Ðe magnesium mesɔ gbɔ ɖe mewòa? Mina míaƒo nu tso hypomagnesemia ŋu!

Ðe nèsena le ɖokuiwò me ɣeaɖewoɣi be ɖeko yeƒe lãme mekɔ o, yeƒe abɔwo kple afɔwo le ʋuʋum, alo esesẽna na wò susu be yeƒe susu nanɔ nu ŋua? Ðewohĩ nusitae nye be nunyiame vevi si nye magnesium mesɔ gbɔ ɖe mewò o. Egbea, míaƒo nu tso nɔnɔme sia si woyɔna be hypomagnesemia, alo magnesium ƒe anyimanɔmanɔ ŋu.

Nukae Nye Hypomagnesemia?

Kpuie ko la, hypomagnesemia nye ne magnesium mesɔ gbɔ ɖe wò ʋu me o wu alesi wòle be nànɔ. Esia ate ŋu anye gbɔdzɔgbɔdzɔ si nu mesẽ o, alo ate ŋu anye gbɔdzɔgbɔdzɔ si nu sẽ wu.

Fifia ɖewohĩ ànɔ nusi magnesium nye kple nusita wòle vevie na mí ŋu bum . Magnesium nye elektrikŋusẽnamɔ̃ vevi aɖe ŋutɔ le míaƒe ŋutilã me. Esia fia be magnesium kpena ɖe míaƒe lãmenugbagbeviwo ŋu wowɔa dɔ nyuie eye wòkpena ɖe míaƒe lãmekawo ŋu wòwɔa dɔ nyuie. Magnesium hiã vevie be wò ahɔhɔ̃, dzi, kple lãmekawo nate ŋu awɔ dɔ nyuie.

Nu bubue nye be ne magnesium sia dzi ɖe kpɔtɔ la, ekpɔa ŋusẽ ɖe elektrikŋusẽnamɔ̃ vevi bubu siwo le míaƒe ŋutilã me, abe sodium, calcium, kple potassium ene ƒe dadasɔ dzi tẽ. Zi geɖe la, ne magnesium dzi ɖe kpɔtɔ la, woate ŋu akpɔ calcium ƒe anyimanɔmanɔ (hypocalcemia) kple potassium ƒe anyimanɔmanɔ (hypokalemia) le ɣeyiɣi ɖeka me.

Togbɔ be magnesium si le míaƒe ŋutilã me ƒe akpa gãtɔ dzrana ɖo ɖe míaƒe ƒuwo me hã la, magnesium si le míaƒe ʋu me koe míaƒe lãmenugbagbeviwo kple ŋutinuwo ate ŋu azã. Esiae míeyɔna be magnesium si le lãmenugbagbeviwo godo ƒe tsi me.

Ŋutinu etɔ̃ koŋue kpɔa magnesium ƒe agbɔsɔsɔ si le míaƒe ŋutilã me dzi:

• Míaƒe dɔgbo suewo kple gãwo: Afi siae míexɔa magnesium tso nuɖuɖu siwo míeɖuna me.
• Ƒuwo: Afi siae nye teƒe vevitɔ si wodzraa magnesium ɖo.
• Ayikuwo: Magnesium si sɔ gbɔ la dona le ŋutilãa me to ayikuwo dzi.

Eyata ne kuxi aɖe le teƒe aɖe le ɖoɖo sia me la, àte ŋu axɔ hypomagnesemia.

Amekae ate ŋu axɔ hypomagnesemia wu?

Magnesium ƒe anyimanɔmanɔ ate ŋu adzɔ ɖe amesiame si xɔ ƒe ɖesiaɖe dzi, gake ate ŋu adzɔ ɖe amesiwo ŋu atikewɔwɔ ƒe nɔnɔme aɖewo le alo le nɔnɔme aɖewo me dzi wu. Le kpɔɖeŋu me:

• Woate ŋu akpɔ nɔnɔme sia le amewo katã ƒe 2% lɔƒo me .
• Esia ate ŋu adzɔ le amesiwo woxɔ ɖe kɔdzi ƒe 10% va ɖo 20% dzi .
• Esia gblẽa nu le amesiwo le dɔnɔdzikpɔƒe si wokpɔa dɔnɔwo gbɔ vevie (ICU) ƒe alafa memamã gã aɖe ŋu, eye woƒe xexlẽme le 50% va ɖo 60% .
• Ame siwo ahanono zu numame na la dometɔ siwo ade 30% va ɖo 80% .
• Ame siwo ŋu suklidɔ si dzi womeɖu nyuie o (Diabetes Mellitus) le la dometɔ siwo ade 25% ...

