Diseases

Prostatitis

Prostatitis refers to systemic or local symptoms caused by acute and chronic inflammation caused by prostate specific and non-specific infections . Prostatitis can be divided into non-specific bacterial prostatitis , idiopathic bacterial prostatitis (also known as prostate disease ), specific prostatitis (caused by Neisseria gonorrhoeae , tuberculosis , fungi , parasites,etc.), non-specific granuloma Prostatitis , prostatitis caused by other pathogens (such as viruses , mycoplasma , chlamydia,etc.), prostate congestion and prostate pain.

Basic overview

prostatitis

Since the seminal vesicle and the prostate are anatomically neighbors, the end of the seminal vesicle drain tube and the vas deferensmerge into the ejaculatory duct , and the ejaculatory duct passes through the prostate into the urethra , so prostatitis often incorporates seminal vesiculitis . According to the course of the disease, it can be divided into acute prostatitis and chronic prostatitis . Among them, acute prostatitis is an acute prostatitis caused by bacterial infection.

Acute prostatitis may have chills , fever , fatigue and other symptoms; local symptoms are perineal or pubic area have a sense of weight, sedentary or defecation aggravated when, and to the waist , abdomen, back and thighs , etc. radiation, if any small abscess formation, and not exacerbate bowel pain; urinary symptoms urination when burning sensation, urinary urgency , frequent urination , urination may be associated with terminal hematuria or urethral purulent; rectal symptoms of rectal fullness, fecal urgency and defecation When the stool is urinary tract, white secretions can flow out.

Chronic prostatitis is divided into bacterial prostatitis and prostate disease. Chronic bacterial prostatitis often results from the conversion of acute prostatitis; prostate disease is often caused by viral infection , urinary calculi , chronic congestion of the prostate. Interrupted sexual intercourse , frequent sexual life, and chronic constipation are the causes of prostate congestion. 

Cause of cause

Experts pointed out that different prostatitis patients will present different clinical symptoms in different clinical symptoms, and these syndromes have their own unique causes. Although the current medical treatment of most chronic prostatitis is still lack of comprehensive and accurate understanding, the treatment effect is not satisfactory, but recent studies have shown that the occurrence of chronic prostatitis is closely related to the following five factors.

One of the incentives: prostate congestion

Hyperemia caused by various reasons, especially passive congestion, is an important cause of prostatitis. The onset of the disease is often not caused by bacterial infection or microbial invasion, but it will form an inflammatory reaction and induce prostatitis. The situation that causes congestion in life is very common:

● Sex life is not normal. Excessive sexual life, forced interruption of sexual intercourse, etc., can cause the prostate to be abnormally congested.

● Direct compression of the perineum. Cycling, horse riding, sedentary, etc. can cause repeated damage to the perineum and prostate congestion, especially when cycling for long periods of time.

● Unhealthy lifestyle. TCM theory holds that alcoholism, bulimia greasy food and other bad habits easily lead to endogenous heat, simmers in the genital official and it is very red and cause sexual excitement.

● Massage is too heavy. Excessive prostate massage and other external stimuli caused by medical behavior, such as excessive or too frequent tactics can make the prostate congestion.

● Cold and cold. Cold and cold can cause the sympathetic nerves of the human body to excite , resulting in increased intraurethral pressure, contraction of the prostatic tube and obstruction of prostatic fluid excretion , resulting in stasis congestion.

Countermeasure: Patients with chronic prostatitis should ask the doctor to take corresponding treatment measures according to different predisposing factors. Prostatitis caused by congestive factors should eliminate all kinds of factors that cause passive congestion, moderate frequency of sexual life, not riding for a long time, etc., and using traditional Chinese medicine to promote blood circulation .

The second cause: urine stimulation

Medically, urine stimulation is a chemical factor. According to reports, the urine contains a variety of acid and alkaline chemicals, when the patient’s local neuroendocrine disorders, causing post-urethral pressure is too high, the prostate tube opening is damaged, it will cause uric acid and other irritating chemicals to flow back into the prostate. , induced chronic prostatitis.

Countermeasure: Ask your doctor to adjust the pH and anti-inflammatory of the urine.

The third cause: pathogenic microbial infection

Various microorganisms such as bacteria, protozoa , fungi, viruses, etc. can become the source of prostatitis infection , among which bacteria are the most common, such as gonococcal and non-gonococcal bacteria. There are three main ways of invading bacteria. First, blood infection, clinically found that more than 90% of bacterial prostatitis is caused by microbial infection. Second, lymphatic infections, such as lower urinary tract infections and inflammation of the colon and rectum, can infect the prostate through the lymphatic channels, producing inflammation. The third is direct spread. When a man urinates, the urine passes through the prostate. The bacteria in the urine can directly enter the prostate, which leads to prostate infection.

Countermeasures: Antibiotic treatment, combined with clearing heat and dampness, promoting blood circulation and removing phlegm.

The fourth cause: anxiety , depression , fear

Experts have found that 50% of patients with chronic nonbacterial prostatitis have symptoms of excessive stress such as anxiety, depression, fear, and pessimism. Prostate patients with pain and neurasthenia often exaggerate the discomfort and pain of the body, and the symptoms are often greater than the actual condition. This condition is called “tension prostatitis.” The psychological factors are related to the age. The mental burden of young patients is obviously heavier than that of older patients. This situation often directly affects the effect of drug treatment.

Countermeasure: If the symptoms are aggravated due to psychological factors, you should receive psychological counseling while you are taking medication. You should maintain a cheerful and optimistic attitude, focus on work and colorful amateur life, don’t pay too much attention to slight changes in symptoms, and go to a specialist clinic in a regular hospital. Treatment, so as not to delay, aggravate the condition.

Inducement 5: immune factors, allergies

Studies have shown that chronic prostatitis has a certain relationship with autoimmune factors. Some experts have some arthritic people who found that “anti-prostate antibody exist”. Such patients often develop anti-prostate antibodies due to congenital or acquired immunodeficiency , leading to prostate tissue damage. If the patient has not been found to have evidence of bacterial, viral, or mycoplasma infection , consider the presence of immunological factors.

Clinically, an allergic reaction to a certain virus can also cause inflammation. In particular, some patients with low body resistance have high sensitivity to the virus and are prone to induce chronic prostatitis.

Countermeasures: prostatitis caused by immune and allergic factors, the use of traditional Chinese medicine to regulate immune function will be better.  

Clinical manifestation

Prostate tissue structure

The symptoms are varied, the weights vary widely, some are asymptomatic, and some are uncomfortable. Common symptoms are roughly the following.

1, urinary discomfort: there may bladder irritation, such as frequent urination, urination, urinary burning, pain and radiated to the penis head portion. In the early morning, the urethra may have secretions such as mucus, and it may also have a feeling of dysuria .

2, local symptoms: urethral , perineal and anal bulge discomfort, squat, stool and long time sitting on the chair stool increased pain.

3, radiation pain: chronic prostatitis pain is not limited to the urethra and perineum, but also to the vicinity of radiation, the following low back pain is most common. In addition, the penis , spermatic cord , testicular scrotum , lower abdomen, groin area (thigh root), thigh, rectum, etc. can be affected. It should be pointed out that the low back pain caused by chronic prostatitis is in the lower back, and it is easy to be confused with orthopedic causes of low back pain such as myofascial inflammation and lumbar muscle strain , but the latter is mostly near the belt, which is lower than the location of lupus caused by prostatitis. High, can be identified.

