Is parathyroid surgery difficult?

The thyroid gland is a type of gland in our body that can cause many problems. The thyroid gland is located in the neck of the human body. The more common problem is enlarged thyroid gland, which is what we generally call goiter. This disease can be treated through surgery, but the difficulty of thyroid surgery varies with severity. The lighter the disease, the less difficult it is. So is parathyroid surgery difficult?

  Parathyroid glands: Very small, located near the thyroid gland, round or oval in shape. Domestic animals generally have two pairs of parathyroid glands. The parathyroid gland is one of the endocrine glands. It is a small flat oval body, about 3-8 mm long, 2-5 mm wide, and 0.5-2 mm thick. It is located behind the lateral lobe of the thyroid gland and is sometimes hidden in the thyroid parenchyma. They are generally divided into two pairs, upper and lower, each weighing about 35-50 mg. The parathyroid glands are covered with a thin connective tissue capsule. The connective tissue of the capsule carries blood vessels, lymphatic vessels and nerves into the gland, forming trabeculae that divide the gland into incomplete lobules. The glandular parenchymal cells in the lobules are arranged in cords or clusters, with a small amount of connective tissue and abundant capillaries in between.

The patient developed hypocalcemia and low parathyroid hormone (PTH) after thyroidectomy. In your case, it is considered that thyroid surgery has damaged the parathyroid glands, resulting in a series of symptoms caused by reduced PTH secretion. Due to the close location of the thyroid and parathyroid glands, they are often damaged during surgery, which is a normal complication of surgery. The main function of PTH is to increase blood calcium and lower blood phosphorus, so the main symptoms are muscle twitching caused by low calcium, which is more severe at night, which is what we often call cramps; on the other hand, high blood phosphorus causes ectopic calcification, mainly in the intracerebral cyst area. Severe ectopic calcification can also cause epileptic seizures.

This type of situation requires long-term supplementation of calcium and active vitamin D, namely, Calcium Hydroxide, and regular review and adjustment of dosage. Taking medication for a long time can improve the symptoms. If you don't take medication, low blood calcium can cause convulsions, and low blood phosphorus can cause ectopic calcification. There is currently no particularly good way to cure the disease, so you must insist on taking your medication.