Chifukwa chomwe amayi apakati amafunika kumwa folic acid

Nkhani Za Amayi Zokhudza Mankhwala Osokoneza bongo

Mukangotenga pakati, kusunga mwana wanu wathanzi-asanabadwe komanso atabadwa-kumakhala chinthu chofunikira kwambiri. Chifukwa thanzi la amayi ndi mwana ndilolumikizana kwambiri, njira imodzi yosavuta yobweretsera mwana wakhanda wathanzi kuchipatala ndikudziyang'anira bwino mukakhala ndi pakati.

Pali njira zambiri zochitira izi, koma imodzi mwamavomerezedwe ovomerezeka kuti mukhale ndi pakati ndi kuwonjezera kudya kwanu kupatsidwa folic acid . Kutenga folic acid wokwanira panthawi yapakati pewani pafupifupi 50% ya zotupa za neural tube , malinga ndi American Academy of Pediatrics (AAP).

Nanga ndi folic acid yochuluka motani yomwe muyenera kumwa kuti mutenge mimba… ndipo muyenera kuyamba liti? Nayi chitsogozo cha chimodzi mwazofunikira kwambiri zofunika pakakhala ndi pakati pa mwana wathanzi.

Folic acid ndi chiyani?

Folic acid imapezeka ngati gawo la Vitamini B ndipo imagwiritsidwa ntchito ndi selo iliyonse mthupi kukula ndi chitukuko. Gawo la banja la vitamini B9, folic acid amathandiza thupi lanu kupanga maselo atsopano , kuphatikiza khungu, tsitsi, ndi maselo ofiira (chifukwa cha izi, amathanso kuthandizira kupewa kuchepa kwa magazi). Ndi Ndikofunika kumwa folic acid pamimba , koma mukufunikiradi zonse nthawi, osati kokha pamene inu mukukula khanda!

Zakudya zambiri, monga chimanga cham'mawa, madzi a lalanje, ndi buledi, zimakhala ndi folic acid. Koma zimakhalanso mwachilengedwe muzakudya zomwe mumadya tsiku lililonse, monga masamba obiriwira obiriwira komanso nyemba.

Folic acid amapindula

M'mimba koyambirira kwa mimba, mwana wosabadwayo akusintha kwambiri pakukula ndi kukula. Chimodzi mwazovuta kwambiri ndikukula kwa thumba la neural, kapangidwe kamene kamadzakhala ubongo wa khanda, msana, ndi chigaza.

Malinga ndi Centers for Disease Control and Prevention (CDC), a mafomu a neural tube Nthawi ina pakati pa tsiku la 17 ndi 30 pambuyo pathupi; ngati satseka bwino munthawi imeneyi, imayambitsa vuto la neural tube (NTD) monga spina bifida kapena anencephaly. Zonsezi ndizovuta: Ngakhale ana ambiri obadwa ndi msana bifida amakhala ndi moyo, atha kukhala olumala mwakuthupi kapena m'maganizo chifukwa cha msana kapena msana wosaoneka bwino-ndi anencephaly, chotupa chapamwamba cha neural tube chomwe chimalepheretsa ubongo kupanga bwino, chimapha.

Ngakhale zowopsa izi zimamveka, nkhani yabwino ndiyakuti opereka chithandizo chamankhwala amadziwa kuti folic acid supplementation ndiyo njira yabwino yopewera zosowa izi panthawi yapakati.

Zomwe timadziwa pazolakwika za neural tube ndizodalirika, atero a G. Thomas Ruiz, MD, OB-GYN ku MemorialCare Orange Coast Medical Center ku California. Amayi omwe alibe folic acid ali ndi chiopsezo chowonjezeka chobereka ana omwe ali ndi vuto la neural tube.

Mu 2017, United States Preventive Services Task Force idatcha kusowa kwa folic acid chimodzi mwazomwe zimalepheretsa ziphuphu za neural chubu, ndi ndi mtima wonse amalimbikitsa izi kwa amayi onse kukonzekera kapena wokhoza kutenga pakati. Chifukwa sichikhala ndi zotsatirapo zenizeni, folic acid ndi njira yosavuta yochepetsera mwayi wanu wa ma NTD omwe alibe chiopsezo chochepa kwa inu kapena thanzi la mwana wanu.