4, sexual dysfunction: chronic prostatitis can cause loss of libido and ejaculation pain, ejaculation premature, and affect the quality of semen , urinary tract vaginal discharge after urination or stool, combined with seminal vesiculitis can appear blood.

5, other symptoms: chronic prostatitis can be combined neurasthenia disease, showed weakness, dizziness , insomniaand so on; even long-lasting prostatitis can cause the body’s allergic reaction , there conjunctivitis , arthritis and other diseases.  

classification

Prostatitis refers to acute and chronic inflammatory damage caused by prostate specific and specific infections . According to different clinical symptoms, it can be roughly classified as follows:

Old classification method:

First, acute bacterial prostatitis: (caused by bacterial infection, acute onset, serious condition, systemic symptoms, prostatic fluid examination has a large number of white blood cells , pus cells , positive bacterial culture ).

Second, chronic bacterial prostatitis: (also caused by bacterial infection, 85% caused by E. coli , long course, repeated disease, positive prostate fluid test, positive bacterial culture).

Third, chronic non-bacterial prostatitis : (may be related to infection , chlamydia infection , longer course, treatment is difficult, prostatic fluid test positive, bacterial culture negative).

Fourth, prostate pain: (the cause is unknown, the patient has symptoms, negative prostate test, negative bacterial culture).

New classification method:

The first type, acute bacterial prostatitis : caused by bacterial infection, acute onset, serious condition, systemic symptoms, a large number of white blood cells, pus cells in prostate fluid examination, positive bacterial culture.

The second type, chronic bacterial prostatitis : also caused by bacterial infection, 85% caused by E. coli, long course of disease, repeated disease, positive prostate fluid test, positive bacterial culture.

The third category, A: chronic non-bacterial prostatitis: may be related to infection, chlamydia, long course, treatment is difficult, prostatic fluid test positive, bacterial culture negative.

B: Prostate pain: The cause is unknown, the patient has symptoms, the prostate test is negative, and the bacterial culture is negative.

The fourth category: asymptomatic chronic prostatitis: patients with no obvious symptoms, often found in the physical examination.     

complication

Acute prostatitis

1, acute urinary retention : acute prostatitis caused by local congestion, swelling , compression of the urethra, resulting in dysuria, or acute urinary retention.

2, acute seminal vesiculitis or epididymitis and vas deferens : acute inflammation of the prostate easily spread to the seminal vesicle, causing acute seminal vesiculitis. At the same time

The bacteria can retrograde through the lymphatic vessels into the parietal wall and sheath of the vas deferens leading to epididymitis.

3, spermatic lymph nodes or tenderness: the prostate and spermatic lymph in the pelvis have traffic branches, acute inflammation of the prostate affects the spermatic cord, causing spermatic lymph nodes and accompanied by tenderness.

4, sexual dysfunction: acute inflammatory phase, prostate congestion, edema or small abscess formation, may have ejaculation pain, painful erection , loss of libido, sexual pain, impotence , blood essence and so on.

5, other: acute prostatitis can be accompanied by pain in the groin , severe cases may have renal colic .

Chronic prostatitis

First, chronic seminal vesiculitis: the most common complication of chronic prostatitis. In the chronic course, the two often exist at the same time and affect each other. For a long time, it can obviously lead to male sexual dysfunction .

Second, impotence : is a common complication of chronic prostatitis.

Third, infertility : In infertility, chronic prostatitis is a very important cause.

Fourth, posterior urethritis : chronic prostatitis combined with post-urethritis, especially prostatitis caused by urinary tract infection . In the clinical evidence, urinary tract irritation is often the first symptom of chronic prostatitis.

Five, epididymitis : prostatitis and seminal vesiculitis at the same time, inflammation can invade the epididymis and cause chronic epididymal inflammation.

Sixth, various types of bladder inflammation: When the chronic inflammation of the prostate spreads to the bladder, there is obvious urinary tract irritation, which is caused by various types of cystitis .

Seven, bladder neck sclerosis: such complications are relatively rare.

Eight, allergic diseases : chronic lesions lurk in the body for a long time, become allergens , causing various types of allergic diseases, such as arthritis, myositis , iritis , neuritis and so on.  

clinical diagnosis

1. Digital rectal examination : the prostate is full, enlarged, soft, with mild tenderness . If the disease is long, the prostate will become smaller, harder, uneven in texture and have a small induration . At the same time , the prostatic fluid is obtained by applying the prostate massage method, and a routine examination is performed.

2. Prostatic fluid examination: The white blood cells in the prostatic fluid are more than 10 in the microscope high-power field, and the lecithin body is reduced, which can be diagnosed as prostatitis. If bacterial culture is performed at the same time, a clear diagnosis and classification of chronic prostatitis can be made. If the bacterial culture result of prostatitis is positive, then diagnose chronic prostatitis; on the contrary, it is chronic non-bacterial prostatitis.

3. B-ultrasound: It shows that the structure of the prostate tissue is unclear and disordered, which may prompt prostatitis.

After several tests mentioned above, we can diagnose, identify and classify prostatitis. In addition, according to the results of the examination to diagnose another type of prostate disease : prostate pain, it has clinical symptoms of chronic prostatitis, especially pelvic , perineal pain, and prostatic fluid examination is normal, culture without bacterial growth.  

Differential diagnosis

Chronic prostatitis is not difficult to diagnose according to the history, symptoms, digital rectal examination, prostatic fluid examination, etc., but the symptoms are complex, the signs are not typical should be identified with the following diseases.

1, prostate pain: these patients showed persistent urinary frequency, dysuria, difficulty urinating, pain, discomfort in the perineum, lower abdomen, lumbosacral, etc., sedentary, aggravated after riding. The rectal examination showed obvious tenderness of the levator ani muscles on both sides , and the prostate palpation was normal without tenderness. In the past, this disease was called piriformis levator ani muscle syndrome, prostatic fluid microscopy was normal, and bacterial culture did not grow.

2, prostate abscess : most of the complications of acute bacterial prostatitis, mostly occurred in the 50 to 60 years old, half of patients have acute urinary retention, frequent urination, dysuria, rectal discomfort, urethral drainage, and some with epididymitis . The rectal examination refers to the enlargement of the prostatic side, which is soft and has a sense of fluctuation. Occasionally, a prostate abscess can naturally rupture into the urethra, or it can be broken into the rectum and is mistaken for an abscess around the rectum .

3, prostate stones : refers to occur in the prostate gland stones and within the duct. Chronic inflammation of the prostate, prostatic fluid retention , glandular stenosis, metabolic disorders and other factors. Inorganic salts such as calcium oxalate, calcium , phosphate, magnesium and the like is deposited prostate gland of starch -like body, the epithelial cells formed on the stones and inflammatory exudate, the patient may exhibit symptoms of various types of chronic prostatitis, but rectal The examination can detect the ruby ​​of the prostate in the prostate. The pelvic X-ray has a positive stone shadow on the side of the pubic symphysis area. Ultrasound examination can produce a strong light band in the prostate stone area and have sound and shadow.

