Kutheni le nto abafazi abakhulelweyo kufuneka bathathe i-folic acid

Ulwazi loLwazi lweMicimbi yoBasetyhini

Ngokukhawuleza xa ukhulelwe, ukugcina umntwana wakho esempilweni — ngaphambi nasemva kokuzalwa — yeyona nto iphambili oya kuyenza. Ngenxa yokuba impilo-ntle kamama nosana inxibelelene ngokusondeleyo, enye yeendlela ezilula zokuzisa ikhaya elisandul 'ukuzalwa elisempilweni kukuzikhathalela ngexesha lokukhulelwa.

Zininzi iindlela ezahlukeneyo zokwenza oku, kodwa enye yeengcebiso ekuvunyelwene ngazo malunga nokukhulelwa okusempilweni kukwandisa ukutya kwakho ifolic acid . Ukuthatha inani elaneleyo le-folic acid ngexesha lokukhulelwa thintela malunga neepesenti ezingama-50 zeziphene ze-neural tube , ngokutsho kweAmerican Academy of Pediatrics (AAP).

Kodwa ingakanani i-folic acid ekufuneka uyithathile ukukhulelwa… kwaye kufuneka uqale nini? Nasi isikhokelo kwesinye sezona zondlo zibalulekileyo ezifunekayo ngexesha lokukhulelwa komntwana osempilweni.

Yintoni i-folic acid?

I-Folic acid ifunyanwa njengenxalenye yeVitamin B kwaye isetyenziswa siseli nganye emzimbeni ekukhuleni nasekukhuleni. Inxalenye yosapho lwevithamini B9, folic acid unceda umzimba wakho wenze iiseli ezintsha , kubandakanya ulusu, iinwele, kunye neeseli ezibomvu zegazi (ngenxa yoku, inokunceda ekuthinteleni i-anemia). Nguwo Kubalulekile ukuthatha i-folic acid xa ukhulelwe , kodwa uyayidinga konke ixesha, hayi kuphela xa ukhula usana!

Ukutya okuninzi, njengokutya okuziinkozo kwasekuseni, ijusi yeorenji kunye nesonka, ziqiniswa nge-folic acid. Kodwa ikwenzeka ngokwendalo kwezinye zokutya okutyayo yonke imihla, njengemifuno eluhlaza kunye neembotyi.

Izibonelelo ze-Folic acid

Kumanqanaba okuqala okukhulelwa, umntwana ongekho mva kwenzeka utshintsho olukhulu ekukhuleni nasekukhuleni. Enye yezona zinto zibaluleke kakhulu kukukhula kwetyhubhu ye-neural, ulwakhiwo oluye ekugqibeleni lube yingqondo yosana, intambo yomqolo, kunye nokakayi.

NgokwamaZiko oLawulo noThintelo lwezifo (CDC), i Iifom zetyhubhu ye-neural ixesha elithile phakathi komhla we-17 nowama-30 emva kokumitha; ukuba ayivali ngokufanelekileyo ngeli nqanaba lophuhliso, ibangela isiphene se-neural tube (NTD) esifana nomqolo okanye i-anencephaly. Zombini iimeko zinzima: Ngelixa uninzi lwabantwana abazelwe benomqolo ophilayo baphila, banokuba nokukhubazeka ngokwasemzimbeni okanye ngokwasengqondweni ngenxa yomqolo ongaphuhliswanga wentambo yomqolo okanye umqolo-kunye ne-anencephaly, isiphene esingasentla setyhubhu ye-neural ethintela ubuchopho ukuba bume kakuhle, iyabulala.

Kuyothusa njengoko konke oku kuvakala, iindaba ezimnandi zezokuba ababoneleli ngezempilo bayazi ukuba i-folic acid yongeze eyona ndlela yokuthintela ukusilela ngexesha lokukhulelwa.

Izinto esizaziyo malunga neziphene zetyhubhu ye-neural zinokuthenjwa, utsho uG.Thomas Ruiz, MD, i-OB-GYN kwiziko leZiko lezoNyango lase-Memorial Coast le-Orange Coast eCalifornia. Abasetyhini abasweleyo kwi-folic acid banomngcipheko okhulayo wokuzala abantwana abanesiphene kwi-neural tube.

