بعد استئصال الغده الدرقيه 

قد يتعرض المرضي لنقص خطير في مستويات الكالسيوم بصفه دائمه او مؤقته 

وذلك يعكس انه قد يكون اخطا الجراح المعالج وقام بازاله الغده الجار درقيه 

او سبب لها جرحا 

وذلك لان هذه الغده اصلا صغيره جدا ف الحجم ومن الصعب تمييزها فا تكون بذلك معرضه ل الازاله عن طريق الخطا 

او حتي جرحها 

في الفيديو شرحت لكم مجموعه من الادويه الهامه جدا لطلبه الطب والتي تنظم مستويات الكاليوم ف الدم وفي أهم الحالت الطبيه ايضا وليس هذه الحاله فقط 

# Hypoparathyroidism Following Thyroidectomy:

Hypoparathyroidism is a relatively rare but significant complication that can occur following thyroid surgery. 

This condition arises when there is a deficiency of parathyroid hormone (PTH), leading to low calcium levels. 

The most common cause of hypoparathyroidism is inadvertent damage to the parathyroid glands during thyroid surgery.

## Parathyroid Glands and Their Role

The parathyroid glands, usually four in number, are located adjacent to the thyroid gland, with two glands on each side. 

These glands produce PTH, which plays a crucial role in regulating calcium levels in the blood. 

## Hypoparathyroidism Post-Thyroidectomy

During thyroid surgery, the parathyroid glands may get bruised or damaged, leading to a temporary or permanent decrease in PTH production. 

Temporary hypoparathyroidism is rather common after surgery but usually resolves after a few days to weeks⊃1;. However, permanent hypoparathyroidism,

 while rare, continues to be a real clinical problem post-thyroidectomy.

## Risk Factors and Management

In the hands of an experienced surgeon, the risk of permanent hypoparathyroidism should be less than 5%. 

However, the risk of temporary hypoparathyroidism remains high, even in experienced surgical hands. 

If it appears that the parathyroid glands will not recover, surgeons may autotransplant one or more parathyroid glands into the neck muscles during surgery.

 However, there remains considerable controversy and uncertainty among surgeons as to the best approach to reduce the risk of hypoparathyroidism when

 performing thyroidectomy.