{"id":5468,"date":"2023-07-28T16:32:11","date_gmt":"2023-07-28T14:32:11","guid":{"rendered":"https:\/\/healthmag.al\/?p=5468"},"modified":"2023-07-28T16:39:17","modified_gmt":"2023-07-28T14:39:17","slug":"cili-eshte-ndryshimi-midis-folatit-dhe-acidit-folik","status":"publish","type":"post","link":"https:\/\/healthmag.al\/index.php\/2023\/07\/28\/cili-eshte-ndryshimi-midis-folatit-dhe-acidit-folik\/","title":{"rendered":"Cili \u00ebsht\u00eb ndryshimi midis “Folatit” dhe “Acidit folik”"},"content":{"rendered":"

Termat folat<\/em> dhe acid folik<\/em> shpesh p\u00ebrdoren n\u00eb m\u00ebnyr\u00eb t\u00eb nd\u00ebrsjell\u00eb. Sidoqoft\u00eb, pavar\u00ebsisht se t\u00eb dyja jan\u00eb forma t\u00eb vitamin\u00ebs B9, t\u00eb dy p\u00ebrb\u00ebr\u00ebsit jan\u00eb mjaft t\u00eb ndrysh\u00ebm. <\/span>Folati gjendet natyrsh\u00ebm n\u00eb ushqime t\u00eb ndryshme t\u00eb plota, nd\u00ebrsa acidi folik \u00ebsht\u00eb nj\u00eb form\u00eb sintetike e folatit q\u00eb zakonisht gjendet n\u00eb ushqime t\u00eb fortifikuara dhe suplemente.<\/span><\/p>\n

Ky artikull eksploron ndryshimet midis folatit dhe acidit folik, plus burimet e tyre, p\u00ebrfitimet dhe rreziqet e mundshme.<\/span><\/p>\n

A \u00ebsht\u00eb folati i nj\u00ebjt\u00eb me acidin folik<\/b><\/p>\n

Folate \u00ebsht\u00eb nj\u00eb term ombrell\u00eb q\u00eb p\u00ebrdoret p\u00ebr t\u00eb p\u00ebrshkruar t\u00eb gjitha format e vitamin\u00ebs B9, duke p\u00ebrfshir\u00eb acidin folik.<\/span><\/p>\n

Folati natyral \u00ebsht\u00eb forma e vitamin\u00ebs B9 q\u00eb gjendet kryesisht n\u00eb zarzavate me gjethe t\u00eb err\u00ebta, agrume dhe fasule.<\/span><\/p>\n

Acidi folik \u00ebsht\u00eb forma sintetike (e krijuar nga njeriu) e folatit q\u00eb gjendet n\u00eb suplementet dietike dhe ushqimet e fortifikuara si drith\u00ebrat e m\u00ebngjesit, orizi, makaronat dhe buka.<\/span><\/p>\n

Krahasuar me folatin natyral n\u00eb ushqime, trupi thith acidin folik n\u00eb m\u00ebnyr\u00eb m\u00eb efikase. Rreth 85% e acidit folik nga suplementet dhe ushqimet e fortifikuara absorbohet, nd\u00ebrsa vet\u00ebm 50% e folatit natyral absorbohet.<\/span><\/p>\n

Sa folate kam nevoj\u00eb<\/b><\/p>\n

Leja e rekomanduar dietike (RDA) p\u00ebr folatin bazohet n\u00eb ekuivalent\u00ebt e folateve dietike (DFE). Kjo nj\u00ebsi mat\u00ebse u zhvillua p\u00ebr t\u00eb llogaritur rritjen e p\u00ebrthithjes s\u00eb acidit folik shtes\u00eb.<\/span><\/p>\n

Nj\u00eb mikrogram (mcg) DFE \u00ebsht\u00eb i barabart\u00eb me:\u00a0<\/span><\/p>\n

1 mcg folate gjendet natyrsh\u00ebm n\u00eb ushqime<\/span><\/p>\n

0,6 mcg acid folik nga ushqimet e fortifikuara ose suplementet dietike t\u00eb marra me ushqime<\/span><\/p>\n

