Niacin (nicotinic acid) ine cholesterol-kuderedza mishonga inogona kukanganisa zvose zvehupfumi hwako, Kunyanya, zvidzidzo zvakaratidza kuti nicotinic acid inogona:
- Kuwedzeredza HDL mazinga kusvika kusvika 25%
- Muzasi LDL cholesterol kusvika kusvika 35%
- Nhamba yezasi ye triglycerides kusvika kusvika 50%
Kunyange zvazvo iwe unogona kuwana yakawedzerwa-kusunungurwa niacin (nicotinic acid) nemishonga, kune mamwe maumbirwo eaiacin anowanikwa pasina mushonga uye ine zvisingabatsiri.
Kunyange zvazvo niacin isingadi kushanyira mushandi wako wehutano kune mishonga, izvi hazvirevi kuti zvakachengeteka zvachose kuzvitora. Chidzidzo chekupedzisira, chikuru (Chidzidzo cheAIM-HIGH) chakajekesa kuti vanhu vane chirwere chemwoyo vachitora yakareba-release niacin vakawedzera HDL mazinga - asi havana kuona kuderedzwa kwengozi yavo yekutarisana nemuviri wepfungwa - sekurohwa kana kushaya mwoyo - kana kuti rufu. Ichokwadi, hapana kupesana kwakaratidzwa pakati pevanhu vari muchidzidzo ichi vachitora statin uye niacin maererano nokutora statin pachaga. Uyezve, vanhu vanotora nicotinic acid muchidzidzo ichi vaine chiitiko chakakwirira cheaschemic strokes. Nokuda kwekuti pakanga pasina kuchinja kune njodzi yekufa kana kuti matambudziko kubva muhutano hwepfungwa uye kushungurudzika pamusoro pekuwedzera kwezvinyorwa zveshekemikari, vatsvakurudzi vakamira ichi chidzidzo kare.
Matambudziko anowanzoonekwa neaiacin anosanganisira ganda rinoputika, kunyorera, kupisa kunopisa, uye moyo palpitations.
Zvisinei, zvimwe zvinokonzerwa nemigumisiro inogona kuitika zvakare, uye inogona kuwedzerwa kana iwe uine chimwe chezvinhu zvinotevera zvirwere:
- Gout - Niacin inogona kuwedzera yako uric acid mazinga, kuwedzera mikana yako yekuwana gouty attack.
- Chirwere cheshuga - Chirwere cheshuga chinotora niacin chinogona kuwedzera kuwedzera kwezvokudya zvehuga zvekutsanya ropa.
- Peptic ulcer chirwere - Kudzidza kuongorora kushandiswa kwekusunungurwa kwakasununguka nicotinic acid kwakanga kune mharidzo yehuputi hwekukura kwechirwere. Iyo nzira iyo inoitika inozivikanwa.
- Chirwere chechiropa - Kutora niacin kunogona kukonzera kuwedzerwa kwemavumbi enzymes, izvo zvinogona kuva zvakanyanyisa kune vanhu vakatoonekwa vane chiropa chechiropa.
- Chirwere chepoyi - Kuva nehutachiona hwepfungwa inogona kuita kuti niacin kuunganidze muropa rako, zvichida zvinosvibisa.
- Kuberekwa - Kwakange kusina zviongorori zvakakwana kuti zviongorore zvakachengeteka zvekuchengetedza mwana wako. Saka, unofanirwa kubvunza mutarisiri wako wehutano kana uri nepamuviri, kana kuronga kuva nepamuviri.
- Kudyara kwechifuva - Zvidzidzo zvakaratidza kuti niacin yakanyanyiswa mumukaka wemukaka, zvisinei, haisi kunyatsozivikanwa kana maitiro anopiwa kuderedza cholesterol angakonzerawo mwana.
- Utachiona hwehutano - Kutora niacin kunogona kuwedzera humwe hutano hwemwoyo, hwakadai sekusaina kusina.
- Kusvibiswa kwekubvisa - Kutora michero yeinacin kunogona kuderedza kukwanisa kwako kuvhara-uye kuwedzera kukwanisa kwako kubuda ropa. Izvi zvinogonawo kuitika kana uri kutora anticoagulants, kana "ropa rakapisa", rakadai seCoumadin (warfarin) kana aspirin.
Mune zvidzidzo, vamwe vanhu vanotora niacin vaibvumirana nekuderera kwechirwere kana kukonzera kuti niacin isagumuchirwe nekuda kwemigumisiro.
Nemhaka yezvingave zvakakomba migumisiro uye kusakosha kwehutano hwehutano hwehutima, niacin haisi kukurudzirwa semishonga inotora kana iwe uchida kuderedza mapiritsi ako. Niacin inongodaro inofungidzirwa nemupiki wako wehutano kana iwe usingagoni kukwanisa zvizere mapidhi ako nemamwe mishonga - sekutora statin oga kana statin e ezetimibe pamwe.
Saka, kana uri kutarisa kuisa niacin mumutambo wako wokuderedza, taura nemutengi wako wehutano wekutanga. Anogona kunge ane dzimwe nzira dzekudzivirira zvakachengetedza cholesterol yako uye triglyceride mazinga, uye inogona kuongorora gare gare kana mamwe mishonga isingashandisi.
Sources:
Micromedex 2.0. Truven Health Analytics, Inc. Greenwood Village, CO. Iripo pa: http://www.micromedexsolutions.com. Yakasvika musi waFebruary 10, 2016
Dipiro JT, Talbert RL. Pharmacotherapy: A Pathophysiological Approach, 9th, 2014.
AIM-HIGH Investigators. Niacin mune varwere vane chirwere chakashata cheHDL cholesterol uye vachigamuchira kurapa kwakanyanya kwemaitiro. N Eng J Med 2011; 365: 2255-2267.
Stone NJ et al. 2013 ACC / AHA Mirayiridzo pamusoro pekurapa ropa rekutsvaga kweropa kuti kuderedze hutachiona hwehutano hwehutano hwevanhu mune vanhu vakuru. Circulation 2014; Kurongeka 129 (25 Kubatsira 2): S1-45