As we all know, Polycystic Kidney Disease (PKD) has become one of the most
life-threatening disease all over the world. Why this disease is so dangerous?
It is not just because this disease is a type of genetic disease. There is
another reason that, with the enlargement of cysts, there will be various
complications of this disease. Then how can we treat complications of Polycystic
Kidney Disease?
First, general treatment method: most PKD patients don’t need to change
lifestyle or limit their activities. Patients with obvious kidney enlargement
should prevent abdominal injury in order to avoid rupture of cysts. Patients in
Uremia stage of Renal Failure should be treated according to corresponding
treatment principles.
Second, dialysis and kidney transplant: When the disease progresses into the
end stage of Renal Failure, patients should accept dialysis and the priority is
hemodialysis. The survival rate of kidney transplant for patients with this
disease is similar to that of other diseases. However, due to the complications
of this disease, prognosis will be affected.
Third, cyst decortication: This operation can lighten the compression of
cysts to renal parenchyma so as to protect most of the remaining kidney units
from compression and further damage. It can also improve renal ischemia state so
that partial kidney units can be recovered and the disease can be slowed down.
The earlier to have the operation, the better the treatment effect is. Cyst
decompression must do thoroughly; small cysts and cysts in deep must be
involved. Operation should apply to bilateral kidneys. In general, the interval
is more than half year. If patients are in Azotemia Period or Uremia Period,
whether it is accompanied with high blood pressure, this operation has no
meaning instead the operation can aggravate the disease.
Forth, Treatment method for upper urinary tract calculus: According to the
position and size of calculus of urinary tract, treat this complication with the
principle of treating urinary tract calculus.
Fifth, Treatment method for high blood pressure: renal ischemia and
activation of renin, angiotensin and aldosterone are the main reasons causing
high blood pressure. Therefore, we should choose hypotensive drugs according to
the causes.
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