0,5 mcg acid folik nga suplementet dietike t\u00eb marra me stomakun bosh<\/span><\/p>\n

Sasia e folatit q\u00eb ju nevojitet varet nga mosha dhe gjinia. RDA p\u00ebr folatin n\u00eb DFE \u00ebsht\u00eb:\u00a0<\/span><\/p>\n

Nga lindja deri n\u00eb 6 muaj: 65 mcg<\/span><\/p>\n

Moshat 7 deri n\u00eb 12 muaj: 80 mcg<\/span><\/p>\n

Moshat 1 deri n\u00eb 3: 150 mcg<\/span><\/p>\n

Moshat 4 deri n\u00eb 8: 200 mcg<\/span><\/p>\n

Moshat 9 deri n\u00eb 13 vje\u00e7: 300 mcg<\/span><\/p>\n

T\u00eb rriturit dhe adoleshent\u00ebt mbi 14: 400 mcg<\/span><\/p>\n

T\u00eb rriturit shtatz\u00ebna dhe adoleshent\u00ebt: 600 mcg<\/span><\/p>\n

T\u00eb rriturit dhe adoleshent\u00ebt n\u00eb laktacion: 500 mcg<\/span><\/p>\n

Pse \u00ebsht\u00eb i r\u00ebnd\u00ebsish\u00ebm acidi folik<\/b><\/p>\n

Acidi folik ndihmon trupin t\u00eb krijoj\u00eb qeliza t\u00eb reja, t\u00eb sh\u00ebndetshme dhe t\u00eb kuqe t\u00eb gjakut. Gjithashtu ndihmon n\u00eb prodhimin e ADN-s\u00eb.<\/span><\/p>\n

Acidi folik \u00ebsht\u00eb nj\u00eb vitamin\u00eb e tretshme n\u00eb uj\u00eb, q\u00eb do t\u00eb thot\u00eb se nuk ruhet n\u00eb trup dhe duhet t\u00eb rimbushet rregullisht. P\u00ebr shkak t\u00eb k\u00ebsaj, nivelet e folatit n\u00eb gjakun tuaj mund t\u00eb ulen pas vet\u00ebm disa jav\u00ebsh t\u00eb marrjes s\u00eb pamjaftueshme t\u00eb folatit nga ushqimi.<\/span><\/p>\n

Moskonsumimi i mjaftuesh\u00ebm i folatit mund t\u00eb \u00e7oj\u00eb n\u00eb anemi t\u00eb munges\u00ebs s\u00eb folatit, nj\u00eb \u00e7rregullim gjaku q\u00eb shkakton lodhje, dob\u00ebsi, v\u00ebshtir\u00ebsi n\u00eb p\u00ebrqendrim, gul\u00e7im dhe nervoziz\u00ebm.<\/span><\/p>\n

Acidi folik \u00ebsht\u00eb ve\u00e7an\u00ebrisht i r\u00ebnd\u00ebsish\u00ebm gjat\u00eb shtatz\u00ebnis\u00eb, sepse ndihmon n\u00eb parandalimin e abortit dhe mbron foshnjat nga defektet e lindjes. N\u00eb ve\u00e7anti, acidi folik siguron mbrojtje kund\u00ebr defekteve t\u00eb tubit nervor, t\u00eb cilat jan\u00eb defekte t\u00eb r\u00ebnda t\u00eb lindjes s\u00eb trurit dhe shtyll\u00ebs kurrizore t\u00eb foshnj\u00ebs.<\/span><\/p>\n

P\u00ebr t\u00eb reduktuar rrezikun e defekteve t\u00eb tubit nervor, rekomandohet q\u00eb t\u00eb gjitha grat\u00eb e mosh\u00ebs riprodhuese t\u00eb konsumojn\u00eb 400 mcg acid folik n\u00eb dit\u00eb. Kjo mund t\u00eb arrihet duke konsumuar ushqime t\u00eb fortifikuara, suplemente ose nj\u00eb kombinim t\u00eb t\u00eb dyjave, p\u00ebrve\u00e7 ngr\u00ebnies s\u00eb nj\u00eb diete t\u00eb sh\u00ebndetshme q\u00eb p\u00ebrfshin folatin natyral nga ushqimi.<\/span><\/p>\n

