Every man will have prostatitis in his life. At different ages, men suffer from diseases that are biased. Children are prone to tonsillitis and upper respiratory tract infection, young adults are prone to prostatitis, and the elderly are prone to prostate hyperplasia, which is a normal physiological process, and there is no need to be too nervous.
Difficult to treat, easy to relapse, dysfunction, infertility, prostate cancer... When it comes to prostatitis, men have more words in their minds. When the reporter came to Zhuo Yumin with the doubt of "why prostatitis is difficult to treat", he smiled and said: "Prostatitis is not so terrible, but a minor disease like a cold."
No man can avoid prostatitis
"Prostatitis is inevitable in every man's life," said Zhuo Yumin. At different ages, men suffer from diseases that are biased. Children are prone to tonsillitis and upper respiratory tract infections, young adults are prone to prostatitis, and the elderly are prone to prostate hyperplasia. It is a normal physiological process, and there is no need to be too nervous.
And prostatitis often relapses, the same reason as a cold. The severity of a cold can be cured without taking medicine. It may also be late to take medicine. So is prostatitis. However, as long as you adjust your mood, do not fear or despise it, go to the doctor immediately after you get sick, and carry out regular and effective treatment under the guidance of the doctor, you can completely get rid of the trouble of the disease and resume your normal life.
Prostatitis is a psychological disease
Why is it difficult to cure such a simple ailment? Zhuo Yumin said that it was more a psychological problem than a treatment problem.
On the one hand, prostatitis is easy to recur, which makes people think it can't be cured. This is common inflammation, which is not difficult to treat, but the patient has insufficient confidence and low compliance. Once relapse occurs, it will be considered as a problem of the doctor, which will affect the treatment effect; On the other hand, with this disease, many people carry a heavy psychological burden. They think that they can't have sex from now on, or have sexual dysfunction, or even think that it will cause infertility, prostate cancer, etc. The more they think about it, the more terrible it is, and the result is false. Occasionally, they don't mention it or have early ejaculation, the more anxious and inferiority complex in their hearts, and then they go to hospital everywhere, which is also an important factor that leads to the unsatisfactory treatment effect.
Prostatitis is only inflammation of gland tissue. It is good if the symptoms are mild without treatment, and if the symptoms are serious, it will only affect sperm motility to a certain extent. At most, if you don't get pregnant during the acute attack, you can get pregnant normally after the inflammation is cured, and you don't have to worry about infertility. Inflammation has no effect on sexual function, but because of frequent urination, urgency, endless urination, foreign body sensation in the perineum and other discomfort, the patient may not think that sexual life is not a physiological obstacle.
Five "killers" that kill prostate patients!
Different prostatitis patients have different clinical symptoms, and these syndromes have their own unique reasons. Although there is still a lack of comprehensive and accurate understanding of the etiology of most chronic prostatitis and the treatment effect is not satisfactory, recent studies have shown that the occurrence of chronic prostatitis is closely related to the following five factors.
One of the inducements: prostate congestion
Congestion caused by various reasons, especially passive congestion, is an important pathogenic factor of prostatitis. The onset of patients is often not caused by bacterial infection or microbial invasion, but it will form inflammatory reaction and induce prostatitis. Congestion is common in life:
● Abnormal sexual life. Frequent sexual life, interruption of sexual intercourse, excessive masturbation, etc. can cause abnormal hyperemia of the prostate. However, excessive abstinence in sexual life can also produce long-term automatic excitement and cause passive hyperemia.
● Squeeze the perineum directly. Cycling, cycling, sedentary and other perineal injuries and prostate congestion are common, especially long time cycling.
● Unhealthy lifestyle. According to the theory of traditional Chinese medicine, bad living habits such as excessive drinking and greedy greasy food are easy to cause endogenous dampness and heat, which accumulate in the reproductive organs and cause sexual excitement.
● Massage is too heavy. External stimulation caused by improper prostate massage and other medical behaviors, excessive or frequent prostate congestion.
● Cold cold. A cold can cause the sympathetic nerve of the human body to be excited, the internal pressure of the urethra to increase, and the contraction of the prostate tube hinders the excretion of prostate fluid, resulting in stasis congestion.
Countermeasures: Patients with chronic prostatitis should take corresponding treatment measures according to the inducing factors. Congestive factors are the main cause of prostatitis. Various factors of passive congestion should be eliminated. The frequency of sexual life should be moderate, and cycling should not be long. Chinese medicine should be used to promote blood circulation and remove blood stasis.
Inducement 2: urinary irritation
Urine stimulation is called chemical factor in medicine. According to Dr. Wang, the urine contains a variety of acid-base chemicals. When the patient's local neuroendocrine disorder, urethral pressure is too high, and the opening of the prostate tube is damaged, uric acid and other irritant chemicals flow back into the prostate, causing chronic prostatitis.
Countermeasures: Ask a doctor to regulate the urine acidity and inflammation.
