Treatment of polycystic liver and kidney disease

The liver and kidneys are an indispensable part of our human body. They play a vital role in our body. They can provide our body with necessary trace elements, and they also have the functions of hematopoiesis and sperm storage. The kidneys also have the function of filtering human waste. Improper eating and sleeping habits can lead to liver and kidney damage, and even worse, polycystic liver and polycystic kidney diseases. The following will mainly introduce the treatment methods of polycystic liver and polycystic kidney diseases.

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There is currently no way to stop the progression of the disease. Early detection, prevention of the occurrence and development of complications, and timely and correct treatment of existing complications are crucial.

1. General treatment

Generally speaking, after a patient is diagnosed with polycystic kidney disease, the first thing to do is to maintain an optimistic attitude. If it has not yet affected the patient's normal life, he or she should be careful not to eat or eat less salty, spicy and other irritating foods, maintain a regular work and rest time, and keep a stable and optimistic mood. If it has affected the patient's normal life, he or she should pay attention to the above points and receive treatment, and the sooner the better. Otherwise, it will be too late if it develops into renal failure and uremia.

2. Cyst decompression surgery

This operation relieves the pressure of the cyst on the renal parenchyma, protects most of the remaining renal units from squeezing and further damage, improves renal ischemia, restores some renal function units, and delays the progression of the disease. The key to a successful operation is to perform the surgery as early as possible. The cyst decompression must be thorough, and decompression of small cysts and deep cysts should not be abandoned. Both sides should undergo surgery, and the interval between bilateral surgeries is generally more than half a year. In late-stage cases, such as patients with renal impairment in the azotemia or uremia stage, decompression treatment is meaningless regardless of whether they have hypertension, and surgical treatment may even aggravate the condition.

3. Traditional Chinese medicine treatment

Currently, traditional Chinese medicine adopts conservative treatment (taking Chinese medicine) to treat polycystic kidney disease, and the effect is very good. Traditional Chinese medicine adopts a holistic concept and syndrome differentiation and treatment, believing that polycystic kidney disease is the result of the combined effects of external and internal factors. Through stepped diversion, the cyst fluid is gradually discharged to achieve the goal of gradually shrinking the cyst.

4. Dialysis and transplantation

When entering end-stage renal failure, dialysis treatment should be given immediately, with hemodialysis being the first choice. The survival rate of kidney transplantation for polycystic kidney disease is similar to that of kidney transplantation for other reasons, but the concomitant diseases increase the difficulty of postoperative treatment and affect the transplantation effect.

5. Treatment of hematuria

When hematuria occurs, in addition to identifying the cause and providing treatment as soon as possible, you should reduce activity or rest in bed. For patients who are already on dialysis or about to undergo dialysis and have recurrent severe and uncontrollable hematuria, transcatheter renal artery embolization may be considered.

6. Treatment of infection

Renal parenchymal infection and intracystic infection are the main complications of this disease, and the general principle is the combined use of antibiotics.

7. Combined treatment of upper urinary tract stones

Treatment is based on the location and size of the stone and the principles of urinary stone management.

8. Hypertension treatment

Renal ischemia and activation of the renin-angiotensin-aldosterone system are the main causes of hypertension, and antihypertensive drugs should be selected accordingly.

9. Micronized Chinese medicine treatment

Micronized Chinese medicine infiltration therapy is used to treat congenital polycystic kidney disease instead of surgical treatment. The reason is that even if surgery (decompression surgery or fluid extraction and solidification surgery) is used to temporarily solve the problem of large cysts compressing the renal parenchyma, it cannot solve the problem that small cysts caused by the removal of large cysts will grow rapidly due to the reduced pressure. Surgical treatment is only a stopgap measure and has limitations.