Prostatitis - is the most common urological disease in men. And this is not surprising, since the factors that lead to its development, all too common in our lives.
Painful process for prostate begins with inflammation of excretory ducts acini. With their walls exfoliated epithelium (lining layer of cells) and accumulated in kanalchiki with mucus.
In addition, microliths formed - tinypebbles: they are mixed with mucus and eventually formed cork plugging excretory ducts. Gradually transformed into cork microabscesses (suppuration), drainage lobules stops and they gradually stop working.
However, before plugging the excretory ducts usuallyIt takes a lot of time - sometimes months, sometimes years. The process is going slowly, but the patient does not notice anything, because the prostate is still generating a secret. But when there microabscesses, symptoms begin to appear.
The first of them - a slight difficulty urinating. Inflamed prostate expands and compresses the urethra. Gradually, the inflammatory process leads to sclerosis of the bladder neck, and in severe cases, the ureter is completely blocked.
The second symptom - sexual disorder. Violated the mechanism of erection, orgasm weakened. The result is well known.
Other typical symptoms of prostatitis:
- burning sensation in the perineum and urethra;
- discomfort during a bowel movement;
- frequent painful urination;
- difficulty and intermittent urination;
- stretching urethral discharge during defecation;
- the presence in urine of floating yarns;
- long nocturnal erections;
- rapid ejaculation;
- erased orgasm (it will be discussed separately);
- increased general fatigue;
- mental depression, the expectation of further complications, anxiety;
- reduced potency.
emphasize: optionally, these symptoms occur all at once. Clinical disease is very variable pattern - both in different patients, and in the same patient at different times.
These are the outward signs of the disease. And now about the reasons.
Of course, not without cause inflammation anywherearise. As a rule, it causes disease-causing microbes. Hence arose the misconception of "prostatitis pathogens", still professed by many doctors.
Meanwhile specific pathogens, as alreadyIt said not have this disease. Of course, if a person is suffering from a chronic infectious inflammatory disease such as tonsillitis, cholecystitis, sinusitis, etc., it is very likely that the pathogen with blood will be entered into the prostate (she has a very strong blood supply, otherwise it would not work " on specialty ") and there continue their pernicious activities.
But, as shown by the latest research, this is only the second stage of the process, aggravating already caused changes. What? And due to what?
Here it is necessary to turn to naturopathy( "Prirodolecheniyu") - a modern medical concepts, has acquired a lot of popularity in recent years. Naturopathy - a combination of the latest achievements of science with the experience of folk, alternative and even esoteric medicine.
So: naturopaths believe (and practice confirms their opinion) that the main cause of many organic disorders - stagnation of blood in the capillaries.
With regard to the situation is the prostateas follows: due to a sedentary lifestyle, unhealthy diet, breathing nasty urban air, all kinds of excesses and other marginally useful things related to modern civilization, capillary blood flow in the prostate is broken and enhanced lipid peroxidation. And the last (if not go into details) facilitate microbial colonization and development of acini and other glands.
Of course, capillary congestion causes andtypical "structural" violation - edema, exudation, etc. *. One of the most important phenomena associated prostatitis - urethral reflux, ie reverse current of urine during urination due to pressure build-up inside the ureter and expansion ducts, connecting it with neighboring entities.
Average consequence of reflux - the penetration of infection in the urethra capillaries and even circular vein of the penis.
Result - fits the so-called urethral fever, sometimes passing into a more serious inflammatory complications.
Thus, the prostate plays a major role capillary congestion. Microbes are already working on its background.
And what germs?
Speaking scientifically, the infectious process atprostatitis often cause polymicrobial association. This means that all the bacterial, viral and fungal even the "rabble", wandering through the body and the will of the blood flow in the prostate is listed (and is not passed on from there due to capillary congestion), is accepted "rob" there is someone in that much.
Recently, again, the first violin inThis prank "orchestra" is increasingly playing a chlamydia. But even they can not on that ground be regarded as "agents of prostatitis," because of their "profession" - chlamydia, including trachoma.
