Chronic prostate is a long -term inflammation of the prostate gland, while symptoms are often absent, which is why the majority of the male population is unaware of the disease.As a rule, chronic inflammatory prostatitis begins gradually, without any unpleasant symptoms and sensations, often the course of the disease is found in the patient by accident, when examining an ultrasound
both young people and people of the lumbar and the elderly undergo chronic form.Prostatitis also threatens those who lead an inactive lifestyle from the family of their activities, feels excessive physical exercise in the clutches and observing sexual abstinence
Classification
according to modern prostatitis classification, developed in 1995, distinguishes several categories of disease:
Acute bacterial prostate (OBP) is the most common type of prostate.It is usually caused by a bacterial infection and is easily diagnosed due to typical signs.Acute bacterial prostatitis can occur at any age.Symptoms include painful urination, inability to completely empty the bladder, pain in the lower abdominal area, spine or pelvic area.There may be a fever associated with chills
- Chronic bacterial prostatitis is a disease with typical symptoms of chronic inflammation and an increased amount of bacteria and leukocytes in the urine and secret of prostate after its massage
- Chronic prostatitis (CP) is the most common form of prostatitis.In most cases, it is a consequence of acute bacterial prostatitis (not treated or poorly treated).If there are symptoms, then they occur in the form of pain in the genitals or in the pelvic area, difficulty in urinating or urinating and ejaculation
- Asymptomatic inflammatory prostatitis - with this form of disease, classic prostatitis symptoms are absent, and the disease itself is detected by a different component.bacterial (infectious) chronic;In the absence of microbial pathogens -related to non -bacterial (non -infectious) prostatitis.It is believed that in 90-95% of all cases, chronic non-bacterial prostatitis occurs and only 10-5% -bacterial ..
Në prani të një komponenti infektiv, ato tregojnë një prostatit kronik bakterial (infektiv); Në mungesë të patogjenëve mikrobikë -në lidhje me prostatitin jo -bakterial (jo -infektues). Besohet se në 90-95% të të gjitha rasteve, ndodh prostatiti kronik jo bakterial dhe vetëm në 10-5% -bakterial.
Reason
The emergence of chronic prostate can contribute to a number of factors.First of all, this is:
- IPP: Chlamydia, Ureaplasma, Mycoplasma, Herpes virus, Citomegalovirus, Trichomonades, Gonococcus, Genu Ado, E. coli (Escherichia coli) can affect the urethra and detect prostate in the tissue;prostate leads to its inflammation); sitting life (drivers, office workers, officials);
- prolonged sexual abstentions interrupted by sexual intercourse or artificial extension of sexual intercourse;The presence and activity of the pathogens of microorganisms is important as the condition of the pelvis and blood circulation in them, the presence of concomitant diseases and the level of protective mechanisms.In this case, all signs of acute prostatitis will not manifest or appear to a much smaller extent.The disease, not too bright, can be so irrelevant that patients with chronic prostate do not pay much attention to them.
- Chronic prostatitis irritation
- Irritation of the disease, as a rule, accompanies the following symptoms:
- pain and burning in the urethra;
- frequent requirement for the urinary process;
pain in the lower abdomen, perineum and rectum;
Më shpesh, me zhvillimin e një forme kronike të prostatitit, simptomave praktikisht pa e shqetësuar një njeri. Në këtë rast, të gjitha shenjat e prostatitit akut nuk do të manifestohen ose do të shfaqen në një masë shumë më të vogël.
Simptomat më të zakonshme të prostatitit kronik tek burrat janë:
- dhimbje periodike dhe ndjesi të pakëndshme në perineum;
- ndjesi të pakëndshme në defekimin dhe urinimin;
- rrezatimi në anus, kofshë, testikuj;
- Shkarkime nga uretra.
Ndryshimet në figurën e rrjedhës së sëmundjes, tashmë jo shumë të ndritshme, mund të jenë aq të parëndësishme sa që pacientët me prostatit kronik nuk i kushtojnë shumë vëmendje atyre.
