Prostatitis is an inflammatory disease of the prostate gland, which develops against the background of exposure to several pathogenic factors at once (such as urinary tract infections, a stagnation of secretory fluid in the seed Vesicle, a violation of venous outflow in the vessels of a small pelvis, etc. ). Polyetiological nature of prostatitis determines the need for a comprehensive approach to treatment. The therapy protocols consist, as a rule, of several drugs aimed at the ERADICATION of infectious pathogen (in the case of bacterial inflammation), the relief of the inflammatory process, the normalization of venous and lympho-pods, as well as the elimination of residual inflammatory phenomena for the prevention of repeated relapses.
Drug therapy of prostatitis remains one of the main and most affordable methods of outpatient treatment. At home, a man can use rectal suppositories, tablets, capsules. Ointments and gels for inflammatory diseases of the prostate are rarely used due to the inconvenience of their application. Injections and instillations (the introduction of antiseptics, antibiotics and Ozonated solutions directly into the prostatic part of the urethra) are performed in the procedural office of the clinic or in a urological hospital.
Inexpensive antibiotics (basic therapy)
Antibiotics are drugs that can suppress the growth of living microorganisms in fairly low concentrations and cause death. Medicines of this group are necessary for the treatment of infectious prostatitis, which accounts for up to 78% of cases of the total number of men with inflammatory diseases of the prostate. Antibiotic therapy with bacterial prostatitis and ProstatoStitis (combined inflammation of the Prostatic glands and bladder) has its own characteristics that must be taken into account when selecting an effective treatment regimen.
- It is necessary to take antibiotics in any form of infectious prostatitis for at least 4 weeks. This applies even to those drugs, the standard therapy of which is usually 7-10 days.
- The sensitivity of microorganisms, which most often cause inflammatory processes in the prostate gland (Escherichia coli Serotype O157/H7, fecal enterococcus, etc. ), to the drugs of the penicillin row quite low, as these bacteria have a dense capsule membrane. For this reason, drugs 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 background of interaction with non -specific factors) especially need the correct selection of an adequate dose of antibiotics, which would ensure a pronounced bactericidal effect. Self -medication in severe forms of immunodeficiency can be not only ineffective, but also dangerous to health due to a high risk of superinfection.
Inexpensive 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 pathogens, but also in their death. For the treatment of prostatitis, especially in the case of a recurrent or chronic course, it is advisable to use maximum therapeutic doses with a duration of therapy for at least 28 days (for oral dosage forms).
Less commonly for the treatment of prostatitis, antispasmodics based on papaverine hydrochloride 1%are used. Papaverin preparations are advisable to use during exacerbation, as well as in chronic pelvic pain syndrome. They are used rectally in the form of suppositories for 1 candle 2 times a day. The recommended course of treatment is 10 days.
Corresponders of urodynamics based on the hood of animal prostate
Excuse prostates (extract) is a polypeptide extract that is extracted from the dried tissues of the prostate gland of young gobies that have reached sexually mature and ready for insemination (bulls aged 7-10 months). Preparations based on such an extract are indicated only for the treatment of chronic forms of prostatitis (congestive, aseptic, chronic bacterial and asymptomatic prostatitis) or prostate adenomas at 1-2 stages.
Treatment with drugs of this group, which are produced in the form of candles, tablets (capsules) and lyophilisate, gives a sufficiently stable positive effect in approximately 31. 3% of patients, which is considered a rather high indicator that determines the feasibility of including the extract of the prostate in the scheme of comprehensive treatment of inflammatory diseases of the prostate gland. The therapeutic effect of animal preparations is manifested by the following Urodynamic improvements:
- normalization of the secretory activity of the Prostatic glands;
- improving the outflow of the secretion of the prostate gland and the elimination of stagnation in the prostate and the pelvic organs;
- reduction of edema;
- Prevention of aggregation (mergers) of platelets and blood clots in the vessels of the gland;
- Elimination of leukocytes infiltration to the focus of inflammation.
Prostate extract also has a positive effect on metabolism and metabolism in the tissues of the gland, the chemical and rheological indicators of the prostatic secretion.
Extract drugs Serenoa Movetur
Serenoa Movetur (palm, creeping palm) is a medicinal plant, the unique properties of which 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 the methods of not evidence -based medicine as an auxiliary tool for the treatment of inflammatory pathologies of the prostate gland (including DHCH).
According to their pharmacological properties, drugs made on the basis of an extract of the creeping palm are related to drugs that correct urodynamic indicators and help to establish metabolic processes in the prostate gland. Like funds based on prostate extract, these drugs have a fairly high cost, so patients with disabilities need to provide all information about more affordable drugs of this group.
In hospitals, Sabal Sabal dry extract can be used in the form of injections and infusions.
Microcirculation correctors
Angio-transceptors and proofreaders of microcirculation 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 channel.
Pay attention!If it is necessary to carry out diagnostic manipulations requiring the use of invasive methods, to cancel the drugs that delleate blood, at least 3 days before the examination.
What other drugs are prescribed for the treatment of prostatitis?
The combination of drugs, the use of which will be effective and appropriate in each case, is determined by the doctor. In most cases, drugs from the NSAID group (diclofenac, ketoprofen) are used to stop the inflammatory process. At the recovery stage, the use of carnitine, vitamin and vitamin -like products is indicated. For abundant washing of urinary tract in patients with a high risk of upward infection, diuretics are prescribed. The use of plant fees with diuretic and anti -inflammatory effects is also shown.
During acute inflammation, analgesics and antipyretics are prescribed to eliminate the heat and reduce pain. Alpha-blockers are prescribed to patients with pronounced urination disorders, accompanied by pain.
What to do with chronic inflammation: useful tips
In chronic stagnant, bacterial or aseptic prostatitis, it is important not only to take prescribed drugs according to the recommended scheme, but also to eat properly, as well as adjust the lifestyle in such a way as to eliminate all provoking factors.
- In the diet of men suffering from prostatitis, there should be enough protein, zinc, selenium, chromium, as well as some vitamins participating in the secretion of seminal fluid. In the daily menu, it is useful to include seafood and fish, nuts, seeds, fruits, greens, eggs and dairy products.
- To prevent relapse, it is necessary to control the cholesterol level. It is important to monitor the content of fats in the diet and avoid frequent and increased use of fatty products.
- Sexual life should be regular. Long -term abstinence contributes to the stagnation of the prostatic secret and the development of the congestive inflammation of the prostate. In a healthy man, a period of abstinence from intimacy should not exceed three days.
- Insufficient motor activity is one of the main causes of inflammatory changes in the tissues of the prostate. In addition to special therapeutic gymnastics, men are recommended to do morning exercises, walk a lot and regularly visit the swimming pool.
Further 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 passage of laboratory diagnostics (urine study, prostate secretion) and ultrasound of the prostate gland and bladder.
Medicines are the basis of basic therapy of prostatitis and other inflammatory diseases of the genitourinary system. The pharmaceutical industry offers a fairly large selection, so you can choose inexpensive and effective drugs with any form and stage of prostatitis. Only the attending physician should carry out any appointments, taking into account the dynamics of the disease and the individual characteristics of the patient. Self-medication, especially drugs with antibacterial effects, is unacceptable due to a high risk of superinfection.