Inflammation of the prostate gland, that is, the prostate, regardless of the cause of the disease, as a rule, becomes chronic. For effective treatment of chronic prostatitis, 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 begin to discuss the most modern and effective methods of treating prostatitis in men.
Causes of the onset and exacerbation of the disease
Inflammatory diseases of the genitourinary system, the 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 artery. Any infectious focus present in these organs can enter the gland.
The presence of a chronic infection of any location, for example, the paranasal sinuses, leads to a weakening of the immune system and the conditionally pathogenic microorganisms present on the skin, in the intestines and the 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 in the context of reduced physical activity leads to a deterioration in the supply of drugs to the prostate gland and complicates the treatment of chronic prostatitis in themens.
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 intercourse;
- smoking, drinking alcohol;
- varicose veins of the lower extremities;
- paraproctitis and proctitis;
- thrombophlebitis of the hemorrhoidal veins in the context of chronic hemorrhoids;
- fissures and fistulas of the anus;
- the tone of the vascular wall is regulated by the sympathetic and parasympathetic nervous systems, in the event that the entry and exit of blood from the organ is altered;
- perineal trauma in motorcyclists, cyclists and motorcyclists.
With urogenital sexually transmitted 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;
- fungi;
- virus;
- Escherichia coli;
- streptococci;
- enterococci;
- staphylococci.
These microorganisms are difficult to cure.
Hormonal activity after 40 years in a man gradually begins to fade. At first it is asymptomatic.
The decrease in the production of testosterone again and again leads to a slight stagnation of the secretion of the prostate gland in its granules. Little by little, this stagnation increases. The substances contained in the secretions of the prostate are not completely eliminated. The secretory, motor and barrier function of the prostate secretion begins to suffer.
The citric acid in prostate juice performs a bactericidal function, it 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 pubis;
- pain shoots periodically in the rectum and sacrum;
- increased urination and pain, especially after hypothermia, stress;
- unusual download;
- ejaculation disorders, erection;
- premature ejaculation;
- excessive sweating;
- sleep disturbance;
- periodic increase in body temperature no more than 37. 2-37. 3 at night.
The predominant symptoms: pain, urinary disorders or sexual dysfunction, depends on the treatment of chronic prostatitis in men.
The main components of disease treatment
Is chronic prostatitis treated?
It is necessary to highlight the main areas of treatment:
- medications;
- normalization of the work and rest regime;
- rational nutrition;
- give up bad habits;
- physiotherapy, massage;
- home remedies.
It is necessary to deal not only with drugs, but it is necessary to use all methods in a complex way. It is impossible to give preference to only one direction of prostatitis therapy.
Medications
Effective treatment of prostatitis should aim to eliminate the cause of prostatitis. Medications are selected individually by a doctor after conducting the necessary diagnostic tests. We'll seehow and how to treat prostatitis, if it has already acquired a chronic form. The main directions of drug therapy:
- antibiotics;
- anti-inflammatory drugs;
- antispasmodics to improve urine flow;
- uroantiseptics to eliminate urinary tract infections;
- drugs that improve arterial and venous blood flow;
- drugs that improve fluidity, reduce the viscosity of the blood;
- vitamins;
- enzymes;
- sedatives, psychotherapeutic effects;
- correction of immune disorders;
- treatment of metabolic diseases and hormonal dysfunction.
Antibiotic therapy
Cure of chronic prostatitis will depend on adequate antibiotic therapy. It is important to note that therapy and treatment of prostatitis will be more effective only if the type and stage of the disease is correctly determined.
Antibiotics are selected those that penetrate well into the prostate, act effectively on the agent causing the infection. Some chronic prostatitis pathogens, 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.
- Derivatives of 5-nitroimidzole.
- Cephalosporins 3-5 generations.
- Lincosamines.
- Sulfonamides.
The course of treatment with an antibiotic is 7-10 days, depending on the test results. Without fail, 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 takes 2 to 4 weeks.
Routes of administration of antibiotics:
- orally in tablets;
- intramuscularly;
- intravenously;
- inside the prostate;
- endolymphatic.
How to treat and which antibiotic to use, the doctor will tell you, based on the exam data, exam:
- ultrasound;
- complete blood count;
- study of prostate secretion;
- PCR;
- TRUSI;
- uroflowmetry.
Nonsteroidal 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 microcirculation. They reduce education 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 to cure chronic prostatitis without having a stomach ulcer? It is necessary to take 1 proton pump inhibitor capsule in the evening for prophylaxis.
It is considered more rational to use rectal suppositories with LPS.
Immunomodulators
Immunomodulators are used to correct immune disorders.
Medicines are prescribed by a doctor, doses 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, destroying the adhesions that are always present in the chronic inflammatory process.
Furthermore, enzymes have a moderately pronounced function of stimulating immunity.
How to treat chronic prostatitis with alpha-adrenergic blockers?
These drugs are prescribed by a doctor for:
- Eliminates bladder neck spasms that develop in the context of edema and inflammation.
- Improves urine flow, normalizes physiological urination.
- To coordinate the work of the muscles and sphincters of the bladder.
Normalization of blood flow with drugs
Normal blood flow is achieved with an adequate diameter of the arteries that carry blood to the veins involved in the outflow of blood without oxygen. It is also necessary to reduce the viscosity of the blood and achieve its good fluidity 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 potency, weakens libido and breaks erection. These phenomena are always accompanied by symptoms of dysphoria, low mood, mood swings. With these symptoms, they are prescribedsedatives, anxiolytics, antidepressants.
Physiotherapy influence methods
The following methods of treating a chronic process are used to affect the prostate:
- ultrasound
- electrophoresis;
- baths with hot water with decoctions of chamomile, linden, sage, thyme;
- hot enemas
- massage of the prostate gland through the rectum;
- hirudotherapy
- UHF;
- inductothermia;
- microwave resonance therapy.
Physical therapy is contraindicated in patients with concomitant prostate adenoma.
The severity of psychological abnormalities and depressive manifestations depends on how well chronic prostatitis is treated. To speed up the process, in the absence of contraindications, it is necessary to add influencing physiotherapeutic methods to the treatment.
Dietary recommendations
The standard recommendations for all chronic diseases in the form of rejection of fried, salted, peppers, smoked in this situation are not enough. The effective treatment of prostatitis depends on a rational and balanced diet. You need to add foods like celery, ginger, turmeric, products to food.
Contain:
- silicon, which normalizes the formation of hormones in the body;
- B vitamins, eliminate 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.
Forapitherapythe following are used: natural honey, bee bread, podmore, royal jelly, dead bees, bee pollen.
Bee 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 herbs, which must take into account all the listed mechanisms of the development of the disease. Then the effect of therapy will be fully achieved.
The following medicinal herbs can be used:
- nettle, sage, bearberry;
- mint, banana, hernia;
- rose hips, yarrow, wormwood;
- thyme, birch buds, linden flowers;
- dried bog grass, chamomile, motherwort.
The cure of chronic prostatitis depends on the long-term 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 tinctures, that is, drugs containing alcohol. This prevents the successful treatment of chronic urogenital diseases.
All these drugs have a good effect in the treatment of prostatitis with inflammatory, congestive and hormonal etiology.