Kupatsidwa folic acid: mavuto, mmene

Mimba kwa mkazi aliyense - nthawi yofunika kwambiri moyo. Ndi udindo wa mavitamini B mu chitukuko cha mwana wosabadwayo ndi yofunika kwambiri. N'zofunika mapangidwe yachibadwa a dongosolo mantha ndi zina, magawano selo ndondomeko hematopoiesis ndi yachibadwa chitukuko wosabadwayo. Choncho n'kofunika kwambiri pamaso pa mimba kuyamba kutenga mankhwala monga "kupatsidwa folic acid". Zotsatira zoyipa za mankhwalawa, ndemanga mbali zonse za ntchito anati zikutanthawuza kuti ife tidzakhala kuphimba kenako m'nkhani ino.

mfundo zofunika

Pakumwa folic acid - madzi sungunuka vitamini B9. Choyamba anapeza mu 30s Mu zaka zapitazo. Ndipo apainiya anayamba Mehta ndi Wills. kupezeka umatchedwa "Chinthu Mateyala" komanso phwando otchedwa vitamini amathandiza pa matenda a magazi m'thupi mwa mimba akazi. Patapita kanthawi, asayansi anali kupeza mavitamini masamba sipinachi, ndiye iye analowa dzina "kupatsidwa folic acid".

Zotsatira zake zoyipa za mankhwala a satero, koma, ndithudi, kutenga zisamatero kusalankhula. Biologically anafooka kupatsidwa folic acid kulowa m'thupi, kudzera foni yake anatembenukira kwa mawonekedwe ake yogwira - asidi tetrahydrofolic, amene ankaona maziko mapangidwe DNA ndi RNA.

Nkofunikira kuti yachibadwa kusasitsa ndi normoblasts megaloblasts, mtsikanayu kaphatikizidwe wa amino zidulo, zidulo mkati, choline kagayidwe, purine ndi pyrimidine. Ndipo pa mimba kudya zinthu kuteteza m'thupi la mayi ndi mwana wosabadwayo mwangozi teratogens.

Kamodzi mmimba, asidi mofulumira odzipereka kumeneko. N'kukhala metabolites mu chiwindi. Anasonyeza pamodzi ndi mkodzo. mavuto a folic acid zambiri kukhala mu mawonekedwe a thupi lawo siligwirizana.

Limafotokoza chinthu opangidwa mu mawonekedwe a miyala ndi makapisozi, oyenera kulandira komanso gawo la kuchuluka kwa mankhwala ndi zowonjezera zakudya.

Zizindikiro ndi contraindications

mapiritsi a folic acid amapatsidwa kwa magazi m'thupi chifukwa cha kusowa kwa zinthu anati mu thupi, komanso zigawo zikuluzikulu za kuphatikiza mankhwala:

• aakulu gastroenteritis;
• matumbo TB;
• chifukwa kupewa malformations ubongo chubu mu wosabadwa pa trimester mimba;
• ndi sprue.

kupatsidwa folic acid ndi contraindicated ngati wodwala akufotokozera hypersensitivity monga bwino:

• mu zotupa khansa;
• gemosideroze;
• kuphwanya kagayidwe chitsulo;
• mu milandu akusowa cobalamin;
• malabsorption vitamini B12.

mlingo

Kukonzekera pakumwa folic acid ambiri bwino analekerera, ndipo ambiri osokoneza kawirikawiri anati. Mlingo zimadalira m'badwo wa mtima ndi matenda mwamphamvu. Mwachitsanzo, munthu wamkulu tsiku Kwalamulidwa dongosolo la 200 ug, pakati - 300-400 ga ndi woyamwitsa - 500 micrograms. Nthawi mankhwala ndi zambiri mwezi umodzi.

Ana zikutanthauza m'njira mlingo m'munsi - kuchokera 40 200 mg, malingana ndi chikhalidwe. Mu zina, mankhwala "Kupatsidwa folic acid" mavuto ana angasonyeze ngati totupa ndi kuyabwa pakhungu.

Pofuna njira mlingo medicament wa micrograms 20 kapena 50 patsiku.

Mwanjira mankhwala

Ngakhale sitili pafupifupi mavuto akhale kutsatila malamulo ena mu ntchito "Kupatsidwa folic acid" miyala. Kotero, ali osavomerezeka kutenga nawo mankhwala zotsatirazi:

• m'kamwa kulera;
• "Sulfasalazine";
• "Phenytoin";
• "Phenobarbital";
• "Primidone".

Monga tanenera kale, nthawi zambiri mankhwala bwino zimachitikira, koma nthawi zina zingaoneke thupi lawo siligwirizana monga zotupa ndi redness pa khungu. Ngati muli ndi zizindikiro zimenezi, kuchipatala. Iye zimafika mankhwala ndi mankhwala mankhwala symptomatic.

