Ua haʻahaʻa kou magnesium? E kamaʻilio kākou e pili ana i ka hypomagnesemia!

Ke manaʻo nei ʻoe i kekahi manawa ʻaʻole ʻoe e maikaʻi ana, ke haʻalulu nei kou mau lālā, a ke paʻakikī nei paha kou noʻonoʻo i ka noʻonoʻo ʻana? Malia paha ke kumu o kēia, ʻo ia ka haʻahaʻa o ka magnesium nutrient koʻikoʻi. I kēia lā, e kamaʻilio mākou e pili ana i kēia kūlana i kapa ʻia ʻo hypomagnesemia, a i ʻole ka nele o ka magnesium.

He aha ka Hypomagnesemia?

I ka ʻōlelo maʻalahi, ʻo ka hypomagnesemia ka wā i emi ai ka magnesium i loko o kou koko ma mua o ka mea e pono ai. Hiki i kēia ke lilo i hemahema iki, a i ʻole he hemahema koʻikoʻi paha.

I kēia manawa ke noʻonoʻo nei paha ʻoe i ke ʻano o ka magnesium a no ke aha he mea nui ia iā mākou . He electrolyte koʻikoʻi loa ka magnesium i loko o ko mākou kino. ʻO ke ʻano kēia, kōkua ka magnesium i kā mākou mau cell e hana pono a kōkua i kā mākou ʻōnaehana nerve e hana pono. He mea nui ka magnesium no kou lolo, puʻuwai, a me nā ʻiʻo e hana pono.

ʻO kekahi mea ʻē aʻe, ke emi kēia magnesium, pili pololei ia i ke kaulike o nā electrolytes koʻikoʻi ʻē aʻe i loko o ko mākou kino, e like me ka sodium, calcium, a me ka potassium. I ka wā pinepine, ke emi ka magnesium, hiki ke ʻike ʻia ka hemahema calcium (hypocalcemia) a me ka hemahema potassium (hypokalemia) i ka manawa like.

ʻOiai ʻo ka hapa nui o ka magnesium i loko o ko kākou kino e mālama ʻia ana i loko o ko kākou mau iwi, hiki i ko kākou mau pūnaewele a me nā ʻōpū ke hoʻohana wale i ka magnesium i hoʻoheheʻe ʻia i loko o ko kākou koko. ʻO kēia ka mea a kākou e kapa aku ai he magnesium i loko o ka wai extracellular.

ʻO nā pae magnesium i loko o ko mākou kino e hoʻomalu nui ʻia e ʻekolu mau ʻōkana:

• ʻO ko mākou ʻōpū liʻiliʻi a me ka nui: Maanei mākou e omo ai i ka magnesium mai nā meaʻai a mākou e ʻai ai.
• Nā iwi: ʻO kēia kahi nui e mālama ʻia ai ka magnesium.
• Nā puʻupaʻa: Hoʻokuʻu ʻia ka magnesium keu mai ke kino ma o nā puʻupaʻa.

No laila, inā he pilikia ma kekahi wahi o kēia kaʻina hana, hiki iā ʻoe ke hoʻomohala i ka hypomagnesemia.

ʻO wai ka mea i ʻoi aku ka nui o ka loaʻa ʻana o ka hypomagnesemia?

Hiki i ka hemahema o ka magnesium ke loaʻa i kekahi o kēlā me kēia makahiki, akā ʻoi aku ka nui o ka hiki ke loaʻa i nā poʻe me kekahi mau kūlana olakino a i ʻole i kekahi mau kūlana. Eia kekahi laʻana:

• Hiki ke ʻike ʻia kēia ʻano ma kahi o 2% o ka heluna kanaka maʻamau .
• Hiki ke hana i kēia ma waena o 10% a me 20% o ka poʻe i hoʻopaʻa ʻia ma ka haukapila .
• Hoʻopilikia kēia i kahi pakeneka nui o ka poʻe ma ka ʻāpana mālama koʻikoʻi (ICU), ma waena o 50% a me 60% .
• Ma waena o 30% a me 80% o ka poʻe i hoʻohana i ka waiʻona .
• Ma kahi o 25% o ka poʻe me ka maʻi diabetes i kāohi pono ʻole ʻia (Diabetes Mellitus) ...

Ke ʻike ʻoe i kēia mau pakeneka, ʻike paha ʻoe ʻaʻole kēia he mea e lawe māmā ʻia.

He aha nā hōʻailona o kēia kūlana hypomagnesemia?

Hiki i ka nele o ka magnesium ke hōʻike iā ia iho i nā ʻano hōʻailona like ʻole. Akā, pili nui ia i kou ʻōnaehana nerve a me ka puʻuwai . ʻAʻole paha i loaʻa i kekahi poʻe kekahi mau hōʻailona. ʻO ia hoʻi, hiki iā lākou ke "asymptomatic".

