Amavithamini Ahamba Phambili Nokubeletha, Ngokuka-Ob-Gyns (Futhi, Kungani Uwadinga Kuqala)

-Delile

• Ayini amavithamini ngaphambi kokubeletha, futhi kungani uwadinga?
• Kufanele uqale ngokushesha kangakanani ukuthatha amavithamini angaphambi kokubeletha?
• Yiziphi izithako okufanele uzibheke kuvithamini yokukhulelwa okuhle?
• Amavithamini Angcono Kakhulu Wangaphambi Kokubeletha, Ngokusho kuka-Ob-gyns
• Buyekeza kwe-

Ukuthola ukuthi imaphi amavithamini okufanele uwathathe ukwengeza umsoco wakho kuyadida ngokwanele. Faka esinye isici kule ngxube—njengomuntu okhulela ngaphakathi kuwe!—futhi lokho kuphakamisa izigxobo ngempela. Uma ukhulelwe (noma uhlela ukwandisa umndeni wakho), nakhu okudingeka ukwazi ukuthi kungani udinga amavithamini angaphambi kokubeletha kanye namavithamini angaphambi kokubeletha akhethwe yi-ob-gyns. (Okuhlobene: Ingabe Amavithamini Enziwe Ngempela Afanele?)

Ayini amavithamini ngaphambi kokubeletha, futhi kungani uwadinga?

Bonke abesifazane abakhulelwe noma abazama ukukhulelwa badinga ivithamini ngaphambi kokubeletha, ngoba bangumthombo oyinhloko wezakhi zomzimba emzimbeni nasenganeni yakho ekhulayo, kusho uRomy Block, MD, onguchwepheshe oqinisekiswe ibhodi emithini ye-endocrine kanye ne-co- umsunguli weVous Vitamin.

Njenge-multivitamin yakho yansuku zonke, amavithamini okubeletha enzelwe ukugcwalisa igebe lezakhi zomsoco okungenzeka ukuthi awukho noma udinga ukukhulisa ngenkathi ukhulelwe (ukugula kwasekuseni kungokoqobo, abantu-kuqondakala ngokuphelele uma ukudla kwakho kwemifino kuphumelela). Futhi, la ma-gummies namaphilisi kugcwele amavithamini engeziwe nezakhi zomzimba okudinga umzimba wakho ukuze ukhule ube ngumntwana onempilo.

Isibonelo, i-folate noma i-folic acid ibaluleke kakhulu ngaphambi nangesikhathi sokukhulelwa, njengoba isiza ukuvimbela ukukhubazeka okukhulu kokuzalwa kwengane yomgogodla nomgogodla, ngokwe-American College of Gynecology (ACOG). Ngenkathi ungathola i-folic acid ekudleni okufana nesipinashi, amahlumela aseBrussels, kanye ne-asparagus, kungaba nzima ukufinyelela inani lansuku zonke elinconywayo kusuka ekunciphiseni nje kule mifino eluhlaza.

Esinye isibonelo esihle? I-calcium. Uma ungenayo i-calcium eyanele yokusekela ukukhula kwamathambo engane yakho, ingane ingase ikwazi ukudonsa lokho ekudingayo emathanjeni akho, ngokusho kweNational Institute of Health (NIH). Ngakho-ke, ivithamini yangaphambi kokubeletha ingasiza ekugcwaliseni ukudla kwakho ukuze ikusize uthole inani eliphelele lemisoco eyisihluthulelo sempilo yakho neyengane.

Udokotela wakho angase futhi aphakamise ukuthatha amavithamini ngaphambi kokubeletha ngemuva ingane yakho izelwe. Uma ukhulelwe, umzimba wakho "usuphelelwe izakhamzimba," ngakho ukuqhubeka nokuthatha noma ukubeletha ivithamini langemva kokubeletha kungakusiza ekutholeni izakhamzimba ezilahlekile, kuchaza uDkt. Kuzithasiselo)

Kufanele uqale ngokushesha kangakanani ukuthatha amavithamini angaphambi kokubeletha?

UDkt. Block uncoma ukuqala ivithamini yangaphambi kokubeletha phakathi nezinyanga ezintathu kuya kweziyisithupha lapho uhlela ukukhulelwa. Lokhu kungenxa yokuthi amavithamini amaningi ancibilikayo anamafutha abesifazane abajwayele ukungabi nawo, njengevithamini D, angaba phansi ngaphambi kokukhulelwa, futhi kungathatha izinyanga ezimbalwa ukukhuphula amazinga akho, usho kanjalo. (Psst...ungahle ufune ukubuyekeza isimiso sakho sokuzivocavoca njengoba ukuzivocavoca kungathinta inzalo yakho.)

