2016年10月1日星期六

Developing Process of Adult Polycystic Kidney Disease

In the early stage Adult PKD, cysts are still small, so patients seldom have obvious symptoms in this stage. With cysts growing and increasing, they can compress surrounding renal tissue greatly. Then obvious symptoms appear. Pain on waist usually happens firstly in early stage, but it is usually neglected by most patients and no treatment can be taken to treat this symptom. Growing cysts can replace more and more normal renal tissue, causing larger pressure on surrounding renal tissue, and then End Stage Renal Failure appears.

Ⅰ. What is the hereditary regulation of Adult PKD?

Adult PKD follows the regulation of autosomal dominant inheritance, with equal incidence to both male and female. Each of the parents suffers from this disease, each of their children can get this disease at a risk of 50%, and this number can increase to 75% if both parents have this disease. Children who do not inherit PKD do not carry cystic gene, and their later generation won’t have this disease if they marry with person who do not suffer from PKD. Besides inherited from parents, patients who get this disease through gene mutation are rarely seen.

Ⅱ. Does PKD have a serious illness condition when it happens?

Generally, there are no obvious symptoms in early stage PKD. For this reason, most patients are not diagnosed as PKD in this stage. Common primary symptoms that may appear in early stage of PKD are High Blood Pressure, Haematuria, bellyache, and sometimes Urinary tract infection and Kidney Stone can be found among primary symptoms.

Each disease develops from slowly and lightly to rapidly and seriously, and PKD is no exception. Due to strong compensatory ability of kidney, there are seldom obvious clinical symptoms when kidney is injured by cysts or other external factors in the early stage. Patients can live, work and study normally.

Ⅲ. How about the process of PKD developing into Uremia?

PKD is a kind of disease that so many cysts are growing in whole kidney. These cysts are growing with age, causing pressure on kidneys, which can damage renal structure and reduce nephron number. Finally, kidneys are so injured that they can not maintain body’s normal life. At this moment, Uremia happens.

More exactly, the process of Renal Failure and Uremia is also the process of Renal Fibrosis, and Renal Failure and Uremia is the result of more than 50% kidney fibrosis.


Specialists on Kidney Disease point out that the earlier treatment is taken, the better therapeutic effect can get. The best treating timing is before renal function injury. Renal Failure and Uremia can be avoided completely if cysts of PKD growth can be removed or controlled effectively in the early stage.

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