\u00cbsht\u00eb e r\u00ebnd\u00ebsishme t\u00eb theksohet se suplementet q\u00eb p\u00ebrmbajn\u00eb folate n\u00eb forma t\u00eb ndryshme nga acidi folik, si 5-metiltetrahidrofolati (5-MTHF), nuk jan\u00eb provuar t\u00eb jen\u00eb efektive n\u00eb mbrojtjen kund\u00ebr defekteve t\u00eb tubit nervor.<\/span><\/p>\n

Grupet e tjera n\u00eb rrezik t\u00eb munges\u00ebs s\u00eb folatit p\u00ebrfshijn\u00eb njer\u00ebzit me kushtet e m\u00ebposhtme:<\/b><\/p>\n

\u00c7rregullimi i p\u00ebrdorimit t\u00eb alkoolit<\/span><\/i>: Njer\u00ebzit me alkooliz\u00ebm shpesh kan\u00eb diet\u00eb me cil\u00ebsi t\u00eb dob\u00ebt dhe konsum t\u00eb pamjaftuesh\u00ebm t\u00eb folatit. P\u00ebrve\u00e7 k\u00ebsaj, alkooli nd\u00ebrhyn n\u00eb p\u00ebrthithjen e folatit dhe rrit sekretimin e folatit, duke rritur m\u00eb tej rrezikun e munges\u00ebs.<\/span><\/p>\n

\u00c7rregullime malabsorbtive:<\/span><\/i> Njer\u00ebzit me s\u00ebmundje celiake, s\u00ebmundje inflamatore t\u00eb zorr\u00ebve (IBS) dhe gastrit atrofik (inflamacion kronik i stomakut) mund t\u00eb mos thithin folatin si dhe ata pa k\u00ebto kushte. Mungesa e folatit \u00ebsht\u00eb gjithashtu e zakonshme pas operacionit p\u00ebr humbje peshe.<\/span><\/p>\n

Polimorfizmi MTHFR<\/span><\/i>: Njer\u00ebzit me variantin e gjenit MTHFR C677T kan\u00eb nj\u00eb aft\u00ebsi t\u00eb reduktuar p\u00ebr t\u00eb kthyer folatin n\u00eb 5-MTHF, nj\u00eb nga format e tij aktive. P\u00ebr disa njer\u00ebz me k\u00ebt\u00eb variacion gjenetik, plot\u00ebsimi me 5-MTHF (forma aktive e folatit) mund t\u00eb jet\u00eb e dobishme. Megjithat\u00eb, p\u00ebr shkak t\u00eb hulumtimeve t\u00eb kufizuara, 5-MTHF nuk duhet t\u00eb p\u00ebrdoret n\u00eb vend t\u00eb acidit folik para ose gjat\u00eb shtatz\u00ebnis\u00eb, madje edhe n\u00eb individ\u00eb me variantin e gjenit MTHFR C677T.<\/span><\/p>\n

Burimet natyrore t\u00eb folatit<\/b><\/p>\n

Burimet m\u00eb t\u00eb pasura natyrore t\u00eb folatit p\u00ebrfshijn\u00eb:\u00a0<\/span><\/p>\n

M\u00ebl\u00e7ia e vi\u00e7it<\/span><\/p>\n

Spinaqi<\/span><\/p>\n

Zarzavate mustard\u00eb<\/span><\/p>\n

Asparagus<\/span><\/p>\n

Lakrat e Brukselit<\/span><\/p>\n

Portokall dhe l\u00ebng portokalli<\/span><\/p>\n

Kikirik\u00ebt<\/span><\/p>\n

Bizele me sy t\u00eb zi<\/span><\/p>\n

Fasulet e veshkave<\/span><\/p>\n

Burimet e “Acidit Folik”<\/b><\/p>\n

N\u00eb vitin 1998, Administrata Amerikane e Ushqimit dhe Barnave urdh\u00ebroi q\u00eb acidi folik t\u00eb shtohej n\u00eb produktet e pasuruara me drith\u00ebra p\u00ebr t\u00eb zvog\u00ebluar rrezikun e defekteve t\u00eb tubit nervor gjat\u00eb shtatz\u00ebnis\u00eb.<\/span><\/p>\n

