Thursday, November 6, 2014

ទទួលទានទឹកបន្ថែមទៀតដើម្បីកាត់បន្ថយហានិភ័យនៃគ្រួសក្នុងតម្រងនោម (Drink more fluid to cut risk of further kidney stones)

Kidney stones

Drink more fluid to cut risk of further kidney stones

In the new guideline by the American College of Physicians, one of the recommendation, in particular those people who have had a kidney stone is to increase fluid intake to achieve 2 liters of urine a day.

According to Dr. David Fleming, president of the American College of Physicians (ACP), increased fluid intake can decrease stone recurrence by at least half with virtually no side effects. However, people who already drink the recommended amount of liquids, or when increased fluid intake is contraindicated, should not increase their fluid intake."

To arrive at the new guidelines, the ACP carried out a review of scientific evidence published between 1948 and 2014. This took into account the benefits and harms of drug and dietary treatments to prevent recurring kidney stones.

The reviewers found some evidence that reducing intake of cola drinks might help prevent further kidney stones. However, they did not find evidence to suggest tap water was any better or worse than a specific brand of mineral water.

There is evidence that thiazide diuretics, citrates or allopurinol effectively reduce recurrence of kidney stones made ofcalcium in patients with at least two past stones. Kidney stones made of calcium are the most common type.

The guidelines also suggest reducing dietary animal protein and purines (compounds that break down into uric acid), and maintaining normal dietary calcium.

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