Pakhoza kukhala zopindulitsa zina zochepa pakumwa folic acid panthawi yapakati, ngakhale kuti sanaphunzire bwino. CDC imanena kuti itha kuchepetsa chiopsezo cha zovuta zina zobadwa, monga milomo yolimba kapena milomo ndi zolakwika pamtima, ndipo zitha kuthandiza kupewa mitundu ina ya khansa.

Folic acid Mlingo pa mimba

Malinga ndi Dr. Ruiz, muyenera kumwa ma filo acid osachepera 400 micrograms (kapena 0,4 milligrams) patsiku panthawi yapakati. Ambiri mwa mavitamini asanabadwe, akuwonjezera, amakhala ndi kuchuluka kwa ma micrograms 800 (0.8 milligrams), omwe ndi mulingo woyenera (ngakhale ndi wowirikiza kawiri kuposa wocheperako).

Pali zochepa zochepa pamlingo uwu. Ngati mukumwa mankhwala osokoneza bongo, omwe amakupatsani akhoza kukulangizani kuti mutenge folic acid tsiku lililonse. Dr. Ruiz akuti mankhwalawa amakhala pachiwopsezo chachikulu cha kupindika kwa mitsempha ya neural. Malinga ndi Epilepsy Foundation, mungafunike kutenga mpaka mamiligalamu 4 ya folic acid tsiku ndi tsiku ngati mukumwetsanso mankhwala kuti mupewe kugwidwa. Ndikofunikira kuti mulankhule ndi omwe amakuthandizani asanatenge kuchuluka kwama micrograms 400 tsiku lililonse.

Malingaliro omwewa akugwiranso ntchito kwa azimayi omwe ali ndi mbiri ya mabanja a NTD kapena omwe adaberekapo mwana mmodzi, atero a Mary Jane Minkin, MD, pulofesa wazachipatala ku department of Obstetrics, Gynecology, and Reproductive Science ku Yale University School Za Mankhwala.

Ngati mwakhala ndi mwana yemwe ali ndi vuto la neural tube, monga msana bifida, mukufuna kuti mutenge 4mg micrograms [kapena mamiligalamu anayi] a folic acid musanakhale ndi pakati, akutero, koma ndikofunikira kukambirana izi ndi omwe akukupatsani musanayambe kuposa mlingo woyenera. Ngati mudakhala ndi mwana wam'mbuyomu yemwe ali ndi vuto, ndikofunikira kuti mukalankhule ndi omwe amakupatsani mwayi musanatengerenso kapena musanakhale ndi pakati pazomwe angayankhe asanabadwe komanso kuwunika.

Ndi liti pomwe muyenera kuganizira zochepetsa kudya kwa Folic Acid?

Kumbali ina, ngati muli ndi Kuperewera kwa vitamini B , makamaka vitamini B12, mungafunikire kuchepetsa kuchepa kwa folic acid tsiku lililonse. Kwa anthu ambiri, palibe chowopsa chilichonse chokhudzana ndi kumwa folic acid wochuluka (mungotulutsa zochuluka mkodzo wanu). Koma kwa anthu omwe ali ndi vuto la B12, kumwa folic acid wambiri kumatha kuwononga minyewa yanu, atero Dr. Ruiz - ngakhale akufotokozera kuti muyenera kumangotenga mamiligalamu anayi patsiku, zomwe ndizosangalatsa pokhapokha mutakhala pachiwopsezo chowonjezeka cha ma NTD. Ngati muli ndi mbiri yakusowa kwa Vitamini B, ndikofunikira kuti mukambirane ndi omwe amakupatsirani zosowa zanu musanatenge mimba kapena musanakhale ndi pakati.

Kodi amayi apakati ayenera kuyamba liti kumwa folic acid?

Yankho losavuta? POSACHEDWA.