Ngo-2017, i-United States Preventive Services Task Force ebizwa ngokuba yi-folic acid defence sesinye sezizathu eziphambili ezinokuthintelwa kwiziphene ze-neural tube, kunye ngentliziyo epheleleyo icebisa bonke abantu basetyhini ukucwangcisa okanye ukukwazi ukukhulelwa. Ngenxa yokuba ingenaziphumo ebezingalindelekanga zokwenyani, i-folic acid yindlela elula yokunciphisa amathuba akho ee-NTDs ngomngcipheko omncinci kuwe okanye kwimpilo yosana lwakho.

Kukho nokuba kukho ezinye izibonelelo zokuthatha i-folic acid ngexesha lokukhulelwa, nangona zingakhange zifundwe kakuhle. I-CDC ibika ukuba inokunciphisa umngcipheko wezinye iziphene zokuzalwa, njengenkalakahla ecandekileyo okanye umlomo kunye neziphene zentliziyo, kwaye inokunceda ukuthintela iintlobo ezithile zomhlaza.

Folic acid iidosi ngexesha lokukhulelwa

NgokukaGqirha Ruiz, kuya kufuneka uthathe ubuncinci be-400 micrograms (okanye i-0.4 milligrams) ye-folic acid ngosuku ngexa lokukhulelwa. Uninzi lweevithamini zokubeleka, uyongeza, ziqulathe idosi ephezulu ye-800 micrograms (0.8 milligrams), eyidosi ekhuselekileyo (nangona iphindwe kabini ubuncinci).

Kukho izinto ezimbalwa ezikhethiweyo kule dosi. Ukuba ukwichiza lokulwa nesathuthwane, umboneleli wakho unokuyalela ukuba uthathe i-folic acid yonke imihla. Ugqirha Ruiz uthi la machiza abeka emngciphekweni omkhulu weziphene ze-neural tube. Ngesiseko sokuwa, unokufuna ukuba uthathe ukuya kwi-4 milligrams folic acid yonke imihla ukuba uthatha amayeza ukunqanda ukuxhuzula. Kubalulekile ukuba uthethe nomboneleli wakho wezempilo ngaphambi kokuba uthathe ngaphezulu komthamo oqhelekileyo wee-micrograms ezingama-400 mihla le.

Ingcebiso efanayo iyasebenza kubafazi abanembali yosapho ye-NTDs okanye abo babeleke umntwana ngeyokuqala, utshilo uMary Jane Minkin, MD, uprofesa wezonyango kwisebe le-Obstetrics, Gynecology, kunye ne-Reproductive Sciences kwiSikolo iYale University amayeza.

Ukuba ukhe wafumana umntwana onesiphene se-neural tube, njenge-spina bifida, ufuna ukuthatha i-4,000 micrograms [okanye ezine milligrams] ze-folic acid ngaphambi kokuba ukhulelwe, ucebisa, kodwa kubalulekile ukuxoxa ngale nto kunye nomboneleli wakho ngaphambi kokuqala ngaphezulu kweedosi eziqhelekileyo. Ukuba unomntwana wangaphambili onesiphene, kubalulekile ukuba uthethe nomboneleli wakho ngaphambi kokuba ukhulelwe kwakhona okanye kwangoko xa ukhulelwe malunga neengcebiso kwangaphambi kokubeleka kunye novavanyo.

Ufanele ukujonga nini ukunciphisa umyinge wokutya kwakho i-Folic Acid?

Kwelinye icala, ukuba unayo B ukuswela iivithamini , ngakumbi ivithamini B12, kusenokufuneka unciphise ngononophelo ukutya kwakho kwe-folic acid. Kwisininzi sabemi, akukho bungozi bunxulunyaniswa nokuthatha i-folic acid eninzi kakhulu (uya kukhupha nakuphi na ukugqitha kumchamo wakho). Kodwa kubantu abanesiphene kwi-B12, ukuthatha isixa esikhulu se-folic acid kungonakalisa isigxina semithambo-luvo yakho, utshilo uGqirha Ruiz-nangona ecacisa ukuba kuya kufuneka ukuba uthathe ngaphezulu kweemiligram ezi-4 ngosuku, nto leyo inesifo ngaphandle kokuba kumngcipheko owandileyo wee-NTD. Ukuba unembali yokunqongophala kweVitamin B, kubalulekile ukuba uxoxe nomboneleli wakho ngezidingo zakho zesondlo kunye nezongezelelo ngaphambi kokukhulelwa okanye kwasekuqaleni kokukhulelwa.

Abafazi abakhulelweyo kufuneka baqale nini ukuthatha i-folic acid?

Impendulo elula? NGOKUKHAWULEZA OKUDIBENE NOKUNGXAMA.

