How to cure "refractory" chronic prostatitis

For the vast majority of chronic prostatitis patients, The biggest headache is a problem despite the use of many types of treatment, but the effects are not ideal, or cured shortly after another recurrence, thereby becoming a "chronic" problem. This "persistent" what is the reason? It is generally considered the prostate anatomy and pathophysiology position because - have a close relationship. From the anatomical point of view, the prostate into the central and peripheral zones of two parts. among them contain many of the CRYPT posterior urethral precision mound, However, in the tubular running direction of two parts is not the same. Central District tubular the traveling direction and the urethra is almost parallel with the bunghole urethral phase angle is very small, not much resistance, and this is likely to ejaculation, and also helps to have prostate into the bacteria emit. While peripheral areas into the urethral gland is the direction rectangular openings, the flow is facing external pressure relative increase make foreign bacteria could easily enter the peripheral zone of deep, and those who have to stay in peripheral areas of bacteria is not easily discharged. Moreover, in human prostate pelvic area of deep, more subtle, a bacterial infection caused by small lesions are not easily found; especially in the peripheral zone of prostate infection, poor drainage early detection even more difficult. In addition, the prostate and seminal vesicles in adjacent areas, urethra and the vas deferens have contact each other pathogens can be disseminated. increase the difficulty of treatment. More difficult is that the performance of chronic prostatitis in the "vicious circle" When the prostate gland to bacterial infection within the scar formation, vascular occlusion, and other local tissue pathology, Antibiotics gland it is very difficult to effectively diffuse, localized concentrations of antibiotics it will be impossible to achieve adequate disinfection. As a result, the gland becomes multiplication of bacteria and activities of the shelter. makes infection and the attendant problems of glandular tissue fibrosis and tubular obstruction and other pathological changes become more serious. Moreover, prostate epithelial cells themselves also have a "barrier", right from the blood into the glands of antibiotics have some choice, generally only fat-soluble, protein binding to the low rate of non-alkaline ion antibiotic drugs can be through the physical "barriers" This has increased the prostate antibiotics into difficulty. However, refractory to refractory, it is still to rule, but must find ways to cure chronic prostatitis. Then, in the end what method of treatment, which is most effective? Now, to talk about this issue. Treatment of chronic prostatitis should mainly drug. Oral antibiotics is the most convenient way. For in the end should choose what kind of drugs the best? According to the prostatic fluid culture results from the decision taken, look at the bacteria to antibiotics which the most sensitive, which used antibiotics. Generally speaking, rifampicin, erythromycin, norfloxacin and sulfamethoxazole, and other medicines, because of better efficacy, low prices, has been widely used; and the newly developed Ofloxacin, and Ciprofloxacin and Thai forces Principal antibiotics, Although it could penetrate into the prostate, where the local drug concentration increased significantly, reaching inhibition of bacteria, But their high prices (day by the drug charges 10 yuan above), and difficult to use long-term. As for the antibiotics should spend more time, the need to determine the treatment effects, usually had to be 3 -6 months to find. This is because the majority of patients in a pattern of systematic drug for a month or so, prostate Although the bacteria has been cut, it has not been fully effective in killing, a proper chance, they might once again, caused the recurrence. Moreover, if a prolonged antibiotic use the same, also easily lead to resistance, say, bacteria have adapted to a certain type of antibiotics, Burton not only no longer the drug, but can withstand the drug. Therefore, it was suggested that treatment of early stage "shock" therapy, that is, two or more effective antibiotics or use alternate month. Prostatic fluid checks until after normal maintenance treatment, is about every 15 days to replace antibiotics, and gradually reduce the dosage and duration of six months or more. This method of treatment is too much trouble, but the effect may be better if patients only need to have patience and positive cooperation to the treatment. Antibiotics role limitations, as well as refractory chronic prostatitis one of the reasons. Many patients after treatment, prostatic fluid can return to normal, but still felt pain discomfort. This is because the cause of chronic prostatitis gland and the surrounding tissue and muscle contracture, Prostate oppression can lead to peripheral nerve discomfort. In this regard, antibiotic treatment is powerless, and often need to cope with physical therapy and other methods, to alleviate the fibrosis. Physiotherapy in the treatment of chronic prostatitis occupy an important position to be effective in controlling pain and other