Olina ekirungo kya magnesium ekitono? Ka twogere ku hypomagnesemia!

Oluusi owulira ng’obutawulira bulungi, ebitundu byo eby’omubiri bikankana oba ng’ebirowoozo byo bizibuwalirwa okussa ebirowoozo byo? Mpozzi ensonga lwaki kino kiri bwe kityo eri nti olina ekirungo ekikulu ekiyitibwa magnesium ekitono. Leero, tugenda kwogera ku mbeera eno eyitibwa hypomagnesemia, oba obutaba na magnesium.

Obulwadde bwa Hypomagnesemia kye ki?

Mu ngeri ennyangu, hypomagnesemia bwe kiba ng’olina magnesium mutono mu musaayi gwo okusinga bw’osaanidde. Kino kiyinza okuba nga tekirina buzibu butono, oba kiyinza okuba ekizibu eky’amaanyi ennyo.

Kati oyinza okuba nga weebuuza magnesium kye ki era lwaki kikulu gye tuli . Magnesium kirungo kya masanyalaze kikulu nnyo mu mubiri gwaffe. Kino kitegeeza nti magnesium ayamba obutoffaali bwaffe okukola obulungi era ayamba obusimu bwaffe okukola obulungi. Magnesium yeetaagibwa nnyo obwongo bwo, omutima n’ebinywa byo okusobola okukola obulungi.

Ekirala, magnesium ono bw’akendeera, akosa butereevu bbalansi y’obusannyalazo obulala obukulu mu mubiri gwaffe, gamba nga sodium, calcium ne potassium. Ebiseera ebisinga, magnesium bw’akendeera, obutaba na calcium (hypocalcemia) n’obutaba na potassium (hypokalemia) bisobola okulabibwa mu kiseera kye kimu.

Wadde nga magnesium asinga obungi mu mibiri gyaffe aterekebwa mu magumba gaffe, obutoffaali bwaffe n’ebitundu by’omubiri byaffe bisobola okukozesa magnesium asaanuuse mu musaayi gwaffe gwokka. Kino kye tuyita magnesium mu mazzi ag’ebweru w’obutoffaali.

Omuwendo gwa magnesium mu mubiri gwaffe gufugibwa okusinga ebitundu bisatu:

• Ekyenda kyaffe ekitono n’ekinene: Wano we tunyiga magnesium okuva mu mmere gye tulya.
• Amagumba: Kino kye kifo ekikulu we batereka magnesium.
• Ensigo: Magnesium asusse afuluma mu mubiri ng’ayita mu nsigo.

Kale, singa wabaawo ekizibu awalala mu nkola eno, osobola okulwala obulwadde bwa hypomagnesemia.

Ani asinga okulwala obulwadde bwa hypomagnesemia?

Obutabeera na magnesium busobola okutuuka ku muntu yenna ow’emyaka gyonna, naye businga kubaawo mu bantu abalina embeera z’obujjanjabi ezimu oba mu mbeera ezimu. Okugeza nga:

• Embeera eno esobola okulabibwa mu bantu nga 2% ku bantu bonna .
• Kino kiyinza okubaawo mu bantu wakati wa 10% ne 20% abaweebwa ebitanda mu ddwaaliro .
• Kino kikosa abantu bangi ku buli kikumi abali mu kisenge ky’abalwadde abayi (ICU), wakati wa 50% ne 60% .
• Abantu abali wakati wa 30% ne 80% abatamiivu b’omwenge .
• Abantu nga 25% abalina obulwadde bwa sukaali obutafugibwa bulungi (Diabetes Mellitus) ...

Bw’olaba ebitundu bino ku buli kikumi, osanga okitegeera nti kino si kintu kya kutwalibwa ng’ekitono.

Bubonero ki obulaga embeera eno eya hypomagnesemia?

Obutabeera na magnesium kiyinza okweyoleka mu bubonero obw’enjawulo. Naye okusinga kikosa obusimu bwo n'omutima . Abantu abamu bayinza obutaba na bubonero bwonna. Kwe kugamba, bayinza okuba nga ``abalina obubonero``.