Eia kekahi laʻana, inā haʻahaʻa iki kou pae magnesium (hypomagnesemia māmā) , hiki iā ʻoe ke ʻike i nā hōʻailona e like me kēia:

• Nā haʻalulu (nā haʻalulu).
• Nā mea e like me ka ʻūlū ʻana o nā ʻiʻo, ka ʻoʻoleʻa, a me ka maneʻo o nā lālā (tetany).
• Nā neʻe ʻano ʻē o nā maka (nystagmus).
• Ke manaʻo nei i ka luhi a me ke ola ʻole i nā manawa a pau .

Eia nō naʻe, inā haʻahaʻa loa nā pae magnesium (hypomagnesemia koʻikoʻi) , hiki ke ʻoi aku ka koʻikoʻi o nā hōʻailona:

• Nā hopu ʻana o ka tonic-clonic laulā (``Nā hopu ʻana o ka tonic-clonic laulā``).
• Delirium ( huikau noʻonoʻo, huikau o ka noʻonoʻo ).
• ʻO nā ʻano ʻino o ka puʻuwai, ʻo ia hoʻi, nā loli i ke mele o ka puʻuwai (arrhythmia).

Inā loaʻa iā ʻoe nā hōʻailona e like me kēia, he mea nui loa e ʻimi koke i ke kōkua lapaʻau.

No ke aha mai kēia nele i ka magnesium? He aha nā kumu?

ʻEkolu mau kumu nui e hiki mai ai ka nele o ka magnesium:

• ʻAʻole lawa ka magnesium.
• Hoʻokuʻu ʻia ka magnesium keu mai ke kino, ma o nā puʻupaʻa (me ka mimi) a i ʻole ka ʻōnaehana gastrointestinal (me nā feces).
• Hele ka magnesium i loko o ko kākou koko i nā wahi i hiki ʻole ke hoʻohana maʻalahi ʻia e nā cell (he hemahema iki kēia).

E nānā kākou i kēlā me kēia me nā kikoʻī hou aku.

1. ʻAʻole lawa ka magnesium i loko o ke kino

Hiki paha kēia ma muli o:

• ʻO ka hoʻokē ʻai ʻana, ʻo ia hoʻi ka hele ʻana me ka ʻole o ka ʻai a me ka inu.
• ʻO ka hoʻopili ʻia ʻana e ka waiʻona a me ka ʻai ʻole ʻana i ka meaʻai momona. E noʻonoʻo wale, inu kekahi poʻe i ka waiʻona mai ke kakahiaka a hiki i ka pō a ʻaʻole hāʻawi i ko lākou kino i ka meaʻai. A laila, ʻaʻole wale ka magnesium, akā, he nui nā mea ʻē aʻe e nele i ke kino.
• ʻO ka poʻe maʻi nui, ʻaʻole hiki ke ʻai ma ka waha, a ke loaʻa nei nā wai intravenous (IV) wale nō. I kekahi manawa, hiki ke loaʻa ka nele o ka magnesium inā ʻaʻole lawa ka meaʻai i hāʻawi ʻia ma kēia ʻano.

Eia kekahi, inā ʻaʻole hiki i ke kino ke omo pono i ka magnesium mai nā meaʻai a mākou e ʻai ai, hiki nō hoʻi ke lilo i kumu o ka nele o ka magnesium. Nā Laʻana:

• Hiki i kekahi mau kūlana olakino ke hana i ka malabsorption.Eia kekahi laʻana, nā kūlana e like me ka maʻi Celiac a me ka maʻi ʻōpū mumū.
• ʻO nā ʻoki ʻōpū e like me ke ʻoki bypass gastric. Hiki ke emi iho nā pae magnesium ma hope o kēia mau ʻoki ʻana no ka mea ua emi ka nui o ka meaʻai i omo ʻia.
• Nā kūlana hoʻoilina e hoʻopilikia maikaʻi ʻole ai i ka magnesium (e.g., hypomagnesemia ʻōpū mua)
• Hiki i kekahi mau lāʻau lapaʻau ke hoʻopilikia i ka omo ʻana o ka magnesium. No ka laʻana, ka hoʻohana lōʻihi ʻana i nā mea pale o ka pamu proton, e like me ka omeprazole, i hoʻohana ʻia e mālama i ka gastritis.

2. Hoʻokuʻu ʻia ka magnesium keu mai ke kino

Hiki i kēia ke hana ma nā ʻano nui ʻelua.

