前(qian)(qian)列(lie)腺(xian)(xian)(xian)炎(yan)通常沒(mei)有(you)年(nian)齡上的限制,這種(zhong)疾病并不(bu)(bu)(bu)會(hui)因(yin)為(wei)年(nian)輕就(jiu)不(bu)(bu)(bu)會(hui)得(de)。因(yin)此,首先(xian)要弄清楚導致前(qian)(qian)列(lie)腺(xian)(xian)(xian)炎(yan)的原因(yin),比(bi)如(ru)過度(du)手(shou)淫、性生活比(bi)較頻(pin)繁(fan)、久坐、憋尿等,均(jun)會(hui)引(yin)發(fa)前(qian)(qian)列(lie)腺(xian)(xian)(xian)炎(yan)的發(fa)作。若是確(que)診得(de)了前(qian)(qian)列(lie)腺(xian)(xian)(xian)炎(yan)以后,一定要前(qian)(qian)往(wang)正規醫(yi)院積(ji)極治(zhi)療(liao)。前(qian)(qian)列(lie)腺(xian)(xian)(xian)炎(yan)如(ru)果沒(mei)有(you)及時(shi)治(zhi)療(liao)或者(zhe)治(zhi)療(liao)不(bu)(bu)(bu)當、不(bu)(bu)(bu)夠徹(che)底,容(rong)易導致病情反復,從而出(chu)現久治(zhi)不(bu)(bu)(bu)愈(yu)的現象,就(jiu)有(you)可(ke)能并發(fa)其(qi)他(ta)疾病或者(zhe)影響到(dao)性功能,嚴重(zhong)時(shi)還會(hui)導致不(bu)(bu)(bu)育等。
多(duo)大年(nian)齡容易(yi)得前列腺炎
1、前(qian)列(lie)腺炎的發作并不(bu)分年齡(ling),從18歲(sui)到80歲(sui)的男性均(jun)可能(neng)發生前(qian)列(lie)腺炎。
2、前(qian)列腺(xian)炎(yan)的發(fa)病率比(bi)較廣,易患人群也很多。一(yi)般(ban)情況(kuang)下(xia),十個男人可能就有(you)八個人有(you)前(qian)列腺(xian)炎(yan),往往占泌尿外科門診總量的75%以上。
3、前列(lie)腺炎(yan)常見于中青年男性群體,一般(ban)在35~50歲之間,或者(zhe)20~30歲之間。
得了前列腺炎怎么辦
1、正常情況下,前列腺炎并(bing)不算是大病(bing),其對病(bing)人癥狀、疾病(bing)本身以(yi)及病(bing)人的壽(shou)命均無嚴(yan)重的影響。因此,前列腺炎病(bing)人重在自(zi)我調理和(he)自(zi)我控制。
2、平時要多喝水(shui),幫助快速排尿(niao),可以每天進(jin)行溫水(shui)坐浴。
3、在飲食(shi)上應以清淡食(shi)物為宜,不(bu)(bu)吸煙不(bu)(bu)喝酒(jiu),不(bu)(bu)吃辛(xin)辣(la)刺激食(shi)物。
4、患有前列腺炎一(yi)定(ding)要注意不可久(jiu)坐。同時(shi)也(ye)要適當減少(shao)性生活(huo)的次數(shu)。
前(qian)(qian)(qian)(qian)(qian)(qian)(qian)(qian)(qian)列(lie)(lie)(lie)(lie)(lie)(lie)腺(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)炎(yan)(yan)(yan)(yan)(yan)急(ji)(ji)(ji)(ji)性(xing)(xing)(xing)(xing)(xing)(xing)(xing)好(hao)治(zhi)(zhi),慢(man)(man)性(xing)(xing)(xing)(xing)(xing)(xing)(xing)治(zhi)(zhi)療(liao)(liao)(liao)(liao)(liao)就不(bu)(bu)太容易好(hao)了(le)。 前(qian)(qian)(qian)(qian)(qian)(qian)(qian)(qian)(qian)列(lie)(lie)(lie)(lie)(lie)(lie)腺(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)炎(yan)(yan)(yan)(yan)(yan)是中(zhong)(zhong)年(nian)男性(xing)(xing)(xing)(xing)(xing)(xing)(xing)最(zui)常(chang)(chang)(chang)見(jian)的(de)(de)疾病(bing)(bing)(bing)(bing)之一(yi),發(fa)病(bing)(bing)(bing)(bing)年(nian)齡15-55歲,可(ke)(ke)(ke)(ke)分(fen)(fen)(fen)為(wei)(wei)(wei):急(ji)(ji)(ji)(ji)性(xing)(xing)(xing)(xing)(xing)(xing)(xing)前(qian)(qian)(qian)(qian)(qian)(qian)(qian)(qian)(qian)列(lie)(lie)(lie)(lie)(lie)(lie)腺(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)炎(yan)(yan)(yan)(yan)(yan)、慢(man)(man)性(xing)(xing)(xing)(xing)(xing)(xing)(xing)前(qian)(qian)(qian)(qian)(qian)(qian)(qian)(qian)(qian)列(lie)(lie)(lie)(lie)(lie)(lie)腺(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)炎(yan)(yan)(yan)(yan)(yan),后者(zhe)可(ke)(ke)(ke)(ke)分(fen)(fen)(fen)為(wei)(wei)(wei):細節(jie)性(xing)(xing)(xing)(xing)(xing)(xing)(xing)前(qian)(qian)(qian)(qian)(qian)(qian)(qian)(qian)(qian)列(lie)(lie)(lie)(lie)(lie)(lie)腺(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)炎(yan)(yan)(yan)(yan)(yan)、非細節(jie)性(xing)(xing)(xing)(xing)(xing)(xing)(xing)前(qian)(qian)(qian)(qian)(qian)(qian)(qian)(qian)(qian)列(lie)(lie)(lie)(lie)(lie)(lie)腺(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)炎(yan)(yan)(yan)(yan)(yan)、前(qian)(qian)(qian)(qian)(qian)(qian)(qian)(qian)(qian)列(lie)(lie)(lie)(lie)(lie)(lie)腺(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)痛(tong)(tong)等三種(zhong)。