Inflammation of the prostate, that is, the prostate, regardless of the cause of the disease, usually becomes chronic. For effective treatment of chronic prostatitis to be achieved, it is necessary to know why it appears.
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 we have at our disposal. Let's start by looking at the most modern and effective methods of treating prostatitis in men.
Causes of disease onset and exacerbation
Inflammatory diseases of the genitourinary system, rectum, due to close contact with the prostate, lead to the formation of an inflammatory focus in the prostate. The vessels that feed the prostate are branches of the arteries of the bladder, rectum, posterior sacral artery and deep thigh artery. Any infectious focus present in these organs can enter the gland.
The presence of a chronic infection from any location, for example, the paranasal sinuses, leads to a weakening of the immune system and the conditionally pathogenic microorganisms present in the skin, intestines and urethra become pathogenic. This leads to the development of a chronic process.
The interruption of blood circulation in the prostate due to blood stagnation in the context of reduced physical activity leads to a deterioration in the supply of medicines to the prostate and complicates the treatment of chronic prostatitis in men.
An increase in blood flow to the organs located in the small pelvis occurs not only due to low physical activity, but also due to a number of factors:
- irregular sex life;
- interruption of sexual intercourse;
- smoking, drinking alcohol;
- varicose veins of the lower extremities;
- paraproctite and proctite;
- thrombophlebitis of the hemorrhoidal veins in the context of chronic hemorrhoids;
- fissures and fistulas of the anus;
- the vascular wall tone is regulated by the sympathetic and parasympathetic nervous systems, in the case of a disease whose blood flow to and from the organ is disturbed;
- perineal trauma in riders, cyclists, motorcyclists.
With sexually transmitted urogenital infections, the disease cannot 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.
Hormonal activity after 40 years in a man begins to decrease gradually. At first, it is asymptomatic.
Decreased testosterone production repeatedly leads to mild stagnation of prostate secretion in its granules. Gradually, this stagnation increases. The substances contained in the prostate secretion are not completely removed. The secretory, motor and barrier function of prostate secretion begins to suffer.
The citric acid in prostatic juice plays 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 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 triggers in the rectum and sacrum;
- increased urination and pain, especially after hypothermia, stress;
- atypical discharge;
- ejaculation disorders, erection;
- premature ejaculation;
- excessive sweating;
- sleep disturbance;
- periodic increase in body temperature not exceeding 37, 2-37, 3 at night.
Prevailing symptoms: pain, urinary disorders or sexual dysfunction - depends 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:
- medications;
- normalization of the work and rest regime;
- rational nutrition;
- giving 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 complex way. It is impossible to give preference to any direction of prostatitis therapy.
Medication
Effective treatment of prostatitis should aim to eliminate the cause of prostatitis. Medicines are individually selected by a doctor after performing the necessary diagnostic tests. Let's take a lookhow and how to treat prostatitis, if you have already acquired a chronic form. The main directions of drug therapy:
- antibiotics;
- anti-inflammatories;
- antispasmodics to improve urine flow;
- uroantiseptics to eliminate urinary tract infections;
- drugs that improve arterial and venous blood flow;
- medicines that improve fluidity, reduce blood viscosity; vitamins;
- enzymes;
- sedatives, psychotherapeutic effects;
- correction of immunological disorders;
- treatment of metabolic diseases and hormonal dysfunction.
Antibiotic therapy
The cure for chronic prostatitis will depend on the appropriate antibiotic therapy. It is important to note that prostatitis therapy and treatment will be most effective only if the type and stage of the disease are correctly determined.
Antibiotics are selected those that penetrate the prostate well, act effectively on the causative agent of the infection. Some pathogens of chronic prostatitis, such as ureaplasma, are not sensitive to drugs as strong as:
- tetracyclines;
- some cephalosporins;
- some fluoroquinolones;
- some macrolides.
How to treat chronic prostatitis with antibiotics?
Groups of antibacterial drugs used for treatmentbacterial prostatitis:
- Fluoroquinolones.
- Macrolides.
