PKD is a genetic disease and congenital and patients have to live with multiple cysts in their kidneys lifetime time. Since these cysts will continue to expand and pose increasing threat to renal structure and function features, patients need a comprehensive and systematic treatment and nursing care.
The following is a systematic plan of treatment for patients with PKD.
1. General treatment. First, do not worry too after being diagnosed with PKD. Early stage PKD not affect normal daily life and patients need to have good humor and positive attitude, avoid salty, spicy foods and have jobs and regular. However, if the cysts begin to cause symptoms and discomfort, early treatment should be sought to delay progression to renal failure.
2. Surgery. Surgery to remove cysts in the kidneys include aspiration, decortication and laparoscopic decortication. Surgical removal can revive oppression renal parenchymal ischemia and hypoxia improve kidney, protect and reduce residual renal function deterioration rate of the disease. Yet we know that renal cysts in PKD genes are related and there are numerous cysts of all sizes, surgery can only help remove large cysts and can not solve the root problem.
3. Herbal medicines. Herbal medicines and natural PKD is conservative compared to surgery. Herbal medicines can not remove cysts and achieve rapid and obvious effects as surgery, but may shrink cysts of all sizes and achieve lasting effect.
4. Dialysis and kidney transplantation. For patients with end stage PKD, dialysis is needed to sustain life activities and hemodialysis is preferred.
5. Systematic treatment
Hematuria
If hematuria (blood in urine), patients should reduce activities have enough bed rest and receive appropriate treatment after making clear the exact cause of blood urine. If hematuria is too serious to be controlled, renal artery embolization can help.
Infections
Infections and renal parenchymal cyst infections are the major complications of PKD. Combined use of antibiotics will be prescribes by doctors.
Stones in the upper urinary tract
Different treatments and measures will be taken according to the size, component and location of the stones. However extracorporeal shock wave lithotripsy is not recommended in cases of cystic rupture due to shock.
Hypertension
Activation of the renin-angiotensin-aldosterone system is the main reason for high blood pressure in PKD. Treatment should aim to reduce blood pressure and treating enlarged cysts.
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