4, prostate tuberculosis : symptoms and chronic prostatitis similar, but often have a history of urinary tuberculosis or other parts of the tuberculosis lesions, rectal examination of the prostate is irregular, nodular , epididymal enlargement hard, vas deferens have beaded induration, prostatic fluid Mycobacterium tuberculosis directly detect TB smear or PCR.

5, prostate cancer : late in the urinary frequency, dysuria, dysuria and other symptoms, but patients often have weight loss , fatigue, anemia , loss of appetite and other obvious systemic symptoms, rectal examination of the prostate has a hard as a stone mass, the surface is uneven, Serum prostate specific antigen and prostatic acid phosphatase increased. Prostatebiopsy can detect cancer cells. Ultrasound examination shows that the gland is enlarged, the boundary echo is not uniform or defective, the internal light spot is uneven, and the cancer site has bright spots or light clusters. CT examination showed that the shape of the prostate was asymmetrical. If the tumor infiltrated outside the capsule , the interstitial space of the seminal vesicle and the posterior wall of the bladder disappeared. CT can determine the extent of invasion of prostate cancer.

6, pubic osteitis : clinical manifestations of chronic prostatitis symptoms, but the anus examination and prostate fluid examination is normal. The main features are the pubic symphysis obvious tenderness, pelvic X-ray photo shows pubic symphysis gap widened> 10 mm, double-sided support on the pubic level differ> 2 mm, pubic symphysis irregular edges, erosions and reactive bone sclerosis .

7, acute pyelonephritis : acute pyelonephritis is more common in women, men are rare, acute pyelonephritis caused by low back pain is more than one kidney area , and slamming pain is obvious. The low back pain caused by acute prostatitis is mostly in the middle of the lumbosacral region, and there is no pain in the kidney area . A large number of pus cells can be seen in the prostatic fluid of acute prostatitis. Acute pyelonephritis is mainly a change in the nature of urine.

Chronic prostatitis prostatitis, a common and frequently-occurring disease in men , is not well understood because of its current pathogenesis, plus its special anatomy and many people who frequently occur in sexual activity. The reason is that it is not very easy to treat it. Patients who have often seen prostatitis in their lives can be cured many times and cannot be cured. In fact, with the continuous development of medicine, many methods have achieved obvious therapeutic effects in the treatment of prostatitis. As long as the patient establishes the confidence to overcome the disease, and closely cooperate with the doctor, it can cure prostatitis and start a new life.  

Treatment of prostatitis

Main factors of refractory prostatitis

1. The patient has a prepuce that is too long or phimosis ;

2. There is still a history of unclean sexual contact before and during treatment;

3. Sexual partners are not given concurrent treatment;

4. Combined with prostate stones;

5. Abuse of antibiotics;

6. Mixed infection of multiple pathogens ;

7. Increased number of resistant strains ;

8. Deposit of prostate secretions;

9. Local physiological and anatomical features of the prostate.  

Antibiotic treatment

It is a common method for treating prostatitis. Antibiotics are diffused into the prostatic fluid from plasma . Most of them are effective against Gram-positive bacilli causing urinary tract infections . However, they cannot enter the prostate acinus through the lipid membrane of the prostate epithelium to achieve therapeutic effects. Therefore, the therapeutic effect is not very high. ideal. Therefore, the following principles should be followed when treating prostate-selected antibiotics:

(1) The drug has a high sensitivity to bacteria.

(2) determining drug applied should be in a high fat-soluble, high permeability, and plasma protein binding rate is low, a high degree of dissociation of the standard substance.

(3) A combination of two or more drugs with synergistic effects.

(4) In order to achieve effective concentration of the drug in the prostate interstitial and prevent the occurrence of urinary tract infection , the application of super-dose and time-out limit (4~12 weeks) should be advocated.

Recently, some scholars have classified antibiotics according to the difference in the level of antibacterial drugs that can diffuse into the prostate . There under twelfth trimethoprim pyrimidine , chlorine lincomycin , erythromycin and the like; with a moderate level of chloramphenicol , lincomycin; have low levels of ampicillin , I, Pioneer, Pioneer No. IV, strong neomycin , kanamycin , nitrofurantoin , oxytetracycline , penicillin G , polymyxin B , rifampicin and most sulfa drugs , etc., can make patients under the guidance of a doctor, the drug of choice varieties, usage, dosage and so on.

Injection therapy :

Since the systemic use of antibiotics does not easily reach an effective concentration in the prostate and affects the therapeutic effect, a treatment method for directly injecting antibiotics into the prostate appears. The specific method is to select gentamicin , kanamycin, cephalosporin , alone or in combination, through the perineal directly injected into the gland, or under the guidance of B-ultrasound, directly into the prostate lesion, each 1~2 times a week, 10 times for a course of treatment.

The main advantage of this treatment method is that the drug is directly injected into the prostate, which is easy to spread and achieve an effective antibacterial concentration. It can not only kill the bacteria in the injection site, but also destroy the bacteria in the surrounding tissues. The drug can be absorbed into the blood. Synergistic elimination of infections in the urethra and other areas is a valuable treatment for refractory and intractable chronic prostatitis. But it also has some shortcomings that are difficult to overcome, mainly:

(1) The prostate is deep, and direct injection is not an easy task. Puncture can cause damage to surrounding tissues and cause hematuria.

(2) Puncture can cause pain and discomfort, such as repeated, it is difficult to be accepted by the patient.

(3) Through the skin or rectal puncture, bacteria can be brought to the human body, causing repeated infection of theprostate .

(4) repeated puncture can cause prostate fibrous tissue hyperplasia , prostate sclerosis, palpable induration within the prostate during the DRE, or a palpable the hard texture of the prostate. Fibroplasia can cause the lesion to be separated and surrounded, antibiotics are more difficult to penetrate, and the discharge of prostatic fluid is difficult.

(5) Because prostate injection therapy directly applies antibiotics to the prostate , it is easy to cause drug resistance over a long period of time , and it is increasingly difficult to cure inflammation.

Therefore, we must be cautious when choosing this treatment method. Only when other methods are ineffective, consider this method, and the puncture can not be too frequent, puncture 1~2 times a week, the treatment course should not be too long, should be controlled at 1~2 About month.

Chinese medicine treatment

Prostatitis, especially chronic gland inflammation, is a chronic condition that makes traditional Chinese medicine in the motherland play a very important role in its treatment, and the prospects are optimistic. TCM syndrome differentiation plays an important role in the treatment of chronic prostatitis. How does Chinese medicine know about chronic prostatitis? Chronic prostatitis can basically be included in the “fine turbidity”, “labour” and “white erotic” of the motherland medicine. Category, such as Qing. He Mengyao “medical sputum. Red turbidity” in the article “The sputum often holding a ribbon greasy, such as pus such as sputum” record, it is like the end of the urine. In summary, the main causes are as follows: (1) Exogenous toxic heat, nostalgia, or sexual uncleanness, damp heat left in the fine room, turbid and confusing, fine away from its position. (2) The fire is very strong, because of the willingness or endurance, the kidneys are stagnation and not scattered, and the refinement of the position is white and turbid. (3) Excessive room, in order to exhaust its essence, the room is empty, the hot and humid take the opportunity to enter the fine room, the fine is forced, can not be hidden.

