Post Date December, 03 2023
What are the treatment methods for complications of polycystic kidney disease? Polycystic disease is a hereditary kidney disease that accounts for about 5% to 10% of the total end-stage renal insufficiency. Moreover, polycystic kidney disease is very harmful to patients, seriously harming their physical and mental health.
What are the treatment methods for complications of polycystic kidney disease?
General treatment: Most patients do not need to change their lifestyle and limit their activities. For those with obvious enlargement of the kidney, attention should be paid to preventing abdominal injury to avoid rupture of the cyst. When the patient is in uremia due to renal failure, corresponding treatment principles should be followed.
2. Decompression of cyst: This operation alleviates the compression of cyst on renal parenchyma, protects most remaining renal units from compression and further damage, improves renal ischemia, restores some renal functional units, and delays the development of the disease. The key to successful surgery is to perform surgery as early as possible. Decompression of the cyst must be thorough, and decompression of small and deep cysts must not be abandoned. Both sides should be operated on. Generally, the interval between operations on both sides is more than half a year. In advanced cases, if they have renal function impairment, are in the stage of azotemia or uremia, regardless of whether they are accompanied by hypertension, decompression therapy is no longer meaningful, and surgical strikes can exacerbate the condition.
3. Traditional Chinese medicine treatment: It has been reported that the treatment principles of warming yang, tonifying the kidney, strengthening the spleen, and promoting diuresis have achieved certain efficacy, delaying the process.
4. Dialysis and transplantation: When entering end-stage renal failure, dialysis should be immediately used for treatment, and hemodialysis is the first choice. The survival rate of kidney transplantation for polycystic kidney is similar to that of patients undergoing surgery for other reasons, but due to concomitant diseases, it increases the difficulty of postoperative management and affects the outcome of transplantation.
5. Treatment of hematuria: When hematuria occurs, in addition to clarifying the cause and giving treatment as soon as possible, reduce activity or rest in bed. For patients who have undergone or are about to undergo dialysis and who repeatedly experience severe and uncontrollable hematuria, transcatheter renal artery embolization may be considered.
6. Infection treatment: Renal parenchymal infection and intracystal infection are the main complications of this disease, and the principle is to use antibiotics in combination.
Treatment of upper urinary tract stones: According to the location and size of the stones, treatment should be carried out according to the principle of urinary tract stone treatment.
Treatment of hypertension: Renal ischemia and activation of the renin angiotensin aldosterone system are the main causes of hypertension, and antihypertensive drugs should be selected accordingly.
