Yu nɔ gɛt bɔku magnɛsiɔm? Lɛ wi tɔk bɔt haypomagnesemia!

Sɔntɛnde, yu kin fil lɛk se yu jɔs nɔ de fil fayn, yu an ɛn fut dɛn de shek, ɔ i nɔ izi fɔ yu maynd fɔ pe atɛnshɔn? Sɔntɛm di rizin fɔ dis na bikɔs yu nɔ gɛt bɛtɛ tin fɔ it we gɛt magnɛsiɔm. Tide, wi go tɔk bɔt dis sik we dɛn kɔl hypomagnesemia, ɔ magnesium deficiency.

Wetin na Hypomagnesemia?

Fɔ tɔk am simpul wan, haypomagnesemia na we yu nɔ gɛt bɔku magnɛsiɔm na yu blɔd pas aw yu fɔ gɛt. Dis kin bi wan smɔl smɔl tin wae nɔr de woke, ɔr e kin bi wae pɔrsin nɔr gɛt bɛtɛ prɔblɛm.

Naw yu go de wɔnda wetin na magnɛsiɔm ɛn wetin mek i impɔtant to wi . Magnesium na wan rili impɔtant ilɛktrɔlayt na wi bɔdi. Dis min se magnɛsiɔm de ɛp wi sɛl dɛn fɔ wok fayn ɛn i de ɛp wi nervɔs sistɛm fɔ wok fayn fayn wan. Magnesium impɔtant fɔ mek yu bren, at, ɛn mɔsul dɛn wok fayn.

Wan ɔda tin na dat we dis magnɛsiɔm go dɔŋ, i kin afɛkt di balans we ɔda impɔtant ilɛktrɔlayt dɛn na wi bɔdi lɛk sɔdiɔm, kalsiɔm, ɛn potashɔm, gɛt dairekt wan. Bɔku tɛm, we magnɛsiɔm de dɔŋ, dɛn kin si di sem tɛm we di kalsiɔm nɔ de (hypocalcemia) ɛn di potashɔm we nɔ de (hypokalcemia).

Pan ɔl we bɔku pan di magnɛsiɔm we de na wi bɔdi kin de na wi bon dɛn, na di magnɛsiɔm we dɔn sɔlv insay wi blɔd nɔmɔ wi sɛl ɛn ɔgan dɛn kin yuz. dis na wetin wi kכl magnεsiכm we de insay di εkstrasεlula fכluid.

di magnεsium lεvεl dεm na wi bכdi na tri כgan dεm de kכntro am fכs:

• Wi smɔl ɛn big intestinal: Na dis say wi kin tek magnɛsiɔm frɔm di it dɛn we wi de it.
• Bɔn: Dis na di men ples usay dɛn kin kip magnɛsiɔm.
• di kidni dεm: di magnεsium we pasmak de kכmכt na di bכdi tru di kidni dεm.

So, if prɔblɛm de sɔmsay na dis prɔses, yu kin gɛt haypomagnesemia.

Udat dɛn kin gɛt di sik we dɛn kɔl hypomagnesemia?

Magnesium dɛfisiɛns kin apin to ɛnibɔdi we ol ɛni ej, bɔt i kin apin mɔ to pipul dɛm wae gɛt sɔm kayn mɛrɛsin ɔr pan sɔm kayn tin dɛm. Fɔ ɛgzampul:

• yu kin si dis kכndyushכn pan lεk 2% pan di jεnarכl pipul dεm .
• Dis kin apin bitwin 10% ɛn 20% pan di pipul dɛm wae de na ɔspitul .
• Dis kin afɛkt bɔku pan di pipul dɛn we de na di intensiv kia yunit (ICU), bitwin 50% ɛn 60% .
• Bitwin 30% ɛn 80% pan di pipul dɛn we gɛt adikshɔn to rɔm .
• Na lɛk 25% pan di pipul dɛm wae nɔr kin kɔntrol fayn fayn wan (Diabetes Mellitus) ...

We yu si dɛn pasɛnt ya, yu go mɔs no se dis nɔto sɔntin we yu fɔ tek am layt.

Wetin na di sayn dɛm fɔ dis haypomagnesemia kɔndishɔn?

If yu nɔ gɛt magnɛsiɔm, dat kin sho insɛf pan difrɛn kayn sayn dɛm. Bɔt i kin afɛkt yu nervɔs sistɛm ɛn yu at mɔ . Sɔm pipul dɛn nɔ kin gɛt ɛni sayn atɔl. Dat min se, dɛn kin bi ``asymptomatic``.

