When the prostate becomes inflamed, white blood cells will promptly participate in the antibacterial and anti-inflammatory process. As for which bacterial infection causes prostatitis, further diagnosis is needed. Regular blood tests should be performed in a timely manner to understand whether the number of white blood cells is within the normal range. Only by treating the symptoms can a good therapeutic effect be achieved. For example, commonly occurring bacteria include Escherichia coli, Staphylococcus aureus, etc.
1. Acute bacterial prostatitis The main pathogenic factor of bacterial prostatitis is Escherichia coli, followed by Staphylococcus aureus, Klebsiella pneumoniae, Proteus, Pseudomonas, etc. Most of them are caused by a single pathogen. Bacteria or other pathogens infect the prostate and grow rapidly and proliferate, mostly through bloodstream infection or retrograde infection through the urethra. 2. Chronic bacterial prostatitis The main pathogenic factor is retrograde infection of pathogens, mainly Staphylococcus, followed by Escherichia coli, Corynebacterium and Enterococcus, etc. Prostatic stones and urine reflux may be important reasons for the persistence of pathogens and recurrence of infection. 3. Factors that induce prostatitis The main causes of prostatitis include: smoking, drinking, spicy food addiction, inappropriate sexual activities, long-term congestion of the prostate caused by sitting for a long time and long-term chronic compression of the pelvic floor muscles, cold, fatigue, etc., which lead to decreased body resistance or special physical constitution.
Commonly used drugs include antibiotics, α-receptor blockers, herbal preparations and non-steroidal anti-inflammatory analgesics. Other drugs are also effective in relieving symptoms. ① Antibiotics : Available antibiotics include fluoroquinolones (such as ciprofloxacin, levofloxacin, lomefloxacin and moxifloxacin, etc.), tetracyclines (such as minocycline, etc.) and sulfonamides (such as co-trimoxazole). ②α-receptor blockers α-receptor blockers can relax the smooth muscles of the prostate and bladder, improve lower urinary tract symptoms, and thus become the basic drugs for the treatment of prostatitis. α-receptor blockers mainly include: doxazosin, naftopidil, tamsulosin and terazosin, etc. The above drugs have different degrees of improvement on patients' urination symptoms, pain and quality of life. During treatment, attention should be paid to adverse reactions such as dizziness and postural hypotension caused by this type of drug. The course of treatment of α-receptor blockers should be more than 12 weeks. ③ Plant preparations Mainly refers to pollen preparations and plant extracts, which have a wide range of pharmacological effects, such as non-specific anti-inflammatory, anti-edema, promoting bladder detrusor contraction and urethral smooth muscle relaxation. Plant preparations include: Pu Si Tai, Sabah palm and its extracts. Usually the course of treatment is in months. Adverse reactions are relatively small. ④M-receptor blockers (such as tolterodine) can be used to treat prostatitis patients with overactive bladder (OAB) symptoms such as urgency, frequency and nocturia but without urinary tract obstruction.
For patients with chronic prostatitis who are also suffering from depression and anxiety, antidepressants and anti-anxiety drugs can be used for treatment while treating prostatitis. These drugs can not only improve the psychological symptoms of patients, but also relieve physical symptoms such as abnormal urination and pain. The antidepressants and anti-anxiety drugs that can be selected mainly include selective 5-hydroxytryptamine reuptake inhibitors, tricyclic antidepressants and benzodiazepines. |
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