Ne èkpɔ alafa memamã siawo la, ɖewohĩ àkpɔe be menye nusi woabu nu tsɛee nye esia o.

Nukae nye hypomagnesemia ƒe nɔnɔme sia ƒe dzesiwo?

Magnesium ƒe anyimanɔmanɔ ate ŋu adze le dzesi vovovowo me. Gake wò lãmekawo kple dzi koŋue wògblẽa nu le . Ðewohĩ dzesi aɖeke manɔ ame aɖewo ŋu kura o. Eyae nye be, woateŋu anye ``dzesi aɖeke``.

Le kpɔɖeŋu me, ne wò magnesium ƒe agbɔsɔsɔ le sue vie (mild hypomagnesemia) , àte ŋu akpɔ dzesi siawo abe esiawo ene:

• Ʋuʋudedi (ʋuʋudedi).
• Nuwo abe lãmekawo ƒe ʋuʋu, sesẽ, kple abɔ kple afɔwo ƒe ʋuʋu (tetany).
• Ŋkuwo ƒe ʋuʋu si mesɔ o (nystagmus).
• Ðeɖiteameŋu kple agbemanɔamesi ƒe seselelãme ɣesiaɣi .

Gake ne magnesium ƒe agbɔsɔsɔ le sue ŋutɔ, alo le sue ŋutɔ (hypomagnesemia sesẽ) , dzesiawo ate ŋu asẽ wu:

• Tonic-clonic alɔ̃madɔmadɔ siwo wowɔna le mɔ gbadza nu (``Tonic-clonic ƒe alɔ̃madɔmadɔ siwo bɔ``).
• Delirium ( susu ƒe tɔtɔ, susu ƒe tɔtɔ ).
• Dzi ƒe tsotso ƒe masɔmasɔ, si fia be dzi ƒe tsotso ƒe tɔtrɔ (arrhythmia).

Ne dzesi siawo tɔgbe le ŋuwò la, ele vevie ŋutɔ be nàdi atikewɔlawo ƒe aɖaŋuɖoɖo godoo.

Nukatae magnesium ƒe anyimanɔmanɔ sia nye? Nukawoe gbɔ wòtsona?

Susu vevi etɔ̃ tae magnesium ƒe anyimanɔmanɔ ate ŋu adzɔ ɖo:

• Magnesium si sɔ gbɔ ƒe amesinɔnɔ.
• Woɖea magnesium si sɔ gbɔ ɖe ŋutilãa me, to ayiku (kple aɖuɖɔ) alo dɔgbo ƒe dɔwɔwɔ (kple aɖuɖɔ) me.
• Magnesium si le míaƒe ʋu me yia teƒe siwo lãmenugbagbeviwo mate ŋu azãe bɔbɔe nenema o (esia mebɔ vie o).

Mina míalé ŋku ɖe esiawo dometɔ ɖesiaɖe ŋu tsitotsito vie.

1. Magnesium ƒe agbɔsɔsɔ si mele ŋutilã me o

Esia ate ŋu atso:

• Nutsitsidɔ fia be woayi nuɖuɖu kple nunono manɔmee.
• Ahanono zu numame na ame kple nuɖuɖu si me nunyiame le maɖumaɖu. Bu eŋu kpɔ ko, ame aɖewo noa aha tso ŋdi va se ɖe zã eye wometsɔa nunyiame aɖeke naa woƒe ŋutilã o. Emegbe, menye magnesium ɖeɖeko o, ke nu bubu geɖewo hã va gblẽna le ŋutilãa me.
• Ame siwo le dɔ lém vevie, womete ŋu ɖua nu to nu me o, eye tsi si wodona ɖe ʋuka me (IV) koe le wo xɔm. Ɣeaɖewoɣi la, magnesium ƒe anyimanɔmanɔ ate ŋu adzɔ ne nunyiame si wona le mɔ sia nu mesɔ gbɔ o.