symptoms. Physiotherapy in many ways, a simple and practical fomentation and bath with warm water. These two approaches can do in their own home, as long as the patient or the hot towels Reshuidai close to the perineum talk. the bucket can also SHENG on water temperature of 80 ° C above the water (or Chinese medicine lotion), it is smoked after soaking perineum. At this time, need to pay attention to just one thing : to avoid scalding perineum and scrotum skin. Need for specialized equipment and technology have physiotherapy FM, microwave irradiation and medicine such as iontophoresis treatment. FM relatively simple treatment, is the ability to launch a probe on FM patients perineum around on the half-hour trip, No discomfort. FM due to the skin and subcutaneous tissue is a strong penetrating, so it can reach parts of the prostate to play a therapeutic effect. And the microwave treatment, although exposure to the same treatment, but it will be able to fire a microwave probe into the rectum. separated by the wall of prostate irradiation, the distance closer, the role is also relatively better. As for the drug iontophoresis, is given medicine containing ion electrode plate on the perineum. energized after a drug ions through the skin gradually through the inside of the prostate. This treatments did not have any pain in the majority of patients would feel after treatment to alleviate symptoms, Before treatment but are not prepared to work to be done to treat or convenient. Currently, for the treatment of chronic prostatitis physiotherapy basic tenets are largely the same. is through biological effects of electric and prostate within the vasodilator, increasing blood circulation, to promote glands of bacteria and other harmful substances emitted, and mitigation within the gland and surrounding tissue fibers sclerosis. However, due to various methods of different ways, prostate by the thermal effects are also different, and So on the efficacy have some differences. Transrectal microwave treatment and the perineum ion hyperthermia therapy, as far closer to the prostate, thermal effects relative to heavy; Moreover, they also have some "biological --" effect can mobilize the body's immune response function, enhance the glands within the inhibition of bacterial effect, so good. However, it should be borne in mind, physical therapy and prostate not completely kill the bacteria, in order to eradicate the chronic prostatitis. still have to rely on the role of antibiotics. Currently used : Antibiotics + + cernilton transitional Luo Jie (of Flavoxate Hydrochloride) + necessary terazosin In recent years, chronic prostatitis patients to add enough Zinc, it has become more and more attention. Zinc is present in the prostate tissue of one of the elements, its contents and the number of prostatic fluid suppression of the ability to kill bacteria closely related. In chronic prostatitis patients, systemic and prostate tissue zinc content is often lower. thus had the potential to affect the immune response. Therefore, the conditional hospitals, should the determination of zinc in the human body. The most common and simple way is to take a few strokes to the hair test, because hair zinc concentration changes reflect systemic concentration of zinc. Once a patient's lower zinc content, it should provide timely zinc drugs or food. Of course, corrected within the prostate zinc concentration, we will definitely be able to cure chronic prostatitis, it is still not reached a conclusion. However, correcting the low zinc human condition can improve the immune defense capability, This is conducive to the treatment of chronic prostatitis. Refractory chronic prostatitis, above all means to treatment, some patients may still could not control. And how do this? Many people feel anxious. The experts of the view that chronic prostatitis patients, if the drug therapy as well as repeated attacks, symptoms gradually worsened, or have a bladder neck contracture, bladder stone formation, and accompanied by difficulties in urinating, Urgency urinary frequency and other irritation, it should use surgical methods to the entire prostate resection to completely remove lesions. Particularly since the 1980s, along with the transurethral resection of the application, this type of prostate surgery in the abdomen may not need surgery, and after a urethral insertion of urethral mirror, doctors under the direct electricity knife to a lesion resection of the prostate. This method is safer, even if the physical conditions of poor patients can tolerance, Therefore, the use of such surgery for the treatment of chronic prostatitis cases has gradually increased. However, the surgical treatment of a certain trauma, and there may be impotence and ejaculation and other sexual dysfunction. So, less than the point of last resort, surgery or should try to avoid, especially to China, young people must be even more cautious. Faced with the many methods of treatment the patients according to their specific circumstances, with the local medical conditions. the doctor choice under the guidance of one or two methods for treatment. Meanwhile, the patient must actively cooperate with the doctors to fight for the refractory into good governance, in a relatively short period of time with satisfactory results.