Ka nui o ka magnesium i hoʻokuʻu ʻia mai nā puʻupaʻa i loko o ka mimi:

• Ka hoʻohana ʻana i ka waiʻona.
• ʻO ka maʻi diabetes i kāohi ʻole ʻia (Diabetes Mellitus) . Ke piʻi aʻe ke kō koko, hiki i nā puʻupaʻa ke hoʻokuʻu aku i ka magnesium hou aku.
• " Nā kūlana hoʻoilina e pili ana i nā tubules renal , no ka laʻana, ʻo Gitelman syndrome."
• ʻO kekahi mau lāʻau diuretic, ʻo ia hoʻi nā lāʻau e wehe ai i ka wai mai ke kino. Nā laʻana: Hydrochlorothiazide, Chlorthalidone, Furosemide, Bumetanide.
• Nā lāʻau lapaʻau ʻAminoglycoside. Nā laʻana: Gentamicin, Tobramycin, Amikacin.
• Kekahi mau lāʻau chemotherapy i hoʻohana ʻia no ka maʻi kanesa . Laʻana: Cisplatin.
• ʻO nā lāʻau anti-rejection nā lāʻau i hāʻawi ʻia e pale i ka hōʻole ʻia ma hope o kahi hoʻoili kino . Nā Laʻana: Cyclosporine, Tacrolimus.
• ʻO kekahi mau lāʻau lapaʻau ʻē aʻe, e like me Digoxin.

Hoʻokuʻu ʻia ka magnesium keu mai ka ʻōnaehana gastrointestinal me nā feces:

• ʻO ka maʻi pākī nui a lōʻihi paha. Hiki iā ʻoe ke noʻonoʻo i ka nui o nā meaola waiwai e hoʻonele ʻia ke hoʻomau ʻoe i ka pōloli. ʻO ka Magnesium kekahi o lākou.

3. Hele ka Magnesium i loko o ke koko i nā wahi i paʻakikī ai ke hoʻohana

He mea kākaʻikahi kēia, akā hiki ke hana ʻia i nā kūlana e like me kēia:

• No nā poʻe me ka pancreatitis maʻa.
• Hiki ke loaʻa kahi kūlana i kapa ʻia ʻo "Hungry bone disorder" ma hope o ka wehe ʻia ʻana o nā kelepa parathyroid.

Pehea e ʻike ai nā kauka i kēia ʻano o ka hypomagnesemia?

Inā manaʻo ʻoe he mau hōʻailona kou o ka hypomagnesemia, e nānā mua kāu kauka iā ʻoe a nīnau e pili ana i kāu mau hōʻailona a me kou mōʻaukala olakino.

A laila, e noi ʻia paha ʻoe e lawe i kahi hoʻāʻo koko e nānā i ka pae o ka magnesium i loko o kou koko. Pono ka pae magnesium o ke kanaka olakino ma waena o 1.46 a me 2.68 milligrams no ka deciliter (mg/dL).

ʻAʻole wale kēlā, hiki iā ʻoe ke hana i nā hoʻokolohua ʻē aʻe e like me kēia:

• ʻO ka hoʻāʻo koko kalipuna kahi hoʻāʻo e nānā i ka pae o ka kalipuna i loko o ke koko . E like me kā mākou i ʻōlelo ai ma mua, i ka wā e haʻahaʻa ai ka magnesium, hiki nō hoʻi ke haʻahaʻa ka kalipuna.
• Hiki i kahi papa metabolic piha ke nānā i kekahi mau kemika koʻikoʻi ʻē aʻe i loko o ke kino.
• He hoʻokolohua e nānā ai i ka nui o ka potassium i loko o ke koko .
• ʻO ka hoʻāʻo magnesium mimi he hoʻāʻo ia e ana i ka pae o ka magnesium i loko o ka mimi . Hiki i kēia ke hāʻawi i kahi manaʻo inā ke hoʻopuka pono nei nā puʻupaʻa i ka magnesium a nui paha.
• Hoʻāʻo Electrocardiogram (EKG) e nānā i ka hana o ka puʻuwai.

Ke hōʻoia kāu kauka he hypomagnesemia kou, hiki iā lākou ke hoʻoholo i ke kumu ma ka nānā ʻana i kāu mōʻaukala olakino a me nā hopena hoʻāʻo. Eia nō naʻe, i kekahi manawa pono paha nā hoʻāʻo hou aʻe e hoʻoholo i ke kumu.

He aha nā lāʻau lapaʻau no kēia?

ʻO ka lāʻau lapaʻau no ka hypomagnesemia e pili ana i kona koʻikoʻi, ʻo ia hoʻi, ka haʻahaʻa o ka pae magnesium, a me ke kumu kumu.

Inā ʻaʻole koʻikoʻi kou hemahema magnesium (hypomagnesemia iki) , e kuhikuhi paha kāu kauka i nā papa magnesium e lawe ma ka waha.

