Ngaba ngamanye amaxesha uziva ngathi awuziva kakuhle, amalungu akho ayathuthumela, okanye ingqondo yakho inengxaki yokugxila? Mhlawumbi isizathu soku kukuba awunazo izakhamzimba ezifunekayo kwi-magnesium. Namhlanje, siza kuthetha ngale meko ibizwa ngokuba yi-hypomagnesemia, okanye ukunqongophala kwe-magnesium.

Yintoni iHypomagnesemia?

Ngamafutshane, i-hypomagnesemia iyenzeka xa une-magnesium encinci egazini lakho kunokuba kufanele. Oku kungaba kukunqongophala okuncinci, okanye kungaba kukunqongophala okukhulu.

Ngoku usenokuba uzibuza ukuba yintoni i-magnesium kwaye kutheni ibalulekile kuthi . I-magnesium yi-electrolyte ebaluleke kakhulu emzimbeni wethu. Oku kuthetha ukuba i-magnesium inceda iiseli zethu zisebenze kakuhle kwaye inceda inkqubo yethu yemithambo-luvo isebenze kakuhle. I-magnesium ibalulekile kwingqondo yakho, intliziyo, kunye nemisipha ukuze isebenze kakuhle.

Enye into kukuba xa le magnesium incipha, ichaphazela ngokuthe ngqo ibhalansi yezinye ii-electrolytes ezibalulekileyo emzimbeni wethu, ezifana ne-sodium, i-calcium, kunye ne-potassium. Rhoqo, xa i-magnesium incipha, ukungabikho kwe-calcium (hypocalcemia) kunye nokungabikho kwe-potassium (hypokalemia) kunokubonwa ngaxeshanye.

Nangona uninzi lwe-magnesium emizimbeni yethu lugcinwe emathanjeni ethu, iiseli zethu kunye namalungu ethu anokusebenzisa kuphela i-magnesium enyibilikisiweyo egazini lethu. Oku sikubiza ngokuba yi-magnesium ekwi-extracellular fluid.

Amanqanaba e-magnesium emzimbeni wethu alawulwa ikakhulu ngamalungu amathathu:

• Amathumbu ethu amancinci namakhulu: Kulapho sifunxa khona i-magnesium ekutyeni esikutyayo.
• Amathambo: Le yindawo ephambili apho i-magnesium igcinwa khona.
• Izintso: I-magnesium engaphezulu ikhutshwa emzimbeni ngezintso.

Ngoko ke, ukuba kukho ingxaki kwenye indawo kule nkqubo, unokufumana i-hypomagnesemia.

Ngubani onokuthi abe nethuba elikhulu lokuphuhlisa i-hypomagnesemia?

Ukunqongophala kweMagnesium kunokwenzeka nakubani na wanoma yiphi na iminyaka, kodwa kunokwenzeka kakhulu kubantu abaneengxaki ezithile zempilo okanye kwiimeko ezithile. Umzekelo:

• Le meko inokubonwa malunga ne-2% yabantu ngokubanzi .
• Oku kunokwenzeka phakathi kwe-10% kunye ne-20% yabantu abalaliswe esibhedlele .
• Oku kuchaphazela ipesenti enkulu yabantu abakwiyunithi yokhathalelo oluphezulu (ICU), phakathi kwama-50% nama-60% .
• Phakathi kwama-30% nama-80% abantu abaxhomekeke kutywala .
• Malunga nama-25% abantu abanesifo seswekile esingalawulekiyo (iDiabetes Mellitus) ...

Xa ubona la mapesenti, mhlawumbi uyaqonda ukuba oku akuyonto ifanele ithathwe lula.

Zithini iimpawu zale meko ye-hypomagnesemia?

Ukunqongophala kweMagnesium kunokuzibonakalisa kwiimpawu ezahlukeneyo. Kodwa ikakhulu kuchaphazela inkqubo yakho yemithambo-luvo kunye nentliziyo . Abanye abantu basenokungabi nazo kwaphela iimpawu. Oko kukuthi, basenokuba ``abanazo iimpawu``.

