ما هو علاج فرط نشاط جارات الدرق الأولي؟

References

• Surgery is the only definitive treatment of PHPT.
• Parathyroidectomy is indicated for all symptomatic patients who are fit for surgery, in those with osteoporosis on DXA criteria or fragility fracture, in those with nephrolithiasis, nephrocalcinosis and those with deteriorating renal function, and suggested for those with a glomerular filtration rate (GFR) of <60 ml/min, in the absence of another explanation.
• Parathyroidectomy is indicated for all asymptomatic patients <50 years old, and should be considered for asymptomatic patients who are fit for surgery and have a life expectancy of ten years or more.
• Surgical removal of neoplastic parathyroid tissue will correct hypercalcaemia and its symptoms and improve end‑organ damage.
• Operative cure of primary hyperparathyroidism leads to a sustained improvement of BMD and reduced fracture risk.