Polycystic kidney disease vk. Polycystic kidney disease new in treatment

Special attention is paid to the treatment of polycystic kidney disease in Russia. The country's leading specialists have many years of experience in the treatment of the most complex urological diseases, and the availability of modern diagnostic and laboratory equipment ensures the reliability of the diagnosis.

As a rule, multiple cystic tissue lesions are hereditary. Studies show that a third of patients diagnosed with polycystic kidney disease also have liver cysts, and 5% also have polycystic pancreatic lesions, the treatment of which requires an integrated approach and a highly qualified team of doctors.

Polycystic kidney disease has nonspecific manifestations, so only competent differential diagnosis, based on the analysis of data obtained as a result of consultation with a specialist and examination of the urinary system, will make it possible to establish a reliable diagnosis.

The decisive factor in eliminating this problem is to immediately contact a urologist if:

• aching pain in the lower back;
• increasing the size of the kidneys due to additional inclusions;
• blood in the urine;
• causeless increase in blood pressure;
• frequent inflammatory processes in the kidneys.

How polycystic kidney disease is treated in Top Ichilov

Since polycystic kidney disease is a genetically determined pathology, the main goals of its treatment are to eliminate painful symptoms and maintain normal functioning of the urinary system, prevent the development of associated complications (including the spread of the pathological process to the liver and other nearby organs), as well as slow down the progression of chronic renal failure. Depending on the severity of the disease, specialists at the Top Ichilov Clinic treat polycystic disease using different methods.

• Drug therapy . In order to reduce the clinical manifestations of the disease, patients are prescribed analgesics, non-steroidal anti-inflammatory drugs, diuretics, and in the case of an infectious process, antibiotics. Additionally, drugs are used to normalize blood pressure and improve intrarenal hemodynamics (ACE inhibitors, angiotensin receptor blockers, antithrombotic drugs, statins). The listed medications help relieve patients from renal colic and other painful sensations, stimulate the removal of excess fluid from the body and thereby stabilize the patient’s general condition. In parallel with this, medications can also be prescribed to correct the water-electrolyte balance and hemoglobin level in the blood.
• Diet therapy . A balanced therapeutic diet helps slow the progression of the disease and prevent its complications, so following a diet is an important part of the comprehensive treatment of polycystic kidney disease. Patients are advised to avoid salty and spicy foods, drink enough clean water and less coffee. Nutritionists at the Top Ichilov Clinic select the optimal nutritional system for each patient, which will help reduce the load on the kidneys, restore water-salt balance and ensure good health.
• Dialysis . In case of progressive renal failure and serious disturbances in the functioning of the urinary system, extracorporeal blood purification procedures are carried out using special artificial kidney devices. They help remove various toxins from the body, normalize water and electrolyte balance and thus compensate for kidney function. They can be carried out either on a regular basis in order to improve the quality of life, or as a temporary measure in preparation for a donor organ transplant operation. Patients leaving reviews about the treatment of polycystic kidney disease in Israel focus on the fact that dialysis procedures in Top Ichilov are carried out at the highest level. The use of high-tech medical equipment allows Israeli specialists to successfully improve the well-being of even those patients diagnosed with end-stage renal failure. A modern alternative to hardware procedures for some patients is peritoneal dialysis, which can be performed independently at home.
• Percutaneous cyst aspiration . If the size of the cyst does not exceed 5-6 cm, Israeli specialists prefer to perform a minimally invasive intervention, which consists of aspiration of its contents. To do this, a special hollow needle is inserted into the kidney through a small puncture, with which the doctor, under ultrasound control, sucks out the liquid from the tumor capsule and then injects a sclerosant into it. This substance promotes gluing of the walls of the cyst, as a result of which its growth does not resume.
• Surgery . The most commonly performed operations for polycystic kidney disease include excision of individual cysts and nephrectomy - complete removal of an organ affected by multiple neoplasms. In both cases, Top Ichilov specialists prefer to use laparoscopic access. This significantly reduces blood loss, reduces the risk of complications and shortens the rehabilitation period. In particularly severe cases, treatment of polycystic kidney disease in Israeli clinics consists of bilateral nephrectomy followed by donor organ transplantation.

