He manawa nani loa ke kali ʻana e lilo i makuahine i ke ola. Eia kekahi, i loko o kēia manawa, pono ʻoe e noʻonoʻo nui e pili ana i ke olakino o ʻoe a me ke keiki liʻiliʻi i loko o kou ʻōpū. No laila i kēia lā ke kamaʻilio nei mākou e pili ana i kahi mea maʻalahi loa, akā he mea nui loa, e kōkua iā ʻoe e lawe mai i kāu pēpē i kēia ao me ke olakino. ʻO ia ka waikawa folic .
I ka ʻōlelo maʻalahi, he aha ka waikawa folic?
ʻO ka waikawa Folic kahi ʻano wikamina B. He ʻano hana ia o ka wikamina i kapa ʻia ʻo folate, ka mea i hana maoli ʻia i loko o ko mākou kino. I mea e pololei ai, lawe mākou i ka waikawa folic ma ke ʻano pila. Loaʻa iā mākou ka folate ma ke ʻano maoli mai nā mea e like me nā lau ʻōmaʻomaʻo a me nā hua citrus.
He mea nui loa kēia no ko kākou kino. He mea nui loa ia no ka hana ʻana o nā hunaola koko ʻulaʻula. Akā, ʻoi aku ka nui o ke kuleana o ka waikawa folic i ka wā hāpai . ʻO ia hoʻi, kōkua ia i ka neural tube, ke ʻano nui kahi i hoʻokumu ʻia ai ka lolo a me ke kaula spinal o kāu pēpē (ka ʻōnaehana nerve i loko o ka iwi kuamoʻo), e ulu pono. Inā ʻaʻole i pani pono ʻia kēia, hiki i ka pēpē ke loaʻa nā kīnā hānau koʻikoʻi.
I ka manawa hea ka maikaʻi loa e hoʻomaka ai e lawe i ka waikawa folic?
ʻO kēia kahi e kuhihewa ai ka poʻe he nui. Manaʻo ka poʻe he nui ke ʻike lākou e loaʻa ana iā lākou kahi pēpē, pono lākou e hoʻomaka e lawe i ka waikawa folic. Akā, ua hewa kēlā.
E noʻonoʻo i kēia: Hoʻomaka nā ʻōpū koʻikoʻi o kāu pēpē, e like me ka lolo a me ke kaula kuamoʻo, e hana i loko o nā pule 3-4 mua o ka hāpai ʻana. ʻO ia hoʻi, ma mua o kou ʻike ʻana ua hāpai ʻoe. No laila he mea nui e loaʻa iā ʻoe nā pae folate kūpono i loko o kou kino i kēlā manawa koʻikoʻi.
ʻO ia ke kumu e ʻōlelo ai nā kauka inā ʻoe e hoʻolālā ana e loaʻa kahi pēpē, e hoʻomaka ʻoe e lawe i ka waikawa folic mai ka manawa āu e hoʻolālā ai e loaʻa . Ua ʻike kekahi mau noiʻi ua hiki i nā makuahine i lawe i ka waikawa folic ma ka liʻiliʻi o hoʻokahi makahiki ma mua o ka hāpai ʻana ke hōʻemi i ka pilikia o ka loaʻa ʻana o kahi pēpē hānau mua ma kahi o 50%.
Ua ʻōlelo ka World Health Organization i nā wāhine a pau o ka makahiki hānau keiki e lawe i ka waikawa folic i kēlā me kēia lā. No laila he manaʻo maikaʻi e hoʻomaka koke. Inā ua hāpai mua ʻoe, he manaʻo maikaʻi e nānā me kāu kauka e hōʻoia i ka loaʻa ʻana o ka nui kūpono o ka waikawa folic i kāu huaora prenatal.
ʻEhia ka nui o ka waikawa folic e pono ai ke lawe i kēlā me kēia lā?
ʻOkoʻa nā dosage i ʻōlelo ʻia ma muli o ke kūlana. Hiki i kāu kauka ke hāʻawi iā ʻoe i ka ʻike maopopo loa o kēia. Eia nō naʻe, eia nā dosage i ʻōlelo ʻia ma ke ʻano laulā:
| Manawa kūpono | Ka nui i manaʻo ʻia o ka waikawa folic i kēlā me kēia lā |
|---|---|
| I ka hoʻolālā ʻana no kahi keiki | 400 maikokalama (400 mcg) |
| ʻO nā mahina 3 mua o ka hāpai ʻana | 400 maikokalama (400 mcg) |
| Mai ka mahina 4 a hiki i ka mahina 9 o ka hāpai ʻana | 600 maikokalama (600 mcg) |
| I ka wā e hānai ai i ka waiū | 500 maikokalama (500 mcg) |
He hanana e pono ai ka nānā kūikawā
Inā ua loaʻa iā ʻoe kahi pēpē me kahi kīnā neural tube ma mua, hiki i kāu kauka ke ʻōlelo aku i kahi mahele kiʻekiʻe o ka folic acid (e like me 4000 mcg a i ʻole 4 mg i kēlā me kēia lā) no kou hāpai ʻana aʻe. I kēia hihia kūikawā, pono ʻoe e kamaʻilio me kāu kauka a hahai i kāna ʻōlelo aʻo.
