Maladie clinic\u0103 evident\u0103 ce implic\u0103 inflama\u0163ia, sau infec\u0163ia localizat\u0103 la nivelul prostatei .
\nAgen\u0163ii etiologici: bacteriile Gram negative \u2013 E. Coli (65 % -85%):<\/p>\n
– Pseudomonas Aeruginosae
\n– Serratia
\n– Klebsiella
\n– Enterobacter<\/p>\n
Factorii de risc ce permit bacteriilor patogene s\u0103 colonizeze prostata:
\n– Fimoza;
\n– Disfunc\u0163ii ale mic\u0163iunii \u2013 obstructive, iritative, neurologice;
\n– Infec\u0163ii urinare netratate;
\n– Cateterizare intermitent\u0103;
\n– Infec\u0163ii chirurgicale transuretrale.<\/p>\n
\u00cen functie de debutul simptomatologiei se clasific\u0103 \u00een 2 forme:
\n– Acut\u0103;
\n– Cronic\u0103 (debut cu peste 3 luni \u00een urm\u0103).<\/p>\n
ACUZE ALE PACIENTULUI:<\/p>\n
– Urin\u0103ri frecvente;
\n– Usturimi mic\u0163ionale;
\n– Jet urinar slab, \u00eentrerupt;
\n– Febra, frisoane;
\n– Reten\u0163ie acut\u0103 de urin\u0103;
\n– Dureri \u00een timpul mic\u0163iunii cu iradiere \u00een organele genitale externe, perineu.<\/p>\n
Diagnostic paraclinic:<\/p>\n
– Urocultura;
\n– Cultura din secretia uretral\u0103;
\n– Spermocultura;
\n– Hemoleucograma;
\n– Proteina C reactiv\u0103;
\n– Procalcitonina.<\/p>\n
Tratamentul:
\nIni\u0163ierea antibioterapiei este crucial\u0103 \u00een evolu\u0163ia bolii, fiind necesar\u0103 antibioterapie empiric\u0103 p\u00e2n\u0103 la apari\u0163ia rezultatelor culturilor
\nbioumorale (urocultura, secre\u0163ie uretral\u0103, spermocultura).
\nTERAPIA ASOCIATA CU ALFA – BLOCAN\u0162I \u2013 \u00eembun\u0103t\u0103\u0163e\u015fte fluxul urinar, reduce obstruc\u0163ia subvezical\u0103 \u015fi diminueaz\u0103 refluxul ductal
\nintraprostatic.
\nDE RE\u0162INUT:
\nDin populatia masculin\u0103 de peste 20 ani 2-12% pot avea simptomatologie specific\u0103 prostatitei, iar \u00eentre 9-16% dintre b\u0103rba\u0163i primesc
\nacest diagnostic de-a lungul vie\u0163ii.
\nEvaluarea pacien\u0163ilor include obligatoriu anamneza, examen fizic complet \u015fi local al prostatei, sumar de urin\u0103 \u015fi urocultura.
\nTratamentul este prin excelen\u0163\u0103 antibiotic, \u00een func\u0163ie de categorie \u015fi de simptomatologia pacientului se poate asocia alfa – blocante,
\nantiinflamatorii.<\/p>\n","protected":false},"excerpt":{"rendered":"