Okugeza, singa magnesium wo eba wansi katono (mild hypomagnesemia) , oyinza okufuna obubonero nga buno:

• Okukankana (okukankana).
• Ebintu nga okunyiga ebinywa, okukaluba, n’okuzimba ebitundu by’omubiri (tetany).
• Entambula z’amaaso ezitali za bulijjo (nystagmus).
• Okuwulira ng'okooye era nga tolina bulamu buli kiseera .

Naye singa emiwendo gya magnesium giba wansi nnyo, oba nnyo, (severe hypomagnesemia) , obubonero buyinza okuba obw’amaanyi ennyo:

• Okukonziba okwa bulijjo okwa tonic-clonic (``Okukonziba kwa tonic-clonic okwa bulijjo``).
• Delirium ( okutabulwa mu birowoozo, okutabulwa mu birowoozo ).
• Obutabeera bulungi mu kukuba kw’omutima, kwe kugamba, enkyukakyuka mu nnyimba z’omutima (arrhythmia).

Bw’oba ​​olina obubonero nga buno, kikulu nnyo okunoonya ddala amagezi g’abasawo.

Lwaki kino kiva ku bbula lya magnesium? Biki ebivaako?

Waliwo ensonga ssatu enkulu lwaki obutaba na magnesium kiyinza okubaawo:

• Obutafuna magnesium emala.
• Magnesium ayitiridde afulumizibwa mu mubiri, oba okuyita mu nsigo (nga mulimu omusulo) oba mu nkola y’omu lubuto (n’omusulo).
• Magnesium ali mu musaayi gwaffe agenda mu bifo w’atasobola kukozesebwa mangu nnyo obutoffaali (kino kibulako katono).

Ka tulabe buli kimu ku bino mu bujjuvu katono.

1. Obutafuna magnesium amala mu mubiri

Kino kiyinza okuba nga kiva ku:

• Okusiiba kitegeeza okugenda nga tolina kyakulya na kunywa.
• Okubeera omuze gw’okunywa omwenge n’obutalya mmere erimu ebiriisa. Teebereza, abantu abamu banywa omwenge okuva ku makya okutuuka ekiro ne batawa mibiri gyabwe mmere yonna. Olwo, si magnesium yekka, naye ebintu ebirala bingi biba bibula mu mubiri.
• Abantu abalwadde ennyo, abatasobola kulya mu kamwa, era nga bafuna amazzi gokka agateekebwa mu misuwa (IV). Oluusi, ebbula lya magnesium liyinza okubaawo singa ebiriisa ebiweebwa mu ngeri eno tebimala.

Ate era omubiri bwe guba tegusobola kunyiga bulungi magnesium okuva mu mmere gye tulya, ekyo nakyo kiyinza okuvaako ebbula lya magnesium. Eby’okulabirako:

• Embeera z’obujjanjabi ezimu ziyinza okuvaako okunywa obubi.Okugeza embeera nga obulwadde bwa Celiac ne Inflammatory bowel disease.
• Okulongoosa olubuto nga okulongoosa olubuto. Magnesium ayinza okukendeera oluvannyuma lw’okulongoosebwa kuno kubanga obungi bw’emmere eyingizibwa bukendeera.
• Embeera z’obuzaale ezireetera magnesium okunyigibwa obubi (e.g., primary intestinal hypomagnesemia) .
• Eddagala erimu liyinza okutaataaganya okunywa magnesium. Okugeza, okukozesa okumala ebbanga eddene eddagala eriziyiza ppampu ya proton, nga omeprazole, ekozesebwa okujjanjaba obulwadde bw’olubuto.

2. Magnesium ayitiridde afulumizibwa mu mubiri

Kino kiyinza okubaawo mu ngeri bbiri enkulu.