前(qian)(qian)(qian)(qian)(qian)(qian)(qian)(qian)(qian)列(lie)(lie)(lie)(lie)(lie)(lie)腺(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)炎(yan)(yan)(yan)(yan)(yan)的(de)(de)癥(zheng)(zheng)狀(zhuang)(zhuang)(zhuang)繁多(duo)(duo),個體差(cha)異較(jiao)(jiao)大(da)(da)(da),目前(qian)(qian)(qian)(qian)(qian)(qian)(qian)(qian)(qian)把前(qian)(qian)(qian)(qian)(qian)(qian)(qian)(qian)(qian)列(lie)(lie)(lie)(lie)(lie)(lie)腺(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)炎(yan)(yan)(yan)(yan)(yan)的(de)(de)癥(zheng)(zheng)狀(zhuang)(zhuang)(zhuang)統稱為(wei)(wei)(wei)前(qian)(qian)(qian)(qian)(qian)(qian)(qian)(qian)(qian)列(lie)(lie)(lie)(lie)(lie)(lie)腺(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)炎(yan)(yan)(yan)(yan)(yan)綜合(he)(he)癥(zheng)(zheng),大(da)(da)(da)概可(ke)(ke)(ke)(ke)分(fen)(fen)(fen)為(wei)(wei)(wei)以(yi)(yi)下四類(lei): 1、尿(niao)(niao)(niao)(niao)(niao)(niao)(niao)道(dao)(dao)(dao)癥(zheng)(zheng)狀(zhuang)(zhuang)(zhuang):尿(niao)(niao)(niao)(niao)(niao)(niao)(niao)頻(pin)或(huo)(huo)(huo)(huo)總有(you)(you)(you)(you)(you)尿(niao)(niao)(niao)(niao)(niao)(niao)(niao)意,尿(niao)(niao)(niao)(niao)(niao)(niao)(niao)不(bu)(bu)盡感(gan)(gan),輕(qing)微尿(niao)(niao)(niao)(niao)(niao)(niao)(niao)痛(tong)(tong),尿(niao)(niao)(niao)(niao)(niao)(niao)(niao)道(dao)(dao)(dao)口(kou)疼(teng)痛(tong)(tong),尿(niao)(niao)(niao)(niao)(niao)(niao)(niao)道(dao)(dao)(dao)偶(ou)有(you)(you)(you)(you)(you)溢出(chu)(chu)白(bai)色粘(zhan)液(ye)(ye)(ye)。 2、局部(bu)(bu)(bu)(bu)癥(zheng)(zheng)狀(zhuang)(zhuang)(zhuang):下腹(fu)部(bu)(bu)(bu)(bu)墜(zhui)脹、隱痛(tong)(tong);陰(yin)(yin)部(bu)(bu)(bu)(bu)或(huo)(huo)(huo)(huo)睪丸疼(teng)痛(tong)(tong)或(huo)(huo)(huo)(huo)不(bu)(bu)適(shi)感(gan)(gan),會(hui)陰(yin)(yin)潮濕感(gan)(gan),腹(fu)股溝區疼(teng)痛(tong)(tong)、腰酸、乏(fa)力(li)。 3、性(xing)(xing)(xing)(xing)(xing)(xing)(xing)功(gong)能異常(chang)(chang)(chang):早(zao)泄、陽痿,性(xing)(xing)(xing)(xing)(xing)(xing)(xing)欲減退。 4、精(jing)神(shen)癥(zheng)(zheng)狀(zhuang)(zhuang)(zhuang):煩(fan)躁,多(duo)(duo)慮,多(duo)(duo)夢(meng),失眠(mian),心(xin)悸(ji)。 以(yi)(yi)上(shang)四類(lei)癥(zheng)(zheng)狀(zhuang)(zhuang)(zhuang),不(bu)(bu)是所有(you)(you)(you)(you)(you)病(bing)(bing)(bing)(bing)人(ren)(ren)都(dou)會(hui)出(chu)(chu)現(xian)(xian),根據病(bing)(bing)(bing)(bing)情(qing)(qing)的(de)(de)輕(qing)重(zhong),治(zhi)(zhi)療(liao)(liao)(liao)(liao)(liao)情(qing)(qing)況的(de)(de)不(bu)(bu)同(tong)臨床(chuang)(chuang)(chuang)上(shang)有(you)(you)(you)(you)(you)較(jiao)(jiao)大(da)(da)(da)的(de)(de)差(cha)別(bie)。 