ʻO ka pale ʻana i ka maʻi ʻino Folic

Lawe i ka waikawa folic ma mua a i ka wā o ka hāpai ʻana hiki ke hōʻemi i ka makaʻu o kekahi hānau kīnā. Hoʻopili kēia i ka spina bifida, anencephaly, a me kekahi mau kīnā ʻole o ka puʻuwai.

Paipai nā loea i nā wahine i hiki ke hāpai a i ʻole e hoʻolālā e hāpai e lawe ma ka liʻiliʻi he 400 micrograms (µg) o ka waikawa folic i kēlā me kēia lā, ʻoiai inā ʻaʻole lākou e manaʻo e hāpai.

ʻO kēia no ka mea he nui nā hāpai hāpai ʻole i hoʻolālā ʻia. Eia kekahi, hana pinepine nā kīnā hānau i nā lā mua ma mua o kou ʻike he hāpai ʻoe.

Inā hāpai ʻoe, pono ʻoe e lawe i kahi wikamina prenatal, e hoʻopili ʻia me ka waikawa folic. ʻO ka hapa nui o nā huaora prenatal he 800 a 1000 mcg o ka folic acid. ʻO ka lawe ʻana i multivitamin me ka waikawa folic e kōkua e hōʻoia i ka loaʻa ʻana o nā huaola āpau āu e pono ai i ka wā hāpai.

ʻO nā wahine me ka mōʻaukala o ka hānau ʻana i kahi pēpē me kahi kīnā neural tube e pono ai i kahi ʻoi loa o ka folic acid. Inā loaʻa iā ʻoe kahi pēpē me kahi kīnā neural tube, pono ʻoe e lawe i 400 µg o ka folic acid i kēlā me kēia lā, ʻoiai ʻoe e hoʻolālā ʻole ana e hāpai. Inā ʻoe e hoʻolālā e hāpai, pono ʻoe e kamaʻilio me kāu kauka e pili ana inā e hoʻonui ʻoe i kāu lawe ʻana i ka waikawa folic i 4 milligrams (mg) i kēlā me kēia lā i ka mahina ma mua o kou hāpai a hiki i ka hebedoma 12th o ka hāpai ʻana.

Kāohi i nā kīnā hānau me folic acid (folate)

• ʻO ka trimester mua o ka hāpai ʻana
• ʻAkika Folic
• Nā pule mua o ka hāpai ʻana

ʻO Carlson BM. Nā maʻi ulu: nā kumu, nā hana, a me nā kumu. I: Carlson BM, hoʻoponopono. Kanaka Embryology a me Developmental Biology. ʻElua huaʻōlelo St Louis, MO: Elsevier; 2019: chap 8.

Danzer E, Rintoul NE, Adzrick NS. Pathophysiology o nā kīnā neural tube. I: Polin RA, Abman SH, Rowitch DH, Benitz WE, Fox WW, eds. ʻO Fetal and Neonatal Physiology. 5th lā. Piladelapia, PA: Elsevier; 2017: chap 171.

ʻO ka Hana Hana Hana Hana Preventive US; Bibbins-Domingo K, Grossman DC, et al. ʻO ka Folic acid no ka pale ʻana i nā kīnā neural Tube: US Preventive Services Task Force Hōʻike Manaʻo. JAMA. 2017; 317 (2): 183-189. PMID: 28097362 www.ncbi.nlm.nih.gov/pubmed/28097362.

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