Umzekelo, ukuba amanqanaba akho e-magnesium aphantsi kancinci (i-mild hypomagnesemia) , unokufumana iimpawu ezifana nezi:

• Iingcangcazela (iingcangcazela).
• Izinto ezinje ngokushukuma kwemisipha, ukuqina, kunye nokuba ndindisholo kwamalungu omzimba (i-tetany).
• Iintshukumo ezingaqhelekanga zamehlo (i-nystagmus).
• Ndiziva ndidiniwe kwaye ndingenabomi ngalo lonke ixesha .

Nangona kunjalo, ukuba amanqanaba e-magnesium aphantsi kakhulu, okanye ngokunzulu (i-hypomagnesemia enzima) , iimpawu zinokuba nzima ngakumbi:

• Ukuxhuzula okuqhelekileyo kwe-tonic-clonic (``Ukuxhuzula okuqhelekileyo kwe-tonic-clonic``).
• Ukuphambana kwengqondo ( ukudideka kwengqondo, ukudideka kwengqondo ).
• Ukuphazamiseka kwentliziyo, oko kukuthi, utshintsho kwisingqisho sentliziyo (arrhythmia).

Ukuba uneempawu ezinjalo, kubaluleke kakhulu ukuba ufune uncedo lwezonyango.

Kutheni le nto kukho ukunqongophala kwe-magnesium? Zithini izizathu?

Kukho izizathu ezintathu eziphambili zokuba kutheni ukungabikho kwe-magnesium kunokubangela:

• Ukungafumani i-magnesium eyaneleyo.
• I-magnesium engaphezulu ikhutshwa emzimbeni, nokuba ngezintso (ngomchamo) okanye ngenkqubo yesisu (ngendle).
• I-magnesium esegazini lethu iya kwiindawo apho ingasetyenziswa lula ziiseli (oku kunqongophele kancinci).

Makhe sijonge nganye kwezi nkcukacha zincinci.

1. Ukungafumani i-magnesium eyaneleyo emzimbeni

Oku kusenokuba kungenxa yezi zinto zilandelayo:

• Ukuzila ukutya kuthetha ukungatyi nokusela.
• Ukuba likhoboka lotywala nokungatyi ukutya okunesondlo. Khawucinge nje, abanye abantu basela utywala ukususela kusasa ukuya ebusuku kwaye abayiniki imizimba yabo izondlo. Emva koko, kungekuphela nje i-magnesium, kodwa nezinye izinto ezininzi ziyasilela emzimbeni.
• Abantu abagula kakhulu, abangakwaziyo ukutya ngomlomo, kwaye bafumana ulwelo olufakwa kwimithambo yegazi (IV) kuphela. Ngamanye amaxesha, ukunqongophala kwe-magnesium kunokwenzeka ukuba isondlo esinikwa ngale ndlela asanele.

Kwakhona, ukuba umzimba awukwazi ukufunxa i-magnesium ngokufanelekileyo ekutyeni esikutyayo, oko kungaba yimbangela yokunqongophala kwe-magnesium. Imizekelo:

• Ezinye iimeko zonyango zinokubangela ukungafunxwa kakuhle kwemveliso.Umzekelo, izifo ezifana nesifo seCeliac kunye nesifo samathumbu esivuthayo.
• Utyando lwesisu olufana notyando lwesisu oludlula kwisisu. Amanqanaba e-magnesium anokwehla emva kolu tyando kuba ubungakanani bokutya okufunxwayo buyancipha.
• Iimeko ezibangelwa lilifa ezibangela ukuba i-magnesium ingafunxwa kakuhle (umz., i-intestinal hypomagnesemia yokuqala)
• Amanye amayeza anokuphazamisa ukufunxwa kwe-magnesium. Umzekelo, ukusetyenziswa ixesha elide kwe-proton pump inhibitors, njenge-omeprazole, esetyenziselwa ukunyanga isifo se-gastritis.

2. I-magnesium engaphezulu ikhutshwa emzimbeni

Oku kunokwenzeka ngeendlela ezimbini eziphambili.