Hot and humid bet type: Symptoms of urinary dripping, red pain, less abdomen , acute perineal pain, urethral opening white turbid, yellow greasy tongue coating , slippery pulse . Expelling heat and dampness , Fang election eight are scatteredModified: Akebia 7 g, Plantago 10 grams, flat storage 10 grams, Qumai 10 grams talc 20 grams, gardenia 10 grams, 6 grams of rhubarb, licorice 5 g . Spleen deficiency and wetness type: Symptoms see urinary turbidity, face color is not good, limbs are sleepy, do not think about diet, pale tongue, white fur , pulse. Expelling spleen dampness, Fang election SHENLINGBAISHU Powder Modified: Codonopsis 10 grams, fried Atractylodes 15 grams, Poria 24 g, 30 g Coix, Amomum 7 g, Alisma 15 g, Angelica 10 g, Kun D.30 Gram, dried tangerine peel 10 grams.

Qi stagnation and blood stasis type: Zheng Jian urinary stagnation of the perineum and lower abdomen fall pain, prostate swelling and hard, dark purple tongue, pulse string sputum. Expelling blood circulation , qi and collaterals, choose Shaofu Zhuyu soup : 10 grams of peach kernel, 10 grams of safflower, 15 grams of angelica, 6 grams of cumin , 10 grams of Chuanxiong, 10 grams of black peony , red peony 12 grams, 15 grams of Zeeland , 30 grams of dandelion .

Liver and kidney yin deficiency type: Symptoms of urethra often have white turbidity, perineal bulge, waist and knees are sore , hot flashes, night sweats , red tongue and less moss , pulse breakdown . Expelling liver and kidney , clearing the venting phase. Fang Xuan Zhibai Dihuang Decoction: 15 grams of Zhimu , 10 grams of Cork , 30 grams of land yellow, 15 grams of Alisma, 15 grams of Danpi , 30 grams of medlar, 15 grams of Shouwu, 15 grams of Polygonatum , 10 grams of white vine , Danshen 15 grams.

Insufficient kidney yang : symptoms of urinary dripping fine, chills , cold waist and knees, impotence, premature ejaculation, pale tongue, weak pulse. Expelling warm kidney and impotence , Fangxuan Jinqi Shenqi Pill addition and subtraction: 10 grams of attached tablets, 10 grams of dodder, 10 grams of Xianling spleen, 10 grams of Eucommia , 10 grams of Huangjing, 15 grams of angelica, 15 grams of Chinese yam, 茯苓24 Gram.

In addition to the above decoction, TCM treatment of prostatitis is also commonly used number of medicine , medicine with a simple, safe and other factors in the clinical use in medicine have common Yinhuamiyanling sheet , ZDP , before Liekang Shu potent group Fang, Youguiwan , compound andrographis tablets .

Acupuncture therapy :

Acupuncture therapy is a combination of the pointer method and the moxibustion method. The needle method is to puncture the needle into the patient’s body according to a certain acupoint , and use acupuncture methods such as twisting and lifting to treat the disease. The moxibustion method is to burn the burning moxa to a certain point to smother the skin , and use heat stimulation to treat the disease. There are several methods for acupuncture treatment of chronic prostatitis.

Acupuncture method one:

1, acupoints: Guan Yuan , Zhongji , Taichong , perineum.

2, usage: use the flat to fill the diarrhea method, get the needle after the gas . Guan Yuan, Taichong each moxibustion needle 3, the very point acupuncture radiation downwardly, perineum acupuncture massage , and alternating with moxibustion 15-30 minutes every other day.

3, indications: hot and humid bet, fine closed non-solid chronic prostatitis.

Acupuncture method two:

1, acupoints: 1 Dazhui , Zuze , Hegu , Fu slip . 2 times, Quchi , Zusanli . 3 rank side , Sanyinjiao , Zhongji . 4 Shenshu , Guanyuan, Taixi . 5 bladder Yu , Yinlingquan , between the lines.

2, usage: empirical , re-stimulation of diarrhea; deficiency syndrome , light stimulation or Ai. Moxibustion supplement; virtual and real mixed, with the card treatment. Choose one group daily, using lifting, inserting and twirling techniques, once a day, 20 times for a course of treatment.

3, indications: chronic prostatitis.

Acupuncture method three:

1, acupoints: Xinshu , Guanyuan, Taixi, Yongquan , Sanyinjiao (mainly Shaoyin kidney meridian points).

2, usage: use Pingbu Pingxia method, 1 time a day, 10 times for a course of treatment.

3, indications: liver and kidney yin deficiency prostatitis.

Acupuncture method four:

1, acupoints: rank edge, Taichong ( bladder full sun , foot Jue Yin Liver Meridian acupoint).

2, usage: use the diarrhea method, once a day, 10 times for a course of treatment.

3, indications: blood stasis type chronic prostatitis.

Physical therapy

Physical therapy is a kind of therapeutic measure that relies on various physical factors such as sound, light, electricity, heat, water , and the body tissues and pathogenic factors to regulate the internal factors of the body to restore normal physiological state. Physical therapy mainly uses the heat generated to make the deep tissue congestion, improve blood circulation, strengthen the nourishment of local tissues, accelerate the absorption and elimination of inflammatory products, and facilitate the dissipation of inflammation, but it can not achieve the effect of curing without recurrence.

1. Ultrasound therapy: Ultrasound refers to a vibration wave whose frequency is above 20,000 cycles/second and does not cause normal human auditory response. The frequency commonly used in clinical practice is 8001000 thousand cycles/second. Medical ultrasound can improve local fluid and lymphatic circulation , strengthen local metabolism, change tissue pH , change pH to alkaline, reduce local acidosis , relieve or eliminate pain. Ultrasound therapy is suitable for patientswith chronic prostatitis with obvious urinary tract irritation and more white blood cells in prostatic fluid microscopy.

2. Short-wave therapy : It is a kind of high-frequency current therapy. The applied current is called short-wave current. The frequency is 3*10 6~3*107 Hz, the wavelength is 10~100 meters, and the voltage during treatment is 90~120 volts. The short-wave bactericidal effect is not direct, but because the short-wave enhances the indirect effect of the body’s immune defense mechanism. Short-wave therapy is easy to operate. Two electrode plates are used for treatment . One is placed on the buttocks and the other is placed on the lower part of the pubis. Each time ~30 minutes, once a day, 2 weeks is a course of treatment. This therapy is suitable for acute and chronic prostatitis and prostate microscopic examination of white blood cells.

3. Ultrashort wave therapy : It is another method of applying high frequency current for treatment. The current frequency is high, generally 30~300 MHz, the wavelength is 10-1 meters, and the voltage during treatment is 40~50 volts. Its mechanism and indications It is the same as short-wave therapy, but its ability to penetrate tissue and kill microorganisms is much greater than short-wave.