前(qian)(qian)(qian)(qian)(qian)(qian)(qian)(qian)(qian)列(lie)(lie)(lie)(lie)(lie)(lie)腺(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)炎(yan)(yan)(yan)(yan)(yan)的(de)(de)治(zhi)(zhi)療(liao)(liao)(liao)(liao)(liao)是泌尿(niao)(niao)(niao)(niao)(niao)(niao)(niao)外科(ke)研究的(de)(de)課題,單(dan)一(yi)的(de)(de)某種(zhong)藥(yao)(yao)物(wu)(wu)(wu)(wu)(wu)治(zhi)(zhi)療(liao)(liao)(liao)(liao)(liao)效(xiao)果不(bu)(bu)甚理(li)想(xiang)(xiang),目前(qian)(qian)(qian)(qian)(qian)(qian)(qian)(qian)(qian)主要采取綜合(he)(he)治(zhi)(zhi)療(liao)(liao)(liao)(liao)(liao)法(fa),經(jing)過一(yi)段(duan)時(shi)(shi)(shi)間的(de)(de)系統治(zhi)(zhi)療(liao)(liao)(liao)(liao)(liao),多(duo)(duo)數(shu)(shu)(shu)病(bing)(bing)(bing)(bing)人(ren)(ren)癥(zheng)(zheng)狀(zhuang)(zhuang)(zhuang)得到緩解(jie)(jie),部(bu)(bu)(bu)(bu)分(fen)(fen)(fen)病(bing)(bing)(bing)(bing)人(ren)(ren)可(ke)(ke)(ke)(ke)以(yi)(yi)治(zhi)(zhi)愈。 治(zhi)(zhi)療(liao)(liao)(liao)(liao)(liao)原則:1、抗(kang)(kang)炎(yan)(yan)(yan)(yan)(yan),選擇(ze)有(you)(you)(you)(you)(you)效(xiao)且(qie)(qie)分(fen)(fen)(fen)布前(qian)(qian)(qian)(qian)(qian)(qian)(qian)(qian)(qian)列(lie)(lie)(lie)(lie)(lie)(lie)腺(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)濃度(du)較(jiao)(jiao)高的(de)(de)藥(yao)(yao)物(wu)(wu)(wu)(wu)(wu),如大(da)(da)(da)環(huan)酯(zhi)類(lei)藥(yao)(yao)物(wu)(wu)(wu)(wu)(wu)。2、解(jie)(jie)疼(teng),用(yong)?—受體阻滯劑等。3、理(li)療(liao)(liao)(liao)(liao)(liao),各種(zhong)物(wu)(wu)(wu)(wu)(wu)理(li)治(zhi)(zhi)療(liao)(liao)(liao)(liao)(liao),坐浴(yu)等。常(chang)(chang)(chang)用(yong)藥(yao)(yao)物(wu)(wu)(wu)(wu)(wu):紅(hong)霉(mei)(mei)素(su)(su)、泰力(li)特、頭(tou)孢類(lei)、舍尼通等。 前(qian)(qian)(qian)(qian)(qian)(qian)(qian)(qian)(qian)列(lie)(lie)(lie)(lie)(lie)(lie)腺(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)炎(yan)(yan)(yan)(yan)(yan)是男性(xing)(xing)(xing)(xing)(xing)(xing)(xing)常(chang)(chang)(chang)見(jian)病(bing)(bing)(bing)(bing),絕大(da)(da)(da)多(duo)(duo)數(shu)(shu)(shu)發(fa)生在(zai)青壯年(nian),臨床(chuang)(chuang)(chuang)上(shang)前(qian)(qian)(qian)(qian)(qian)(qian)(qian)(qian)(qian)列(lie)(lie)(lie)(lie)(lie)(lie)腺(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)炎(yan)(yan)(yan)(yan)(yan)可(ke)(ke)(ke)(ke)分(fen)(fen)(fen)為(wei)(wei)(wei)急(ji)(ji)(ji)(ji)性(xing)(xing)(xing)(xing)(xing)(xing)(xing)和慢(man)(man)性(xing)(xing)(xing)(xing)(xing)(xing)(xing)兩種(zhong)。急(ji)(ji)(ji)(ji)性(xing)(xing)(xing)(xing)(xing)(xing)(xing)前(qian)(qian)(qian)(qian)(qian)(qian)(qian)(qian)(qian)列(lie)(lie)(lie)(lie)(lie)(lie)腺(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)炎(yan)(yan)(yan)(yan)(yan)臨床(chuang)(chuang)(chuang)上(shang)較(jiao)(jiao)少見(jian),慢(man)(man)性(xing)(xing)(xing)(xing)(xing)(xing)(xing)前(qian)(qian)(qian)(qian)(qian)(qian)(qian)(qian)(qian)列(lie)(lie)(lie)(lie)(lie)(lie)腺(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)炎(yan)(yan)(yan)(yan)(yan)在(zai)成(cheng)年(nian)人(ren)(ren)群中(zhong)(zhong)發(fa)病(bing)(bing)(bing)(bing)較(jiao)(jiao)高,因(yin)慢(man)(man)性(xing)(xing)(xing)(xing)(xing)(xing)(xing)前(qian)(qian)(qian)(qian)(qian)(qian)(qian)(qian)(qian)列(lie)(lie)(lie)(lie)(lie)(lie)腺(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)炎(yan)(yan)(yan)(yan)(yan)多(duo)(duo)伴(ban)有(you)(you)(you)(you)(you)精(jing)囊炎(yan)(yan)(yan)(yan)(yan),故(gu)又稱為(wei)(wei)(wei)前(qian)(qian)(qian)(qian)(qian)(qian)(qian)(qian)(qian)列(lie)(lie)(lie)(lie)(lie)(lie)腺(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)精(jing)囊炎(yan)(yan)(yan)(yan)(yan)。 