He aha nā pōmaikaʻi nui o ka lawe ʻana i ka waikawa folic?
E like me kā mākou i kūkākūkā ai ma mua, inā ʻaʻole lawa ka waikawa folic i ke kino, ʻaʻole paha e pani pono ka ʻōmole neural o ke pēpē. Inā hana ʻia kēia, hiki iā ia ke hana i nā kīnā hānau koʻikoʻi loa no ke ola holoʻokoʻa.
- Spina bifida: He kūlana kēia kahi i ulu pono ʻole ai ke kaula spinal a i ʻole nā vertebrae o ka iwi kuamoʻo. Hiki i kēia ke kumu i ke kīnā mau loa i ke keiki.
- Anencephaly: He kūlana kēia kahi e hiki ʻole ai i nā ʻāpana koʻikoʻi o ka lolo ke ulu piha. ʻAʻole ola lōʻihi nā keiki me kēia kūlana.
Hiki ke hopohopo kēia mau mea ke lohe. Akā, ʻo ka nūhou maikaʻi , hiki i ka lawe ʻana i ka waikawa folic ke hōʻemi i ka pilikia o nā kīnā neural tube ma ka liʻiliʻi he 50%. ʻOiai inā ua loaʻa i kahi makuahine kahi keiki me kēia maʻi ma mua, hiki ke hōʻemi ʻia ka pilikia o ka loaʻa ʻana o kahi keiki ʻē aʻe me kēia maʻi ma kahi o 70%.
Eia kekahi, ʻo ka lawe ʻana i ka waikawa folic ma mua a i ka wā hāpai hiki ke pale i ka pēpē mai nā kūlana e like me:
- Lehelehe māwae a me ka lehelehe
- Ka hānau mua ʻana
- Nā pēpē kaumaha hānau haʻahaʻa
- Nā hāʻule ʻana o ka hāpai keiki
- Ka ulu ʻana o ka pēpē i loko o ka ʻōpū i hoʻopilikia ʻia
He mea maikaʻi nō hoʻi ka waikawa Folic no ke olakino o ka makuahine. Ua hōʻike ʻia hoʻi e hiki i ka waikawa folic ke kōkua i ka hōʻemi ʻana i ka pilikia o nā pilikia i ka wā hāpai e like me ka preeclampsia, ka maʻi puʻuwai, ka hahau ʻana, kekahi ʻano maʻi kanesa, a me ka maʻi Alzheimer.
He aha nā meaʻai i waiwai i ka folate?
Ma waho aʻe o ka lawe ʻana i nā pila folic acid, he mea nui loa hoʻi e ʻai i ka meaʻai waiwai i ka folate.
| Meaʻai | Wehewehena |
|---|---|
| Nā mea kanu ʻōmaʻomaʻo ʻeleʻele | Nā mea e like me ka spinach a me ka kale . |
| Nā lentil a me nā nati | Nā mea e like me nā lentil, chickpeas, peas, a me nā pīni ʻōmaʻomaʻo . |
| Hua citrus | Nā huaʻai e like me nā ʻalani, nā tangerine, a me nā lime a me ko lākou wai. |
| Nā meaʻai ʻē aʻe | Nā hua manu, ke akepaʻa pipi, nā cereals ʻaina kakahiaka i hoʻoikaika ʻia me ka waikawa folic i hoʻohui ʻia. |
Leka Lawe-Home
- Inā ʻoe e hoʻolālā ana i kahi keiki, e hoʻomaka e lawe i ka folic acid (400 mcg) i kēlā me kēia lā ma ka liʻiliʻi o hoʻokahi mahina ma mua o ka hāpai ʻana.
- He mea nui loa ka lawe ʻana i ka waikawa folic i nā mahina 3 mua o ka hāpai ʻana.
- ʻO ka lawe ʻana i ka waikawa folic hiki ke pale i nā kīnā hānau koʻikoʻi (Neural Tube Defects) hiki ke hana i loko o ka lolo a me ke kaula spinal o ka pēpē.
- E kūkākūkā mau me kāu kauka e ʻike i ka nui kūpono o ka folic acid āu e pono ai a e koho i ke ʻano kūpono o ka huaora nāu.
- Ma waho aʻe o ka lawe ʻana i nā pila, e hoʻohui i nā meaʻai kūlohelohe i waiwai i ka folate, e like me ka spinach, nā lentil, a me nā ʻalani, i kāu papaʻai.
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