Prostatitis treatment: antibiotics, physiotherapy, prostate massage
Last reviewed: 23.04.2024
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Prostatitis is usually called inflammation, causing swelling of the tissues and embracing the prostate gland of a man immediately under the bladder. Treatment of prostatitis today occurs through many modern methods, including antibiotic therapy, physiotherapy, hirudotherapy, herbal medicine, immunocorrective therapy, prostate massage, lifestyle correction.
When a patient enters a medical facility, the doctor conducts a patient examination for the causes of the prostatitis. Treatment of the disease will be appointed precisely according to what factors contributed to the onset of the disease.
Treatment of prostatitis begins with the diagnosis of the disease, which, in the first place, includes a survey of a urologist. Then the doctor proceeds to examine the abdomen and genitals of the patient, conducts the probation of the prostate gland with a finger, inserting it into the rectum. During this study, a doctor can diagnose the enlargement, swelling and tenderness of the prostate gland.
After a rectal examination, the urologist directs the patient to sperm, urine and prostate secretion. These tests allow you to judge the presence or absence of signs of infection in them. Sometimes you need to do sperm seeding.
The appointment of urodynamic studies will enable the doctor to understand how much the disease has a strong effect on the process of urination.
Transrectal ultrasound, as well as ultrasound of the kidneys and bladder allow the urologist to judge the volume and structure of the prostate gland, the volume of residual urine, the presence of a tumor or stones in the bladder, the presence of a blood clot or stones in the lower third of the ureter.
Based on the above-described tests and studies, a urologist appoints therapy for such an insidious and seriously curable disease as prostatitis. Treatment of prostatitis will give positive results only if it is comprehensive and it will be picked up by a competent doctor.
Antibacterial treatment of prostatitis
Due to the fact that inflammation of the prostate gland is often infectious, doctors treat prostatitis as an antibacterial therapy. The result of treatment will be positive only if the urologist correctly chooses therapy, and the patient will strictly adhere to the prescribed therapy. It should be remembered that the begun course of antibiotic therapy can not be stopped - in this way it is possible to harm not only the sick body, but the whole organism as a whole.
The patient should be informed about any, sometimes not even significant changes in his body. If the patient has not felt any changes during 2-3 days of treatment, then the doctor should replace the antibiotic with another, but do not cancel it.
Most often for the treatment of drugs are prescribed a broad spectrum of action - penicillins. These include ampicillin, oxacillin, ampiox, benzylpenicillin, carbenicillin.
Also, modern medicine widely uses the funds of the group of fluoroquinolones - pefloxacin, levofloxacin, ofloxacin, ciprofloxacin, norfloxacin, sparfloxacin, etc. To these drugs, microbes do not develop resistance - this is one of the most important qualities of the group of antibiotic data.
In addition, for the treatment of many doctors prescribe drugs tetracycline group: josamycin, doxycycline, azithromycin, etc.
Sometimes such drugs as cefixime, cefotaxime, ceftriaxone are used - these are highly effective drugs of a new generation.
Antibacterial treatment of prostatitis in patients with chronic prostatitis lasts about a month and a half. In advanced cases, prostatitis treatment is prolonged for up to 16 weeks. Occasionally during the course of antibacterial therapy, the patient develops a dysbacteriosis of the intestine. In this regard, the patient is prescribed to take funds that restore the intestinal microflora: bifikol, bion-3, hilak-forte and so on.
Dosage and a regimen for the administration of medicines is prescribed by a urologist in each case individually.
[Physiotherapeutic measures
Treatment of prostatitis by means of physiotherapy involves the use of various methods, the main ones of which are ultrasound, laser therapy, electrostimulation, magnetotherapy, microwave therapy, UHF, galvanization, drug electrophoresis, darsonvalization, therapeutic microclysters, baths, mud procedures.
Ultrasound is used as high-frequency waves, which a person can not hear.
Laser therapy - a fairly common, almost painless way. It is the effect of laser beams on the tissues of a diseased organ or on reflexogenic zones.
Treatment of prostatitis with the help of electrostimulation is the effect of an electric impulse current, which causes contraction of the muscles of the organ. Electrostimulation is subdivided into rectal, perineal and urethral.
Magnetotherapy is the treatment of prostatitis by the action of a permanent magnetic and alternating low-frequency field on the tissues of the affected organ.
Therapy with microwaves consists in the exposure of the affected tissue to a high-frequency electromagnetic field.
