Prostatitis is an inflammatory disease of the prostate gland, which develops in the context of exposure to several pathogenic factors at the same time (such as urinary tract infections, a stagnation of the secretory liquid in the seed vesicle, a violation of venous output in a small pelvis vessels, etc. ). The polyetiological nature of prostatitis determines the need for a comprehensive approach to treatment. Therapy protocols, as a rule, consist of various drugs intended for eradication of infectious pathogen (in the case of bacterial inflammation), relief of the inflammatory process, normalization of venous and lymphochnophic phenomena, as well as the elimination of residual inflammatory phenomena for the prevention of repeated recurrents.
Drug therapy of prostatitis remains one of the main and most affordable outpatient treatment methods. At home, a man can use rectal suppositories, tablets, capsules. Ointments and gels for inflammatory prostate diseases are rarely used due to the inconvenience of its application. Injections and instillations (the introduction of antiseptic, antibiotics and ozonized solutions directly on the prostate part of the urethra) are performed at the clinic's procedural office or in a urological hospital.
Cheap antibiotics (basic therapy)
Antibiotics are drugs that can suppress the growth of living microorganisms at reasonably low concentrations and cause death. The drugs of this group are necessary for the treatment of infectious prostatitis, which represents up to 78% of cases of the total number of men with inflammatory prostate diseases. Antibiotic therapy with bacterial prostatitis and prostastitis (combined inflammation of glands and prostatic bladder) has its own characteristics that should be taken into account when selecting an effective treatment regime.
- Antibiotics must be taken in any form of infectious prostatitis for at least 4 weeks. This applies to these medications, whose standard therapy is usually 7 to 10 days.
- The sensitivity of microorganisms, which most often cause inflammatory processes in the prostate gland (Escherichia coli o157/h7 serotype, Enterococcus fecal, etc. ), for drugs in the penicillin row, as these bacteria have a dense capsule. For this reason, medicines from a group of semi -synthetic penicillins are prescribed for infectious prostatitis only in combination with other antibiotics.
Pay attention!Patients with severe immunosuppression (inhibition of an immune response against the interaction fund with non -specific factors) especially need the correct selection of an adequate dose of antibiotics, which would ensure a pronounced bactericidal effect. Self -mate in serious forms of immunodeficiency can be not only ineffective but also dangerous to health due to a high risk of superinfection.
Cheap bactericidal drugs
When using antibiotic therapy, it is important to achieve a bactericidal effect, which consists not only in the suspension of the life of the pathogens, but also in their death. For the treatment of prostatitis, especially in the case of a recurring or chronic course, it is advisable to use maximum therapeutic doses lasting for at least 28 days (for oral dosage forms).
Less commonly for the treatment of prostatitis, 1%papaverine hydrochloride antispasmodic antispasmodics are used. Papaverine preparations are advisable to use during exacerbation as well as chronic pelvic pain syndrome. They are used rectal in the form of suppositories for 1 candle twice a day. The recommended course of treatment is 10 days.
Urodynamic correspondences based on the animal prostate hood
The apology prostates (extract) are a polypeptide extract that is extracted from the dry tissues of the prostate gland of young gobies who have sexually reached mature and ready for insemination (bulls from 7 to 10 months). Preparations based on this extract are indicated only for the treatment of chronic forms of prostatitis (congestive prostatitis, aseptic, chronic and asymptomatic prostatitis) or prostate adenomas in 1-2 stages.
Drug treatment of this group, which are produced in the form of candles, compresses (capsules) and lyophilisato, provides a positive effect sufficiently stable in approximately 31, 3% of patients, which is considered a very high indicator that determines the viability of prostitute extract in the inflammatory inflammatory treatment scheme. The therapeutic effect of animal preparations is manifested by the following urodynamic improvements:
- Standardization of the secretory activity of the prostatic glands;
- Improve prostate gland secretion and elimination of stagnation in prostate and pelvic organs;
- reduction of edema;
- Platelet aggregation prevention (mergers) and blood clots in the gland vessels;
- Elimination of leukocyte infiltration in the focus of inflammation.
