Напитки, кроме воды, для профилактики и метафилактики мочекаменной болезни


DOI: https://dx.doi.org/10.18565/urology.2024.4.130-137

Саенко В.С., Винаров А.З., Газимиев М.А.

Институт урологии и репродуктивного здоровья человека Первого МГМУ им. И. М. Сеченова (Сеченовский Университет), Москва, Россия
Низкая гидратация организма является ведущим фактором риска формирования любого типа мочевых камней. Наиболее распространенная рекомендация пациентам с целью метафилактики мочекаменной болезни – увеличение объема потребляемой жидкости как способ увеличения суточного диуреза и предотвращения перенасыщения мочи камнеобразующими веществами. Употребляемая жидкость –
это не только питьевая и минеральная вода, но и другие напитки, включающие цитрусовые и других различные фруктовые соки, кофе, чай, вино и пиво, которые являются не только жидкостью, но и средством доставки химических, питательных веществ и микроэлементов, которые могут оказывать влияние на ее состав и играть значимую роль в изменении риска камнеобразования. Цитрусовые и нецитрусовые фрукты и соки, молоко, кофе, чай, газированные неподслащенные напитки, вино, пиво и другие связаны с более низким риском формирования камней в почках, могут рассматриваться в качестве рекомендуемой жидкости. В то время как подслащенные напитки связаны с более высоким риском образования мочевых камней. Знания данных о составе мочевого камня и метаболических нарушениях конкретного пациента с мочекаменной болезнью играют значимую роль в выборе рекомендуемых напитков. Понимание важности различных электролитов, содержащихся в предлагаемых напитках, имеет решающее значение для обеспечения пациентов эффективным нелекарственным средством в профилактике рецидивирующей мочекаменной болезни в зависимости от типа камнеобразования. Правильное понимание возможностей применения различных напитков может и должно служить терапевтической стратегией профилактики и снижения риска образования мочевых камней.

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Об авторах / Для корреспонденции


А в т о р д л я с в я з и: В. С. Саенко – д.м.н., профессор Института урологии и репродуктивного здоровья человека Первого МГМУ им. И. М. Сеченова (Сеченовский Университет), Москва, Россия; e-mail: Saenko_vs@mail.ru


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