Ezona Vithamini zibalaseleyo zokuBeleka ngaphambi kokuzalwa, ngokuka-Ob-Gyns (Kwaye, kutheni uzifuna kwindawo yokuqala)

Umxholo

• Zithini iivithamini zokubeleka, kwaye kutheni uzifuna?
• Kufuneka uqale nini ukuthatha iivithamini zaphambi kokubeleka?
• Ziziphi izithako omele uzijonge kwi-vitamin efanelekileyo yokubeletha?
• Ezona Vitamin zangaphambi kokubeleka, ngokweOb-gyns
• Uphengululo lwe

Ukufumanisa ukuba zeziphi iivithamini omele uzithathe ukongeza isondlo sakho ziyadida ngokwaneleyo. Phosa enye into kulo mxube—njengomntu okhulela ngaphakathi kuwe!—yaye loo nto iphakamisa ngokwenene. Ukuba ukhulelwe (okanye uceba ukwandisa usapho lwakho), nantsi into omawuyazi malunga nokuba kutheni ufuna iivithamini zangaphambi kokubeleka kunye nezona vitamin zaphambi kokubeleka ezithathwa yi-ob-gyns. (Eyeleleneyo: Ngaba iiVithamini ezenzelwe wena ngokwenene zifanelekile?)

Zithini iivithamini zokubeleka, kwaye kutheni uzifuna?

Bonke abantu basetyhini abakhulelweyo okanye abazama ukukhulelwa badinga ivithamini yokubeleka, kuba ingumthombo ophambili wesondlo emzimbeni wakho nakumntwana wakho okhulayo, utshilo uRomy Block, MD, ingcali eqinisekiswe yibhodi kumayeza endocrine kunye umseki weVitamin yakho.

Njenge-multivitamin yakho yemihla ngemihla, iivithamini zaphambi kokubeleka zenzelwe ukugcwalisa isikhewu kwizakhamzimba onokuthi uzilahle okanye ufuna ukuzinyusa ngelixa ukhulelwe (ukugula kwasekuseni kuyinyani, abantu-kuyaqondakala ngokupheleleyo ukuba ukutya kwemifuno yakho kuyabetha). Ngaphezu koko, ezi gummies kunye neepilisi zigcwele iivithamini ezongezelelweyo kunye nezondlo ezifunwa ngumzimba wakho ukuze ukhulise umntwana osempilweni.

Umzekelo, i-folate okanye i-folic acid ibaluleke kakhulu ngaphambi nangexesha lokukhulelwa, njengoko inceda ukukhusela iziphene zokuzalwa kwengqondo yomntwana kunye nomqolo, ngokwe American College of Gynecology (ACOG). Ngelixa unokufumana i-folic acid ekutyeni okufana nesipinashi, amahlumela aseBrussels, kunye ne-asparagus, kunokuba nzima ukufikelela kwisixa esicetyiswayo semihla ngemihla ukusuka kwi-noshing kule veggies eluhlaza.

Omnye umzekelo omhle? Icalcium. Ukuba awunayo i-calcium eyaneleyo yokuxhasa ukukhula kwamathambo omntwana wakho, umntwana unokukwazi ukutsala oko akufunayo emathanjeni akho, ngokweNational Institute of Health (NIH). Ke, ivithamin yangaphambi kokubeleka inokunceda ekuncediseni ukutya kwakho ukukunceda ufumane ezona zixa zilungileyo zezondlo ezingundoqo kwimpilo yakho kunye neyomntwana.

I-doc yakho inokucebisa ukuba uthathe iivithamini zokubeleka emva umntwana wakho uzelwe. Xa ukhulelwe, umzimba wakho uba "uphele zizakhamzimba," ke ngokuqhubeka nokuthatha ukubeleka okanye ukutshintshela ivithamini yasemva kokubeleka kunokukunceda ufumane izondlo ezilahlekileyo, ucacisa uGqirha uBlock (onxulumene noko: Kwizongezo)

Kufuneka uqale nini ukuthatha iivithamini zaphambi kokubeleka?

