Niacin

Anter

• Hoʻohana ʻia ʻo Niacin me nā loli o ka papaʻai (kaohi ʻana o ka cholesterol a me ka lawe ʻana i ka momona) e hōʻemi i ka nui o ka kolukolika (kahi mea momona-like) a me nā mea momona ʻē aʻe i loko o kou koko a hoʻonui i ka nui o ka lipoprotein kiʻekiʻe (HDL; "maikaʻi ka cholesterol ''). Hiki ke hoʻohana ʻia ʻo Niacin i nā ʻano hanana like ʻole me kēia:
• Ma mua o ka lawe ʻana i ka niacin,
• Hoʻokumu paha ʻo Niacin i nā hopena ʻaoʻao. E haʻi i kāu kauka inā koʻikoʻi kekahi o kēia mau ʻōuli a mai hele aku paha:
• Inā ʻike ʻoe i kekahi o kēia mau ʻōuli, e kāhea koke aku i kāu kauka a i ʻole e kiʻi i ka lāʻau olakino olakino.

Hoʻohana ʻia ʻo Niacin me nā loli o ka papaʻai (kaohi ʻana o ka cholesterol a me ka lawe ʻana i ka momona) e hōʻemi i ka nui o ka kolukolika (kahi mea momona-like) a me nā mea momona ʻē aʻe i loko o kou koko a hoʻonui i ka nui o ka lipoprotein kiʻekiʻe (HDL; "maikaʻi ka cholesterol ''). Hiki ke hoʻohana ʻia ʻo Niacin i nā ʻano hanana like ʻole me kēia:

• ʻo ia wale a i ʻole hui pū ʻia me nā lāʻau ʻē aʻe, e like me nā mea hōʻoki ʻo HMG-CoA (statins) a i ʻole nā ​​resins acid-binding acid;
• e hoʻemi i ka hopena o ka hōʻeha puʻuwai hou i nā mea maʻi me ke kiʻekiʻe o ka cholesterol i loaʻa i ka naʻau
• e pale aku i ka worsening o atherosclerosis (buildup o ka kolesterol a me nā momona ma nā paia o nā kīʻaha koko) i nā mea maʻi me ke kiʻekiʻe o ke kolesterol a me nā maʻi o ke aʻa;
• e hoʻemi i ka nui o nā triglycerides (nā mea momona ʻē aʻe) i loko o ke koko i nā mea maʻi me nā triglycerides kiʻekiʻe loa e makaʻu i ka maʻi pancreatic (nā kūlana e hoʻopili ana i ka pancreas, kahi gland e hana i ka wai e wāwahi i ka meaʻai a me nā hormones e kāohi i ke kō kō).

Hoʻohana ʻia ʻo Niacin e pale a mālama i ka pellagra (niacin deficit), kahi maʻi i hoʻokumu ʻia e ka lawa ʻole o ka papaʻai a me nā pilikia olakino ʻē aʻe. ʻO Niacin kahi huaola B-complex. I nā lāʻau lapaʻau, ʻo ka niacin kahi lāʻau hoʻoliʻiliʻi kolesterol.

Nā hualoaʻa o kahi noiʻi olakino i ka poʻe me ka maʻi puʻuwai a me nā pae kolesterol maikaʻi i hoʻohālikelike ʻia i ka poʻe i lawe i ka niacin a me ka simvastatin me nā poʻe i lawe i ka simvastatin wale nō a loaʻa nā hopena like no nā hui ʻelua i ka helu o ka hōʻeha puʻuwai a i ʻole nā ​​hahau. ʻO ka lawe ʻana i ka niacin me simvastatin a i ʻole lovastatin ʻaʻole i hōʻike ʻia e hōʻemi i ka hopena o ka maʻi puʻuwai a i ʻole ka make ke hoʻohālikelike ʻia me ka hoʻohana ʻana o niacin, simvastatin, a i ʻole lovastatin wale nō. E kamaʻilio me kāu kauka inā he mau nīnau kāu e pili ana i nā makaʻi a me nā pōmaikaʻi o ka mālama ʻana i ka hoʻonui ʻia o ka cholesterol i kou koko me ka niacin a me nā lāʻau ʻē aʻe.