Magnesium asusse afulumizibwa mu nsigo mu musulo:

• Okukozesa omwenge.
• Ssukaali atafugibwa (Diabetes Mellitus) . Ssukaali bw’alinnya mu musaayi, ensigo ziyinza okufulumya magnesium omungi.
• " Embeera z'obuzaale ezirimu enseke z'ekibumba , okugeza, Gitelman syndrome."
• Eddagala erimu erifulumya omusulo, nga lino ddagala eriggya amazzi mu mubiri. Eby’okulabirako: Hydrochlorothiazide, Chlorthalidone, Furosemide, Bumetanide.
• Eddagala eritta obuwuka erya aminoglycoside. Eby’okulabirako: Eddagala lya Gentamicin, Tobramycin, Amikacin.
• Eddagala erimu erijjanjaba kookolo . Okugeza: Ekirungo kya Cisplatin.
• Eddagala eriziyiza okugaana lye ddagala eriweebwa okuziyiza okugaana oluvannyuma lw’okusimbuliza ebitundu by’omubiri . Eby'okulabirako: Cyclosporine, Tacrolimus."
• Eddagala eddala erimu, gamba nga Digoxin.

Magnesium ayitiridde afulumizibwa okuva mu nkola y’omu lubuto n’omusulo:

• Ekiddukano eky’amaanyi oba ekiwanvu. Oyinza okulowooza ku ngeri ebiriisa eby’omuwendo gye byonoona ng’osigala ng’ogenda enjala. Magnesium y’emu ku zo.

3. Magnesium mu musaayi agenda mu bifo ebizibu okukozesa

Kino tekitera kubaawo, naye kiyinza okubaawo mu mbeera nga zino:

• Ku bantu abalina obulwadde bw’olubuto obw’amaanyi.
• Embeera eyitibwa "Hungry bone disorder" esobola okubaawo oluvannyuma lw'okulongoosebwa endwadde za parathyroid.

Abasawo bazuula batya embeera eno ey’obulwadde bwa hypomagnesemia?

Bw’oba ​​olowooza nti olina obubonero bw’obulwadde bwa hypomagnesemia, omusawo ajja kusooka kukukebera n’akubuuza ku bubonero bwo n’ebyafaayo by’obujjanjabi bwo.

Olwo, kirabika ojja kusabibwa okwekebeza omusaayi okukebera omuwendo gwa magnesium mu musaayi gwo. Omuntu omulamu magnesium alina okuba wakati wa miligiraamu 1.46 ne 2.68 buli desilita (mg/dL).

Tekikoma awo, osobola n’okukola ebigezo ebirala nga bino:

• Okukebera omusaayi gwa calcium kwe kukebera omuwendo gwa calcium mu musaayi . Nga bwe twagambye emabegako, magnesium bw’aba mutono, calcium naye asobola okuba omutono.
• Ekibiina ekikwata ku nkyukakyuka y’emmere kisobola okukebera eddagala eddala erikulu eriwerako mu mubiri.
• Okukebera okukebera omuwendo gwa potassium mu musaayi .
• Okukebera magnesium mu musulo kwe kukebera okupima omuwendo gwa magnesium mu musulo . Kino kiyinza okuwa endowooza oba enkizi zifulumya bulungi magnesium oba kiyitiridde.
• Okukebera omutima (Electrocardiogram - EKG) okukebera enkola y’omutima.

Omusawo bw’amala okukakasa nti olina obulwadde bwa hypomagnesemia, ebiseera ebisinga asobola okuzuula ekikuviiriddeko ng’atunuulira ebyafaayo by’obujjanjabi bwo n’ebyava mu kukeberebwa. Kyokka, oluusi kiyinza okwetaagisa okwongera okukebera okuzuula ekivaako.

Bujjanjabi ki obukolebwa ku kino?

Obujjanjabi bw’obulwadde bwa hypomagnesemia businziira ku ngeri gye buzibu, kwe kugamba, engeri magnesium gy’eri wansi, ne kiki ekivaako obulwadde buno.

Singa obutaba na magnesium si bwa maanyi (mild hypomagnesemia) , omusawo ajja kukulagira empeke za magnesium z’ogenda okumira mu kamwa.

Wabula singa ebbula lyo magnesium liba lya maanyi (severe hypomagnesemia) , oyinza okuweebwa ekitanda mu ddwaaliro n’oweebwa amazzi ne magnesium mu IV. Kino kiyinza okuzzaawo amangu magnesium wo.