Kufanele futhi uqale ukuthatha ama-micrograms angu-400-700 we-folic acid nsuku zonke okungenani inyanga eyodwa ngaphambi kokukhulelwa ku-trimester yokuqala, okulandelwa umthamo wansuku zonke wama-micrograms angu-600 phakathi ne-trimester yesibili neyesithathu, kusho u-Adrian Del Boca, MD, MS, FACOG, i-ob-gyn eqinisekisiwe ebhodini eMiami Obstetrics Gynecology. I-Folic acid ibalulekile ngesikhathi sokukhulelwa ngoba iyasiza ukwakha ithubhu le-neural elikhula libe umgogodla wengane, umgogodla, ubuchopho nogebhezi, ngokusho kweCenters for Disease Control and Prevention (CDC).

Yiziphi izithako okufanele uzibheke kuvithamini yokukhulelwa okuhle?

Ngokuvamile, kufanele ubheke amavithamini okubeletha ahlanganisa izithako ezine eziqondile: i-B6, i-folic acid, i-iodine, ne-iron, kusho uMary Jacobson, M.D., udokotela wezokubelethisa oqinisekiswe yibhodi kanye nodokotela wezifo zabesifazane kanye nomqondisi omkhulu wezokwelapha kwa-Alpha Medical.

Abesifazane abakhulelwe kufanele bahlose ukuhlangabezana namanani anconyiwe nsuku zonke angu-400 micrograms we-folic acid, 600 IU kavithamini D, 27 mg wensimbi, kanye no-1,000 mg we-calcium, ngokusho kwe-ACOG. Kodwa ngenxa yokuthi abhekwa njengesengezo, amavithamini okubeletha awalawulwa yi-Food and Drug Administration (FDA), ngakho-ke, angase angaqukathi amanani afanelekile wesithako ngasinye.

Ukusiza, kunezinto ezimbili okufanele uzibheke ephaketheni ukuqinisekisa ukuthi uvithamini osanda kuzalwa uvumelekile: Imikhuba Emihle Yokukhiqiza noma isitembu se-GMP eqinisekisa ukuthi ukudla okungeziwe ekudleni kuqukethe konke okushoyo ukuthi ikwenza futhi kunikezwe uphawu oluqinisekisiwe lwe-United States Pharmacopeia (USP) kwizithasiselo ezihlangabezane nezimfuneko eziqinile zobuqiniso nezokuphepha.

Manje, kungani le misoco ibaluleke kangaka? Uvithamini D kanye ne-calcium kusebenza ndawonye ukuthuthukisa amathambo namazinyo engane yakho, futhi uvithamini D ubalulekile esikhumbeni esinempilo namehlo enganeni yakho, ngokusho kwe-ACOG. Uma ukhulelwe, umzimba wakho udinga insimbi eyengeziwe — iphindwe kabili imali oyidingayo uma ungekho enganeni — ukuze wenze igazi eliningi lokunikeza umoya-mpilo enganeni. (Okuhlobene: Ungayithola Kanjani I-ayoni Eyanele Uma Ungayidli Inyama)

Amavithamini okubeletha angaba nezakhamzimba ezengeziwe ezifana ne-omega-3 fatty acids (ikakhulukazi, i-DHA), ekhonjisiwe ukunciphisa amazinga okuzalwa ngaphambi kwesikhathi kanye nokudana komama, kanye nokudlala indima ekuthuthukisweni kwe-fetal neurodevelopment, kusho uDkt. Brauer. (I-FYI: Ungathola futhi i-omega-3s ekudleni okucebile ngezinhlanzi kanye nezinhlamvu zefilakisi kanye nokudla okuqinile kwemifino.)

Lokho kusho, khumbula izincomo ze-ACOG yilezi ubuncane amanani-ngakho-ke abesifazane abanomlando wokukhubazeka kwe-neural tube, okubandakanya ukukhula okungaphelele kobuchopho, umgogodla, noma umgogodla, ngokusho kwe-ACOG, noma ngubani othatha imishanguzo ethile evimbela ukumuncwa kwamavithamini (njenge-proton-pump inhibitors efana I-Prilosec yesilungulela), ingadinga imithamo ephezulu, kusho u-Anate Brauer, MD, ongudokotela oqinisekisile wokuzala kanye ne-ob-gyn eShady Grove Fertility eNew York City. Ukukhulelwa kwezingane ezimbili noma ngaphezulu kuvame ukudinga imithamo ephezulu ye-calcium nensimbi, uyanezela.

Kholwa noma ungakukholwa, noma kunjalo kuyinto kungenzeka ukuthi udlulele ngokweqile ngamavithamini ngaphambi kokubeletha. "Ukuthi nje okuncane kukulungele akusho ukuthi konke kukuhle nakuwe," kusho uDkt Block. Eqinisweni, uvithamini E omningi kakhulu ubelokhu ehlotshaniswa nobuhlungu besisu kanye nolwelwesi lwesisu oludabukile (ukwephuka kwamanzi) ekukhulelweni, futhi uvithamini A owedlulele angaholela ekungajwayelekile embungwini, kuchaza uDkt Block.

