Prophylaxis
Apart from a regular medical check of the blood count and thus early detection of primary hyperparathyroidism (overactive parathyroid), no prophylactic measures are known. In order to prevent the development of a secondary form of hyperparathyroidism, the underlying diseases should be treated promptly.
Prognosis
With early diagnosis and possible surgery, the prognosis is very good. In case of symptomatic, non-surgical therapy, a close calcium control leads to an improved prognosis. If so-called nephrocalcinosis (very severe calcification of the kidney) can be diagnosed in addition to hyperparatyroidism (overactive parathyroid), the prognosis is rather unfavorable.
Summary
Hyperparathyroidism (overactive parathyroid gland) is a metabolic disease of the parathyroid gland, which can be divided into primary, secondary and tertiary forms. The primary form is usually caused by adenomatous changes in the parathyroid gland, which cause increased secretion of parathyroid hormone. An elevated parathyroid hormone level acts via various mechanisms to raise the calcium level.
In secondary hyperparathyroidism (overactive parathyroid gland), other underlying diseases are responsible for a lowered calcium level, which then causes the parathyroid hormone to be secreted by the parathyroid gland. The most common causes of this are:.In the tertiary form, an imbalance between parathyroid hormone and calcium requirement leads to an increased calcium level. Hyperparathyroidism often proceeds without symptoms and is usually diagnosed by chance.
In those cases where the disease causes symptoms, patients complain of overcharging: In order to make a diagnosis, it is important to find out what the relationship between calcium and parathyroid hormone is by means of a laboratory test. Taking kidney values (creatinine) into account, a distinction can be made between primary, secondary or tertiary hyperparathyroidism. Tumor diseases, which can also trigger elevated calcium levels, must not be disregarded.
In symptomatic clinical pictures of the primary form, surgical removal of the epithelial bodies should be attempted. In these cases, the patient is usually free of symptoms. In asymptomatic forms of the disease, the patient should drink plenty of fluids and have the blood calcium level checked at regular intervals.
In secondary hyperparathyroidism, the underlying disease should be treated in any case, since surgical removal of the epithelial corpuscles would not eliminate the cause. In most cases, the prognosis of this disease is very good. It is important to pay attention to regular control of the calcium level even after surgery. If a so-called nephrocalcinosis (calcification of the kidney) is detected, the prognosis is rather unfavorable.
- Kidney diseases and
- Food Utilization Disorders
- Bone Pain
- Kidney stones
- Complaints of the gastrointestinal system
- Psychic or
- Nervous complaints.