Acarimi i prostatitit kronik
Acarimi i sëmundjes, si rregull, shoqëron simptomat e mëposhtme:
- dhimbje dhe djegie në uretër;
- kërkesë e shpeshtë për procesin urinar;
- dhimbje në barkun e poshtëm, perineum dhe rektum;
- Signs of lowering men of sexual activity;
- pain during the act of defecation
According to some doctors, psychological symptoms of chronic prostatitis can also be distinguished, which include increased nervousness, anxiety, fatigue, temperament, disturbance of sleep, obsession and depression.the disease.For example, the most common is a damaged lifting and lower abdominal pain.With inflammation, the secretory function of the prostate gland deteriorates, which inevitably affects the quality of the sperm
Moreover, the prostate gland is actively involved in regulating the production of testosterone and the elevation process.This is why chronic prostate causes a decrease in erectile function, to powerlessness.However, these scenarios for the development of the disease can be avoided by performing timely and competent treatment
Diagnosis
The following procedures are needed to help create/reject diagnosis:
rectal study;
microscopy of prostate secrets;endoscopic and urodynamic are also performed
How to treat chronic prostatitis
- If a person has chronic prostate, treatment is always long and difficult.Its duration depends directly on the stage of the disease in which the patient addressed a specialist.Therapy includes an integrated approach, that is, a combination of several methods at the same time:
- antibacterial therapy;
- prostate massage;
- physiotherapeutic procedures;
- diet correction and lifestyle;
use of folk remedies;
Si të trajtoni prostatitin kronik
Nëse një njeri ka prostatit kronik, trajtimi është gjithmonë i gjatë dhe i vështirë. Kohëzgjatja e saj varet drejtpërdrejt nga faza e sëmundjes në të cilën pacienti iu drejtua një specialisti. Terapia përfshin një qasje të integruar, domethënë një kombinim i disa metodave njëkohësisht:
- terapi antibakteriale;
- Masazh i prostatës;
- procedurat fizioterapeutike;
- korrigjimi i dietës dhe stilit të jetës;
- përdorimi i mjeteve juridike popullore;
- Surgical treatment
Moreover, anti -inflammatory and antispasmodic agents are used in the treatment of chronic form of the disease
Drug treatment
Choosing medication depends on the cause and symptoms of the disease.To cure chronic prostatitis of infectious etiology, antibacterial medicines are used:
- fluoroquinolone;
- macrolides;previously not used for this purpose: alpha1-blockers, 5 red inhibitors, cytokine inhibitors, immunosuppressors, medicines affecting the exchange of urates and citrates.
- Physiotherapy
Some physiotherapeutic procedures, such as laser therapy, electrophoresis, transectal microwave hyperthermia, ultrasonic phonofor and others also help improve prostate trophic tissue and accelerate cure tissue
SPECIAL
Prostate Massage
Improves drainage of prostate secretion and microcirulation at the level of this organ, which in turn contributes to the patient's rapid recovery
Prostate massage cannot be performed with acute prostate, hemorrhoids, cracks in the rectum.Prostate massage is usually combined with antibiotic therapy.Numerous clinical studies have shown the high effectiveness of such treatment
Work
Surgical intervention is possible to remove prostate areas affected by bacteria.Transurethral resection is an operation performed under epidural or intravenous barbiturate anesthesia.The post -surgery recovery period lasts no more than a week.To carry out independent home therapy based on internet reviews is fraught with consequences
Punë
Ndërhyrja kirurgjikale është e mundur për të hequr zonat e prostatës të prekura nga bakteret. Rezeksioni transurethral është një operacion që kryhet nën anestezi barbiturate epidurale ose intravenoze. Periudha e rimëkëmbjes pas operacionit zgjat jo më shumë se një javë.
Metodat që përfshijnë trajtimin e prostatitit kronik përcaktohen nga urologu bazuar në informacionin diagnostik dhe përvojën e tij praktike. Për të realizuar terapi të pavarur në shtëpi bazuar në rishikimet në internet është e mbushur me pasoja.