{"id":604,"date":"2020-01-31T09:49:38","date_gmt":"2020-01-31T09:49:38","guid":{"rendered":"https:\/\/www.barnaclinic.com\/blog\/cirugia-de-tiroides\/ca\/?p=604"},"modified":"2020-01-31T09:49:38","modified_gmt":"2020-01-31T09:49:38","slug":"hipercalcemia","status":"publish","type":"post","link":"https:\/\/www.barnaclinic.com\/blog\/cirugia-de-tiroides\/ca\/hipercalcemia\/","title":{"rendered":"Hipercalc\u00e8mia. Com s\u00e9 si tinc Hiperparatiro\u00efdisme primari?"},"content":{"rendered":"

El\u00a0hiperparatiro\u00efdisme primari<\/strong><\/a>\u00a0(HPTP) \u00e9s la primera\u00a0causa de hipercalc\u00e8mia<\/strong>\u00a0(elevaci\u00f3 de l’i\u00f3 calci\u00a0en sang) en individus no ingressats.<\/span>\u00a0En pacients hospitalitzats, la principal\u00a0causa de hipercalc\u00e8mia<\/strong>\u00a0sol ser la pres\u00e8ncia de tumors o situacions d’alteraci\u00f3 metab\u00f2lica.<\/span>\u00a0En aquests casos no \u00e9s necessari aprofundir en el\u00a0diagn\u00f2stic de Hiperparatiroidismo<\/strong><\/a>\u00a0perqu\u00e8 estem davant d’altres entitats cl\u00edniques.<\/span><\/p>\n

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T’INTERESSA…<\/h4>\n

Hiperparatiro\u00efdisme primari, una patologia de les gl\u00e0ndules paratiroides dif\u00edcil de diagnosticar<\/a><\/h4>\n<\/blockquote>\n<\/div>\n

DIAGN\u00d2STIC DE LA HIPERCALC\u00c8MIA<\/span><\/h2>\n

La forma m\u00e9s habitual de\u00a0diagn\u00f2stic de hipercalc\u00e8mia<\/strong>\u00a0sol ser la realitzaci\u00f3 d’una anal\u00edtica rutin\u00e0ria sol\u00b7licitada en una revisi\u00f3 o en el seguiment d’una altra patologia m\u00e8dica.<\/span>\u00a0En aquests casos, el pacient es troba completament asimptom\u00e0tic i probablement descobrim la malaltia en una fase molt preco\u00e7, en la qual encara no ha donat la cara.<\/span>\u00a0El facultatiu que controla a el malalt ha de completar l’estudi anal\u00edtic amb\u00a0Paratirina<\/a><\/strong>\u00a0(PTH) i\u00a0c\u00e0lcul de l’excreci\u00f3 urin\u00e0ria de calci<\/strong><\/a>.<\/span>\u00a0Posteriorment, s’haur\u00e0 de mantenir controls anuals per assegurar-se que la\u00a0hipercalc\u00e8mia<\/strong>\u00a0roman silent.<\/span><\/p>\n

La segona forma freq\u00fcent de\u00a0diagnosticar la hipercalc\u00e8mia<\/strong>\u00a0\u00e9s una anal\u00edtica per esbrinar les\u00a0causes d’una\u00a0osteoporosi<\/a><\/strong>.<\/span>\u00a0O b\u00e9 en una revisi\u00f3 per s\u00edmptomes ossis, dolors articulars, mal estat general o alguna\u00a0alteraci\u00f3 renal obstructiva<\/strong><\/a>\u00a0d’aparici\u00f3 recent.<\/span>\u00a0Un cop completat l’estudi anal\u00edtic es procedeix amb el\u00a0diagn\u00f2stic de Hiperparatiroidismo<\/a><\/strong>\u00a0.<\/span>\u00a0En aquest moment considerarem que el pacient t\u00e9\u00a0s\u00edmptomes atribu\u00efbles al\u00a0HPTP<\/strong><\/a>.<\/span>\u00a0\u00c9s llavors quan haurem de prosseguir amb l’estudi de localitzaci\u00f3 de la seva\u00a0gl\u00e0ndula paratiroide<\/strong><\/a>\u00a0malalta.<\/span><\/p>\n

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\"Oscar-Vidal\"<\/strong><\/em><\/h4>\n

\u00abEl\u00a0diagn\u00f2stic de la hipercalc\u00e8mia<\/strong>\u00a0se sol produir durant la realitzaci\u00f3 d’una anal\u00edtica rutin\u00e0ria o en el context d’una anal\u00edtica per esbrinar les\u00a0causes d’una\u00a0osteoporosi<\/a>“<\/strong><\/span><\/h4>\n

Dr. Oscar Vidal<\/a><\/p><\/blockquote>\n

Hem de saber que, quan tenim el diagn\u00f2stic prec\u00eds,\u00a0si el pacient compleix els criteris cl\u00ednics adequats<\/a>,\u00a0l’\u00fanic tractament curatiu de l’hiperparatiro\u00efdisme<\/a>\u00a0i la hipercalc\u00e8mia \u00e9s la intervenci\u00f3 quir\u00fargica per extirpar la\u00a0paratiroide patol\u00f2gica<\/a><\/strong>.<\/p>\n

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T’INTERESSA…<\/h4>\n

Quan s\u2019ha d\u2019operar un hiperparatiro\u00efdisme?<\/a><\/h4>\n<\/blockquote>\n<\/div>\n
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VOLS\u00a0CONTACTAR\u00a0AMB EL DR. OSCAR VIDAL?<\/span><\/h1>\n

DEMANAR CITA PRESENCIAL<\/a>\u00a0|\u00a0SOL\u00b7LICITAR TELEVISITA<\/a><\/p>\n<\/div>\n","protected":false},"excerpt":{"rendered":"

El\u00a0hiperparatiro\u00efdisme primari\u00a0(HPTP) \u00e9s la primera\u00a0causa de hipercalc\u00e8mia\u00a0(elevaci\u00f3 de l’i\u00f3 calci\u00a0en sang) en individus no ingressats.\u00a0En pacients hospitalitzats, la principal\u00a0causa de hipercalc\u00e8mia\u00a0sol ser la pres\u00e8ncia de tumors o situacions d’alteraci\u00f3 metab\u00f2lica.\u00a0En aquests casos no \u00e9s necessari aprofundir en el\u00a0diagn\u00f2stic de Hiperparatiroidismo\u00a0perqu\u00e8 estem davant d’altres entitats cl\u00edniques.<\/p>\n","protected":false},"author":2,"featured_media":602,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[94],"tags":[249,250,244,251,79,252,253,254],"yoast_head":"\nHipercalc\u00e8mia. Com s\u00e9 si tinc Hiperparatiro\u00efdisme primari?<\/title>\n<meta name=\"description\" content=\"El hiperparatiro\u00efdisme primari \u00e9s la 1a causa de hipercalc\u00e8mia en individus no ingressats. 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