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Это приводит к нарушению фосфорного и кальциевого обмена в организме, повышению уровня кальция в крови (гиперкальциемии) [2](https://centr-hirurgii-spb.ru/diseases/giperparatireoz/)[5](https://xn--g1ajp.xn--p1ai/interview/giperparatireoz/). \n\nВыделяют три типа гиперпаратиреоза [5](https://xn--g1ajp.xn--p1ai/interview/giperparatireoz/): \n1. **Первичный** — возникает из-за патологии паращитовидных желёз (доброкачественная опухоль (аденома) или увеличение желёз (гиперплазия)) [1](https://tula.fomin-clinic.ru/zabolevaniya/giperparatireoz/)[6](https://unionclinic.ru/giperparatireoz/)[8](https://www.invitro.ru/library/bolezni/34466/). \n2. **Вторичный** — развивается как реакция на болезни других органов, приводящие к длительному снижению уровня кальция в крови (например, хронические заболевания почек, проблемы с желудочно-кишечным трактом или нехватка витамина D) [5](https://xn--g1ajp.xn--p1ai/interview/giperparatireoz/)[6](https://unionclinic.ru/giperparatireoz/). \n3. **Третичный** — возникает после длительного вторичного гиперпаратиреоза, когда паращитовидные железы становятся автономными и начинают секретировать паратгормон независимо от уровня кальция в крови [6](https://unionclinic.ru/giperparatireoz/).\n\n\n\n## Причины\nНекоторые причины первичного гиперпаратиреоза: \n* **Генетические факторы** — некоторые наследственные синдромы, например, синдром множественной эндокринной неоплазии (MEN), могут повышать риск развития заболевания [6](https://unionclinic.ru/giperparatireoz/). \n* **Заболевания, которые нарушают нормальное усвоение кальция и фосфора** в организме (расстройства желудочно-кишечного тракта, целиакия, синдром раздражённого кишечника) [6](https://unionclinic.ru/giperparatireoz/).\n\n## Симптомы\nУ большинства людей первичный гиперпаратиреоз протекает бессимптомно или с минимальными проявлениями [1](https://tula.fomin-clinic.ru/zabolevaniya/giperparatireoz/). Некоторые симптомы: \n* **Со стороны опорно-двигательного аппарата**: болезненные ощущения в конечностях, судороги в ногах, неуверенная, шаткая ходьба, деформации, искривления костей, переломы [4](https://www.MedCentrServis.ru/disease/giperparatireoz/)[9](https://yandex.ru/medicine/disease/giperparatireoz). \n* **Признаки нарушения работы почек**: полиурия (повышенное выделение мочи) или сниженная активность почек, появление камней в почках [4](https://www.MedCentrServis.ru/disease/giperparatireoz/)[9](https://yandex.ru/medicine/disease/giperparatireoz). \n* **Симптомы со стороны органов желудочно-кишечного тракта**: нарушение стула (часто это запоры), потеря аппетита, боли в животе, тошнота [4](https://www.MedCentrServis.ru/disease/giperparatireoz/)[9](https://yandex.ru/medicine/disease/giperparatireoz).\n\n## Диагностика\nДля диагностики гиперпаратиреоза используют: \n* **Лабораторные исследования** — определяют уровень кальция и фосфора, паратгормона в крови, показатели кальция в моче [2](https://centr-hirurgii-spb.ru/diseases/giperparatireoz/). \n* **Инструментальные методы** — УЗИ, денситометрия (определяет плотность костных тканей), КТ, МРТ [4](https://www.MedCentrServis.ru/disease/giperparatireoz/)[14](https://premium-clinic.ru/kak-diagnostiruetsya-i-lechitsya-giperparatireoz/).\n\n## Лечение\nЛечение гиперпаратиреоза может быть: \n* **Консервативным** — назначают лекарственные средства, которые понижают уровень кальция в крови и корректируют другие показатели [9](https://yandex.ru/medicine/disease/giperparatireoz). \n* **Хирургическим** — в сложных случаях может быть показано удаление железы, которая отвечает за повышение уровня паратиреоидного гормона [9](https://yandex.ru/medicine/disease/giperparatireoz). \n\nПосле хирургического лечения первичного гиперпаратиреоза пациентам показан регулярный контроль уровня кальция, ПТГ и креатинина [14](https://premium-clinic.ru/kak-diagnostiruetsya-i-lechitsya-giperparatireoz/).","linksData":[{"sourceId":1,"url":"https://tula.fomin-clinic.ru/zabolevaniya/giperparatireoz/","shownUrl":"https://tula.fomin-clinic.ru/zabolevaniya/giperparatireoz/","title":"Гиперпаратиреоз: симптомы, причины, диагностика и методы лечения в клинике Фомина в Туле","shortUrl":"tula.fomin-clinic.ru","isTranslated":false,"description":"","greenUrl":"tula.fomin-clinic.ru"},{"sourceId":2,"url":"https://centr-hirurgii-spb.ru/diseases/giperparatireoz/","shownUrl":"https://centr-hirurgii-spb.ru/diseases/giperparatireoz/","title":"Гиперпаратиреоз: симптомы, лечение, осложнения, признаки, последствия и классификация заболевания","shortUrl":"centr-hirurgii-spb.ru","isTranslated":false,"description":"","greenUrl":"centr-hirurgii-spb.ru"},{"sourceId":3,"url":"https://www.gmsclinic.ru/diseases/hyperparathyroidism","shownUrl":"https://www.gmsclinic.ru/diseases/hyperparathyroidism","title":"Гиперпаратиреоз - 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