Ate era omusawo ajja kujjanjaba ekivaako obutaba na magnesium buno. Okugeza singa ebbula lya magnesium liva ku ssukaali, obujjanjabi obwetaagisa bujja kuweebwa okusobola okufuga ssukaali. Bwe kitaba ekyo, singa ekivaako ekizibu kino tekijjanjabwa, obutaba na magnesium buyinza okuddamu okubaawo, nedda?

Tusobola okuziyiza embeera eno ey’obulwadde bwa hypomagnesemia?

Okujjanjaba obulungi n‟/oba okufuga embeera z‟obujjanjabi ezisibukamu eziyinza okuvaako obutaba na magnesium kiyinza okuyamba okuziyiza embeera eno okubaawo.

Ng’ekyokulabirako, bw’oba ​​olina obulwadde bwa celiac, okugoberera emmere enkakali etaliimu gluten kiyinza okuyamba okuziyiza okunywa obubi, ekiyinza okuvaako obutaba na magnesium.

Wabula mu mbeera ezimu, obulwadde bwa hypomagnesemia buyinza obutaziyizibwa naddala nga waliwo ensonga ng’ensonga z’obuzaale.

Kale, kiki ekigenda okubaawo mu mbeera eno okugenda mu maaso? (Okuteebereza)

Enteebereza y’obulwadde bwa hypomagnesemia esinziira ku kivaako obulwadde buno. Singa ekivaako obutaba na magnesium kizuulibwa era ne kijjanjabwa obulungi, emikisa mingi egy’okuwona mu bujjuvu.

Naye jjukira nti singa magnesium akendeera mu ngeri ey’akabi, kiyinza okuvaako omutima okutambula obulungi. Eno y’ensonga lwaki kikulu okugenda mu maaso n’abasawo amagezi bw’oba ​​olina obubonero.

Ddi lwe tusaanidde okulaba omusawo ku nsonga eno?

Bw’oba ​​olina obubonero bw’obulwadde bwa hypomagnesemia (ebintu bye twayogeddeko emabegako, gamba ng’okukankana, okukankana kw’ebinywa, n’okukoowa), kakasa nti olaba omusawo wo.

Bw’oba ​​ofunye okukonziba mu bwangu, oba omutima gwo bwe gukuba mu ngeri eyeewuunyisa, mu bwangu, oba ng’owulira ng’oziyiza, mu ngeri endala, bw’ofuna obubonero obw’amaanyi, kuba 911 mu bwangu oba genda mu ddwaaliro erikuli okumpi. Tosigala waka wekka mu biseera ng’ebyo.

Bw’oba ​​olina embeera etali ya bulijjo ng’obulwadde bwa Crohn oba obulwadde bw’ekibumba obw’obuzaale (obuyinza okuvaako obutaba na magnesium), kikulu okulaba ttiimu yo ey’abasawo buli kiseera okukakasa nti ojjanjabwa bulungi ate nga n’omuwendo gwa magnesium gwo guli ku mutindo mulamu.

N’ekisembayo, ebintu ebikulu by’olina okujjukira (Take-Home Message) .

Hypomagnesemia oba obutaba na magnesium, mbeera eyinza okuba enzibu katono. Naye ekisinga obulungi, mbeera ejjanjabibwa.

Bw’oba ​​olina obubonero buno, nsaba totya. Laba omusawo okole ebigezo ebyetaagisa. Magnesium bw’amala okudda mu mbeera eya bulijjo, ebiseera ebisinga obubonero bujja kuggwaawo.

Totya kubuuza musawo oba nnansi ekibuuzo kyonna ky’olina ku hypomagnesemia oba enzirukanya yaayo. Ekisinga obukulu kwe kusigala ng’omanyi ebikwata ku bulamu bwo.

` Hypomagnesemia, obutaba na magnesium, magnesium, electrolytes, magnesium omutono, obubonero, ebivaako, okuzuula, okujjanjaba, .