The childhood kidney patients with normal or slightly larger size and shape,
age and size of the cyst gradually increasing number and increasing in most
cases 40 to 50 years old kidneys volume growth to a considerable extent before
the onset of symptoms. Mainly for bilateral renal enlargement, kidney pain,
hematuria, and hypertension.
1. kidney enlargement
Progress on both sides of nephropathy asymmetry, size differences, to the
late two kidneys may occupy the entire abdominal cavity, renal cyst surface has
a lot of cloth to make kidney-shaped irregular, uneven, hard.
2. kidney pain
Often lower back pressure or dull, there are pain, sometimes abdominal pain.
Pain may be due to physical activity, walking for too long, sedentary
exacerbated after bed reduce. Renal hemorrhage due to move stones or infection
is sudden severe pain.
3. hematuria
About half of the patients showed microscopic hematuria, may have episodes of
gross hematuria, the Department of the cyst wall caused by ruptured blood
vessels. Bleeding for a long time can cause colic clot through the ureter. White
blood cells in urine is often accompanied by hematuria and proteinuria, urinary
protein less, generally not more than 1.0 g / day. Obviously when pyuria kidney
infection, hematuria aggravated, low back pain with fever.
4. Hypertension
Is a common manifestation of polycystic kidney disease, has not increased in
serum creatinine before, about half hypertension, which cyst oppression
surrounding tissue, activation of the renin - angiotensin - aldosterone system
related. The past 10 years, Graham PC, Torre V and Chapman AB confirmed that the
disease so normal kidney tissue, increased interstitial between the cyst and
cyst epithelial cells adjacent renin granules, and renin secretion. These are
closely related to the growth of cysts and hypertension. In other words, the
emergence of hypertension cyst is growing rapidly, it can directly affect the
prognosis.
5. renal insufficiency
Individual cases during adolescence appears renal failure, renal dysfunction
rarely before the age of 40, 70 years old, about half remained kidney function,
but the development of high blood pressure to shorten the process of kidney
failure, also have individual patients 80 years of age still renal function can
be maintained.
6. polycystic liver disease
Polycystic kidney disease found in middle-aged patients, about half of how
polycystic liver, about 70% after 60 years. It is generally believed that its
development is slow, and more about polycystic kidney disease 10 years later.
Its cyst is formed by the lost bile duct dilatation. Moreover, pancreas and
ovarian cysts may also occur, the higher complication rate of colonic
diverticulitis.
7. Physical Examination
Palpable on physical examination of one or both kidneys, nodular. There
tenderness with infection. 50% of patients with increased waist
circumference.
If you have any questions you want advice, you can contact us by email:
chinakidneyhospital@gmail.com or Tel: +8613633219293.
No comments:
Post a Comment