Prostate extract also has a positive effect on metabolism and metabolism in gland tissues, chemical and rheological indicators of prostatic secretion.
Extract Drugs Serenoa Moteur
Serenoa Moterur (palm, creeping palm) is a medicinal plant, whose unique properties in the treatment of inflammatory diseases of the genitourinary system in men were first discovered by the ancient Indians. To date, the Sabal palm extract is used by non -evidence methods as an auxiliary tool for the treatment of inflammatory prostate gland pathologies (including DHCH).
According to their pharmacological properties, drugs made based on a low palm extract are related to drugs that correct urodynamic indicators and help establish metabolic processes in the prostate gland. Like funds based on prostate extract, these drugs have a very high cost; Therefore, patients with disabilities need to provide all the most affordable drug information in this group.
In hospitals, Sabal Sabal dry extract can be used in the form of injections and infusions.
Microcirculation brokers
Angio-transceptors and microcirculation reviewers are necessary for stagnant forms of prostatitis, which develop, as a rule, against the background of a sedentary lifestyle and hypo-dynamic disorders. The funds of this group have vasodilating and angioprotective action, prevent platelet aggregation, improve blood flow and lymphatic fluid in the blood vessels of the microcirculatory canal.
Pay attention!If diagnostic manipulations are required that require the use of invasive methods, to cancel the drugs that reduced the blood at least 3 days before the exam.
What other medications are prescribed for the treatment of prostatitis?
The combination of medicines, whose use will be effective and appropriate in each case, is determined by the doctor. In most cases, drugs in the AINE group (Diclofenac, ketoprofen) are used to interrupt the inflammatory process. In the recovery phase, the use of carnitine, vitamin and vitamin products is indicated. For abundant urinary tract washing in patients with high risk of ascending infection, diuretics are prescribed. The use of plant rates with diuretic and anti -inflammatory effects is also shown.
During acute inflammation, painkillers and antipyretics are prescribed to eliminate heat and reduce pain. Alpha blockers are prescribed for patients with pronounced urination disorders, accompanied by pain.
What to do with chronic inflammation: useful tips
In chronic, bacterial or aseptic stagnant prostatitis, it is important not only to take prescription drugs according to the recommended scheme, but also to eat properly, and adjust the lifestyle to eliminate all provocative factors.
- In the diet of men who suffer from prostatitis, there must be proteins, zinc, selenium, chromium and some vitamins that participate in the secretion of seminal fluid. In the daily menu, it is useful to include seafood and fish, walnuts, seeds, fruits, vegetables, eggs and dairy products.
- To avoid relapse, it is necessary to control the cholesterol level. It is important to monitor the fat content in the diet and avoid frequent and increased use of fatty products.
- Sex life must be regular. Long -term abstinence contributes to the stagnation of prostatic secret and the development of congestive inflammation of the prostate. In a healthy man, a period of abstinence from intimacy should not exceed three days.
- Insufficient motor activity is a major cause of inflammatory changes in prostate tissues. In addition to special therapeutic gymnastics, men are recommended to do morning exercises, walk a lot and regularly visit the pool.
Additional observation After the main stage of treatment includes consultation and inspection of the urologist at least 3-4 times a year, as well as the approval of laboratory diagnosis (urine study, prostate secretion) and prostate gland and bladder ultrasound.
Medicines are the basis of basic prostatitis therapy and other inflammatory diseases of the genitourinary system. The pharmaceutical industry offers a very large selection so you can choose cheap and effective medications with any form and stage of prostatitis. Only the assistant doctor should comply with any commitment, taking into account the dynamics of the disease and the individual characteristics of the patient. Self -adhesive, especially drugs with antibacterial effects, is unacceptable due to a high risk of superinfection.