2012年11月28日星期三

Chinese Herbal Medicines for Treating Adult PKD


Question: both my wife and daughter have Adult PKD. My wife is found have PKD in 2005 and she began dialysis from the year of 2011 and this year it was found that my daughter have multiple cysts on her kidneys. Ask for possible treatment options.
Here is my wife’s illness condition:
Before dialysis urea is 220 and creatinine is 9.9; after dialysis urea is 127 and creatinine is 5.3. The largest renal cysts on right kidney are 9.5*5.3cm,8.5*6.1 and largest on left kidney are 8.1*5.1,7.7*4.9.
Here is my daughter’s illness condition:
Early impairments in bilateral renal parenchyma, the larges cyst on left kidney is 2.7*2.7 and right one is 2.2*2.0cm.
Answer: To be honest, your wife’s condition is severe. Her kidney cysts are very large and the big cysts have caused damage to her renal tissues. Besides, among her medicines, the first four medicines are taken for controlling blood pressure. Others are for relieving various symptoms, such as vomiting, nausea, difficult breathing, etc. That is to say, no medicine can shrink her cysts or repair the damaged renal tissues. Therefore, the medicines she takes don’t treat her PKD but just relieve her symptoms.
Also, the levels of urea and creatinine are high. This is because the damaged kidneys cannot filter metabolic wastes in the blood normally. A healthy kidney mainly has three functions, namely filtration function, secretion function as well as regulating electrolyte and water in blood. Due to the excess pressure from big cysts to renal tissues, the kidneys are damaged and kidney functions are impaired.
Of course, her condition is not too severe to be handled with. She still have chance to get improvements by receiving Chinese herb medicine. As you mentioned, she has no anemia, which indicates that her kidneys can produce moderate EPO. She has no itching problem, which shows that her blood phosphorus is not very high and eletrolyte is relatively balanced.
At present, your wife faces two problems. One is the increasing cysts; the other is the damaged renal tissues, or rather renal functional cells. Chinese herb medicine is mainly used to shrink and restrain the cyst.
As to your daughter, she is at the early stage. The most important thing for her is to restrain the growth of her cysts. The doctor doesn’t give her any medicine. This is because there is no effective medicine in western medical science to prevent kidney function impairment. In western medicine, only when PKD patients have symptoms, for example, hypertension, the doctor will give them anti-hypertensive medicine to relieve such problem. However, Chinese medical science is different. Chinese herb medicine can restrain the growth of the cysts so as to protect kidney function.

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