SHOCK WAVE DAMAGING EFFECT AT CARRYING OUT EXTRACORPOREAL SHOCK WAVE LITHOTRIPSY IN PATIENTS WITH NEPHROLITHIASIS
THE AIM. The study of shock wave damaging effect during extracorporeal shock wave lithotripsy (ESWL) in patients with nephrolithiasis. PATIENTS AND METHODS. Information about the shock wave damaging effect at extracorporeal shock wave lithotripsy in 120 patients with nephrolithiasisis given, laboratory research settings immunograms, lipid peroxidation (LPO), selectivity of proteinuria and glomerular filtration rate were studied to assess the early and late complications. RESULTS. ESWL is accompanied by complications due to a direct effect of the shock waves on the kidney and urinary tract occlusion and infection. This requires targeted measures aimed at improving the stability of kidney to effects of shock wave and prevention of infectious and inflammatory process. The nature of immune response may be an additional diagnostic test for the selection of patients for ESWL and preventive actions. CONCLUSION. Comprehensive drug treatment, carried out in the pre-and postoperative periods, when properly perform lithotripsy can reduce the degree of ischemia and microcirculatory disorders from traumatic impact of shock wave and to restore kidney functions to 4-5 days and to prepare it for a possible repeat session of lithotripsy.