Large collection of prostatitis treatment!
Prostatitis is divided into acute prostatitis and chronic prostatitis.
As a result of direct spread of infection or blood lines, prostate invasion by bacteria and other pathogenic microorganisms, while the rapid hyperemia, edema, exudate, forming a small abscess, and even the limitations of large abscess as acute prostatitis. Infected blood from hot-line was experiencing, after urinary tract infection is a significant urinary tract irritation.
Acute prostatitis symptoms were fatigue, anorexia, vomiting, chills, fever and other systemic symptoms; the perineum or small abdominal pain to the waist, lower abdomen, back and thighs, etc. radiation; urination, frequent urination can occur, urgency, dysuria, Lek drops of urine, voiding difficulty or interruption; rectal pain, falling flu, urinary flow when the white stool; and sexual intercourse such as pain and blood sperm.
If you have not been definitive treatment of acute prostatitis and some can be transformed into chronic prostatitis.
Chronic prostatitis, the performance of more complex, common symptoms:
If a urinary abnormalities, such as urinary frequency, urinary urgency, urine endless, urethral burning, urinary wait, incontinence, urine bifurcation, urine thin line, hematuria. Morning urethra may have mucus and other secretions, but also dysuria feeling. Voiding stool white mucus from the urethra drops out, the so-called drops of white phenomenon;
Second, if radioactive pain symptoms, namely abdominal pain, testicular pain, urethral irritation, back pain, penis, spermatic cord, testis scrotum, lower abdomen, groin area (thigh), thighs, rectum, etc. may be involved. After the urethra, perineal pain, and anal discomfort under the bulge, squatting, prolonged sitting on the stool and the stool on the pain increased. Perineal pain, lumbar sacral, pubic bone, the ventral groove of bone pain, testicular pain, penis head Fangshe Tong, etc.;
3, if the performance of sexual dysfunction, weakness, sexual dysfunction, impotence, premature ejaculation, blood sperm and so on, the lack of pleasure, non-ejaculation disorders, loss of libido, ejaculation pain, and affect the sperm quality, after urinating or bowel movement, can have occurred urethra stream white, the merger can occur when the blood Vesiculitis fine.
4 If the performance of neurasthenia, fatigue, dizziness, insomnia and more dreams, nervous depression, etc.; long-lasting prostatitis can cause disease or even the body’s allergic reaction, there conjunctivitis, arthritis and other diseases.
I will introduce some commonly used treatment.
A commonly used antibiotic treatment
Doctors use antibiotics treatment of prostatitis, is the most commonly used method.
Antibiotics diffuse from the plasma into the prostatic fluid, the majority of urinary tract infections caused by Gram-positive bacteria to be effective.
However, not through the prostatic epithelial lipid membrane, and entry to the role of the prostate acinar attained cure, many treatment effect is not very satisfactory.
Therefore, the treatment of benign prostatic select antibiotics should follow the following four principles:
(1) drugs on the bacteria have a higher sensitivity;
(2) to determine the application of drugs should be based on high-fat-soluble, high permeability, and plasma protein binding rate is low and a high degree of dissociation of the complex as a criterion;
(3) more than two and a synergistic combination of drugs;
(4) for the drug in the prostate stroma, to achieve the effective concentration and to prevent the occurrence of urinary tract infections should be promoted large-dose and ultra-time (4 – 12 weeks) of drug law.
Recently, some medical experts and scholars be able to diffuse into the prostate under the anti-bacterial drug, different levels of its high and low, do the classification. There are three high-level trimethoprim, clindamycin, erythromycin, etc.; middle level are chloramphenicol, lincomycin; low levels are ampicillin, Pioneer I,, Pioneer IV,, strong mycin, kanamycin, nitrofurantoin, oxytetracycline, penicillin G, polymyxin B, rifampin, and the majority of sulfa drugs, etc., patients should be under the guidance of a doctor, the drug of choice varieties, usage, dosage and so on.
Second, commonly used in traditional Chinese medicine treatment
Prostatitis, especially chronic pancreatitis column, is a chronic disease, traditional Chinese medicine in the treatment of the role played by a very human, but also optimistic about the prospects for people.
Traditional Chinese Medicine in general to be divided into five types of chronic prostatitis for Differential Treatment of
Hot and humid bet type:
Zheng Jian urine pouring astringent Chi Tong, Shaofu Juji, perineal pain, urinary tract mouth Zhai whitish, greasy yellow tongue coating, slippery pulse number. Expelling heat Lishi, Fang election eight are scattered Modified: Akebia 7 grams, 10 grams of Plantago, flat build 10 grams, 10 grams of Dianthus superbus, talc 20 grams, gardenia 10 grams, 6 grams of rhubarb, licorice 5 grams .