UHF is a complex of therapeutic measures with the help of capacitor plates brought to the tissues.
Galvanization is a method of treatment by supplying a small continuous current and low voltage.
Medicinal electrophoresis is a simultaneous effect on the tissues of a dc current of low strength and special drugs administered with it into the tissue. The current increases the ionic activity in the tissues, at the same time the pharmacological action of the drugs occurs.
Darsonvalization is a method of treatment by means of a rapidly extinguishing high-frequency, low-power pulse current with high voltage.
Medical microclysters are enemas for which various herbal infusions and decoctions are used.
Baths used to treat the disease are appointed general or local sedentary. During the bath, various medicinal liquids of different temperatures are used.
Mud procedures - the application of therapeutic mud. Medical measures may include the use of external mud applications or the introduction of mud tampons into the anus.
Hirudotherapy
Leeches are a wonderful gift of nature to mankind. With the help of these living beings, many diseases can be cured, among them prostatitis. Treatment of prostatitis leeches occurs according to the following scheme: on points located 3 cm from the anus (anus) put leeches, and the formulation should resemble the letter "X". The center of the letter is the anus, the ends of the letter are the locations of the leeches.
Also, a slightly different method of treatment is widely used: by stepping away from the median suture of the perineum about 2 cm in each direction, leeches are established. It is not recommended to install leeches directly on the seam of the perineum. The course is about 4-5 treatments. 4 leeches are used in one session. After each session, take a break in 5-6 days.
Phytotherapy
Phytotherapy is a complex of therapeutic measures with medicinal tinctures, decoctions, juices, infusions, prepared from medicinal plants. Some of these drugs should be taken internally, while others are used externally, are injected into the urethra. Phytotherapy is an additional method of treatment that helps the body to cope faster with the disease.
For the preparation of broths usually use bark, seeds, roots, buds and rhizomes of plants, for infusions - flowers, leaves, grass and stems. There are a huge number of recipes for the preparation of medicines.
One of the most popular recipes is infusion of birch buds and oats, mixed with infusion of rose hips (1: 1), which take half a cup of 1 or 2 times a day.
Tincture from the rind of horse chestnut (pour 250 ml 25 g of finely chopped peel, insist in the dark for 10 days, shaking occasionally). After this, tincture is filtered, take 3 times a day for 30 drops.
From the parsley squeeze the juice and mix with any honey (1: 1), eat 3 times a day for 2 tables. Spoons.
Immunocorrective treatment of prostatitis
Treatment of prostatitis also consists in raising the immunity and activating the body's defenses. Doctors in this case prescribe immunocorrective therapy. It includes the patient's intake of various vitamins, immunomodulators, biostimulants, phytopreparations and other means.
The use of afalis in patients with chronic prostatitis, whose treatment was performed in a complex way increases the effectiveness of therapy and contributes to a longer preservation of the results. The drug is well tolerated, has no contraindications. Perhaps its combination with any other therapy. Afalah is indicated for patients with chronic prostatitis of categories II and III A with 1 day of treatment.
Massage of the prostate
Treatment of prostatitis with the help of prostate massage is an unpleasant, but very effective way to cure the disease. Massage is performed by an experienced doctor. First, using the index finger in the glove, he probes the prostate gland, trying to fix its parameters, the degree of soreness, the ratio of the right and left lobes of the gland, and also to examine the quality of mucus in the rectum. After that, the doctor begins directly the massage procedure itself.
Correction of a way of life
In order to avoid stagnation of blood in the prostate gland, the patient must move a lot, go for walks, play sports and so on.
The appearance of prostatitis often provokes a sedentary lifestyle, sedentary work, rare sexual intercourse. They cause stagnation of blood in the prostate gland. In this situation, the patient is prescribed a physical goal (physical), therapeutic gymnastics, walking on fresh air, a special diet, etc., with a therapeutic purpose.
Thus, complex treatment of patients for chronic prostatitis should include:
- antibacterial therapy (only in patients with chronic prostatitis of infectious nature, including latent);
- symptomatic treatment to eliminate the leading manifestations of the disease;
- pathogenetic therapy aimed at restoring microcirculation in the prostate, restoration of drainage of the prostatic glands along the output ducts, normalization of urination, stabilization of the immune and hormonal systems, prevention of excessive formation of fibrous tissue.
There are a lot of signs that indicate a patient that prostatitis has "settled" in his body. Treatment of this ailment is very complicated and long lasting, giving positive results only if the patient strictly observes all the prescriptions of the urologist.