A Member of the University of Maryland Medical System   |   In Partnership with the University of Maryland School of Medicine

Share

Email PageEmail Print PagePrint

Home > Medical Reference > Encyclopedia (English)

Toggle: English / Spanish

Hiperparatiroidismo secundario - Treatment

Nombres alternativos

Hiperparatiroidismo de tipo secundario

Tratamiento:

La corrección del nivel de calcio y del problema subyacente puede llevar los niveles de PTH de nuevo a la normalidad.

El tratamiento puede implicar:

  • Una forma especial de vitamina D (que requiere receta médica) si uno tiene niveles bajos de dicha vitamina
  • Cirugía para el cáncer

A los pacientes con insuficiencia renal crónica generalmente se les suministra calcio y vitamina D y se les pide evitar el fosfato en su dieta. Igualmente, se puede recomendar un medicamento llamado cinacalcet (Sensipar). Se puede necesitar diálisis, un trasplante de riñón o cirugía de paratiroides.

Expectativas (pronóstico):

El pronóstico depende de la causa subyacente.

Complicaciones:

Las personas con problemas renales pueden seguir produciendo demasiada hormona paratiroidea incluso cuando su nivel de calcio haya retornado a la normalidad. Esto se denomina "hiperparatiroidismo terciario". Se puede necesitar cirugía de paratiroides.

Otras complicaciones abarcan:

  • Aumento del riesgo de fracturas óseas
  • Osteodistrofia renal (una afección que ocasiona dolor, debilidad y fracturas en los huesos)

Situaciones que requieren asistencia médica:

Consulte con el médico si tiene síntomas de este trastorno, particularmente si está recibiendo tratamiento por nefropatía.

  • Reviewed last on: 8/31/2010
  • Ari S. Eckman, MD, Chief, Division of Endocrinology, Diabetes and Metabolism, Trinitas Regional Medical Center, Elizabeth, NJ. Review provided by VeriMed Healthcare Network. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.

Referencias

Wysolmerski JJ, Insogna KL. The parathyroid glands, hypercalcemia, and hypocalcemia. In: Kronenberg HM, Schlomo M, Polansky KS, Larsen PR, eds. Williams Textbook of Endocrinology. 11th ed. St. Louis, Mo: WB Saunders; 2008:chap. 266.

Bringhurst FR, Demay MB, Kronenberg HM. Disorders of mineral metabolism. In: Kronenberg HM, Schlomo M, Polansky KS, Larsen PR, eds. Williams Textbook of Endocrinology. 11th ed. St. Louis, Mo: WB Saunders; 2008:chap. 27.

The information provided herein should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. A licensed medical professional should be consulted for diagnosis and treatment of any and all medical conditions. Call 911 for all medical emergencies. Links to other sites are provided for information only -- they do not constitute endorsements of those other sites. © 1997- A.D.A.M., Inc. Any duplication or distribution of the information contained herein is strictly prohibited.
adam.com
Adam QualityA.D.A.M., Inc. is accredited by URAC, also known as the American Accreditation HealthCare Commission (www.urac.org). URAC's accreditation program is an independent audit to verify that A.D.A.M. follows rigorous standards of quality and accountability. A.D.A.M. is among the first to achieve this important distinction for online health information and services. Learn more about A.D.A.M.'s editorial policy, editorial process and privacy policy. A.D.A.M. is also a founding member of Hi-Ethics and subscribes to the principles of the Health on the Net Foundation (www.hon.ch).

The information provided herein should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. A licensed medical professional should be consulted for diagnosis and treatment of any and all medical conditions. Call 911 for all medical emergencies. Links to other sites are provided for information only -- they do not constitute endorsements of those other sites. © 1997- A.D.A.M., Inc. Any duplication or distribution of the information contained herein is strictly prohibited.
adam.com
Connect with UMMC
Facebook Twitter YouTube Blog iPhone

Please rate the quality of this article.

Do you find this article to be helpful / informative?
              
Poor                                       Excellent

Do you have any brief comments on this page: (up to 255 characters)

© 2011 University of Maryland Medical Center (UMMC). All rights reserved.
UMMC is a member of the University of Maryland Medical System,
22 S. Greene Street, Baltimore, MD 21201. TDD: 1-800-735-2258 or 1.866.408.6885