Ka nele o ka magnesiuma

ʻO ka hemahema o ka magnesium kahi ʻano i haʻahaʻa ka nui o ka magnesium i ke koko ma mua o ka maʻamau. ʻO ka inoa olakino o kēia ʻano he hypomagnesemia.

Kela a me keia mea i loko o ke kino, o ka oi aku i ka puʻuwai, nāʻiʻo, a me nā puʻupaʻa, pono i ka mineral magnesium. Hāʻawi pū kekahi ia i ka hana o nā niho a me nā iwi. Pono ka magnesium no nā hana he nui i ke kino. Hoʻopili kēia i nā hana kino a me nā kemika i ke kino e hoʻololi a hoʻohana paha i ka ikehu (metabolism).

Ke hāʻule ke kiʻekiʻe o ka magnesium i ke kino ma lalo o ka maʻamau, ulu nā ʻōuli ma muli o ka magnesium haʻahaʻa.

ʻO nā kumu maʻamau o ka magnesium haʻahaʻa e komo pū ana:

• Hoʻohana rama
• ʻO nā lapalapa e hoʻopili i kahi ākea o ke kino
• Pohā ʻōpū
• ʻO ka urination nui loa (polyuria), e like me ka maʻi kōkō ʻole ʻole a me ka wā o ka hoʻōla ʻia ʻana mai ka hōʻeha ʻana o ka puʻuwai koʻikoʻi
• Hyperaldosteronism (maʻi a kahi adrenal gland e hoʻokuʻu ai i ka hapa nui o ka hormone aldosterone i loko o ke koko)
• Nā maʻi maʻi tubule
• Nā Maldrorption syndrome, e like me ka maʻi celiac a me ka maʻi ʻōpū
• Kaʻai pono ʻole
• ʻO nā lāʻau e laʻa me amphotericin, cisplatin, cyclosporine, diuretics, nā mea pale lāʻau proton pump, a me nā antibiotic aminoglycoside
• Pancreatitis (pehu a me ka mumuna o ka pancreas)
• Nui ka hou ʻana i ka hou

ʻO nā ʻōuli maʻamau ka:

• Nā neʻe maka ʻole (nystagmus)
• Nā manaʻo hoʻohoka
• Ka luhi
• Pākuʻi ka mākala a i ʻole ke ʻūlū
• Nāwaliwali ka ʻiʻo
• Pōpō

E hana ana kāu mea mālama ola i kahi hoʻokolohua kino a nīnau e pili ana i kāu mau hōʻailona.

ʻO nā hoʻokolohua i kauoha ʻia e komo pū me kahi electrocardiogram (ECG).

E kauoha ʻia kahi hōʻike koko e nānā i kāu pae magnesium. ʻO 1.3 ka palena maʻamau i ka 2.1 mEq / L (0.65 a 1.05 mmol / L).

ʻO nā hoʻokolohua koko a me ka mimi e hiki ke hana ʻia e like me:

• Hōʻike koko kalepona
• Panela metabolic piha
• Hōʻike koko potassium
• Hōʻike magnesium mimiki

Pili ka mālama ʻana i ke ʻano o ka pilikia magnesium haʻahaʻa a komo pū paha i loko:

• Nā Fluids i hāʻawi ʻia ma o kahi aa (IV)
• ʻO ka magnesium e ka waha a i ʻole ma o kahi aa
• Nā lāʻau lapaʻau e hōʻoluʻolu i nā ʻōuli

Aia ka hopena i ke ʻano o ka pilikia.

ʻAʻole mālama ʻia, hiki i kēia ʻano ke alakaʻi i:

• Hopu Cardiac
• Hopu paʻa hanu
• Make

Ke hāʻule nui ka pae o ka magnesium o kou kino, hiki ke lilo i kahi ola weliweli. Kāhea koke i kāu mea hāʻawi inā loaʻa iā ʻoe nā ʻōuli o kēia ʻano.

Hiki ke kōkua i ka mālama ʻana i ke ʻano e hoʻopuka ana i ka magnesium haʻahaʻa.

Inā pāʻani ʻoe i nā haʻuki a hana paha i kahi hana ikaika ʻē aʻe, inu i nā wai e like me nā mea inu haʻuki. Loaʻa iā lākou nā electrolytes e mālama i kāu pae magnesium i kahi pae olakino.

Magnesium koko haʻahaʻa; Makanekiuma - haʻahaʻa; Hypomagnesemia

Pfennig CL, Slovis CM. Nā maʻi electrolyte. I: Hockberger RS, Walls RM, Gausche-Hill M, nā hua. ʻO Rosen's Emergency Medicine: Nā Manaʻo Manaʻo a me ka hana lapaʻau. 9th ed. Piladelapia, PA: Elsevier Saunders; 2018: chap 117.

Smogorzewski MJ, Stubbs JR, Yu ASL. Nā maʻi o ka calcium, magnesium, a me ke kaulike phosphate. I: Skorecki K, Chertow GM, Marsden PA, Taal MW, Yu ASL, eds. ʻO Brenner a me Rector's The Kidney. 10 o ka lā. Piladelapia, PA: Elsevier; 2016: chap 19.