Osachepera, mkazi akangodziwa kuti ali ndi pakati, ayenera kuyamba, akufotokoza Dr. Ruiz, ngakhale zili choncho muyenera kuyamba mwezi umodzi kapena itatu musanayese kutenga pakati.

Mwamwayi, popeza zakudya zambiri zomwe timadya mwachilengedwe zimakhala ndi mavitamini kapena mavitamini, amayi ambiri akugwira kale ntchito m'matupi awo (poganiza kuti amadya chakudya chopatsa thanzi). Dr. Minkin akuti American wamba amalandira pafupifupi ma micrograms 140 wa folic acid kuchokera pachakudya cham'mawa chokha ... koma kuti muyenera kulingalirabe kutenga multivitamin tsiku lililonse okhala ndi ma micrograms 400 a folic acid. Azimayi onse azaka zapakati pa 13 ndi 50 (azaka zoberekera) ayenera kuganizira kumwa multivitamin yokhala ndi 400 mcg ya folic acid tsiku lililonse.

Popeza kuti mimba zambiri mdziko muno sizinakonzedwenso, chovomerezeka ndichakuti ngati simugwiritsa ntchito njira zakulera 100% ya nthawiyo, mwina mukuyenera kumwa folic acid, akufotokoza.

Chifukwa nthawi yofunika kwambiri pakukula kwa chubu ya neural ndikumayambira koyambirira-nthawi zambiri azimayi ambiri asanazindikire kuti ali ndi pakati-kudikirira mpaka mutapeza chisonyezo chokwanira pamayeso anu oyembekezera kungatanthauze kuti mwaphonya kale zenera pakuwonjezera phindu lanu la folic acid mu trimester yoyamba. Ndizosangalatsa kwa azimayi onse ogonana azaka zoberekera, ndizofunikira kwambiri pathupi zilizonse zomwe mungatenge mumalandira folic acid tsiku lililonse.

Momwe mungaphatikizire zowonjezera pazakudya zanu

Tsopano popeza mukudziwa kufunikira kokhala ndi chidziwitso chokwanira panthawi yoyembekezera, tiyeni tikambirane momwe mungaphatikizire zina zabwino pazakudya zanu.

1. Tengani ma multivitamini . Ngati simunakhale ndi pakati koma mukufuna kuwonetsetsa kuti muli ndi maziko abwino a folic acid, tengani vitamini tsiku lililonse yokhala ndi ma micrograms 400. Mavitamini ambiri omwe amagulitsidwa kwa amayi amakhala ndi 100% ya mtengo watsiku ndi tsiku wa folic acid , koma nthawi zonse muziyang'ana chizindikirocho kuti mutsimikizire.
2. Tengani zabwino mavitamini asanabadwe ngati muli ndi pakati . Wothandizira anu akhoza kukupatsani mtundu winawake kapena angakupatseni mankhwala, koma mutha kugulanso mavitamini apakati pobereka. (Dr. Minkin akuvomereza Vitafusion prenatal gummy .)
3. Imwani madzi a lalanje . Kutumikira kumodzi kungapereke za 15% yamtengo watsiku ndi tsiku zachikhalidwe.
4. Idyani zakudya zokhala ndi zolemba zomwe akuti zakhalapo otetezedwa ndi folate , monga chimanga cham'mawa, buledi, ufa, mpunga, pasitala, ndi zina zambiri.
5. Idyani zakudya zomwe zimadzitama kwambiri mwachilengedwe , monga mazira, katsitsumzukwa, sipinachi, nthochi, mapeyala, broccoli, nyemba, malalanje, ndi mtedza.

FYI, ngati muli ndi pakati, muyeneranso kuwonetsetsa kuti mukumwa zakudya zowonjezera zomwe zili ndi folic acid-kugwiritsa ntchito mtundu wina wazakudya zanu mwachilengedwe sikungakhale kokwanira. Pulogalamu ya CDC webusaitiyi ili ndi zinthu zabwino kwambiri ndipo mutha kutenga mafunso kuti muyese chidziwitso chanu!