Niacin

Zamkati

• Niacin imagwiritsidwa ntchito pakusintha kwa zakudya (kuletsa mafuta m'thupi ndi kudya mafuta) kuti muchepetse kuchuluka kwa mafuta (mafuta onga mafuta) ndi zinthu zina zamafuta m'magazi anu ndikuwonjezera kuchuluka kwa lipoprotein (HDL; '' cholesterol yabwino ''). Niacin itha kugwiritsidwa ntchito munthawi zingapo kuphatikiza izi:
• Musanayambe kumwa mankhwala osokoneza bongo,
• Niacin angayambitse mavuto. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:
• Ngati mukumane ndi izi, pitani kuchipatala nthawi yomweyo kapena pitani kuchipatala:

Niacin imagwiritsidwa ntchito pakusintha kwa zakudya (kuletsa mafuta m'thupi ndi kudya mafuta) kuti muchepetse kuchuluka kwa mafuta (mafuta onga mafuta) ndi zinthu zina zamafuta m'magazi anu ndikuwonjezera kuchuluka kwa lipoprotein (HDL; '' cholesterol yabwino ''). Niacin itha kugwiritsidwa ntchito munthawi zingapo kuphatikiza izi:

• payekha kapena kuphatikiza mankhwala ena, monga HMG-CoA inhibitors (statins) kapena bile acid-binding resins;
• Kuchepetsa chiopsezo cha matenda amtima wina mwa odwala cholesterol ambiri omwe adadwala mtima;
• popewa kuwonjezeka kwa atherosclerosis (kuchuluka kwa cholesterol ndi mafuta pamakoma amitsempha yamagazi) mwa odwala omwe ali ndi cholesterol yambiri komanso matenda amitsempha yamitsempha;
• kuchepetsa kuchuluka kwa triglycerides (mafuta ena) m'magazi mwa odwala omwe ali ndi ma triglycerides omwe ali pachiwopsezo cha matenda am'mimba (zomwe zimakhudza kapamba, gland yomwe imatulutsa madzi kuti agwetse chakudya ndi mahomoni kuti athetse shuga wamagazi).

Niacin imagwiritsidwanso ntchito popewera ndi kuchiza pellagra (kusowa kwa niacin), matenda omwe amadza chifukwa chodya moperewera komanso mavuto ena azachipatala. Niacin ndi vitamini B wovuta kwambiri. Pa mankhwala, niacin ndi mankhwala ochepetsa mafuta m'thupi.

Zotsatira za kafukufuku wamankhwala mwa anthu omwe ali ndi matenda amtima komanso cholesterol yomwe imawongoleredwa bwino poyerekeza anthu omwe adatenga niacin ndi simvastatin ndi anthu omwe adatenga simvastatin okha ndikupeza zotsatira zofananira zamagulu awiriwa pamlingo wamankhwala kapena zilonda. Kutenga niacin limodzi ndi simvastatin kapena lovastatin sikunawonetsedwe kuti kumachepetsa chiopsezo cha matenda amtima kapena kufa poyerekeza ndi kugwiritsa ntchito niacin, simvastatin, kapena lovastatin wokha. Lankhulani ndi dokotala wanu ngati muli ndi mafunso okhudza kuopsa ndi maubwino othandizira kuchiza mafuta ambiri m'magazi anu ndi niacin ndi mankhwala ena.

Niacin imabwera ngati piritsi komanso piritsi lotulutsa nthawi yayitali kuti mulankhule. Piritsi lomwe limakhalapo nthawi zambiri limatengedwa kawiri kapena katatu patsiku ndikudya, ndipo piritsi lotulutsidwayo limatengedwa kamodzi patsiku, nthawi yogona, pambuyo podyera mafuta ochepa. Tsatirani malangizo a cholembera chanu kapena phukusi mosamala, ndipo funsani dokotala wanu kapena wamankhwala kuti afotokoze gawo lililonse lomwe simukumvetsa. Tengani niacin ndendende monga momwe adauzira. Musamamwe pang'ono kapena kumamwa pafupipafupi kuposa momwe adanenera dokotala.

Kumeza mapiritsi otulutsidwa otalikiratu; osagawana, kutafuna, kapena kuwaphwanya.

Dokotala wanu angakuyambitseni pa mlingo wochepa wa niacin ndipo pang'onopang'ono muwonjezere mlingo wanu.

Pitirizani kumwa niacin ngakhale mukumva bwino. Osasiya kumwa niacin osalankhula ndi dokotala.

Funsani wamankhwala kapena dokotala wanu kuti mumupatseko zidziwitso za wopanga kwa wodwalayo.

