So magnesium a ɛwɔ wo mu no sua? Momma yɛnka hypomagnesemia ho asɛm!

So ɛtɔ mmere bi a wote nka sɛ wo ho nyɛ wo den kɛkɛ, wo nsa ne wo nan ho wosow, anaasɛ ɛyɛ den ma w’adwene sɛ wode w’adwene besi biribi so? Ebia nea enti a ɛte saa ne sɛ aduannuru a ɛho hia a wɔfrɛ no magnesium no sua. Ɛnnɛ, yɛbɛka tebea yi a wɔfrɛ no hypomagnesemia, anaa magnesium a enni nipadua mu yi ho asɛm.

Dɛn ne Hypomagnesemia?

Sɛ yɛbɛka no tiawa a, hypomagnesemia yɛ bere a magnesium kakraa bi na ɛwɔ wo mogya mu sen sɛnea ɛsɛ sɛ woyɛ no. Eyi betumi ayɛ sintɔ a ɛnyɛ den, anaasɛ ebetumi ayɛ sintɔ a emu yɛ den kɛse.

Seesei ebia woresusuw nea magnesium yɛ ne nea enti a ɛho hia yɛn ho . Magnesium yɛ electrolyte a ɛho hia yiye wɔ yɛn nipadua mu. Eyi kyerɛ sɛ magnesium boa yɛn nkwammoaa ma ɛyɛ adwuma yiye na ɛboa ma yɛn ntini ahorow no yɛ adwuma yiye. Magnesium ho hia na ama w’amemene, wo koma, ne wo ntini ahorow atumi ayɛ adwuma yiye.

Ade foforo nso ne sɛ, sɛ magnesium yi so tew a, ɛka electrolytes afoforo a ɛho hia wɔ yɛn nipadua mu te sɛ sodium, calcium, ne potassium a ɛkari pɛ no tẽẽ. Mpɛn pii no, sɛ magnesium so tew a, wobetumi ahu calcium a enni nipadua no mu (hypocalcemia) ne potassium a enni nipadua no mu (hypokalemia) bere koro mu.

Ɛwom sɛ magnesium a ɛwɔ yɛn nipadua mu no mu dodow no ara sie yɛn nnompe mu de, nanso magnesium a apete yɛn mogya mu no nkutoo na yɛn nkwammoaa ne yɛn akwaa ahorow tumi de di dwuma. Eyi ne nea yɛfrɛ no magnesium a ɛwɔ nsu a ɛwɔ nkwammoaa no akyi no mu.

Akwaa abiɛsa titiriw na ɛhwɛ magnesium dodow a ɛwɔ yɛn nipadua mu no so:

• Yɛn dwensɔtwaa nketewa ne akɛse: Ɛha na yɛtwe magnesium fi nnuan a yedi mu.
• Nnompe: Eyi ne beae titiriw a wɔkora magnesium so.
• Asaabo: Wɔnam asaabo so yi magnesium a ɛboro so fi nipadua no mu.

Enti, sɛ ɔhaw bi wɔ baabi wɔ saa adeyɛ yi mu a, wubetumi anya hypomagnesemia.

Hena na ɛda adi sɛ obenya hypomagnesemia?

Magnesium a enni nipadua no mu betumi ato obiara a wadi mfe biara, nanso ɛda adi kɛse sɛ ɛba nnipa a wɔwɔ ayaresa tebea horow bi anaa tebea horow bi mu. Nhwɛsoɔ:

• Wobetumi ahu tebea yi wɔ nnipa dodow no ara mu bɛyɛ 2% mu .
• Eyi betumi aba nnipa a wɔde wɔn kɔ ayaresabea no mu 10% kosi 20% mu .
• Eyi ka nnipa a wɔwɔ ayaresabea a wɔhwɛ wɔn a wɔyare denneennen (ICU) no mu ɔha biara mu nkyem kɛse, a wɔn dodow yɛ 50% kosi 60% .
• Nnipa a nsanom aka wɔn hɔ no mu bɛyɛ 30% kosi 80% .
• Nnipa a wɔwɔ asikreyare a wontumi nni so yiye (Diabetes Mellitus) no mu bɛyɛ 25% ...

Sɛ wuhu ɔha biara mu nkyekyem ahorow yi a, ebia wubehu sɛ eyi nyɛ biribi a ɛsɛ sɛ wobu no adewa.

Dɛn ne hypomagnesemia tebea yi ho sɛnkyerɛnne?

Magnesium a enni nipadua mu no betumi ada ne ho adi wɔ sɛnkyerɛnne ahorow mu. Nanso ɛka wo ntini ne wo koma titiriw . Ebia nnipa binom rennya yare no ho sɛnkyerɛnne biara koraa. Ɛne sɛ, ebia wɔyɛ ``asymptomatic``.

