前列腺炎的分類及檢查你了解過嗎,一起來看看吧
對(dui)于很多人來說,前列腺(xian)并不是一個陌生(sheng)的(de)(de)詞匯,但關于前列腺(xian)疾病(bing),就知之甚(shen)少了(le),據調查研(yan)究顯示,前列腺(xian)疾病(bing)在男(nan)(nan)性(xing)中的(de)(de)發病(bing)率高居不下(xia),一直困擾廣(guang)大男(nan)(nan)性(xing)的(de)(de)健康,那么關于前列腺(xian)你應該知道什么,前列腺(xian)疾病(bing)又如何治療,快來看看下(xia)面這篇文章。
前(qian)列腺疾病之前(qian)列腺炎
前(qian)(qian)列腺炎(yan)是(shi)(shi)一(yi)組(zu)疾病(bing),是(shi)(shi)前(qian)(qian)列腺特(te)異(yi)性或(huo)非特(te)異(yi)感染性所致的急慢性炎(yan)癥(zheng),從(cong)而引(yin)起的全身或(huo)局部癥(zheng)狀(zhuang)。前(qian)(qian)列腺炎(yan)是(shi)(shi)成(cheng)年男(nan)性的常(chang)見病(bing)之一(yi),尤其(qi)(qi)是(shi)(shi)50歲以下的男(nan)性,有(you)統計資料(liao)顯示大約有(you)50%的成(cheng)年男(nan)性在一(yi)生中的某個階段會受到前(qian)(qian)列腺炎(yan),尤其(qi)(qi)慢性前(qian)(qian)列腺炎(yan)的影(ying)響。
前列腺炎(yan)的分類、檢查(cha)和診斷(duan)
前(qian)(qian)(qian)(qian)(qian)(qian)(qian)列(lie)(lie)(lie)(lie)(lie)(lie)(lie)腺(xian)(xian)(xian)(xian)(xian)(xian)(xian)炎(yan)(yan)概(gai)念和(he)分(fen)類是一(yi)個密不(bu)(bu)可分(fen)的(de)統一(yi)體。根據(ju)(ju)病(bing)原菌(jun)的(de)有(you)(you)(you)無、病(bing)程的(de)長短、癥(zheng)狀特點,分(fen)為I型(xing)(xing)(xing)(xing)(急性(xing)細(xi)(xi)菌(jun)性(xing)前(qian)(qian)(qian)(qian)(qian)(qian)(qian)列(lie)(lie)(lie)(lie)(lie)(lie)(lie)腺(xian)(xian)(xian)(xian)(xian)(xian)(xian)炎(yan)(yan))、II型(xing)(xing)(xing)(xing)(慢(man)性(xing)細(xi)(xi)菌(jun)性(xing)前(qian)(qian)(qian)(qian)(qian)(qian)(qian)列(lie)(lie)(lie)(lie)(lie)(lie)(lie)腺(xian)(xian)(xian)(xian)(xian)(xian)(xian)炎(yan)(yan))、III型(xing)(xing)(xing)(xing)(慢(man)性(xing)前(qian)(qian)(qian)(qian)(qian)(qian)(qian)列(lie)(lie)(lie)(lie)(lie)(lie)(lie)腺(xian)(xian)(xian)(xian)(xian)(xian)(xian)炎(yan)(yan)/慢(man)性(xing)盆腔(qiang)(qiang)疼痛綜合(he)征)、IV型(xing)(xing)(xing)(xing)(無癥(zheng)狀性(xing)前(qian)(qian)(qian)(qian)(qian)(qian)(qian)列(lie)(lie)(lie)(lie)(lie)(lie)(lie)腺(xian)(xian)(xian)(xian)(xian)(xian)(xian)炎(yan)(yan))等(deng)四種類型(xing)(xing)(xing)(xing)。其中慢(man)性(xing)前(qian)(qian)(qian)(qian)(qian)(qian)(qian)列(lie)(lie)(lie)(lie)(lie)(lie)(lie)腺(xian)(xian)(xian)(xian)(xian)(xian)(xian)炎(yan)(yan)/慢(man)性(xing)盆腔(qiang)(qiang)疼痛綜合(he)征是較常(chang)(chang)見的(de)類型(xing)(xing)(xing)(xing),約占前(qian)(qian)(qian)(qian)(qian)(qian)(qian)列(lie)(lie)(lie)(lie)(lie)(lie)(lie)腺(xian)(xian)(xian)(xian)(xian)(xian)(xian)炎(yan)(yan)的(de)90%以上。