Inā ʻoe e kali ana i kahi pēpē olakino, he mea nui loa ia e olakino pū kekahi ʻoe. ʻO kekahi o nā mea nui e hiki ke kōkua i ka pale ʻana i kāu pēpē mai ka loaʻa ʻana o nā kīnā hānau koʻikoʻi, ʻo ia ka loaʻa ʻana o ka waikawa folic lawa i kēlā me kēia lā. He mea nui loa kēia ma mua o kou hāpai ʻana a i nā mahina mua o ka hāpai ʻana. No laila, e aʻo hou kākou e pili ana i ka waikawa folic i kēia lā.
He aha ka waikawa folic?
I ka ʻōlelo maʻalahi, ʻo ka waikawa folic kahi ʻano o ka huaora B. ʻOi aku ka pololei, ʻo ia ka huaora B9 . I kekahi manawa ua kapa ʻia ʻo folate, ʻo ia ke ʻano i loaʻa maoli i nā meaʻai. ʻO ka waikawa Folic ke ʻano i hoʻohui ʻia i nā mea hoʻohui a me nā meaʻai i hoʻoikaika ʻia. Loaʻa pinepine ʻia ia i nā mea kanu ʻōmaʻomaʻo ʻeleʻele. No ka laʻana, broccoli, spinach, a me nā greens collard . Loaʻa pū kekahi i nā legumes e like me nā pī, nā pi, nā pī ʻōmaʻomaʻo, a me nā lentils, a me nā palaoa i hoʻoikaika ʻia. Loaʻa pū kekahi i kekahi mau hua e like me nā ʻalani a me nā avocados.
He aha nā pōmaikaʻi o ka waikawa folic?
I kēia manawa, ke noʻonoʻo nei paha ʻoe, 'No ke aha he mea nui ka waikawa folic?' ʻOiaʻiʻo, ʻo kēlā me kēia wahine hāpai a i ʻole e hoʻāʻo nei e hāpai, pono e loaʻa i ka liʻiliʻi he 400 micrograms (400 mcg), a i ʻole 0.4 milligrams (0.4 mg), o ka waikawa folic i kēlā me kēia lā. He mea nui loa ia e lawe i kēia ma mua o ka hāpai ʻana a no ka liʻiliʻi he ʻekolu mahina ma hope o ka hāpai ʻana. Ua hōʻike ʻia nā haʻawina lapaʻau like ʻole e hiki i ka lawe ʻana i ka waikawa folic ma kēia ʻano ke hōʻemi nui i ka pilikia o nā kīnā neural tube koʻikoʻi i ka pēpē, ma waena o 50% a me 70%.
E noʻonoʻo i ka nui o ka palekana e hiki i kahi mea liʻiliʻi ke hāʻawi no ke ola o kāu pēpē!
He aha nā hemahema o ka Neural Tube?
ʻO nā kīnā neural tube he mau kīnā hānau e kū mai ana i ka wā e ulu pono ʻole ai ka lolo a me ke kaula spinal o ka pēpē. Loaʻa pinepine lākou i nā pule mua o ka hāpai ʻana. ʻO ia hoʻi, ma mua o ka ʻike ʻana o ka makuahine ua hāpai ʻo ia. ʻO kēia ka ʻāpana weliweli loa o ka pilikia. No ka mea, i kēlā manawa, ua hoʻomaka mua nā ʻano kumu o ka ʻōnaehana nerve o ka pēpē e hana.
ʻO nā ʻano nui o nā kīnā neural tube e hiki ke ʻike ʻia:
Aia kekahi mau ʻano nui o nā hemahema o ka neural tube:
- ʻO ka Spina Bifida:ʻO kēia ka manawa ʻaʻole e pani piha ʻia ke kaula kuamoʻo a me ke kolamu kuamoʻo o ka pēpē. I ka pololei, aia kahi hakahaka liʻiliʻi ma kekahi wahi o ka iwi kuamoʻo. Hiki i ke kaula kuamoʻo a me nā aʻalolo ke puka mai loko mai o kēia hakahaka. Hiki i kēia ke kumu i ka paʻakikī o ka pēpē e hele, a me nā pilikia me ka ʻōpū mimi a me ka kaohi ʻana i ka ʻōpū.
- ʻAnencephaly: He kūlana kēia kahi e ulu pono ʻole ai ke poʻo o ka pēpē, ke poʻo, a me ke alo a me ka piko o ka lolo. He kūlana koʻikoʻi loa kēia. Make pinepine kēlā mau pēpē i loko o ka ʻōpū a i loko o kekahi mau hola o ka hānau ʻana.
- Encephalocele: Ma kēia kūlana, puka mai ka ʻiʻo lolo ma o ka ʻili ma o kahi puka liʻiliʻi i loko o ke poʻo. He kūlana koʻikoʻi nō hoʻi kēia, a ʻoiai hiki ke hoʻoponopono ʻia i kekahi ʻano me ke ʻoki ʻana, hiki iā ia ke hana i nā pilikia lōʻihi.