UGqr. Block ucebisa ukuba uqalise i-vitamin yaphambi kokubeleka kwisithuba seenyanga ezintathu ukuya kwezintandathu xa uceba ukukhulelwa. Kungenxa yokuba uninzi lweevithamini ezinyibilikayo ezityebileyo ezithandwa ngabantu basetyhini, ezinjengevithamini D, zinokuba sezantsi ngaphambi kokukhulelwa, kwaye kungathatha iinyanga ezininzi ukuphucula amanqanaba akho, utshilo. (Psst...ungafuna ukuphonononga inkqubo yakho yokuzilolonga njengoko umthambo unokuchaphazela ukuchuma kwakho.)

Kuya kufuneka uqale ukuthatha i-400-700 micrograms ye-folic acid yonke imihla ubuncinci kwinyanga enye ngaphambi kokukhulelwa kwikota yokuqala, kulandele idosi yemihla ngemihla ye-600 micrograms kwikota yesibini neyesithathu, utshilo u-Adrian Del Boca, MD, MS, FACOG, ibhodi eqinisekisiweyo ye-ob-gyn kwi-Miami Obstetrics Gynecology. I-Folic acid ibalulekile ngexesha lokukhulelwa kuba inceda ukwenza ityhubhu ye-neural ekhula ibe ngumnqonqo womntwana, umqolo, ingqondo, kunye nokakayi, ngokutsho kwamaZiko oLawulo lweSifo kunye noThintelo (CDC).

Ziziphi izithako omele uzijonge kwi-vitamin efanelekileyo yokubeletha?

Ngokubanzi, kuya kufuneka ujonge iivithamini zaphambi kokubeleka ezibandakanya izithako ezine: i-B6, i-folic acid, iodine, kunye nentsimbi, utshilo uMary Jacobson, MD, ugqirha wezonyango oqinisekisiweyo webhodi kunye ne-gynecologist kunye nomphathi wezonyango kwi-Alpha Medical.

Abafazi abakhulelweyo kufuneka bajonge ukuhlangabezana nemali ecetyiswayo yemihla ngemihla yee-micrograms ezingama-400 ze-folic acid, i-600 IU ye-vitamin D, i-27 mg yentsimbi, kunye ne-1,000 mg ye-calcium, ngokwe-ACOG. Kodwa ngenxa yokuba zijongwa njengezongezelelo, iivithamini zangaphambi kokubeleka azilawulwa yi-Food and Drug Administration (FDA), kwaye ke, ayinakuqulatha izixa ezifanelekileyo zesithako ngasinye.

Ukunceda, kukho izinto ezimbini ekufuneka uzijonge kwipakethe yokuqinisekisa ukuba ivithamin yangaphambi kokubeleka isemthethweni: Iindlela zokuSebenza eziLungileyo okanye isitampu se-GMP esiqinisekisa ukuba isongezelelo sokutya siqulethe yonke into esiyithethayo kunye ne-United States Pharmacopeia (USP) uphawu oluqinisekisiweyo lunikiwe. izongezo ezithe zanelisa ubunyani obungqongqo kunye neemfuno zokhuseleko.

Ngoku, kutheni zibaluleke kangaka ezi zondlo? I-Vitamin D kunye ne-calcium zisebenza kunye ukukhulisa amathambo omntwana wakho kunye namazinyo, kwaye ivithamin D ikwabalulekile kulusu olusempilweni kunye nokubona kosana lwakho, ngokwe-ACOG. Xa ukhulelwe, umzimba wakho ufuna i-iron eyongezelelweyo-iphindwe kabini imali oyifunayo xa ungekho nomntwana-ukwenza igazi elininzi lokubonelela ngeoksijini emntwaneni. (Idibeneyo: Ungayifumana njani i-Iron eyaneleyo ukuba awutyi inyama)