4. Microwave therapy : a new type of high frequency electrotherapy . The frequency is 2450 MHz, the wavelength is 12, 5 cm, and it is easier to reach the inside of the tissue than the short wave and ultrashort wave. The microbial killing ability of the deep tissue is strong, and the heat of the subcutaneous tissue is not overheated, and the generated heat is uniform. The method of use is to place the microwave emission probe into the rectum about 5-6 cm deep, and irradiate the prostate through the rectal wall. Each irradiation is for 8 to 12 minutes, once a day or every other day, and two weeks is a course of treatment. At normal doses, microwaves are generally harmless to the human body, but testicles are very sensitive to microwaves. Therefore, in the treatment of prostatitis, care must be taken to protect the testes from exposure. Prostatitis causes infertility to apply this method should be more careful.

5. Direct current drug iontophoresis method: It is a method of using DC power to diffuse drug ions into tissues through the skin or mucosa to achieve the purpose of treating diseases. The main way for drugs to enter the human body is the opening of the skin and sweat glands , and then gradually enter the blood and lymph; its treatment is the synergy between direct current and drugs. Both Chinese and Western medicine can be used for iontophoresis, such as 1% streptomycin solution and 10% jaundice solution. Before the operation, the patient can clear the stool, fill the rectum with the liquid from the anus, and then apply direct current, and the drug ingredients can penetrate. Once a day, every 20 minutes, two weeks for a course of treatment. This method is applicable to chronic prostatitis with more severe pain and bladder irritation.

6, magnetic therapy : illegal use of magnetic field effect of the body to achieve the purpose of treatment of disease. It has been proved by experiments that the magnetic sheet with magnetic field strength of 1500~3000 Gauss has certain killing or inhibiting effect on E. coli, etc., and can increase local blood circulation, resulting in absorption and dissipation of exudate, which can reduce swelling and relieve pain. Usually magnet pieces attached to the skin surface in the vicinity of the prostate, such as will Zhiyin , Guanyuan on. This law applies to all types of chronic prostatitis.

7, green comprehensive therapy: green light wave high energy treatment system treatment through targeted osmotic treatment of prostatitis classic drugs, to achieve strong drug penetration, anti-bacterial resistance , repair damage three major advantages; oral Yishen drugs with blood circulation directly to the lesion, It has a comprehensive synergistic treatment effect on the pre-renal triad gland and many complications; in severe cases, it is combined with photo-magnetic field awakening therapy, and the meridian bioinformatics is induced to regulate balance and enhance immunity ; whether these are the dosage form, the use mode, or the efficacy Focusing on, there is no overlap, it is a combination of strong targeting, complementary advantages, multi-target comprehensive, and efficient synergy.

8, non-thermal effect high-frequency wave therapy: high-intensity non-thermal effect high-frequency wave and periodicmagnetic pulse, alternating transmission of the prostate, through the lipid envelope of the outer layer of the prostate, so that high-frequency energy reaches the deep tissue, effectively improve the metabolism of cell tissue improve micro-circulationsystem, so that local blood and lymphatic tissue and phagocytic cells and other immune system activity increased, so as to improve the body immunity, repair diseased tissue, improve microcirculation, anti-inflammatory , pain, eliminate prostate hyperplasia role of an organization. For acute and chronic prostatitis, benign prostatic hyperplasia (hypertrophy), urinary obstruction, urethritis , sexual dysfunction and other diseases have a more significant effect.

9. CTO biofeedback technology: mainly based on the complete elimination of various bacteria, viruses and pathogenic microorganisms in the prostate gland, prostate and urethra inflammation are fully absorbed, various clinical symptoms are basically disappeared, and the clinical conditions are initially cured. An important means of rehabilitation and health care of prostate tissue through biofeedback and neuromodulation . It can regulate urinary and prostate nerve tissue and metabolic tissue function, relax gland smooth muscle function, improve prostate gland environment, and promote prostate. The function of the glandular immune system is restored and the purpose of thoroughly treating prostate diseases is achieved.

Bath therapy

Bath therapy is actually a form of physical therapy, but since it does not require any medical equipment, the patient can operate at home, so it is the most effective treatment for families worth promoting. Its specific operation is:

Put about 40 degrees of water (hands do not feel hot), pour into the basin, about half a basin, each time for 10 to 30 minutes, add appropriate amount of hot water when the water temperature is lowered, so that the water maintains an effective temperature 1~2 times a week, you can also add appropriate aromatic Chinese medicines in hot water, such as Atractylodes , Guangmuxiang , Baijiren and so on. If you take a bath after introducing a prostatic disease plug, it can promote the absorption of the drug and improve the curative effect.

It should be noted that the sitting bath method should not be used for those who have been diagnosed as having infertility caused by prostatitis. This is the area where the sperm belongs to the advanced cells , and the living conditions are very high. In terms of temperature, the normal temperature in the scrotum should be 32~33 °C. When the temperature in the scrotum rises for some reason, the sperm can be made. The occurrence of obstacles, resulting in the consequences of sperm stop, thus further reducing the possibility of conception.

Massage therapy

The self-massage is affirmative, easy to operate, and easy for patients to accept and master. It is a very good adjuvant treatment. the way is:

(1) After the stool, the anus and the lower rectum can be cleaned and massaged. The patient took the chest and knee or the lateral position. The doctor used the index finger to slap the anus to touch the prostate on the anterior wall of the rectum. The prostate was gently pressed from the outside to the inside and down, and the patient was given an anal action to make the prostatic fluid. Excrete the urethral opening and urinate immediately.

(2) Self-massage: The patient removes the squat or lateral flexion, and then cleans the anus and lower rectum, then presses the prostate with his middle finger or index finger. The method is the same as before, each massage for 3~5 minutes, It is better to have prostatic fluid discharged from the urethra each time. The force should be gentle when massaging, and the fingertips can be lubricated with soap before massage to reduce discomfort. Each massage treatment is separated by at least 3 days. If in the process of self-massage, the tenderness of the prostate is obvious, and the sac is sexy, it is necessary to go to the specialist clinic in time to avoid the prostate massage in the acute exacerbation of chronic prostatitis.

Acupoint treatment: Chinese medicine has interpreted the effects of acupoint therapy in its unique way of thinking since ancient times. In the ” Huang Di Nei Jing . Su Wen ” in there records “ring true blood diseases out” the sentence. The so-called qi and blood is an energy that governs the internal organs , and if this energy flows, it will cause various diseases.

The essence of “inside disease and external treatment” is the ancient system. Acupoint health treatment is also the foundation of Chinese medicine treatment. He can exert great help for the health treatment of diseases. For example, in the treatment of prostatitis, Li’s forefront is a target for the human body. The use of pure natural Chinese herbal extracts and transdermal administration greatly reduces the side effects and dependence of the direct action of the western medicine on the human body . Thereby, the microcirculation is improved, the vitality of the body cells is increased, and the pain of the affected part is effectively relieved.

Acupuncture points are located on the path of energy flow. This kind of pathway is called “path”, and the normal method of acupoints should be “acupoints.” If there is an abnormality in the internal organs, it will be reflected in the path of the visceral tract that is located there, and will further react to the meridian points where the energy is not smooth. Therefore, by giving acupuncture stimulation, the flow of energy is smooth, and the effect of treating health care is achieved, which is the purpose of acupoint health care treatment.

