Prostatitis is an inflammatory disease.It is accompanied by unpleasant symptoms and is fraught with various complications, therefore it requires compulsory treatment.It can be conservative or surgical.In each case, an integrated approach is needed.
Treatment of prostatitis in most cases is carried out by conservative methods.They imply drug therapy, physiotherapy, changes in nutrition and lifestyle, gymnastics and traditional medicine.In some cases, surgical intervention may be required.
Drug treatment of prostatitis
The main direction in the conservative treatment of prostatitis is the use of various drugs.They are used to eliminate the main cause of the pathology, as well as the symptoms accompanying it.Medication therapy for prostatitis involves the use of various dosage forms: tablets, injections, rectal suppositories, microclogalism.
Tablets for prostatitis
Preparations for the treatment of prostatitis in a tablet form are etiotropic, pathogenetic and symptomatic.The former is used in the case of infectious origin of the disease, the latter are needed to eliminate stagnant phenomena, and others are eliminated from the main manifestations of pathology.
Etiotropic drugs are used for antibacterial therapy.They destroy pathogenic microorganisms that provoke the inflammatory process in the tissues of the prostate.In the acute form of the disease, antibiotics in a tablet form are used from 3-4 days-before that they prefer parenteral administration to quickly achieve the effect.
To select the drug, you must first determine the pathogen and its sensitivity to the drug.For the treatment of prostatitis, antibiotics of the following groups can be prescribed:
- fluoroquinolones;
- penicillins;
- macrolides;
- tetracycline;
- Sulfanilamides.
Antibacterial therapy usually continues 1-1.5 weeks.At the same time, probiotics are prescribed to normalize intestinal microflora.
For the treatment of prostatitis, α-blockers are also prescribed.They relax muscles, relieve spasm.Due to this, urination is facilitated - its difficulty is one of the main signs of the disease.The therapeutic course usually lasts at least six months.
Another group of drugs for the treatment of prostatitis is the drugs of a non -steroid anti -inflammatory group.They are used to relieve inflammation and pain.
In psychoemotional disorders, often accompanying prostatitis, sedatives and antidepressants are prescribed.Effective products that have a plant basis.
For the treatment of prostatitis, specific drugs with prostatotropic effects are also used.They relieve inflammation and pain, improve microcirculation and metabolic processes.
Injections
The main advantage of drugs in the form of injections is the fast delivery of the drug to the pathological focus.Often, injection therapy is prescribed to stop an aggravated disease, and then switch to other medicinal pathologies.
Popular injections for prostatitis are non -steroidal anti -inflammatory drugs that relieve inflammation and pain.
In chronic prostatitis, they often resort to immunomodulators.Such drugs increase the body's resistance, reduce the risk of exacerbations and relapses of the disease.
With a bacterial origin of the disease, antibacterial therapy is required.Such treatment continues on average 1-1.5 weeks.
Rectal suppositories
The use of such a dosage form attractively rapid absorption into local blood flow, the delivery of a drug substance directly to the pathological focus, minimizing the risk of adverse reactions, especially in relation to the gastrointestinal tract.
The following rectal suppositories can be prescribed for the treatment of prostatitis:
- With antibacterial effect.
- Anti -inflammatory drugs.
- Immunomodulators.
- Antispasmodics.
Microclisms
This option of treatment is usually used to combat inflammation, antibacterial treatment, removal of pain and edema.With prostatitis, the following microchercolin agents can be used:
- propolis - removal of inflammation, stimulation of blood supply;
- iodine - antiseptic action;
- Oils of sea buckthorn, fir, eucalyptus, peach.
Folk remedies
In the treatment of prostatitis, non -traditional medicine is effective.You can use the following recipes:
- Skip 0.5 kg of peeled raw pumpkin seeds through a meat grinder, add 0.2 kg of honey and thoroughly prevented.Form small balls from the resulting mass, store in the cold.Eat one such ball half an hour before meals twice a day.Be sure to chew it for two minutes.
- Brew 1 tbsp.l.crushed bark or hazel leaves with a glass of boiling water and insist under the lid of half an hour.Afterwards and take a quarter glass four times a day.
- Brew a liter of boiling water 1 tsp.dry wormwood.When the infusion has cooled to 40 degrees, filter it and strain it.Use for microclem - 100 ml of solution per procedure.Repeat for a week.
- From fresh greenery, parsley will prepare juice and take 1 tbsp three times a day.l.Half an hour before meals.
