Kusiyanasiyana pakati pa mavitamini a Niacin
Niacin yakhala yowonjezera yowonjezereka kwa iwo omwe amayesa kusunga ziwalo zawo zamkati m'magulu abwino. Kafukufuku wasonyeza kuti niacin ikhoza kuchepetsa LDL cholesterol ndi triglycerides ndipo ikhoza kutulutsa cholesterol cha HDL . Chifukwa chakutha kukhudza mbali zonse za mbiri yanu, zingakhale zovuta kuti mupite ku pharmacy yanu yapafupi kapena sitolo ya zakudya kuti mupeze botolo.
Komabe, mukamalowa mu gawo la mankhwala owonjezera, mukhoza kukumana ndi mavitamini ambirimbiri. Musanafike ku botolo la niacin, phunzirani kusiyanitsa pakati pa mitundu yosiyana yomwe mungapeze pamasalefu.
Lankhulani ndi Wopereka Thandizo Lanu Choyamba
Musanagule ndikuyamba kumwa mankhwala owonjezera-kapena mankhwala enaake-muyenera kulankhula ndi wothandizira zaumoyo wanu. Ngakhale kuti nkhono ikuoneka kuti ikupangitsani mbiri yanu yamakutu, kafukufuku wa 2017 Cochrane wophunzira za niacin anapeza kuti phindu la mankhwala opanga mankhwala kuteteza matenda a mtima kapena kuchepetsa imfa sizinali zokayikitsa, ndi umboni wodalirika kuti ukhale wotsimikiza.
Phunziro limodzi lalikulu (phunziro la AIM-HIGH) lawonetsa kuti kutenga mankhwala otulutsidwa nthawi yaitali ndi statin sikulepheretsa matenda a mtima kusiyana ndi kutenga statin wokha. Kuonjezera apo, anthu omwe amatenga niacin mu phunziro ili anali ndi chiwerengero chokwanira chokumana ndi sitiroko ya ischemic .
Ngakhale kuti mankhwala ambiri otchedwa niacin amagulitsidwa pa----counter, izi sizikutanthauza kuti sangakhudze thanzi lanu. Mwachitsanzo, nayicin akhoza kugwiritsanso ntchito mankhwala ena omwe mukuwatenga. Kuonjezera apo, niacin ikhoza kuchititsa zotsatirapo kapena kuwonjezereka zina za matenda.
Zotsatira zamakono sizikulimbikitsanso kugwiritsa ntchito mankhwala oteteza nthenda ya mafuta m'thupi.
Ngati wothandizira zaumoyo wanu akunena kuti ndibwino kuti muwonjezeko mankhwala anu ochepetsa kupatsa mafuta m'thupi, muyenera kufotokoza kuti mukutenga nicin, komanso mankhwala ena omwe mumalandira, kwa othandizira anu onse. Izi zidzawathandiza kufufuza njira iliyonse ya mankhwala kapena matenda omwe angapangidwe.
Sizitsulo Zonse za Niacin Zomwe Zapangidwa Mofanana
Pali mitundu itatu yambiri ya mavitamini yomwe imapezeka pa-compact monga chowonjezera:
- Nicotinic acid
- Nicotinamide
- Inositol hexanicotinate ( niacin yopanda madzi )
Kafukufuku wochuluka wofufuza momwe mankhwalawa amathandizira kuchepetsa zipsyinjo zamadzimadzi zimagwiritsa ntchito nicotinic asidi. Ngakhale kuti nicotinamide ndi inositol hexanicotinate ndi mitundu yosiyanasiyana ya niacin chifukwa cha kusowa kwa madzi ndi nicotinic asidi, pali umboni wochepa wosonyeza kuti mitundu iyi ya nthendayi ikhoza kuchepetsa chiwerengero cha mankhwala. Ngakhale kuti mabotolo ambiri amatha kulembedwa ngati niacin, muyang'ane pa botolo la botolo kuti muwone kuti ndi mtundu wotani.
Mitundu ya Nicotinic Acid
Nicotinic acid, yomwe yawonetsa mu maphunziro kuti ikhale ndi zotsatira zabwino pa mbiri yanu yamakiti, imapezekanso ndi mitundu yosiyanasiyana :
- Kutulutsidwa msanga (IR) nicotinic asidi ndi mawonekedwe a nicotinic acid omwe amalowa mu magazi nthawi imodzi. Ngakhale mutalandira mlingo wa nicotinic panthawi imodzimodzi, izi zingakupangitseni kuti mukhale ndi zotsatirapo, monga kuthamanga ndi kudzipweteka.
- Kutulutsidwa kumasulidwa (SR) nicotinic asidi imatulutsidwa pang'onopang'ono m'magazi ndipo ingachepetse zotsatira zina zosayenera zomwe zimagwirizanitsidwa ndi mankhwala a nicotinic acid.
- Kutulutsidwa kwapadera (ER) nicotinic asidi imatulutsidwa pang'onopang'ono koma imapezeka ndi mankhwala kuchokera kwa dokotala.
Mphamvu za Mavitamini a Niacin Zimakhala Zovuta
Kuwonjezera pa-compact formulation ya niacin ikhoza kukhala ndi mphamvu zambiri ndipo ikhoza kukhala ndi mavitamini, minerals, ndi zitsamba zina. Ndikofunika kwambiri kuti muyang'ane pa botolo la makinawo pa botolo ponena za momwe mungatengere mankhwala ndi zina zowonjezera kuti mupewe zotsatira zake-ndipo mwina mungakupulumutseni ndalama.
Wothandizira zaumoyo wanu angakuthandizeninso kudziwa momwe mungatengere mlingo komanso momwe mungapewere zotsatira zowopsa mukamayambitsa mankhwala.
> Zotsatira:
> Ofufuza a AIM-HIGH, Boden WE, Probstfield JL, Anderson T, Chaitman BR, Desvignes-Nickens P, Koprowicz K, McBride R, Teo K, W. Niacin omwe ali ndi Odwala omwe ali ndi HDL. New England Journal of Medicine . 2011; 365 (24): 2255-2267. lembani: 10.1056 / nejmoa1107579.
> Mackay D, Hathcock J, Guarneri E. Niacin: mawonekedwe a mankhwala, bioavailability, ndi zotsatira za thanzi. Malingaliro Othandiza . 2012; 70 (6): 357-366. lembani: 10.1111 / j.1753-4887.2012.00479.x.
> Kusamalira Magazi a Cholesterol a M'magulu Akuluakulu: Umboni Wowonongeka Wochokera ku Komiti Yofufuza ya Cholesterol, 2013. National Heart, Lung ndi Magazi Institute.
> Schandelmaier S, Briel M, Saccilotto R, et al. Niacin kuchitetezo choyambirira ndi chachiwiri cha zochitika za mtima. Dongosolo la Cochrane la Zosintha Zogwirizana . 2017. do: 10.1002 / 14651858.cd009744.pub2.