The conclusion, to put it simply, is that the effectiveness of acupoint therapy is to adjust the autonomic nerve to achieve the goal of strengthening the body by stimulating acupuncture points . Chinese medicine believes that the disorder of the circulatory system in the body will cause illness, and the so-called state of energy disorder, in other words, the state of autonomic imbalance.

prevention

Maintenance

The prostate is a male genital official in one of the largest subsidiary of gonads. The prostatic fluid it secretes is an important part of semen. The prostate, like other organs in the body, can also get sick, the most common being chronic prostatitis. Clinically, 25% to 50% of men have suffered from this disease. To protect the prostate, men must pay attention to the following issues:

● Check if the foreskin is too long. If you are too long, you should do circumcision as soon as possible to prevent bacteria from hiding and retrograde into the prostate through the urethra.

● Remove chronically infected lesions from other parts of the body in time to prevent bacteria from entering the prostate from the blood.

● Develop a habit of urinating in time, because urine can cause urine to flow back into the prostate.

● Sit and ride a bicycle for a long time to avoid poor blood flow to the prostate.

● Develop good habits, no smoking, less alcohol.

In addition, there is a song of “eight more than eight less”. You may wish to learn from: less smoke and more tea, less alcohol and more water, less sugar and more fruits, less meat and more vegetables, less salt and more vinegar, less anger and more laughter, less medicine and more practice. , less cars and more steps.  

health care

Self-care

1. Keep clean: The male scrotum has large elasticity and more sweat secretion. In addition, the genital ventilation is poor, and it is easy to hide dirt. Local bacteria often take advantage of it. This will lead to prostatitis, enlarged prostate, and decreased sexual function. If you do not pay attention in time, there will be danger.

2. Prevent cold: The weather is cold in spring and winter, so you should pay attention to cold and warm. Prevent the occurrence of colds and upper respiratory tract infections ; do not sit on cool stones for a long time, because the cold can make the sympathetic nerves increase , causing the urethral pressure to increase and causing reflux.

3. Massage health care: You can do self-massage before going to sleep to achieve the purpose of health care. The operation is as follows: take the supine position, straighten the left foot, place the left hand on the Shenque point (navel), rotate with the middle finger, index finger, ring finger three fingers, and then use the right hand three fingers to rotate the massage in the perineal point, a total of 100 times . Finished changing hands to do the same. Around the navel are gas sea, Guanyuan, and Zhongji points. Chinese medicine believes that it is the place of Dantian . This kind of massage is good for bladder recovery.  

Patient diet

(1) forbidden to drink spirits, Eat spicy fatness of the goods, drink less coffee , Eat oranges, orange strong juice and acidic foods, and eat less sugar and refined flour.

(2) eat more fresh fruits, vegetables , whole grains and soy products, eat honey to keep the stool, moderate consumption of beef , eggs.

(3) Serve seed-based foods, such as pumpkin seeds , sunflower seeds, etc., eat daily, the amount is not limited.

(4) Mung beans are not limited, boiled into porridge, arbitrarily eaten after cooling, hot on the bladder, especially suitable for urination and pain.

(5) Do not reduce the amount of drinking water due to frequent urination. Drink plenty of water to dilute the urine.  

Nursing

Prostatitis is the most common disease in adult males, accounting for 1/3-1/2 of the outpatients of traditional Chinese medicine . It is clinically divided into acute prostatitis and chronic prostatitis, among which chronic prostatitis is the most common. The disease can occur in adult men of any age, rarely before puberty, and more often in men aged 20-40, about 35%-40% of those over the age of 35 have this disease, clinical with perineum, testis The lower abdomen and other parts of the pain and discomfort, a small amount of rice bran-like secretions in the urethra as the main clinical manifestations. Prostatic fluid microscopy, prostatic fluid culture, prostatic fluid immunoglobulin measurement, prostate biopsy, etc., are helpful for diagnosis.

The disease belongs to the category of turbidity and turbidity of traditional Chinese medicine. It is mostly exogenous, damp-heat, poisonous and evil, and internal injury and alcoholism. When treating with heat and dampness, the following aspects should be noted in home care:

Pay attention to self-care, strengthen physical exercise, prevent colds, actively treat infections in other parts of the body, and improve the body’s resistance to disease.

Light diet, alcohol and spicy stimulation, so as not to cause prostate congestion; moderate sexual intercourse, contraindications of sexual intercourse, can reduce prostate congestion.

Moderate exercise, not suitable for long-term riding, cycling and sedentary, office workers should stand up for 1-2 hours to move for a while to reduce prostate congestion.

Daily hot water bath before going to bed, regular prostate massage, can promote blood circulation, and facilitate the discharge of inflammatory secretions.

Oral administration of traditional Chinese medicine: Chinese medicine has a better therapeutic effect on prostatitis. It can be combined with traditional Chinese medicine orally in family treatment, or it can be taken orally according to traditional Chinese medicine syndrome differentiation.

Choose external medicine: 20 grams of rhubarb, safflower, and Sichuan pepper , 30 grams of Danpi, staying , Pulsatilla , and wild chrysanthemum , 40 grams of Phellodendron, 500 ml of water decoction, and -200 ml per time for retention enema , once a day. Or take gentian , hawthorn , astragalus, cork, phlegm , sputum , sputum, psyllium 10 grams each, decoction juice bath, daily -3 times, each -20 minutes, daily dose . Take or white pepper 7, musk 0.1 g, musk first ground into fine powder satisfied human umbilical hole, and then pepper ground into fine powder on its cover, the cover small white, and finally with tape fixed intervals 7- Dressing for 10 times in 10 days, 2-3 times in a row.

Prostatitis diet therapy

plantain sugar water. Each time the available plantain 100 grams (400 grams of fresh products), bamboo leaves 10 grams (30 grams of fresh products), raw licorice 10 grams, yellow tablets of sugar. When making, first put the plantain, bamboo leaf heart and raw licorice into the casserole, add appropriate amount of water, boil water with medium heat, cook for about 40 minutes, put in brown sugar, cook for a while, daily generation Tea to drink.

② Dengxin spend bitter melon soup. Each time you can use 6 karaoke, 200 grams of fresh bitter gourd. When making, first wash the bitter gourd, remove the mites and melons, cut into small pieces, and simmer with the scented flowers.

melon kelp glutinous rice soup. Each time you use fresh melon (with skin) 250 grams, raw glutinous rice 50 grams, 100 grams of kelp. When making, first wash the melon and cut into thick pieces, wash the raw glutinous rice, and wash the kelp into thin pieces. Put the above three things into the casserole, add appropriate amount of water to cook the soup.

4 British silver porridge. 60 grams of dandelion, 30 grams of honeysuckle , 100 grams of rice, the amount of sugar . When making, first put the dandelion and honeysuckle into the casserole, add appropriate amount of water decoction, then take the slag to take the juice, then add the rice to cook the porridge. Add the right amount of sugar after the porridge. Eat twice a day.

earthworm porridge. 30 grams of earthworms (100 grams of fresh products), 100 grams of rice. When making, first wash the soil, remove the skin, cut into pieces (have dried and cut into pieces, can avoid this process), put it into the casserole, boil for 30 to 40 minutes with medium heat, take juice. Add rice to earthworms and porridge with medium heat. Eat 1 or 2 times a day.

