For patientts with Polycystic Kidney Disease (PKD), they need different cares
in different stages. And the care to them is directly related with the
progression of treatment. Regard with the clinical care for PKD patients, we
give you instructions as below.
I. Cares to PKD patients who have no renal function damage:
When PKD is figured out in the hospital check-up, doctors is obligatory to
let patients know this disease is a hereditary disease and other related
knowledge. As for PKD patients who are pregnant, they need to take an antenatal
check after pregnancy; patients who have no renal function damage or other
obvious symptoms need to take regular follow-up visit and learn the progression
of renal function; patients should avoid collision and squeeze and do not take
part in severe activities, and they should also prevent Hematuria and urinary
tract infection, take reasonable diet and have a regular life. Besides, it is
also helpful to take proper exercises, combine rest and work, quit smoking and
liquor and handle life and body correctly.
II. Cares to patients who is in renal function compensatory stage
accompanying with Hypertension.
When the disease develops into compensatory stage, accompanying with
Hypertension, patients can take hypotensive agents. Meanwhile, they should take
diet with low salt and low fat, qualified protein. Patients should have more
rest and prevent fatigue, cold, urinary and intestinal tract infection. Besides,
patients should take renal function test and urine routine test regularly. Due
to cysts growth, nephrons decrease gradually and renal function declines
correspondingly. Cysts rupture and renal stone can cause bleeding within kidney,
presenting as gross Hematuria which is usually fresh red or soy color. Blood is
a nutritious fostering agent for inflammation, which may cause severe urinary
tract infection. Therefore, patients should stay in bed and take antibotic to
treat inflammation and stanch blood in early stage of bleeding.
III. Cares to patients who is in early or middle stage of Chronic Renal
Failure
Patients should avoid taking nephrotoxic medicine, like Gentamycin, Kanamyci,
Cefradine, Vancomycin and Indomethacin etc, These medicines can directely damage
renal parenchyma and aggravate renal function because primary elements in most
of these medicines are discharged through kidney. Renal excretion becomes slow
as renal insufficiency happens. In other words, the dosage of medicine increases
virtually. Therefore, it is advisable to reduce dosage or extend the interval
time between drug administrations according to the extent of Renal
Insufficiency.
IV. Cares to patients who is in End Stage Uremia
Due to the big volume of cysts, it is difficult for patients to take
peritonial dialysis, so hemodialysis is mainly applied in patients with End
Stage Uremia at present.
