Kuperewera kwa magnesium

Kulephera kwa magnesium ndimkhalidwe womwe kuchuluka kwa magnesium m'magazi ndikotsika kuposa mwakale. Dzina lachipatala la vutoli ndi hypomagnesemia.

Chiwalo chilichonse m'thupi, makamaka mtima, minofu, ndi impso, chimafunikira mchere wa magnesium. Zimathandizanso pakupanga mano ndi mafupa. Magnesium imafunikira pazinthu zambiri mthupi. Izi zimaphatikizira momwe thupi limagwirira ntchito komanso mankhwala amthupi omwe amasintha kapena kugwiritsa ntchito mphamvu (metabolism).

Mlingo wa magnesium m'thupi umatsikira pansipa, zizindikilo zimayamba chifukwa cha magnesium yochepa.

Zomwe zimayambitsa magnesium yotsika ndi monga:

• Kumwa mowa
• Kutentha komwe kumakhudza gawo lalikulu la thupi
• Kutsekula m'mimba
• Kukodza kwambiri (polyuria), monga matenda ashuga osalamulirika komanso kuchira chifukwa cha kulephera kwa impso
• Hyperaldosteronism (vuto lomwe adrenal gland imatulutsa mahomoni ambiri a aldosterone m'magazi)
• Matenda a impso
• Malabsorption syndromes, monga matenda a leliac ndi matenda opatsirana am'matumbo
• Kusowa zakudya m'thupi
• Mankhwala monga amphotericin, cisplatin, cyclosporine, diuretics, proton pump inhibitors, ndi ma aminoglycoside antibiotics
• Pancreatitis (kutupa ndi kutupa kwa kapamba)
• Kutuluka thukuta kwambiri

Zizindikiro zodziwika ndizo:

• Kusuntha kwamaso kosazolowereka (nystagmus)
• Kugwedezeka
• Kutopa
• Kupweteka kwa minofu kapena kukokana
• Minofu kufooka
• Kunjenjemera

Wothandizira zaumoyo wanu adzakuyesani ndikufunsani za matenda anu.

Mayeso omwe atha kulamulidwa akuphatikizapo electrocardiogram (ECG).

Kuyesedwa kwa magazi kudzalamulidwa kuti muwone kuchuluka kwa magnesium yanu. Mitundu yabwinobwino ndi 1.3 mpaka 2.1 mEq / L (0.65 mpaka 1.05 mmol / L).

Mayeso ena amwazi ndi mkodzo omwe angachitike ndi awa:

• Kuyesa magazi a calcium
• Zowonjezera zamagetsi
• Kuyezetsa magazi potaziyamu
• Mayeso a magnesium amkodzo

Chithandizo chimadalira mtundu wamavuto otsika a magnesium ndipo atha kuphatikiza:

• Madzi operekedwa kudzera mumtsempha (IV)
• Magnesium pakamwa kapena kudzera mumitsempha
• Mankhwala ochepetsa matendawa

Zotsatira zimatengera zomwe zikuyambitsa vutoli.

Popanda kuchiritsidwa, vutoli limatha kubweretsa ku:

• Kumangidwa kwamtima
• Kumangidwa kupuma
• Imfa

Mlingo wa magnesium wa thupi lanu ukagwa kwambiri, zitha kukhala zoopsa pangozi. Itanani omwe akukuthandizani nthawi yomweyo ngati muli ndi zizindikilo za vutoli.

Kuchiza zomwe zikuyambitsa magnesium yotsika kungathandize.

Ngati mumasewera kapena kuchita masewera ena olimbitsa thupi, imwani madzi monga zakumwa zamasewera. Amakhala ndi ma electrolyte kuti mulingo wanu wa magnesium ukhale wathanzi.

Magazi otsika a magazi; Mankhwala enaake a - otsika; Matenda opatsirana pogonana

Pfennig CL, Slovis CM. Matenda a Electrolyte. Mu: Hockberger RS, Walls RM, Gausche-Hill M, olemba. Rosen's Emergency Medicine: Concepts and Clinical Practice. 9th ed. Philadelphia, PA: Elsevier Saunders; 2018: mutu 117.

Smogorzewski MJ, Stubbs JR, Yu ASL. Kusokonezeka kwa calcium, magnesium, ndi phosphate balance. Mu: Skorecki K, Chertow GM, Marsden PA, Taal MW, Yu ASL, olemba. Brenner ndi Rector a Impso. 10th ed. Philadelphia, PA: Elsevier; 2016: mutu 19.