Inducement 3: pathogenic microorganism infection
Bacteria, protozoa, fungi, viruses and other microorganisms have become the source of infection of prostatitis, among which bacteria are the most common, such as gonococcus and non-gonococcus. There are three main channels of bacterial invasion. First, hematogenous infection. More than 90% of clinical bacterial prostatitis is caused by microbial infection. The second is lymphatic infection, such as urinary tract infection and colon and proctitis, which can infect the prostate through lymphatic channels and produce inflammation. The third is direct spread. When men urinate, the urine passes through the prostate, and the bacteria in the urine can enter the prostate directly, leading to prostate infection.
Countermeasures: Antibiotic treatment, combined with traditional Chinese medicine for clearing heat, removing dampness, activating blood circulation and removing blood stasis.
Inducement 4: anxiety, depression, fear
Experts found that 50% of patients with chronic non-bacterial prostatitis have symptoms of excessive stress such as anxiety, depression, fear, pessimism. Prostate patients with pain and neurasthenia often exaggerate their physical discomfort and pain, and the condition that their conscious symptoms are greater than the actual symptoms is called tension-type prostatitis. Psychological factors are related to age. The mental burden of young patients is significantly heavier than that of older patients, which often directly affects the effect of drug treatment.
Countermeasures: People with worsening symptoms due to psychological factors should receive psychological guidance while taking drugs, maintain a bright and optimistic mood, focus on work and colorful amateur life, do not pay too much attention to the slight changes in symptoms, and treat in the professional outpatient service of a regular hospital to avoid delaying the deterioration of the disease.
Inducement 5: immune factors, allergy
Studies have shown that chronic prostatitis is related to autoimmune factors. Some experts found that patients with arthritis have anti-prostate antibodies. Such patients often produce anti-prostate antibodies due to congenital or acquired immune deficiency, which leads to prostate tissue damage. If the patient has no evidence of bacterial, viral and mycoplasma infection after examination, the existence of immune factors can be considered.
Clinically, allergic reactions to certain viruses can also cause inflammation. In particular, patients with low muscle resistance are highly sensitive to the virus and prone to chronic prostatitis.
Countermeasures: For prostatitis caused by immune and allergic factors, it is effective to use traditional Chinese medicine to regulate immune function.
Prostate diseases that men must prevent
At present, the etiology of prostate cancer is not clear. It is only found from various clinical phenomena that the change of sex hormone level in the body is related to the growth of prostate cancer. For example, people like eunuchs will never develop prostate cancer because they have removed their testicles.
Prostate cancer is one of the most common tumors threatening men's health. Compared with developed countries, China is still a low incidence country of prostate cancer, but in recent years, the incidence rate has risen steadily. The incidence rate in Shanghai in 2000 was four times higher than that 30 years ago. With the rapid increase of the incidence rate of prostate cancer in China, middle-aged and elderly men should pay attention to it. Experts believe that men over 50 years old can screen for early prostate cancer through digital rectal examination, PSA (prostate specific antigen), etc.
Is chronic prostatitis an inducement?
At present, the etiology of prostate cancer is not clear. It is only found from various clinical phenomena that the change of sex hormone level in the body is related to the growth of prostate cancer. For example, people like eunuchs have not developed prostate cancer because their testicles have been removed.
The current understanding is that androgen may stimulate the growth and development of prostate epithelium, but it will not cause prostate cancer itself. What is the real pathogenic factor? Experts estimate that this is related to the metabolic components produced by certain foods in the diet.
In China, chronic prostatitis and prostatic hyperplasia are very common. Do these diseases affect the occurrence of prostate cancer? Experts believe that the symptoms of prostate cancer are similar to those of benign prostatic hyperplasia, but there is no direct causal relationship between the symptoms of prostate cancer and dysuria, but prostate cancer is often accompanied by benign prostatic hyperplasia.
Why is prostate cancer difficult to detect early?
Experts said that Chinese men don't know much about prostate cancer, so they often don't pay attention to it. There is neither screening nor special physical examination, so it is difficult to detect it at an early stage.
There are many treatments for prostate cancer, but in addition to radical prostatectomy for early patients, the treatment for patients with advanced prostate cancer is not ideal. Traditional open surgery is likely to lose the patient's function.
At present, for early patients, single-channel laparoscopic surgery (LESS) can be performed only by opening an incision about 2-3 cm long at the navel, which can reduce the occurrence of complications. The most important thing is that this kind of operation can largely not destroy the male erectile nerve and can preserve the male sexual function.
Prostate cancer is different from other cancers and is relatively hidden. Men over 50 years old should pay attention to regular screening.
1. Digital rectal diagnosis: This is the first step of early diagnosis. If there are stones, nodules and other hardware in contact with diagnosis, attention should be paid.
2. PSA (prostate specific antigen): similar to alpha-fetoprotein for liver cancer, this indicator is sensitive.
3. Rectal ultrasound: the accuracy of prostate cancer diagnosis is higher.