Kungani abesifazane abakhulelwe bedinga ukuthatha i-folic acid

Izindaba Zomama Zolwazi Lwezidakamizwa

Lapho nje ukhulelwa, ukugcina ingane yakho iphilile — ngaphambi nangemva kokuzalwa — iba yinto eza kuqala kuwe. Ngoba inhlalakahle kamama nengane ixhunyaniswe kakhulu, enye yezindlela ezilula kakhulu zokuletha ikhaya elisanda kuzalwa elinempilo elisuka esibhedlela ukuzibhekela kahle ngesikhathi ukhulelwe.

Kunezindlela eziningi ezahlukahlukene zokwenza lokhu, kepha enye yezeluleko okuvunyelwene ngazo kakhulu zokukhulelwa okunempilo ukukhulisa ukudla kwakho i-folic acid . Ukuthatha inani elanele le-folic acid ngesikhathi sokukhulelwa vimbela cishe i-50% yeziphambeko ze-neural tube , ngokusho kwe-American Academy of Pediatrics (AAP).

Kepha ingakanani i-folic acid okufanele uyithathe ekukhulelweni… futhi udinga ukuqala nini? Nawu umhlahlandlela wesinye sezakhi ezibaluleke kakhulu ezidingekayo ngesikhathi sokukhulelwa kwengane enempilo.

Yini i-folic acid?

I-Folic acid itholakala njengengxenye kaVithamini B futhi isetshenziswa yilo lonke iseli emzimbeni ekukhuleni nasekuthuthukeni. Ingxenye yomndeni kavithamini B9, i-folic acid isiza umzimba wakho ukwenza amaseli amasha , kufaka phakathi isikhumba, izinwele, namaseli abomvu egazi (ngenxa yalokhu, kungasiza futhi ukuvimbela i-anemia). Kuyinto kubalulekile ukuthatha i-folic acid ekukhulelweni , kepha empeleni uyayidinga konke isikhathi, hhayi nje lapho ukhulisa ingane!

Ukudla okuningi, njengokudla okusanhlamvu kwasekuseni, ijusi lewolintshi, nesinkwa, kuqiniswa nge-folic acid. Kepha futhi kwenzeka ngokwemvelo kokunye ukudla okudlayo nsuku zonke, njengemifino eluhlaza enamaqabunga nobhontshisi.

Izinzuzo ze-Folic acid

Ezigabeni zokuqala zokukhulelwa, umbungu ubhekene nezinguquko ezinkulu ekukhuleni nasekukhuleni. Okunye okubucayi kakhulu ukuthuthukiswa kwethambo le-neural, ukwakheka okugcina kuba yingqondo yengane, umgogodla, nogebhezi.

Ngokusho kweCenters for Disease Control and Prevention (CDC), i- amafomu we-neural tube esikhathini esithile phakathi kosuku lwe-17 nolwama-30 ngemuva kokukhulelwa; uma ingavali kahle ngalesi sigaba sokukhula, idala i-neural tube defect (NTD) efana ne-spina bifida noma i-anencephaly. Zombili lezi zimo zibucayi: Ngenkathi izingane eziningi ezizalwa zinesifo somgogodla zisinda, zingakhubazeka ngokomzimba noma ngokwengqondo ngenxa yomgogodla noma umgogodla ongathuthuki kahle — ne-anencephaly, okuyisici esingenhla se-neural tube esivimbela ubuchopho ekwakheni kahle, siyabulala.

Njengokwesabeka njengoba konke lokhu kuzwakala, izindaba ezimnandi ukuthi abahlinzeki bezempilo bayazi ukuthi i-folic acid supplementation iyindlela engcono kakhulu yokuvimbela lokhu kushoda ngesikhathi sokukhulelwa.

Izinto esizaziyo mayelana nokukhubazeka kwamathambo e-neural zinokwethenjelwa, kusho uG. Thomas Ruiz, MD, oyi-OB-GYN e-MemorialCare Orange Coast Medical Center eCalifornia. Abesifazane abantula i-folic acid banengozi eyengeziwe yokubeletha izingane ezinokukhubazeka kwe-neural tube.

Ngo-2017, i-United States Preventive Services Task Force yabiza ukuntuleka kwe-folic acid esinye sezimbangela ezinkulu ezingavikeleka zeziphambeko ze-neural tube, kanye ngomphefumulo wonke uyincoma kubo bonke abesifazane ukuhlela noma ukukwazi ukukhulelwa. Ngoba ayithwali miphumela engemihle yangempela, i-folic acid iyindlela elula yokwehlisa amathuba akho ama-NTD anengozi encane kuwe noma empilweni yengane yakho.

