Niacin wa cholesterol

Niacin ndi vitamini B. Mukamutenga ngati mankhwala mumlingo waukulu, ungathandize kuchepetsa cholesterol ndi mafuta ena m'magazi anu. Niacin amathandiza:

• Kwezani mafuta a HDL (abwino)
• Mafuta otsika a LDL (oyipa)
• Lower triglycerides, mtundu wina wamafuta m'magazi anu

Niacin imagwira ntchito poletsa momwe chiwindi chanu chimapangira cholesterol. Cholesterol imatha kumamatira pamakoma amitsempha yanu ndikuchepetsa kapena kuitseka.

Kusintha kwama cholesterol anu kumatha kukutetezani ku:

• Matenda a mtima
• Matenda amtima
• Sitiroko

Wothandizira zaumoyo wanu adzagwira nanu ntchito kuti muchepetse cholesterol yanu mwa kukonza zakudya zanu. Ngati izi sizikuyenda bwino, mankhwala ochepetsa cholesterol atha kukhala gawo lotsatira. Statins amaganiza kuti ndi mankhwala abwino kugwiritsa ntchito kwa anthu omwe amafunikira mankhwala kuti achepetse mafuta m'thupi.

Kafukufuku tsopano akuwonetsa kuti niacin sikuwonjezera phindu la statin yokhayo yochepetsera chiwopsezo cha zochitika zamtima, kuphatikizapo matenda amtima ndi sitiroko.

Kuphatikiza apo, niacin imatha kuyambitsa zovuta komanso zowopsa. Chifukwa chake, kugwiritsa ntchito kwake kwatsika. Komabe, anthu ena atha kupatsidwa mankhwala a niacin kuphatikiza mankhwala ena ngati ali ndi cholesterol yambiri kapena ngati salola mankhwala ena.

Pali mitundu yosiyanasiyana ya mankhwala a niacin. Zambiri mwazimenezi zimabwera m'njira yotsika mtengo kwambiri.

Niacin itha kuperekedwa limodzi ndi mankhwala ena, monga statin, kuti muchepetse cholesterol. Mapiritsi ophatikizira omwe amaphatikizapo nicotinic acid kuphatikiza mankhwala ena amapezekanso.

Niacin imagulitsidwanso pa-a-counter (OTC) ngati chowonjezera. Simuyenera kutenga OTC niacin kuti muchepetse cholesterol. Kuchita izi kumatha kukhala ndi zovuta zina.

Tengani mankhwala anu monga mwauzidwa. Mankhwalawa amabwera piritsi. Osaswa kapena kutafuna mapiritsi musanamwe mankhwala. Osasiya kumwa mankhwala anu osalankhula ndi omwe amakupatsani chithandizo choyamba.

Mumatenga niacin 1 mpaka 3 patsiku. Zimabwera mosiyanasiyana, kutengera kuchuluka kwa zomwe mukufuna.

Werengani mosamala chizindikiro chomwe chili m'botolo la mapiritsi. Mitundu ina imayenera kutengedwa nthawi yogona ndi chakudya chopepuka chopanda mafuta; ena mutenga nawo chakudya chamadzulo. Pewani mowa ndi zakumwa zotentha mukamamwa niacin kuti muchepetse kuthamanga.

Sungani mankhwala anu onse pamalo ozizira, owuma. Asungeni pomwe ana sangapite kwa iwo.

Muyenera kutsatira zakudya zopatsa thanzi mukamamwa niacin. Izi zimaphatikizapo kudya mafuta ochepa pazakudya zanu. Njira zina zomwe mungathandizire mtima wanu ndi monga:

• Kuchita masewera olimbitsa thupi nthawi zonse
• Kuthetsa kupsinjika
• Kusiya kusuta

Musanayambe kumwa niacin, auzeni omwe akukuthandizani ngati:

• Ali ndi pakati, konzekerani kutenga pakati, kapena mukuyamwitsa
• Khalani ndi chifuwa
• Mukumwa mankhwala ena
• Imwani mowa wambiri
• Khalani ndi matenda ashuga, matenda a impso, zilonda zam'mimba, kapena gout

Lankhulani ndi omwe amakupatsani za mankhwala anu onse, zitsamba, kapena zowonjezera. Mankhwala ena amatha kulumikizana ndi niacin.