Optional for diet:

mud squid stewed with tofu . Live mud squid 500 grams, 250 grams of fresh tofu, salt, ginger, MSG, the right amount. When making, first cut the mud squid, go to the sputum and internal organs, wash it into the stew, add salt , ginger , and water. After boiling with a fire, use a simmer to simmer until the five mature. Then, add the tofu block in the stew pot, then simmer until the mud squid meat is cooked, and add the ingredients to eat.

2 white magnolia pig lean broth. Fresh white magnolia (also known as white orchid ) 30 grams (10 grams of dry goods), 150 grams of fresh pork. When making, first wash the pork lean meat and cut into pieces, put it into the casserole with the white magnolia, add the appropriate amount of water, and simmer the soup with medium heat. After the soup is finished, add a little salt to taste.

3 芪 饮 drink. 30 grams of raw scutellaria, 30 grams of Rhizoma Imperatae (60 grams of fresh products), 20 grams of Cistanche , 60 grams of watermelon rind (200 grams of fresh products), the amount of sugar. When making, first cut the Astragalus membranaceus and Rhizoma Imperatae into the casserole with the Cistanche, the watermelon rind, and drink it with medium heat, drink 2 or 3 times a day.

④ Shenqi Wolfberry porridge. 30 grams of Codonopsis, 30 grams of Astragalus, 10 grams of medlar , 100 grams of rice. When making, first put the Codonopsis pilosula and Huang Qi in the casserole, add appropriate amount of water, and fry the juice with medium heat. At the same time, put the rice dumplings and rice into another pot to cook the porridge. When cooking until the porridge is half-cooked, pour in the ginseng medicinal juice and cook it into porridge. After seasoning, take it in the morning and evening. For the treatment of prostatitis, whether it is acute prostatitis or chronic prostatitis, the choice of food should be more cool, clear food. Do not eat or eat fried fried, spicy hot things, coffee, cocoa, spirits and other drinks and cigarettes are in the ban.

5 kwai 羹 羹 wash the leaves of sunflower leaves, boil and add a small amount of starch as a glutinous rice, and season with salt and monosodium glutamate. Fasting food, 2 times a day.

6 Solitary Royal Jelly Prepare a 1:100 solution with royal jelly and boiling water. Oral 2 times a day, ~ 30 ml each time, long-term use.

grape fry grape juice, oyster sauce , raw rehmannia juice 150 ml each, white flower Hedyotis juice, Wang do not leave the juice 100 ml, white honey 250 ml, the above flavors are blended, fried into sugary, 60 before meals ML.

8, 100 grams of the bed grass (half of the dry) washed and chopped, with the red date 30 grams from the water 1000 ml, to about 400 grams. Divide twice a day, drink jujube. Diuresis detoxification . Suitable for prostatitis.

9, the vehicle in front beam mung bean rice: Plantago 60 grams of orange peel 15 grams, through the grass 10 g gauzebag, broth to slag, green beans 50 grams 100 grams of rice porridge and sorghum. Fasting clothes, even for a few days. Applicable to elderly prostatitis, urinary pain.

Cichlid mushroom glutinous rice powder: 30 grams of sage mushroom, 20 grams of medlar flower is researched into fine. Take 6 grams each time, serve with boiled water, 3 times a day. Suitable for prostatitis. White orchid powder: The white orchid is ground into a powder. Take 10 grams each time, warm water to send clothes. 3 times a day. Suitable for prostatitis.

Radish dip honey: Wash 1500 grams of radish, peeled and sliced, soaked in honey for 10 minutes, baked on the tile, then immersed and baked, not baked, and baked for 3 times. Each time you chew a few tablets, the salt water is served, daily ~ 5 times, often eaten. For qi stagnation and blood stasis type chronic prostatitis.

Monosodium Royal Jelly: Prepare royal jelly with boiling water to make a 1:100 solution. Oral 2 times a day, ~ 30 ml each time, long-term use. Nourishing and strengthening, benefiting the liver and strengthening the spleen. Applicable to chronic prostatitis and physical weakness and malnutrition after illness .

Decoction of Huzhicao: 30-60 grams of fresh whole grass of Huzhizi ( Vitex ), 15~24 grams of plantain, 30 grams of rock sugar . 3 flavors add water to fry. 3 times a day. Run the lungs to clear the heat , and the water is drenched . Suitable for prostatitis, urinary leaching .

Two purple pass urine tea: 15 grams of purple diced , purple ginseng , plantain, 30 grams of sea ​​gold sand . The medicine was ground to a coarse temperature, placed in a thermos flask, and immersed in boiling water for 500 minutes for 15 minutes. Drink on behalf of tea, daily dose, and even served for 5 to 7 days. Anti-inflammatory diuretic. For prostatitis, dysuria and frequent urination pain. Deficiency of the spleen and stomach is hanged.  

Misunderstanding

Prostatitis should pay attention to some treatment errors:

Treatment Misunderstanding 1: Chronic prostatitis and benign prostatic hyperplasia are one thing

Patients often confuse the two, and many patients worry that chronic prostatitis will directly cause benign prostatic hyperplasia. In fact, these understandings are wrong. This is because chronic prostatitis and benign prostatic hyperplasia are two completely different diseases. The etiology and pathology are different, and there is no necessary connection between the two. But there is a certain relationship. Therefore, pay attention to the inspection work.

Treatment Misunderstanding 2: Only antibiotics can cure chronic prostatitis

Most patients with chronic prostatitis belong to a sterile nature, some chronic prostatitis is caused by a number of pathogenic microorganisms, the use of antibiotics to treat, naturally difficult to achieve good results. Chinese patent medicine Yinhua Biyanling tablets is the use of honeysuckle as a medicine, diuretic Tonglin, the treatment of bacterial and aseptic prostate disease has a significant effect.

Treatment misunderstanding three: prostatitis can not cure chronic prostatitis pathological changes are more complicated

Many factors can aggravate the congestion of the prostate, causing repeated symptoms, such as excessive fatigue , diet and so on. However, no matter how repeated, the symptoms after repeated are always lighter than before the medication, until it disappears. Therefore, chronic prostatitis is not a cure, but improper treatment is not cured. If you don’t insist on treatment, you can’t cure it. If you don’t pay attention to the preventive health care after cure, you can’t cure it. While being able to receive formal and scientific treatment while avoiding the effects of some adverse factors, it will certainly cure chronic prostatitis. There must be firm confidence. Only by insisting on it will have an effect.

Treatment Misunderstanding 4: Chronic prostatitis is contagious

Most of the clinical chronic prostatitis is unable to detect the pathogenic bacteria, which is non-bacterial prostatitis. For this type of chronic prostatitis, it is not contagious, and there are other parts. The bacterial infection of the patient is also a “non-specific bacterial prostatitis.” In addition, the woman’s vagina itself has a certain self-cleaning function and disease resistance, therefore, in general, patients with chronic prostatitis can boldly live a couple’s sex life.

