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Marija asked 1 година ago
Postovani, potreban savet. I Pacije tko ja u 67 oj godini, rutinskom lab verifikovqne povišene vrednosti Ca oko 2.8 mmol/l. Konsultivqn reumatologa, učinjena Dexa osteoporozq – 3.8 t score.Pth blago povisen na 32 (opseg do 29).ucinjen eho vrata, scintigrafiju parastitaste… Vizuelizuje se promena u lozi parastitaste (adenom?). Vitamin d oko 10 (osoeg 20 do 40).kinsultivan end hirurg.. Na praćenju je pt. Sta savetujete? Da li je potrebna th protiv osteopoze i koja? Koji je uzrok povišenog Calcijuma..odrzava se i nakon 1 godine praćena oko 2.8… Pt ima bolove niz nogu (operisana kičma novembar 2023?)
1 Answers
Dr Biljana Petrovic answered 1 година ago
Postovana
Povisen pth izaziva povecanu razgradnju kostiju i oslobadjanje Ca .
Proverite i funkciju bubrega
Lacite osteoporozu ,nadoknadite vit d ,krecite se sto vise u zdravoj sredini i pratite paratirioidnu zlezdu koju bi mozda najbolje bilo operisati .
Pozdrav
Povisen pth izaziva povecanu razgradnju kostiju i oslobadjanje Ca .
Proverite i funkciju bubrega
Lacite osteoporozu ,nadoknadite vit d ,krecite se sto vise u zdravoj sredini i pratite paratirioidnu zlezdu koju bi mozda najbolje bilo operisati .
Pozdrav
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