2016年7月20日星期三

How to Prevent and Find Polycystic Kidney Disease Earlier

As everyone knows, polycystic kidney disease (PKD) is a genetic kidney disease. The disease is usually divided into adult PKD and children PKD (also known as autosomal recessive polycystic kidney disease). So, how can we prevent PKD and how can we find it early?

Adult PKD is also called autosomal dominant genetic PKD. It usually attacks at the age of 30-50. Adult PKD is more common in clinical practices, it occurs in 1/1000-2/1000 individuals and accounts for 5-10 percent of end-stage renal failure.

Patients usually have bilateral renal enlargement, cortex and medullas with multiple liquid cysts which increase continuously and secondary renal function damage. The disease can involve many systems, such as digestive system, cardiovascular and cerebrovascular system, central nervous system, reproductive system, and accordingly cause cyst in liver and in spleen, intracranial aneurysm, abnormality of cardiac valves and etc. But according to the latest research, PKD may attack at any time, including the fetal period.

How to prevent PKD and how to find it early? Can Adult PKD be prevented? Many years’ studies and practice have proven that PKD can be prevented and there are several points for us to pay attention to:

Firstly, pay attention to take premarital B ultrasonic examination, especially those whose parents are PKD patients. And avoid the marriage of couples both with this disease, for which can increase the incidence of the next generation;
Secondly, PKD patients should take a ‘Cyst Gene Check’ in the 10th week of pregnancy by taking out some amniotic liquid or villus cells as sample.

Because the disease has the regular of 50 percent heredity for people whose one parent has PKD, the molecular genetics examination can help the family with PKD choose a healthy baby, what’s more, this baby won’t carry the genetic gene any more which will influence the offspring.


How to prevent PKD and how to find it early? Adult PKD belongs to autosomal dominant inheritance, which means the probability of getting the disease in male and in female is equal; if either parent has the disease, 50 percent of their children will have the cyst gene and have the disease. If both of the parents have the disease, the probability will increase to 75 percent. Children without the disease are not the carrier of cyst gene, so their children (the grandchildren) won’t have this disease, that is to say reversion will not occur. If you have more questions, please contact us!

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