Hypomagnesemia: ndi chiyani, zizindikilo ndi momwe angathandizire

Zamkati

• Zizindikiro zazikulu
• Zomwe zingayambitse hypomagnesemia
• Momwe mankhwalawa amachitikira
• Momwe hypomagnesaemia imakhudzira calcium ndi potaziyamu

Hypomagnesemia ndikuchepa kwa kuchuluka kwa magnesium m'magazi, nthawi zambiri kumakhala pansi pa 1.5 mg / dl ndipo ndimatenda wamba odwala omwe ali mchipatala, omwe amawoneka kuti amagwirizana ndi zovuta zina, monga calcium ndi potaziyamu.

Matenda a magnesium samayambitsa zizindikiro zina, koma, chifukwa amathandizidwa ndi calcium ndi potaziyamu, zizindikilo monga kukokana ndi kulira ndizotheka.

Chifukwa chake, chithandizo chamankhwala sichimangofunika kukonza milingo ya magnesium, ndi zovuta zilizonse zomwe zingabuke, komanso kuchepetsa kuchuluka kwa calcium ndi potaziyamu.

Zizindikiro zazikulu

Zizindikiro za hypomagnesaemia sizodziwika kwenikweni pakusintha uku, koma zimayamba chifukwa cha kusokonekera kwa mchere wina, monga calcium ndi potaziyamu. Chifukwa chake, ndizotheka kuti zizindikiro monga:

• Zofooka;
• Kusadwala;
• Kusanza;
• Kuyimba;
• Kukokana kwakukulu;
• Kugwedezeka.

Pakhoza kukhalanso kusintha kwamtima, makamaka ngati pali hypokalemia, yomwe ndi kuchepa kwa potaziyamu, ndipo ngati munthuyo akuchita electrocardiogram, zotsatira zachilendo zingawonekere pazotsatira zake.

Zomwe zingayambitse hypomagnesemia

Hypomagnesemia imayamba makamaka chifukwa chotsika kwambiri kwa magnesium m'matumbo kapena kutayika kwamchere mkodzo. Pachiyambi choyamba, chofala kwambiri ndikuti pali matenda am'matumbo omwe amalepheretsa kuyamwa kwa magnesium, kapena mwina atha kukhala chifukwa cha zakudya zochepa za magnesium, monga odwala omwe sangadye ndipo amangokhala ndi seramu m'mitsempha yawo.

Pakakhala vuto la magnesium mumkodzo, izi zitha kuchitika pogwiritsa ntchito diuretics, yomwe imakulitsa kuchuluka kwa mkodzo, kapena kugwiritsa ntchito mitundu ina ya mankhwala omwe amakhudza impso, monga antifungal amphotericin b kapena chemotherapy mankhwala cisplatin, yomwe imatha kubweretsa kutayika kwa magnesium mkodzo.

Kuledzera mopitirira muyeso kungayambitsenso hypomagnesemia mwa mitundu yonseyi, chifukwa kumakhala kovuta kudya chakudya chochepa kwambiri cha magnesium pazakudya, ndipo mowa umakhudza kwambiri kutulutsa kwa magnesium mumkodzo.

Momwe mankhwalawa amachitikira

Kuchepa kwa magnesium ndikofatsa, nthawi zambiri kumangolimbikitsidwa kuti mudye zakudya zomwe zili ndi zakudya zamafuta a magnesium, monga mtedza ndi sipinachi ku Brazil. Komabe, ngati zosintha pazakudya zokha sizingakwanire, adokotala amalangiza kugwiritsa ntchito zowonjezera ma magnesium kapena mchere. Ngakhale zili ndi zotsatirapo zabwino, zowonjezera izi siziyenera kukhala njira yoyamba, chifukwa zimatha kuyambitsa zovuta zina monga kutsegula m'mimba.

Kuphatikiza apo, ndipo popeza kusowa kwa magnesium sikuchitika padera, ndikofunikanso kukonza zoperewera mu potaziyamu ndi calcium.

Mu chisokonezo choopsa kwambiri, momwe kuchuluka kwa magnesium sikukwera mosavuta, adotolo atha kubwera kuchipatala, kudzapereka magnesium sulphate molunjika mumtsempha.

Momwe hypomagnesaemia imakhudzira calcium ndi potaziyamu

Kuchepa kwa magnesium nthawi zambiri kumalumikizidwa ndi kusintha kwa mchere wina, kuchititsa:

• Potaziyamu wotsika (hypokalemia): zimachitika makamaka chifukwa chomwe chimayambitsa matenda a hypokalemia ndi hypomagnesemia chimafanana kwambiri, ndiye kuti, pakakhala chimodzi ndizofala kwambiri kukhala ndi chimzake. Kuphatikiza apo, hypomagnesaemia imathandizira kuchotsa potaziyamu mumkodzo, zomwe zimapangitsa kutsika kwa potaziyamu. Dziwani zambiri za hypokalemia komanso zikachitika;

• Kashiamu wotsika (hypocalcemia): zimachitika chifukwa hypomagnesemia imayambitsa hypoparathyroidism yachiwiri, ndiye kuti, imachepetsa kutulutsidwa kwa mahomoni PTH ndimatenda a parathyroid ndikupangitsa ziwalozo kuti zisamverenso PTH, kuteteza kuti mahomoni asachite. Ntchito yayikulu ya PTH ndikusunga calcium m'magazi abwinobwino. Chifukwa chake, ngati PTH ilibe kanthu, milingo ya calcium imatsika. Onani zina zomwe zimayambitsa ndi zizindikiro za hypocalcemia.

  
  

Monga momwe nthawi zambiri zimakhudzira kusintha kumeneku, hypomagnesaemia iyenera kuthandizidwa.Mankhwalawa amaphatikizapo kuwongolera osati milingo ya magnesium ndi matenda omwe angayambitse, komanso kulinganiza kashiamu ndi potaziyamu.