Iivithamini zaphambi kokubeleka zinokuba nezongezo ezongezelelekileyo ezinje nge-omega-3 fatty acids (ngakumbi iDHA), eziye zaboniswa ukunciphisa amaxabiso okuzalwa ngaphambi kwexesha kunye noxinzelelo koomama, kunye nokudlala indima ekukhuleni komntwana, utshilo uGqirha Brauer. (FYI: Unokufumana i-omega-3s ekutyeni okutyebileyo kwiintlanzi kunye ne-flaxseeds kunye nokutya okuqinisiweyo kwemifuno.)

Oko kwathiwa, khumbula iingcebiso ze-ACOG zizo Ubuncinci amanani-ngoko abafazi abanembali yeziphene ze-neural tube, ezibandakanya ukukhula okungaphelelanga kwengqondo, umqolo, okanye intambo yomgogodla, ngokutsho kwe-ACOG, okanye ngubani onokuthi athathe amayeza athile athintela ukufunxwa kwevithamini (njengeproton-pump inhibitors efana I-Prilosec yesifo sokuqaqamba kwentliziyo), inokufuna iidosi eziphezulu, utshilo u-Anate Brauer, MD, i-endocrinologist eqinisekisiweyo yokuzala kunye ne-ob-gyn eShady Grove Fertility kwisiXeko saseNew York. Ukukhulelwa kwabantwana ababini okanye ngaphezulu kudla ngokufuna iidosi eziphezulu ze-calcium kunye nentsimbi, wongezelela.

Yikholelwe okanye ungayikholelwa, nangona kunjalo, yona ngu kunokwenzeka ukuba uhambe ngokugqithisileyo ngeevithamini zangaphambi kokubeleka. "Kungenxa yokuba intwana ilungile kuwe ayithethi ukuba yonke into ilungile nakuwe," utshilo uGqirha Block. Ngapha koko, ivithamin E eninzi iye yanxulunyaniswa neentlungu esiswini kunye neembumba zesisu ezaphukileyo (ukophuka kwamanzi) ekukhulelweni, kunye nevithamin A engaphezulu kunokukhokelela kukungahambi kakuhle kwimveku, ucacisa uGqirha Block.

Ezona Vitamin zangaphambi kokubeleka, ngokweOb-gyns

Soloko uthetha nogqirha wakho malunga nokusetyenziswa kweevithamini kunye nokusetyenziswa xa ukhulelwe (okanye ngenye indlela), njengoko eya kuba nakho ukucebisa ngeyona ndlela ifanelekileyo yezidingo zakho ezizodwa kunye nembali yezonyango. Kwaye khumbula, zonke iivithamini zaphambi kokubeleka kufuneka zikuncede — hayi ukuzongeza — ukutya okusempilweni okubandakanya izakha mzimba kunye nosana, utshilo uGqirha Del Boca. (Sithetha ngantoni, kangakanani kufanele utya ngexesha lokukhulelwa?)

Kunokuba nzima ukuthelekisa iimveliso, njengoko umfazi ngamnye eneemfuno ezizezinye xa kuziwa kwiivithamini zokubeleka kwaye azilawulwa yi-FDA, utshilo uGqirha Brauer, kodwa nazi ezinye zezona zikhetho ziphambili zeengcali.

1. One A Day Prenatal 1 Multivitamin (Yithenge, i-$ 20 yee-capsules ezingama-60, amazon.com)

Kukhetho lwe-OTC olufikelelekayo nge-omega-3 fatty acids, olu lukhetho lobulumko, utshilo uGqirha Jacobson. Khumbula: i-omega-3 fatty acids ibonakalisiwe ukunceda ekukhuleni kwengqondo yomntwana ngaphambi nasemva kokuzalwa, ngokwe-ACOG. (Ikwapakishwe ngesithako sibalulekileyo? Umrhumo omtsha wevithamin waphambi kokubeleka.)