Fɔ ɛgzampul, if yu magnɛsiɔm lɛvɛl smɔl (mild hypomagnesemia) , yu kin gɛt sɔm sayn dɛn lɛk dis:

• Tremor (tremors) we de mek pɔsin fred.
• Tin dεm lεk di mכsul dεm we de twitch, stiff, εn di limb dεm we de sכmtεm (tetany).
• di abnכmal muvmεnt dεm na di yay dεm (nystagmus).
• Fɔ fil taya ɛn nɔ gɛt layf ɔltɛm .

Bɔt if di magnɛsiɔm lɛvɛl rili, ɔ siriɔs, smɔl (siv hapomagnesemia) , di sayn dɛm kin bi mɔr:

• Jɛnɛral tonik-klɔnik sik (``Jɛnɛral tonik-klonik sik dɛn``).
• Delirium ( mental kɔnfyushɔn, kɔnfyushɔn pan maynd ).
• di at bit abnכmaliti, dat na, di hat ritm de chenj (arrhythmia).

If yu gɛt sɔm kayn sik lɛk dis, i rili impɔtant fɔ rili go to dɔktɔ.

Wetin mek dis na di magnɛsiɔm we nɔ de? Wetin na di tin dɛn we kin mek i apin?

Tri men rizin dɛn de we mek pɔsin nɔ gɛt magnɛsiɔm:

• Nɔ gɛt inof magnɛsiɔm.
• di magnεsium we pasmak de kכmכt na di bכdi, i kin pas tru di kidni dεm (wit urine) כ di gεstrointestinal sistεm (wit fεs).
• di magnεsium we de insay wi bכdi de go na ples dεm we di sεl dεm nכ kin yuz am so izi (dis nכ de sכmtεm).

Lɛ wi luk ɛni wan pan dɛn tin ya smɔl mɔ.

1. Nɔ gɛt inof magnɛsiɔm na di bɔdi

Dis kin bi bikɔs ɔf:

• Fast min se yu nɔ go it ɛn drink.
• Fɔ bi adikshɔn to rɔm ɛn nɔ it tin dɛn we gɛt fayn fayn tin dɛn fɔ it. Jɔs imajin, sɔm pipul dɛn kin drink rɔm frɔm mɔnin te nɛt ɛn dɛn nɔ kin gi dɛn bɔdi ɛnitin fɔ it. Dɔn, nɔto magnɛsiɔm nɔmɔ, bɔt bɔku ɔda tin dɛn kin de na di bɔdi.
• Pipul dɛn we sik bad bad wan, we nɔ ebul fɔ it wit dɛn mɔt, ɛn we de tek wata nɔmɔ we dɛn kin put insay dɛn bɛlɛ (IV). Sɔntɛnde, magnɛsiɔm dɛfisiɛns kin apin if di it we dɛn gi dis we nɔ go du fɔ am.

Dɔn bak, if di bɔdi nɔ ebul fɔ tek magnɛsiɔm fayn fayn wan frɔm di it dɛn we wi de it, dat kin bi bak wan tin we kin mek wi nɔ gɛt magnɛsiɔm. Ɛgzampul dɛn:

• Sɔm mεdikal kכndyushכn kin mek i nɔr de fil fayn.Fɔ ɛgzampul, kɔndishɔn lɛk Celiac disease ɛn Inflammatory bowel disease.
• Bɛlɛ ɔpreshɔn lɛk gastric bypass ɔpreshɔn. di magnεsium lεvεl kin dכn afta dεn כpεrayshכn ya biכs di כmכnt fכ it we dεn abzכp de rεdכks.
• di kכndyushכn dεm we de mek di magnεsium nכ de abzכp fayn fayn wan (e.g., praymar intestinal haypomagnesemia) .
• Sɔm mɛrɛsin dɛn kin ambɔg di magnɛsium absɔpshɔn. fכ egzampl, yus fכ lכng tεm protכn pכmp inhibito, lεk omeprazole, we dεn kin yus fכ trit gastritis.