Spleen wet Sheng type:
Zheng Jian turbid urine flow, looking not Chinese, physically weary, never thinking about food, the tongue pale moss white veins empty. Expelling spleen dampness, Fang election SHENLINGBAISHU Decoction: Dangshen 10 grams, 15 grams of fried Atractylodes, Poria 24 grams, 30 grams of Coix, Amomum villosum 7 grams, 15 grams of Alisma, Angelica 10 grams, grass-kun 30 grams, 10 grams of dried tangerine peel.
Qi stagnation of blood paralysis type:
Zheng Jian urination hysteresis perineum and lower abdomen pain fall, prostate enlargement hard, dark purple tongue, pulse string astringent. Expelling blood circulation, Qi Tong Luo, Fang election Shaofuzhuyu soup: peach kernel 10 grams, 10 grams of safflower, Chinese angelica 15 grams, 6 grams of cumin, Fructus Toosendan 10 grams, 10 grams of Lindera aggregata, Paeonia 12 grams, 15 grams of Zeeland, dandelion 30 grams.
Liver and kidney type:
Zheng Jian urethra often whitish, perineal bulge, Yaoxisuanruan, hot flushes and night sweats, mamillata little moss, pulse breakdown. Expelling Zi liver and kidney, Qing Xie-fire. Zhi Bai Di Huang Fang election Decoction: Anemarrhena 15 grams, 10 grams of Treats, land yellow 30 grams, 15 grams Alismataceae, paeonol 15 g, Poria 30 grams, the system Shouwu 15 grams, 15 grams of refined yellow and white vines 10 grams, Salvia 15 grams.
Lack of kidney-yang type:
Zheng Jian urine pouring astringent embrace fine, chills, waist and knee acid cold, impotence, premature ejaculation, pale tongue, weak pulse Shen. Expelling Wenshen impotence, square selection Jingguishenqi pill Modified: system attached piece 10 grams, dodder seed 10 grams, 10 grams of Epimedium, Eucommia 10 grams, 10 grams of Huang Jing, Chinese angelica 15 grams, 15 grams of yam, Poria 24 grams.
3, commonly used injection therapy
Systemic medication of antibiotics, in the prostate is not easy to achieve the effective concentration affect the efficacy. Therefore, it appeared the antibiotic directly into the prostate treatment.
Specific methods, choice of gentamicin, kanamycin, Pioneer mycin, alone or in combination, after the column will be injected directly into the perineal gland department, or in B-under the guidance of the liquid injected directly into the prostate lesions in a week 1 – 2 times, 10 times as a course of treatment.
This treatment method, the advantage of drug directly into the prostate, it is easy to spread and reach of effective antimicrobial concentrations can not only kill the injection site of the bacteria, can also destroy the surrounding tissue, bacteria, drugs partially Xishouruxue also work together to Elimination of the urethra and other parts of the infection, refractory, intractable chronic prostatitis is a valuable method of treatment.
However, this method also has some shortcomings not easily overcome, such as:
(1) The deeper parts of the prostate, direct injection is not easy, the puncture can cause the surrounding tissue damage and cause hematuria;
(2) The puncture can cause pain and discomfort, such as repeated, difficult patients;
(3) through the skin or puncture the rectum can lead people to bacteria, resulting in duplication of prostate infection;
(4) repeated several times puncture can cause prostate fibrous tissue hyperplasia, prostate sclerosis, when DRE palpable induration within the prostate, or palpable, and a hard texture of the prostate. Fibrous tissue can cause lesions surrounded by isolated, antibiotic penetration difficult people, but also resulted in difficulties in the discharge of prostatic fluid.
Therefore, the choice of this treatment, we must be careful only when other methods fail, before considering this method, and the puncture can not be too frequent, weekly puncture 1 – 2 times, treatment should not be too long, should be controlled in 1 – 2 month or so.
4, commonly used in physical therapy
Physical therapy, is by means of sound, light, electricity, heat, water and other physical factors, the body tissues and organs and pathogenic factors play a role to regulate the body’s own internal factors, to restore the normal physiological state of a treatment measures.
Physical therapy, mainly using the heat generated by the role, so that deep tissue congestion, improve blood circulation, strengthening local organizations, nourish and accelerate the absorption of inflammatory products removed, is conducive to the dissipation of inflammation.
Ultrasonic wave therapy:
Ultrasound is a 20,000 weeks / sec and above does not arouse the normal human auditory response to vibration wave. Frequency of 8.001 million common clinical kHz / sec. Medical Ultrasound can improve the local more fluid and lymphatic circulation, strengthening of local metabolism, so that the organization change the pH, pH change to alkaline, so that local acidosis reduced to ease or eliminate pain. Ultrasound treatment for a urinary tract irritation symptoms of chronic prostatitis and prostatic fluid microscopy significantly more patients with white blood cells.
