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How to control polycystic kidney disease

2017-03-01 11:54

Polycystic kidney disease is a common disease in kidney disease, the incidence of this disease increased significantly, so people are very concerned about the harm, polycystic kidney is relatively large, especially the complications, so many patients and friends want to know how to control the polycystic kidney complications, here is the introduction of the expert:

1, pain in some patients with pain as a transient, can be observed. If the pain persists or heavier to painkillers, but generally poor analgesic effect. If the pain is severe, and the influence of life of the patients can not relieve analgesics, can consider surgery.

2, bleeding has 3 kinds of situations: first, cystic hemorrhage, patients with sudden pain, but no gross hematuria. Two is the cyst bleeding and urinary tract bleeding through, to a certain extent is broken into the urinary tract, excreted, hematuria; three renal subcapsular hemorrhage volume, no hematuria, blood pressure decreased. In addition to the positive for reasons such as hematuria cyst enlargement, hypertension, urinary tract and urinary calculi treatment, bed rest is very important, not commonly used hemostatic effect, and even the formation of blood clots, cause urinary tract obstruction or infection. A very small number of patients with a large amount of bleeding need transfusion therapy. If the patients with hemodialysis have recurrent hematuria, they should be treated with small molecule or without heparin. For patients with massive bleeding and ineffective medical treatment, angiography may be considered carefully, and selective renal artery embolization or nephrectomy should be performed.

3, hypertension is one of the common complications of ADPKD, is also one of the factors contributing to the deterioration of renal function. Strict control of blood pressure can delay the decline of renal function, reduce mortality, target value of 130/80mmHg. The early stage of hypertension should be limited to salt (2-4g/d), maintain proper weight and exercise. ACEI, ARB and calcium channel blockers for drug therapy. For patients with high blood pressure that can not be controlled by drugs, it is necessary to consider the operation of cyst decompression, renal artery embolization or nephrectomy.

4, infection: urinary tract and cyst infection is a common complication. Water soluble antibiotics are filtered through the glomerular filtration, the proximal tubule, and the fat soluble antibiotics through the capsule wall. Therefore, the use of water-soluble and fat soluble antibiotics. As soon as possible to carry out pathogenic bacteria culture, the use of sensitive antibiotics, can get good effect. Treatment for 1-2 weeks, for renal cyst infection need a longer course of treatment.


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