How is polycystic kidney disease treated?
Polycystic kidney disease is a hereditary pathology characterized by the formation in the kidney of a multitude of cavities filled with fluid. Over time, the neoplasm increases in size and presses heavily on the parenchyma of the kidney, disrupting its normal functioning and thus causing kidney failure. In this regard, the timely treatment of polycystic kidney is so important.
Most often, the disease manifests itself in people aged between twenty and forty years, but sometimes it is found in children and in elderly people.
Causes of formation of cysts in the kidneys
The disease can be explained by genetic predisposition, that is, it is inherited through the dominant type of inheritance.
There are also various variants of mutations of the polycystic kidney gene. The place of formation of gene deviations influences the natural course of polycystosis in an adult: in the first type there is a rapid progression of kidney failure, while the second type shows a favorable course of the disease and a slow progression.
This is important! The mechanism of the emergence of polycystosis at the present time remains an unexplored question of medicine.
Symptomatic of the appearance of cysts in the kidneys
For a long time the disease does not manifest itself in any way, and cysts can be accidentally detected on ultrasound examination. In this case, the patient does not make absolutely no complaints until a certain moment. Typically, the first signs of polycystic disease occur between the ages of 40 and 50.
The main manifestations are nonspecific and may accompany other pathologies, but overall the clinical picture with the results of diagnosis enables the specialist to quickly establish a correct diagnosis.
The symptoms of polycystic kidney are as follows:
- Pain sensations - the pain is localized in the lumbar region from both sides, in the abdomen. Pain, as a rule, is dull and aching. Such sensations are explained by a noticeable increase in the size of the organ and its pressure on nearby organs.
- Appearance of blood in the urine. This is an optional sign of defeat, it can be transient. If blood is detected in urine, it is necessary to visit a doctor urgently, because the causes of bleeding may be different, and treatment should be selected in accordance with the causes of the symptom.
- Strong general weakness of the body, lack of appetite and a high degree of fatigue.
- The diversion of a large volume of urine - more than two to three liters per day.
- Itching of the skin.
- Increase in blood pressure indicators. Renal pathology is characterized by concomitant hypertension.
- Lack of appetite, weight loss.
- Nausea, diarrhea, or constipation.
In addition, with the development of polycystic kidneys, complications also occur, in which you should immediately visit a doctor:
- Infection - inflammation or pyelonephritis. Because. That the cyst is a closed space, the risk of suppuration of the infected neoplasm increases, therefore, in case of increased back pain and temperature rise, it is better to visit a specialist within the next 24 hours to select the appropriate treatment.
- Violation of the rhythm of the heartbeat - slow heartbeat or the formation of extrasystoles. This is due to a violation of the electrolyte composition of the blood stream, namely, a violation of the release of potassium. To prevent this condition, it is important to constantly pass the test and adjust the treatment according to the doctor's advice.
- A rupture of the cystic neoplasm - it manifests itself by severe pain and bleeding. It is also necessary to visit a urologist or nephrologist who will develop a suitable treatment and prescribe compliance with bed rest.
Conducting treatment for polycystic kidney and its effectiveness
First of all, when answering the question of how to treat polycystic kidney disease, it is important to conduct symptomatic treatment. General recommendations should include the rejection of long and large physical exertion, the prevention of chronic infectious lesions - ARVI, caries, sinusitis, tonsillitis, etc. It is important to follow a high-calorie diet enriched with vitamins while avoiding the consumption of large amounts of protein and table salt.
When complicating the pathology of pyelonephritis, course therapy with antibiotic drugs and uroantiseptics is prescribed. When he develops a hemostatic therapy, hemostatic therapy is realized, with diuresis worsening diuretics are required, and with increasing pressure, taking antihypertensive drugs.
This is important! In the compensation stage of the disease, an opening and emptying of large cysts can be performed, which helps to reduce the size of the kidney, improve the blood flow in it and normalize its functioning. At the terminal stage, with kidney failure, the issue of chronic hemodialysis or kidney transplantation is being addressed.
Even before the onset of the manifestation of pathology in children and adolescents, there are no specific lifestyle guidelines. It is necessary to carry out ultrasound examination of the kidneys once a year, to take tests and to try to prevent the development of cold pathologies. When forming complaints and changing analyzes, patients are advised to start seeing a specialist and a medical center.
For the maximum possible preservation of the functioning of the affected organ, patients should always visit a nephrologist or urologist, take tests to timely correct various abnormalities of health.
The doctor must definitely explain to the patient the peculiarities of his way of life, which will favorably influence the work of the kidneys and the whole organism. First, it is necessary to select a suitable diet: if there are signs of an increase in the potassium concentration in the blood, it is necessary to limit the consumption of foods high in potassium - bananas, nuts, chips, spinach, dried fruits, restrict consumption of table salt and meat products.
But do not limit fluid intake provided there is no swelling. Drinking should be abundant - at least two to three liters per day.
It is also required to carefully monitor blood pressure indicators, avoid contact sports, intense running, not lifting weights. It is important not to allow the formation of chronic foci of infection in the body - carious teeth, sinusitis, inflammation in the tonsils and hypothermia.
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