Treatment of renal cysts and The attention of patients with polycystic kidney

Treatment of renal cysts

Renal cysts are more common in adults over the age of 50, usually no obvious symptoms or symptoms of late. Early neither pain, hematuria, and urine tests are also no exception. Majority in the larger tumor when found. Touch the smooth cystic mass in the abdomen, can be used in strong light irradiation, children or patients with a thin abdominal wall, the cyst can be opaque.

The treatment of renal cysts:

Medical effects of the treatment of renal cysts. For small renal cysts, the symptoms do not need to do any treatment, but should be regularly reviewed to observe the cyst continues to increase. Those who are asymptomatic should be regular urine tests, including urine, urine culture, a kidney function tests every six months to one year, including the endogenous creatinine clearance rate. Since infection is an important cause of the deterioration of the disease, urinary tract trauma examination is not very necessary, do not. The role of renal cyst puncture is not only susceptible to infection, easy to relapse, but also by the observation can not delay the occurrence of renal damage. Surgical excision of the cyst is not an easy task, because the cysts of the kidney surface can be cut off, but cut off buried deep in the kidneys of the cyst is quite difficult. Larger tumor and may be malignant, surgical exploration, if confirmed as benign cysts, renal surface of the cyst walls, continuous suture of the edge of the gut and renal residual wall coated with iodine. Side of the extensive destruction of renal parenchyma, the contralateral normal renal function, feasible nephrectomy. Bilateral polycystic kidney disease, you need to transplant a healthy kidney, and then cut off the two polycystic kidney disease. Medical advances so far, this may be the best method of treatment of severe renal cysts.

The attention of patients with polycystic kidney


Pay attention to salty Class eat (including pickled), spicy class do not eat (including pepper, wine, shrimp, crabs, etc.), do not eat contaminated (including the rotten leftovers ), grilled eat, and renal insufficiency or the occurrence of uremia should also pay attention to the beans and their products do not eat, limit animal protein foods, greasy foods.

Second, the intake of water: a variety of kidney disease due to different causes and different duration of treatment is not the same. Mild renal failure, due to the decline of renal concentration function, metabolites need more water can be excreted from the kidneys, kidney disease, such as edema, heart failure, hypertension, should not be blind to water restrictions. To remind those with chronic renal failure patients, do not think renal failure have strict restrictions on water, if too much water restrictions back and easy to increase the deterioration of renal function.

Salt intake: the control of salt, according to the patient's condition and degree of renal function for adjustment, not all of the chronic renal failure patients should strictly limit salt.

Rest, avoid strenuous physical activity and abdominal trauma, kidney enlargement is more obvious when it is appropriate suspenders instead of belts in order to avoid cyst rupture; generally six months later (including blood pressure, urine, kidney function, and B-); avoid all nephrotoxic drugs; relatives (parents, siblings and children) for the B-ultrasound.

, Speaking of nutrition in patients with renal cysts Yishi containing high quality protein foods, pay attention to the high fiber, high cellulose food supplement and low-fat, sugar diet.

Not eclipse, whole grains, lean meat, fresh vegetables and fruits, cattle, sheep, pigs, eggs, milk, fish, etc. edible.

