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尿石症的营养管理

Nutritional Management of Urolithiasis.

作者信息

Queau Yann

机构信息

Research & Development Center, Royal Canin, 650 avenue de la Petite Camargue, Aimargues 30470, France.

出版信息

Vet Clin North Am Small Anim Pract. 2019 Mar;49(2):175-186. doi: 10.1016/j.cvsm.2018.10.004. Epub 2018 Dec 21.

Abstract

Dietary management of urolithiasis in dogs and cats is designed to dissolve calculi when possible and/or reduce the risk of recurrence. The diet must reduce urine relative supersaturation for the particular salt in order to prevent crystallization. To decrease urinary concentrations of crystal precursors, increasing water intake is essential regardless of the stone type. Altering the amounts of dietary precursors of the stone and controlling urine pH is mostly effective for struvite, urate, xanthine, and cystine, but still subject to controversy for calcium oxalate. The investigation of underlying metabolic disorders and close monitoring of animals at risk is recommended.

摘要

犬猫尿石症的饮食管理旨在尽可能溶解结石和/或降低复发风险。饮食必须降低特定盐类的尿液相对过饱和度,以防止结晶。无论结石类型如何,增加饮水量对于降低尿液中晶体前体的浓度至关重要。改变结石饮食前体的量并控制尿液pH值对鸟粪石、尿酸盐、黄嘌呤和胱氨酸结石最为有效,但对草酸钙结石仍存在争议。建议对潜在的代谢紊乱进行调查,并密切监测有风险的动物。

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