由(you)(you)于(yu)分(fen)型(xing)(xing)(xing)(xing)不(bu)(bu)同,治療(liao)方法也不(bu)(bu)同,所以需要(yao)(yao)(yao)對前(qian)(qian)(qian)(qian)(qian)(qian)(qian)列(lie)(lie)(lie)(lie)(lie)(lie)(lie)腺(xian)(xian)(xian)(xian)(xian)(xian)(xian)炎(yan)(yan)做(zuo)(zuo)(zuo)(zuo)分(fen)型(xing)(xing)(xing)(xing)。對于(yu)I型(xing)(xing)(xing)(xing)前(qian)(qian)(qian)(qian)(qian)(qian)(qian)列(lie)(lie)(lie)(lie)(lie)(lie)(lie)腺(xian)(xian)(xian)(xian)(xian)(xian)(xian)炎(yan)(yan)需要(yao)(yao)(yao)做(zuo)(zuo)(zuo)(zuo)尿常(chang)(chang)規、血液(ye)(ye)(ye)(ye)和(he)(或(huo)(huo)(huo)(huo))尿液(ye)(ye)(ye)(ye)細(xi)(xi)菌(jun)培養(yang)(yang),對II、III、IV型(xing)(xing)(xing)(xing)需要(yao)(yao)(yao)做(zuo)(zuo)(zuo)(zuo)前(qian)(qian)(qian)(qian)(qian)(qian)(qian)列(lie)(lie)(lie)(lie)(lie)(lie)(lie)腺(xian)(xian)(xian)(xian)(xian)(xian)(xian)液(ye)(ye)(ye)(ye)或(huo)(huo)(huo)(huo)的(de)常(chang)(chang)規檢查(cha)及(ji)細(xi)(xi)菌(jun)培養(yang)(yang)。II型(xing)(xing)(xing)(xing)前(qian)(qian)(qian)(qian)(qian)(qian)(qian)列(lie)(lie)(lie)(lie)(lie)(lie)(lie)腺(xian)(xian)(xian)(xian)(xian)(xian)(xian)液(ye)(ye)(ye)(ye)或(huo)(huo)(huo)(huo)中白(bai)細(xi)(xi)胞數量升高,細(xi)(xi)菌(jun)培養(yang)(yang)陽性(xing);III型(xing)(xing)(xing)(xing)前(qian)(qian)(qian)(qian)(qian)(qian)(qian)列(lie)(lie)(lie)(lie)(lie)(lie)(lie)腺(xian)(xian)(xian)(xian)(xian)(xian)(xian)液(ye)(ye)(ye)(ye)或(huo)(huo)(huo)(huo)的(de)細(xi)(xi)菌(jun)培養(yang)(yang)陰性(xing),III型(xing)(xing)(xing)(xing)根據(ju)(ju)前(qian)(qian)(qian)(qian)(qian)(qian)(qian)列(lie)(lie)(lie)(lie)(lie)(lie)(lie)腺(xian)(xian)(xian)(xian)(xian)(xian)(xian)液(ye)(ye)(ye)(ye)或(huo)(huo)(huo)(huo)常(chang)(chang)見檢查(cha)結果又可分(fen)為IIIA型(xing)(xing)(xing)(xing)及(ji)IIIB型(xing)(xing)(xing)(xing),IIIA型(xing)(xing)(xing)(xing)前(qian)(qian)(qian)(qian)(qian)(qian)(qian)列(lie)(lie)(lie)(lie)(lie)(lie)(lie)腺(xian)(xian)(xian)(xian)(xian)(xian)(xian)液(ye)(ye)(ye)(ye)或(huo)(huo)(huo)(huo)中白(bai)細(xi)(xi)胞數量升高,IIIB型(xing)(xing)(xing)(xing)前(qian)(qian)(qian)(qian)(qian)(qian)(qian)列(lie)(lie)(lie)(lie)(lie)(lie)(lie)腺(xian)(xian)(xian)(xian)(xian)(xian)(xian)液(ye)(ye)(ye)(ye)或(huo)(huo)(huo)(huo)中白(bai)細(xi)(xi)胞數量在正(zheng)常(chang)(chang)范(fan)圍(wei)。