Bác sĩ Bệnh viện Từ Dũ tư vấn bổ sung axit folic trong thai kỳ

Phụ nữ mang thai bị thiếu hụt axit folic có nguy cơ thiếu máu hồng cầu, sẩy thai, sinh con nhẹ cân, thai nhi bị dị tật ống thần kinh.

Axit folic có tác dụng ngăn ngừa dị tật ống thần kinh ở trẻ sơ sinh. Khi phụ nữ mang thai, nhu cầu axit folic tăng cao nhưng chế độ ăn thông thường không đáp ứng đủ nên Tổ chức Y tế Thế giới khuyến nghị bà mẹ mang thai cần uống bổ sung thêm axit folic. Dưới đây là chia sẻ của Thạc sĩ, bác sĩ Lê Quang Thanh, Giám đốc Bệnh viện Từ Dũ về tầm quan trọng của axit folic trong thai kỳ.


Thạc sĩ, bác sĩ Lê Quang Thanh, Giám đốc Bệnh viện Từ Dũ.

– Thưa bác sĩ, công dụng của axit folic đối với phụ nữ dự định mang thai, đang mang thai, cho con bú?

– Axit folic (còn được gọi là folate hoặc folacin) là một loại vitamin B thiết yếu hòa tan trong nước, tìm thấy tự nhiên trong thực phẩm. Ở dạng tổng hợp, trong thực phẩm bổ sung hoặc tăng cường, chất dinh dưỡng này được gọi là axit folic.

Folate giúp các mô, tế bào của chúng ta phát triển và hoạt động, do đó, nó là một chất dinh dưỡng quan trọng trong những giai đoạn tăng trưởng nhanh như khi mang thai, trẻ nhỏ, thanh thiếu niên. Loại vitamin cần thiết cho sự phát triển bình thường của cột sống, não và hộp sọ của thai nhi, đặc biệt trong 4 tuần đầu tiên của thai kỳ, nó giúp ống thần kinh của thai nhi phát triển đúng cách, bảo vệ chống lại nguy cơ khuyết tật ống thần kinh, các dị tật bẩm sinh như sứt môi, hở hàm ếch, hoặc khuyết tật tim, đường tiết niệu.

Ngoài ra, axit folic có tác dụng hỗ trợ ngăn ngừa tình trạng sinh non bởi phụ nữ mang thai bị thiếu hụt sẽ có nguy cơ thiếu máu hồng cầu khổng lồ, sẩy thai, sinh con nhẹ cân và nguy cơ khuyết tật ống thần kinh của thai nhi (nứt đốt sống và não úng thuỷ).

Phụ nữ mang thai có thể tăng cường chất từ những thực phẩm giàu folate nhưng chỉ riêng chế độ ăn sẽ không đủ để tăng nồng độ trong huyết thanh, và do vậy việc bổ sung axit folic được khuyến cáo là cần thiết.


Axit folic (vitamin B9) hỗ trợ ngăn ngừa tình trạng sinh non.

– Vì sao Tổ chức y tế thế giới khuyến cáo, việc bổ sung axit folic nên thực hiện ngay từ lúc phụ nữ có ý định mang thai, duy trì đến khi kết thúc giai đoạn cho con bú?

– Tác dụng phòng ngừa khuyết tật ống thần kinh, dị tật thai nhi bẩm sinh của axit folic đã được nhiều nghiên cứu khoa học chứng minh. Axit folic tăng cường sự phát triển của tế bào, yếu tố quan trọng trong quá trình chuyển hóa cacbon qua trung gian folate, sự phát triển thần kinh xảy ra sớm trong quá trình tạo phôi (khoảng tuần thứ 3 đến tuần thứ 6 thai kỳ), có thể nhiều chị em không biết mình đang mang thai. Ngoài ra, một số trường hợp mang bầu ngoài kế hoạch.

Việc bổ sung axit folic sẽ có tác dụng cao khi bổ sung vào trước thời kỳ thụ thai, bắt đầu một tháng trước, tiếp tục dùng đến hết 3 tháng đầu tiên thai kỳ. Tổ chức y tế thế giới khuyến cáo phụ nữ có kế hoạch mang thai nên bổ sung axit folic sớm, kết hợp với chế độ dinh dưỡng cân bằng.

Trong 6 tháng cuối của thai kỳ, việc bổ sung đủ axit folic cho cơ thể người mẹ cũng hết sức quan trọng. Khi cơ thể không bổ sung đầy đủ sẽ làm gia tăng nồng độ homoncystein trong máu, nguyên nhân dẫn đến những biến chứng mạch máu, ảnh hưởng đến lưu lượng máu cung cấp cho thai nhi.