Mankhwalawa nthawi zina amapatsidwa ntchito zina; funsani dokotala wanu kapena wamankhwala kuti mudziwe zambiri.

Musanayambe kumwa mankhwala osokoneza bongo,

• uzani dokotala wanu komanso wamankhwala ngati muli ndi vuto la mankhwala a niacin, mankhwala ena aliwonse, kapena zosakaniza zilizonse m'mapiritsi a niacin. Funsani wamankhwala wanu kapena onani zambiri za wopanga kuti adziwe mndandanda wa zosakaniza.
• Uzani dokotala wanu komanso wamankhwala mankhwala ndi mankhwala osapatsirana, mavitamini, zowonjezera zakudya, ndi mankhwala azitsamba omwe mukumwa kapena omwe mukufuna kumwa. Onetsetsani kuti mwatchulapo izi: maanticoagulants ('ochepetsa magazi') monga warfarin (Coumadin); aspirin; insulin kapena mankhwala akumwa ashuga; mankhwala othamanga magazi; zowonjezera zakudya kapena mankhwala ena okhala ndi niacin; kapena mankhwala ena ochepetsa cholesterol kapena triglycerides. Ngati mutenga mankhwala a insulin kapena mankhwala akumwa ashuga, mlingo wanu ungafunike kusinthidwa chifukwa niacin imachulukitsa shuga m'magazi ndi mkodzo wanu.
• ngati mukumwa utomoni wa bile acid womanga monga colestipol (Colestid) kapena cholestyramine (Questran), tengani osachepera 4 mpaka 6 maola isanakwane kapena 4 mpaka 6 maola pambuyo pa niacin.
• uzani dokotala ngati mumamwa mowa wambiri komanso ngati mwadwalapo matenda a shuga; gout; zilonda zam'mimba; chifuwa; jaundice (chikasu chachikopa kapena maso); kutaya magazi; kapena ndulu, mtima, impso, kapena matenda a chiwindi.
• uzani dokotala wanu ngati muli ndi pakati, konzekerani kutenga pakati, kapena mukuyamwitsa. Mukakhala ndi pakati mukatenga niacin, siyani kumwa niacin ndikuyimbira dokotala.
• ngati mukuchitidwa opaleshoni, kuphatikizapo opaleshoni ya mano, uzani dokotala kapena dokotala kuti mukumwa niacin.
• Funsani dokotala wanu za zakumwa zoledzeretsa pamene mukumwa niacin. Mowa umatha kupangitsa zotsatira zoyipa kuchokera ku niacin kukulirakulira.
• Muyenera kudziwa kuti niacin imayambitsa kutsuka (kufiira, kutentha, kuyabwa, kumva kuwawa) kumaso, khosi, chifuwa, kapena kumbuyo. Izi zimachitika pambuyo pomwa mankhwala kwa milungu ingapo. Pewani kumwa mowa kapena zakumwa zotentha kapena kudya zakudya zokometsera nthawi yomwe mumamwa. Kutenga aspirin kapena mankhwala ena osagwiritsa ntchito zotupa monga ibuprofen (Advil, Motrin) kapena naproxen (Aleve, Naprosyn) mphindi 30 isanafike kuti niacin ichepetse kuthamanga. Ngati mutenga niacin yotulutsidwa nthawi yayitali musanagone, kuthamanga kwanu kumatha kuchitika mutagona. Mukadzuka ndikudzimva kuti mwadzuka, dzukani pang'onopang'ono, makamaka ngati mukumva chizungulire kapena kukomoka.

Idyani chakudya chochepa cha mafuta, cholesterol. Onetsetsani kuti mukutsatira zolimbitsa thupi komanso malingaliro azakudya zomwe adokotala anu kapena odyetsa. Mutha kuchezanso tsamba la National Cholesterol Education Program (NCEP) kuti mumve zambiri za zakudya pa http://www.nhlbi.nih.gov/health/public/heart/chol/chol_tlc.pdf.

Tengani mlingo womwe mwaphonya mukangokumbukira. Komabe, ngati ili pafupi nthawi ya mlingo wotsatira, dumpha mlingo womwe umasowa ndikupitiliza dongosolo lanu lokhazikika. Musatenge mlingo wawiri kuti mupange omwe mwaphonya.

Mukasiya kumwa niacin kwa nthawi yayitali, itanani dokotala musanayambe kuyambiranso.

