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About The Treatment

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Multicystic Dysplastic Kidney (MCDK) Treatment

Multicystic dysplastic kidney (MCDK) is a condition that outcomes from the deformity of the kidney amid foetal development. The kidney develops sporadic blisters of varying sizes. Multicystic dysplastic kidney is a ubiquitous type of renal cystic infection, which causes stomach mass in newborn children.

What are the Types of MCDK?

MCDK might be picked up before birth on the antenatal ultrasound check, or not long after birth. Incidentally, it isn't diagnosed until the baby is older.

Most often, MCDK influences just one kidney, which is called one-sided MCDK (unilateral MCDK). This does not usually cause any problem, and the influenced kidney may shrivel and vanish when the child is five years of age. The other kidney takes up the work of two organs and grows in size. Children usually require frequent check-ups all through their adolescence for likely long-term impacts.

In rare cases, MCDK influences both kidneys – this is called two-sided MCDK (bilateral MCDK). On the other hand, one kidney might be affected by MCDK and the other kidney may have another issue. If this is suspected, the patient should return to the healing centre with caregivers for more outputs to affirm the problem.

What Diagnostic Procedures are Used Before Treating MCDK?

  • An ultrasound examination will be completed a couple of weeks after birth with the goal to gauge the extent of the normal and MCDK kidney.
  • A unique coloured scan of the kidneys is done within the first 3 months. This diagnostic procedure is known as a DMSA scan, which helps in affirming that there is no capacity in the MCDK kidney. In the meantime, a small blood sample for a creatinine estimation is taken; it is one crucial marker of the kidney function.
  • If the ultrasound shows that there might be dilatation of the normal kidney or the tube (ureter) that runs between the kidney and bladder, then a bladder x-ray (cystogram) is suggested. This is to see whether there is any reflux of urine from the bladder back to the functional kidney which could prompt disease.
  • After the initial diagnosis is done, an anti-toxin (Trimethoprim) is provided two times every day for 2 days at the beginning of this test to forestall infection occurring inside the bladder.

In case the bladder x-ray isn't done after birth then the doctor may consider performing one if infant builds up a urine infection in the primary year of life.

What Can Be Done to Treat MCDK?

The MCDK requires no treatment, as the affected kidney will shrivel and vanish with time; however, in case that does not happen, doctors may suggest laparoscopic nephrectomy. The caregivers of the child have to be cautious while choosing a treatment procedure.

  • Laparoscopic Nephrectomy provides patients with a safe and practical approach to remove an unhealthy or cancerous kidney. Laparoscopic nephrectomy is a minimally invasive procedure, which provides patients with the best outcomes as compared to conventional open surgical procedures. The laparoscopic nephrectomy is the most preferred post-operative procedure when it comes to the comfort of the patient, a shorter hospital stay.
  • Children with MCDK are monitored intermittently and repeated ultrasounds are performed to guarantee that the healthy kidney is developing normally.
  • Normal checkups are vital to guarantee the functioning kidney stays healthy. As a rule, once per year for blood pressure, blood tests, kidney ultrasound and urine test are conducted to keep a track of child's health. If the kidney channels are getting stressed there might be high blood pressure or protein spill through the channels into the urine.

What Precautions Must Mothers Take Amid Pregnancy?

Limiting odds of kidney harm due to diabetes or hypertension is critical. Mothers are advised to refrain from certain habits which may harm the baby. They are advised to:

  • Maintain a healthy body weight
  • Avoid smoking/liquor.
  • Exercise regularly
  • Avoid hypertension

Apart from the precautions mentioned above, doctors advise expecting mothers to stay away from dangerous sports like bungee jumping, skiing, running, and so on. Once the child is born, it is better to have a kidney shield made to fit undergarments to ensure the kidney’s safety while playing sports.

Prognosis

The prognosis of MCDK treatment is mostly favourable if the necessary precautions are taken and the follow-ups are going on without fail. Death happens in rare cases, if the healthy kidney is damaged or diseased.

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Hospitals

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