病(bing)(bing)(bing)(bing)因(yin) 1.急(ji)(ji)(ji)(ji)性(xing)(xing)(xing)(xing)(xing)(xing)(xing)前(qian)(qian)(qian)(qian)(qian)(qian)(qian)(qian)(qian)列(lie)(lie)(lie)(lie)(lie)(lie)腺(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)炎(yan)(yan)(yan)(yan)(yan)病(bing)(bing)(bing)(bing)因(yin): 發(fa)病(bing)(bing)(bing)(bing)多(duo)(duo)在(zai)全身(shen)或(huo)(huo)(huo)(huo)局部(bu)(bu)(bu)(bu)抵(di)抗(kang)(kang)力(li)減弱(ruo)時(shi)(shi)(shi),致(zhi)病(bing)(bing)(bing)(bing)菌(jun)由身(shen)體其(qi)它部(bu)(bu)(bu)(bu)位的(de)(de)病(bing)(bing)(bing)(bing)灶經(jing)血運或(huo)(huo)(huo)(huo)經(jing)尿(niao)(niao)(niao)(niao)(niao)(niao)(niao)道(dao)(dao)(dao)進(jin)入(ru)前(qian)(qian)(qian)(qian)(qian)(qian)(qian)(qian)(qian)列(lie)(lie)(lie)(lie)(lie)(lie)腺(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)。 2.慢(man)(man)性(xing)(xing)(xing)(xing)(xing)(xing)(xing)前(qian)(qian)(qian)(qian)(qian)(qian)(qian)(qian)(qian)列(lie)(lie)(lie)(lie)(lie)(lie)腺(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)炎(yan)(yan)(yan)(yan)(yan)病(bing)(bing)(bing)(bing)因(yin): 慢(man)(man)性(xing)(xing)(xing)(xing)(xing)(xing)(xing)前(qian)(qian)(qian)(qian)(qian)(qian)(qian)(qian)(qian)列(lie)(lie)(lie)(lie)(lie)(lie)腺(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)炎(yan)(yan)(yan)(yan)(yan)其(qi)病(bing)(bing)(bing)(bing)因(yin)較(jiao)(jiao)為(wei)(wei)(wei)復雜。 癥(zheng)(zheng)狀(zhuang)(zhuang)(zhuang) 1.急(ji)(ji)(ji)(ji)性(xing)(xing)(xing)(xing)(xing)(xing)(xing)前(qian)(qian)(qian)(qian)(qian)(qian)(qian)(qian)(qian)列(lie)(lie)(lie)(lie)(lie)(lie)腺(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)炎(yan)(yan)(yan)(yan)(yan)臨床(chuang)(chuang)(chuang)表現(xian)(xian): 發(fa)病(bing)(bing)(bing)(bing)急(ji)(ji)(ji)(ji),有(you)(you)(you)(you)(you)全身(shen)感(gan)(gan)染癥(zheng)(zheng)象或(huo)(huo)(huo)(huo)膿毒血癥(zheng)(zheng)表現(xian)(xian),高熱、尿(niao)(niao)(niao)(niao)(niao)(niao)(niao)頻(pin)、尿(niao)(niao)(niao)(niao)(niao)(niao)(niao)急(ji)(ji)(ji)(ji)、尿(niao)(niao)(niao)(niao)(niao)(niao)(niao)痛(tong)(tong)、尿(niao)(niao)(niao)(niao)(niao)(niao)(niao)道(dao)(dao)(dao)痛(tong)(tong)、會(hui)陰(yin)(yin)部(bu)(bu)(bu)(bu)和恥(chi)骨上(shang)疼(teng)痛(tong)(tong),直(zhi)(zhi)腸脹滿,排(pai)(pai)(pai)便困(kun)難,偶(ou)因(yin)膀(bang)胱頸部(bu)(bu)(bu)(bu)水(shui)腫(zhong)(zhong)(zhong)、痙攣可(ke)(ke)(ke)(ke)致(zhi)排(pai)(pai)(pai)尿(niao)(niao)(niao)(niao)(niao)(niao)(niao)困(kun)難,甚至(zhi)尿(niao)(niao)(niao)(niao)(niao)(niao)(niao)潴(zhu)留(liu)。 2.