Azɔ hã, ne ŋutilãa mete ŋu xɔa magnesium nyuie tso nuɖuɖu siwo míeɖuna me o la, ema hã ate ŋu anye nusi gbɔ magnesium ƒe anyimanɔmanɔ tsona. Kpɔɖeŋuwo:

• Atikewɔwɔ ƒe nɔnɔme aɖewo ate ŋu ana ame ƒe lãme megaxɔa nuɖuɖu nyuie o.Le kpɔɖeŋu me, nɔnɔmewo abe Celiac dɔléle kple Inflammatory bowel disease ene.
• Dɔgbo ƒe amekoko abe dɔgbo ƒe dɔwɔwɔ na ame ene. Magnesium ƒe agbɔsɔsɔ ate ŋu aɖiɖi le amekoko siawo megbe elabena nuɖuɖu si woxɔna ɖe lãme na ame dzi ɖena kpɔtɔna.
• Domenyinu ƒe nɔnɔme siwo nana magnesium mexɔa lãme nyuie o (e.g., primary intestinal hypomagnesemia) .
• Atike aɖewo ate ŋu ado kplamatse magnesium ƒe xɔxlɔ̃. Le kpɔɖeŋu me, atike siwo xea mɔ na proton pɔmpi, abe omeprazole, si wozãna tsɔ daa dɔgbo ƒe dɔléle ene, zazã ɣeyiɣi didi.

2. Magnesium si sɔ gbɔ ɖe lãme na ame la dona le ŋutilãa me

Esia ate ŋu adzɔ le mɔ vevi eve nu.

Magnesium si sɔ gbɔ si dona tso ayiku me le aɖuɖɔ me:

• Ahanononono.
• Suklidɔ si dzi womeɖu o (Diabetes Mellitus) . Ne sukli ƒe agbɔsɔsɔ le ʋu me dzi ɖe edzi la, ayikuawo ate ŋu aɖe magnesium geɖe ɖe go.
• " Domenyinu ƒe nɔnɔme siwo ku ɖe ayiku ƒe ʋukawo ŋu , le kpɔɖeŋu me, Gitelman ƒe dɔléle."
• Atike aɖewo siwo tsia tsinyegoe me, siwo nye atike siwo ɖea tsi ɖa le ŋutilã me. Kpɔɖeŋuwo: Hydrochlorothiazide, Chlorthalidone, Furosemide, Bumetanide.
• Aminoglycoside dɔlékuiwutikewo. Kpɔɖeŋuwo: Gentamicin, Tobramycin, Amikacin.
• Atike aɖewo siwo wozãna na kansa . Kpɔɖeŋu: Cisplatin.
• Atike siwo tsia tre ɖe gbegbe ŋu nye atike siwo wonana be woatsɔ axe mɔ ɖe gbegbe nu le ŋutinuwo dodo na ame megbe . Kpɔɖeŋuwo: Cyclosporine, Tacrolimus."
• Atike bubu aɖewo, abe Digoxin ene.

Woɖea magnesium si sɔ gbɔ ɖe dɔgboa me kple aɖuɖɔ:

• Aɖuɖɔtoe sesẽ alo esi nɔa anyi didi. Àte ŋu akpɔ alesi gbegbe nunyiame xɔasiwo gblẽna ne dɔ le wuwòm la le susu me. Magnesium nye wo dometɔ ɖeka.

3. Magnesium si le ʋua me yia teƒe siwo zazã sesẽ le

Esia mebɔ vie o, gake ate ŋu adzɔ le nɔnɔme siawo tɔgbe me:

• Le amesiwo ŋu dɔdzẽ sesẽ le gome.
• Nɔnɔme aɖe si woyɔna be "Hungry bone disorder" ateŋu adzɔ ne woɖe parathyroid glands ɖa vɔ.