Hơn nữa, axit folic rất cần thiết cho quá trình tổng hợp nhân tế bào ADN, ARN và protein, ảnh hưởng đến sự hình thành nhau thai, tăng trưởng của bào thai. Với những phụ nữ mang thai, lượng axit folic bị đào thải qua nước tiểu sẽ tăng lên khiến lượng bị suy giảm đáng kể, đây là nguyên nhân dẫn đến tình trạng thiếu máu hồng cầu, làm tăng nguy cơ sảy thai, sinh non, sinh con nhẹ cân.

– Những lưu ý khi bổ sung axit folic để mang lại lợi ích?

– Mỗi giai đoạn thai kỳ có nhu cầu bổ sung chất dinh dưỡng khác nhau, ví dụ 3 tháng đầu cần nhất là axit folic, giai đoạn 2 nhu cầu sắt và canxi tăng dần nhưng chưa cần nhiều như giai đoạn 3. Việc sử dụng vitamin tổng hợp cho mọi giai đoạn của thai kỳ là ngộ nhận phổ biến ở những phụ nữ mang thai hiện nay.

Hơn nữa, trong khi phần lớn các vitamin, khoáng chất khác có thể bổ sung từ thực phẩm bởi chế độ ăn uống đa dạng, cân bằng, thì hàm lượng axit folic cần thiết đối với phụ nữ mang thai lại không thể cung cấp đủ từ chế độ chế độ ăn uống. Do vậy, những sản phẩm chuyên về axit folic sẽ mang lại lợi ích tốt hơn.

Phụ nữ mang thai khi bổ sung axit folic cần lưu ý bổ sung hàm lượng phù hợp. Giai đoạn một bổ sung 800 mcg từ khi dự định mang thai đến cuối tuần thứ 12 của thai kỳ; giai đoạn 2 bổ sung 400mcg từ tuần thứ 13 đến kết thúc việc cho con bú. Những phụ nữ có nguy cơ cao (tiền sử họ hàng bị dị tật ống thần kinh, hoặc từng mang thai dị tật ống thần kinh) cần bổ sung với liều lượng cao hơn khoảng 4-5 mg mỗi ngày.

Hiện nay tại Việt Nam có nhiều loại sản phẩm có thành phần axit folic. Tuy nhiên, để chọn sản phẩm phù hợp với các giai đoạn của thai kỳ cũng như có chất lượng tốt, uy tín, nguồn gốc đáng tin cậy, chị em cần tìm hiểu kỹ thông tin thành phần, nguồn gốc đơn vị phân phối, nên tham khảo ý kiến bác sỹ trước khi dùng.

Folio, sản phẩm bổ sung axit folic và các vi chất dinh dưỡng thiết yếu cho thai kỳ được sản xuất, đóng gói bằng công nghệ Đức, bởi công ty SteriPharm GmbH & Co. KG, được chọn là sản phẩm y tế tốt nhất trong danh mục sản phẩm axit folic của Đức vào năm 2002, chính thức có mặt tại Việt Nam từ ngày 17/9/ 2018.Dòng sản phẩm Folio gồm:
– Folio forte chứa 800 microgram axit folic được sử dụng cho phụ nữ dự định mang thai đến cuối tuần thứ 12 của thai kỳ.

– Folio chứa 400 microgram axit folic được sử dụng từ tuần thứ 13 của thai kỳ đến khi kết thúc giai đoạn cho con bú.

Folio được nhận được giải thưởng “Sản phẩm y tế tốt nhất” của Đức trong danh mục”Sản phẩm axit folic”. Sản phẩm dễ uống, không gây buồn nôn, táo bón, tiêu chảy, kích ứng tiêu hoá. Đóng gói hiện đại, hộp nhỏ gọn xinh xắn vừa trong lòng bàn tay với nút nhấn cạnh hộp, đảm bảo tính tiện dụng và thẩm mỹ.

Folio được nhập khẩu chính hãng và phân phối độc quyền tại Việt Nam thông qua Công ty TNHH Chăm sóc Sức khoẻ Nguyễn Đức (NguyenHealthcare). XNQC số 00822/2019 Sản phẩm được Bộ Y tế cấp Giấy xác nhận công bố chất lượng số 7644/2018/ĐKSP và 7645/2018/ĐKSP ngày 17/9.. Sản phẩm không không phải là thuốc, không có tác dụng thay thế thuốc chữa bệnh.

Thông tin chi tiết về sản phẩm xem tại https://nguyenhealthcare.com. Hotline: 09 8787 3366 – 024 3773 9719.

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