Sɛ nhwɛso no, sɛ wo magnesium dodow sua kakra (hypomagnesemia a ɛnyɛ den) , ebia wubehu sɛnkyerɛnne ahorow te sɛ eyinom:

• Wosow (wosow).
• Nneɛma te sɛ ntini a ɛtwetwe, ɛyɛ den, ne akwaa a ɛyɛ mmerɛw (tetany).
• Aniwa no a ɛkeka ne ho a ɛnteɛ (nystagmus).
• Ɔbrɛ ne nkwa a onni bere nyinaa a wɔte nka .

Nanso, sɛ magnesium dodow sua kɛse, anaasɛ ɛyɛ aniberesɛm (hypomagnesemia a emu yɛ den) , yare no ho sɛnkyerɛnne betumi ayɛ kɛse:

• Tonic-clonic akisikuru a ɛkɔ so wɔ ɔkwan a ɛkɔ akyiri so (``Generalized tonic-clonic seizures``).
• Delirium ( adwene mu basaayɛ, adwene mu basaayɛ ).
• Koma no bɔ a ɛnteɛ, kyerɛ sɛ, nsakrae a ɛba koma no nnyigyei mu (arrhythmia).

Sɛ wowɔ sɛnkyerɛnne ahorow te sɛ eyinom a, ɛho hia yiye sɛ wobɛhwehwɛ aduruyɛ mu afotu ampa.

Dɛn nti na magnesium a enni nipadua no mu yi te saa? Dɛn na ɛde ba?

Nneɛma atitiriw abiɛsa nti na magnesium a enni nipadua no betumi aba:

• Magnesium a ɛdɔɔso a wonnya.
• Magnesium a ɛboro so no fi nipadua no mu, denam asaabo (a nsu wom) anaa yafunu mu nhyehyɛe (a nsu wom) so.
• Magnesium a ɛwɔ yɛn mogya mu no kɔ mmeae a nkwammoaa ntumi mfa nni dwuma ntɛmntɛm saa (eyi nni hɔ kakra).

Momma yɛnhwɛ eyinom mu biara mu nkɔ akyiri kakra.

1. Magnesium a ɛnnɔɔso wɔ nipadua no mu

Ebia eyi fi:

• Mmuadadi kyerɛ sɛ obi bɛkɔ a wonnya aduan ne anonne.
• Nsã a obi ayɛ ne su na woanni aduan a ahoɔden wom. Fa no sɛ, nnipa binom nom nsa fi anɔpa kosi anadwo na wɔmma wɔn nipadua aduannuru biara. Afei, ɛnyɛ magnesium nko, na mmom nneɛma afoforo pii ho yɛ na wɔ nipadua no mu.
• Nnipa a wɔyare denneennen, wontumi mfa wɔn ano nnidi, na wɔde nsu a wɔde fa ntini mu nkutoo na wɔde ma (IV). Ɛtɔ mmere bi a, sɛ aduannuru a wɔde ma wɔ saa kwan yi so no nnɔɔso a, magnesium a enni nipadua no mu betumi aba.

Afei nso, sɛ nipadua no ntumi nnye magnesium mfi nnuan a yedi mu yiye a, ɛno nso betumi ama magnesium a yenni. Nhwɛso ahorow:

• Aduruyɛ mu tebea horow bi betumi ama obi ntumi nnom nsu yiye.Sɛ nhwɛso no, tebea horow te sɛ Celiac yare ne Inflammatory bowel disease.
• Yafunu mu oprehyɛn te sɛ yafunu mu oprehyɛn. Magnesium dodow so betumi atew wɔ oprehyɛn ahorow yi akyi efisɛ aduan dodow a wɔtwe no so tew.
• Awosu mu tebea horow a ɛma magnesium ntumi nkɔ nipadua no mu yiye (e.g., primary intestinal hypomagnesemia) .
• Nnuru bi betumi asiw magnesium a wɔtwe no kwan. Sɛ nhwɛso no, nnuru a esiw proton pɔmpɛ ano te sɛ omeprazole a wɔde sa yafunu mu yare a wɔde di dwuma bere tenten.

2. Magnesium a ɛboro so no fi nipadua no mu

Eyi betumi asi wɔ akwan titiriw abien so.