Aleke ɖɔktawo wɔa anya dɔléle sia si nye hypomagnesemia?

Ne èsusu be hypomagnesemia ƒe dzesiwo le ye ŋu la, wò ɖɔkta ado wò kpɔ gbã abia wò dzesiwo kple wò atikewɔwɔ ŋutinya.

Emegbe, anɔ eme be woabia tso asiwò be nàdo ʋu kpɔ be magnesium ƒe agbɔsɔsɔ le wò ʋu me hã. Ele be magnesium ƒe agbɔsɔsɔ si le ame si le lãmesẽ me nanɔ miligram 1.46 va ɖo 2.68 le desilita ɖeka me (mg/dL).

Menye ema ɖeɖeko o, àte ŋu awɔ dodokpɔ bubuwo abe esiawo ene hã:

• Calcium ʋudodokpɔ nye dodokpɔ si me woléa ŋku ɖe calcium ƒe agbɔsɔsɔ si le ʋua me ŋu . Abe alesi míegblɔe va yi ene la, ne magnesium mesɔ gbɔ o la, calcium hã ate ŋu aɖiɖi.
• Lãmetsiŋusẽ ƒe lãmenugbagbeviwo ƒe ƒuƒoƒo si me kɔ nyuie ate ŋu alé ŋku ɖe atike vevi bubu geɖe siwo le ŋutilãa me ŋu.
• Dodokpɔ si me woléa ŋku ɖe potassium ƒe agbɔsɔsɔ si le ʋua me ŋu .
• Magnesium dodokpɔ le aɖuɖɔ me nye dodokpɔ si me wodzidzea magnesium ƒe agbɔsɔsɔ le aɖuɖɔ me . Esia ate ŋu ana woakpɔe ɖa be ayikuawo le magnesium ɖem ɖe go nyuie alo le dodom wògbɔ eme.
• Electrocardiogram (EKG) dodokpɔ be woatsɔ akpɔ dzia ƒe dɔwɔwɔ.

Ne wò ɖɔkta nya ɖo kpe edzi be hypomagnesemia le ŋuwò ko la, zi geɖe la, woate ŋu anya nusi gbɔ wòtso to wò atikewɔwɔ ŋutinya kple dodokpɔ me tsonu me toto me. Gake ɣeaɖewoɣi la, ahiã be woagawɔ dodokpɔ bubuwo atsɔ anya nusi gbɔ wòtso.

Nukawoe nye atike siwo wozãna na esia?

Hypomagnesemia dada nɔ te ɖe alesi wòsẽe, si fia alesi magnesium ƒe agbɔsɔsɔ le sue, kple nusi gbɔ wòtso dzi.

Ne magnesium ƒe anyimanɔmanɔ mesẽ o (mild hypomagnesemia) , la, anɔ eme be wò ɖɔkta aŋlɔ magnesium ƒe atikekuiwo na wò be nàno to nu me.

Gake ne magnesium ƒe agbɔsɔsɔ si mede wò o nu nu sẽ (hypomagnesemia sesẽ) , la, woate ŋu axɔ wò ɖe kɔdzi eye woana tsi kple magnesium si wodona ɖe ʋuka me wò. Esia ate ŋu ana magnesium ƒe agbɔsɔsɔ nagaɖo wò lãme kaba.

Azɔ hã, ɖɔktaa ada nusi gbɔ magnesium ƒe anyimanɔmanɔ sia tso. Le kpɔɖeŋu me, ne suklidɔ gbɔe magnesium ƒe anyimanɔmanɔ tso la, woawɔ atike si hiã be woatsɔ aɖu suklidɔa dzi. Ne menye nenema o la, ne womeda nusi gbɔ wòtso o la, magnesium ƒe anyimanɔmanɔ ate ŋu agadzɔ ake, alo?

Ðe míate ŋu axe mɔ ɖe hypomagnesemia ƒe nɔnɔme sia nua?