慢(man)(man)性(xing)(xing)(xing)(xing)(xing)(xing)(xing)前(qian)(qian)(qian)(qian)(qian)(qian)(qian)(qian)(qian)列(lie)(lie)(lie)(lie)(lie)(lie)腺(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)炎(yan)(yan)(yan)(yan)(yan)臨床(chuang)(chuang)(chuang)表現(xian)(xian): 不(bu)(bu)同(tong)病(bing)(bing)(bing)(bing)人(ren)(ren)癥(zheng)(zheng)狀(zhuang)(zhuang)(zhuang)表現(xian)(xian)相差(cha)很大(da)(da)(da),常(chang)(chang)(chang)見(jian)的(de)(de)癥(zheng)(zheng)狀(zhuang)(zhuang)(zhuang)有(you)(you)(you)(you)(you): 1.疼(teng)痛(tong)(tong):后尿(niao)(niao)(niao)(niao)(niao)(niao)(niao)道(dao)(dao)(dao)可(ke)(ke)(ke)(ke)有(you)(you)(you)(you)(you)燒灼感(gan)(gan)、蟻行感(gan)(gan),會(hui)陰(yin)(yin)部(bu)(bu)(bu)(bu)、肛門部(bu)(bu)(bu)(bu)疼(teng)痛(tong)(tong)可(ke)(ke)(ke)(ke)放射至(zhi)腰骶部(bu)(bu)(bu)(bu)、腹(fu)股溝、恥(chi)骨上(shang)區、陰(yin)(yin)莖、睪丸等,偶(ou)可(ke)(ke)(ke)(ke)向(xiang)腹(fu)部(bu)(bu)(bu)(bu)放射。 2.泌尿(niao)(niao)(niao)(niao)(niao)(niao)(niao)系癥(zheng)(zheng)狀(zhuang)(zhuang)(zhuang):炎(yan)(yan)(yan)(yan)(yan)癥(zheng)(zheng)累及(ji)尿(niao)(niao)(niao)(niao)(niao)(niao)(niao)道(dao)(dao)(dao),病(bing)(bing)(bing)(bing)人(ren)(ren)可(ke)(ke)(ke)(ke)有(you)(you)(you)(you)(you)輕(qing)度(du)尿(niao)(niao)(niao)(niao)(niao)(niao)(niao)頻(pin)、尿(niao)(niao)(niao)(niao)(niao)(niao)(niao)急(ji)(ji)(ji)(ji)、尿(niao)(niao)(niao)(niao)(niao)(niao)(niao)痛(tong)(tong),個別(bie)病(bing)(bing)(bing)(bing)人(ren)(ren)尚可(ke)(ke)(ke)(ke)出(chu)(chu)現(xian)(xian)終未血尿(niao)(niao)(niao)(niao)(niao)(niao)(niao),清晨(chen)排(pai)(pai)(pai)尿(niao)(niao)(niao)(niao)(niao)(niao)(niao)之前(qian)(qian)(qian)(qian)(qian)(qian)(qian)(qian)(qian)或(huo)(huo)(huo)(huo)大(da)(da)(da)便時(shi)(shi)(shi)尿(niao)(niao)(niao)(niao)(niao)(niao)(niao)道(dao)(dao)(dao)口(kou)可(ke)(ke)(ke)(ke)有(you)(you)(you)(you)(you)粘(zhan)液(ye)(ye)(ye)或(huo)(huo)(huo)(huo)膿性(xing)(xing)(xing)(xing)(xing)(xing)(xing)分(fen)(fen)(fen)泌物(wu)(wu)(wu)(wu)(wu)排(pai)(pai)(pai)出(chu)(chu)。 3,性(xing)(xing)(xing)(xing)(xing)(xing)(xing)功(gong)能障礙: 4,神(shen)經(jing)衰弱(ruo)癥(zheng)(zheng)狀(zhuang)(zhuang)(zhuang):心(xin)情(qing)(qing)憂郁、乏(fa)力(li)、失眠(mian)等。 5.繼發(fa)癥(zheng)(zheng)狀(zhuang)(zhuang)(zhuang):可(ke)(ke)(ke)(ke)出(chu)(chu)現(xian)(xian)結(jie)膜炎(yan)(yan)(yan)(yan)(yan)、虹膜炎(yan)(yan)(yan)(yan)(yan)、關節(jie)炎(yan)(yan)(yan)(yan)(yan)、神(shen)經(jing)炎(yan)(yan)(yan)(yan)(yan)等。 檢(jian)(jian)查 1.急(ji)(ji)(ji)(ji)性(xing)(xing)(xing)(xing)(xing)(xing)(xing)前(qian)(qian)(qian)(qian)(qian)(qian)(qian)(qian)(qian)列(lie)(lie)(lie)(lie)(lie)(lie)腺(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)炎(yan)(yan)(yan)(yan)(yan)診斷(duan): 對(dui)有(you)(you)(you)(you)(you)上(shang)述(shu)癥(zheng)(zheng)狀(zhuang)(zhuang)(zhuang)病(bing)(bing)(bing)(bing)人(ren)(ren),需作(zuo)直(zhi)(zhi)腸指(zhi)診,可(ke)(ke)(ke)(ke)觸到前(qian)(qian)(qian)(qian)(qian)(qian)(qian)(qian)(qian)列(lie)(lie)(lie)(lie)(lie)(lie)腺(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)腫(zhong)(zhong)(zhong)大(da)(da)(da),表面光(guang)滑、張(zhang)力(li)大(da)(da)(da)、且(qie)(qie)有(you)(you)(you)(you)(you)明顯(xian)壓痛(tong)(tong)。