Showing posts with label pkd complications. Show all posts
Showing posts with label pkd complications. Show all posts

2012-08-02

Complications of Polycystic Kidney Disease

Polycystic kidney disease is a hereditary kidney disease due to multiple cysts in the cortex and medulla of the kidney, polycystic kidney disease is a result in many complications of the disease, disease treatment is very difficult in advance to detect the disease early treatment conducive to control the disease, polycystic kidney disease What are the common complications? listen to the introduction of the kidney specialists.
For many people who have polycystic kidney disease family history, it is necessary to know what are about the disease's complications. Understanding of this area, so that future in the face of this disease, better treatment, allowing the disease to get better control.
First of all, presumably a lot of people have polycystic kidney disease is a hereditary kidney disease, polycystic kidney complications is one of the most concern. Mainly the performance of multiple or numerous sizes fluid cysts in both kidneys. Deepening understanding of the scientific progress of this disease, the prognosis is significantly improved. The course of treatment often polycystic kidney complications. That polycystic kidney complications, what does?
1, the cyst infection: general many cases can cause kidney pain and tenderness, and fever. To identify this disease infection or pyelonephritis is not easily line gallium scan photography would be helpful at this time.

Hematuria: there is this aspect, but very few cases, there may be activities persistence of gross hematuria, and even life-threatening.
3, high blood pressure or repeated urinary tract infections and other complications, also need attention.
4, kidney stones: Under normal circumstances, the polycystic kidney back pain is generally dull prompted concurrent kidney stones, cramps and accompanied by gross hematuria.
Cerebral arterial circle Angioma: Under normal circumstances, we need to know complicated by the vascular tumor by 10% to 40%, often due to vascular aneurysm, cerebral hemorrhage further examination was found. In addition, the thoracic aortic aneurysm and valvular heart disease (such as valvular regurgitation and prolapse) are more common. May be associated with portal hypertension and alveolar dysplasia in infantile polycystic kidney disease.
6, multiple cysts of other organs: experts say, middle age found in polycystic kidney disease patients, about half have polycystic liver disease after the age of 60, about 70%. Is generally believed that their development is slower, and more about polycystic kidney disease 10 years later. The cyst expansion is made by the lost bile duct. In addition, pancreas and ovaries may be complicated by the cyst, colonic diverticulitis complicated by a higher rate.
Pyelonephritis: In addition to the above, in this regard is also a common complication of polycystic kidney disease, the reason is not clear. The symptoms of pus in urine with little or no. Smear or quantitative culture of diagnosis can be made. Citrate 67Ga scan photography to determine the site of infection, including the location of the abscess.

Treatments for the Complications of Polycystic Kidney Disease

The treatment of polycystic kidney disease complications
A general treatment: most patients do not have to change their lifestyle and activity restriction. Right kidney was swollen, should pay attention to prevent abdominal injuries, and to avoid cyst rupture. When the patient is in renal failure and uremia
Should be treated accordingly principles
2, the cyst to the top decompression: this surgery to alleviate the oppression of the cysts of the renal parenchyma, and to protect the majority of the remaining renal unit from the extrusion and further damage, renal ischemic conditions have improved, some renal units have been restored , delayed development of the disease. The key to successful operation as early as possible to surgery, cyst decompression must be thorough, do not give up a small cyst and deep cyst decompression. Bilateral should be surgery, bilateral surgery time interval of more than six months. Advanced cases, such as existing renal dysfunction in azotemia, uremia, whether or not associated with high blood pressure, decompression therapy is no longer justified, the surgery to combat anti-may aggravate the condition.
3, Chinese medicine treatment: It has been reported Onyang kidney, spleen and Water treatment principles to achieve a certain effect, delaying the process.
4, dialysis and transplantation: enter the end-stage renal failure should be immediately to the dialysis treatment, the preferred hemodialysis. Kidney transplant survival rate of the polycystic kidney disease and other causes similar to the performer, but also diseases associated with increased postoperative processing difficulties, affecting transplantation.
The treatment of hematuria: hematuria, unless treated as soon as possible clear reasons should be reduced activity or bed rest. Dialysis or dialysis patients, such as recurrent severe and beyond the control of hematuria may consider the use of transcatheter renal artery embolization.
6, infection treatment: renal infection and cyst infection is the main complication of this disease, the general principle of combined antibiotics. 7, with upper urinary tract stones treatment: according to stone location and size of urinary tract stones principles of treatment.
8, treatment of hypertension: renal ischemia and renin - angiotensin - aldosterone system activation is the main reason of hypertension, antihypertensive drugs should so choose.