Hypomagnesemia: yintoni, iimpawu kunye nendlela yokunyanga

Umxholo

• Iimpawu eziphambili
• Yintoni enokubangela i-hypomagnesemia
• Unyango lwenziwa njani
• I-hypomagnesaemia iyichaphazela njani i-calcium kunye ne-potassium

I-Hypomagnesemia ukwehla kwenani le-magnesium egazini, ihlala ingaphantsi kwe-1.5 mg / dl kwaye sisifo esiqhelekileyo kwizigulana ezibhedlele, ezibonakala ngokubanzi zinxulunyaniswa nokuphazamiseka kwezinye izimbiwa, ezinje ngecalcium kunye ne potassium.

Ukuphazamiseka kweMagnesium akusoloko kubangela iimpawu ezithile, kodwa, njengoko zinxulunyaniswa ne-calcium kunye nokuphazamiseka kwe-potassium, iimpawu ezinje ngeekram kunye nokubetha kunokwenzeka.

Ke, unyango akufuneki luchane kuphela amanqanaba e-magnesium, kunye nazo naziphi na iingxaki ezinokuthi zivele, kodwa zilungelelanise amanqanaba e-calcium kunye ne-potassium.

Iimpawu eziphambili

Iimpawu zehypomagnesaemia azibalulekanga kolu tshintsho, kodwa zibangelwa kukuphazamiseka kwezinye izimbiwa, ezinje ngecalcium kunye ne potassium. Ke, kunokwenzeka ukuba iimpawu ezinje:

• Ubuthathaka;
• Ukudinwa;
• Ukuphalaza;
• Ukulinganisa;
• Ukuxhuzula okukhulu;
• Ukuxhuzula.

Kukho ukubakho kotshintsho lwentliziyo, ngakumbi xa kukho i-hypokalemia, eyehla kwi-potassium, kwaye ukuba umntu wenza i-electrocardiogram, umkhondo ongaqhelekanga unokuvela kwisiphumo.

Yintoni enokubangela i-hypomagnesemia

I-Hypomagnesemia ivela ikakhulu ngenxa yokufunxeka okuphantsi kwemagniziyam emathunjini okanye ilahleko ephawulweyo yezimbiwa kumchamo. Kwimeko yokuqala, eyona ixhaphakileyo kukuba kukho izifo zamathumbu eziphazamisa ukufunxeka kwemagniziyam, okanye kungenjalo kunokuba sisiphumo sokutya okuncinci kwe-magnesium, njengakwizigulana ezingakwaziyo ukutya kwaye zinokufumana kuphela i-serum emithanjeni yazo.

Kwimeko yokulahleka kwe-magnesium kumchamo, oku kunokwenzeka ngokusetyenziswa kwe-diuretics, eyonyusa inani lomchamo ophelisiweyo, okanye ngokusebenzisa ezinye iintlobo zamachiza achaphazela izintso, ezinje nge-antifungal amphotericin b okanye i-chemotherapy drug cisplatin, enokuthi ikhokelele ekuphulukaneni nemagnesium kumchamo.

Ukusela utywala okungapheliyo nako kunokubangela i-hypomagnesemia ngazo zombini ezi fom, njengoko kuqhelekile ukuba kufunyanwe ukutya okusezantsi kwe-magnesium ekutyeni, kwaye utywala bunefuthe ngqo ekupheliseni i-magnesium kumchamo.

Unyango lwenziwa njani

Xa intsilelo yemagniziyam ithambile, ihlala icetyiswa kuphela ukuba itye ukutya okunothe kwimithombo yemithombo yemagniziyam, ezinje ngamantongomane eBrazil kunye nesipinatshi, umzekelo. Nangona kunjalo, xa utshintsho kwindlela yokutya iyodwa alwanelanga, ugqirha unokucebisa ngokusetyenziswa kwezongezo zemagniziyam okanye iityiwa. Nangona zineempembelelo ezilungileyo, ezi zongezo akufuneki zibe lukhetho lokuqala, njengoko zinokubangela iziphumo ebezingalindelekanga ezifana norhudo.

Ukongeza, kwaye ukusilela kwe-magnesium akwenzeki ngokwahlukeneyo, kuyafuneka ukulungisa ukusilela kwi-potassium kunye ne-calcium.

Kwesona siphithiphithi siqatha, apho amanqanaba emagniziyam enganyuki ngokulula, ugqirha unokuza esibhedlele, ukuhambisa i-magnesium sulfate ngqo emthanjeni.

I-hypomagnesaemia iyichaphazela njani i-calcium kunye ne-potassium

Ukwehla kwemagniziyam kuhlala kunxulunyaniswa notshintsho kwezinye iiminerali, kubangela:

• I-potassium ephantsi (hypokalemia): yenzeka ikakhulu kuba oonobangela be-hypokalemia kunye ne-hypomagnesemia bayafana, oko kukuthi, xa kukho enye kuqhelekile ukuba nezinye. Ukongeza, i-hypomagnesaemia yonyusa ukususwa kwe-potassium kumchamo, inegalelo kumanqanaba asezantsi e-potassium. Funda ngakumbi malunga ne-hypokalemia kwaye xa isenzeka;

• I-calcium ephantsi (hypocalcemia): kwenzeka ngenxa yokuba i-hypomagnesemia ibangela i-hypoparathyroidism yesibini, oko kukuthi, kunciphisa ukukhutshwa kwehomoni ye-PTH ngamadlala e-parathyroid kwaye kwenza amalungu angakhathali kwi-PTH, ethintela i-hormone ekusebenzeni. Umsebenzi ophambili we-PTH kukugcina amanqanaba e-calcium egazi eqhelekileyo. Ke, xa kungekho ntshukumo ye-PTH, amanqanaba e-calcium ayehla. Jonga ngakumbi oonobangela kunye neempawu zehypocalcemia.

  
  

Njengokuba ihlala inxulunyaniswa nolu tshintsho, unyango lwe-hypomagnesaemia kufuneka lunyangwe.Unyango lubandakanya ukulungisa kungekuphela nje amanqanaba e-magnesium kunye nezifo ezinokubangela oko, kodwa kunye nokulinganisa amanqanaba e-calcium kunye ne-potassium.