Kungase kube nezinye izinzuzo ezimbalwa zokuthatha i-folic acid ngesikhathi sokukhulelwa, yize zingakafundiswanga kahle. I-CDC ibika ukuthi inganciphisa ubungozi bokunye ukukhubazeka kokuzalwa, njengenkalaka yezikhala noma ukukhubazeka kwezindebe nenhliziyo, futhi kungasiza ekuvikeleni izinhlobo ezithile zomdlavuza.

Imithamo ye-Folic acid ngesikhathi sokukhulelwa

Ngokusho kukaDkt Ruiz, kufanele uthathe okungenani ama-micrograms angama-400 (noma ama-milligram angu-0.4) we-folic acid ngosuku ngesikhathi sokukhulelwa. Amavithamini amaningi abeletha, uyanezela, aqukethe umthamo ophakeme wama-micrograms angu-800 (0.8 milligrams), okuyisilinganiso esiphephile (yize siphindwe kabili kunesincane).

Kukhona okumbalwa okuhlukile kulo mthamo. Uma usebenzisa umuthi olwa nesithuthwane, umhlinzeki wakho angakuyala ukuthi uthathe i-folic acid ngaphezulu nsuku zonke. UDkt Ruiz uthi le mishanguzo inobungozi obukhulu bokukhubazeka kwe-neural tube. Nge-Epilepsy Foundation, kungadingeka ukuthi uyithathe kufika kuma-4 milligram we-folic acid nsuku zonke uma uthatha nomuthi ukuvikela ukuquleka. Kubalulekile ukukhuluma nomhlinzeki wakho wezokunakekelwa kwempilo ngaphambi kokuthatha okungaphezu komthamo ojwayelekile wama-micrograms angama-400 nsuku zonke.

Isincomo esifanayo sisebenza kwabesifazane abanomlando womndeni wama-NTD noma asebeke bazala ingane eyodwa, kusho uMary Jane Minkin, MD, onguprofesa wezokwelapha eMnyangweni Wezokubelethisa, iGynecology, kanye neSayensi Yokuzala eYale University School Wezokwelapha.

Uma ngabe uke waba nengane enesici se-neural tube, njenge-spina bifida, ufuna ukuthatha ama-micrograms angu-4,000 [noma ama-milligram amane] we-folic acid ngaphambi kokukhulelwa, uncoma, kepha kubalulekile ukuxoxa ngalokhu nomhlinzeki wakho ngaphambi kokuqala ephakeme kunaleyo ejwayelekile. Uma uke waba nengane yangaphambilini enamaphutha, kubalulekile ukukhuluma nomhlinzeki wakho ngaphambi kokukhulelwa futhi noma ngaphambi kokukhulelwa mayelana nezincomo nokubeletha ngaphambi kokubeletha.

Kufanele ucabange ukukhawulela lapho udla i-Folic Acid?

Ngakolunye uhlangothi, uma une Ukushoda kwamavithamini B , ikakhulukazi uvithamini B12, kungadingeka ukuthi ukhawule ngokucophelela ukudla kwakho kwansuku zonke kwe-folic acid. Kubantu abaningi, abukho ubungozi obuhambisana nokuthatha i-folic acid eningi kakhulu (uzovele ukhiphe noma ikuphi okweqile emchameni wakho). Kepha kubantu abangenayo i-B12, ukuthatha inani elikhulu le-folic acid kungalimaza unomphela ukusebenza kwakho kwemizwa, kusho uDkt Ruiz — yize ecacisa ukuthi kuzodingeka ukuthi uthathe ngaphezulu kwama-milligram ama-4 ngosuku, okungajwayelekile ngaphandle kokuthi engcupheni eyandayo yama-NTD. Uma unomlando wokushoda kwe-Vitamin B, kubalulekile ukuthi uxoxe nomhlinzeki wakho ngezidingo zakho zokudla okunempilo kanye nokwengeza ngaphambi kokukhulelwa noma ekuqaleni kokukhulelwa.

Abesifazane abakhulelwe kufanele baqale nini ukuthatha i-folic acid?

Impendulo elula? I-ASAP.

Okungenani, lapho nje owesifazane ethola ukuthi ukhulelwe, kufanele aqale, kuchaza uDkt Ruiz, noma kunjalo kufanele uqale inyanga eyodwa noma ezintathu ngaphambi kokuzama ukukhulelwa.

