People who have a family history of Polycystic Kidney Disease are suggested
to have related examinations regularly in order to test out this disease as
early as possible. An early diagnosis has a significant role in the treating
this disease and getting a good effect. However, which kind of examination is
available? Here is a general introduction as follows:
Routine urine test: no abnormality can be found in early stage, and
microscopic Haematuria can be found in middle and late stage. Some patients may
have protein in urine. White Blood Cells and pyocyte can be found when there is
complicated by Stones and Infections.
Body Check: unilateral or bilateral kidneys can be touched in nodule shape
through body check. Pressing pain can be felt when there is a infection. 50%
patients have increased size of waist.
Urine osmotic pressure test: even in the early stage when there is only very
few cysts, expressions of renal concentrating function damage can be observed.
This means that this damage may not be related with kidney structure damage
only.
Instead, it may also be related with renal insensitivity to antidiuretic
hormone. Renal concentrating function decline happens before glomerular
filtrating function decline.
Serum creatinine is increasing progressively with kidney compensatory ability
decline. Creatinine clearance rate is a more sensitive index.
In KUB plain film, increased kidney image can be seen with irregular
shape.
Through IVP, deformation tendency of compressed renal pelvis and renal
calices can be found. Renal pelvis and renal calices can be found in strange
spiderlike shape. Renal pelvis is plain and wide, while renal calices neck
become longer and thinner, showing a curved shape.
Through Type-B Ultrasonic examination, a large number of shadows can be found
in bilateral kidney region.
Bilateral kidney enlargement can be found in CT examination, with lobulated
shape. Many cysts with thin cyst wall can be found inside fluid.
Since Polycystic Kidney Disease is a kind of genetic disease, people who have
Polycystic Kidney Disease patients in their family should have a high cautious
on their body health. If they can have regular body check, this disease can be
tested out in the early stage, which is greatly helpful for patients to get a
good effect, playing a very important role in helping patients avoid dialysis in
the future.