Ukushoda kweMagnesium

Ukushoda kweMagnesium yisimo lapho inani le-magnesium egazini liphansi kunokujwayelekile. Igama lezokwelapha lalesi simo yi-hypomagnesemia.

Zonke izitho emzimbeni, ikakhulukazi inhliziyo, imisipha, nezinso, zidinga i-magnesium yamaminerali. Kubuye kube nomthelela ekwakhekeni kwamazinyo namathambo. I-Magnesium iyadingeka emisebenzini eminingi emzimbeni. Lokhu kufaka phakathi izinqubo zomzimba nezamakhemikhali emzimbeni eziguqula noma zisebenzise amandla (imetabolism).

Lapho izinga le-magnesium emzimbeni lehla ngaphansi kokujwayelekile, izimpawu ziyakhula ngenxa ye-magnesium ephansi.

Izimbangela ezivamile ze-magnesium ephansi zifaka:

• Ukusetshenziswa kotshwala
• Ukusha okuthinta indawo enkulu yomzimba
• Uhudo olungamahlalakhona
• Ukuchama ngokweqile (i-polyuria), njengesifo sikashukela esingalawuleki nangesikhathi sokululama ngenxa yokuhluleka kwezinso
• I-Hyperaldosteronism (ukuphazamiseka lapho i-adrenal gland ikhipha i-hormone aldosterone eningi kakhulu egazini)
• Ukuphazamiseka kwesifo sezinso
• Ama-syndromes kaMalabsorption, njengesifo se-celiac kanye nesifo samathumbu esivuthayo
• Ukungondleki
• Imithi ehlanganisa i-amphotericin, i-cisplatin, i-cyclosporine, i-diuretics, i-proton pump inhibitors, kanye ne-aminoglycoside antibiotics
• I-Pancreatitis (ukuvuvukala nokuvuvukala kwamanyikwe)
• Ukujuluka okweqile

Izimpawu ezivamile zifaka:

• Ukunyakaza kwamehlo okungajwayelekile (nystagmus)
• Ukudlikizela
• Ukukhathala
• Ukudumba kwemisipha noma amajaqamba
• Ubuthakathaka bemisipha
• Ubudikadika

Umhlinzeki wakho wokunakekelwa kwezempilo uzokwenza ukuhlolwa komzimba abuze ngezimpawu zakho.

Ukuhlolwa okunga-odwa kufaka phakathi i-electrocardiogram (ECG).

Kuzohlolwa ukuhlolwa kwegazi ukuhlola izinga lakho le-magnesium. Ububanzi obujwayelekile bungu-1.3 kuye ku-2.1 mEq / L (0.65 kuye ku-1.05 mmol / L).

Okunye ukuhlolwa kwegazi nomchamo okungenziwa kufaka phakathi:

• Ukuhlolwa kwegazi kweCalcium
• Iphaneli yemethodi ephelele
• Ukuhlolwa kwegazi nge-potassium
• Ukuhlolwa kwe-urine magnesium

Ukwelashwa kuya ngohlobo lwenkinga ye-magnesium ephansi futhi kungafaka:

• Uketshezi olunikezwa ngomthambo (IV)
• I-Magnesium ngomlomo noma ngomthambo
• Imithi yokuqeda izimpawu

Umphumela uncike esimweni esidala inkinga.

Ukungalashwa, lesi simo singaholela ku:

• Ukuboshwa kwenhliziyo
• Ukuboshwa ngokuphefumula
• Ukufa

Lapho izinga lomzimba wakho we-magnesium lehla kakhulu, kungaba isimo esiphuthumayo esisongela impilo. Shayela umhlinzeki wakho ngokushesha uma unezimpawu zalesi simo.

Ukwelapha isimo esidala i-magnesium ephansi kungasiza.

Uma udlala imidlalo noma wenza omunye umsebenzi onamandla, phuza iziphuzo ezifana neziphuzo zezemidlalo. Ziqukethe ama-electrolyte ukugcina ileveli yakho ye-magnesium ibanga eliphilile.

I-magnesium yegazi ephansi; I-Magnesium - iphansi; I-Hypomagnesemia

IPfennig CL, iSlovis CM. Ukuphazamiseka kwe-Electrolyte. Ku: Hockberger RS, Walls RM, Gausche-Hill M, ama-eds. Imithi Ephuthumayo yaseRosen: Imiqondo kanye Nokuzijwayeza Komtholampilo. Umhlaka 9. IPhiladelphia, PA: Elsevier Saunders; 2018: isahluko 117.

ISmogorzewski MJ, iStubbs JR, i-Yu ASL. Ukuphazamiseka kwe-calcium, i-magnesium ne-phosphate balance. Ku: Skorecki K, Chertow GM, Marsden PA, Taal MW, Yu ASL, ama-eds. IBrenner neRector's The Kidney. Umhlaka 10. IPhiladelphia, PA: Elsevier; 2016: isahluko 19.