This study, based on our own research and recent literature sources, investigates the risk factors influencing the development and progression of nephropathies (genetic, teratogenic, environmental). Timely identification of these factors and adherence to simple preventive measures (diet, fluid regimen, maintaining a favorable microclimate, eliminating infectious, toxic, and allergic influences, and correcting dysmetabolism) can prevent complications such as interstitial nephritis (IN), urolithiasis (UL), secondary dysmetabolism (SDM), and secondary pyelonephritis. Environmental factors contributing to the manifestation of pathology in children with metabolic disorders include seasonal climate changes—adaptation to low and high temperatures, dietary errors, emotional and physical overloads, membranopathies, and intercurrent diseases. It has been established that the presence of hidden diathesis in a child from a family with a predisposition to certain diseases (family history, hereditary burden index) can be determined using biochemical, immunological, and functional tests. A scheme for preventive and metafilactic measures for nephropathies in uric acid diathesis has been developed.