Ushqimet e fortifikuara zakonisht me acid folik p\u00ebrfshijn\u00eb:<\/span><\/p>\n

Drith\u00ebra p\u00ebr m\u00ebngjes<\/span><\/p>\n

Buk\u00eb<\/span><\/p>\n

Miell<\/span><\/p>\n

Miell misri<\/span><\/p>\n

Makarona<\/span><\/p>\n

Oriz i bardhe<\/span><\/p>\n

Produkte t\u00eb b\u00ebra nga nj\u00eb lloj mielli i quajtur masa misri, duke p\u00ebrfshir\u00eb patate t\u00eb skuqura tortilla, guaska taco dhe tortilla<\/span><\/p>\n

N\u00ebse nuk jeni t\u00eb sigurt n\u00ebse nj\u00eb ushqim \u00ebsht\u00eb fortifikuar me acid folik, k\u00ebrkoni fjal\u00ebn “fortifikuar” ose “pasuruar” n\u00eb etiketat e ushqimit. Sasit\u00eb e folatit n\u00eb mcg DFE dhe acid folik p\u00ebr racion do t\u00eb renditen n\u00eb etiket\u00ebn e fakteve ushqyese.<\/span><\/p>\n

Kush nuk duhet t\u00eb marr\u00eb acid folik?<\/b><\/p>\n

Folati q\u00eb gjendet natyrsh\u00ebm n\u00eb ushqime dhe pije \u00ebsht\u00eb i sigurt. Acidi folik \u00ebsht\u00eb gjithashtu i sigurt p\u00ebr shumic\u00ebn e t\u00eb rriturve dhe f\u00ebmij\u00ebve t\u00eb sh\u00ebndetsh\u00ebm. Megjithat\u00eb, mund t\u00eb mos jet\u00eb e p\u00ebrshtatshme p\u00ebr t\u00eb gjith\u00eb.<\/span><\/p>\n

Konsultohuni me ofruesin tuaj t\u00eb kujdesit sh\u00ebndet\u00ebsor p\u00ebrpara se t\u00eb merrni acid folik n\u00ebse:<\/span><\/p>\n

Keni nj\u00eb histori t\u00eb nj\u00eb reaksioni alergjik ndaj acidit folik ose ndonj\u00eb medikamenti tjet\u00ebr.<\/span><\/p>\n

Jeni duke marr\u00eb dializ\u00eb, nj\u00eb trajtim p\u00ebr d\u00ebshtimin e veshkave q\u00eb filtron ujin shtes\u00eb dhe produktet e mbeturinave nga gjaku juaj<\/span><\/p>\n

Keni nivele t\u00eb ul\u00ebta t\u00eb vitamin\u00ebs B12.<\/span><\/p>\n

Keni kancer pa nj\u00eb diagnoz\u00eb t\u00eb konfirmuar t\u00eb anemis\u00eb s\u00eb munges\u00ebs s\u00eb folatit.<\/span><\/p>\n

B\u00ebni nj\u00eb stent n\u00eb zem\u00ebr.<\/span><\/p>\n

Konsiderata t\u00eb tjera<\/span><\/i><\/p>\n

Gjithmon\u00eb konsultohuni me nj\u00eb farmacist apo mjek p\u00ebrpara se t\u00eb merrni ndonj\u00eb shtes\u00eb diete ose t\u00eb b\u00ebni ndryshime t\u00eb r\u00ebnd\u00ebsishme n\u00eb diet\u00ebn tuaj.<\/span><\/p>\n

P\u00ebr m\u00eb tep\u00ebr, shmangni konsumimin e acidit folik nga suplementet dietike dhe\/ose ushqimet e fortifikuara n\u00eb sasi q\u00eb tejkalojn\u00eb kufirin e sip\u00ebrm ditor, p\u00ebrve\u00e7 n\u00ebse udh\u00ebzohet ndryshe nga nj\u00eb ofrues i kujdesit sh\u00ebndet\u00ebsor.<\/span><\/p>\n

