Cystic renal transformation: its manifestations and treatment organization
Polycystic kidney is a cystic kidney transformation, in which groups of cysts form in the kidneys. Cysts are round pouches of a non-malignant nature, which contain watery liquid.
Polycystic kidney disease is not limited to only one kidney damage - cysts can spread to other organs. More often than not, people with polycystic kidney disease complain of a strong increase in blood pressure. In addition, there are high risks of developing kidney failure.
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The severity of the course of the pathology can vary, and some complications are reversible. When conducting a regular examination, there may be a need for urgent treatment to reduce the lesion due to complications.
What causes the development of polycystosis in the kidneys
The main reasons for the formation of polycystosis are hereditary factors. Specialists of genetics have discovered a special gene that provokes the development of this disease.such a gene is located in one of their chromosomes, and the child can inherit the disease regardless of his gender.
This deviation makes itself felt even in childhood. There are cases of diagnosis of the disease in newborns with the establishment of simultaneous kidney failure.
There are often cases of gradual development of the disease.when the first signs of lesion appear only after forty years. To this age in the kidney parenchyma there are many extensions filled with liquid. It is believed that this condition is provoked by the pathogenic formation of the glomerular membrane of the kidneys and renal tubules.
Symptoms of the disease
Signs of an actively developing polycystic kidney are manifested by an increase in the size of the organ on both sides and the onset of pain. In addition, characteristic complications can develop, such as an admixture of blood in the urine, the formation of kidney stones, increased blood pressure, and damage to the urinary canals by infection. The most dangerous complications are kidney failure, which has a chronic course.
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The increase in the size of the kidneys is revealed during the process of palpation. In addition, when pressing on the affected area, the patient complains of soreness. The main cause of this pain is the stretching of the kidney parenchyma as a result of the growth of the cyst. Basically, patients experience pain in the lower back or in the side.
Polycystic can affect not only the kidneys, but it is the kidneys that are considered the most vulnerable organ. Also, cysts are formed in the liver, in the meninges, in the pancreas and in seminal vesicles.
Treatment and selection of suitable medications
First of all, the treatment of pathology is based on the elimination of the manifested symptoms and complications.
Increased blood pressure. Control of blood pressure indicators helps to significantly reduce the activity of pathology, as well as slow the damage to the kidneys. The combination of proper nutrition, which involves limiting fat, salt, protein intake, reducing caloric intake, quitting smoking, increasing physical activity and preventing stressful situations, helps to control pressure levels. Also, to prevent an increase in pressure, medication is required. Most often for people with polycystic kidneys to control high pressure, inhibitors of a special enzyme are used.
Pain sensations tend to focus in the back or side area and are a frequent sign of polycystic kidney damage. As a rule, the pain is moderate and the person is able to control it with the help of means with the content of acetaminophen. But sometimes the pain becomes very strong and has an impassable character - then the specialist is recommended to organize the surgical removal of a cystic neoplasm. This happens with large cysts that provoke pain.
Vein or other organs may require surgical drainage of the veins or other organs
Kidney and bladder infection requires rapid treatment with antibiotic drugs to prevent further organ damage.
To prevent the appearance of blood in the urine, you need to drink plenty of fluids. It is also necessary to increase the amount of fluid consumed when blood is detected in the urine. This method helps to dilute the urine, prevent the formation of blood clots and clogging of the urinary tract. Observance of bed rest also helps to reduce bleeding.
Kidney failure. If the kidneys lose the possibility of removing slags from the blood, the patient needs to organize an operation for kidney transplantation or dialysis.
Cysts in the liver. Conservative treatment of cystic neoplasms in the liver is the abolition of hormone replacement therapy. Occasionally, symptomatic drainage of the cyst is performed, or a partial resection or even a donor liver transplant is indicated with a small amount.
Aneurysms. With the development of polycystic kidneys or when investigating cases of rupture of aneurysms in the family, a specialist can recommend a regular examination for the presence of an intracranial aneurysm. If an aneurysm is detected, it can be surgically removed to reduce the risk of bleeding, the strength of which depends on the size of the aneurysm. Conservative treatment of small aneurysms is to control high blood pressure and control the increase in cholesterol in the blood, as well as in refusal to smoke.
With a careful approach to eliminating each symptom, the prognosis of the disease remains favorable.
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