Ingabe une-magnesium ephansi? Ake sixoxe nge-hypomagnesemia!

Ingabe ngezinye izikhathi uzizwa sengathi awuzizwa kahle, izitho zakho ziyathuthumela, noma ingqondo yakho inenkinga yokugxilisa ingqondo? Mhlawumbe isizathu salokhu ukuthi awunayo i-magnesium eyanele. Namuhla, sizokhuluma ngalesi simo esibizwa ngokuthi i-hypomagnesemia, noma ukuntuleka kwe-magnesium.

Kuyini i-Hypomagnesemia?

Kalula nje, i-hypomagnesemia yilapho une-magnesium encane egazini lakho kunalokho okufanele. Lokhu kungaba ukuntuleka okuncane, noma kungaba ukuntuleka okukhulu kakhulu.

Manje ungase uzibuze ukuthi iyini i-magnesium nokuthi kungani ibalulekile kithi . I-magnesium iyi-electrolyte ebaluleke kakhulu emzimbeni wethu. Lokhu kusho ukuthi i-magnesium isiza amaseli ethu ukuthi asebenze kahle futhi isize uhlelo lwethu lwezinzwa ukuthi lusebenze kahle. I-magnesium ibalulekile ukuze ubuchopho bakho, inhliziyo, kanye nemisipha isebenze kahle.

Enye into ukuthi uma le magnesium incipha, ithinta ngqo ibhalansi yezinye izinto ezibalulekile emzimbeni wethu, njenge-sodium, i-calcium, ne-potassium. Ngokuvamile, lapho i-magnesium incipha, ukuntuleka kwe-calcium (hypocalcemia) kanye nokuntuleka kwe-potassium (hypokalemia) kungabonakala ngesikhathi esifanayo.

Nakuba iningi le-magnesium emizimbeni yethu ligcinwe emathanjeni ethu, amangqamuzana ethu nezitho zomzimba zingasebenzisa kuphela i-magnesium encibilikisiwe egazini lethu. Yilokhu esikubiza ngokuthi i-magnesium eketshezini olungaphandle kwe-extracellular.

Amazinga e-magnesium emzimbeni wethu alawulwa kakhulu yizitho ezintathu:

• Amathumbu ethu amancane namakhulu: Yilapho simunca khona i-magnesium ekudleni esikudlayo.
• Amathambo: Lena yindawo eyinhloko lapho kugcinwa khona i-magnesium.
• Izinso: I-magnesium eningi ikhishwa emzimbeni ngezinso.

Ngakho-ke, uma kunenkinga endaweni ethile kule nqubo, ungahlakulela i-hypomagnesemia.

Ubani onamathuba amaningi okuthuthukisa i-hypomagnesemia?

Ukuntuleka kwe-magnesium kungenzeka kunoma ubani wanoma yimuphi ubudala, kodwa kungenzeka kakhulu kubantu abanezimo ezithile zezokwelapha noma ezimweni ezithile. Isibonelo:

• Lesi simo singabonakala cishe ku-2% wabantu bonke .
• Lokhu kungenzeka phakathi kuka-10% no-20% wabantu abalaliswe esibhedlela .
• Lokhu kuthinta iphesenti elikhulu labantu abasegunjini lokunakekelwa okujulile (ICU), phakathi kuka-50% no-60% .
• Abantu abaphakathi kuka-30% no-80% baluthwa utshwala .
• Cishe ama-25% abantu abanesifo sikashukela esingalawulwa kahle (i-Diabetes Mellitus) ...

Uma ubona la maphesenti, cishe uyaqaphela ukuthi lokhu akuyona into okufanele ithathwe kalula.

Ziyini izimpawu zalesi simo se-hypomagnesemia?

Ukuntuleka kwe-magnesium kungabonakala ngezimpawu ezahlukahlukene. Kodwa kuthinta kakhulu uhlelo lwakho lwezinzwa kanye nenhliziyo . Abanye abantu bangase bangabi nazo nhlobo izimpawu. Okusho ukuthi, bangase babe "abanazimpawu" ezicacile.