Hematuria detection ,Renal insufficiency-related symptoms

Hematuria detection


In general, hematuria caused by internal diseases, because the majority of kidney disease caused by the combination of patients with edema, hypertension and renal dysfunction, or both hematuria and proteinuria, urinary tube, you can get the clinical diagnosis . Surgical diseases caused hematuria majority need to do a special check to be confirmed.
Hematuria detection methods:
A, B-ultrasound. Has been widely used for clinical purposes to determine kidney size, shape, location and diagnosis of renal cystic space-occupying lesions are of great value. Filling the bladder to do this check after the diagnosis of bladder and prostate disease.
Second, the cystoscopy. Clinically suspected to have bladder diseases such as inflammation, tuberculosis, tumors, can not be diagnosed by the general inspection, do the cystoscopy, and clear the lesion, the scope and nature and desirability of the biopsy.
, CT and MRI. Kidney tumors, cysts, and vascular lesions, the general inspection not satisfied to do this check.
Fourth, the renal biopsy. Hematuria due to renal parenchymal disease have been identified, to further clarify the pathological diagnosis, you need to do renal biopsy, which have important significance in guiding the treatment and prognosis.
Five radionuclides. Radionuclide gamma-ray characteristics determined by in vitro dynamic renal blood flow, secretion and excretion, showing the kidney and ureter, the bladder shape and lesions.
Renal insufficiency-related symptoms
Renal dysfunction is a common kidney disease, renal insufficiency-related symptoms is described below
A performance of the gastrointestinal tract is the earliest and most frequently in the uremic symptoms. The chief complaint of anorexia, abdominal discomfort in the early, after the nausea, vomiting, diarrhea, glossitis, mouth of the urine odor and oral mucosal ulceration, and even gastrointestinal bleeding.
Second, the spirit, the spirit of the nervous system malaise, fatigue, dizziness, headache, memory loss, insomnia, limbs numb, hand, foot and burning pain and skin itching, or lower extremity itching unbearable, to be constantly on the move, not of repose, late, there may be lethargy, irritability, delirium, muscle fibrillation, and even convulsions, seizures, coma.
Third, the cardiovascular system performance often have high blood pressure and expand the long-term hypertension causes left ventricular hypertrophy, myocardial damage, heart failure, retention of toxic substances can cause myocardial damage, the occurrence of uremic pericarditis.
Four, the performance of the hematopoietic system anemia uremic patients must have symptoms. In addition to anemia are still susceptible to bleeding such as ecchymosis, epistaxis, gingival bleeding, black stools and so on.
Respiratory performance acidosis breathing deep and long. Retention of metabolites that can cause of uremic bronchitis, pneumonia, pleurisy, and appropriate clinical signs and symptoms.
6, skin manifestations of dull skin, dry desquamation.
, Metabolic acidosis.
Dehydration or edema.
Nine and electrolyte balance disorders. Hyponatremia and sodium retention, hypocalcemia and hyperphosphatemia.
10 patients with metabolic disorders and more significant hypoproteinemia and weight loss, in addition to uremic patients often have hyperlipidemia.

Creatinine high because ,Urine protein is

Creatinine high because


Creatinine is high a lot of reasons, may be the physiological rational cause, but if the creatinine is pathological, we should pay special attention to whether or not to suffer from kidney disease.
Creatinine high because of the pathological changes due to the kidney by a violation of various etiologies of renal intrinsic cells, stimulate kidney fibroblasts into myofibroblasts, the kidneys into the device quality of the injury period (ie, renal injury period) at this time due to kidney damage, the function of the excretion of waste has decreased, causing the aggregation of creatinine and other toxins in the body, which appears within the blood creatinine, urea nitrogen, creatinine decreased in the urine, kidney filtration rate decline at the same time patients will have hypertension, a high degree of swelling of the body other symptoms. Serum creatinine normal standards :44-133umol / L, when serum creatinine of more than 133umol / L, mean renal injury, began to fibrosis and into the renal insufficiency, renal failure stage. If not promptly treated the phenomenon of creatinine is too high, while allowing to it, will be developed into uremia, threatening the lives of patients. Therefore, once the high creatinine must accept the correct and effective treatment as soon as possible.
Urine protein is
Many patients in the hospital for a check when the laboratory on the written urinary protein qualitative test positive, we all wonder, do not know how this is going on, why this happens, the protein in the urine in the kidney out what the problem it?
The experts tell us that the urine protein is detected by urine acidification heating after turbidity. Normal daily urinary excretion of protein is generally 40-80 mg up to 150 mg, known as physiological proteinuria. Less conventional laboratory testing was negative, more than 150 mg / day, that is, belonging to the abnormal proteinuria. Urine protein animate rational pathologic. Body in strenuous exercise, heavy physical labor, emotional, cold, overheating and stress urinary protein excretion can be increased, said a transient proteinuria, can be restored to normal in a few hours or a few days later. Protein in the urine of pathological renal dysfunction, such as cystitis, urinary tract infections, nephritis, pyelonephritis, diabetes and nephritis. Review urine protein is recommended. Only to find out the cause, in order to symptomatic treatment.