急(ji)(ji)(ji)(ji)性(xing)(xing)(xing)(xing)(xing)(xing)(xing)前(qian)(qian)(qian)(qian)(qian)(qian)(qian)(qian)(qian)列(lie)(lie)(lie)(lie)(lie)(lie)腺(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)炎(yan)(yan)(yan)(yan)(yan)僅可(ke)(ke)(ke)(ke)作(zuo)指(zhi)診檢(jian)(jian)查,切(qie)勿(wu)行前(qian)(qian)(qian)(qian)(qian)(qian)(qian)(qian)(qian)列(lie)(lie)(lie)(lie)(lie)(lie)腺(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)按(an)摩(mo),以(yi)(yi)防炎(yan)(yan)(yan)(yan)(yan)癥(zheng)(zheng)擴散(san)。尿(niao)(niao)(niao)(niao)(niao)(niao)(niao)液(ye)(ye)(ye)檢(jian)(jian)查可(ke)(ke)(ke)(ke)見(jian)膿細胞、紅(hong)細胞,B超(chao)檢(jian)(jian)查亦有(you)(you)(you)(you)(you)助(zhu)于(yu)診斷(duan)。 2.慢(man)(man)性(xing)(xing)(xing)(xing)(xing)(xing)(xing)前(qian)(qian)(qian)(qian)(qian)(qian)(qian)(qian)(qian)列(lie)(lie)(lie)(lie)(lie)(lie)腺(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)炎(yan)(yan)(yan)(yan)(yan)診斷(duan): 對(dui)有(you)(you)(you)(you)(you)上(shang)述(shu)癥(zheng)(zheng)狀(zhuang)(zhuang)(zhuang)其(qi)中(zhong)(zhong)一(yi)項或(huo)(huo)(huo)(huo)幾項者(zhe),作(zuo)直(zhi)(zhi)腸指(zhi)診觸及(ji)前(qian)(qian)(qian)(qian)(qian)(qian)(qian)(qian)(qian)列(lie)(lie)(lie)(lie)(lie)(lie)腺(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)按(an)摩(mo)。尿(niao)(niao)(niao)(niao)(niao)(niao)(niao)液(ye)(ye)(ye)和前(qian)(qian)(qian)(qian)(qian)(qian)(qian)(qian)(qian)列(lie)(lie)(lie)(lie)(lie)(lie)腺(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)液(ye)(ye)(ye)分(fen)(fen)(fen)段(duan)定位培(pei)養(yang)用(yong)于(yu)慢(man)(man)性(xing)(xing)(xing)(xing)(xing)(xing)(xing)前(qian)(qian)(qian)(qian)(qian)(qian)(qian)(qian)(qian)列(lie)(lie)(lie)(lie)(lie)(lie)腺(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)炎(yan)(yan)(yan)(yan)(yan)的(de)(de)診斷(duan),也(ye)有(you)(you)(you)(you)(you)一(yi)定價值。 慢(man)(man)性(xing)(xing)(xing)(xing)(xing)(xing)(xing)前(qian)(qian)(qian)(qian)(qian)(qian)(qian)(qian)(qian)列(lie)(lie)(lie)(lie)(lie)(lie)腺(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)炎(yan)(yan)(yan)(yan)(yan)時(shi)(shi)(shi)前(qian)(qian)(qian)(qian)(qian)(qian)(qian)(qian)(qian)列(lie)(lie)(lie)(lie)(lie)(lie)腺(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)液(ye)(ye)(ye)pH增高、鋅含(han)量降低,對(dui)診斷(duan)也(ye)有(you)(you)(you)(you)(you)一(yi)定幫助(zhu)。 治(zhi)(zhi)療(liao)(liao)(liao)(liao)(liao) 1.急(ji)(ji)(ji)(ji)性(xing)(xing)(xing)(xing)(xing)(xing)(xing)前(qian)(qian)(qian)(qian)(qian)(qian)(qian)(qian)(qian)列(lie)(lie)(lie)(lie)(lie)(lie)腺(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)炎(yan)(yan)(yan)(yan)(yan)治(zhi)(zhi)療(liao)(liao)(liao)(liao)(liao): 病(bing)(bing)(bing)(bing)人(ren)(ren)應(ying)臥床(chuang)(chuang)(chuang)休(xiu)息(xi)、多(duo)(duo)飲水(shui)以(yi)(yi)及(ji)通便等一(yi)般處理(li)。膀(bang)胱刺激(ji)癥(zheng)(zheng)狀(zhuang)(zhuang)(zhuang)嚴(yan)重(zhong)者(zhe)可(ke)(ke)(ke)(ke)給鎮痛(tong)(tong)解(jie)(jie)痙藥(yao)(yao)物(wu)(wu)(wu)(wu)(wu)和熱水(shui)坐浴(yu)以(yi)(yi)緩解(jie)(jie)癥(zheng)(zheng)狀(zhuang)(zhuang)(zhuang)。