तृतीयक हाइपरपैराथायरायडिज्म का उपचार जब चिकित्सा प्रबंधन हाइपरकैल्सीमिया को नियंत्रित करने में विफल रहा हो

References

DOI: 10.5005/jp-journals-10002-1033

• As same as dialysis patients with advanced SHPT, PTx is the most successful treatment for resolving advanced HPT in patients with THPT.
• Subtotal PTx and total PTx with autograft are widely accepted for THPT.
• Our preferable operative procedure for THPT is total PTx with forearm autograft.
• Simultaneous thymectomy, resection of thymic tongues from neck incision is performed routinely.
• After PTx, serum PTH and calcium levels drop rapidly because autografted parathyroid tissue begins functioning after two to three weeks after PTx, and usually patients have severe hungry bone syndrome, and calcium and phosphorus move to bone from blood and bone formation becomes prominent.
• The bone mineral content in trabecular bone measured by X-ray absorptiometry has increased about 10% after PTx, and fracture risk has been lower.
• Symptoms of HPT, i.e. bone pain, depression, itching, easy fatigue, etc., have been efficiently relieved by successful PTx.