immune system and causes the formation of conditionally pathogenic microorganisms in the skin and intestines, and the pathogenesis of the urinary tract. This leads to the development of a chronic process.
Disruption of blood circulation in the prostate gland due to blood stasis against the background of decreased physical activity worsens the supply of drugs to the prostate gland and complicates the treatment of chronic prostatitis in men.
Increased blood flow in the organs located in the small pelvis is caused not only by low physical activity, but also by a number of factors:
- irregular sex life;
- disconnection;
- smoking, drinking alcohol;
- varicose veins of the lower extremities;
- paraproctitis and proctitis;
- thrombophlebitis of hemorrhoidal vessels 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 which case the flow and flow of blood from the body is disturbed;
- Perineal trauma in drivers, cyclists, motorcycles.
In urogenital sexually transmitted infections, the disease can not always be completely cured - this is the cause of the development of chronic prostatitis. The most common pathogens are:
- Trichomonas;
- mycoplasma;
- guests;
- gardnerellas;
- ureaplasma;
- chlamydia;
- mushroom;
- viruses;
- Escherichia coli;
- streptococci;
- enterococci;
- staphylococci.
These microorganisms are difficult to treat.
After 40 years, a man's hormonal activity gradually begins to decline. At first it is asymptomatic.
Repeated reductions in testosterone production cause a slight stagnation of secretion in the granules of the prostate gland. This stagnation is slowly increasing. Substances in prostate secretion are not completely eliminated. The secretory, motor, barrier function of the prostate gland begins to suffer.
Citric acid in prostate water acts as a bactericide, diluting it. When there is not enough citric acid, a bacterial infection begins to develop. The level of citric acid in prostate water is directly related to the amount of testosterone in the blood.
Clinical manifestations of the disease
Symptoms of chronic prostatitis in men:
- anxiety, pain over the pubis;
- pain is periodically thrown into the rectum and sacrum;
- especially hypothermia, increased urination and pain after stress;
- non-specific discharge;
- ejaculation, erection disorders;
- premature ejaculation;
- excessive sweating;
- sleep disorder;
- Periodic increase in body temperature in the evening 37. 2-37. 3.
Dominant symptoms: pain, urinary incontinence or sexual dysfunction - depend on the treatment of chronic prostatitis in men.
The main components of disease therapy
Is chronic prostatitis treated?
The main areas of treatment should be emphasized:
- medicines;
- normalization of work and rest regime;
- rational nutrition;
- get out of bad habits;
- physiotherapy, massage;
- folk medicine.
It is not necessary to treat only with drugs, it is necessary to use all methods in a complex way. It is impossible to prefer any aspect of prostatitis therapy.
Medication
Effective treatment of prostatitis aims to eliminate the cause of prostatitis. Medications are selected individually by the doctor after passing the necessary diagnostic tests. Let's take a look athow and how to treat prostatitis, if it has already taken a chronic form. The main directions of drug therapy:
- antibiotics;
- anti-inflammatory drugs;
- antispasmodics to improve urine flow;
- uroantiseptics to treat 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 dysfunction.
Antibiotic treatment
Chronic prostatitis will depend on a well-chosen antibiotic therapy that can be treated. It is important to note that the treatment and cure of prostatitis will be most effective only if the type and stage of the disease are correctly identified.
Antibiotics are selected that penetrate the prostate well and have an effective effect on the causative agent of the infection. Some ureaplasma pathogens of chronic prostatitis are not sensitive to strong drugs:
- tetracyclines;
- some cephalosporins;
- some fluoroquinolones;
- Some macrolides.
How to treat chronic prostatitis with antibiotics?
Groups of antibacterial drugs used to treatbacterial prostatitis:
- Fluoroquinolones.
- Macrolides.
- Tetracyclines.
- 5-nitroimidzole derivatives.
- Cephalosporins 3-5 generations.
- Linkosamines.
- Sulfonamides.
The course of treatment with an antibiotic is 7-10 days, depending on the test results. Unsuccessfully, during treatment with antibacterial drugs are prescribed antifungal drugs, substances that normalize the microflora of the gastrointestinal tract.
Generally, the course of antibiotic therapy lasts from 2 to 4 weeks.
Ways of antibiotic administration:
- orally in tablet form;
- intramuscular;
- intravenous;
- inside the prostate;
- endolymphatic.
