Ese ufite manyeziyumu nkeya? Reka tuvuge kuri hypomagnesemia!

Ese hari igihe wumva umeze nk'aho utameze neza, ingingo zawe zirimo kunyeganyega, cyangwa ubwenge bwawe burimo kugorwa no kwibanda ku bintu? Ahari impamvu ibi biterwa nuko udafite intungamubiri nyinshi zikenewe. Uyu munsi, tugiye kuvuga kuri iyi ndwara yitwa hypomagnesemia, cyangwa kubura magnesium.

Hypomagnesemia ni iki?

Muri make, hypomagnesemia ni igihe ufite magnesium nke mu maraso yawe ugereranyije n'uko bikwiye. Ibi bishobora kuba ikibazo cyoroheje, cyangwa bikaba ikibazo gikomeye kurushaho.

Noneho ushobora kuba wibaza icyo manyeziyumu ari cyo n'impamvu ari ingenzi kuri twe . Manyeziyumu ni electrolyte y'ingenzi cyane mu mubiri wacu. Ibi bivuze ko manyeziyumu ifasha uturemangingo twacu gukora neza kandi igafasha sisitemu yacu y'imitsi gukora neza. Manyeziyumu ni ingenzi cyane kugira ngo ubwonko bwawe, umutima, n'imitsi bikore neza.

Ikindi kintu ni uko iyo iyi manyeziyumu igabanutse, igira ingaruka zitaziguye ku kuringaniza izindi electrolyte z'ingenzi mu mubiri wacu, nka sodium, calcium, na potasiyumu. Akenshi, iyo manyeziyumu igabanutse, ibura rya calcium (hypocalcemia) na potassium ibura (hypokalemia) bishobora kugaragara icyarimwe.

Nubwo manyeziyumu nyinshi mu mibiri yacu ibikwa mu magufwa yacu, uturemangingo n'ingingo zacu bishobora gukoresha manyeziyumu yashongeshejwe mu maraso yacu gusa. Ibi ni byo twita manyeziyumu iri mu mazi yo hanze y'umubiri.

Urugero rwa manyeziyumu mu mubiri wacu rugenzurwa cyane cyane n'ingingo eshatu:

• Amara yacu mato n'amanini: Aha niho dukuramo manyeziyumu mu biribwa turya.
• Amagufwa: Aha niho hantu hakuru habikwa manyeziyumu.
• Impyiko: Manyeziyumu irenze urugero iva mu mubiri inyuze mu mpyiko.

Rero, niba hari ikibazo kiri muri iyi gahunda, ushobora kugira hypomagnesemia.

Ni nde ufite amahirwe menshi yo kurwara hypomagnesemia?

Kubura kwa manyeziyumu bishobora kuba ku muntu wese w’imyaka iyo ari yo yose, ariko birashoboka cyane ko biba ku bantu bafite indwara zimwe na zimwe cyangwa mu bihe bimwe na bimwe. Urugero:

• Iki kibazo gishobora kugaragara muri hafi 2% by'abaturage muri rusange .
• Ibi bishobora kubaho hagati ya 10% na 20% by'abantu bari mu bitaro .
• Ibi bigira ingaruka ku kigero kinini cy’abantu bari mu cyumba cy’indembe (ICU), bari hagati ya 50% na 60% .
• Hagati ya 30% na 80% by'abantu babaswe n'inzoga .
• Hafi 25% by'abantu barwaye diyabete idacunzwe neza (Diabetes Mellitus) ...

Iyo ubonye aya majanisha, ushobora kubona ko iki atari ikintu cyo gufata nk'ikintu cyoroshye.

Ni ibihe bimenyetso by'iyi ndwara ya hypomagnesemia?

Kubura manyeziyumu bishobora kugaragara mu bimenyetso bitandukanye. Ariko ahanini bigira ingaruka ku mitsi n'umutima . Hari abantu bashobora kutagira ibimenyetso na gato. Ni ukuvuga ko bashobora kuba "badafite ibimenyetso".

