Screeing of Patients with Essential Hypertension as a Prevention Method Hypertensive Nephropathy

Abstract

The pathogenesis of secondary hyperparathyreosis (SH) is based on three links. First, that may be a decrease of ionize calcium level and a rise of phosphorous level. Second, that may be a diminution of calcitriolґs synthesis. Third, and just as important as the other two, that may be a decrease of calcitriolґs effect for work of parathyreoid glands.

The clinical presentation include kidney disease clinical manifestation, ostoedystrophies, metastatic calcification of tissues and vessels, pruritus and pseudogoat syndrome.

The most important laboratory and instrumental diagnostic criterions are: the level of parathyrin, calcium, calcitriol, phosphorous; ultrasonic scanning, computer tomography, scintigraphy of parathyreoid glands; bone’s X-ray examination and densitometry.

Prevention and treatment of SH presuppose hypophosphatic ration, phosphatbinders, vitamin D and him active metabolites and calcimimetics.

The Rostov Center of Hyperparathyreosis was found in 01. September. 2010 in the nephrologic department of the Rostov State Medical University. The main of the centerґs work is to render specialized competent medical aid to patients with nephrology diseases, which associated with supersecretion of parathormone and resulting complications.