Reply by prostatitis and symptoms

What is prostatitis »

Prostatitis male common diseases, the vast majority occur in young adults, clinical prostatitis can be divided into two kinds of acute and chronic. Acute prostatitis clinical rare, chronic prostatitis in a higher incidence among adults, accounting for about urology outpatient 1 / 5 around, the more chronic prostatitis with Jingnang Yan, is also known as the prostate Jingnang Yan.

What causes the acute prostatitis and chronic prostatitis »

Acute prostatitis: incidence in more than tired, cold, long ride, alcohol, excessive sex life, injury, transurethral equipment operators, general or partial immunity weakened, the bacteria from other parts of the body by blood circulation or lesions Urethra into the prostate, the main pathogens as E. coli, staphylococcus, streptococcus, and so on and Proteus.

Chronic prostatitis: the more complicated causes, from a small number of acute prostatitis can not completely cured deferred from the vast majority of patients have not experienced a clear acute phase.

The cause of chronic prostatitis pathogenic microorganisms is mainly bacteria, followed by a virus, mycoplasma, chlamydia and other allergens, such as the original. Sexuality Guowang, prostate congestion, lower urinary tract obstruction, perineum oppression, injury, inflammatory disease spread to nearby organs and body resistance decreased prostate, etc., may be caused by one of the reasons for chronic prostatitis, or even the patient's mental state is also Symptom severity of the impact of a factor. In short, complex etiology of chronic prostatitis, is likely different times with different causes, or at the same time there is a more pathogenic factors.

Acute prostatitis and chronic prostatitis What are the symptoms »

Acute prostatitis: acute onset, systemic infection or sepsis performance, high fever, WBC increased frequency, urgency, Niaotong, urethral pain, perineum and suprapubic pain, rectal Zhang Man, bowel problems, Even bladder neck edema, cramps can be difficult to urinate, and even urinary retention.

Chronic prostatitis: different patients symptoms vary greatly, laboratory results and patients from time to exactly the same symptoms, some patients symptoms significantly, but palpation of prostate, prostatic fluid can be no special inspection found or minor change, while some patients prostatic fluid A large number of Nong Xibao, prostate texture hardens, it can all asymptomatic. Therefore, the severity of symptoms and patients may also have a certain mental element of the relationship. Common symptoms are:

1. Pain: After the urethra can be a burning sensation, ants trip flu, perineum, anal pain radiation to be lumbosacral, groin, suprapubic, penile, testicular, even to the abdominal radiation.

2. Urinary tract symptoms: inflammation involving the urethra, the patient may have mild frequency, urgency, Niaotong, individual patients can still did not end there hematuria, voiding the early morning before or stool when I have urethra or mucus secretions from Nongxing.

3, sexual dysfunction: a decreased sexual desire, impotence, premature ejaculation, ejaculation pain, such as increasing the number of Yi Jing, individual patients have blood fine or inflammation而使vasectomy sperm activity decreased, resulting in sterility.

4, with neurasthenia: As patients lack the correct understanding of the disease or Jiuzhibuyu, can have feelings of depression, fatigue, insomnia, and so on.

5. Secondary symptoms: As the bacterial toxin caused by allergic, there conjunctivitis, iris inflammation, arthritis, inflammation, and so on.

Acute prostatitis and chronic prostatitis inspection and diagnosis of what »

Inspection:

Acute prostatitis: digital rectal up, touching prostate enlargement, smooth surface, tension, and there is obvious tenderness. Acute prostatitis can only be up for that inspection, not to prostate massage to prevent the spread of inflammation.

Chronic prostatitis: digital rectal prostate consultation touched a full, soft, with only mild tenderness or tenderness, or prostate fibrosis and smaller, Ren and hardness of uneven quality.

Diagnosis:

Acute prostatitis: There are various signs related symptoms, urine examination showed Nongxi Bao, red blood cells, B-chao also help to check the diagnosis.

Chronic prostatitis: a related signs and symptoms, prostate examination of the current diagnosis of chronic prostatitis is simple and also the most useful approach. To remove the prostate massage prostatic fluid to smear microscopy, such as a high power field is 10 more than the WBC or Nongxi Bao, lecithin decrease in the number of bodies, while the above symptoms can be diagnosed as chronic prostatitis.

Urine and prostate positioning of sub-culture for the diagnosis of chronic prostatitis, there is a certain value. In addition, chronic prostatitis, prostatic fluid pH increased and zinc was reduced, the diagnosis has some help.

How the treatment of acute prostatitis and chronic prostatitis »

Acute prostatitis:

Patients should bed rest, drinking water and more open and to keep the stool. Stimulate the bladder symptoms can be severe spasm to the analgesic drug Hip Bath and hot water to ease symptoms. And to antibiotic therapy.

Acute prostatitis the general symptomatic treatment and anti-inflammatory treatment, symptoms often in one to two weeks dissipated. If no improvement in symptoms or increase it, check that prostate anal palpation swelling and there is more volatility, B super-examination showed abscess formation of the perineum puncture taking Nongye, should the perineum line abscess incision and drainage.

Chronic prostatitis:

1. General treatment: increase confidence and to eliminate ideological concerns, sexual restraint, but not mandatory abstinence. Yiji liquor and irritation of food, water Hip Bath one night, local therapy, significantly change the life of the induced factors such as cycling, and so avoid a long time.

2. Prostate massage: Massage regular line of prostate, prostatitis to the excretion of secretions, once a week, but also to the routine examination of the prostate, to evaluate the treatment effect.

3. Drug infusion: urethral insert a special balloon catheter, to the Department of prostate urethra into sterile saline and pumped several times, the net absorption Nongxing secretions, and then inject antibiotics, once a week.

4. Urethral expansion: the narrow urethra is not open to regular or extended to facilitate the excretion of urine, and through the exploration of the urethra, the prostate longer opening is conducive gland drainage.

5. Closed around the prostate treatment.

6. Antibacterial drugs: antibiotics not generally enter the prostate, which is more difficult for clinical treatment of one of the reasons why. Ideal antibacterial drugs requires three conditions, ① fat-soluble alkaline substances; ② and plasma protein binding less; ③ high degree of dissociation.

7. Chinese medicine dialectical therapy.