Kufijt\u00eb e sip\u00ebrm ditor t\u00eb acidit folik nga suplementet dhe ushqimet e fortifikuara jan\u00eb:\u00a0<\/span><\/p>\n

Nga lindja deri n\u00eb 12 muaj: Nuk \u00ebsht\u00eb vendosur<\/span><\/p>\n

Moshat 1 deri n\u00eb 3: 300 mcg<\/span><\/p>\n

Moshat 4 deri n\u00eb 8 vje\u00e7: 400 mcg<\/span><\/p>\n

Moshat 9 deri n\u00eb 13 vje\u00e7: 600 mcg<\/span><\/p>\n

Moshat 14 deri n\u00eb 18 vje\u00e7: 800 mcg<\/span><\/p>\n

T\u00eb rriturit 19+: 1000 mcg<\/span><\/p>\n

Ndryshe nga RDA-t\u00eb, kufijt\u00eb e sip\u00ebrm p\u00ebr format sintetike t\u00eb folatit renditen n\u00eb mcg dhe jo n\u00eb mcg DFE. Kjo \u00ebsht\u00eb p\u00ebr shkak se marrja e lart\u00eb e folatit nga ushqimi nuk \u00ebsht\u00eb lidhur me ndonj\u00eb efekt negativ.<\/span><\/p>\n

Marrja e dozave t\u00eb larta t\u00eb suplementeve t\u00eb acidit folik mund t\u00eb maskoj\u00eb munges\u00ebn e vitamin\u00ebs B12, e cila mund t\u00eb vonoj\u00eb trajtimin dhe t\u00eb shkaktoj\u00eb d\u00ebmtime t\u00eb p\u00ebrhershme n\u00eb tru dhe sistemin nervor. Ka disa prova q\u00eb mund t\u00eb rris\u00eb rrezikun e disa llojeve t\u00eb kancerit, si kanceri kolorektal, te disa njer\u00ebz.<\/span><\/p>\n

P\u00ebrve\u00e7 k\u00ebsaj, kur konsumohen sasi t\u00eb m\u00ebdha t\u00eb acidit folik, trupi mund t\u00eb mos e p\u00ebrpunoj\u00eb ose metabolizoj\u00eb plot\u00ebsisht at\u00eb, duke b\u00ebr\u00eb q\u00eb acidi folik i pametabolizuar t\u00eb grumbullohet n\u00eb qarkullimin e gjakut. Kjo ka qen\u00eb e lidhur me ndryshimet e sistemit imunitar dhe d\u00ebmtimin kognitiv tek t\u00eb moshuarit. Megjithat\u00eb, nevojiten studime t\u00eb m\u00ebtejshme p\u00ebr t\u00eb kuptuar plot\u00ebsisht k\u00ebto efekte.<\/span><\/p>\n

N\u00eb situata t\u00eb caktuara, doza m\u00eb t\u00eb larta t\u00eb acidit folik mund t\u00eb rekomandohen n\u00ebn mbik\u00ebqyrjen mjek\u00ebsore.<\/span><\/p>\n

P\u00ebr shembull, njer\u00ebzit n\u00eb rrezik t\u00eb lart\u00eb p\u00ebr t\u00eb pasur nj\u00eb f\u00ebmij\u00eb me defekte t\u00eb tubit nervor shpesh k\u00ebshillohen t\u00eb marrin 4,000 mcg acid folik n\u00eb dit\u00eb p\u00ebr tre muajt e par\u00eb para dhe deri n\u00eb jav\u00ebn e 12 t\u00eb shtatz\u00ebnis\u00eb.<\/span><\/p>\n

Njer\u00ebzit n\u00eb rrezik t\u00eb lart\u00eb p\u00ebrfshijn\u00eb ata me nj\u00eb histori t\u00eb defekteve t\u00eb tubit nervor ose me nj\u00eb partner ose nj\u00eb f\u00ebmij\u00eb t\u00eb prekur nga k\u00ebto defekte.<\/span><\/p>\n

Nd\u00ebrveprimet me barnat:<\/b><\/p>\n

Acidi folik mund t\u00eb nd\u00ebrveproj\u00eb me medikamentet e m\u00ebposhtme:<\/span><\/p>\n

