2016年1月19日星期二

What are the common complications of polycystic kidney disease

A common complication of polycystic kidney disease have? Polycystic kidney is covered with large and small throughout the cyst, these cysts increases with age and grow, so will pressure the kidneys, so that the structure of kidney damage, reduce the production of urine The number of renal units, and later kidney damage to persons unable to maintain a normal life, then there will be uremia. Lower back pain, there is a common symptom of kidney stones merge polycystic kidney disease is high blood pressure, hematuria, enlarged kidneys, urinary tract infection, back pain will have a bleeding cyst will lumbago infection, fever, hydronephrosis at will colic, hematuria. Early polycystic kidney disease is mainly symptomatic treatment, control blood pressure and infection, mid possible surgery, surgery can remove a large cyst, mitigate damage to the kidneys, kidney extend the use of time, can only rely on dialysis patients with advanced (such as hemodialysis) to instead of the kidneys to work.

If polycystic kidney dialysis often bleeding, infection, surgery should be removed, as do kidney transplants, it's best to cut. Polycystic kidney disease patients do not usually pay attention to nephrotoxic drugs, drinking water to prevent infection and stones, to prevent the waist by the impact, taking effective antihypertensive drugs, so prolong life kidneys.

Treatment of polycystic kidney complications adopted:

1. General treatment: The majority of 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.

2. 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, partly restored kidney function units , 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.

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

4. 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.

5. 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.

6. infection treatment: renal parenchymal infection and cyst infection is a major complication of the disease, the general principle of combined antibiotics.

7. The combined treatment of upper urinary tract calculi: be treated according to location and size of the stones by urinary calculi treatment principles.

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

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