Complications and prognosis

If doctors find small cystic formations, then in most cases the prognosis is optimistic. It is important to ensure that the pathology does not progress and does not interfere with the flow of nutrients into the organ. It is recommended that such children be regularly checked by a specialist, prevent injuries and promptly treat infectious diseases.

If the cysts are large, doctors strongly recommend that the woman terminate the pregnancy or operate on the newborn immediately after birth. At the same time, the chances of full development and survival remain doubtful. In most cases, polycystic disease affects the liver, gallbladder and spleen. Complications of the pathology appear at an early or older age, while a cystic formation has every chance of developing into a malignant one. If the child's condition is maintained with drug therapy, he can live up to 20 years, but by this age he is likely to have severe renal failure. To save life, there is only one way out - a donor kidney transplant.

Source: https://etopochki.ru/bolezni-pochek/kisty/polikistoz-pochki-u-detej.html

Diagnosis of polycystic kidney disease in Top Ichilov

You can complete all the necessary studies in Israel in the shortest possible time - in just three to four days. Based on their results, doctors will accurately diagnose and select the most effective treatment methods in a particular case, which are guaranteed to lead to a rapid improvement in well-being.

For patients who are unable to come to the clinic for diagnostics, Top Ikhilov doctors offer an alternative service - video consultation. With its help, you can get an independent second opinion from one of the best nephrologists in Israel and thus check the accuracy of the diagnosis established in your home country. If, after a video consultation, the patient still decides to be examined in the clinic, the doctor will conduct the first in-person appointment free of charge.

• Day 1
• Day 2
• Day 3

Day 1. Meeting the attending physician

Accompanied by a personal translator-curator, the patient is sent for examination to the leading specialist of the nephrology department. The doctor studies the medical history, clarifies complaints, conducts a physical examination, and then draws up a plan for further diagnosis.

Day 2. Diagnostic procedures

The diagnostic program may include the following studies:

• Ultrasound.
• Magnetic resonance imaging.
• CT scan.
• Laboratory tests of blood and urine.
• Nephroscintigraphy.
• Angiography.
• Excretory urography and others.

Day 3. Expert opinion

One of the key features of Israeli clinics is that the analysis of diagnostic results is carried out not by one doctor, but by a team of multidisciplinary specialists. This approach ensures maximum accuracy and objectivity in making a diagnosis and choosing the most effective treatment strategy.

Symptoms of polycystic kidney disease in children

Polycystic kidney disease in newborns has a malignant course: stillbirth is often observed, in other cases death occurs in the first months or first year of life. Cystic degeneration covers up to 90% of the renal parenchyma. Newborns experience vomiting, a sharp increase in kidneys and abdominal volume; Signs of renal failure rapidly increase (increased levels of urea and residual nitrogen in the blood, oliguria and anuria), edema, and increased blood pressure. In this case, the death of children often occurs from concomitant respiratory distress syndrome. caused by pulmonary hypoplasia and pneumothorax.

With polycystic kidney disease in older children, most of the renal cysts are open; in the kidneys, from 40 to 75% of intact parenchyma remains. In this regard, the clinical manifestation of polycystic kidney disease in children occurs later, in many ways resembling the course of the disease in adults. In children, an increase in the size of the kidneys and hepatosplenomegaly are detected. persistent high arterial hypertension. Stretching of the kidney tissue by growing cysts causes pain in the lower back or side. Children are significantly stunted and suffer from anemia. Typical complications of polycystic kidney disease in young and older children are hematuria and urolithiasis. pyelonephritis. chronic renal failure. The development of hepatic fibrosis leads to portal hypertension. esophageal and gastrointestinal bleeding. The death of children occurs from kidney or liver failure 2-15 years from the onset of the disease.

Advantages of treatment at Top Ikhilov

• The best doctors - the clinic employs exclusively highly qualified specialists with many years of practical experience.
• 100% accurate diagnostics - all studies are carried out using ultra-modern diagnostic equipment, which allows us to accurately detect even the smallest pathological changes in the body.
• The most effective methods of therapy - from new generation drugs to various types of operations.
• Affordability – the cost of treatment for polycystic kidney disease in Israel is lower than in Germany or the USA.
• First-class service - patients of the clinic are accommodated in comfortable conditions, and personal case managers help them in solving organizational and everyday issues.

To consult with a clinic representative, simply fill out the application form on this website. We will contact you within 30 minutes.