As they are the prostate, as well as other microbes, act,strictly speaking, not specialization, but simply because they turned up a body whose tissues "cultivated" and "fertilized" by capillary stagnation: why should there not to settle and grow roots? But the specific relationship between the prostate tissue and chlamydia not.
- people leading a sedentary lifestyle;
- Representatives of "sedentary" jobs;
- chronic constipation;
- have suffered infections of the genitourinary system;
- people with disordered sexual relationships in the family;
- men with multiple partners;
- alcohol lovers.
Patients are sometimes afraid of such formulations in the diagnosis as "prostatitis stage prostatoza" and "abacterial prostatitis." This is exactly what was discussed above.
If the patient prostatoz found, it means thatworry it is nothing, and you just have to clean up your lifestyle, stagnation in the capillaries found, but the inflammation has not yet been developed. Abacterial same prostatitis - a stage when it began the inflammatory process, but has not happened yet infected.
Symptoms of prostatitis
A distinctive feature of prostatitis -the virtual absence of the acute form. Hardly prostatitis arose, he immediately becomes chronic. Cases of complete recovery (spontaneously or with treatment) after the first acute stage of the unit.
The course of the disease is very slow, and symptoms usually smoothed. The manifestations of prostatitis is divided into three main syndrome (symptom complex): pain, dizurichesky and sexy.
Pain during prostate, usually radiating,those. smack - in the pelvis, perineum, especially the scrotum. Prostate itself is not "hurt" in the strict sense of the word, but from it are the nerve paths to all the pelvic organs - that's why pain often give in the waist.
According to the intensity they are different - from barely noticeableaching to sharply expressed, disrupts sleep. Pain may increase or decrease in sexual abstinence, or, on the contrary, excessive sexual activity, after discharge, during ejaculation. It is worth noting that the pain in the sacrum not necessarily indicate prostate - they may be associated, for example, with osteochondrosis.
Dysuria (dysuria) asusually lies in the frequent urge and sensation of incomplete bladder emptying. Last did not completely emptied - in fact ureter compressed in the increased prostate volume, and its clearance is reduced.
Increased urination and difficulty expressed inthe early stage of prostate and then subside somewhat, because the body produces adaptation mechanisms. But as the disease progresses dysuria growing again.
Finally, sexual disorders. We often hear that prostatitis causes impotence, but it is typical for neglected diseases. A first develops - and then not always - dispotentsiya, ie decrease in potency with the quality of its violations.
The latter can be varied: some have an erection is deteriorating, while others, on the contrary, there are frequent nocturnal erections, rapid ejaculation is often observed (associated with a decrease in the threshold of excitation of the nervous system orgasmic center) and the so-called erased orgasm (blunting the severity of orgasmic sensations).
Often, there are also pain during ejaculation, and after orgasm, resulting in the patient avoids sexual activity. Is it right, say later.
When running prostatitis is a general depression of sexual function, culminating in impotence.
Unlike dysuria degree sexualdisorders of the prostate is highly dependent on the sexual constitution - humanly speaking, from a strong man or weak. Have strong sexual prostatic syndrome develops later and is less pronounced than that of the weak, and can not develop at all - especially if the patient does not know that he had prostatitis.
We believe it is important for the patient to know inWhat is the state of his health. We only warn against excessive suspiciousness and falling into despondency. Well-known fact: if the patient prostatitis is convinced that he must be dispotentsiya and trembling waiting for her attack, it will come soon.
By the way, in the early stages of prostate itselfsexy syndrome - and dizurichesky too - may be ingrained. The man lived in peace and nothing knew then he was diagnosed, he remembered all that he had heard or read about the disease, scared and began to aggressively look at relevant symptoms - and here you are, they obediently appeared!
While it is possible that the disease process is still in a phase where it seems to be too early to occur.
Over time, not running or dolechenny prostatitis can cause a number of complications, some of them very serious.
* Exudation - Infiltration of the process fluid from the small blood vessels in a tissue or body cavity during inflammation.