Many doctors are joking called prostatitis of male menopause.Such a disease was diagnosed in 20% of cases in men after forty years, in 70% - after sixty years and in 90% of cases after seventy years.The disease may occur in two forms: acute prostatitis and chronic.This disease must be treated, especially because it is well borrowed on therapy.But many men ignore unpleasant symptoms, leading to the development of many complications that become harder to cure.
Reasons for development
Acute prostatitis is an acute pathology of prostate that develops as a result of an inflammatory infectious process in the body due to the penetration of pathogen into its tissue.The disease is characterized by the look of the swelling of the gland, the purulent content in its tissues.This leads to many unpleasant symptoms, impaired functionalities of the genitourin system.
There are many causes of acute prostatitis.In most cases causes thatPathrotage microbes.Some of the microbes can exist in the body of a healthy person in the passive form on the skin or in the guts.Under the influence of some factors, they are activated, penetrates the tissue glands and are actively multiplied there.Disease often occurs due to SPD, for example,Chlamydia, Ureeaplasmosis, Gonorrheaetc.
Also an acute form of prostatitis occurs as complicationsurethiritis.The microbes fall through the channels that open in the urethra.Also, it is often the cause of prostatizing the spread of bacteria from other bodies of the genitourinary system.Often iron can be affectedDuring surgical manipulations, catheterization, diagnostic measures.
Since in the prostate there is a large amount of blood vessels, infections here can get a blood flow in the presence of chronic pathology in the body, for example,Tonios, bronchitis etc.If there areAnal cracksPerhaps penetration of microbes in a prostate with lymph.
But infections do not always lead to disease development.Stands of phenomena in a bowl of the pelvic region developingWith extended abstinence from sexual contacts or huge numbers.
Stagnant phenomena are associated withLack of physical activity, permanent prison, alcoholism, varicose veins in the pelvic region, body hypothermia.
Classification
There are several forms of pathology in urology, which is its development phases:
- Catarhal formIt is characterized by the appearance of inflammation in the organ, change in its mucosa.Over time, the gland swelling appears, the mucous membrane collected in it is collected in modest, contributes to the promotion of the disease.
- Then focal support appears.The disease goes to another stage (form) -Folicular form.Urinary channels are narrow or clogs, the secret stops normally standing out from the organ.PU can be released into the urinary channel, forming a purulent focus there.Change the gland cells, the prostate still swell and increases size.
- Parenchamic formIt develops when the body is completely lit, a pus infection develops in it.In the absence of therapy, a small gnowly focal point connects to one huge, an abscess is developed, which often opens in the urethra, intestine and bladder.In some cases, it is possible to immediately develop this form of pathology when the infection penetrates the interstitial tissue of organs with blood or lymph flow.
Symptoms
Symptoms have been imposed vividly prostatitis.How visible and noticeable characters will be visible will depend on the form (stage) disease.General signs of diseases include the following:
- syndrome pain when removing urine;
- symptoms of intoxication;
- pain in the genital end;
- Frequent urge to the toilet, especially at night;
- It is possible to discharge from the urethra.
How prostatitis is progressing in man, the pain syndrome will expand to other areas.This is due to the transmission of impulse nerve endings.Excretion of urine is becoming very painful.Often at this stage, it is developing its sharp delay, which is considered a dangerous state, as it can lead to a bubble rupture.
Symptoms in acute prostatitis are still increasing.Strong pain in defecation appears, body temperature increases.The prostate becomes increased, thick and painful.Urina will be muddy because of the content of pus and mucus.
In the last phase, the disease is very manifested.
The body temperature is largely increasing, fever and cold, appetite loss, strong weakness, body exhaustion as a whole join.Morion can quit fully, when trying to go to the toilet, man will experience acute strong pain.This is a state of painful, pain syndrome begins to spread throughout the pelvic area.A man cannot find a place for himself, he is forced to lie with the compressed limbs.If the inflammation is spreading to the rectum, the mucus will exit the anus.The yellow green mucus with the addition of blood is released from the urethra.
This condition can causeSepsis, cystitis, pilonephritis, chronic prostatitis, abscess.In this case, the patient's emergency and urgent treatment is required.
Diagnostics
Since the symptoms of acute prostatitis in men seem pretty bright, the doctor can immediately doubt the pathology.But it should conduct a fundamental review.Rectal examination in this case is strictly contraindicated.
Urologist must determine the phase (form) of the disease using laboratory and instrumental techniques.Doctor takesProstate secretfor research.It will increase lucocytic concentration, indicating acute inflammation.
