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Хирургическое лечение вторичного гиперпаратиреоза у пациентов с хронической болезнью почек


https://doi.org/10.29235/1814-6023-2018-15-4-465-482

Полный текст:


Аннотация

Предполагается, что повышенная смертность пациентов с хронической болезнью почек при тяжелом вторичном гиперпаратиреозе обусловлена большим количеством сердечно-сосудистых, метаболических, гематологических и иммунологических нарушений, которые вызваны высокими концентрациями уремического токсина паратиреоидного гормона. Для предотвращения прогрессирования вторичного гиперпаратиреоза помимо метаболитов витамина Д дополнительно предлагается применять более активный кальцимиметик – цинакалцет, являющийся агонистом кальций-чувствительного рецептора. Однако при наступлении терминальной стадии почечной недостаточности именно хирургический метод лечения вторичного гиперпаратиреоза является важной составляющей нарушений минерального обмена, так как снижает частоту осложнений и существенно продлевает жизнь пациентов, получающих заместительную почечную терапию.


Об авторе

А. М. Писаренко
Минский городской клинический онкологический диспансер, Минск
Беларусь
заведующий отделением


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Для цитирования: Писаренко А.М. Хирургическое лечение вторичного гиперпаратиреоза у пациентов с хронической болезнью почек. Известия Национальной академии наук Беларуси. Серия медицинских наук. 2018;15(4):465-482. https://doi.org/10.29235/1814-6023-2018-15-4-465-482

For citation: Pisarenka A.M. Surgical treatment of secondary hyperparathyroidism in patients with chronic kidney disease. Proceedings of the National Academy of Sciences of Belarus, Medical series. 2018;15(4):465-482. (In Russ.) https://doi.org/10.29235/1814-6023-2018-15-4-465-482

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