Urugero, niba urugero rwa manyeziyumu yawe ruri hasi gato (hypomagnesemia yoroshye) , ushobora kugira ibimenyetso nk'ibi:

• Gutitira (imitingito).
• Ibintu nko kunyaragura imitsi, gukomera no gucika intege mu maguru (tetany).
• Ingendo zidasanzwe z'amaso (nystagmus).
• Kumva unaniwe kandi nta buzima mfite igihe cyose .

Ariko, niba urugero rwa manyeziyumu ruri hasi cyane, cyangwa mu buryo bukomeye (hypomagnesemia ikomeye) , ibimenyetso bishobora kuba bikomeye kurushaho:

• Ibisebe bya tonic-clonic rusange (``Ibisebe bya tonic-clonic rusange``).
• Kudatekereza ( kwitiranya mu mutwe, urujijo mu mutwe ).
• Ugutera k'umutima kudasanzwe, ni ukuvuga impinduka mu mikorere y'umutima (arrhythmia).

Niba ufite ibimenyetso nk'ibi, ni ngombwa cyane gushaka inama kwa muganga.

Kuki iki kibazo cy’ibura rya manyeziyumu ari cyo? Ni izihe mpamvu?

Hari impamvu eshatu z'ingenzi zishobora gutuma habaho ibura rya manyeziyumu:

• Kutabona manyeziyumu ihagije.
• Manyeziyumu irenze urugero isohoka mu mubiri, haba binyuze mu mpyiko (hamwe n'inkari) cyangwa mu gifu (hamwe n'imyanda).
• Manyeziyumu iri mu maraso yacu ijya ahantu idashobora gukoreshwa byoroshye n'uturemangingo (ibi birabura gato).

Reka turebe buri kimwe muri ibi mu buryo burambuye.

1. Kutabona manyeziyumu ihagije mu mubiri

Ibi bishobora guterwa na:

• Kwiyiriza ubusa bivuze kutarya no kunywa.
• Kuba umuntu unywa inzoga kandi utarya indyo yuzuye. Tekereza gato, hari abantu banywa inzoga kuva mu gitondo kugeza nijoro kandi ntibahe imibiri yabo intungamubiri. Hanyuma, si manyeziyumu gusa, ahubwo n'ibindi bintu byinshi birabura mu mubiri.
• Abantu barwaye cyane, badashobora kurya mu kanwa, kandi bahabwa amazi yo mu mitsi gusa (IV). Hari igihe ibura rya manyeziyumu rishobora kubaho iyo intungamubiri zitangwa muri ubu buryo zidahagije.

Nanone, niba umubiri udashobora kwinjiza manyeziyumu neza mu biribwa turya, ibyo bishobora no kuba impamvu yo kubura manyeziyumu. Ingero:

• Hari indwara zimwe na zimwe zishobora gutera kubura ubushobozi bwo kubyimbirwa.Urugero, indwara nk'indwara ya Celiac n'indwara yo kubyimba amara.
• Kubagwa igifu nko kubagwa igifu. Igipimo cya manyeziyumu gishobora kugabanuka nyuma y’uku kubagwa kuko ingano y’ibiryo byinjira mu mubiri igabanuka.
• Indwara zikomoka ku ruhu zituma manyeziyumu idakwirakwira neza (urugero: hypomagnesemia y'inkondo y'umura)
• Imiti imwe n'imwe ishobora kubangamira uburyo magnesium yinjizwamo. Urugero, gukoresha igihe kirekire imiti igabanya ubukana bwa proton pump, nka omeprazole, ikoreshwa mu kuvura indwara y'igifu.

2. Manyeziyumu irenze urugero iva mu mubiri

Ibi bishobora kubaho mu buryo bubiri bw'ingenzi.

