Tuesday, December 22, 2015

The Complications of PKD

In the event of polycystic kidney disease, if there is no timely treatment or improper treatment, can cause a series of complications at this time, should be timely treatment of complications, the main treatment methods are the following.

A cyst decortication: This surgery reduces the cysts of the renal parenchyma of oppression, the majority of the remaining nephrons protection against extrusion and further damage, renal ischemia situation has improved, and some renal units have been restored, delaying the progression of the disease. The key to successful operation is an operation as soon as possible, cyst decompression must be thoroughly, do not give small cysts and deep cyst decompression. Bilateral should surgery, general surgery bilateral interval of six months or more. Advanced cases such as existing renal impairment in azotemia, uremia, whether or not associated with high blood pressure, reduced pressure treatment has been meaningless, surgery to combat anti may be worse.

Second, the treatment of hematuria: hematuria when, in addition to a clear reason given treatment as soon as possible, but should reduce activity or bed rest. Dialysis or dialysis patients has been forthcoming, such as severe recurrent hematuria can not control, consider using transcatheter renal artery embolization.

Third, the general treatment: Most patients do not have to change the way of life and limit activities. Renal significantly enlarged, it should pay attention to prevent abdominal injury, avoid cyst rupture. When the patient is in renal failure and uremia, treatment principles should be treated accordingly.

Fourth, the treatment of hypertension: renal ischemia and renin - angiotensin - aldosterone system activation, is the main cause of hypertension, antihypertensive drugs should so choose.

Fifth, Dialysis and Transplantation: to end stage renal failure, dialysis treatment should be immediately in order to preferred hemodialysis. Polycystic kidney transplant survival rates and other reasons, the treatments were similar, but also associated with the disease, increasing the difficulty of postoperative treatment, affecting transplantation.

CONSOLIDATED upper urinary tract calculi treatment: according to location and size of the stones by principles of treatment of urinary tract stones.

Seven infection treatment: renal parenchymal infection and cyst infection is a major complication of the disease, the general principle of joint use of antibiotics.

Eight, traditional Chinese medicine: It has been reported using Onyang kidney, spleen and water treatment principles achieved a certain effect, delaying the process.

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