Ubuncinci, kwakamsinya nje ukuba umfazi afumanise ukuba ukhulelwe, kufuneka aqale, ucacisa uGqirha Ruiz, nangona kufanelekile ukuba uqale inyanga enye ukuya kwezintathu ngaphambi kokuzama ukukhulelwa.

Ngombulelo, kuba ukutya okuninzi esikutyayo ngokwendalo kutyebile kwi-folate okanye i-vitamin-fortified, uninzi lwabasetyhini sele lusebenza ngenani lesiseko kwimizimba yabo (becinga ukuba batya ukutya okusempilweni). UGqirha Minkin uthi Umndilili waseMelika ufumana malunga nee-micrograms ezili-140 Ye-folic acid evela kwiimbewu zesidlo sakusasa iyodwa… kodwa kufuneka ucinge ngokuthatha i multivitamin yemihla ngemihla equlathe ii-micrograms ezingama-400 ze-folic acid. Onke amabhinqa ubuncinci aphakathi kweminyaka eli-13 ukuya kwengama-50 (iminyaka yokuzala enamandla) kufuneka acinge ngokuthatha imultivitamin ene-400 mcg ye-folic acid yonke imihla.

Ngenxa yokuba uninzi lokukhulelwa kweli lizwe kungacwangciswanga, ingcebiso elungileyo kukuba awusebenzisi izinto zokuthintela ukukhulelwa nge-100% yexesha, kuya kufuneka uthathe i-folic acid eyongezelelweyo, uyacacisa.

Kuba elona xesha libalulekileyo lokuphuhliswa kwetyhubhu ye-neural kukukhulelwa kwasekuqaleni-rhoqo ngaphambi kokuba uninzi lwabasetyhini lude luqonde ukuba bakhulelwe-ukulinda de ufumane uphawu oluchanekileyo kuvavanyo lwakho lokukhulelwa kunokuthetha ukuba sele uphosiwe kwifestile yokwandisa izibonelelo zakho ze-folic acid kwikota yokuqala. Kukowona mdla kubo bonke abantu ababhinqileyo abakwiminyaka yokuzala, yeyona nto ibalulekileyo nakweyiphi na into onokuyenza ukuze uthathe ubuncinci be-folic acid yonke imihla.

Uyifaka njani ifolate ngakumbi kwisidlo sakho

Ngoku ukuba uyazi ukuba kubaluleke kangakanani ukufumana ubungakanani obaneleyo ngexesha lokukhulelwa, makhe sithethe malunga nokuba ungazibandakanya njani ezinye zezinto ezilungileyo kukutya kwakho.

1. Thatha iivithamini . Ukuba awukhulelwanga okwangoku kodwa ufuna ukuqiniseka ukuba unesiseko esihle se-folic acid, thatha ivithamini yemihla ngemihla enee-400 micrograms. Uninzi lweevithamini ezithengiswa kwabasetyhini ziya kuba nazo 100% yexabiso lemihla ngemihla le-folic acid , kodwa soloko ujonga iileyibhile ukuze uqiniseke.
2. Thatha okuhle i-vitamin engaphambi kokubeleka ukuba ukhulelwe . Umboneleli wakho unokucebisa uphawu oluthile okanye akunike ugqirha, kodwa unokuthenga iivithamini zaphambi kokubeletha ekhawuntareni. (UGqirha Minkin ucebisa ukuba I-Vitafusion gummy yokubeleka .)
3. Sela incindi yeorenji . Umsebenzi omnye unokubonelela malunga I-15% yexabiso lemihla ngemihla folate.
4. Yitya ukutya okuneelebheli ezithi zikhona iqiniswe ngefolate Njengeesiriyeli zesonka, isonka, umgubo, ilayisi, ipasta, kunye nezinye iimveliso zeenkozo.
5. Yitya ukutya okuqhayisa amanqanaba aphezulu endalo ngokwendalo , njengamaqanda, iasparagus, isipinatshi, iibhanana, iiavokhado, ibroccoli, iimbotyi, iiorenji kunye namandongomane.

I-FYI, ukuba ukhulelwe, kuya kufuneka uqiniseke ukuba uthatha isongezelelo sokutya esine-folic acid-ukusebenza kolunye uhlobo lwe-folate kwisidlo sakho ngokwendalo akunakwanela. Inkqubo ye- i-CDC Iwebhusayithi inezixhobo ezifanelekileyo kakhulu kwaye ungathatha imibuzo ukuze uvavanye ulwazi lwakho lomntu!