I-magnesium engaphezulu ekhutshwa kwizintso kumchamo:

• Ukusetyenziswa kotywala.
• Isifo seswekile esingalawulekiyo (iDiabetes Mellitus) . Xa amanqanaba eswekile egazini enyuka, izintso zinokukhupha i-magnesium engakumbi.
• " Iimeko ezizuzwe njengelifa ezibandakanya ii-renal tubules , umzekelo, i-Gitelman syndrome."
• Amanye amayeza okukhupha amanzi emzimbeni, angamayeza asusa amanzi emzimbeni. Imizekelo: iHydrochlorothiazide, iChlorthalidone, iFurosemide, iBumetanide.
• Ii-antibiotics ze-Aminoglycoside. Imizekelo: I-Gentamicin, i-Tobramycin, i-Amikacin.
• Amanye amayeza e-chemotherapy asetyenziselwa umhlaza . Umzekelo: iCisplatin.
• Amayeza okulwa nokungavumi ngamayeza anikwa ukuthintela ukungavumi emva kokufakelwa ilungu . Imizekelo: iCyclosporine, iTacrolimus.
• Amanye amayeza, njengeDigoxin.

I-magnesium engaphezulu ikhutshwa kwinkqubo yesisu kunye nendle:

• Urhudo olunzima okanye oluhlala ixesha elide. Ungacinga ukuba zingakanani izondlo ezixabisekileyo ezichithwayo xa uqhubeka ulambile. I-magnesium yenye yazo.

3. I-magnesium egazini iya kwiindawo apho kunzima ukuyisebenzisa khona

Oku kunqabile kancinci, kodwa kunokwenzeka kwiimeko ezinje:

• Kubantu abane-pancreatitis ebukhali.
• Imeko ebizwa ngokuba yi-"Hungry bone disorder" inokwenzeka emva kokuba kususwe ii-parathyroid glands ngotyando.

Oogqirha bayixilonga njani le meko ye-hypomagnesemia?

Ukuba ucinga ukuba uneempawu ze-hypomagnesemia, ugqirha wakho uza kuqala akuhlole aze akubuze ngeempawu zakho kunye nembali yakho yezonyango.

Emva koko, kusenokwenzeka ukuba ucelwe ukuba wenze uvavanyo lwegazi ukujonga inqanaba le-magnesium egazini lakho. Inqanaba le-magnesium yomntu ophilileyo kufuneka libe phakathi kwe-1.46 kunye ne-2.68 milligrams nge-deciliter (mg/dL).

Ayipheleli apho, ungenza nezinye iimvavanyo ezinje:

• Uvavanyo lwegazi lwe-calcium luvavanyo olujonga inqanaba le-calcium egazini . Njengoko besitshilo ngaphambili, xa i-magnesium iphantsi, i-calcium nayo inokuba sezantsi.
• Iphaneli ebanzi yemetabolism inokujonga inani lezinye iikhemikhali ezibalulekileyo emzimbeni.
• Uvavanyo olujonga inqanaba le-potassium egazini .
• Uvavanyo lwe-magnesium yomchamo luvavanyo olulinganisa inqanaba le-magnesium kumchamo . Oku kunokunika umbono wokuba izintso zikhupha i-magnesium ngokufanelekileyo okanye ngokugqithisileyo.
• Uvavanyo lwe-Electrocardiogram (EKG) ukujonga ukusebenza kwentliziyo.

Xa ugqirha wakho eqinisekisile ukuba une-hypomagnesemia, unokubona unobangela ngokuphonononga imbali yakho yezonyango kunye neziphumo zovavanyo. Nangona kunjalo, ngamanye amaxesha uvavanyo olongezelelweyo lunokufuneka ukuze kufunyanwe unobangela.

Zithini iindlela zonyango zoku?

Unyango lwe-hypomagnesemia luxhomekeke ekubeni inzima kangakanani, oko kukuthi, inqanaba le-magnesium liphantsi kangakanani, kunye nokuba yintoni unobangela oyintloko.

Ukuba ukunqongophala kwakho kwe-magnesium akukubi kakhulu (i-mild hypomagnesemia) , ugqirha wakho uya kukunika iipilisi ze-magnesium oza kuzithatha ngomlomo.

Nangona kunjalo, ukuba ukungabikho kwe-magnesium emzimbeni wakho kukhulu (i-hypomagnesemia enzima) , ungalaliswa esibhedlele kwaye unikwe ulwelo kunye ne-IV magnesium. Oku kunokubuyisela ngokukhawuleza amanqanaba akho e-magnesium.