Manyeziyumu irenze urugero iva mu mpyiko mu nkari:

• Ikoreshwa ry'inzoga.
• Diyabete idacunzwe (Diabete Mellitus) . Iyo isukari mu maraso yiyongereye, impyiko zishobora gusohora manyeziyumu nyinshi.
• " Indwara z'urukozasoni zifata imiyoboro y'impyiko , urugero, indwara ya Gitelman."
• Imiti imwe n'imwe igabanya ubushyuhe, ikaba ari imiti ikura amazi mu mubiri. Urugero: Hydrochlorothiazide, Chlorthalidone, Furosemide, Bumetanide.
• Antibiyotike za Aminoglycoside. Urugero: Gentamicin, Tobramycin, Amikacin.
• Imiti imwe n'imwe ikoreshwa mu kuvura kanseri . Urugero: Cisplatin.
• Imiti igabanya kwangwa ni imiti itangwa kugira ngo hirindwe kwangwa nyuma yo guterwa urugingo . Urugero: Cyclosporine, Tacrolimus.
• Indi miti, nka Digoxin.

Manyeziyumu irenze urugero iva mu gifu hamwe n'imyanda:

• Impiswi ikomeye cyangwa igihe kirekire. Ushobora kwiyumvisha uburyo intungamubiri z'agaciro zipfa ubusa iyo ukomeje gusonza. Manyeziyumu ni imwe muri zo.

3. Manyeziyumu iri mu maraso ijya ahantu bigoye kuyikoresha

Ibi ni gake cyane, ariko bishobora kubaho mu bihe nk'ibi:

• Ku bantu bafite pancreatitis ikabije.
• Indwara yitwa "Hungry bone disorder" ishobora kubaho nyuma yo kubagwa ingirabuzimafatizo za parathyroid.

Ni gute abaganga basuzuma iyi ndwara ya hypomagnesemia?

Niba utekereza ko ufite ibimenyetso bya hypomagnesemia, muganga wawe azabanza kugusuzuma no kukubaza ibimenyetso byawe n'amateka y'ubuzima bwawe.

Hanyuma, ushobora gusabwa gupimwa amaraso kugira ngo urebe urugero rwa manyeziyumu mu maraso yawe. Urugero rwa manyeziyumu ku muntu muzima rugomba kuba hagati ya miligarama 1.46 na 2.68 kuri desilita imwe (mg/dL).

Si ibyo gusa, ushobora no gukora ibindi bizamini nk'ibi:

• Ikizamini cy'amaraso ya kalisiyumu ni ikizamini kigenzura urugero rwa kalisiyumu mu maraso . Nkuko twabivuze mbere, iyo manyeziyumu ari nke, kalisiyumu nayo ishobora kuba nkeya.
• Akanama gashinzwe imikorere y’umubiri gashobora kugenzura izindi miti nyinshi z’ingenzi mu mubiri.
• Ikizamini gisuzuma urugero rwa potasiyumu mu maraso .
• Ikizamini cya manyeziyumu mu nkari ni ikizamini gipima urugero rwa manyeziyumu mu nkari . Ibi bishobora gutanga igitekerezo cy'uko impyiko zisohora manyeziyumu neza cyangwa nyinshi.
• Ikizamini cya Electrocardiogram (EKG) kugira ngo harebwe imikorere y'umutima.

Iyo umuganga wawe amaze kwemeza ko ufite hypomagnesemia, ubusanzwe ashobora kumenya impamvu nyamukuru binyuze mu gusuzuma amateka y'ubuzima bwawe n'ibyavuye mu bipimo. Ariko, rimwe na rimwe hashobora kuba ngombwa ko usuzuma ibindi bipimo kugira ngo hamenyekane impamvu.

Ni ubuhe buryo bwo kuvura ibi?

Uburyo bwo kuvura hypomagnesemia buterwa n'uburemere bwayo, ni ukuvuga uburyo urugero rwa manyeziyumu ruri hasi, n'impamvu nyamukuru.

Niba ikibazo cyawe cyo kubura manyeziyumu kidakabije (hypomagnesemia yoroheje) , muganga wawe ashobora kukwandikira ibinini bya manyeziyumu byo kunywa mu kanwa.