Isibonelo, uma amazinga akho e-magnesium ephansi kancane (i-hypomagnesemia emincane) , ungase ube nezimpawu ezinjengalezi:

• Ukuthuthumela (ukuthuthumela).
• Izinto ezinjengokuqhaqhazela kwemisipha, ukuqina, kanye nokuba ndikindiki ezithweni (i-tetany).
• Ukunyakaza okungajwayelekile kwamehlo (i-nystagmus).
• Ukuzizwa ukhathele futhi ungenampilo ngaso sonke isikhathi .

Kodwa-ke, uma amazinga e-magnesium ephansi kakhulu, noma ngokungathi sína (i-hypomagnesemia enzima) , izimpawu zingaba zimbi kakhulu:

• Ukuxhuzula kwe-tonic-clonic okujwayelekile (``Ukuxhuzula kwe-tonic-clonic okujwayelekile``).
• Ukuhlanya ( ukudideka kwengqondo, ukudideka kwengqondo ).
• Ukuphazamiseka kwenhliziyo, okungukuthi, izinguquko esigqini senhliziyo (arrhythmia).

Uma unezimpawu ezinjengalezi, kubaluleke kakhulu ukufuna iseluleko sezokwelapha.

Kungani lokhu kushoda kwe-magnesium? Ziyini izimbangela?

Kunezizathu ezintathu eziyinhloko zokuthi kungani ukuntuleka kwe-magnesium kungenzeka:

• Ukungatholi i-magnesium eyanele.
• I-magnesium eningi ikhishwa emzimbeni, kungaba ngezinso (ngomchamo) noma ngohlelo lokugaya ukudla (ngendle).
• I-magnesium egazini lethu iya ezindaweni lapho ingasetshenziswa khona kalula ngamaseli (lokhu kuyantuleka kancane).

Ake sibheke ngayinye yalezi ngemininingwane ethe xaxa.

1. Ukungatholi i-magnesium eyanele emzimbeni

Lokhu kungase kube ngenxa yalokhu:

• Ukuzila ukudla kusho ukungadli nokuphuza.
• Ukuba umlutha wotshwala nokungadli ukudla okunomsoco. Cabanga nje, abanye abantu baphuza utshwala kusukela ekuseni kuze kube sebusuku futhi abaniki imizimba yabo ukudla okunempilo. Ngemuva kwalokho, hhayi i-magnesium kuphela, kodwa nezinye izinto eziningi ziyantula emzimbeni.
• Abantu abagula kakhulu, abangakwazi ukudla ngomlomo, futhi abathola uketshezi olufakwa emthanjeni (IV) kuphela. Ngezinye izikhathi, ukuntuleka kwe-magnesium kungenzeka uma ukudla okunomsoco okunikezwa ngale ndlela kunganele.

Futhi, uma umzimba ungakwazi ukumunca kahle i-magnesium ekudleni esikudlayo, lokho kungaba yimbangela yokuntuleka kwe-magnesium. Izibonelo:

• Ezinye izimo zezokwelapha zingabangela ukungamuncwa kahle.Isibonelo, izimo ezifana nesifo se-Celiac kanye nesifo samathumbu esivuvukalayo.
• Ukuhlinzwa kwesisu njengokuhlinzwa kwesisu. Amazinga e-magnesium angase ehle ngemva kwalokhu kuhlinzwa ngoba inani lokudla okumuncwayo liyancipha.
• Izimo ezizuzwe njengefa ezibangela ukuthi i-magnesium ingamuncwa kahle (isb., i-intestinal hypomagnesemia eyinhloko)
• Eminye imithi ingaphazamisa ukumuncwa kwe-magnesium. Isibonelo, ukusetshenziswa kwesikhathi eside kwama-proton pump inhibitors, njenge-omeprazole, esetshenziselwa ukwelapha i-gastritis.

2. I-magnesium eningi ikhishwa emzimbeni

Lokhu kungenzeka ngezindlela ezimbili eziyinhloko.

