How to treat specific prostatitis?

summary

Prostatitis is a great killer of male health. It has always occupied the first place in the treatment of male subjects with high incidence rate. The number of specific prostatitis is more and more harmful in clinic. Many people can't cure for a long time, not because they can't cure well, but they don't understand it. How to treat specific prostatitis?.

How to treat specific prostatitis?

First: antibiotic treatment, which is commonly used in the treatment of prostatitis. Most of the antibiotics are effective to Gram-positive bacilli causing urinary tract infection when they are diffused into prostatic fluid from plasma. However, the therapeutic effect is not ideal because they can not pass through the lipid membrane of prostatic epithelium and enter the prostatic acinus to achieve therapeutic effect. Therefore, the following principles should be followed in the selection of antibiotics for the treatment of prostate cancer: (1) drugs are highly sensitive to bacteria（ 2) The drugs with high fat solubility, high permeability, low binding rate with plasma protein and high dissociation should be used as the standard（ 3) The combination of two or more drugs with synergistic effect（ 4) In order to reach the effective concentration in the prostatic stroma and prevent the occurrence of urethral infection, we should advocate the use of super large dose star and super time limit (4-12 weeks). Recently, some scholars have classified antibiotics according to the different levels of antibiotics that can diffuse into the prostate. In high water, trimethoprim, clindamycin, erythromycin, etc; Medium level of chloramphenicol, Lincomycin; Low level of ampicillin, Xianfeng I, Xianfeng IV, doxycycline, kanamycin, nitrofurantoin, oxytetracycline, penicillin G, polymyxin B, rifampicin and most sulfonamides, etc. patients can choose drug varieties, usage and dosage under the guidance of doctors.

Second: injection therapy because systemic antibiotics in the prostate is not easy to reach the effective concentration and affect the curative effect, so there is a direct injection of antibiotics into the prostate. The specific method is to use gentamicin, kanamycin, vancomycin alone or in combination, directly injected into the prostate gland through perineum, or directly injected into the prostate lesions under the guidance of B-ultrasound, once or twice a week, 10 times as 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 reach an effective antibacterial concentration. It can not only kill the bacteria in the injection site, but also kill the bacteria in the surrounding tissue. Part of the drug is absorbed into the blood, and it can also cooperate to eliminate the infection in the urethra and other parts Intractable chronic prostatitis is a valuable treatment. But it also has some disadvantages that are not easy to overcome, mainly as follows: (1) the prostate is deep, so direct injection is not easy, puncture can cause damage to surrounding tissue and cause hematuria（ 2) Puncture can cause pain and discomfort, such as repeated, it is difficult to be accepted by patients（ 3) Transdermal or transrectal puncture can bring bacteria into the prostate, causing repeated infection of the prostate（ 4) Repeated puncture can cause hyperplasia of prostate fibrous tissue and prostatic sclerosis. Induration can be found in the prostate during anal examination, or a hard prostate can be found. Fibrous tissue hyperplasia will cause the lesions to be separated and wrapped, antibiotics are more difficult to penetrate, and it will make the prostatic fluid difficult to discharge. Therefore, we must be careful in the selection of this treatment method, only when other methods are invalid, we can consider this method, and puncture should not be too frequent, puncture 1 ~ 2 times a week, the course of treatment should not be too long, should be controlled in 1 ~ 2 months.

Third: physical therapy physical therapy is a kind of therapeutic measure to restore the normal physiological state by means of sound, light, electricity, heat, water and other physical factors to regulate the internal causes of the body. Physical therapy is mainly to make use of the thermal effect, make deep tissue congest, improve blood circulation, strengthen the nourishment of local tissue, accelerate the absorption and clearance of inflammatory products, which is conducive to the dissipation of inflammation. 1. Ultrasound therapy: ultrasound refers to the vibration wave whose frequency is more than 20000 cycles / second, which can not cause normal human auditory response. The commonly used frequency in clinic is 8001000 KC / s. Medical ultrasound can improve local healing fluid and lymphatic circulation, strengthen local metabolism, change tissue pH, change pH to alkaline, reduce local acidosis, relieve or eliminate pain. Ultrasonic treatment is suitable for chronic prostatitis patients with obvious urinary tract irritation symptoms and more leukocytes in prostatic fluid microscopic examination. 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 * 106 ~ 3 * 107 Hz, the wavelength is 10 ~ 100 m, and the voltage during treatment is 90 ~ 120 v. The bactericidal effect of short wave is not direct, but indirect because it enhances the immune defense mechanism. Shortwave therapy is easy to operate, with two electrode plates, one on the hip, one on the pubis of the lower abdomen, 15-30 minutes each time, once a day, 2 weeks as a course of treatment. This therapy is suitable for acute and chronic prostatitis and prostatic microscopic examination with more white blood cells. 3. Ultrashort wave therapy: it is another method to use high-frequency current for treatment. The current frequency is higher, generally 30-300 MHz, the wavelength is 10-1 m, and the voltage is 40-50 V during treatment. Its mechanism and indications are the same as those of short wave therapy, but its ability to penetrate tissues and the effect of killing microorganisms is much greater than short wave therapy.

matters needing attention

(1) After defecation, massage can be used to clean anus and lower rectum. The patient is in chest knee position or lateral position. After touching the prostate with the index finger along the anus on the front wall of the rectum, the doctor gently presses the prostate from the outside up to the inside down. At the same time, the doctor instructs the patient to lift the anus so that the prostatic fluid can be discharged from the urethral orifice and urinate immediately（ 2) Self massage: the patient takes the squatting position or lateral flexion position, after defecating, cleans the anus and lower rectum, presses the prostate gland with his middle finger or index finger, the method is the same as before, massage for 3-5 minutes each time, and it is better to have prostatic fluid discharged from the urethra each time. Massage force must be gentle, before massage can use soap lubrication fingertips, reduce discomfort. Every massage treatment should be at least 3 days apart. If in the process of self massage, the prostate tenderness is obvious, and the cystic sensation is enhanced, we should go to the specialist clinic in time to avoid the prostate massage when the chronic prostatitis has an acute attack.