Hele mai ʻo Niacin ma ke ʻano he papa a me kahi papa hoʻolōʻihi lōʻihi (hana lōʻihi) e lawe ma ka waha. Lawe pinepine ʻia ka papa maʻamau i ʻelua a ʻekolu mau manawa i ka lā me nā pāʻina ʻai, a lawe ʻia ka papa hoʻolōʻihi lōʻihi i hoʻokahi manawa i ka lā, i ka wā moe, ma hope o kahi momona momona momona. E hāhai pono i nā ʻōkuhi i kāu lepili kuhikuhi a i ʻole ka lepili pūʻolo, a noi i kāu kauka a kauka paha e wehewehe i kahi ʻāpana āu i maopopo ʻole ai. Lawe pololei i ka niacin e like me ke kuhikuhi. Mai lawe i ka mea ʻoi aku a liʻiliʻi paha o ia mea a lawe pinepine iā ia ma mua o ka mea i kauoha ʻia e kāu kauka.

E ale i nā papa hoʻolōʻihi lōʻihi; mai hoʻokaʻawale, a nau aku, a hoka ʻole iā lākou.

E hoʻomaka paha kāu kauka iā ʻoe ma kahi haʻahaʻa o ka niacin a hoʻonui iki i kāu lāʻau.

E hoʻomau i ka lawe ʻana i ka niacin ʻoiai inā maikaʻi ʻoe. Mai hōʻoki i ka lawe ʻana i ka niacin me ke kamaʻilio ʻole ʻana me kāu kauka.

E noi i kāu kauka lāʻau a kauka paha no kahi kope o ka ʻike a ka mea hana no ka mea maʻi.

Kuhi ʻia kēia lāʻau i kekahi manawa no nā hoʻohana ʻē aʻe; e noi i kāu kauka a kauka paha no ka ʻike hou aku.

Ma mua o ka lawe ʻana i ka niacin,

• e haʻi i kāu kauka a me kāu kauka lāʻau inā he maʻi ʻoe i ka niacin, i nā lāʻau ʻē aʻe, a i ʻole kekahi o nā mea hana i nā papa niacin. E noi i kāu kauka lāʻau a nānā paha i ka ʻike a ka mea hana no ka mea maʻi no kahi papa inoa o nā mea hoʻohui.
• e haʻi i kāu kauka a me ka mea kauka lāʻau he aha nā lāʻau lapaʻau a me nā lāʻau ʻole i kuhikuhi ʻia, nā wikamina, nā mea hoʻopihaʻai, a me nā huahana lāʻau āu e lawe nei a hoʻolālā paha e lawe E haʻi pono i kekahi o kēia mau mea: anticoagulants ('nā mea lahilahi o ke koko') e like me warfarin (Coumadin); aspirin; ka insulin a i ʻole nā ​​lāʻau oral no ka maʻi diabetes; nā lāʻau no ke koko kiʻekiʻe; nā mea hoʻopili pono a i ʻole nā ​​huahana ʻē aʻe i piha i ka niacin; a i ʻole nā ​​lāʻau ʻē aʻe no ka hoʻohaʻahaʻa ʻana i ka cholesterol a i ʻole nā ​​triglycerides. Inā ʻoe e lawe i ka insulin a i ʻole ka lāʻau diabetic waha, pono paha e hoʻololi i kāu lāʻau no ka mea hiki i ka niacin ke hoʻonui i ka nui o ke kō i kou koko a me ka mimi.
• inā ʻoe e lawe i kahi resin acid-binding resin e like me colestipol (Colestid) a i ʻole cholestyramine (Questran), lawe ma kahi o 4 a 6 mau hola ma mua a i ʻole 4 a 6 mau hola ma hope o ka niacin.
• e haʻi i kāu kauka inā inu ʻoe i ka nui o ka waiʻona a inā loaʻa a loaʻa paha ʻoe i ka maʻi diabetes. gout; ulcer; nā mea pākuʻi; jaundice (melemele o ka ʻili a me nā maka); nā pilikia koko; aiʻole ka pahu hū, ka puʻuwai, nā puʻupaʻa, a i ʻole nā ​​maʻi ate.
• e haʻi i kāu kauka inā hāpai ʻoe, hoʻolālā e hāpai, a i ʻole e hānai umauma ana. Inā hāpai ʻoe i ka lawe ʻana i ka niacin, e hoʻōki i ka lawe ʻana i ka niacin a kāhea i kāu kauka.
• inā ke ʻoki nei ʻoe, e like me ke kaha ʻana o nā niho, e haʻi i ke kauka a i ʻole kauka niho paha e lawe ana ʻoe i ka niacin.
• e noi i kāu kauka e pili ana i ka hoʻohana palekana o nā inu ʻona ʻoiai ʻoe e inu ana i ka niacin. Hiki i ka waiʻona ke hana i nā hopena ʻino mai ka niacin.
• pono ʻoe e ʻike ʻo ka niacin ke kumu o ka pīpī (ʻulaʻula, hoʻomehana, ʻili, aniani) o ka maka, ʻāʻī, umauma, a i hope paha. Hele pinepine kēia hopena ma hope o ka lawe ʻana i ka lāʻau no kekahi mau pule. Hōʻalo i ka inu wai ʻona a me nā mea inu wela a ʻai paha i nā meaʻai nīoi a puni ka manawa āu e lawe ai i ka niacin. Lawe i ka aspirin a i ʻole kahi lāʻau anti-inflammative nonsteroidal e like me ibuprofen (Advil, Motrin) a i ʻole naproxen (Aleve, Naprosyn) 30 mau minuke ma mua o ka hiki ʻana i ka niacin ke hoʻēmi i ka holoi ʻana. Inā ʻoe e lawe i kahi niacin hoʻokuʻu lōʻihi i ka wā moe, hiki paha i ka flush ke hiamoe ʻoe. Inā ala ʻoe a ʻulaʻula, e ala mālie, keu hoʻi inā ʻoe e poniuniu a maule paha.

