A series of complications may occur, if no immediate or no proper treatment
conducted during the attack of Polycystic Kidney Disease (PKD). In this case,
complications should be treated immediately and the chief methods of treatment
Polycystic Kidney Disease (PKD) compose of following kinds:
Firstly, Cysts Decortication
This treatment can reduce cysts pressure to renal parenchyma, and protect
most of the remaining nephrons from being squeezed and further damage, which
improve the renal ischemia and recover part of the renal function so as to defer
the progression of disease. The crux to succeed in operation is to conduct
operation as early as possible, eliminate cysts’ pressure thoroughly, and not to
leave alone those small and in-depth cysts’ eradication. Bilateral kidneys
should be operated and the interval time between two operations is over half a
year. It is meaningless to take this approach, if Renal Failure has occurred to
patients, say, Azotemia and Uremia, because operation trauma can aggravate the
disease.
Secondly, Treatment of Hematuria
In case of Hematuria, patients should decrease activities or stay in bed, in
addition to ascertaining the etiology and treatment. Patients who have taken
dialysis or are to get dialysis can adopt operation of renal arterial embolism,
if Hematuria reoccurs severely and can not be controlled
Thirdly, General Treatment
Most patients need not to change their life style and restrict their
activities. However, patients with obvious swollen cysts should pay attention to
preventing abdominal trauma, so as to avoid cyst rupture. Corresponding
treatment should be conducted once Renal Failure and Uremia occurs to
Patients.
Fourthly, Treatment of Hypertension
The activation of Renal ischemia and renin-angiotension-aldosterone system is
the main reason to cause Hypertension, in this case, hypotensive agents can be
applied.
Fifthly, Dialysis and Transplant
Dialysis can be conducted immediately if patients developed into End Stage
Renal Failure. And hemoialysis is their first choice. The survival rate of
cysts’ transplant is similar to other transplant, but the transplant effect can
be affected with other complications, which increases the difficulty to handle
after the transplant.
Sixthly, Treatment of Urinary Tract Stones
It can be handled as per the position and size of urinary tract stones.
Seventhly, Treatment of Infection
Infection of renal parenchyma and cysts internal infection are the main
types. Usually combined antibiotics are adopted to treat them usually.
Eighthly, Chinese medicine
Reportedly, Chinese medicine with effect to spleen and improve urine can
defer the progression of disease.