Niacin angayambitse mavuto. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:

• kutsegula m'mimba
• kuchuluka kwa chifuwa

Ngati mukumane ndi izi, pitani kuchipatala nthawi yomweyo kapena pitani kuchipatala:

• chizungulire
• kukomoka
• kugunda kwamtima mwachangu
• nseru
• kusanza
• kutopa kwambiri
• mkodzo wachikuda
• mipando yoyera
• kutuluka mwachilendo kapena kuphwanya
• kusowa mphamvu
• kusowa chilakolako
• kupweteka kumtunda chakumanja kwam'mimba
• chikasu cha khungu kapena maso
• zizindikiro ngati chimfine
• ming'oma
• zidzolo
• kuyabwa
• kuvuta kupuma kapena kumeza
• kutupa kwa nkhope, mmero, lilime, milomo, maso, manja, mapazi, akakolo, kapena miyendo yakumunsi
• ukali
• kupweteka kwa minofu, kufatsa, kapena kufooka

Mukakumana ndi zovuta zina, inu kapena adokotala mutha kutumiza lipoti ku pulogalamu ya Food and Drug Administration's (FDA) MedWatch Adverse Event Reporting pa intaneti (http://www.fda.gov/Safety/MedWatch) kapena pafoni ( 1-800-332-1088).

Sungani mankhwala awa mu chidebe chomwe chidabwera, chatsekedwa mwamphamvu, komanso chosafikira ana. Zisungeni kutentha ndi kutali ndi kutentha kwambiri ndi chinyezi (osati kubafa).

Mankhwala osafunikira ayenera kutayidwa munjira zapadera zowonetsetsa kuti ziweto, ana, ndi anthu ena sangamwe. Komabe, simuyenera kuthira mankhwalawa mchimbudzi. M'malo mwake, njira yabwino yoperekera mankhwala anu ndikadongosolo lobwezera mankhwala. Lankhulani ndi wamankhwala wanu kapena lemberani dipatimenti yakunyumba / yobwezeretsanso kwanuko kuti muphunzire zamapulogalamu obwezeretsanso mdera lanu. Onani tsamba la FDA's Disposal of Medicines webusayiti (http://goo.gl/c4Rm4p) kuti mumve zambiri ngati mulibe pulogalamu yobwezera.

Ndikofunika kuti mankhwala onse asamawonekere komanso kuti ana asamafikire ngati muli zidebe zambiri (monga mapiritsi a mlungu ndi mlungu ndi omwe amatsikira m'maso, mafuta, zigamba, ndi opumira) sizolimbana ndi ana ndipo ana aang'ono amatha kuzitsegula mosavuta. Pofuna kuteteza ana ang'ono kuti asatenge poyizoni, nthawi zonse tsekani zipewa zachitetezo ndikuyika mankhwalawo pamalo otetezeka - omwe ali pamwamba ndi kutali komanso osawonekera ndi kufikira. http://www.upandaway.org

Mukadwala mopitirira muyeso, itanani foni yothandizira poyizoni pa 1-800-222-1222. Zambiri zimapezekanso pa intaneti pa https://www.poisonhelp.org/help. Ngati wozunzidwayo wagwa, watenga khunyu, akuvutika kupuma, kapena sangathe kudzutsidwa, nthawi yomweyo itanani anthu azadzidzidzi ku 911.

Sungani maimidwe onse ndi dokotala wanu ndi labotale. Dokotala wanu adzayitanitsa mayeso ena a labu kuti muwone yankho lanu ku niacin.

Musanapite kukayezetsa labotale, uzani adotolo ndi omwe akuwalembera kuti mukumwa niacin.

Gwiritsani ntchito mtundu ndi mtundu wa niacin womwe dokotala wanu adakupatsani. Musagwiritse ntchito mtundu wina wa niacin kapena kusinthana pakati pazogulitsa osalankhula ndi dokotala. Ngati mungasinthire mtundu wina wa niacin, mlingo wanu ungafunike kusinthidwa.

Musalole kuti aliyense azimwa mankhwala anu. Funsani wamankhwala wanu mafunso aliwonse omwe muli nawo okhudzana ndi kudzaza mankhwala anu.

Ndikofunika kuti musunge mndandanda wamankhwala onse omwe mumalandira komanso osalembetsa (owerengera) omwe mukumwa, komanso zinthu zilizonse monga mavitamini, michere, kapena zakudya zina. Muyenera kubwera nawo pamndandandawu nthawi iliyonse mukapita kukaonana ndi dokotala kapena ngati mwalandiridwa kuchipatala. Ndikofunikanso kuthana nanu pakagwa mwadzidzidzi.

• Niacor, PA^®
• Niaspan^®
• Nicolar^®¶
• Slo-Niacin^®

• Simcor^® (yokhala ndi Niacin, Simvastatin)

• Nicotinic asidi

^¶ Chogulitsa ichi sichikupezeka pamsika. Njira zina zitha kupezeka.