抗(kang)(kang)菌(jun)藥(yao)(yao)物(wu)(wu)(wu)(wu)(wu)可(ke)(ke)(ke)(ke)選用(yong)青霉(mei)(mei)素(su)(su)、氨芐(xia)青霉(mei)(mei)素(su)(su)、先鋒霉(mei)(mei)素(su)(su)以(yi)(yi)及(ji)西力(li)欣等。 急(ji)(ji)(ji)(ji)性(xing)(xing)(xing)(xing)(xing)(xing)(xing)前(qian)(qian)(qian)(qian)(qian)(qian)(qian)(qian)(qian)列(lie)(lie)(lie)(lie)(lie)(lie)腺(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)炎(yan)(yan)(yan)(yan)(yan)經(jing)一(yi)般對(dui)癥(zheng)(zheng)處理(li)及(ji)抗(kang)(kang)炎(yan)(yan)(yan)(yan)(yan)治(zhi)(zhi)療(liao)(liao)(liao)(liao)(liao)后,癥(zheng)(zheng)狀(zhuang)(zhuang)(zhuang)常(chang)(chang)(chang)于(yu)1~2周內(nei)消(xiao)(xiao)退。如癥(zheng)(zheng)狀(zhuang)(zhuang)(zhuang)不(bu)(bu)見(jian)好(hao)轉(zhuan)或(huo)(huo)(huo)(huo)反而加(jia)重(zhong),前(qian)(qian)(qian)(qian)(qian)(qian)(qian)(qian)(qian)列(lie)(lie)(lie)(lie)(lie)(lie)腺(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)肛指(zhi)檢(jian)(jian)查觸診更(geng)為(wei)(wei)(wei)腫(zhong)(zhong)(zhong)脹且(qie)(qie)有(you)(you)(you)(you)(you)波動,B超(chao)檢(jian)(jian)查可(ke)(ke)(ke)(ke)見(jian)膿腫(zhong)(zhong)(zhong)形成(cheng),經(jing)會(hui)陰(yin)(yin)穿刺抽(chou)出(chu)(chu)膿液(ye)(ye)(ye)者(zhe),應(ying)經(jing)會(hui)陰(yin)(yin)部(bu)(bu)(bu)(bu)行膿腫(zhong)(zhong)(zhong)切(qie)開引(yin)流(liu)。 2.慢(man)(man)性(xing)(xing)(xing)(xing)(xing)(xing)(xing)前(qian)(qian)(qian)(qian)(qian)(qian)(qian)(qian)(qian)列(lie)(lie)(lie)(lie)(lie)(lie)腺(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)炎(yan)(yan)(yan)(yan)(yan)治(zhi)(zhi)療(liao)(liao)(liao)(liao)(liao): 1.一(yi)般治(zhi)(zhi)療(liao)(liao)(liao)(liao)(liao):增強信(xin)心(xin),消(xiao)(xiao)除(chu)思想(xiang)(xiang)顧慮,節(jie)制性(xing)(xing)(xing)(xing)(xing)(xing)(xing)欲,但不(bu)(bu)宜(yi)強制性(xing)(xing)(xing)(xing)(xing)(xing)(xing)禁(jin)欲。宜(yi)忌酒及(ji)刺激(ji)性(xing)(xing)(xing)(xing)(xing)(xing)(xing)食物(wu)(wu)(wu)(wu)(wu),熱水(shui)坐浴(yu)每(mei)晚1次(ci)(ci),局部(bu)(bu)(bu)(bu)理(li)療(liao)(liao)(liao)(liao)(liao),改變生活中(zhong)(zhong)明顯(xian)的(de)(de)誘發(fa)因(yin)素(su)(su)如避免長(chang)時(shi)(shi)(shi)間騎車等。 2.前(qian)(qian)(qian)(qian)(qian)(qian)(qian)(qian)(qian)列(lie)(lie)(lie)(lie)(lie)(lie)腺(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)按(an)摩(mo):定期行前(qian)(qian)(qian)(qian)(qian)(qian)(qian)(qian)(qian)列(lie)(lie)(lie)(lie)(lie)(lie)腺(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)按(an)摩(mo),可(ke)(ke)(ke)(ke)促使(shi)前(qian)(qian)(qian)(qian)(qian)(qian)(qian)(qian)(qian)列(lie)(lie)(lie)(lie)(lie)(lie)腺(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)炎(yan)(yan)(yan)(yan)(yan)性(xing)(xing)(xing)(xing)(xing)(xing)(xing)分(fen)(fen)(fen)泌物(wu)(wu)(wu)(wu)(wu)的(de)(de)排(pai)(pai)(pai)了(le),每(mei)周一(yi)次(ci)(ci),同(tong)時(shi)(shi)(shi)還可(ke)(ke)(ke)(ke)進(jin)行前(qian)(qian)(qian)(qian)(qian)(qian)(qian)(qian)(qian)列(lie)(lie)(lie)(lie)(lie)(lie)腺(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)液(ye)(ye)(ye)的(de)(de)常(chang)(chang)(chang)規(gui)檢(jian)(jian)查,以(yi)(yi)評價治(zhi)(zhi)療(liao)(liao)(liao)(liao)(liao)效(xiao)果。 3.