1. 5
2. 4
3. 3
4. 2
5. 1

(9 votes, average: 3.8 out of 5)

Polycystic kidney disease in children

Polycystic kidney disease in children (polycystic disease, polycystic kidney degeneration) is a severe structural malformation of the kidneys. in which normal kidney tissue is replaced by multiple cysts of varying sizes. Polycystic kidney disease in children occurs with a frequency of 1 case per 250-1000 newborns, however, due to its latent course, it is rarely diagnosed in childhood. Depending on the clinical form, polycystic kidney disease can be detected or manifested at different age periods: in newborns, young children, adolescents or adults, mainly at the age of 30-40 years. Cystic changes in the kidneys in children are often combined with polycystic liver disease. pancreas, spleen, lungs, polycystic ovaries. megaureter. accessory kidney.

Due to the fact that polycystic kidney disease in children is a hereditary disease, its study is a task of urology and genetics.

Reasons for the development of the disease

Doctors identify several probable causes contributing to the development of the disease:

The situation is aggravated by smoking and excessive coffee consumption. According to statistics, men suffer from the disease more often than women, and the disease is more severe.

Kidney cyst during pregnancy: formation, causes, treatment

A kidney cyst is a urological disease, which is a process or neoplasm of various shapes, and is filled with a yellow foreign fluid.
It can appear at any age and in different parts of the kidneys, both inside the kidneys and on their surface, and on other organs of the urinary system. Pathology occurs for a reason; the reason for it is that the channels responsible for urine production become clogged and blocked, and the normal functions of the system are disrupted, which is why a kidney cyst during pregnancy is particularly dangerous.

However, after identifying the disease, a pregnant woman should not panic, but need to maintain composure.

Causes of problems

A growth on the kidneys in the form of a cyst is a very common pathology. But it can also be not only acquired, but also congenital; be on one kidney or two at once; neoplasms can be single or multiple (polycystic).

The shape of a cyst during pregnancy may vary:

• In hereditary diseases, a so-called spongy kidney appears. If the form of the disease manifests itself in this way, then the paired organ, under the influence of deformation, becomes spongy, and a large number of sacs with liquid are formed there.
• Multicystic. In this condition, the entire kidney tissue is affected by processes containing fluid. If the type of disease is unilateral, then it is transmitted from mother to child.
• Polycystic disease. Bilateral type of disease, formed in any part of the organ.

There are no exact signs by which one can determine that a disease has occurred. Even with an accurate diagnosis, a pregnant woman may not feel any pain .

And some throughout their lives may not know that there are cysts formed on the kidneys. This is one of the main reasons to plan a pregnancy and undergo an ultrasound scan before that.

But experts distinguish some reasons that may cause a growth to form:

• hereditary predisposition;
• the presence of certain infectious diseases in the womb;
• early infections of the urinary system, mechanical injuries to the kidneys;
• chronic diseases;
• dental caries;
• sudden jumps in hormonal levels;
• low functioning of the immune system;
• exacerbation of existing diseases of the urinary system.

Such kidney disease may cause concern to a specialist. Because it is the kidneys that are responsible for removing excess fluid and toxins from the body.

However, the kidneys are also responsible for filtering the blood; during pregnancy, the paired organ must work more intensively, filtering the blood of both the mother and the child.

When an organ is affected by a disease, the pathology can worsen and the kidneys cannot perform their normal work. Therefore, signs may appear that indicate the development of pathology.

Symptoms and their diagnosis during pregnancy

Experts do not identify clear signs of the disease, but general symptoms of the pathology can be identified. For many years, many may have a disease, but not know that it exists, since discomfort may simply not be felt for a long time.

Certain signs may indicate that the disease exists.

This can manifest itself as sharp and nagging pain in the lumbar region, painful urination, cloudy urine, and sometimes the presence of bloody discharge in it, sudden changes in temperature, exacerbation of existing acquired or chronic diseases.

However, if there is an exacerbation of the cyst (the onset of suppuration, ruptures, and its twisting), then the painful and uncomfortable sensations may increase several times. In addition, high fever, chills may appear, and be accompanied by loss of consciousness and increased pain in the abdomen and back.

If a pregnant woman experiences any discomfort, she should report it to a specialist as soon as possible, and he will prescribe the necessary examination to make an accurate diagnosis.

You should not try to diagnose the disease yourself, as some methods are unacceptable during pregnancy, for example, x-rays.

