Kodi Zingakuchitireni Chiyani?
Mwachidule
Mwinamwake mumayanjanitsa folic acid ndi mimba, chifukwa kawirikawiri limalimbikitsidwa kuti muteteze zilema zobereka. Folic acid imapanga zochuluka kwambiri kuposa, ngakhale, ndipo ngakhale atayang'anitsitsa ngati njira yothandizira matenda a fibromyalgia ndi matenda aakulu .
Folic acid amatchedwanso vitamini B9 kapena folate. Imachita nawo mbali:
- Kutembenuza chakudya kukhala mafuta,
- Kugwiritsa ntchito mafuta ndi mapuloteni,
- Kusunga tsitsi, khungu, ndi maso athanzi,
- Ubongo / mitsempha ntchito,
- Matenda a chiwindi,
- Moyo wamtima,
- Kupewa khansa,
- Kupanga zamoyo,
- Kupanga maselo ndi maselo ofiira akugwira bwino ntchito.
Kafukufuku wina amasonyeza kuti folic acid ingathandize kuchepetsa kuvutika maganizo; Komabe, zotsatira zimasakanizidwa.
Folic acid ndi vitamini B12 zimagwirira ntchito pamodzi muzinthu zambirizi, choncho nthawi zambiri zimalimbikitsidwa kuti azitengedwa pamodzi.
Mankhwala otsika a folic acid amakhala ochepa. Chosowa chenicheni, komabe, n'chosowa. Kulephera kumatha ku:
- Unyolo wa m'maganizo,
- Kuiŵala,
- Kukhumudwa,
- Matenda a magazi (kuchepa kwa maselo ofiira magazi),
- Matenda a mitsempha m'mimba,
- Kutsekula m'mimba,
- Kutaya njala,
- Kukula kosauka.
Udindo Wochiza Fibromyalgia ndi CFS
Sitikufufuza zambiri pa folic acid ya fibromyalgia ndi matenda otopa. Kafukufuku wazaka za m'ma 1980 ndi 90s anapanga zotsatira zosakaniza, koma posachedwa zakhala zikusonyeza kuti zingakhale zothandiza pa chithandizo chathu.
Kufufuza kwa 2006 (Lundell) kunapereka umboni wakuti anthu oposa 80% omwe ali ndi matenda osatopa, makamaka omwe ali ndi B-cell immunodeficiency ndipo anachititsanso kachilombo ka Epstein-Barr matenda, anawona zizindikiro zawo zikukula pa folic acid supplement.
Kuphunzira kwa 2015 (Regland) kunathandiza kugwiritsa ntchito folic acid ndi B12 kuwonjezera pa matenda otopa, makamaka kwa iwo okhala ndi comorbid fibromyalgia.
Ochita kafukufuku anapeza kuti kuchuluka kwa mlingo kumapangitsa kuti anthu ayankhe bwino, makamaka kwa iwo okhala ndi zikhalidwe zonsezo. Komabe, omwe amadwala opiate painkillers , Cymbalta (duloxetine) , kapena Lyrica (pregabalin) tsiku ndi tsiku amawonetsa zotsatira zochepa. Izi zinapangitsa ochita kafukufuku kudandaula kuti pali kusiyana pakati pa mankhwala ndi zowonjezereka.
Zimakhala zachilendo kuona odwala zakudya komanso ochiritsa amachilengedwe amasonyeza kuti folic acid amachiza matenda a fibromyalgia komanso matenda otopa kwambiri.
Zakudya Zakudya
Folic acid imapezeka mosavuta zakudya. Zomwe anthu ambiri amadya nazo ndi awa:
- Katsitsumzukwa,
- Peyala,
- Ng'ombe ya chiwindi,
- Beets,
- Kuphulika kwa Brussel
- Impso, lima, nyemba ndi nyemba,
- Mkaka,
- Msuzi wamalalanje,
- Muzu masamba,
- Salimoni,
- Sipinachi ndi masamba ena obiriwira,
- Magulu a tirigu,
- Mbewu zonse.