藥(yao)(yao)物(wu)(wu)(wu)(wu)(wu)灌(guan)注:經(jing)尿(niao)(niao)(niao)(niao)(niao)(niao)(niao)道(dao)(dao)(dao)插(cha)入(ru)特制的(de)(de)氣囊尿(niao)(niao)(niao)(niao)(niao)(niao)(niao)管,向(xiang)前(qian)(qian)(qian)(qian)(qian)(qian)(qian)(qian)(qian)列(lie)(lie)(lie)(lie)(lie)(lie)腺(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)尿(niao)(niao)(niao)(niao)(niao)(niao)(niao)道(dao)(dao)(dao)部(bu)(bu)(bu)(bu)注入(ru)無菌(jun)生理(li)鹽水(shui)并抽(chou)吸數(shu)(shu)(shu)次(ci)(ci),吸凈膿性(xing)(xing)(xing)(xing)(xing)(xing)(xing)分(fen)(fen)(fen)泌物(wu)(wu)(wu)(wu)(wu),再(zai)注入(ru)抗(kang)(kang)菌(jun)素(su)(su),每(mei)周一(yi)次(ci)(ci)。 4.尿(niao)(niao)(niao)(niao)(niao)(niao)(niao)道(dao)(dao)(dao)擴張(zhang):對(dui)尿(niao)(niao)(niao)(niao)(niao)(niao)(niao)道(dao)(dao)(dao)狹窄或(huo)(huo)(huo)(huo)不(bu)(bu)通暢者(zhe)定期尿(niao)(niao)(niao)(niao)(niao)(niao)(niao)擴以(yi)(yi)利(li)排(pai)(pai)(pai)泄,且(qie)(qie)在(zai)探條通過尿(niao)(niao)(niao)(niao)(niao)(niao)(niao)道(dao)(dao)(dao)時(shi)(shi)(shi),可(ke)(ke)(ke)(ke)拉長(chang)前(qian)(qian)(qian)(qian)(qian)(qian)(qian)(qian)(qian)列(lie)(lie)(lie)(lie)(lie)(lie)腺(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)開口(kou),有(you)(you)(you)(you)(you)利(li)于(yu)腺(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)體引(yin)流(liu)。 5.前(qian)(qian)(qian)(qian)(qian)(qian)(qian)(qian)(qian)列(lie)(lie)(lie)(lie)(lie)(lie)腺(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)周圍封(feng)閉(bi): 6.抗(kang)(kang)菌(jun)藥(yao)(yao)物(wu)(wu)(wu)(wu)(wu):一(yi)般的(de)(de)抗(kang)(kang)菌(jun)藥(yao)(yao)物(wu)(wu)(wu)(wu)(wu)不(bu)(bu)易進(jin)入(ru)前(qian)(qian)(qian)(qian)(qian)(qian)(qian)(qian)(qian)列(lie)(lie)(lie)(lie)(lie)(lie)腺(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)組織(zhi),這也(ye)是臨床(chuang)(chuang)(chuang)上(shang)治(zhi)(zhi)療(liao)(liao)(liao)(liao)(liao)較(jiao)(jiao)為(wei)(wei)(wei)困(kun)難的(de)(de)原因(yin)之一(yi)。可(ke)(ke)(ke)(ke)2~3種(zhong)聯合(he)(he)應(ying)用(yong),或(huo)(huo)(huo)(huo)根據前(qian)(qian)(qian)(qian)(qian)(qian)(qian)(qian)(qian)列(lie)(lie)(lie)(lie)(lie)(lie)腺(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)液(ye)(ye)(ye)細菌(jun)學培(pei)養(yang)及(ji)藥(yao)(yao)物(wu)(wu)(wu)(wu)(wu)敏感(gan)(gan)試驗結(jie)果選擇(ze)性(xing)(xing)(xing)(xing)(xing)(xing)(xing)應(ying)用(yong)。 7.中(zhong)(zhong)醫中(zhong)(zhong)藥(yao)(yao)辯(bian)證施治(zhi)(zhi)。
病情分(fen)析:前列(lie)腺(xian)(xian)(xian)炎(yan)是多種復雜原(yuan)因和(he)(he)誘因引起的(de)前列(lie)腺(xian)(xian)(xian)的(de)炎(yan)癥(zheng)(zheng)、免(mian)疫、神經(jing)內(nei)分(fen)泌參與的(de)錯(cuo)綜的(de)病理變化,導致以尿道刺激(ji)癥(zheng)(zheng)狀和(he)(he)慢性盆腔疼(teng)痛為(wei)(wei)主要臨床表(biao)現的(de)疾病。前列(lie)腺(xian)(xian)(xian)炎(yan)的(de)臨床表(biao)現多樣化,可(ke)出現會(hui)陰、恥(chi)骨上區(qu)、腹股溝區(qu)、生殖(zhi)器疼(teng)痛不適;尿道癥(zheng)(zheng)狀為(wei)(wei)排尿時有燒灼(zhuo)感、尿急、尿頻(pin)、排尿疼(teng)痛,可(ke)伴(ban)有排尿終(zhong)末(mo)血尿或(huo)尿道膿(nong)性分(fen)泌物(wu)。 意見建議:前列(lie)腺(xian)(xian)(xian)炎(yan)可(ke)以影響各個年齡(ling)段的(de)成年男性,50歲以下的(de)成年男性患病率較高(gao)。
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