ʻIke ʻia kēia mau kīnā āpau i loko o nā lā 28 mua o ka hāpai ʻana. ʻO ia hoʻi, ma mua o ka ʻike ʻana o ka wahine ua hāpai ʻo ia. E noʻonoʻo i ka wikiwiki o kēlā hiki ke hana! ʻO ia ke kumu a mākou e ʻōlelo ai e hoʻomaka e lawe i ka waikawa folic i ka wā e hoʻomaka ai ʻoe e noʻonoʻo e loaʻa kahi pēpē.
No ke aha i ʻōlelo ʻia ai he pono i kēlā me kēia wahine e hāpai ana i kahi keiki ke lawe i ka folic acid?
ʻO ia ke kumu he mea nui i nā wāhine a pau o ka makahiki hānau keiki (ma waena o 15-49 mau makahiki) ke loaʻa ka lawa o ka folic acid. ʻAʻole wale kēia e pili ana i ka poʻe e hoʻolālā ana e loaʻa kahi keiki, akā, i kekahi mea hiki ke hāpai i kēlā me kēia manawa. No ka mea, ʻo ka hapalua (50%) o nā hāpai ʻana a pau ma ka honua he mau hāpai i hoʻolālā ʻole ʻia. No laila, inā he kanaka i ka makahiki hānau keiki, ʻoi aku ka maikaʻi e hōʻoia i ka loaʻa ʻana o ka lawa o ka folic acid. No ka mea, i ka manawa e ʻike ai ʻoe ua hāpai ʻoe, ua lohi paha.
Pehea e kōkua ai ka waikawa folic i ka pale ʻana i kēia mau hemahema?
ʻAʻole maopopo loa ke kumu ʻepekema pololei no ke kumu e pale ai ka waikawa folic i nā hemahema neural tube. Eia nō naʻe, ʻike nā loea he mea nui ia no ka ulu ʻana a me ka hoʻoponopono ʻana i nā mea genetic i kapa ʻia ʻo DNA (Deoxyribonucleic Acid) . ʻO ka DNA ke kumu kumu o ko mākou kino, i loaʻa i loko o kā mākou mau cell a hoʻoholo i ko mākou mau ʻano āpau. No laila, he kuleana nui ka waikawa folic i nā mea e like me ka ulu ʻana o nā cell, ka ulu ʻana o nā cell, a me ka hoʻokumu ʻana o nā ʻiʻo. ʻOiai ʻo kēia mau kaʻina hana e hana wikiwiki loa i nā pae mua o ka ulu ʻana o kahi pēpē, kiʻekiʻe loa ka pono no ka waikawa folic. Inā ʻaʻole i hoʻokō pono ʻia kēlā pono, hiki ke loaʻa nā hemahema i ʻōlelo ʻia ma luna.
Pehea e loaʻa ai ka nui o ka waikawa folic?
ʻO ka nīnau i kēia manawa, 'Pehea lā e loaʻa ai iā kākou ka lawa o ka folic acid?' Ma kekahi mau ʻāina, no ka laʻana ma ʻAmelika Hui Pū ʻIa, ua koi ʻia nā mea hana meaʻai e ka Food and Drug Administration (FDA) e hoʻohui i ka folic acid i kā lākou huahana palaoa i hoʻonui ʻia. Ma Sri Lanka, ua hoʻohui pū ʻia ka folic acid i kekahi mau palaoa, berena, a me nā cereals ma kēia ʻano. No laila, hiki iā ʻoe ke koho i nā cereals ʻaina kakahiaka, nā berena, nā pasta, a me ka laiki ma ka nānā ʻana inā loaʻa iā lākou kahi hapa o ka nui o ka folic acid i ʻōlelo ʻia i kēlā me kēia lā. ʻIke pinepine ʻia kēia ʻike ma ka lepili huahana.
Eia nō naʻe, no nā wāhine he nui, ʻaʻole lawa ka loaʻa ʻana o ka nui o ka folic acid e pono ai lākou mai nā meaʻai i hoʻoikaika ʻia. No ka hiki ʻana i ka pae i ʻōlelo ʻia i kēlā me kēia lā, pono pinepine ʻoe e lawe i kahi mea hoʻohui huaora . ʻOi loa i ka wā hāpai, pono ʻoe i nā meaʻai koʻikoʻi a pau ma mua o kou hāpai ʻana.