2. di magnεsium we pasmak de kכmכt na di bכdi

Dis kin apin tu men we dɛn.

di magnεsium we pasmak we de kכmכt frכm di kidni dεm na di urine:

• Yuz rɔm.
• Dayabitis we dɛn nɔ ebul fɔ kɔntrol (Diabetes Mellitus) . We di shuga na di blɔd go ɔp, di kidni dɛn kin pul mɔ magnɛsiɔm.
• " Hεridita kכndishכn dεm we involv di rεnal tכbul dεm , fכ egzampl, Gitelman sεndrכm."
• Sɔm mɛrɛsin dɛn we de mek pɔsin nɔ gɛt wata, we na mɛrɛsin we de pul wata na di bɔdi. Ɛgzampul dɛn: Haydroklɔrotiazayd, Klɔrtalidɔn, Furosemayd, Bumɛtanid.
• Aminoglycoside antibayɔtik dɛn. Ɛgzampul dɛn: Jɛntamisin, Tobramaysin, Amikasiyn.
• Sɔm kemotɛrapi mɛrɛsin dɛn we dɛn kin yuz fɔ mɛn kansa . Fɔ ɛgzampul: Cisplatin.
• Anti-rijekshɔn drɔgs na drɔgs we dɛn kin gi fɔ mek dɛn nɔ rijɛkt afta dɛn dɔn transplant dɛn ɔgan . Ɛgzampul dɛn: Sayklɔspɔrin, Takrɔlimus."
• Sɔm ɔda mɛrɛsin dɛn, lɛk Digoxin.

di magnεsium we pasmak de kכmכt frכm di gεstrointestinal sistεm wit fεs:

• Dayrɛa we kin rili bad ɔ we kin de fɔ lɔng tɛm. Yu kin imajin aw bɔku valyu tin dɛn kin west we yu kɔntinyu fɔ angri. Magnɛsiɔm na wan pan dɛn.

3. Magnesium we de na di blɔd de go na say dɛn we i at fɔ yuz

Dis nɔ kin apin smɔl, bɔt i kin apin pan tin dɛn lɛk dis:

• Fɔ pipul dɛn we gɛt akyu pankrias.
• wan kכndyushכn we dεn kכl "Hungry bone disorder" kin apin afta dεn dכn כpכt di paratayroyd gland dεm.

Aw dɔktɔ dɛn kin no dis sik we dɛn kɔl hypomagnesemia?

If yu tink se yu gɛt sayn dɛm fɔ hypomagnesemia, yu dɔktɔ go fɔs chɛk yu ɛn aks yu bɔt yu sayn dɛm ɛn yu mɛdikal histri.

Dɔn, i go mɔs bi se dɛn go aks yu fɔ tek blɔd tɛst fɔ chɛk di lɛvɛl we magnɛsium de na yu blɔd. di magnεsium lεvεl fכ hεlty pכsin fכ de bitwin 1.46 εn 2.68 miligram pan wan dεsilita (mg/dL).

Nɔto dat nɔmɔ, yu kin du ɔda tɛst dɛn lɛk dis bak:

• Kalsiɔm blɔd tɛst na tɛst we de chɛk di lɛvɛl we di kalsiɔm de na di blɔd . As wi bin dɔn tɔk bifo tɛm, we magnɛsiɔm nɔ bɔku, di kalsiɔm kin smɔl bak.
• wan komprehensiv mεtabolik panεl kin chεk nכmba כf כda imכtant kεmikכl dεm na di bכdi.
• Na tɛst we de chɛk di lɛvɛl we potashɔm de na di blɔd .
• urine magnesium test na test we de mכsu di lεvεl כf magnesium na di urine . dis kin gi yu aidia fכ no if di kidni dεm de kכl magnεsium fayn fayn wan כ pasmak.
• Ilektrokardiogram (EKG) tɛst fɔ chɛk aw di at de wok.

Wae yu dɔktɔ dɔn kɔnfirm se yu gɛt haypomagnesemia, dɛn kin ɔltɛm no di ɔndalayn kɔz bay we dɛn rivyu yu mɛdikal istri ɛn di tɛst rizɔlt. Bɔt sɔntɛnde, dɛn kin nid fɔ du mɔ tɛst fɔ no wetin mek i apin.

Wetin na di tritmɛnt dɛm fɔ dis?

Di tritmɛnt fɔ haypomagnesemia dipen pan aw i siriɔs, dat na aw di magnɛsium lɛvɛl smɔl, ɛn wetin na di ɔndalayn kɔz.

If yu nɔ gɛt magnɛsiɔm we nɔ bɔku (mild hypomagnesemia) , i go mɔs bi se yu dɔktɔ go gi yu magnɛsiɔm tablɛt fɔ tek yu mɔt.