ʻAi i kahi papaʻai momona momona, momona momona. E mālama pono i nā hana hoʻoikaika kino a me nā papa kuhikuhi papaʻai i hana ʻia e kāu kauka a i ʻole dietitian. Hiki iā ʻoe ke kipa aku i ka pūnaewele Cholesterol Education Program (NCEP) pūnaewele no ka ʻike pili i ka papaʻai ma http://www.nhlbi.nih.gov/health/public/heart/chol/chol_tlc.pdf.

E lawe i ka lāʻau i hala i kou wā e hoʻomanaʻo ai. Eia nō naʻe, inā kokoke i ka manawa no ka mahele hope aʻe, e lele i ka lāʻau i hala a hoʻomau i kāu papa hana maʻamau. Mai lawe i kahi lāʻau pālua e pani no kahi mea i hala.

Inā kū ʻoe i ka niacin no kekahi lōʻihi, e kāhea i kāu kauka ma mua o kou hoʻomaka ʻana e lawe hou.

Hoʻokumu paha ʻo Niacin i nā hopena ʻaoʻao. E haʻi i kāu kauka inā koʻikoʻi kekahi o kēia mau ʻōuli a mai hele aku paha:

• pāhoehoe
• māhuahua hāhā

Inā ʻike ʻoe i kekahi o kēia mau ʻōuli, e kāhea koke aku i kāu kauka a i ʻole e kiʻi i ka lāʻau olakino olakino.

• ʻūpā
• maule
• puʻuwai wikiwiki
• nausea
• ka luaʻi
• luhi loa
• mimi kala ʻeleʻele
• pahu noho māmā
• kahe koko ʻole ʻana a palapū paha
• nele i ka ikaika
• nalo ʻai ʻole
• ʻeha ma ka ʻaoʻao ʻākau o luna o ka ʻōpū
• melemele o ka ʻili a me nā maka
• nā ʻōuli like flu
• hives
• hūwī
• ʻūlili
• pilikia i ka hanu ʻana a i ʻole ke ale ʻana
• ka pehu o ka maka, ka ʻāʻī, ke alelo, nā lehelehe, nā maka, nā lima, nā wāwae, nā kuʻekuʻe wāwae, a me nā wāwae lalo
• hulahula
• ka ʻeha o ka mākala i hōʻike ʻole ʻia, palupalu, a nāwaliwali paha

Inā ʻoe e ʻike i kahi hopena koʻikoʻi, e hoʻouna ʻoe a i ʻole kāu kauka i kahi hōʻike i ka papahana hōʻike ʻino a MedWatch Adverse Event Food (FDA) ma ka pūnaewele (http://www.fda.gov/Safety/MedWatch) a i ʻole kelepona. 1-800-332-1088).