ʻO nā huaora prenatal, i ʻike ʻia hoʻi he mau huaora prenatal , ʻaʻole ia he pani no kahi ʻai kaulike. ʻO ia hoʻi, ʻaʻole hiki iā ʻoe ke hoʻōki i ka ʻai maikaʻi a lawe wale i nā huaora. Eia nō naʻe, hiki i ka lawe ʻana i nā huaora prenatal ke kōkua i ka hāʻawi ʻana i kou kino a me kāu pēpē i nā huaora a me nā minelala e pono ai lākou. Loaʻa i ka nui o nā huaora prenatal ka waikawa folic. Paipai kekahi mau mea mālama ola kino, e like me nā kauka, e lawe i kahi mea hoʻohui waikawa folic ma waho aʻe o nā huaora prenatal, ʻoiai inā he mau kumu pilikia kāu. No laila, ʻoi aku ka maikaʻi o ke kamaʻilio ʻana me kāu kauka e pili ana i ka nui o ka waikawa folic āu e lawe ai i kēlā me kēia lā. A laila hiki iā ia ke hoʻoholo inā he mea hoʻohui i kuhikuhi ʻia, kahi mea hoʻohui ma luna o ke kauka, a i ʻole nā mea ʻelua e kūpono iā ʻoe.
He aha kāu e hana ai i nā manawa kūikawā?
Eia kekahi mea hou aʻe. Inā ua loaʻa iā ʻoe kahi pēpē i hoʻopilikia ʻia e kahi kīnā neural tube i ka hāpai ʻana ma mua, a inā paha ua loaʻa iā ʻoe a i ʻole kāu hoa kahi maʻi like (e.g., spina bifida), pono ʻoe e haʻi i kāu kauka e pili ana i kēlā.Inā pēlā, e ʻōlelo paha kāu kauka e lawe ʻoe i kahi mahele nui o ka waikawa folic ma mua o ka nui maʻamau (ʻo ia hoʻi ma mua o 400 mcg), malia paha he 4000 mcg (4mg) a i ʻole 5000 mcg (5mg) i kēlā me kēia lā. Hiki ke ʻōlelo ʻia iā ʻoe e lawe i kēia mahele nui no kekahi mau mahina ma mua o kou hāpai ʻana. Eia kekahi, ʻo ka poʻe me kekahi mau maʻi olakino, e like me ka maʻi diabetes mellitus, ka maʻi epilepsy, a me ka poʻe e lawe ana i kekahi mau lāʻau lapaʻau, pono paha i ka waikawa folic hou aku. No laila, he mea nui loa ke kamaʻilio ākea me kāu kauka e pili ana i kou olakino.
I ka hōʻuluʻulu manaʻo (Leka Lawe-Home)
ʻAe, e hōʻuluʻulu kākou i kekahi o nā mea e pono ai ʻoe e hoʻomanaʻo mai nā mea a mākou i kamaʻilio ai.
- He mea nui ka waikawa Folic no ka ulu ʻana o kahi pēpē olakino, ʻoiai hoʻi ka ulu ʻana o ka lolo a me ke kaula kuamoʻo.
- He mea nui loa ia no nā wāhine a pau e hāpai ana i kahi pēpē a hiki i ka wā hānau keiki e loaʻa i 400 micrograms (400 mcg) o ka folic acid i kēlā me kēia lā . He mea nui kēia ma mua o ka hāpai ʻana a i nā mahina mua ʻekolu o ka hāpai ʻana.
- Hoʻemi nui ka waikawa Folic i ka pilikia o nā maʻi koʻikoʻi e like me nā kīnā neural tube e like me ka spina bifida a me ka anencephaly .
- Hoʻomaka pinepine kēia mau kīnā i nā pule mua o ka hāpai ʻana, ma mua o ka ʻike ʻana o ka makuahine ua hāpai ʻo ia. No laila he mea nui e hoʻomākaukau mua.
- Ma waho aʻe o nā meaʻai i hoʻoikaika ʻia, he mea nui loa ia e lawe i nā mea hoʻopihapiha folic acid a i ʻole nā vitamina prenatal e like me ke kauoha a kāu kauka .
- Inā ʻoe a i ʻole kekahi o kou ʻohana i loaʻa kahi moʻolelo o nā kīnā neural tube, a inā he mau maʻi mau ʻē aʻe kāu, e kamaʻilio pono me ke kauka no ka ʻōlelo aʻo.
E hoʻomanaʻo, ʻo kou olakino ke kaʻina mua i ke olakino o kāu pēpē. ʻO ka Folic Acid kekahi o nā kaʻina maʻalahi, makepono, a koʻikoʻi loa hiki iā ʻoe ke hana! No laila, mai hoʻowahāwahā i kēia.
ʻAkika Folic, Hāpai Keiki, Nā Kīnā Hānau, Nā Kīnā ʻŌpū Neural, Wikamina B9, Mālama Ma mua o ka Hānau ʻana, Hānau Ola Kino, ʻAkika Folic, Hāpai Keiki, Nā Kīnā Hānau, Nā Kīnā ʻŌpū Neural, Mālama Ma mua o ka Hānau ʻana











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