I-magnesium eningi ekhishwa ezinso emchameni:

• Ukusetshenziswa kotshwala.
• Isifo sikashukela esingalawulwa (i-Diabetes Mellitus) . Uma amazinga kashukela egazini enyuka, izinso zingase zikhiphe i-magnesium eningi.
• " Izimo ezizuzwe njengefa ezihilela ama-renal tubules , isibonelo, i-Gitelman syndrome."
• Eminye imithi yokukhipha isisu, okuyimithi ekhipha amanzi emzimbeni. Izibonelo: I-Hydrochlorothiazide, i-Chlorthalidone, i-Furosemide, i-Bumetanide.
• Ama-antibiotic e-Aminoglycoside. Izibonelo: I-Gentamicin, i-Tobramycin, i-Amikacin.
• Eminye imithi ye-chemotherapy esetshenziselwa umdlavuza . Isibonelo: i-Cisplatin.
• Imithi yokulwa nokwenqatshwa yimithi enikezwa ukuvimbela ukwenqatshwa ngemva kokufakelwa isitho . Izibonelo: i-Cyclosporine, i-Tacrolimus."
• Eminye imithi, njenge-Digoxin.

I-magnesium eningi ikhishwa ohlelweni lokugaya ukudla kanye nendle:

• Uhudo olubi kakhulu noma oluhlala isikhathi eside. Ungacabanga ukuthi zingakanani izakhamzimba eziyigugu ezichithwayo uma uqhubeka ulambile. I-magnesium ingenye yazo.

3. I-magnesium egazini iya ezindaweni lapho kunzima ukuyisebenzisa khona

Lokhu akuvamile, kodwa kungenzeka ezimweni ezinjengalezi:

• Kubantu abane-pancreatitis ebukhali.
• Isimo esibizwa ngokuthi "i-Hungry bone disorder" singavela ngemva kokususwa kwezindlala ze-parathyroid ngokuhlinzwa.

Odokotela basithola kanjani lesi simo se-hypomagnesemia?

Uma ucabanga ukuthi unezimpawu ze-hypomagnesemia, udokotela wakho uzoqala akuhlole bese ebuza ngezimpawu zakho kanye nomlando wakho wezokwelapha.

Ngemuva kwalokho, cishe uzocelwa ukuthi uhlole igazi ukuze kuhlolwe izinga le-magnesium egazini lakho. Izinga le-magnesium lomuntu ophilile kufanele libe phakathi kwama-milligram angu-1.46 no-2.68 nge-deciliter (mg/dL).

Akukhona lokho kuphela, ungenza nezinye izivivinyo ezinjengalezi:

• Ukuhlolwa kwegazi le-calcium kuwukuhlolwa okuhlola izinga le-calcium egazini . Njengoba sishilo ngaphambili, uma i-magnesium iphansi, i-calcium nayo ingaba phansi.
• Iphaneli ephelele ye-metabolic ingahlola amanye amakhemikhali abalulekile emzimbeni.
• Ukuhlolwa okuhlola izinga le-potassium egazini .
• Ukuhlolwa kwe-magnesium yomchamo ukuhlolwa okulinganisa izinga le-magnesium emchameni . Lokhu kunganikeza umbono wokuthi izinso zikhipha i-magnesium ngendlela efanele noma ngokweqile.
• Ukuhlolwa kwe-Electrocardiogram (EKG) ukuhlola ukusebenza kwenhliziyo.

Uma udokotela wakho eseqinisekisile ukuthi une-hypomagnesemia, ngokuvamile angakwazi ukuthola imbangela eyisisekelo ngokubukeza umlando wakho wezokwelapha kanye nemiphumela yokuhlolwa. Kodwa-ke, ngezinye izikhathi ukuhlolwa okwengeziwe kungadingeka ukuze kutholakale imbangela.

Yiziphi izindlela zokwelapha lokhu?

Ukwelashwa kwe-hypomagnesemia kuncike ekutheni kuyingozi kangakanani, okungukuthi, izinga le-magnesium liphansi kangakanani, nokuthi iyini imbangela eyisisekelo.

Uma ukuntuleka kwakho kwe-magnesium kungekubi kakhulu (i-hypomagnesemia emincane) , udokotela wakho cishe uzokunikeza amaphilisi e-magnesium okufanele uwaphuze ngomlomo.

