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master's thesis
Pristup pacijentu s urolitijazom
diplomski rad
2023. urn:nbn:hr:184:067560
Beg, Vinko
University of Rijeka
Faculty of Medicine
Department of Urology

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Beg, V. (2023). Pristup pacijentu s urolitijazom : diplomski rad (Master's thesis). Rijeka: University of Rijeka, Faculty of Medicine. Retrieved from https://urn.nsk.hr/urn:nbn:hr:184:067560

Beg, Vinko. "Pristup pacijentu s urolitijazom : diplomski rad." Master's thesis, University of Rijeka, Faculty of Medicine, 2023. https://urn.nsk.hr/urn:nbn:hr:184:067560

Beg, Vinko. "Pristup pacijentu s urolitijazom : diplomski rad." Master's thesis, University of Rijeka, Faculty of Medicine, 2023. https://urn.nsk.hr/urn:nbn:hr:184:067560

Beg, V. (2023). 'Pristup pacijentu s urolitijazom : diplomski rad', Master's thesis, University of Rijeka, Faculty of Medicine, accessed 13 April 2025, https://urn.nsk.hr/urn:nbn:hr:184:067560

Beg V. Pristup pacijentu s urolitijazom : diplomski rad [Master's thesis]. Rijeka: University of Rijeka, Faculty of Medicine; 2023 [cited 2025 April 13] Available at: https://urn.nsk.hr/urn:nbn:hr:184:067560

V. Beg, "Pristup pacijentu s urolitijazom : diplomski rad", Master's thesis, University of Rijeka, Faculty of Medicine, Rijeka, 2023. Available at: https://urn.nsk.hr/urn:nbn:hr:184:067560

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Metadata
TitlePristup pacijentu s urolitijazom : diplomski rad
Title (english)Approach to the patient with urolithiasis
AuthorVinko Beg
MentorJuraj Ahel (mentor)
Committee memberJosip Španjol (predsjednik povjerenstva)
Committee memberRomano Oguić (član povjerenstva)
Committee memberStanislav Sotošek (član povjerenstva)
GranterUniversity of Rijeka
Faculty of Medicine
(Department of Urology)
Rijeka
Defense date and country2023-07-14, Croatia
Scientific / art field,
discipline and subdiscipline		BIOMEDICINE AND HEALTHCARE
Clinical Medical Sciences
Urology
Abstract
Urolitijaza predstavlja prisutnost kamenaca bilo gdje unutar urotrakta (bubreg, ureteri, mokraćni mjehur, uretra). Najčešći tipovi kamenaca su oni građeni od kalcijeva oksalata (67%) zatim kalcijeva fosfata (17%) nakon čega slijede oni od mokraćne kiseline (8%), struvita (3%) te cistina (0.4%). Formacija kamenaca u urinu multifaktorijalni je proces kojem doprinose promjene u metabolizmu, genetski čimbenici, funkcionalne abnormalnosti te prehrana koja ima čak i najvažniju ulogu. Pri evaluaciji... More pacijenta s urolitijazom potrebno je uzeti dobru anamnezu s naglaskom na povijest bolesti, funkcije i navike te okolišne čimbenike kojima je osoba izložena kako bi procijenili u koju rizičnu skupinu pacijent spada, napraviti odgovarajući i ciljani fizikalni pregled te ordinirati potrebne laboratorijske i slikovne pretrage. Dijagnostika započinje ultrazvukom za nekompliciranu urolitijazu te se nadograđuje na razne modalitete kompjuterizirane tomografije u slučaju ozbiljnije prezentacije. Liječenje sačinjavaju medikamentozni i kirurški pristup ovisno o prezentaciji, veličini i lokaciji kamenca te samom stanju pacijenta. Izrazit naglasak treba staviti na prevenciju urolitijaze gdje su promjena životnog stila i prehrana najvažniji čimbenici. Dijeta koju sačinjava viši dnevni unos tekućine uz izbjegavanje zaslađenih gaziranih pića i konzumaciju sokova bogatih citratom te povećan omjer voća i povrća u odnosu na proteine životinjskog podrijetla i sol, uz balansiran unos mliječnih proizvoda predstavlja najbolju modifikaciju prehrane s namjerom prevencije urolitijaze. Less
Abstract (english)
Urolithiasis refers to the presence of stones anywhere within the urinary tract (kidney, ureters, bladder, urethra). The most common types of stones are those made of calcium oxalate (67%), followed by calcium phosphate (17%), uric acid (8%), struvite (3%), and cystine (0.4%). The formation of urinary stones is a multifactorial process that is influenced by changes in metabolism, genetic factors, functional abnormalities, and diet, which plays an important role. When evaluating a patient... More with urolithiasis, it is important to take a thorough medical history focusing on the patient's history of illness, habits, and environmental factors to assess which risk group the patient belongs to, conduct an appropriate and targeted physical examination, and order the necessary laboratory and imaging tests. The diagnosis begins with ultrasound for uncomplicated urolithiasis and is supplemented by various computed tomography modalities in more serious presentations. Treatment consists of medical and surgical approaches depending on the presentation, size, and location of the stone, as well as the patient's overall condition. Emphasis should be placed on the prevention of urolithiasis, where lifestyle and dietary changes are the most important factors. A diet consisting of increased daily fluid intake, avoiding sweetened carbonated drinks and consuming juices rich in citrate, and increasing the ratio of fruits and vegetables intake while decreasing the ratio of animal protein and salt intake, along with a balanced consumation of dairy products, represents the best dietary modification for the prevention of urolithiasis. Less
Keywords
Keywords (english)
Languagecroatian
URN:NBNurn:nbn:hr:184:067560
Study programmeTitle: Medicine
Study programme type: university
Study level: integrated undergraduate and graduate
Academic / professional title: doktor/doktorica medicine (doktor/doktorica medicine)
Type of resourceText
File originBorn digital
Access conditionsOpen access
Terms of useLicence In copyright icon
Created on2023-06-29 16:08:48
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