Nthawi zina mavuto a kupatsidwa folic acid ali woyembekezera akhoza kusokoneza mkazi mu mawonekedwe a matenda m'mawa, tulo ndi kuchuluka irritability. A makonzedwe a kuchuluka Mlingo wa mankhwala aakulu kumapweteketsa m'mimba, kuphwanya mpando ndipo ngakhale kukomoka.

Kusamala

Pa kukonzekera phwando munali kupatsidwa folic acid, tiyenera kukumbukira kuti magazi m'thupi timathawa makhwalawa muyenera vitamini B12, chifukwa asidi kumapangitsa hematopoiesis ndi samaletsa chitukuko cha mavuto ya ubongo. Kwambiri Pomalizira ntchito asidi zikhoza kuchepa cyanocobalamin magazi.

Mwa njira, anafotokoza asidi amathanso kupatsidwa kwa akuluakulu a kugonana wamphamvu. Ngati umuna wamwamuna lili osakwanira kapena kwambiri kuchuluka DNA, akhoza amawapeza "aneuploidy". Nthawi zambiri, kumakhaladi chifukwa cha osabereka wamwamuna. Kuchepetsa kudwala matenda izi adzachiritsa "Kupatsidwa folic acid".

Zotsatira zake zoyipa za amuna, ndi njira, zimachitika nthawi zina, monga ulamuliro, kuyabwa khungu.

Mankhwala "Folacin"

Tidzakhala kufotokoza payokha kukonzekera munali folic acid. Motero, "Folacin" amatanthauza gulu la mavitamini ndi amachoka mu mawonekedwe a mapiritsi chikasu munali 5 mg vitamini B9. Izi ndi apamwamba kuposa mlingo tsiku kwa amayi apakati, koma chikhazikitso owonjezera ndi excreted mu mkodzo.

Ntchito mankhwala ngati vitamini akusowa aakulu otchedwa, koma kukuletsa ali osavomerezeka kutenga.

Otchedwa mapiritsi kumapangitsa erythropoiesis, kaphatikizidwe amino zidulo ndi choline kuwombola. Woyembekezera, mankhwala kumateteza mwana wosabadwayo ku mavuto a chilengedwe, kumalimbikitsa chitukuko wabwinobwino ndi kusasitsa wa latuluka lapansi. Imathandiza kuchiza ndi nthawi yoyamwitsa. mavuto a kupatsidwa folic acid pokonza "Folacin" nthawi zambiri palibe.

Zizindikiro ndi contraindications

"Folacin" awerenge pa milandu zotsatirazi:

• mankhwalawa pachimake folate akusowa kugwirizana ndi kuperewera kwa zakudya m'thupi;
• chithandizo ndondomeko magazi m'thupi, zomwe chikwiyire drawback wa anati mankhwala mu thupi;
• mankhwala a magazi m'thupi pa gestation kapena mkaka wa m'mawere;
• kuletsa nthenda chitukuko cha chubu ubongo mu mwana wosabadwayo m'mimba;
• yaitali ndi mankhwala, amene pakumwa folic acid muzikangana.

Monga tanenera kale, kuvomerezedwa yoikika wothandizira, amene ali kupatsidwa folic acid ali woyembekezera. Mankhwalawo (zomwe ndi kusonyeza okha) kuchokera chikuonetseratu awo akhoza kuwapeza dokotala. Contraindications, monga ulamuliro, ndi:

• malignancies osiyanasiyana;
• cobalamin akusowa;
• timathawa magazi m'thupi;
• Hypersensitivity kwa mankhwala.

Mlingo wa mankhwala "Folacin"

"Folacin" chikuyendetsedwera pakamwa. magome akhoza kugawidwa. Zochizira mitundu yonse ya magazi kuti imakhudzana ndi asidi akusowa kupatsidwa folic mankhwala amwedwa pa mlingo wa 5 mg tsiku lililonse. Nthawi mankhwala ndi miyezi 4. Mu njira yotupa mu m'matumbo, mankhwala ndi dosed kutupikana kuti mg ndi 15 patsiku.

Pakuti kupewa kuvutika ubongo chubu mu wosabadwa pamaso mimba mankhwala akutengedwa pa mlingo wa 2.5 mg wa pa tsiku kwa mwezi umodzi. Mankhwala ndipo amawachitira mu trimester loyamba gestation.

Mogwirizana ndi mankhwala ena

Saloledwa kugawana mankhwala ndi njira zotsatirazi:

• "Chloramphenicol";
• "Neomycin";
• "Polymyxin";
• "Tetracycline";
• "Cycloserine";
• "Phenobarbital";
• "Primidone";
• "Cholestyramine".

