Prostatitis is an inflammation of the prostate, accompanied by a compromised sexual function, urination disorder.It is diagnosed on the basis of the Bakposev data of prostate juice, clinical blood examination and ultrasound of the pelvic organs.Prostatitis tablets destroy the pathogenic flora in the prostate gland, restore the passage of the urine and stop the pain.Conservative therapy includes drugs of different actions: antibiotics, muscle relaxants, analgesics and antipassy.
Complex approach to treatment
With simple prostatitis, they resort to conservative treatment.The base of therapy is two types of drugs:
- Etatropic (antibiotics, antiviral, antifungal agents) - destroy the causal agent of the infection;
- Symptomatic (non -narcotic analgesics, muscle relaxants, antihistamines) - arrest symptoms or reduce gravity.
In the case of chronic inflammation, prostate massage and physiotherapy procedures are prescribed: laser therapy, magnetotherapy, transaceive microwave therapy.
Types of drugs used
Prostatitis tablets are prescribed by a doctor-andrologist.With simple inflammation of the prostate gland, it is treated outlated.Therapy includes drugs of different pharmacological groups:
- antibacterial;
- antispasmodic;
- painkillers;
- Vasodilato;
- sedatives;
- Immunostimulation.
The choice of medicines is influenced by the severity of the clinical picture, by the type of pathogen, by the presence of complications.With prostatitis against the background of urethritis or cystitis, the urgent - antimicrobials that eliminate the infection in all parts of the urinary system is also used.
Before prescribing the drugs, Andrologist leads an exam, during which prostatitis differs from diseases with similar symptoms: bladder, adenoma and prostate carcinomas cancer.
Antibiotics
In 8 out of 10 cases, inflammation of the gland is caused by pathogenic bacteria.Therefore, with prostatitis, antimicrobial drugs are prescribed in men.They prefer antibiotics that can penetrate the glandular tissues and create high concentrations in them.
Recommended medicines:
- macrolids;
- fluorochinoloni;
- Tetracycline.
The first improvements are evident 2-3 days after the start of therapy.But in order to certainly destroy the pathogenic flora in the parental parent system, antibiotics take at least 4 weeks below.
In chronic prostatitis, the drugs are not prescribed that accumulate badly in the fabrics of the prostate gland.Therefore, aminoglycosides are never used for treatment.
The therapeutic effect of most antimicrobial drugs depends on the dosage.In the treatment of acute inflammation, it is very important to take tablets at the dose necessary for a bactericidal effect.
Anti -inflammatory and painkillers
Non -pounded anti -inflammatory drugs (NSAIDs) are the best remedies for pain and inflammation in the parental system.Most of the means of this group inhibits the production of a special enzyme (cyclooxygenase), which causes inflammatory reactions.
Acute prostatitis causes severe pain in the pelvic and perineum area.
Licking inflammation increases the risk of hyperplasia and prostate adenoma.Therefore, patients with chronic prostatitis are also prescribed drugs that prevent the growth of the fabric of the glands.
Alpha-Bloccanti
Prostatitis is accompanied by inflammation and an increase in the gland, due to which the urethra is compressed.Consequently, urination disorders occur: slow and incomplete emptying of the bladder, pain.Alfa-blockers are used to restore the transition of the urine.They relax the smooth muscles, which expands the internal diameter of the urethra and the neck of the bladder.
The drugs of this group expand the venous and arterial vessels, lower.
Alpha-blockers can be attributed to the group of Urodynamic correctors.They do not eliminate the cause of the disease, but facilitate urination.The effect is noticed 1-2 weeks after the start of therapy.
Sedative
For treatment in men, prostatitis is often used sedative.The disease negatively affects the quality of life, causing urination problems, erectile dysfunction.This becomes the cause of neuropsychiatric disorders: emotional lability, depressive state, neurosis.
To improve the psycho -emotional state, drugs are used:
- normalize the functioning of the nervous system;
- alleviate irritability;
- improve sleep;
- Increase stress resistance.
