Abstract
Urolithiasis is a polyetiological and polypathogenetic disease. The modern task of treatment of SCC is not only the elimination of the calculus, but also the prevention and elimination of the causes that led to its formation. The lack of a comprehensive approach to the correction of metabolic disorders leads to the fact that 7-10% of patients after removal of the calculus relapse within 1 year, 35% - within 5 years and 50% of patients relapse within 10 years. The mean time to recurrence in every second patient is 8.8 ± 1.2 years. The article presents current evidence-based data on possible options for metaphylaxis of various forms of calcium urolithiasis with recommendations on diet, lifestyle changes and drug treatment. Special attention is paid to the use of the medicinal product of plant origin Canephron® N. Systematic metaphylaxis, clear and coordinated succession in the work of the clinic and urological hospital, the patient’s commitment to the prescribed treatment contributes to a significant reduction in the frequency of recurrence of stone formation.
Highlights
Urolithiasis is a polyetiological and polypathogenetic disease
The modern task of treatment of urolithiasis is the elimination of the calculus, and the prevention and elimination of the causes that led to its formation
The lack of a comprehensive approach to the correction of metabolic disorders leads to the fact that 7-10% of patients after removal of the calculus relapse within 1 year, 35% - within 5 years and 50% of patients relapse within 10 years
Summary
Urolithiasis is a polyetiological and polypathogenetic disease. The modern task of treatment of urolithiasis is the elimination of the calculus, and the prevention and elimination of the causes that led to its formation. Зменшення споживання оксалатів, тваринного білка, сахарози, фруктози, натрію, препаратів вітаміну С і кальцію (на відміну від дієтичного кальцію в складі продуктів харчування) може знизити ризик утворення каменів. Збільшення споживання фруктів і овочів, незалежно від добової кількості сечі, може знизити ризик утворення каменів з оксалату кальцію, особливо у пацієнтів, які самостійно обрали дієту з низьким вмістом фруктів і овочів.
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