Monday 10 October 2011

Prognosis of Polycystic Kidney Disease

Polycystic kidney disease is a kidney disorder passed down through families in which multiple cysts form on the kidneys, causing them to become enlarged.And it is a type of kidney disease. It also known as polycystic kidney syndrome, and It is a cystic genetic disorder of the kidneys.[1] There are two types of PKD: Autosomal Dominant Polycystic Kidney Disease (ADPKD) and the less-common Autosomal Recessive Polycystic Kidney Disease (ARPKD).
And how to Prognosis of Polycystic Kidney Disease
The individual differences is obvious for patients with Polycystic Kidney Disease. The prognosis is closely related to the course of disease and whether there is serious complications. The prognosis is worse for patients with more complications and progressing Uremia. Some patients have Renal Insufficiency, but there is no complication and the progressing of the disease is slow, the prognosis will be better. Therefore, the treatment for complications becomes the key point that influence the prognosis.
The controllable factors that influence the prognosis of Polycystic Kidney Disease are hypertension, times of pregnancy, secondary UTI and the frequency of UTI. If there is no dialysis or kidney transplant, patients with PKD can only live for 10 years after the symptoms appear. The serum creatinine will double every 3 years. For patients on dialysis and kidney transplant, the prognosis is similar to patients with other kind of kidney disease.
In order to improve the prognosis and prolong the life of the patients, the choice of treatment is very important.
In Shijiazhuang Kidney Disease Hospital, we mainly use combined therapy of both Chinese medicine and western medicine to treat PKD. That is Micro-Chinese Medicine Osmotherapy. It acts directly on the progressing of renal fibrosis and stop the development of the disease. After entering the human body, the active material of micro-Chinese medicine can expand the blood vessels, anti inflammation, anti coagulation and degrade the extra cellular matrix so as to improve the blood supply in all the organs, eliminate inflammatory reaction and restrain formation. It will block the renal fibrosis dimensionally, promote reversal of phenotype of kidney intrinsic cells and provide necessary nutrition for the repair of intrinsic cells.
There are some other points to pay attention to for better prognosis of Polycystic Kidney Disease.
1. For patients with hypertension or edema, give low salt or no salt diet.
2. The protein intake should be provided according to ordinary needs, that is 0.8~1.0g/kg every day for adults. Choose high quality protein such as eggs, milk and meat so as to avoid edema and anemia.
3. Take more food rich in vitamin A, B2 and C.
4. Water intake needs no limitation. Orange juice, water melon juice and vegetable juice can be taken for dieresis and removing edema.

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