Magnesium a ɛboro so a efi asaabo mu fi nsu mu:

• Nsã a wɔnom.
• Asikreyare a wontumi nni so (Diabetes Mellitus) . Sɛ asikre dodow kɔ soro wɔ mogya mu a, asaabo no betumi ayi magnesium pii afi mu.
• Awosu mu tebea horow a ɛfa adwene mu ntini ahorow ho , sɛ nhwɛso no, Gitelman syndrome."
• Nnuru bi a ɛma nsu fi nipadua no mu, a ɛyɛ nnuru a ɛma nsu fi nipadua no mu. Nhwɛso ahorow: Hydrochlorothiazide, Chlorthalidone, Furosemide, Bumetanide.
• Aminoglycoside nnuru a ekum ɔyare mmoawa. Nhwɛso ahorow: Gentamicin, Tobramycin, Amikacin.
• Nnuru bi a wɔde sa kokoram a wɔde sa kokoram . Nhwɛso: Cisplatin.
• Nnuru a wɔde ko tia pow yɛ nnuru a wɔde ma de siw pow ano bere a wɔde akwaa foforo ahyɛ obi foforo ananmu akyi . Nhwɛso ahorow: Cyclosporine, Tacrolimus."
• Nnuru afoforo bi, te sɛ Digoxin.

Wɔde nsuo yi magnesium a ɛboro so fi yafunu mu:

• Atiridiinini a emu yɛ den anaasɛ ɛkyɛ. Wubetumi asusuw sɛnea aduannuru a ɛsom bo sɛe bere a ɔkɔm kɔ so de wo no ho. Magnesium yɛ emu biako.

3. Magnesium a ɛwɔ mogya mu no kɔ mmeae a ɛyɛ den sɛ wɔde bedi dwuma

Eyi ho yɛ na kakra, nanso ebetumi asi wɔ tebea horow te sɛ eyi mu:

• Wɔ nnipa a wɔwɔ dwensɔtwaa mu yare a emu yɛ den fam.
• Tebea bi a wɔfrɛ no "Hungry bone disorder" betumi aba bere a wɔayɛ oprehyɛn ayi parathyroid ntini no afi hɔ akyi.

Ɔkwan bɛn so na nnuruyɛfo hu hypomagnesemia tebea yi?

Sɛ wususuw sɛ wowɔ hypomagnesemia ho sɛnkyerɛnne ahorow a, wo duruyɛfo bedi kan ahwɛ wo na wabisa wo sɛnkyerɛnne ne w’ayaresa ho abakɔsɛm.

Afei, ɛda adi sɛ wɔbɛka akyerɛ wo sɛ kɔ mogya mu nhwehwɛmu mfa nhwɛ magnesium dodow a ɛwɔ wo mogya mu. Ɛsɛ sɛ obi a ɔwɔ apɔwmuden magnesium dodow yɛ miligram 1.46 kosi 2.68 wɔ deciliter biara mu (mg/dL).

Ɛnyɛ ɛno nko, wubetumi ayɛ sɔhwɛ afoforo te sɛ eyi nso:

• Calcium mogya mu nhwehwɛmu yɛ nhwehwɛmu a wɔde hwɛ sɛnea calcium dodow a ɛwɔ mogya no mu . Sɛnea yɛadi kan aka no, sɛ magnesium sua a, calcium nso betumi ayɛ kakraa bi.
• Nneɛma a ɛma nipadua no yɛ adwuma yiye betumi ahwɛ nnuru afoforo dodow bi a ɛho hia wɔ nipadua no mu.
• Nhwehwɛmu a wɔde hwɛ potassium dodow a ɛwɔ mogya no mu .
• Magnesium nhwehwɛmu a wɔyɛ wɔ nsu mu yɛ sɔhwɛ a wɔde kyerɛ magnesium dodow a ɛwɔ nsu mu . Eyi betumi ama yɛanya adwene sɛ ebia asaabo no retu magnesium yiye anaasɛ ɛboro so.
• Electrocardiogram (EKG) nhwehwɛmu de hwɛ sɛnea koma no yɛ adwuma.

Sɛ wo duruyɛfo no si so dua sɛ wowɔ hypomagnesemia wie a, mpɛn pii no wobetumi ahu nea ɛde ba no denam w’aduruyɛ ho abakɔsɛm ne nea efii nhwehwɛmu mu bae a wɔbɛsan ahwɛ so. Nanso, ɛtɔ mmere bi a, ebia ɛho behia sɛ wɔyɛ nhwehwɛmu foforo na ama wɔahu nea ɛde ba.

Dɛn ne ayaresa ahorow a wɔde sa eyi?

Hypomagnesemia ayaresa gyina sɛnea emu yɛ den, kyerɛ sɛ, sɛnea magnesium dodow no sua, ne nea ɛde ba no so.

Sɛ magnesium a wunni no nyɛ kɛse (hypomagnesemia a emu nyɛ den) , ɛda adi sɛ wo duruyɛfo bɛkyerɛw magnesium aduru a wode bɛfa w’ano.

Nanso, sɛ magnesium a wunni no mu yɛ den (hypomagnesemia a emu yɛ den) , wobetumi de wo akɔ ayaresabea na wɔama wo nsu ne magnesium a wɔde fa IV mu. Eyi betumi ama wo magnesium dodow asan aba ntɛmntɛm.