Eia nō naʻe, inā koʻikoʻi kou hemahema magnesium (hypomagnesemia koʻikoʻi) , hiki ke hoʻokomo ʻia ʻoe i ka haukapila a hāʻawi ʻia i nā wai a me ka magnesium IV. Hiki i kēia ke hoʻihoʻi koke i kāu mau pae magnesium.

Eia kekahi, e mālama ke kauka i ke kumu nui o kēia hemahema magnesium. No ka laʻana, inā ma muli o ka maʻi diabetes ka hemahema magnesium, e hāʻawi ʻia ka lāʻau lapaʻau e pono ai e kāohi i ka maʻi diabetes. A i ʻole, inā ʻaʻole mālama ʻia ke kumu nui, hiki ke loaʻa hou ka hemahema magnesium, ʻeā?

Hiki iā mākou ke pale aku i kēia kūlana o ka hypomagnesemia?

ʻO ka mālama pono ʻana a/a i ʻole ka kaohi ʻana i nā kūlana olakino ma lalo e hiki ke kōkua i ka hemahema magnesium hiki ke kōkua i ka pale ʻana i kēia kūlana.

Eia kekahi laʻana, inā loaʻa iā ʻoe ka maʻi celiac, ʻo ka hahai ʻana i kahi ʻai gluten-free paʻa e hiki ke kōkua i ka pale ʻana i ka malabsorption, hiki ke alakaʻi i ka hemahema magnesium.

Eia nō naʻe, i kekahi mau hihia, ʻaʻole hiki ke pale ʻia ka hypomagnesemia, ʻoiai inā he mau mea e like me nā mea hoʻoilina.

No laila, he aha ka mea e hana ʻia ma kēia kūlana i ka wā e hiki mai ana? (Wānana)

ʻO ka wānana o ka hypomagnesemia e pili ana i ke kumu kumu. Inā ʻike ʻia ke kumu o ka nele o ka magnesium a mālama pono ʻia, aia kahi manawa kūpono e hoʻōla piha ai.

Akā e hoʻomanaʻo, inā lilo nā pae magnesium i mea haʻahaʻa loa, hiki iā ia ke hana i nā arrhythmias cardiac make. No laila he mea nui e ʻimi koke i ke kōkua lapaʻau inā loaʻa iā ʻoe nā hōʻailona.

Āhea mākou e ʻike ai i ke kauka e pili ana i kēia?

Inā loaʻa iā ʻoe nā hōʻailona o ka hypomagnesemia (nā mea a mākou i kamaʻilio ai ma mua, e like me ka haʻalulu, ka ʻūlū ʻana o nā ʻiʻo, a me ka luhi), e ʻike pono i kāu kauka.

Inā loaʻa koke iā ʻoe kahi maʻi ʻōʻō, a inā paha e kuʻi wikiwiki kou puʻuwai, a i ʻole e like me ke ʻūlū ʻana, ʻo ia hoʻi, inā loaʻa iā ʻoe nā hōʻailona koʻikoʻi, e kelepona koke i ka 911 a i ʻole e hele i ka haukapila kokoke loa. Mai noho hoʻokahi ma ka home i kēlā mau manawa.

Inā loaʻa iā ʻoe kahi maʻi mau loa e like me ka maʻi Crohn a i ʻole kahi maʻi puʻupaʻa hoʻoilina (hiki ke hoʻopilikia i ka nele o ka magnesium), he mea nui e ʻike pinepine i kāu hui lapaʻau e hōʻoia i ka mālama pono ʻia ʻana o ʻoe a aia kāu mau pae magnesium i kahi pae olakino.

ʻO ka mea hope loa, nā mea nui loa āu e hoʻomanaʻo ai (Leka Lawe-Home)

ʻO ka hypomagnesemia, a i ʻole ka nele o ka magnesium, he kūlana ia e hiki ke paʻakikī iki. Akā ʻo ka mea maikaʻi loa, he kūlana ia e hiki ke mālama ʻia.

Inā loaʻa iā ʻoe kēia mau hōʻailona, ​​​​mai hopohopo. E ʻike i ke kauka a hana i nā hoʻokolohua e pono ai. Ke hoʻi hou kāu mau pae magnesium i ka maʻamau, i ka hapa nui o ka manawa e nalo nā hōʻailona.

Mai makaʻu e nīnau i kāu kauka a kahu maʻi paha i nā nīnau āu e pili ana i ka hypomagnesemia a i ʻole kona mālama ʻana. ʻO ka mea nui loa, ʻo ia ka noho ʻike e pili ana i kou olakino.

ʻO ka Hypomagnesemia, ka nele o ka magnesium, magnesium, electrolytes, magnesium haʻahaʻa, nā hōʻailona, ​​​​nā kumu, ka ʻike, ka lāʻau lapaʻau,