Amavithamini Angcono Kakhulu Wangaphambi Kokubeletha, Ngokusho kuka-Ob-gyns

Hlala ukhuluma nodokotela wakho ngokusetshenziswa kwamavithamini nokwengeza lapho ukhulelwe (noma kungenjalo), njengoba ezokwazi ukweluleka ngendlela engcono kakhulu yezidingo zakho ezihlukile kanye nomlando wezokwelapha. Futhi khumbula, wonke amavithamini okubeletha kufanele agcwalise—hhayi anezele—ukudla okunomsoco okuhlanganisa izakhi ezibalulekile kokubili wena nomntwana, kusho uDkt. Del Boca. (Ngikhuluma ngani, malini kufanele udla ngesikhathi sokukhulelwa?)

Kungaba nzima ukuqhathanisa imikhiqizo, njengoba owesifazane ngamunye enezidingo zomuntu ngamunye uma kuziwa kumavithamini okubeletha futhi awalawulwa yi-FDA, kusho uDkt. Brauer, kodwa nazi ezinye zezinto ezikhethwa kakhulu zochwepheshe.

1. One A Day Prenatal 1 Multivitamin (Buy It, $20 for 60 capsules, amazon.com)

Ngenketho ye-OTC engabizi nge-omega-3 fatty acids, lokhu kuyisinqumo esihle, kusho uDkt Jacobson. Khumbula: ama-omega-3 fatty acids akhonjisiwe ukusiza ekukhuleni kobuchopho bombungu ngaphambi nangemuva kokuzalwa, ngokusho kwe-ACOG. (Futhi igcwele lesi sithako esibalulekile? Okubhaliselwe okusha kwamavithamini okukhulelwa kwe-Ritual.)

2. Ama-Gummies Wangaphambi kokubeletha angama-365 (Buy It, $12 for 120 gummies, amazon.com)

Lo mkhiqizo uqukethe ama-enzyme wokugaya ukudla asiza isisu ukucasula isisu okubangelwa ukukhulelwa, kusho uHeather Bartos, MD, ob-gyn oqinisekiswe yibhodi osebenza ngaphandle kwaseDallas, eTexas. Uma ufuna i-vitamin yokubeletha engasiza isisu esibucayi, funa eyodwa equkethe okungenani amayunithi angama-20 000 ama-enzyme wokugaya ukudla afana ne-amylase, lipase, protease, noma i-lactase, uyanezela.

3. Ingadi Yokuphila Vitamin Ikhodi eluhlaza ngaphambi kokubeletha (Buy It, $27 for 90 capsules, amazon.com)

Lena imifino, inketho ephephile ekudleni ehlanganisa nama-probiotics, kusho uDkt. Jacobson. Ukushintshashintsha kwamahomoni ekukhulelweni kungadala ushintsho ekuhambeni kwamathumbu futhi ama-probiotic angasiza ekulawuleni ukugaya. (Okuhlobene: Thenga Konke Okungitholile Nge-Trimester Yami Yokuqala Yokukhulelwa)

4. Imvelo Yenziwe I-Multi DHA Liquid Softgels Yangaphambi Kokubeletha (Ithenge, $ 21 ngama-softgels ayi-150, amazon.com)

Lokhu kubeletha komkhiqizo wevithamini brand kuqukethe zonke izincomo ezinconywayo zamavithamini kanye ne-DHA (ekhonjisiwe ukusiza ukuthuthukisa ubuchopho nengqondo yengane yakho), futhi kulula esiswini (kwabesifazane abaningi) futhi kulula ukuyigwinya, kusho uDkt. .Brauer.

5. Amavithamini Aphambi kokubeletha e-TheraNatal (Thenga, $75 ngezinsuku ezingama-91, amazon.com)

UDkt. Brauer uncoma lo mkhiqizo we-oda lemeyili hhayi nje ngamavithamini alo abeletha kepha nangezithako zalo ezenzelwe ukukhulelwa ngaphambi nangemva kokukhulelwa.

6. I-Smarty Pants Formula Prenatal (Ithenge, $ 16 ngama-gummies angama-30, amazon.com)

Uma ubhekene nesicanucanu futhi / noma ufuna inketho okulula ukuyithatha kunalokho, yithi, iphilisi elixubileyo, hamba ngokukhetha okuncane, okuyigummy njengalo mkhiqizo onconywe nguDkt Jacobson. Qaphela ukuthi amavithamini we-gummy ne-chewable azoqukatha inani elincane lohlobo oluthile lwe-sweetener, ngakho-ke uma uzwela kuma-sweeteners noma unomlando womndeni wesifo sikashukela, zama ifomethi yephilisi esikhundleni salokho, uthi.

7. I-CitraNatal B-Calm Prenatal Supplement Tablets (Imithi kadokotela kuphela, citranatal.com)

Udinga incwadi kadokotela yale vithamini yokubeletha, kusho uDkt. Brauer, kepha kuyindlela enhle kwabesifazane abajwayele ukugula ekuseni. Iqukethe uvithamini B6, okhonjiswe ukusiza ukunciphisa isicanucanu nokuhlanza ngesikhathi sokukhulelwa. (Iningi labesifazane lihamba kahle ngokubeletha ngaphambi kokubeletha, kodwa-ke, ngaphandle kokuthi banezidingo ezikhethekile zezempilo noma ukuntula okukhulu, kusho uDkt. Bartos.)

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