Hypoparathyroidism is a fairly commonendocrine disruption, which is accompanied by either a decrease in the number of parathyroid hormone, or the receptor immunity to it. In any case, such a disease is fraught with dangerous consequences. To date, postoperative hypoparathyroidism is most often diagnosed. According to statistics, quite often a hormonal failure occurs precisely after a surgical operation on the neck organs.
Postoperative hypoparathyroidism and its main causes
As a rule, reducing the amount of hormonesthe parathyroid gland develops as a postoperative complication. The reason may be the surgical treatment of diseases of the thyroid gland, in particular its partial or complete removal due to cancer.
В некоторых случаях во время операции происходит damage to the parathyroid glands. But most often hypoparathyroidism develops in cases when the procedure damaged the main vessels supplying these endocrine glands with blood. On the other hand, sometimes excision of the thyroid leads to the formation of fibrous tissues, which also disrupts normal blood flow and trophism of organs.
In any case, it should be understood that hypoparathyroidismpostoperative - the disease is extremely dangerous. The fact is that parathyroid hormone maintains a normal balance of calcium and phosphorus. With a decrease in its level, a decrease in the concentration of calcium and a simultaneous increase in the amount of phosphorus are observed.
Postoperative hypoparathyroidism: the main symptoms of the disease
In some cases, this disease ischronic and accompanied by blurred, not too noticeable symptoms. Others have a latent form of the disease, which can only be determined during a full examination of the body.
Ни для кого не секрет, что баланс электролитов makes a huge difference. And when changing the concentration of calcium and phosphorus, there is a violation of the permeability of the cell walls. Postoperative hypoparathyroidism primarily affects the muscles and nervous system.
Muscle cramps are the main symptomdiseases. Such attacks usually occur several times a week, depending on the amount of parathyroid hormone in the blood. First, patients feel tingling in the skin, after which intense contractions of the muscles begin: the upper and lower limbs, as well as the muscles of the face, most often suffer.
It is worth noting that convulsive seizures canobserved in the internal organs. For example, when muscle spasms of the digestive tract are observed constipation and severe abdominal pain. But with cramps intercostal and diaphragmatic muscle fibers appear shortness of breath and impaired respiratory movements.
As the disease progresses, the central nervous system is also affected, which is accompanied by mental disorders.
Postoperative hypoparathyroidism: treatment
Unfortunately, to get rid of such a violationnot always fully succeed. Nevertheless, the prognosis for patients is favorable, since with the help of modern drugs, the appearance of seizures can be easily prevented.
In particular, for the prevention of useanticonvulsant drugs. In some cases, patients are prescribed sedative medications. In addition, it is necessary to take funds containing calcium, as well as vitamin D. During the exacerbation, it is extremely important to follow an appropriate diet. The diet should consist of foods rich in calcium (milk, cottage cheese, eggs, cheese), but at the same time it is necessary to exclude food containing phosphorus.
