PERSONALISED PROGRAM OF MEDICAL REHABILITATION OF ADOLESCENTS AFTER SURGICAL TREATMENT OF UROLITHIASIS (CLINICAL-FUNCTIONAL AND METABOLIC APPROACH)

The article presents the results of a comprehensive clinical, functional, laboratory and instrumental analysis of the effectiveness of a personalized rehabilitation program in boys after surgical treatment of urolithiasis. 67 children aged 12 to 18 years who had surgery for coral nephrolithiasis were examined. A comparative assessment of the standard and individualized medical rehabilitation programs, including stages of hospital, outpatient and spa care, was carried out. Functional diagnostics methods (assessment of renal blood flow, ultrasound), laboratory markers of metabolic status (oxalates, urates, citrates) were used. The results obtained indicate greater effectiveness of a personalized approach that helps stabilize metabolic disorders, improve urodynamics and reduce the risk of recurrence of nephrolithiasis. It has been proven that the integration of clinical and functional monitoring and correction of metabolic disorders allows optimizing recovery in this group of patients. Keywords: Urolithiasis, Children, Surgical Treatment, Medical Rehabilitation, Metabolic Markers, Individualized Approach, Nephrolithiasis, Quality of Life.