Ariko, niba ufite ikibazo gikomeye cyo kubura manyeziyumu (hypomagnesemia ikomeye) , ushobora kujya mu bitaro ugahabwa amazi n'manyeziyumu ya IV. Ibi bishobora gusubiza urugero rwa manyeziyumu mu mubiri wawe vuba.

Nanone, muganga azavura impamvu nyamukuru y’iyi bura rya manyeziyumu. Urugero, niba ibura rya manyeziyumu riterwa na diyabete, hazatangwa ubuvuzi bukenewe kugira ngo hagenzurwe diyabete. Bitabaye ibyo, niba impamvu nyamukuru idavuwe, ibura rya manyeziyumu rishobora kongera kubaho, sibyo?

Ese dushobora gukumira iki kibazo cya hypomagnesemia?

Kuvura neza no kugenzura indwara zishobora gutera ibura rya manyeziyumu bishobora gufasha gukumira iyi ndwara.

Urugero, niba urwaye indwara ya celiac, gukurikiza indyo idafite gluteni cyane bishobora gufasha kwirinda kubura magnesium mu mubiri, ibyo bikaba byagutera kubura magnesium.

Ariko, mu bihe bimwe na bimwe, hypomagnesemia ishobora kudashobora kwirindwa, cyane cyane iyo hari ibintu nk'ibintu by'uruhererekane rw'umubiri.

None se, bizagenda bite muri iki gihe mu gihe kiri imbere? (Ibisobanuro)

Iteganyagihe ry’indwara ya hypomagnesemia riterwa n’impamvu nyamukuru. Iyo icyateye kubura manyeziyumu kimenyekanye kandi kikavurwa neza, hari amahirwe menshi yo gukira burundu.

Ariko wibuke ko iyo urugero rwa manyeziyumu rugabanutse cyane, bishobora gutera indwara z’umutima zifata imitsi. Niyo mpamvu ari ngombwa gushaka inama kwa muganga vuba niba ufite ibimenyetso.

Ni ryari twagombye kubonana na muganga kuri ibi?

Niba ufite ibimenyetso bya hypomagnesemia (ibintu twavuze mbere, nko kujugumira, guhindagura imitsi, no kunanirwa), menya neza ko wagiye kwa muganga.

Niba ugize isereri mu buryo butunguranye, cyangwa niba umutima wawe utera mu buryo butangaje, vuba cyane, cyangwa ukumva usa n'aho uri kugabanuka, mu yandi magambo, niba ugaragaje ibimenyetso bikomeye, hamagara 911 ako kanya cyangwa ujye kwa muganga uri hafi. Ntugagume mu rugo wenyine muri ibyo bihe.

Niba ufite indwara idakira nka Crohn's disease cyangwa indwara y'impyiko yavukanye (ishobora gutera kubura magnesium), ni ngombwa kujya kwa muganga buri gihe kugira ngo umenye neza ko uvurwa neza kandi ko urugero rwa magnesium mu mubiri wawe ruri ku rwego rwiza.

Amaherezo, ibintu by'ingenzi ugomba kwibuka (Ubutumwa bwo kujyana mu rugo)

Hypomagnesemia, cyangwa kubura manyeziyumu, ni indwara ishobora kugorana gato. Ariko ikintu cyiza ni uko ari indwara ishobora kuvurwa.

Niba ufite ibi bimenyetso, nyamuneka ntugatinye. Jya kwa muganga kandi ukore ibizamini bikenewe. Iyo urugero rwa manyeziyumu rumaze kugaruka ku rugero rusanzwe, akenshi ibimenyetso birashira.

Ntutinye kubaza muganga wawe cyangwa umuforomo wawe ikibazo icyo ari cyo cyose ufite ku bijyanye na hypomagnesemia cyangwa uburyo yakwitabwaho. Ikintu cy'ingenzi ni uguhora umenya amakuru ajyanye n'ubuzima bwawe.

Hypomagnesemia , kubura manyeziyumu, manyeziyumu, elektroliti, manyeziyumu nkeya, ibimenyetso, impamvu, isuzuma, uburyo bwo kuvura,