Short-wave therapy:
Short-wave therapy is a high-frequency current therapy, the application of current is called short-wave current, a frequency of 3 * 10 6 ~ 3 * 107 Hz, a wavelength of 10 ~ 100 meters, treatment voltage of 90 ~ 120 volts. Short-wave germicidal effect is not direct, but because of the short-wave increased the body’s immune defense mechanisms of the indirect effects produced. Easy to operate short-wave therapy, treatment with the two electrode plates, one on the buttocks, one on the lower abdomen above the pubic bone, each 15 to 30 minutes once a day for two weeks as a course of treatment. This therapy adapted to acute and chronic prostatitis and prostate microscopy the higher number of white blood cells.
Ultrashort wave therapy:
Ultrashort wave therapy is the use of high frequency current for treatment of another way, the current high frequency, usually 30 ~ 300 MHz, the wavelength of 10-1 meters, treatment voltage of 40 ~ 50 volts, its mechanisms and indications the same as with the short-wave therapy, but their ability to penetrate the organization and the killing effect of micro-organisms is much greater than the short-wave.
Microwave therapy:
Microwave therapy is a new kind of high-frequency electrotherapy. A frequency of 2450 MHz, a wavelength of 12,5 cm, more than the short-wave and ultrashort wave depth within the organization, to deep tissue strong ability to kill micro-organisms, and there will not make subcutaneous tissue overheating, resulting in the heat evenly and so on. Method is to use the microwave launch probe into the rectum of about 5 ~ 6 cm deep, across the rectal wall prostate irradiation, each irradiation 8 to 12 minutes once a day or every other day, two weeks for a course of treatment. In normal doses of microwave on the human body is generally harmless, but the testis is very sensitive to the microwave, so in the treatment of prostatitis, it is important to protect against testicular irradiation. Prostatitis causing infertility should method has been applied should be more careful.
DC drug iontophoresis:
DC drug iontophoresis is the use of direct current of drug ions diffuse through the skin or mucous membrane into the organization to achieve the purpose of a method of treating disease.
This law applies to the pain of chronic prostatitis heavier and more obvious by bladder irritation.
Magnetic Therapy:
Magnetic therapy is the use of magnetic field, the small body to achieve the purpose of treating disease. The experiments show that the magnetic field strength of 1500 – 3000 Gauss of the disk, to a certain kill E. coli, etc., or inhibition, and can increase local blood circulation, leading to exudate absorption and dissipation, played Xiaozhongzhitong effect. Generally disk attached to the skin near the surface of the prostate, such as would be Yin Xue, the Guanyuan. This law applies to all types of chronic prostatitis.
Bath Therapy:
Bath therapy, and indeed a kind of physical therapy, but because it needs any medical equipment, home patient himself can operate, it is worth to promote the family the most effective treatment.
To do as follows:
Will be about 40% of the water (do not feel hot hand placed), into the basin, about Banpen can each take 10 to 30 minutes, the water temperature is lowered and add an appropriate amount of hot water, so that the temperature of the water to maintain effective , 1 ~ 2 times a day, 10 days for a course of treatment. In hot water can also add the appropriate aromatic medicine, such as the herb, wide wood, white Kou-jen and so on. If the bolt into prostate disease after hip bath, can promote the absorption of drugs and improve efficacy.
It should be put forward is that have been diagnosed with infertility due to prostatitis caused by those who should not be used hip bath method. This is the area for the sperm cells are high on the living conditions demanding, take the temperature, the scrotum should be within the normal temperature of 32 ~ 33 ℃, when the temperature inside the scrotum elevated for some reason, they can make sperm The obstacles encountered in the production, causing the sperm to stop the consequences, thus further reducing the possibility of pregnancy.
5, commonly used massage therapy
Positive effects of self-massage, simple operation, patients easily accept a master, is a very good supplementary treatment. Methods are:
(1) would, after cleaning the anus and rectum can be line of massage therapy lower segment. Patient was supine or lateral knee-chest position, doctors shun the anus with the forefinger touching the prostate in the rectal wall, press down from the outside inward up the order regularly gentle push in the prostate, while Zhu Huanzhe for levator ani movements to prostatic fluid urethral discharge mouth, and immediately urinate.
(2) Self-Massage: The patient removed squatting, or supine lateral flexion, then, after cleaning the anus and rectum after the lower segment, and use their middle finger or index finger, press the prostate body, with the former method, each massage 3 to 5 minutes in order to each of which is better prostatic fluid discharge from the urethra. When the force must be gentle massage, massage pre-lubricated finger soap can be used to reduce the discomfort. Each massage therapy for more than a minimum interval of 3 days. If the process of self-massage, hair concept of prostate tenderness evident bag sexy increase, we must promptly to specialist out-patient treatment to prevent acute episodes of chronic prostatitis prostate massage Shi Hai-line situation.