The other type is caused by unclean sexual intercourse or indirect infection with gonococcal and non-gonococcal urethritis. After prolonged treatment, it is prolonged and prostatitis. This type of prostatitis is highly contagious. Both spouses should be treated at the same time after infection, otherwise it will be re-infected. Cross-infection , which is also an important reason for some patients to heal for a long time. Frequently, many patients are infected with the entire family, and the youngest is only 6 months old, which is caused by sharing the bathtub with the infected mother. Therefore, patients with infectious prostatitis should observe family members and find common symptoms common to non-gonococcal infections such as urine yellow, urine smell, urinary burning sensation, women with leucorrhea , smell, etc., to go to the hospital for laboratory tests. Once diagnosed, treat immediately. So as not to delay the disease, and finally not easy to treat.

Treatment Misunderstanding 5: Chronic prostatitis is a sexually transmitted disease

Prostatitis is the most common inflammatory disease in the male reproductive system. Because its treatment is difficult to complete, many people mistakenly believe that it is a disease such as sexually transmitted diseases.

Clinically, prostatitis is divided into acute and chronic. Acute prostatitis is caused by bacteria. The inflammation occurs mostly from bacteria in the urethra, 80% of which is E. coli, which enters the gland through the prostate tube. Pathogenic bacteria from other parts of the body such as the tonsils can also enter the prostate through the blood and lymph. Usually there are no symptoms. The inflammation of the prostate can be induced by some external factors, including cold, alcohol, indulgence or excessive abstinence. Long-distance cycling, perineal trauma , urethral instrument examination and mood changes, but not sexually transmitted diseases.

Treatment misunderstanding six, prostatitis is very common

According to the English text of the National Library of Medicine, “Prostatitis is diagnosedinapproximately 2500 of every 10,000 out patient visits.Men between theages of 20 and 35 who have multiple sexual partners are at an increasedrisk.Also at high risk are those who engage in anal intercourse ,especially without using condoms.” The rate of prostatitis is 2,500 per 10,000 men. Men between the ages of 20 and 35, if there are multiple sexual partners; and those who have anal sex, especially those who do not use condoms , their prevalence will increase. Boys may have little prostatitis.     

Prostatitis daily life precautions

First, regular sex life

Sexual life is an important part of the husband and wife life. Harmonious and happy sex life is the natural needs of men and women’s physiology, and also one of the important means to maintain physical and mental health and close marital relationship. Grasping a regular sexual life or mastering a moderate degree of masturbation , regular discharge of prostatic fluid can relieve the fullness of the prostate, promote the constant renewal of prostatic fluid, help the normal function of prostate function and patients with abnormal prostate function. Rehabilitation.

On the other hand, some young people are addicted to sex, often have sexual life or excessive masturbation, which is also very unfavorable to the prostate. Excessive sexual life tends to cause functional contraction of prostate tissue, causing active or passive congestion of the prostate. It is also a predisposing factor for prostate tissue damage and prostatitis, and can greatly reduce the therapeutic effect of patients already suffering from prostatitis. People once named the prostatitis that occurred in the groom during the honeymoon as “honeymoon prostate”, which is prostatitis caused by the obvious hyperemia of the prostate caused by frequent excessive sexual life.

Therefore, in order to avoid the occurrence of prostatitis, we must pay attention to mastering a moderate sexual life, but the frequency of sexual life should be treated differently according to the individual situation of each individual, and cannot be generalized.

Second, avoid alcoholism and eat a lot of spicy food

Spicy food is not the direct cause of prostatitis, but spicy foods such as alcohol and pepper have a stimulating effect on the prostate and urethra. After consumption, there may be transient or urinary discomfort or burning symptoms accompanying urination, and it can cause vasodilation of the prostate . Edema or reduced prostate resistance. After eating these foods, it can often cause clinical symptoms of prostate discomfort, or it may be beneficial to the prostatic colonization of a large number of prostate colonies to induce acute prostatitis, or to aggravate the symptoms of chronic prostatitis. Therefore, avoiding alcoholism and eating a lot of spicy food is an important means to prevent the occurrence of prostatitis.

Third, the harm of the prostate

1, pain, affecting work and life. 2, affecting sexual function, leading to impotence, premature ejaculation. 3, affecting fertility, can lead to infertility. 4, leading to chronic nephritis , and even develop into uremia . 5, leading to endocrine disorders , causing mental disorders. 6, infected spouse caused by gynecological inflammation. 7, easy to cause infection. 8, susceptible to cancer.  

The “six major” taboos of the prostate

1. The treatment is not thorough

If acute prostatitis is not treated in time, it will evolve into chronic prostatitis. At this time, bacteria are often difficult to be completely killed, and it is easy to “re-burn”. Some patients have even tiny stones in the prostate. It is generally not easy to completely eliminate the drugs. The glandular obstruction caused by stones can cause repeated attacks of prostatitis.

2. Sterility as a cure

Some prostatitis is not caused by bacterial infection. It is medically called non-bacterial prostatitis. Mycoplasma, chlamydia or autoimmune diseases may be one of the causes. In the unclear state of this cause, if antibiotic treatment is used, Zhang Guan Li Dai, the patient becomes a victim of the use of antibiotics, and it has not healed for a long time.

3. Emergency medical treatment

As the refractory prostatitis, a lot of people always want to be able to encounter a reincarnation of Hua Tuo , thus making “Youyi” take advantage of the social, incorrect, unscientific methods of treatment after another, not only can not cure Even worsening the condition and bringing greater difficulties to future treatment.

4. Treat and indulge

Some patients rely entirely on or superstitious drugs. They don’t know that the disease is based on the reduction of immunity and resistance. They usually do not pay attention to strengthening physical exercise, do not pay attention to adjusting the rules of life, excessive sexual life, playing night games, playing mahjong, drinking alcohol, etc. Prostatitis is difficult to cure.

5. The grass does not “remove the roots”

Some patients with prostatitis caused by sexually transmitted diseases only know that they are seeing a doctor, neglecting the partner’s examination and treatment, and the alfalfa has not removed the roots, resulting in a vicious circle of infection–treatment–re-infection–retreatment.  

Causes of recurrence of prostatitis

Patients with chronic prostatitis often have such experience. After a period of treatment, the symptoms disappear. After stopping the drug, the symptoms will recur, even worse than before. Repeatedly, it brings great mental pain to the patient, seriously affecting the patient. Daily life. Why is chronic prostatitis prone to recurrence? This is not only related to the complexity of the disease, but also has not been fully explored, and there are other factors.

1. The anatomical position of the prostate is deep, located in the deep part of the pelvis, and the onset is slow; its excretory mouth is connected with the urethra, the ejaculatory duct, and the vas deferens, and is susceptible to infection by other parts.

2, the prostate gland is more in number, the drainage tube is long, curved, opening more, the prostatic fluid is not easy to discharge, and a group of glands can infect other gland groups after infection.

3, small lesions in the prostate are not easy to diagnose and treat.

4, the prostate body surrounded by connective tissue and smooth muscle capsule , and deep into the gland to separate the glands, forming a “blood-prostate barrier” makes it difficult for drugs to penetrate the layer of the membrane into the prostate.

5, the lesion and its surrounding scars , making it difficult for drugs to reach the lesion.

6. The lack of certain trace elements and the influence of the pH value of the prostatic fluid on the activity of the drug make the drug weakened.

7, the patient’s life is irregular, it is difficult to cooperate with treatment.

It is the above comprehensive reasons that make prostatitis more difficult to treat and easy to relapse.

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