Kwakhona, ugqirha uza kunyanga unobangela oyintloko wokunqongophala kwe-magnesium. Umzekelo, ukuba ukunqongophala kwe-magnesium kungenxa yesifo seswekile, unyango olufunekayo luya kunikwa ukulawula isifo seswekile. Ngaphandle koko, ukuba unobangela oyintloko awunyangwa, ukunqongophala kwe-magnesium kunokuphinda kwenzeke, akunjalo?

Ngaba singayithintela le meko ye-hypomagnesemia?

Ukunyanga ngokufanelekileyo kunye/okanye ukulawula iimeko zonyango ezinokubangela ukunqongophala kwe-magnesium kunokunceda ukuthintela le meko ukuba ingenzeki.

Umzekelo, ukuba unesifo se-celiac, ukulandela ukutya okungqongqo okungenagluten kunokunceda ukuthintela ukufunxwa yi-malabsorption, nto leyo enokubangela ukunqongophala kwe-magnesium.

Nangona kunjalo, kwezinye iimeko, i-hypomagnesemia isenokungathintelwa, ingakumbi xa kukho izinto ezifana nezinto ezidluliselwa kwilifa.

Ngoko ke, kuza kwenzeka ntoni kule meko kwixesha elizayo? (Ingqikelelo)

Uqikelelo lwe-hypomagnesemia luxhomekeke kwisizathu esiyintloko. Ukuba unobangela wokungabikho kwe-magnesium uyaziwa kwaye unyangwa ngokufanelekileyo, kukho ithuba elihle lokuchacha ngokupheleleyo.

Kodwa khumbula, ukuba amanqanaba e-magnesium aphantsi ngendlela eyingozi, anokubangela ukungasebenzi kakuhle kwentliziyo. Yiyo loo nto kubalulekile ukufuna ingcebiso kagqirha ngokukhawuleza ukuba uneempawu.

Sifanele siye kugqirha nini ngale nto?

Ukuba uneempawu ze-hypomagnesemia (izinto esithethe ngazo ngaphambili, njengokungcangcazela, ukushukuma kwemisipha, kunye nokudinwa), qiniseka ukuba ubona ugqirha wakho.

Ukuba ngequbuliso unesithuthwane, okanye ukuba intliziyo yakho ibetha ngendlela engaqhelekanga, ngokukhawuleza, okanye ivakala ngathi iyancipha, ngamanye amazwi, ukuba ubonakalisa iimpawu eziqatha, fowunela u-911 ngoko nangoko okanye uye esibhedlele esikufutshane. Musa ukuhlala wedwa ekhaya ngamaxesha anjalo.

Ukuba unesifo esinganyangekiyo esifana nesifo sikaCrohn okanye isifo sezintso esizuzwe njengelifa (esinokubangela ukunqongophala kwe-magnesium), kubalulekile ukubona iqela lakho lezonyango rhoqo ukuqinisekisa ukuba unyangwa ngokufanelekileyo kwaye amanqanaba akho e-magnesium akwinqanaba elifanelekileyo.

Okokugqibela, ezona zinto zibalulekileyo ekufuneka uzikhumbule (Umyalezo Wokuya Ekhaya)

I-Hypomagnesemia, okanye ukungabikho kwe-magnesium, yimeko enokuba nzima kancinci. Kodwa eyona nto ilungileyo kukuba, yimeko enokunyangeka.

Ukuba unale mpawu, nceda ungoyiki. Bona ugqirha uze wenze uvavanyo olufunekayo. Xa amanqanaba akho e-magnesium ebuyela esiqhelweni, uninzi lwexesha iimpawu ziya kuphela.

Musa ukoyika ukubuza ugqirha wakho okanye umongikazi wakho nayiphi na imibuzo onayo malunga ne-hypomagnesemia okanye ulawulo lwayo. Eyona nto ibalulekileyo kukuhlala unolwazi malunga nempilo yakho.

I- Hypomagnesemia, ukungabikho kwe-magnesium, i-magnesium, ii-electrolytes, i-magnesium ephantsi, iimpawu, unobangela, ukuxilongwa, unyango,