METHAPHYLAXIS OF NEPHROLITHIASIS IN CHILDREN AT THE ENDEMIC REGION
Objective: Improving the diagnosis, treatment and metaphylaxis of nephrolithiasis in children. Methods: Under observation was 201 patients with nephrolithiasis aged from one to 14 years. The following risk factors were identified: urological diseases in the immediate family, which was accompanied...
| Main Authors: | , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Avicenna Tajik State Medical University
2018-03-01
|
| Series: | Паёми Сино |
| Subjects: | |
| Online Access: | https://doi.org/10.25005/2074-0581-2018-20-1-84-89 |
| _version_ | 1827918636888621056 |
|---|---|
| author | D.M. MAKHMADZHONOV SH.R. SULTONOVv Z.A. BOBOEV |
| author_facet | D.M. MAKHMADZHONOV SH.R. SULTONOVv Z.A. BOBOEV |
| author_sort | D.M. MAKHMADZHONOV |
| collection | DOAJ |
| description | Objective: Improving the diagnosis, treatment and metaphylaxis of nephrolithiasis in children.
Methods: Under observation was 201 patients with nephrolithiasis aged from one to 14 years. The following risk factors were identified: urological diseases in the immediate family, which was accompanied by metabolic disorders (68.5%); abnormalities of the urinary tract (37%); the age of mothers over 40 (43.3%); related marriages (16.7%).
Results: Conducted conservative treatment was effective only in 14 patients with small kidney stones, in other cases, an open surgical removal of stones: pyelolithotomy (98), sparing nephrolithotomy (68), calicolithotomy (11). Nephroureterectomy with calculous pyonephrosis performed on four patients (1.9%). With obstructive purulent calculous pyelonephritis, a radical technique of primary nephrolithotomy with nephrostomy was used. For the purpose of metaphylaxis, after discharge from the hospital, systematic observations of children conducted in a polyclinic.
Conclusion: The main metaphylaxis measures for urolithiasis at the outpatient stage should be aim to the sanation of the urinary tract, normalization of urine pH, correction of metabolic disturbances, and treatment of concomitant somatic diseases. |
| first_indexed | 2024-03-13T03:46:28Z |
| format | Article |
| id | doaj.art-44d585d3b373460c952c8c204f42aa9f |
| institution | Directory Open Access Journal |
| issn | 2074-0581 2959-6327 |
| language | English |
| last_indexed | 2024-03-13T03:46:28Z |
| publishDate | 2018-03-01 |
| publisher | Avicenna Tajik State Medical University |
| record_format | Article |
| series | Паёми Сино |
| spelling | doaj.art-44d585d3b373460c952c8c204f42aa9f2023-06-22T20:41:50ZengAvicenna Tajik State Medical UniversityПаёми Сино2074-05812959-63272018-03-01201848910.25005/2074-0581-2018-20-1-84-89METHAPHYLAXIS OF NEPHROLITHIASIS IN CHILDREN AT THE ENDEMIC REGIOND.M. MAKHMADZHONOV0SH.R. SULTONOVv1Z.A. BOBOEV2Department of Pediatric Surgery, Avicenna Tajik State Medical University, Dushanbe, Republic of TajikistanDepartment of Pediatric Surgery, Avicenna Tajik State Medical University, Dushanbe, Republic of TajikistanDepartment of Pediatric Surgery, Avicenna Tajik State Medical University, Dushanbe, Republic of TajikistanObjective: Improving the diagnosis, treatment and metaphylaxis of nephrolithiasis in children. Methods: Under observation was 201 patients with nephrolithiasis aged from one to 14 years. The following risk factors were identified: urological diseases in the immediate family, which was accompanied by metabolic disorders (68.5%); abnormalities of the urinary tract (37%); the age of mothers over 40 (43.3%); related marriages (16.7%). Results: Conducted conservative treatment was effective only in 14 patients with small kidney stones, in other cases, an open surgical removal of stones: pyelolithotomy (98), sparing nephrolithotomy (68), calicolithotomy (11). Nephroureterectomy with calculous pyonephrosis performed on four patients (1.9%). With obstructive purulent calculous pyelonephritis, a radical technique of primary nephrolithotomy with nephrostomy was used. For the purpose of metaphylaxis, after discharge from the hospital, systematic observations of children conducted in a polyclinic. Conclusion: The main metaphylaxis measures for urolithiasis at the outpatient stage should be aim to the sanation of the urinary tract, normalization of urine pH, correction of metabolic disturbances, and treatment of concomitant somatic diseases.https://doi.org/10.25005/2074-0581-2018-20-1-84-89urolithiasisprophylaxisoperative treatmentmetaphylaxisambulatory care. |
| spellingShingle | D.M. MAKHMADZHONOV SH.R. SULTONOVv Z.A. BOBOEV METHAPHYLAXIS OF NEPHROLITHIASIS IN CHILDREN AT THE ENDEMIC REGION Паёми Сино urolithiasis prophylaxis operative treatment metaphylaxis ambulatory care. |
| title | METHAPHYLAXIS OF NEPHROLITHIASIS IN CHILDREN AT THE ENDEMIC REGION |
| title_full | METHAPHYLAXIS OF NEPHROLITHIASIS IN CHILDREN AT THE ENDEMIC REGION |
| title_fullStr | METHAPHYLAXIS OF NEPHROLITHIASIS IN CHILDREN AT THE ENDEMIC REGION |
| title_full_unstemmed | METHAPHYLAXIS OF NEPHROLITHIASIS IN CHILDREN AT THE ENDEMIC REGION |
| title_short | METHAPHYLAXIS OF NEPHROLITHIASIS IN CHILDREN AT THE ENDEMIC REGION |
| title_sort | methaphylaxis of nephrolithiasis in children at the endemic region |
| topic | urolithiasis prophylaxis operative treatment metaphylaxis ambulatory care. |
| url | https://doi.org/10.25005/2074-0581-2018-20-1-84-89 |
| work_keys_str_mv | AT dmmakhmadzhonov methaphylaxisofnephrolithiasisinchildrenattheendemicregion AT shrsultonovv methaphylaxisofnephrolithiasisinchildrenattheendemicregion AT zaboboev methaphylaxisofnephrolithiasisinchildrenattheendemicregion |