Afei nso, oduruyɛfo no bɛsa nea ɛde magnesium a enni nipadua no mu yi ba. Sɛ nhwɛso no, sɛ asikreyare na ɛma magnesium a enni no no a, wɔde ayaresa a ɛho hia bɛma de adi asikreyare no so. Sɛ ɛnte saa a, sɛ wɔansa nea ɛde ba no ho yare a, magnesium a enni nipadua no mu no betumi asan aba bio, ɛnte saa?

So yebetumi asiw hypomagnesemia tebea yi ano?

Ayaresa mu tebea horow a ɛda adi a ebetumi ama magnesium a enni nipadua no mu no a wɔbɛsa no yiye na/anaasɛ wɔadi so no betumi aboa ma wɔasiw tebea yi ano.

Sɛ nhwɛso no, sɛ wowɔ celiac yare a, aduan a gluten nnim katee a wubedi akyi no betumi aboa ma woasiw nsu a ɛmma wuntumi nkɔ nipadua no mu yiye, na ebetumi ama magnesium a enni wo mu no ano.

Nanso, wɔ tebea horow bi mu no, ebia wontumi nsiw hypomagnesemia ano, titiriw bere a nneɛma te sɛ awosu mu nneɛma bi wɔ hɔ no.

Enti, dɛn na ɛbɛba wɔ tebea yi mu akɔ yɛn anim? (Nkɔmhyɛ) .

Hypomagnesemia ho nkɔmhyɛ gyina nea ɛde ba no so. Sɛ wotumi hu nea ɛde magnesium a enni nipadua no mu ba na wɔsa no yiye a, hokwan kɛse wɔ hɔ sɛ ne ho bɛtɔ no koraa.

Nanso kae sɛ, sɛ magnesium dodow kɔ fam wɔ ɔkwan a ɛyɛ hu so a, ebetumi ama koma no ayɛ basaa a edi awu. Ɛno nti na ɛho hia sɛ wohwehwɛ nnuruyɛfo afotu ntɛm ara sɛ wowɔ sɛnkyerɛnne ahorow a.

Bere bɛn na ɛsɛ sɛ yɛkɔ oduruyɛfo nkyɛn wɔ eyi ho?

Sɛ wowɔ hypomagnesemia (nneɛma a yɛadi kan aka ho asɛm, te sɛ wosow, ntini a ɛtwetwe, ne ɔbrɛ) ho sɛnkyerɛnne a, hwɛ hu sɛ wobɛkɔ wo duruyɛfo nkyɛn.

Sɛ wo koma bɔ mpofirim, anaasɛ wo koma bɔ anwonwakwan so, ntɛmntɛm, anaasɛ wote nka sɛ ɛreyɛ ayɛ wo yaw a, ɔkwan foforo so no, sɛ wunya yare no ho sɛnkyerɛnne a emu yɛ den a, frɛ 911 ntɛm ara anaa kɔ ayaresabea a ɛbɛn wo. Mma wo nkutoo ntra fie wɔ mmere a ɛtete saa mu.

Sɛ wowɔ tebea bi a enni sabea te sɛ Crohn yare anaa asaabo mu yare a wonya fi awo mu (a ebetumi ama woanya magnesium a ɛho nhia) a, ɛho hia sɛ wokɔ w’aduruyɛfo kuw no nkyɛn daa na ama woahwɛ ahu sɛ wɔresa wo yare yiye na wo magnesium dodow no yɛ nea ɛfata.

Nea etwa to no, nneɛma a ɛho hia sen biara a ɛsɛ sɛ wokae (Take-Home Message) .

Hypomagnesemia, anaa magnesium a enni nipadua mu no yɛ tebea a ebetumi ayɛ den kakra. Nanso nea eye sen biara ne sɛ, ɛyɛ tebea a wotumi sa.

Sɛ wowɔ saa sɛnkyerɛnne ahorow yi a, yɛsrɛ wo mma wo ho nnyɛ wo hu. Hwɛ oduruyɛfo na yɛ nhwehwɛmu a ɛho hia. Sɛ wo magnesium dodow san kɔ sɛnea na ɛte kan no a, mpɛn pii no, yare no ho sɛnkyerɛnne no befi hɔ.

Nsuro sɛ wubebisa wo duruyɛfo anaa ɔyarehwɛfo nsɛm biara a wowɔ fa hypomagnesemia anaa ne di ho. Ade a ɛho hia sen biara ne sɛ wobɛkɔ so ahu w’akwahosan ho nsɛm.

` Hypomagnesemia, magnesium a enni nipadua mu, magnesium, electrolytes, magnesium a ɛba fam, sɛnkyerɛnne, nea ɛde ba, yare a wohu, ayaresa, .