E mālama i kēia lāʻau i loko o ka pahu i komo ai, pani paʻa ʻia, a ʻaʻole hiki i nā kamaliʻi. E mālama iā ia i ka mahana wela o ka lumi a ma kahi o ka wela a me ka momona (ʻaʻole i ka lua.

Pono e hoʻolei ʻia nā lāʻau i koi ʻole ʻia i nā ala kūikawā e hōʻoia i ka hiki ʻole i nā holoholona, ​​nā keiki, a me nā poʻe ʻē aʻe ke hoʻopau iā lākou. Eia nō naʻe, ʻaʻole pono ʻoe e kaomi i kēia lāʻau i ka lua. Akā, ʻo ke ala ʻoi loa e hoʻolilo i kāu lāʻau i loko o kahi papahana hoʻihoʻi lāʻau. E kamaʻilio me kāu kauka lāʻau a kāhea paha i kāu ʻōpala a me nā hana hoʻopōʻaiapuni kūloko e aʻo e pili ana i nā papahana hoʻihoʻi i kou kaiāulu. E ʻike i ka pūnaewele palekana o kā FDA's Disposal of Medicines (http://goo.gl/c4Rm4p) no ka ʻike hou aku inā ʻaʻohe ou komo i kahi papahana hoʻihoʻi.

He mea nui e mālama i nā lāʻau āpau mai ka maka a hiki i nā keiki e like me nā ipu (e like me nā minder pill i kēlā me kēia pule a me nā mea no nā kulu maka, nā kalima, nā pākuʻi, a me nā inhalers) ʻaʻole pale keiki a hiki i nā keiki ʻōpio ke wehe maʻalahi iā lākou. No ka pale ʻana i nā keiki ʻōpio mai ka lāʻau make, laka mau i nā pāpale palekana a kau koke i ka lāʻau i kahi palekana - kahi i luna a mamao a mai ko lākou alo a hiki. http://www.upandaway.org

I ke kumu o ka overdose, e kāhea i ka helpline kaohi lāʻau make ma 1-800-222-1222. Loaʻa ka ʻike ma ka pūnaewele ma https://www.poisonhelp.org/help. Inā ua hina ka mea i hoʻomāinoino ʻia, loaʻa ka hopu ʻana, pilikia i ka hanu ʻana, a i ʻole hiki ʻole ke ala aʻe, e kāhea koke i nā lawelawe kūikawā ma 911.

E mālama i nā manawa a pau me kāu kauka a me ka hale hana. E kauoha kāu kauka i kekahi mau hoʻokolohua lab e nānā i kāu pane i ka niacin.

Ma mua o ka hoʻāʻo ʻana o kahi hale hana, e haʻi i kāu kauka a me nā limahana o ke keʻena hoʻokolohua āu e lawe nei i ka niacin.

E hoʻohana wale i ka mana a me ke ʻano o ka niacin i kuhikuhi ʻia e kāu kauka. Mai hoʻohana i kahi inoa o ka niacin a hoʻololi paha i waena o nā huahana me ke kamaʻilio ʻole ʻana me kāu kauka. Inā ʻoe e hoʻololi i kahi mana ʻokoʻa a i ʻole ʻano niacin, pono e hoʻololi i kāu lāʻau.

Mai ʻae i kahi mea ʻē aʻe e lawe i kāu lāʻau. E nīnau i kāu kauka lāʻau i nā nīnau āu e pili ana i ka hoʻopiha hou ʻana i kāu kuhikuhi.

He mea nui iā ʻoe e mālama i kahi papa inoa i kākau ʻia a me nā lāʻau lapaʻau ʻole (over-the-counter) lāʻau āu e lawe nei, a me nā huahana e like me nā huaora, nā minelala, a i ʻole nā ​​mea hoʻopiliʻai aʻe. Pono ʻoe e lawe i kēia papa inoa me ʻoe i kēlā me kēia manawa ke kipa ʻoe i ke kauka a i ʻole inā ʻae ʻia ʻoe i kahi haukapila. He ʻike nui nō hoʻi ia e lawe pū me ʻoe inā pilikia ʻo ka pilikia.

• Niacor^®
• Niaspan^®
• ʻO Nicolar^®¶
• ʻO Slo-Niacin^®

• Simcor^® (me Niacin, Simvastatin)

• ʻAkika nikotinikika

^¶ ʻAʻole kēia huahana māka i ka mākeke hou. Hiki ke loaʻa nā koho ʻē aʻe.