Pamaso mankhwala n'kofunika kuganizira mmene angamvetsere makamaka mankhwala a folic acid. Mankhwalawo (nseru, zotupa pa khungu) akuwuka Choncho, zingasonyeze kuti mankhwala amatengedwa bwino.

Mankhwala "Mamifol"

Kenako medicament munali kupatsidwa folic acid uli gulu la kukonzekera vitamini. Iye amapezeka mu mawonekedwe a mapiritsi woyera. lokonzekera chikuphatikizapo pakumwa folic acid mlingo wa 0.4 mg.

Ntchito kaphatikizidwe anati njira kusintha kwa amino asidi methionine, amene olemala mu amayi oyembekezera. Choncho, muyenera pa mimba mu magawo oyambirira kuyamba kutenga "Mamifol", mmene muli folic acid. Zotsatira zake zoyipa kugwiritsa ntchito - ziwengo, pruritus, erythema, ndi bronchospasm. Koma kukhala ndi nthawi.

Zizindikiro ndi contraindications

Anati kukonzekera angagwiritsidwe ntchito milandu:

• magazi m'thupi chifukwa cha asidi akusowa kupatsidwa folic;
• chifukwa kupewa zilema ubongo chubu mu mwana wosabadwayo.

Contraindications ntchito ndi:

• cobalamin akusowa;
• chotupa chotupa chija;
• timathawa magazi m'thupi;
• chizolowezi kukhala thupi lawo siligwirizana.

mlingo

mankhwala ulipo piritsi limodzi pamaso akukonzekera kukhala ndi pakati pa trimester ndi pambuyo pakuwonekera kwake. The njira ya mankhwala mwezi umodzi.

Amatengedwa pakamwa musanadye, makamaka m'mawa. Mlingo akhoza ziwonjezeke ngati wodwalayo mkulu folate akusowa ndi magazi anayamba.

ambiri osokoneza

Kukonzekera "Mamifol" bwino analekerera mu Mlingo kuti 5 mg pa tsiku. A ndende apamwamba kungayambitse zotsatira zotsatirazi mbali:

• matenda a dongosolo chapakati mantha ntchito;
• kulephera kwa m'mimba ndipo matumbo.

Kupewa ambiri osokoneza, ayenera bwinobwino mankhwala okhala folic acid. Zotsatira zake zoyipa zambiri kutha patapita masiku angapo pambuyo kusintha mlingo.

Mogwirizana ndi mankhwala ena

Musawachite mankhwala "Mamifol" njira zotsatirazi:

• "Monotreksat";
• "Sulfasalazine";
• m'kamwa kulera.

Mankhwala ndi khunyu M'malo mwake, kuwonjezera kufunika folic acid.

Nthawi zina, zotsatira zotsatirazi mbali angathe m'kupita kwa mankhwala:

• ziwengo, chidawoneka totupa ndi redness a khungu;
• flatulence;
• nseru;
• epigastric kuwawa;
• kugona chisokonezo;
• nkhawa.

Pa zosayembekezereka ya zizindikiro zilizonse zosasangalatsa ayenera kudziwitsa dokotala.

Kusamala

Khalani mankhwala zochokera kupatsidwa folic acid ndi zofunika pa kutentha pamwamba kuposa madigiri 30 asaawone wa ana ochepera zaka ziwiri. The zikuchokera mankhwala zikuphatikizapo lactose, choncho sangathe kuperekedwa kwa odwala matenda otengera kuloŵerera mtundu wa chinthu.

Malinga kuchokera pamwamba, mavuto a kupatsidwa folic acid ali osowa kwambiri, ndipo nthawi zambiri kukula pamene bwino anasankha mlingo. Choncho isanafike mankhwala muyenera powerenga malangizo ntchito, lomwe limafotokoza mwatsatanetsatane zizindikiro zonse ndi contraindications kuti chida, makamaka phwando lake.

Nkofunika kukumbukira kuti yekha dokotala angathe mankhwala ndi mlingo akonzedwa ake. Self-mankhwala akhoza kuyambitsa mavuto aakulu. Mwa njira, pambuyo pa mapeto a moyo miyala sayenera kumwedwa ngati kunyalanyaza malangizo kungayambitse poizoni kwambiri.

kupatsidwa folic acid amagwira ntchito yofunika kwambiri mu uziyenda wabwinobwino wa thupi, kotero muyenera kuyamba kumwa mankhwala, gawo la zomwe chigawo cha akutchulidwa pamodzi ndi zakudya zokwanira, nkhawa. Musaiwale kutenga mankhwala pa mimba. Izi kuwonjezera mwayi kubadwa kwa mwana wathanzi.