But in the early stages of pregnancy, it is possible to find out if there is a cyst using an ultrasound method.

In addition to ultrasound, the following are widely used to diagnose cysts: a comprehensive preventive and biochemical blood test to detect leukocytes and red blood cells in the blood and urine.

MRI - magnetic resonance imaging, helps to examine the paired organ layer by layer and identify the contents, size and nature of the disease. In the later stages after the procedure, ultrasound examinations help determine whether there is a cyst, and CT scans are used to identify the size and structure of the formation.

If the cyst is treated untimely and incorrectly, serious consequences are possible. The tumor can become infected, fester and rupture; over time, kidney failure can develop, and the tumor can develop into a malignant tumor.

Cyst treatment

Surgery is the only way to get rid of the tumor. Experts identify certain types of interventions.

The first involves the process of pumping fluid out of the cyst by puncture, which is performed with ultrasound.

The necessary fluid is injected, which activates the contraction of the walls of the cyst and promotes the release of harmful fluid. In the second method, shoots are cut out through cuts in the abdomen.

But removing a cyst during pregnancy is strictly prohibited. Therefore, the pregnant woman is prescribed medications that stop the process of further development of the tumor. The attending physician makes an accurate diagnosis and prescribes the necessary treatment. To prevent the disease from progressing, painkillers are prescribed and, in advanced cases, antibiotics.

Taking prescribed medications must be mandatory and strictly at the specified time. In some cases, if the cyst is large in size, in order to avoid complications during childbirth, then experts prescribe a cesarean section and immediately remove the cyst; if the cyst threatens the life of the mother, then some experts recommend terminating the pregnancy.

To prevent the disease from worsening, you need to independently avoid large amounts of salt in food, drink when necessary, refuse or minimize eating foods with a high amount of protein, and eat diet bread. Remove salty, spicy, smoked and sweet foods from your diet.

The importance of diet

Kidney cysts and pregnancy require, in addition to drug and surgical treatment, adherence to a diet. The diet requires you to limit salt intake in cases where the cyst causes kidney failure. If a pregnant woman is not at risk of such a diagnosis, then she may not adhere to the recommendation.

Amount of water drunk. It is necessary to follow the norm of drinking water if the appendage provokes peripheral edema, and swelling in the legs, constant shortness of breath, and high blood pressure are observed. When there are no such signs, doctors recommend not limiting drinking.

Food restrictions. In addition to restrictions on drinking and salt, if a pregnant woman is diagnosed with a neoplasm, in order to avoid deterioration, she should give up spicy, fried, salty, chocolate, seafood, and coffee drinks. It is these products that can cause irritation of the paired organ and negatively affect it.

Eating protein. Protein foods are harmful if a person suffers from kidney disease.

If a substance enters the body in excess, then during food processing a large amount of nitrogen, guanidine, polyamine and other other toxic substances are released, which adversely affect the functioning of paired organs. If you limit protein in the diet, then the amount of toxic substances released will decrease, and this is especially important in advanced cases.

The prescribed diet is important if the functioning of the kidneys is impaired by a formed cyst, however, this does not guarantee that the pathology can be eliminated, but the progression of the disease can be stopped by following the recommendation of a specialist.

It is also worth visiting a doctor in a timely manner to know at what stage the disease is now, and with regular and timely visits to a specialist and fulfilling all the necessary requirements, the cyst will not have a detrimental effect on the condition of the mother and child.

Source: https://2pochku.ru/bolezni/opuxoli/kista-pochki-i-beremennosti.html

Diagnosis of suspected polycystic disease.

So, a person consulted a doctor with the above complaints or due to a genetic predisposition to this disease. What kind of research will need to be done?

- Clinical blood test. Based on the results, it will be possible to determine whether the patient has anemia (often associated with polycystic kidney disease) and whether there is inflammation in the body.