Ngokujabulisayo, njengoba ukudla okuningi esikudlayo kucebile ngokwemvelo ku-folate noma kuqiniswe ngamavithamini, abesifazane abaningi sebevele besebenza ngenani eliyisisekelo le-folate emizimbeni yabo (becabanga ukuthi badla ukudla okunempilo). UDkt Minkin uthi Isilinganiso saseMelika sithola cishe ama-micrograms ayi-140 we-folic acid ovela ezinhlamvini zasekuseni uwedwa… kepha kufanele ucabangele ukuthatha i- multivitamin nsuku zonke equkethe ama-micrograms angama-400 e-folic acid. Bonke abesifazane okungenani abaneminyaka ephakathi kwengu-13 nengama-50 (ubudala obukwazi ukuzala) kufanele bacabangele ukuthatha i-multivitamin ene-400 mcg ye-folic acid nsuku zonke.

Njengoba kunikezwe ukuthi ukukhulelwa okuningi kulelizwe akuhlelwanga, isincomo esihle esivamile ukuthi uma ungasebenzisi izinto zokuvimbela inzalo ngo-100% wesikhathi, mhlawumbe kufanele uthathe i-folic acid eyengeziwe, uyachaza.

Ngoba isikhathi esibalulekile sokuthuthuka kwamathambo e-neural kukhulelwe ekuqaleni-imvamisa ngaphambi kokuthi iningi labesifazane lize lazi ukuthi likhulelwe-ukulinda uze uthole uphawu oluvumayo ekuhlolweni kwakho kokukhulelwa kungasho ukuthi usuvele uphuthelwe iwindi lokukhulisa izinzuzo zakho ze-folic acid ku-trimester yokuqala. Kukuzuzisa kakhulu bonke abesifazane abahlanganyela ocansini abaneminyaka yobudala yokubeletha, kungcono kakhulu kunoma yikuphi ukukhulelwa okungenzeka uthatha inani eliphansi eliphakanyisiwe le-folic acid nsuku zonke.

Ungayifaka kanjani i-folate ethe xaxa ekudleni kwakho

Manje njengoba wazi ukuthi kubaluleke kangakanani ukuthola ifolk ngokwanele ngesikhathi sokukhulelwa, ake sikhulume ngokuthi ungazifaka kanjani izinto eziningi ezinhle ekudleni kwakho.

1. Thatha ama-multivitamin . Uma okwamanje ungakhulelwe kodwa ufuna ukuqinisekisa ukuthi unesisekelo esihle se-folic acid, thatha ivithamini yansuku zonke equkethe ama-micrograms angama-400. Amavithamini amaningi athengiselwa abesifazane azoqukatha I-100% yenani lansuku zonke le-folic acid , kepha hlola njalo ilebula ukuze uqiniseke.
2. Thatha okuhle i-vitamin ngaphambi kokubeletha uma ukhulelwe . Umhlinzeki wakho angancoma uhlobo oluthile lomkhiqizo noma akunikeze nemithi kadokotela, kepha ungathenga namavithamini angaphambi kokubeletha ekhawunteni. (UDkt. Minkin uncoma ukuthi I-Vitafusion gummy ngaphambi kokubeletha .)
3. Phuza ijusi lewolintshi . Ukukhonza okukodwa kunganikeza mayelana U-15% wenani lansuku zonke wobuntu.
4. Yidla ukudla okunamalebula athi kube khona iqiniswe nge-folate , njengezinhlamvu zasekuseni, izinkwa, ufulawa, ilayisi, ipasta, neminye imikhiqizo yokusanhlamvu.
5. Yidla ukudla okuziqhayisa ngamazinga aphezulu we-folate ngokwemvelo , njengamaqanda, isilimo esinengono emnandi edliwayo, isipinashi, ubhanana, ukwatapheya, i-broccoli, ubhontshisi, amawolintshi namantongomane.

I-FYI, uma ukhulelwe, futhi kudingeka uqiniseke ukuthi uthatha isengezo sokudla esiqukethe i-folic acid-ukusebenzisa uhlobo oluthile lwe-folate ekudleni kwakho ngokwemvelo ngeke kwanele. I- i-CDC iwebhusayithi inezinsizakusebenza ezinhle kakhulu futhi ungathatha nemibuzo ukuhlola ulwazi lwakho lomuntu!