Kuyesa magazi pafupipafupi kudzakuthandizani inu ndi omwe akukuthandizani:

• Onani momwe mankhwala akugwirira ntchito
• Onetsetsani zotsatira zoyipa, monga mavuto a chiwindi

Zotsatira zoyipa zingaphatikizepo:

• Kutuluka ndi nkhope yofiira kapena khosi
• Kutsekula m'mimba
• Mutu
• Kukhumudwa m'mimba
• Ziphuphu pakhungu

Ngakhale ndizosowa, zovuta zoyipa ndizotheka. Wopereka wanu adzakuyang'anirani ngati muli ndi zizindikiro. Lankhulani ndi omwe amakupatsani zomwe zingachitike:

• Kuwonongeka kwa chiwindi ndikusintha michere ya chiwindi
• Kupweteka kwambiri kwa minofu, kukoma mtima, ndi kufooka
• Kugunda kwa mtima ndi nyimbo zimasintha
• Kusintha kwa kuthamanga kwa magazi
• Kutupa kwakukulu, kuthamanga kwa khungu, komanso kusintha kwa khungu
• Tsankho la shuga
• Gout
• Kutaya masomphenya kapena kusintha

Muyenera kuyimbira omwe akukuthandizani mukawona:

• Zotsatira zoyipa zomwe zikukusowetsani mtendere
• Kukomoka
• Chizungulire
• Mofulumira kapena osasinthasintha kugunda kwa mtima
• Khungu lachikaso kapena maso (jaundice)
• Kupweteka kwa minofu ndi kufooka
• Zizindikiro zina zatsopano

Wothandizira ku Philippines; Vitamini B3; Nicotinic asidi; Niaspan; Niacor; Hyperlipidemia - niacin; Kuumitsa mitsempha - niacin; Cholesterol - niacin; Hypercholesterolemia - niacin; Matenda a dyslipidemia - niacin

Tsamba la American Heart Association. Mankhwala a cholesterol. www.heart.org/en/health-topics/cholesterol/prevention-and-treatment-of-high-cholesterol-hyperlipidemia/cholesterol-medications. Idasinthidwa Novembala 10, 2018. Idapezeka pa Marichi 4, 2020.

Genest J, Libby P. Lipoprotein zovuta ndi matenda amtima. Mu: Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli GF, Braunwald E, olemba. Matenda a Mtima a Braunwald: Buku Lophunzitsira la Mankhwala Amtima. 11th ed. Philadelphia, PA: Elsevier; 2019: chap 48.

Grundy SM, Mwala NJ, Bailey AL, et al. 2018 AHA / ACC / AACVPR / AAPA / ABC / ACPM / ADA / AGS / APhA / ASPC / NLA / PCNA malangizo pa kasamalidwe ka mafuta m'thupi: lipoti la American College of Cardiology / American Heart Association Task Force on Clinical Practice Guidelines . J Ndine Coll Cardiol. 2019; 73 (24): e285 – e350. PMID: 30423393 pubed.ncbi.nlm.nih.gov/30423393/.

Guyton JR, McGovern INE, Carlson LA. Niacin (nicotinic acid). Mu: Ballantyne CM, mkonzi. Clinical Lipidology: Wothandizana ndi Matenda a Mtima a Braunwald. Wachiwiri ed. Philadelphia, PA: Elsevier Saunders; 2015: chap 24.

Lavigne PM, Karas RH. Mkhalidwe wapano wa niacin mukuteteza kwamatenda amtima: kuwunika mwatsatanetsatane ndikuwongolera meta. J Ndine Coll Cardiol. 2013; 61 (4): 440-446. PMID: 23265337 pubed.ncbi.nlm.nih.gov/23265337/.

Mani P, Rohatgi A. Niacin mankhwala, HDL cholesterol, ndi matenda amtima: kodi malingaliro a HDL satha? Woteteza Atheroscler Rep. 2015,17 (8): 43. PMID: 26048725 adatulutsidwa.ncbi.nlm.nih.gov/26048725/.

• B Mavitamini
• Cholesterol
• Mankhwala a Cholesterol
• HDL: Cholesterol "Chabwino"
• LDL: Cholesterol "Choipa"