Kodwa-ke, uma ukuntuleka kwakho kwe-magnesium kukubi kakhulu (i-hypomagnesemia enzima) , ungase ulaliswe esibhedlela bese unikezwa uketshezi kanye ne-IV magnesium. Lokhu kungabuyisela amazinga akho e-magnesium ngokushesha.

Futhi, udokotela uzolapha imbangela eyisisekelo yalokhu kushoda kwe-magnesium. Isibonelo, uma ukushoda kwe-magnesium kubangelwa isifo sikashukela, ukwelashwa okudingekayo kuzonikezwa ukulawula isifo sikashukela. Ngaphandle kwalokho, uma imbangela eyisisekelo ingelashwa, ukushoda kwe-magnesium kungase kwenzeke futhi, akunjalo?

Singakwazi yini ukuvimbela lesi simo se-hypomagnesemia?

Ukwelapha kahle kanye/noma ukulawula izimo zezokwelapha eziyisisekelo ezingaba nomthelela ekushodeni kwe-magnesium kungasiza ekuvimbeleni lesi simo ukuthi singenzeki.

Isibonelo, uma unesifo se-celiac, ukulandela ukudla okuqinile okungenagluten kungasiza ekuvimbeleni ukumuncwa okungafanele, okungaholela ekuntuleni i-magnesium.

Kodwa-ke, kwezinye izimo, i-hypomagnesemia ingase ingavinjelwa, ikakhulukazi uma kunezici ezifana nezici zofuzo.

Ngakho-ke, kuzokwenzekani kulesi simo esikhathini esizayo? (Isibikezelo)

Ukubikezela kwe-hypomagnesemia kuncike embangela eyinhloko. Uma imbangela yokuntuleka kwe-magnesium itholakala futhi iphathwa kahle, kunethuba elihle lokululama ngokugcwele.

Kodwa khumbula, uma amazinga e-magnesium eba phansi ngendlela eyingozi, kungabangela ukungasebenzi kahle kwenhliziyo okubulalayo. Yingakho kubalulekile ukufuna iseluleko sezokwelapha ngokushesha uma unezimpawu.

Kufanele simbone nini udokotela ngalokhu?

Uma unezimpawu ze-hypomagnesemia (izinto esikhulume ngazo ngaphambilini, njengokuthuthumela, ukudikiza kwemisipha, nokukhathala), qiniseka ukuthi ubona udokotela wakho.

Uma uhlaselwa yisifo sokuwa ngokuzumayo, noma uma inhliziyo yakho ishaya ngendlela exakile, ngokushesha, noma uzizwa sengathi iyancipha, ngamanye amazwi, uma uba nezimpawu ezimbi kakhulu, shayela u-911 ngokushesha noma uye esibhedlela esiseduze. Ungahlali ekhaya wedwa ngezikhathi ezinjalo.

Uma unesifo esingamahlalakhona njengesifo sikaCrohn noma isifo sezinso esizuzwe njengefa (esingabangela ukuntuleka kwe-magnesium), kubalulekile ukubona ithimba lakho lezokwelapha njalo ukuqinisekisa ukuthi welashwa kahle nokuthi amazinga akho e-magnesium asezingeni elifanele.

Okokugcina, izinto ezibaluleke kakhulu okufanele uzikhumbule (Umyalezo Wokuya Ekhaya)

I-Hypomagnesemia, noma ukuntuleka kwe-magnesium, yisimo esingaba nzima kancane. Kodwa ingxenye engcono kakhulu ukuthi, yisimo esingelapheka.

Uma unalezi zimpawu, sicela ungesabi. Bona udokotela bese wenza izivivinyo ezidingekayo. Uma amazinga akho e-magnesium esebuyele esimweni esijwayelekile, isikhathi esiningi izimpawu zizophela.

Ungesabi ukubuza udokotela wakho noma umhlengikazi noma yimiphi imibuzo onayo mayelana ne-hypomagnesemia noma ukuphathwa kwayo. Into ebaluleke kakhulu ukuhlala unolwazi ngempilo yakho.

I- Hypomagnesemia, ukuntuleka kwe-magnesium, i-magnesium, ama-electrolyte, i-magnesium ephansi, izimpawu, izimbangela, ukuxilongwa, ukwelashwa,