2. 365 Ixabiso lemihla ngemihla kwiGummies zaphambi kokubeleka (Yithenge, $ 12 nge-120 gummies, amazon.com)

Olu hlobo luqulathe ii-enzymes zokugaya ukutya ukunceda isisu esiphazamisayo esiswini esibangelwa kukukhulelwa, utshilo uHeather Bartos, MD, ob-gyn oqinisekiswe yibhodi ngaphandle kweDallas, eTexas. Ukuba ufuna i-vitamin engaphambi kokubeleka enokukunceda ukuba ube nesisu esibuhlungu, jonga enye equle ubuncinci iiyunithi ezingama-20 000 zee-enzyme zokugaya ukutya ezinje nge-amylase, lipase, protease, okanye i-lactase, uyongeza.

3. Isitiya soBomi seVitamin Code eluhlaza ngaphambi kokubeleka (Yithenge, $ 27 ngeephilisi ezingama-90, amazon.com)

Olu lukhetho lwemifuno, olukhuselekileyo lokutya olubandakanya i-probiotics, utsho uGqr Jacobson. Ukuguquguquka kweHormonal ekukhulelweni kunokubangela utshintsho kwiintshukumo zamathumbu kunye neeprobiotics zinokunceda ukulawula ukugaya. (Idibeneyo: Thenga yonke into endifumene nayo kwi-Trimester yam yokuqala yokukhulelwa)

4. Indalo Yenziwe Yaphambi Kokubeleka Ii-Softgels ze-DHA eziLiquid ezininzi (Thenga It, $21 for 150 softgels, amazon.com)

Oku kuya kwi-vitamin brand prenatal iqulethe zonke izixa ezicetyiswayo zeevithamini kunye ne-DHA (eye yaboniswa ukunceda ukuphuhlisa ingqondo yomntwana kunye nemisebenzi yokuqonda), kwaye kulula esiswini (kuninzi lwabasetyhini) kwaye kulula ukuginya, utsho uGqr. IBrauer.

5. Amayeza eVithamini asandula ukuzalwa (Yithenge, $ 75 yokubonelela ngeentsuku ezingama-91, amazon.com)

UGqr. Brauer uncoma le brand ye-imeyile ye-imeyile kungekuphela nje kwiivithamini zangaphambi kokubeleka kodwa kunye nezongezo zayo ezenzelwe kwangaphambili kunye nasemva kokukhulelwa.

6. Ibhulukhwe eyi-Smarty ifomula ngaphambi kokubeleka (Yithenge, $ 16 nge-30 gummies, amazon.com)

Ukuba ujongene nesicaphucaphu kunye/okanye ujonge ukhetho ekulula ukuluthatha kunokuba, yithi, ipilisi ene-chunky, yiya kwindawo encinci, ukhetho lwentsini olufana nale mveliso icetyiswa nguGqr Jacobson. Qaphela ukuba i-gummy kunye neevithamini ezihlafunwayo zonke ziya kuba nenani elincinci lolunye uhlobo lweswiti, ke ukuba unovakalelo kwizithambisi okanye unembali yosapho yeswekile, zama ifomathi yeepilisi endaweni yoko, utshilo.

7. Amacwecwe eCitraNatal B-Calm Prenatal Supplement Tablets (Ummiselo kuphela, citranatal.com)

Udinga amayeza kagqirha wale vithamini yokubeleka, utshilo uGqirha Brauer, kodwa lukhetho olukhulu kubafazi abaqhele ukugula kwasekuseni. Iqulethe ivithamini B6, eboniswe ukunceda ukunciphisa isicaphucaphu nokugabha ngexa lokukhulelwa. (Uninzi lwabasetyhini bahamba kakuhle ngaphambi kokubeleka, ngaphandle kokuba baneemfuno ezizodwa zempilo okanye ukusilela okukhulu, utshilo uGqirha Bartos.)

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