Sedative drugs improve the effect of antipsychotics and tranquilizers.Therefore, before taking the pills, you need to consult a doctor.
Musorelassant
With the recurring prostatitis, muscle relaxants are prescribed: drugs that have a relaxing effect on smooth muscles.They eliminate the voltage of the bladder, the urethral channel.To obtain the maximum relaxing effect, they are used in combination with fans.Musroxanti reduce the concentration of non -narcotic analgesics, which prevent irritation of the gastrointestinal mucosa.
The preparations for muscle relaxants are used exclusively with a high muscle tone, the spasm of urinary ducts or bubbles.An overdose is fraught with nausea, muscle pain, breathing inhibition.
Musroxanti are contraindicated in an ulcer of a first intestine, psychosis, epilepsy and Parkinson's disease.
Restoration of blood flow
To treat the prostate, it is necessary to improve the flow of blood to the pelvic organs.With blood flow, the organs receive nutrients, which stimulate the metabolism and regeneration of damaged tissues.The systematic intake of drugs prevents congestion, edema edema and compression of the urethral canal.
For the treatment of the gland, medicines are prescribed with the following properties:
- Vasodilante: increase the diameter of the blood capillaries and the blood flow to the pelvic organs;
- Angioprotective - Increase the density of the vascular walls, prevent swelling;
- Antipiamps - prevent platelet gaze.
Preparations to restore blood flow in the pelvis are used to treat men with slow prostatitis.
Medicines are used exclusively in complex therapy.To avoid irritation of the gastric mucosa, the tablets are taken after eating.
Immunomodulators
It is recommended to treat prostatitis with medicines that stimulate the functioning of the immune system.They increase the resistance to infections, which reduces the probability of exacerbations.
Indications for the reception of immunomodulators:
- recurring prostatitis;
- Vitamin mineral insufficiency;
- secondary immunodeficiency;
- Chronic bacterial inflammation.
With the premature refusal to treat body resistance, infections are reduced.For this reason, the probability of a prostatitis relapse increases.
To achieve the desired therapeutic effect, immunomodulators are followed in courses for 2-8 weeks.
Phytotherapy drugs
Preparations based on components of plant and animal origin do not increase the drug on the body.They are well tolerated, they do not cause serious side effects.
Natural drugs are suitable for the treatment of prostatitis and other urological pathologies such as adenoma or hyperplasia of the glands.
Preparations based on medicinal herbs often cause allergic and urticaria reactions.Therefore, with hypersensitivity to the components, it is better not to be treated with phyto-medie.
Vitamins
The vitamin-miniral shortage is one of the most common causes of recurrence of bacterial infection in the parental parent system.To strengthen immunity, the lack of nutrients is supplied.Therefore, with prostatitis, vitaminized agents are prescribed.
The tablets with different bioactive components supply vitamins.For this reason, the metabolism is accelerated, cell immunity is strengthened.
Polyvitamins are recommended for the prevention of the exacerbations of prostatitis twice a year - in autumn and spring.They reduce the risk of hypovitaminosis, colds and metabolic disorders.
The danger of car -marization
Prostatitis is a urological disease that often proceeds in a chronic path.Therefore, it is not rigorously recommended to take drugs without prescribing a doctor.The car -marization is full of urinary and reproductive system disorders.Irrational therapy is dangerous:
- chronic prostatitis;
- erectile dysfunction;
- Acute urinary conservation;
- urolithiasis;
- infertility;
- Suppuration in the prostate;
- narrowing of the urethra.
The antibiotics selected incorrectly do not destroy the infection, which causes a purulent inflammation of the gland.The abscess of the prostate is an indication for surgery.
Prostatitis is a male disease, inflammation of the prostate gland.With timely and adequate treatment, the therapy is good.But in the case of a transition to a chronic form, it often causes complications.Therefore, in the first signs of prostatitis - difficulty urinating, pain in the perineum, blood in the urine - it is necessary to contact a urologist or andrologist.