Then do youLaboratory blood and urine tests.Urine is sent for bacteriological sowing for the study as well as determining pathogen infection and its sensitivity to antibacterial drugs.It is also possible:
- PCR for determining STD;
- Urofloomery to identify the severity of the violation in the body;
- Prostate ultrasound to determine the form and size of the organ, changes in it, phases of the disease stream;
- Dopplerometry helps to distinguish acute prostatitis from other pathology;
- MRI from pelvic authorities is often prescribed when planning surgical intervention;
- Banja in the blood concentration analysis;
- studying emptying moves from the urethra;
- Pierting body parts with suspicion of purulent infection and abscess.
Treatment
How to treat acute prostatitis, urologist will say in detail.The main component of therapy is an antibacterial drug that is selected in accordance with the results of Bakpoeva.In two or three days, the antibiotic starts to help, the person feels much better, the pain begins to reach.But with this form of disease, such medications should be taken in a month, even if the symptoms have completely disappeared.
This is also necessary so that the disease does not turn into a chronic shape, which is viewed quite often.
When choosing a drug, the doctor takes into account other factors:
- Some products penetrate poorly in the gland tissue;
- Other funds are accumulated in fabrics in large quantities.
Treatment of acute prostatitis in men should be based on the use of powerful drugs, as well as in other cases that threaten human life.Doctors are usually prescribed by fluoroquinolons.When using macrolides, dosage should be large.This is especially true for patients with immunosuppression.
Usually antibiotics are applied using intravenous injections.In the initial phase, the disease can be treated at home or ambulance.In this case, the rest of the bed is prescribed, because any power load can cause the spread of the infection and the development of sepsis.
In combination with antibiotics, the following drugs are prescribed:
- analgesics;
- antipyretic medications;
- Nsaids;
- With strong pain, opiate is prescribed;
- diuretics to reduce body intoxication;
- laxatives to facilitate defecation;
- Antispasopodic drugs to facilitate urine secretion;
- Alpha blockers.
If a man has a sharp delay in urine, a catheterization of the urea is carried out.An antiargencies are often used to reduce the swelling and inflammation in the body, improve the excretion outflow, normalize blood flow in the gland and reduce the risk of infection in the body.
It is possible to use hormones, for example, estrogen, cold cliques to remove edema and pain.Massage and thermal procedures in this form of disease are strictly prohibited.Can only be used during recovery period.
Surgical intervention
In the absence of pain, the doctor may doubt the development of the abscess.In this case, surgical intervention is performed to remove areas where it happens.You often use drainage to break up abscesses.In severe and extreme cases, the body is removed.
The operation is prescribed by the presence of the abscess, the acute delay of urine, strong pain syndrome, which is not eliminated by any drugs, the appearance of stones, and non-efficiency of drugs, frequent infections of the genitour's system, paraprocmitis.
The surgeon can use one of the following methods:
- Corpse (transuretral resection)Involves removing the interior of the organ.Used most often;
- Prostatectomyinvolves partial or complete removal of organs through the incision in the lower abdomen;
- Laser work.In this case, the affected areas of the body are removed using a laser;
- Apscess arresterIt is performed through the rectum.Drainage is introduced into the cut through which the pump pump;
- The excretion of urine secretion is carried outTransuretal cutin the organ.
When renewing the gland structure, its functions are normalized, the secret prostate normalizes its composition, the pathogen will be completely eliminated from the body, we can discuss the drug prostatitis.
Forecast
During the therapy, the forecast of the disease will be good.Sometimes the negative consequences of acute prostatitis are developing.The disease can enter a chronic shape, then it will be harder to eliminate.The dangerous consequences of untreated diseases are the abscess of an organ, sepsis and acute urine retention.In some cases, due to complications, death can occur.But usually men do not allow such consequences for the development of such consequences, because they come to a doctor and start the course of therapy.
Prevention
To prevent prevention, it is necessary to prevent the appearance of predisposition factors.This requires timely treatment of all infections in the body so that they do not turn into a chronic form and do not become potential Žaris infections, which will expand to the prostate.
When conducting surgical manipulations, the doctor should pay attention to the use of antiseptics.Otherwise, the risk of microbes enters the body of the patient.It is important that man and his sexual partner are treated by Std, and it is best to prevent their appearance.Sexual life should take place with one permanent partner, should be regular.
It is necessary to lead the mobile lifestyle, play sports or perform physical exercises, adhere to the rules of intimate hygiene.
Men usually turn to doctors in extreme cases.But when negative signs appear, they better contact them immediately.This will help avoid many health problems, and even in some cases to rescue your life.