Ku US, zakudya zonse zambewu ndi zakumwa zimalimbikitsidwa ndi folic acid.
Mlingo
Ngati musankha kutenga folic acid supplements, choyamba yang'anani ngati mukuzipeza kale mu multivitamin kapena B-vitamini zovuta.
Kwa akuluakulu, gawo loperekedwa tsiku lililonse la folic acid ndi 400 mcg. (Mlingo waukulu umaperekedwa kwa amayi omwe ali ndi pakati komanso omwe akuyamwitsa.)
Nthawi zambiri zimalimbikitsidwa kuti mutenge zowonjezera B chifukwa zoonjezerapo zowonjezera ndi imodzi mwa mavitamini a B zingapangitse kusamvana kwa ena.
Komanso, folic acid zowonjezerapo zimatha kusokoneza zizindikiro za kusowa koopsa kwa B12.
Zotsatira Zotsatira
Zowonjezera zilizonse zomwe mumatenga zimatha kuyambitsa zotsatira zosafunika. Zotsatira zochokera ku folic acid sizodziwika pa malipiro a tsiku ndi tsiku. Mankhwala apamwamba angapangitse ku:
- Kusokonezeka,
- Kutaya njala,
- Nausea,
- Kugonjetsa,
- Zochita za khungu,
- Mavuto a tulo,
- Matenda a m'mimba.
Mankhwala otsatirawa angagwirizanitse ndi folic acid:
- Maantibayotiki,
- Dilantin (phenytoin),
- Daraprim (pyrimethamine),
- Chemotherapy mankhwala.
Mankhwala ambiri amatha kusokoneza ma folic acid kapena masewera olimbitsa thupi, kuphatikizapo ena omwe amapezeka ndi fibromyalgia ndi matenda otopa.
Izi zikuphatikizapo:
- Anti-inflammatories (NSAIDs) monga Aleve (naproxen) kapena Advil / Motrin (ibuprofen);
- Azulfidine (sulfasalazine) ya matenda a nyamakazi kapena matenda opatsirana;
- Acid blockers, kuphatikizapo antacids, H2 blockers (cimetidine, famotidine, ranitidine), ndi proton pump inhibitors (lansoprazole, omeprazole, rabeprazole).
Dokotala wanu akhoza kukuthandizani kuzindikira momwe mungagwiritsire ntchito ndikugwirizanitsa mlingo woyenera. Sipanso lingaliro lolakwika kuyendera ndi wamalonda wanu za kuyankhulana-iwo akhoza kudziwa kuti dokotala wanu siali.
Zowonjezera Zowonjezera
Kuti mudziwe zambiri zokhudza kutenga mankhwala owonjezera a fibomyalgia ndi matenda otopa, onani:
Zotsatira:
Harmon DL, et al. zolemba zamagetsi zamagetsi. 1997 Jul; 34 (Pt 4): 427-9. Kusiyana kwa mitundu yobadwa kwa majini yomwe imakhudza mtundu wa kagayidwe kake kamene sikumapitirira-kuyimiridwa mu matenda aakulu odwala.
Jacobson W, et al. Neurobiology. 1993 Dec; 43 (12): 2645-7. Sirium folate ndi matenda otopa kwambiri.
Kaslow KODI Rucker L, Onishi R.. 1989 Nov; 149 (11): 2501-3. Chotsitsa cha fover-folic acid-cyanocobalamin vs placebo kwa matenda aakulu.
Lundell K, et al. Arzneimittel-Forschung. 2006; 56 (6): 399-404. Ntchito yachipatala yodzaza ndi gasi kwa odwala omwe ali ndi matenda aakulu.
Regland B, ndi al. PLoS One. 2015 Apr 22; 10 (4): e0124648. Kuyankha kwa vitamini B12 ndi folic acid mu myalgic encephalomyelitis mu fibromyalgia.
Chipatala cha Medical University ku Maryland. Maumwini onse ndi otetezedwa. Vitamini B9 (Folic acid). Idapezeka mu July 2015.