The pathology of the prostate gland, which develops due to inflammatory processes, is called a disease - prostatitis.
More often than others, an infectious form of prostatitis occurs.The infection capable of impressing prostate by penetrating the urethral hole or other organs and glands of the genitorerinary system.
The causes of prostatitis
Each man, caught by surprise or understanding the inevitability of the disease due to the exacerbation of provocation factors, can guess the prostatitus course.
The prostate gland is a place for the transit of the urethral canal, therefore, the inflammatory process in a sick organ, resulting in an increase in its structures, leads to a violation of the emptying of the bladder.
When establishing a diagnosis for different forms of inflammation of the prostate gland, the binary nomenclature is used:
- non -infectious chronic;
- chronic infectious;
- acute infectious;
- Acute non-infectious.
Prostatitis varieties are due to a complex of provocative factors in certain circumstances.
The first factor that prevails statistically in young and pre -retirement men - the infections transmitted to the sexual partner.Venus diseases, especially in the symptomatic remission stage, are able to leave an infection in a hidden state or prostate lesions, which progressive 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 symptoms.
If the following signs of prostatitis are found, it is necessary to carry out a complete diagnosis of the methods of detecting the disease:
- During the emptying of the bladder, the pain and the intensity are felt, after the end of the urination, the patient feels a burning sensation in the urethra;
- Body temperature exceeding normal;
- The feeling of incomplete emptying of the bladder after the end of urination does not leave the patient for a while;
- The pain between frequent trips to the toilet is felt in the crotch, inguinal and abdominal areas, reflected in the legs, buttocks, pelvis and sacrum;
- Lethargy and discomfort.
A man can form suspicion of prostatitis if at least two of them become perceptible 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 temperature changes scheme is associated with the location of the focus of inflammation: the closer the temperature, the higher the temperature.
Possible complications
Complications after prostatitis occur in the absence of medical intervention during the disease or a poor compilation of a treatment plan.
Medical practice shows the most common distribution after prostatitis:
- lack of erection and ejaculation;
- the propagation of the inflammatory process to organs neighboring the genito-cross system;
- Cytological disorders leading to the inability of sperm to fertilize eggs;
- decrease in libido;
- Mental and neurotic states that reduce the quality of life and health of a man as a whole.
After prostatitis, the penis strongly reduces the ability to harden and be filled with blood.Possible sexual contacts quickly end in relation to the recent full sex life.Not all sexual contacts end with ejaculation.
With the development of the latter, the pain of a clear nature appears, the process of exit altered urine (its delay or its incontinence) threatens to move to a chronic level.The performance of a man in this state is doubtful.
The state of a man can only normalize during long -term psychological work with the patient in the context of the drug.Chess in sex life hinder the additional desire to continue sex life.
The result of pathology is infertility in a first degree man.It is important in this state to eliminate in a timely time the cause of infertility due to the absence of the opportunity to cure the second degree infertility with a method of medication.Appropriate treatment may be prescribed by an urologist.This is why men should not ignore the signs of prostatitis.
Diagnosis
The diagnostic examination scheme depends directly on these complaints and signs with which the patient addresses the urologist or another doctor.The diagnosis of prostatitis in men can be carried out at home and in a medical institution.
The initial diagnostic stage is data collection for anamnesis.The doctor performs an external inspection of the genitals and listens to the patient's complaints.Based on the initial data, a diagram of the new diagnostic study of a sick man is built.
At the current stage of the development of medicine, the list of questions is published in the questionnaire, which the patient fills before the visit to the doctor's office.Thus, the time of the patient and the doctor is saved.
The first compulsory step of examining the patient with signs on prostatitis is the study of the rectum prostate gland.
The doctor determines the degree of increase in the inflamed organ, its density, the uniformity of coherence or the presence of nodes or seals, the degree of pain during palpation.
Before palpation, the cavity of the intestinal cavity is made.
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 location is felt in the groin, the rectum, the perineum and the sacrum.In this case, it is contraindicated in a number of procedures, for example cystography.
For a microscopic examination of the secretion of the prostate gland, the patient is carried out by massage of the prostate through the rectum.
With the desire to urinate until the end of the prostate massage, this cannot be made until a drop in the secretion of the urethral opening prostate is taken for analysis.
The procedure ends with the handling of the glass subject of the microscope along the urethra hole, after which the smear is painted and microscopic analysis according to the following parameters:
- the presence of leukocytes and the calculation of their quantity;
- the quantity of lecithin;
- The activity of pathogenic microorganisms and their presence.
The detection of bacteria in the field of vision of the smear indicates the infection type of prostatitis.
The number of leukocytes in the field of vision 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 the analysis and to competence the medication with competence.
The above tests are compulsory, additional examinations are prescribed by the doctor selectively, depending on the doctor's suspicion on the nature of inflammation.
The analysis of the secret of the urethra is carried out by a tool similar to a catheter.Above the metal coating, the cotton is rolled up.Before passing the analysis, urination is excluded for 2 to 3 hours.Otherwise, microflora is washed in the external environment.The doctor introduces a cotton swab about 4 cm inside the penis hole and makes rotation movements.A smear of the urethra is studied for the presence of DNA residues and bacteria.Urine analysis is a means of detecting blood cells: red blood cells and leukocytes, proteins (normally absent or present in quantities of traces).