Metotreksat:<\/span><\/i> Acidi folik mund t\u00eb nd\u00ebrhyj\u00eb me metotreksatin kur merret si nj\u00eb trajtim kanceri.<\/span><\/p>\n

Medikamente kund\u00ebr konvulsioneve:<\/span><\/i> Acidi folik mund t\u00eb ul\u00eb nivelet n\u00eb gjak t\u00eb fenitoin\u00ebs (Dilantin), karbamazepin\u00ebs (Carbatrol, Tegretol, Equetro, Epitol) dhe valproatit (Depacon). K\u00ebto barna gjithashtu mund t\u00eb ulin nivelet e folatit n\u00eb gjak.<\/span><\/p>\n

Sulfasalazine:<\/span><\/i> Marrja e sulfasalazines\u00a0 p\u00ebr kolitin ulceroz mund t\u00eb parandaloj\u00eb trupin nga absorbimi efektiv i acidit folik, duke \u00e7uar n\u00eb nj\u00eb munges\u00eb.<\/span><\/p>\n

Flisni me farmacistin ose mjekun n\u00ebse merrni ndonj\u00eb medikament ose suplement dietik p\u00ebr t\u00eb siguruar q\u00eb nuk ekzistojn\u00eb nd\u00ebrveprime.<\/span><\/p>\n

Burimi: Health.com<\/a>\/ P\u00ebrktheu dhe p\u00ebrshtati n\u00eb shqip p\u00ebr HealthMag: Judita P\u00ebrndrecaj<\/strong><\/p>\n","protected":false},"excerpt":{"rendered":"

Termat folat dhe acid folik shpesh p\u00ebrdoren n\u00eb m\u00ebnyr\u00eb t\u00eb nd\u00ebrsjell\u00eb. Sidoqoft\u00eb, pavar\u00ebsisht se t\u00eb dyja jan\u00eb forma t\u00eb vitamin\u00ebs B9, t\u00eb dy p\u00ebrb\u00ebr\u00ebsit jan\u00eb mjaft t\u00eb ndrysh\u00ebm. Folati gjendet natyrsh\u00ebm n\u00eb ushqime t\u00eb ndryshme t\u00eb plota, nd\u00ebrsa acidi folik \u00ebsht\u00eb nj\u00eb form\u00eb sintetike e folatit q\u00eb zakonisht gjendet n\u00eb ushqime t\u00eb fortifikuara dhe suplemente. […]<\/p>\n","protected":false},"author":2,"featured_media":5469,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[7,11,13],"tags":[],"class_list":{"0":"post-5468","1":"post","2":"type-post","3":"status-publish","4":"format-standard","5":"has-post-thumbnail","7":"category-health","8":"category-living-healthy","9":"category-news-experts"},"yoast_head":"\nCili \u00ebsht\u00eb ndryshimi midis "Folatit" dhe "Acidit folik" - Health Mag<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/healthmag.al\/index.php\/2023\/07\/28\/cili-eshte-ndryshimi-midis-folatit-dhe-acidit-folik\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Cili \u00ebsht\u00eb ndryshimi midis "Folatit" dhe "Acidit folik" - Health Mag\" \/>\n<meta property=\"og:description\" content=\"Termat folat dhe acid folik shpesh p\u00ebrdoren n\u00eb m\u00ebnyr\u00eb t\u00eb nd\u00ebrsjell\u00eb. Sidoqoft\u00eb, pavar\u00ebsisht se t\u00eb dyja jan\u00eb forma t\u00eb vitamin\u00ebs B9, t\u00eb dy p\u00ebrb\u00ebr\u00ebsit jan\u00eb mjaft t\u00eb ndrysh\u00ebm. Folati gjendet natyrsh\u00ebm n\u00eb ushqime t\u00eb ndryshme t\u00eb plota, nd\u00ebrsa acidi folik \u00ebsht\u00eb nj\u00eb form\u00eb sintetike e folatit q\u00eb zakonisht gjendet n\u00eb ushqime t\u00eb fortifikuara dhe suplemente. 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