2016年8月23日星期二

Hypertension and Polycystic Kidney Disease (PKD)

What is the sophisticated relationship between Hypertension and Polycystic Kidney Disease? Everybody knows that Hypertension is easy to cause cerebrovascular disease and cardiovascular disease. Actually, Hypertension is also closely related with Kidney Disease. Well then, what is the relationship between Hypertension and Polycystic Kidney Disease (PKD)?

Medical research has shown that Hypertension usually causes renal injury, and contrarily, renal injury can also cause Hypertension. Both of them affect each other, resulting in vicious circulation easily. Most patients pay less attention on treating Polycystic Kidney Disease (PKD) after they were told that this disease is a kind of genetic disease. Usually for this reason, this disease always develops into the most serious stage of Kidney Disease, Uremia stage, unconsciously.

Polycystic Kidney Disease has a progressive development and usually occurs among adult people, with abnormal proliferation of renal tubular epithelial cells as its dominant characteristic. When renal tubular epithelial cells turn into cystic epithelial cells, they begin to have secreting ability and keep secreting fluid more and more, but there is no normal way to excrete increasing fluid. For this reason, cysts grow bigger and bigger with time passing. When cysts grow to some certain degree, they will replace healthy renal tissue. Then renal function declines gradually. At this moment, Hypertension and routine urine test abnormality appear in clinical observation.

The medicine that Polycystic Kidney Disease (PKD) patients take may even cause damage to injured kidney due to nephrotoxicity. Besides, most patients who suffer from Hypertension usually go to hospital for cardiovascular tests directly instead of kidney routine tests. Therefore, kidney injury can not be found in time, which is one of main causes of Uremia.

If blood pressure can not be controlled effective, it can damage kidney. Meanwhile, Hypertension may develop into Hypertensive Nephropathy. Kidney is an internal organ consisting of countless micro blood vessels, and kidney internal mini arteries may be hardened if Hypertension can not be controlled in a long term. This is also the reason why most Hypertension patients have kidney injury. If such injury can not be treated in time, it will cause glomerular sclerosis, renal interstitial fibrosis, or even Renal Insufficiency and Uremia finally.


Contrarily, Polycystic Kidney Disease (PKD) can also cause Hypertension. The more serious kidney injury is, the high blood pressure is. In late stage of Renal Failure, 80% patients get obvious Hypertension.

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