When you make mistakes in the analysis of symptoms of smear and urethra prostatitis, urine sowing for bacteriological analysis are prescribed.
The drawback of the method is the long-term expectation of a colony of pathogenic microorganisms (up to 1 week).
The sowing is carried out by a comparative method after the fence of three parts of urine (beginning, midfielder and end of the emptying of the bladder).A greater number of pathogenic microorganisms in one of the samples gives the basis of the hypothesis of the main objective of the infection.Detection in the first part of the urine of bacteria does not give a reason to confirm the inflammation.The second and third part of the urine, beyond the number of microorganisms detected, give the basis of the clarification of the location of inflammation (in the ureth and the bladder-respectively).
The degree of deviation of sexual function in relation to the standard is verified by the analysis of sperm for viscosity and other physico-chemical indicators of the environment, the activity and viability of male gametes, and a spermogram is rarely prescribed.
Ultrasound by the study clarifies the density of the sick organ and other parameters obtained after an examination of the prostate finger through the rectum.
The prostate gland is visible in two ways: an ultrasound of rectum and ultrasound through the abdominal cavity.In case of suspicion of adenoma and prostate cancer, the doctor may prescribe an additional blood exam, the SO dog test.
The fence is made from a vein, a blood test establishes (excludes) the presence of RSA protein, which appears with malignant tumors.At home, the patient can suspect prostatitis, focusing on the color and turbidity of the urine, the symptoms of the disease.
How to treat at home
Supply of pharmaceutical products
If signs of prostatitis appear, men should not self-mediate, the drugs presented below should only be prescribed by a doctor.
The preparations proposed for the healing of prostatitis are distinguished by a variety of pharmaceutical forms and properties.More often than the others are prescribed candles for rectal use.
The justification for the choice of doctors is associated with the proximity of the effects of the components of the rectal suppositories and the gland of the prostate.
The condition for the effective effect of the active substance of candles on organic tissue is patient's peace in a lie position for 30 minutes after administration of the rectal medication.Candles inactive pathogenic microflora and have an analgesic effect.
Intramuscular and intravenous injections contribute to the fastest effect on the sick organ by spreading through blood circulation.
Immediately after urination, the instillations are prescribed aimed at penetrating medicinal substances into the prostate through the urethral hole.The maximum quantity of administration is 5 ml.
The forms of tablets for prostatitis are better known as antibiotics divided into 3 groups and successfully succeed in the variety of the possible spectrum of types of pathogenic microflora.
Hot microclilisms with introduced substances are made in the evening.The main condition for the use of the enema is the inadmissibility of the gland deformation and compliance with the temperature diet.Referring to folk prostatitis treatment methods.
Antibacterial agents
A well -selected antibiotic is the key to a successful healing of prostatitis.To select an antibiotic, with the appearance of signs of prostatitis, a bacterial analysis of the prostate secrecy (urethra, urine) is necessary.
In an acute form of prostatitis, antibiotics of a wide range of actions are prescribed:
- Tetracyclines are the least universal for the variety of pathogenic bacteria;
- The penicillins are used for a non -specific microflora of nature, as well as with a residual coccal infection after a gonorrhea.Are active in relation to the specified pathogenic microflora, the inactivating with clavulanic acid;
- Fluoroquinolones have the greatest effect on the pathogenic microflora;
- Cephalosporins are the most effective means in the destruction of the murain cell walls of bacteria, but limited use is associated with high toxic properties, which does not make it possible to use allergic diseases, meningitis, etc.
- Macrolides have the smallest toxicity of all antibiotics, but their effectiveness is in doubt.
Preparation of drugs for home prostatitis
Popular methods that can be used at home will help reduce the symptoms and signs of prostatitis.But you should understand that it is necessary to use them only in conjunction with modern drugs that the doctor has prescribed.
Asparagus, the juice is in a hurry 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 of the treatment.
Propolis candles are made at home by themselves.To this end, 40 grams of propolis are paid with a glass of medical alcohol, the mixture is dissolved and evaporated until the consistency of the porridge is obtained.
In a 1:20 report, propolis porridge and cocoa oil are mixed, after which they form candles for rectal administration and stored in the refrigerator.
Every day, it is necessary to enter 1 candle into the rectum before bedtime.The course continues for 1 month.To eliminate signs of prostatitis, treatment is carried out with 2-3 lessons, a break after treatment should be 1 month.
With excess body weight, prostate iron can increase volume.In order to bring the prostate gland to the original size, some patients organize the famine in which the obesity and hyperplasia of the prostate disappear.
If the causes of an increase in the prostate gland were only associated with body weight, the problem disappears, but the determination of the reasons should not be rejected from the competence of the doctor.
Preventive therapeutic gymnastics
Inflammation in the prostate gland, which is diagnosed on the signs described above, is most effectively eliminated with the simultaneous effect of several environmental factors, including appropriate nutrition and therapeutic gymnastics.
A correctly organized complex of physical exercises helps prevent serious inflammatory processes and prevent complications after prostatitis.
The physical exercise complex begins to manifest itself effectively already with a duration of the morning of five minutes.It is recommended to move more in the form of a hike, swimming, equestrian and skiing.