Atikewɔwɔ me nɔnɔme siwo le ete siwo ate ŋu ana magnesium nagbɔdzɔ la dada nyuie kple/alo wo dzi ɖuɖu ate ŋu akpe ɖe ame ŋu be nɔnɔme sia nagadzɔ o.

Le kpɔɖeŋu me, ne celiac dɔléle le ŋuwò la, nuɖuɖu sesẽ si me gluten mele o dzi wɔwɔ ate ŋu akpe ɖe ŋuwò nàxe mɔ ɖe nuɖuɖu si mesɔ gbɔ o nu, si ate ŋu ana magnesium nagbɔdzɔ.

Gake le go aɖewo me la, womate ŋu axe mɔ ɖe hypomagnesemia nu o, vevietɔ ne nusiwo le abe domenyiŋusẽfianu ene li.

Eyata nukae adzɔ le nɔnɔme sia me le etsɔme? (Nyagblɔɖi) .

Hypomagnesemia ƒe nyagblɔɖi nɔ te ɖe nusi gbɔ wòtso dzi. Ne woate ŋu ade dzesi nusi gbɔ magnesium ƒe anyimanɔmanɔ tso eye wodae nyuie la, mɔnukpɔkpɔ nyui aɖe li be wòahaya bliboe.

Gake ɖo ŋku edzi be ne magnesium ƒe agbɔsɔsɔ dzi ɖe kpɔtɔ afɔkutɔe la, ate ŋu ana dzi ƒe dɔmawɔmawɔ nyuie nawu ame. Esia tae wòle vevie be nàdi atikewɔlawo ƒe aɖaŋuɖoɖo enumake ne dzesiwo le ŋuwò.

Ɣekaɣie wòle be míayi ɖɔkta gbɔ le nya sia ŋu?

Ne hypomagnesemia (nusiwo ŋu míeƒo nu tsoe va yi, abe ʋuʋudedi, lãmekawo ƒe ʋuʋu, kple ɖeɖiteameŋu) ƒe dzesiwo le ŋuwò la, kpɔ egbɔ be yeyi ɖɔkta gbɔ.

Ne èxɔ alɔ̃madɔmadɔ kasia, alo ne wò dzi le ƒoƒom nukutɔe, kabakaba, alo nèse le ɖokuiwò me abe ɖe wòle ʋuʋum ene la, ne míagblɔe bubui la, ne dzesi sesẽwo dze le ŋuwò la, ƒo ka na 911 enumake alo yi kɔdzi si te ɖe ŋuwò. Mègatsi aƒeme le ɣeyiɣi mawo me o.

Ne dɔléle aɖe si nɔa anyi didi abe Crohn ƒe dɔléle alo ayikudɔ si tso domenyiŋusẽfianu me (si ate ŋu ana magnesium nagbɔdzɔ) le ŋuwò la, ele vevie be nàkpɔ wò atikewɔlawo ƒe ƒuƒoƒoa edziedzi be nàkpɔ egbɔ be wole atike wɔm na wò nyuie eye wò magnesium ƒe agbɔsɔsɔ le lãmesẽ me.

Mlɔeba la, nu vevitɔ kekeake siwo dzi nàɖo ŋkui (Take-Home Message) .

Hypomagnesemia, alo magnesium ƒe anyimanɔmanɔ, nye dɔléle si ate ŋu asesẽ vie. Gake akpa nyuitɔ kekeakee nye be, enye nɔnɔme si woate ŋu ada.

Ne dzesi siawo le ŋuwò la, taflatse mègatsi dzodzodzoe o. Kpɔ ɖɔkta eye nàwɔ dodokpɔ siwo hiã. Ne magnesium ƒe agbɔsɔsɔ si le mewò trɔ gbɔ va ɖo nɔnɔme nyuitɔ me ko la, zi geɖe la, dzesiawo nu ayi.

Mègavɔ̃ be yeabia wò ɖɔkta alo dɔnɔdzikpɔla nya ɖesiaɖe si le asiwò ku ɖe hypomagnesemia alo edzikpɔkpɔ ŋu o. Nu vevitɔ kekeakee nye be nànya nu tso wò lãmesẽ ŋu.

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