- Mix in equal proportions the leaves of the bream, the root of the cinquefoil and the flowers of the cornflow.Brew 3 tbsp.l.Gather with three glasses of boiling water and insist the night, in the morning to filter and take a glass three times a day before meals.
Physiotherapy, massage
One of the effective areas in the treatment of prostatitis are physiotherapeutic procedures.Often resort to the following methods:
- cryotherapy;
- ultrasound therapy;
- electrophoresis or phonophoresis with drugs (anti -inflammatory drugs, anesthetics, antibiotics);
- hardware electrical stimulation;
- magnetotherapy;
- laser therapy;
- darsonvalization;
- galvanization;
- microwave therapy;
- healing baths;
- mud;
- UHF-therapy.
Physiotherapeutic treatment methods also include massage.It can be performed manually or using an electric massager.In any case, a specialist should carry out such treatment, since in the absence of appropriate experience, the procedure can be ineffective and can even harm.
Diet, lifestyle
A conservative approach in the treatment of prostatitis also implies certain changes in the lifestyle.The following rules must be followed:
- Refuse smoking and alcohol.
- To normalize your weight if necessary.This is achieved by a gradual decrease in daily calorie content and physical exercises.
- Moderate physical activity.Be sure to walk on foot - at least 10 thousand steps per day.This is very important for eliminating and preventing congestion.
- Regular sex life.At the same time, it is important to limit yourself to one sexual partner, use condoms.
- Strengthening immunity.This is achieved by moderate physical activity, balanced nutrition, rejection of bad habits, hardening.Periodically, the course of the vitamin-mineral complex should be taken-the attending physician should choose the appropriate option.
Attention should also be paid to your nutrition.It must meet the following requirements:
- To abandon fatty foods and highly extractive products - spices, spicy seasonings, pickles, marinades, smoked meats.
- Exclude products that increase gas formation.This applies to legumes, cabbage, confectionery, carbonated drinks, kvass, black bread.
- To enrich the diet with sour -milk products, fresh vegetables, fruits, herbs.
- It is necessary to regularly consume fish and seafood.
- Adhere to the optimal drinking regime.If there are no other prescriptions of the doctor, then 2-2.5 liters of fluid per day.It can be simple or mineral (without gas) water, green or herbal tea, freshly prepared fruit drink, compote, juice.Strong tea and coffee should be abandoned.
- For cooking should be limited to cooking, extinguishing, baking, languishing.
Exercise
With prostatitis, physiotherapy exercises are useful.It can be performed at home.
Useful exercises:
- In a standing position, squeeze the muscle, imitating urination.Hold in this position for five accounts, then relax.Make 10 repetitions.
- Lie on the floor.Raise straight legs and pelvis at the same time, performing the “Birch” stand.At the extreme point, you need to fix it and withstand the maximum possible time.
- Lying on the back, raise your legs a few centimeters from the floor and perform cross -movements, imitating the scissors.After a short rest, repeat the exercise, but lying on the stomach.
- Lying on your back raise your legs and simulate a bicycle ride.The pace is to increase gradually.Movement first forward, then in the opposite direction.
- Lie on the stomach.Raise straight legs lift 5 cm from the floor and hold for a few seconds.Return to the starting position, make several repetitions.Repeat the exercise, raising your legs alternately.
- Perform shallow squats, while breeding knees to the sides.The feet should not come off the floor, the back is straight.
- Stand up to the support and perform swings with your feet - 15 times each.
- Walking on the buttocks.It is necessary to sit on the floor and alternately advance the buttocks forward.In the same way you need to go back.
- Sit on the floor and straighten your legs, slightly placing them.Perform tilting, trying to get socks.
Exercises should be performed smoothly, following breathing.Loading the load gradually.The admissibility of such exercises should be discussed with the attending physician.
Surgical treatment
In most cases, prostate treatment is carried out by conservative methods, but sometimes the only way out is surgery.The following methods are possible:
- Prostatectomy - removal of the prostate gland in full or partially.The operation can be endoscopic or crap.
- Prostate resection - removal of a fragment of the gland.Distinguish between top, laparoscopic and transurethral resection.
- Circumcia (circumcision) - cutting off the extreme flesh in a round -out flesh.It is performed with chronic prostatitis and for its prevention.
- Abscess drainage.Such surgical intervention is minimally invasive and represents the aspiration of purulent contents through a puncture with a needle with the subsequent washing of the cavity with antiseptics.
Prostatitis is a fairly common pathology.In its treatment, various methods are used: drug therapy, physiotherapy, physiotherapy exercises, special diet, surgical intervention.In any case, a specialist must select suitable tactics and control its effectiveness.