— Biochemical blood test (especially pay attention to the level of urea, creatinine, total protein, potassium, sodium, iron)

— General urine test (are there any inflammatory changes, presence of blood)

— Urine culture

— Ultrasound of the kidneys (standard for diagnosing polycystic kidney disease, allows you to determine the presence of the disease and the size of the kidneys)

-Ultrasound of the liver and pelvis (in some patients, polycystic kidney disease is accompanied by cysts of the liver and ovaries)

— ECG (to assess heart function, the presence or absence of rhythm disturbances)

Prognosis for polycystic kidney disease in children

The prognosis for polycystic kidney disease in children is always serious; Moreover, the earlier the disease began to progress, the worse it was. The infant form of polycystic kidney disease has an extremely unfavorable course and ends early in the death of children. Almost all surviving children develop severe renal failure by the age of 20. In this case, the only chance to prolong the life of patients is a donor kidney transplant.

Source: https://www.krasotaimedicina.ru/diseases/children/polycystic-kidney

How and why does a kidney cyst develop during pregnancy?

If a woman is diagnosed with a kidney cyst during pregnancy, then first of all she should not panic and despair. A cyst is a hollow formation on the kidney that accumulates foreign fluid.

Symptoms of kidney cyst formation

There are no specific signs of the development of a cyst in a pregnant woman.

Even if the suspected diagnosis is confirmed, a woman may not feel any discomfort during the entire period of bearing a child and may not even think about the presence of cystic neoplasms in her kidneys. In this regard, when planning a pregnancy, the doctor recommends a full examination of the body using ultrasound.

But there are some known symptoms that indicate the formation of a pathological process in the kidney, namely:

1. Drawing or sharp pain in the back.
2. Impurities of foreign bodies in the urine.
3. Strong rise in pressure.
4. Rise in body temperature.
5. Chills.
6. Exacerbation of the inflammatory process in the kidney.
7. Problems related to urination.
8. Blood in the urine.
9. Kidney enlargement.

Methods for diagnosing the pathological process

To carry out high-quality diagnostic measures, the following methods are used:

• Taking preventive tests.
• Biochemical blood tests.
• Ultrasound examination of the kidneys and bladder, which helps to establish the position of these organs and their structure.
• Ultrasound examination of the fetus after 20 weeks of pregnancy, which helps to track all sorts of changes in the formation of kidneys in the fetus.
• Intravenous urography to obtain several images at once, based on which the doctor diagnoses the condition of the kidneys and organs of the genitourinary system. The images help to identify the origin of cysts and their location.
• Magnetic resonance imaging helps to examine the organ layer by layer and determine the possible degree of malignancy of the cyst.
• Computed tomography helps to accurately study the structure of the cyst and its size.
• Puncture of the cyst and subsequent study of the fluid obtained from it determines the degree of malignancy of the cystic neoplasm.

All described methods are implemented based on the indications of a pediatrician and under his strict supervision.

It is important! Kidney cysts during pregnancy are detected with great care and only using safe methods.

Methods of treating cystic neoplasms, complications and prevention

It is important! A cystic tumor on the kidney can only be eliminated through surgery, that is, removal of the cyst. But if the disease develops in a pregnant woman, the cyst cannot be removed.

There are two types of basic operations, namely:

1. By pumping out the internal fluid of the cyst using a puncture under ultrasound control. A special liquid is injected into the cavity resulting from the puncture, gluing the cells of the organ.
2. Removal of a cystic tumor through a small tissue incision made in the abdomen. The cyst is removed using special tools.

The consequences and complications of surgery to remove kidney cysts include the following:

• At the stage of exacerbation of inflammation, the cyst may rupture due to a blow to the lower back or severe shaking of the body.
• If pathology and inflammation are ignored for a long time and there is no treatment, suppuration and infection can occur in damaged areas of the organ.
• The development of chronic arterial hypertension in a patient is a constant increase in blood pressure.
• Violation of urinary and urinary function of the kidneys.
• Formation of stones in the kidneys.
• Formation of an inflammatory process of a malignant nature.
• Impaired blood flow in the renal parenchyma.

Prevention of the disease consists of implementing the following measures:

• Reducing exposure to harmful factors in the female body throughout pregnancy.
• Regular preventive examination at any stage of pregnancy.
• A visit to a doctor by a woman to register her for pregnancy before 4 months.

(: 1 , 5,00 of 5) Loading…

Source: https://TvoeLechenie.ru/beremennost-i-rody/kak-i-pochemu-razvivaetsya-kista-pochki-pri-beremennosti.html

Characteristic signs and symptoms

The clinical picture is vague, the symptoms of polycystic kidney disease are often confused with other pathologies, and the wrong treatment is prescribed.

The following symptoms should be a reason to consult a doctor: