Acute prostatitis is an inflammatory disease, usually of an infectious nature, which is accompanied by swelling and ulceration in the tissues of the organ of the same name. Older men were once thought to be most affected, but studies show that the pathology has noticeably "rejuvenated". And now prostatitis occurs in middle-aged patients.
In the treatment it is allowed to use not only medicines, but also the use of folk remedies in consultation with a specialist.
Causes of pathology
Acute prostatitis is diagnosed in 30-50% of men, most often of the most capable age, ie from 30 to 50 years. This inflammation leads to:
- erectile dysfunction;
- infertility;
- depression.
The causative agents are mainly non-specific infectious agents. These are pathogenic microorganisms such as E. coli, staphylococci, streptococci, etc. But sometimes acute prostatitis is caused by other pathogens that are associated with sexually transmitted diseases - chlamydia, ureaplasmosis, gonorrhea, mycoplasmosis. Often the cause is conditionally pathogenic microflora - the fungus Candida (Candida).
The main reasons for the development of prostatitis are reduced to the penetration of the infection, most often by transcanalicular route. This occurs through the excretory ducts of the prostate. Because they 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 it is, then in such cases the prostate suffers, into which the pathogenic microflora enters. The entry of bacteria into the organ occurs much faster if there are accompanying pathologies - stones in the urethra, which create increased intraurethral pressure.
Sometimes the development of an inflammatory process is possible due to the penetration of the infection into the bloodstream, because the prostate is supplied with the help of a developed arterial and venous network. This happens when there are hot spots of chronic inflammation in the body, but they have nothing to do with the prostate. Infections are transmitted hematogenously along with sinusitis, tonsillitis, bronchitis, and even caries.
The presence of cholecystitis (gallbladder disease) also causes the development of acute prostatitis. Sometimes lymphogenic transmission of the infection from the intestine is possible (in proctitis and colitis).
Non-infectious factors in the development of prostatitis - the presence of congestion in the pelvic vessels, irregular sex life and its violations. Including prostatitis is possible in men who practice cessation of coitus.
Factors that provoke the disease are:
- sedentary lifestyle;
- digestive disorders (mostly frequent constipation);
- hypothermia and decreased immunity;
- phlebeurism;
- excessive alcohol consumption.
Basic forms
There are three forms of the disease:
- catarrhal. Prostate ducts are mostly inflamed, but there are no changes at the macro level. The processes of dystrophy of the integumentary epithelium are observed in the canals themselves, there is a slight swelling in the stroma, the blood vessels are full.
- Follicular. It is also possible to reverse the development of the process and its increase, when prostatitis turns into a follicular form, and the inflammatory process already affects the prostate tissue. The body increases in size, becomes flabby. Focal infiltrates appear around the canal.
- Parenchymal. The most serious stage of the disease. In addition, the inflammatory process affects the entire gland, an abscess is formed. With an unfavorable course of the disease, it can open and pus enters the intestines, bladder and urethra.
Symptoms
Common signs are urination disorders, 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 stages of development of the process:
> zxtable border = "1" cellpadding = "0" >The act of defecation is also difficult due to severe pain. Body temperature rises to 38 degrees, general health deteriorates. The patient experiences:
- weakness;
- headaches;
- muscle and joint pain;
- a feeling of constant weakness and fatigue
The consequences of acute prostatitis can be sepsis (general blood poisoning), cystitis or pyelonephritis. If the disease develops with such complications, then the patient needs hospitalization. But in mild cases, the pathology can be treated at home.
Treatment
Treatment of acute prostatitis should be comprehensive. Treatment involves the removal of pathogens or pathogenic microorganisms. In such cases, antibiotics are used, their combination, because one drug rarely gives the desired effect.
With timely treatment, the symptoms disappear quickly, in just a few days. But the doctor prescribes a course of at least 4 weeks to completely cleanse the body of harmful bacteria, prevent relapses and the transition of the process to a chronic form.
Antibiotics are prescribed only according to the results of tests that have revealed the cause of the disease and its resistance to certain drugs. Other factors are also taken into account. For example, drugs from the group of aminoglycosides and beta-lactams do not penetrate well into prostate tissues.
Fluoroquinolone and macrolide antibiotics have higher penetrating power.
But it is not only the ability to penetrate that is important, but also the strength of the bactericidal effect. Therefore, macrolides and other agents are sometimes prescribed. The forms of release of such drugs may be different.
Candles are rarely used. In severe cases of the disease, intravenous antibiotics are indicated (even in hospital conditions). In mild cases, treatment is carried out on an outpatient basis, the patient takes tablets at home.
Analgesics and non-steroidal anti-inflammatory drugs are used to relieve pain. They lower the temperature, but sometimes additional antipyretics are prescribed. For severe pain, short-term use of opiates is practiced.
In the treatment of acute prostatitis plays an important role drinking plenty of fluids, and the best - cranberry juice or rosehip broth to rinse the urinary tract, reduce intoxication and prevent the development of cystitis and pyelonephritis. Light laxatives such as Vaseline oil are used.
Antispasmodics and alpha-blockers may be prescribed for urination problems.
If there is a muscle spasm, take muscle relaxants.
Folk remedies
Treatment of the disease with folk remedies is possible only as an adjunct therapy, which enhances the effect of taking drugs.
Pumpkin seeds are a popular folk remedy. They have been shown to contain a lot of zinc, which has an anti-inflammatory effect. To get the right dose of this substance, it is enough to eat 30 g of peeled raw seeds once a day before meals.
You can make a mixture based on pumpkin seeds (only not fried) and honey:
- Wrap 500 g of purified raw materials in a meat grinder or blender.
- Add a glass of not too much liquid honey.
- Mix well until you get a density so that the mixture can form walnut-sized balls.
The product is stored in the refrigerator. It is necessary to eat 1-2 of these balls half an hour before meals a day. The medicine must be chewed thoroughly and not swallowed immediately.