Acute prostatitis is an inflammatory disease, usually of an infectious nature, which is accompanied by swelling and ulcer formation in the tissues of the organ of the same name. It was previously thought that they mostly affected older men, but studies show that the pathology has "rejuvenated" significantly. And now prostatitis occurs in middle -aged patients.
In treatment, it is permissible to use not only drugs, but also the use of folk remedies in consultation with a specialist.
Pathological causes
Acute prostatitis is diagnosed in 30-50% of men, most often at the most able age, that is, from 30 to 50 years. This inflammation leads to:
- erectile dysfunction;
- infertility;
- depression.
The causative agents of this disease are primarily nonspecific infectious agents. These are pathogenic microorganisms such as E. coli, staphylococci, streptococci, etc. But sometimes acute prostatitis is caused by other pathogens associated with venereal diseases - chlamydia, ureaplasmosis, gonorrhea, mycoplasmosis. Often the cause is a conditionally pathogenic microflora - the fungus Candida (Candida).
The main reason for the development of prostatitis is reduced to the penetration of infection, most often through the transcanalicular route. This occurs through the excretory tract of the prostate gland. Because it is open in the wall of the posterior urethra, the development of prostatitis is influenced by the presence of diseases such as urethritis.
In men, acute cystitis (inflammation of the bladder caused by bacteria) is rare. But if so, then in such a case the prostate suffers, in which the pathogenic microflora enters. The introduction of bacteria into the organ occurs faster if there is a corresponding pathology - stones in the urethra, which give rise to an increase in intraurethral pressure.
Sometimes it is possible to develop an inflammatory process due to the penetration of infection with the bloodstream, because the prostate is supplied with the help of an advanced network of arteries and veins. This occurs when there is a focus of chronic inflammation in the body, but it has nothing to do with the prostate. The infection is spread through the hematogenous route with sinusitis, tonsillitis, bronchitis, and even caries.
The presence of cholecystitis (gallbladder disease) also leads to the development of acute prostatitis. Sometimes transmission of lymphogenous infections from the intestine is also possible (with proctitis and colitis).
Non -infectious factors in the development of prostatitis - the presence of congestion in the pelvic canal, irregular sex life and its violations. Including prostatitis is possible in men who practice coitus interruptus.
The factors that trigger this disease are:
- sedentary lifestyle;
- digestive disorders (especially frequent constipation);
- hypothermia and decreased immunity;
- phlebeurysm;
- excessive alcohol intake.
Basic form
There are three forms of the disease:
- cataracts. The ducts of the prostate gland are particularly inflamed, but there are no changes at the macro level. In the duct itself, the process of integumental epithelial dystrophy is observed, in the stroma there is mild swelling, the ducts are numerous.
- follicular. Perhaps both the reverse development of the process and its increase, when prostatitis turns into a form of follicle, and the inflammatory process is already affecting the tissue of the prostate gland. The body increases in size, so it is flabby. Focused infiltrates appear around the channel.
- parenchyma. The most serious stage of the disease. Thus, the inflammatory process affects the entire gland, abscesses are formed. With the unfavorable course of the disease, it can open up, and pus enters the intestines, bladder, and urethra.
symptoms
Common symptoms are urinary disturbances, pain and manifestations of intoxication - weakness, nausea, vomiting, dizziness, and other unpleasant phenomena that cause discomfort.
The remaining symptoms of acute prostatitis correspond to the stage of development of the process:
| Pentas | symptoms |
|---|---|
| cataracts | The first signs are heaviness and pain in the perineum. There are disurik disorders, i. e. urinary disorders, their increase, the appearance of pain or pain in the process. Body temperature usually remains normal, sometimes rising slightly. Diagnosis at this stage involves the study of prostate secretions. It may indicate an increase in the number of leukocytes, the presence of mucopurulent threads. Urinalysis showed an increase in leukocytes. At this stage, prostate massage is not prescribed because of pain. But drug treatment allows you to get rid of the pathology in 7-10 days. |
| follicular | The symptoms will become more pronounced. This stage is accompanied by a dull aching pain that is localized in the perineum, but can be given to the anal, rectal or lumbar region. Urination becomes so painful that urinary retention may occur. The act of defecating is difficult, also because of the severe pain. Body temperature rose to 38 degrees, general health condition worsened. Patients experience:
|
| parenchyma | In acute parenchymal prostatitis, the temperature rises to 39 degrees. There is a fever or chills. Urination can be quick, but often it is difficult, until complete cessation, because attempts to empty the bladder are accompanied by severe pain. Flatulence appears, digestion is disturbed, constipation occurs. Pain is felt in the rectum. From pain, they turn into throbbing. One tries to find a position where he will not feel pain (most often when he is lying down with his legs pinched). In the acute form of prostatitis, there is an increase and swelling of the prostate gland. There may be a discharge from the urethra that is white or yellowish green |
The consequences of acute prostatitis can be sepsis (generalized blood poisoning), cystitis or pyelonephritis. If the disease develops with such complications, then the patient requires hospitalization. But in mild cases, the pathology can be treated at home.
Treatment
The therapy of acute prostatitis should be comprehensive. Treatment involves eliminating the cause of the disease, namely pathogenic microorganisms. In such cases, antibiotics are used, a combination of them, because one drug rarely gives the desired effect.
With timely treatment, symptoms disappear quickly, in just a few days. But doctors prescribe a course for at least 4 weeks to completely cleanse the body of harmful bacteria, prevent recurrence and the transition of the process into a chronic form.
Antibiotics are prescribed only according to the results of tests that reveal the causative agent of the disease and its resistance to certain drugs. Other factors are also taken into account. For example, drugs from the aminoglycosides and beta-lactam groups do not penetrate well into prostate gland tissue.
Antibiotics from the group of fluoroquinolones and macrolides have a higher penetrating power.
But not only the penetrating ability is important, but also the strength of the bacterial effect. Therefore, macrolids and other agents are sometimes prescribed. The form of release of the drug can be different.
Candles are rarely used. In cases of severe disease, intravenous antibiotic administration is indicated (and in a hospital setting). In mild cases, treatment is carried out on an outpatient basis, the patient takes the pill at home.
For pain relief, analgesics and nonsteroidal anti-inflammatory drugs are used. They reduce the temperature, but sometimes additional antipyretics are prescribed. For more severe pain, short -term opiate use is practiced.
For the treatment of acute prostatitis, an important role is played by drinking plenty of fluids, the best - cranberry juice or rosehip soup to clean the urinary tract, reduce intoxication and prevent the development of cystitis and pyelonephritis. Mild laxatives such as vaseline oil are used.
For urinary problems, antispasmodics and alpha blockers can be prescribed.
If there is muscle spasm, take a muscle relaxant.
Restoration of the people
Treatment of the disease with folk remedies is possible only as an adjunct therapy, which enhances the effect of taking medications.
A popular folk remedy is pumpkin seeds. It has been proven that they contain a lot of zinc, which has anti-inflammatory effects. To get the right dose of this substance, it is enough to eat 30 g of raw peeled seeds once a day before meals.
You can make a mixture based on pumpkin seeds (just not fried) and honey:
- Whisk 500 g of purified raw material with a meat grinder or blender.
- Add a glass of honey that is not too liquid.
- Mix well until consistent so that the dough can be formed into balls the size of walnuts.
The product is stored in the refrigerator. On the day you need to eat 1-2 of these balls half an hour before meals. The medicine must be chewed carefully, and not swallowed immediately.