- Tetracyclines.
- 5-nitroimidzole derivatives.
- Cephalosporins 3-5 generations.
- Lincosamines.
- Sulphonamides.
The course of treatment with an antibiotic is 7 to 10 days, depending on the test results. Without fail, during treatment with antibacterials, antifungal agents are prescribed, agents that normalize the microflora of the gastrointestinal tract.
In total, the course of antibiotic therapy takes 2 to 4 weeks.
Antibiotic administration routes:
- orally in tablets;
- intramuscularly;
- intravenously;
- inside the prostate; endolymphatic
- .
The doctor will tell you what to treat and which antibiotic to use, based on the exam data, exam:
- 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 the permeability of the vascular wall and the restoration of the 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 developing stomach ulcers? It is necessary to take for a prophylactic purpose 1 capsule of an inhibitor of the proton pump 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 body's nonspecific resistance is normalized by vitamins and microelements.
Enzymes
Enzymatic preparations improve the access of antibiotics and NSAIDs to the prostate, destroying the adhesions that are always present in the 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 your doctor for:
- Eliminates bladder neck spasm, which develops in the context of edema and inflammation.
- Improves urinary flow, normalizes physiological urination.
- To coordinate the bladder muscles and sphincters.
Normalization of blood flow with drugs
Normal blood flow is achieved with an adequate diameter of the arteries, taking blood to the veins involved in the oxygen-poor blood flow. It is also necessary to reduce blood viscosity and achieve good fluidity in the capillary bed.
To obtain a good result in the treatment of chronic diseases of the prostate, it is necessary to treatinflammatory diseases of the urethra, bladder and kidneys.
Prostatitis inevitably reduces potency, weakens libido, interrupts erection. These phenomena are always accompanied by symptoms of dysphoria, low mood, mood swings. With these symptoms, they are prescribedsedatives, anxiolytics, antidepressants.
Physiotherapy methods of influence
The following methods of treating a chronic process are used to affect the prostate:
- ultrasound electrophoresis
- ;
- hot water baths with decoctions of chamomile, linden, sage, thyme;
- hot enemas
- massage of the prostate through the rectum;
- hirudoterapia
- UHF;
- inductotherm;
- microwave resonance therapy.
Physiotherapy is contraindicated in patients with concomitant prostate adenoma.
The severity of psychological abnormalities and depressive manifestations depends on how much chronic prostatitis is treated. To streamline the process, in the absence of contraindications, it is necessary to add physiotherapeutic methods of influence to the treatment.
Diet recommendations
Standard recommendations for all chronic diseases in the form of refusal of fried, salt, pepper, smoked in this situation are not enough. Effective treatment of prostatitis depends on a rational and balanced diet. It is necessary to add foods such as celery, ginger, turmeric and api products to the food.
They contain:
- silicon, which normalizes the formation of hormones in the body; vitamins
- b, 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, which rejuvenate sexual function.
Forapitherapynatural honey, bee bread, podmore, royal jelly, dead bees, bee pollen are used.
Bee products have the following effects:
- bactericidal; fungicide; bacteriostatic
- ;
- tonic; antiviral
- ;
- immunomodulatory effect.
Alternative treatment
The course of treatment of chronic prostatitis is necessarily complemented with medicinal herbs, which must take into account all the mechanisms listed for the development of the disease. Then, the effect of the therapy will be fully achieved.
The following medicinal herbs can be used:
- nettle, sage, bearberry;
- mint, banana, hernia;
- rosehips, milleft, wormwood;
- thyme, birch buds, linden flowers;
- dry marsh grass, chamomile, mother grass.
The cure for chronic prostatitis depends on the prolonged use of medicinal herbs according to the scheme in combination with courses of anti-relapse drug therapy.
Decoctions, infusions for ingestion, for baths, for microclysters are used. It is not recommended to use dyes, that is, drugs that contain alcohol. This prevents the successful treatment of chronic urogenital diseases.
All of these drugs have a good effect in the treatment of prostatitis with inflammatory, congestive and hormonal etiology.