Bɔt if yu nɔ gɛt magnɛsiɔm bad bad wan (severe hypomagnesemia) , dɛn kin put yu na ɔspitul ɛn gi yu wata ɛn IV magnesium. Dis kin mek yu magnɛsiɔm lɛvɛl kam bak kwik kwik wan.

Dɔn bak, di dɔktɔ go trit di men tin we kin mek i nɔ gɛt dis magnɛsiɔm. Fɔ ɛgzampul, if di magnɛsiɔm we nɔ de na di bɔdi na bikɔs ɔf dayabitis, dɛn go gi di tritmɛnt we dɛn nid fɔ kɔntrol di dayabitis. If nɔto dat, if dɛn nɔ trit di ɔndalayn kɔz, magnɛsiɔm dɛfisiɛns kin apin bak, nɔto so?

Wi kin ebul fɔ mek dis sik wae de kam wit haypomagnesemia?

If yu trit fayn fayn wan ɛn/ɔ kɔntrol di ɔndalayn mɛdikal kɔndishɔn dɛm we kin mek yu nɔ gɛt magnɛsiɔm, dat kin ɛp fɔ mek dis sik nɔ apin.

Fɔ ɛgzampul, if yu gɛt sik we dɛn kɔl celiac, if yu fala strikt it we nɔ gɛt gluten, dat kin ɛp fɔ mek yu nɔ gɛt malabsorption, we kin mek yu nɔ gɛt magnɛsiɔm.

Bɔt sɔm tɛm dɛn, dɛn nɔ kin ebul fɔ avɔyd di haypomagnesemia, mɔ we tin dɛn de lɛk di tin dɛn we pɔsin kin gɛt frɔm in mama ɛn papa.

So, wetin go apin insay dis sityueshɔn go bifo? (Prɔgnosis) .

di prכgnosis fכ haypomagnesemia dipכnt pan di כndalayn kכz. If dɛn no di tin we mek pɔsin nɔ gɛt magnɛsiɔm ɛn trit am fayn, chans de fɔ mek i wɛl ful wan.

Bɔt mɛmba se if di magnɛsiɔm lɛvɛl go dɔŋ bad bad wan, i kin mek di at nɔ de wok fayn ɛn i kin kil pɔsin. Na dat mek i impɔtant fɔ go to dɔktɔ wantɛm wantɛm if yu gɛt sɔm sayn dɛn.

Ustɛm wi fɔ go to dɔktɔ bɔt dis?

If yu gɛt sayn dɛn we de sho se yu gɛt haypomagnesemia (tin dɛn we wi bin dɔn tɔk bɔt, lɛk we yu de shek shek, yu mɔsul dɛn de shek shek, ɛn yu taya), mek shɔ se yu go to yu dɔktɔ.

If yu gɛt sik wantɛm wantɛm, ɔ if yu at bit strenj, kwik, ɔ fil lɛk se i de kɔnstrikt, in ɔda wɔd, if yu gɛt siriɔs sik, kɔl 911 wantɛm wantɛm ɔ go na di ɔspitul we de nia yu. Nɔ de na os yu wan da tɛm de.

If yu gɛt wan sik we nɔ de mɛn lɛk Crohn’s disease ɔr wan sik we yu kin gɛt frɔm yu kidni (we kin mek yu nɔ gɛt magnɛsiɔm), i impɔtant fɔ si yu mɛdikal tim ɔltɛm fɔ mek shɔ se dɛn de trit yu fayn ɛn yu magnɛsiɔm lɛvɛl de na wɛlbɔdi lɛvɛl.

Fɔ dɔn, di tin dɛn we impɔtant pas ɔl fɔ mek yu mɛmba (Take-Home Message) .

Hypomagnesemia, ɔ magnesium deficiency, na wan sik we kin kɔmplikt smɔl. Bɔt di bɛst pat na dat, na sik we pɔsin kin trit.

If yu gɛt dɛn sik ya, duya nɔ panik. Si dɔktɔ ɛn mek dɛn du di tɛst dɛn we yu nid. Wae yu magnɛsium lɛvɛl kam bak to nɔmal, bɔrku tɛm de sik go dɔn.

Nɔ fred fɔ aks yu dɔktɔ ɔ nɔs ɛni kwɛstyɔn we yu gɛt bɔt haypomagnesemia ɔ aw fɔ mɛn am. Di tin we impɔtant pas ɔl na fɔ no bɔt yu wɛlbɔdi biznɛs.

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