The doctor will tell you what to treat and which antibiotic to use based on the examination information:
- ultrasound;
- complete blood count;
- study of prostate secretion;
- PCR;
- TRUSI;
- uroflowmetry.
Non-steroidal anti-inflammatory drugs
The effect of non-steroidal anti-inflammatory drugs (NSAIDs) is associated with the normalization of vascular permeability and the restoration of microcirculation. They reduce the formation and prevent the absorption of existing inflammatory mediators. It is important to remember the properties of NSAIDs to form ulcers in the stomach and duodenum.
How to treat chronic prostatitis without stomach ulcers? In the evening, one proton pump inhibitor per capsule should be taken for prophylaxis.
The use of rectal suppositories with LPS is considered the most rational.
Immunomodulators
Immunomodulators are used to correct immune disorders.
Medications are prescribed by a doctor, the dose is selected individually.
Non-specific resistance of the body is normalized by vitamins and trace elements.
Enzymes
Enzyme drugs improve the delivery of antibiotics and NSAIDs to the prostate, destroying adhesions that are always present in the process of chronic inflammation.
In addition, enzymes have a moderately clear function to stimulate immunity.
How is chronic prostatitis treated with alpha-adrenergic blockers?
These medications are prescribed by your doctor:
- Eliminate the spasm in the neck of the bladder that develops against the background of edema and inflammation.
- Improve urine flow, normalize physiological urinary excretion.
- To coordinate the muscles and sphincters of the bladder.
Normalization of blood flow with drugs
Normal blood flow is provided by a sufficient diameter of the arteries that bring blood to the arteries outside the oxygen-depleted blood. It is also necessary to reduce the viscosity of the blood and achieve good fluidity in the capillary bed.
To get good results in the treatment of chronic prostate diseases, it is necessary to treat inflammatory diseases of the urethra, bladder and kidneys.
Prostatitis inevitably reduces potency, weakens libido, disrupts erection. These phenomena are always accompanied by symptoms of dysphoria, low background mood, mood swings. They are prescribed with these symptomssedatives, anxiolytics, antidepressants.
Methods of influence of physiotherapy
The following methods are used to treat a chronic process that affects the prostate:
- ultrasound
- electrophoresis;
- baths with hot boiled water of chamomile, linden, sage, thyme;
- hot enema
- massage of the prostate gland from the rectum;
- hirudotherapy
- UHF;
- induction;
- microwave resonance therapy.
Physiotherapy is contraindicated in patients with concomitant prostate adenoma.
The severity of psychological abnormalities and depressive symptoms depends on how well chronic prostatitis is treated. To speed up the process, in the absence of contraindications, it is necessary to add physiotherapeutic methods to the treatment.
Dietary Recommendations
For all chronic diseases, standard recommendations in the form of fried, salted, pepper, smoking cessation are not enough in this situation. Effective treatment of prostatitis depends on a rational, balanced diet. Foods such as celery, ginger, turmeric, apiproducts should be added to the meal.
These are:
- silicone that normalizes the formation of hormones in the body;
- Cleanse B vitamins, toxins and restore oxidative reduction processes;
- chromium, germanium, selenium, zinc normalize the sympathetic and parasympathetic systems;
- Vitamin C normalizes the permeability of cell membrane A, has antioxidant properties;
- Essential amino acids that rejuvenate sexual function, omega 3.
Used for apitherapy: natural honey, bee bread, podmore, royal jelly, dead bees, bee pollen.
Beekeeping products have the following effects:
- bactericide;
- fungicide;
- bacteriostatic;
- tonic;
- antiviral;
- immunomodulatory effect.
Alternative Treatment
Treatment of chronic prostatitis must be supplemented with herbs, and must take into account all the listed mechanisms of this disease. Then the effect of the therapy will be fully achieved.
The following herbs can be used:
- nettle, sage, bear fruit;
- mint, plantain, herb;
- rose hips, yarrow, wormwood;
- thyme, birch buds, linden flowers;
- swamp dry grass, chamomile, breast milk.
Treatment of chronic prostatitis depends on long-term use of herbs according to the scheme in combination with anti-inflammatory drugs.
Used for mixtures, nutritional infusions, baths, microclysters. The use of tinctures, ie drugs containing alcohol, is not recommended. This prevents successful treatment of chronic urogenital diseases.
All of these drugs are effective in the treatment of inflammatory, congestive, hormonal etiology of prostatitis.