IV型(xing)(xing)(xing)(xing)前(qian)(qian)(qian)(qian)(qian)(qian)(qian)列(lie)(lie)(lie)(lie)(lie)(lie)(lie)腺(xian)(xian)(xian)(xian)(xian)(xian)(xian)炎(yan)(yan)無主觀(guan)癥(zheng)狀,僅在有(you)(you)(you)關前(qian)(qian)(qian)(qian)(qian)(qian)(qian)列(lie)(lie)(lie)(lie)(lie)(lie)(lie)腺(xian)(xian)(xian)(xian)(xian)(xian)(xian)方面的(de)檢查(cha)時(shi)發現炎(yan)(yan)癥(zheng)證據(ju)(ju),如(ru)前(qian)(qian)(qian)(qian)(qian)(qian)(qian)列(lie)(lie)(lie)(lie)(lie)(lie)(lie)腺(xian)(xian)(xian)(xian)(xian)(xian)(xian)液(ye)(ye)(ye)(ye)、、前(qian)(qian)(qian)(qian)(qian)(qian)(qian)列(lie)(lie)(lie)(lie)(lie)(lie)(lie)腺(xian)(xian)(xian)(xian)(xian)(xian)(xian)組織活檢等(deng)。由(you)(you)于(yu)IV型(xing)(xing)(xing)(xing)前(qian)(qian)(qian)(qian)(qian)(qian)(qian)列(lie)(lie)(lie)(lie)(lie)(lie)(lie)腺(xian)(xian)(xian)(xian)(xian)(xian)(xian)炎(yan)(yan)病(bing)人(ren)無癥(zheng)狀,病(bing)人(ren)不(bu)(bu)會主動(dong)就(jiu)診(zhen),但前(qian)(qian)(qian)(qian)(qian)(qian)(qian)列(lie)(lie)(lie)(lie)(lie)(lie)(lie)腺(xian)(xian)(xian)(xian)(xian)(xian)(xian)炎(yan)(yan)對男性(xing)生育有(you)(you)(you)一(yi)定影(ying)響,患有(you)(you)(you)男性(xing)不(bu)(bu)育癥(zheng)或(huo)(huo)(huo)(huo)精子參(can)數異常(chang)(chang)時(shi)即使沒有(you)(you)(you)任何癥(zheng)狀,也需要(yao)(yao)(yao)做(zuo)(zuo)(zuo)(zuo)前(qian)(qian)(qian)(qian)(qian)(qian)(qian)列(lie)(lie)(lie)(lie)(lie)(lie)(lie)腺(xian)(xian)(xian)(xian)(xian)(xian)(xian)液(ye)(ye)(ye)(ye)或(huo)(huo)(huo)(huo)常(chang)(chang)見檢查(cha)及(ji)細(xi)(xi)菌(jun)培養(yang)(yang)。(以上內容概(gai)括在下面表格(ge)中)
目前,診(zhen)斷前列(lie)腺炎主(zhu)要依(yi)靠病史(shi),體(ti)格(ge)檢(jian)查(包括直腸指(zhi)診(zhen)),尿(niao)液(ye)和前列(lie)腺推拿液(ye)常規檢(jian)查和細菌培養(yang),應用美(mei)國(guo)國(guo)立衛生研究院(yuan)慢性前列(lie)腺炎癥狀指(zhi)數(NIH-CPSI)評價疼(teng)痛和尿(niao)路癥狀以及對生活質(zhi)量的(de)影(ying)響,通(tong)過“兩杯法”進行病原體(ti)定(ding)位試驗,如有必要進一步行分析及病原體(ti)培養(yang)、經(jing)直腸B超、殘余尿(niao)、尿(niao)流率、尿(niao)動力學、尿(niao)道膀胱鏡檢(jian)查等。
通過上文,為大家介紹了(le)前列腺(xian)炎(yan)及其分類、檢(jian)查和診斷,相(xiang)信大家對前列腺(xian)的相(xiang)關知識一定有(you)了(le)更加深刻的了(le)解,如果您也(ye)在被前列腺(xian)疾病(bing)所困擾,請及時就醫,采取專業(ye)的治療手法(fa),除此之外,患(huan)者還(huan)應該增強(qiang)鍛煉,多食用瓜(gua)果蔬菜(cai),長(chang)此以往,對身(shen)體素質有(you)益,前列腺(xian)炎(yan)的康復起來也(ye)會有(you)很大益處。