What are the treatments for parathyroid osteodystrophy?

  What kind of treatment is accurate and effective for parathyroid osteodystrophy? I think this is the question of many parathyroid osteodystrophy patients, so what kind of treatment is effective to treat parathyroid osteodystrophy? Here, we’ll learn together what treatments are available for parathyroid osteodystrophy.  What are the treatments for parathyroid osteodystrophy?  Once the diagnosis is confirmed, surgery is the only effective treatment. If left untreated, the skeletal lesions will progress to pathological fractures; if kidney stones are simply removed, stones will continue to be produced and progressive renal impairment will occur. The decision to operate on hyperparathyroidism with skeletal lesions is not difficult.  Contraindications to surgery are: (i) cases with very poor general condition; (ii) those with severe chronic renal impairment, even if they are not yet in the end stage.  The principle of surgery is to solve the problem once and to explore the mediastinum if necessary. A second surgery is difficult and should be avoided. A single adenoma can be very small, not much larger than a normal parathyroid gland: it can also be found in both parathyroid glands; and hyperplasia can involve all of the parathyroid glands. The surgeon must therefore be familiar with the anatomy of the parathyroid glands and their variants. Normal individuals have four parathyroid glands, but there are two to six. The majority of the upper group of parathyroid glands are located in the posterior 1/3 of the posterior border of the thyroid gland, and the majority of the lower group of parathyroid glands are located posterior to the lower pole of the thyroid gland. In a small number of cases, the parathyroid glands are located within the thyroid gland, most of which are located within the thyroid envelope, and only a small percentage are located within the thyroid tissue.  Adenomas are usually larger in patients with skeletal lesions and smaller in those with renal calculi. Adenomas are usually larger in patients with high blood calcium.  It is usually not difficult to find adenomas during surgery. A brownish tumor can be seen when the thyroid gland is separated and should be confirmed by a frozen section after excision. If no obvious adenoma can be found and you are not sure if it is a parathyroid hyperplasia, a frozen section of the parathyroid gland should be performed. A normal parathyroid gland with normal results can exclude parathyroid hyperplasia, suggesting that there may be a small unnoticeable adenoma or an ectopic parathyroid gland, and if necessary, the upper part of the posterior mediastinum can be explored. In cases where the parathyroid glands are located within the thyroid tissue, a lobectomy may be performed.  In cases with parathyroid hyperplasia, three parathyroid glands need to be removed and the fourth parathyroid gland is subtotaled. The residual tissue is about 50-150 MG, but it is difficult to decide exactly how much is left during the operation.  In parathyroid cancer, the tumor and surrounding fatty tissue should be removed, and usually the adjacent thyroid tissue should also be removed.  Twenty-four hours after removal of the tumor and the hyperplastic parathyroid gland, the blood calcium drops to normal levels or even below normal levels. Because calcium is required for the repair of skeletal lesions after surgery, it can be maintained at low blood calcium levels for a long time after surgery, especially in those with renal dysfunction. Therefore, those with low blood calcium should take vitamin D supplements after surgery. Those with low blood calcium can have convulsions and numbness of the fingers, and calcium supplements can relieve the symptoms, and in severe cases, intravenous calcium gluconate can be injected, and the convulsions will be rapidly controlled.  The skeletal changes will improve rapidly after surgery, pain, muscle weakness and general symptoms will all disappear within a few weeks and months. The deformity will always be present. Calcium and vitamin D should be supplemented during the recovery period, and activity should still be limited because pathological fractures may still occur during the recovery period. All orthopedic surgery should be performed only after the disease is controlled.  The above is the treatment of parathyroid osteodystrophy, after the above treatment methods, we will be able to better achieve the purpose of curing parathyroid osteodystrophy disease, therefore, for patients suffering from parathyroid osteodystrophy disease, must go to the regular hospital for the corresponding treatment, so that we can achieve the purpose of curing the disease in the shortest possible time This is the only way to cure the disease in the shortest possible time.