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此前我们已经简介了IBD患者的特殊饮食营养建议，而IBD患者中还有几类更特殊的群体——孕妇、儿童、青少年和手术患者。他们有着更为特殊的体重和营养需求，今天我们先来说一说前几类。首先来说一说孕妇。对于炎症性肠病患者孕期的主要挑战是体重和营养的达标。怀孕前，最好能达到理想体重，且没有维生素和矿物质缺乏，必要时与您的专科医生联系进行营养状态的调整。怀孕期间叶酸缺乏较为常见。无论您是否患有炎症性肠病，计划怀孕的女性都应该摄入叶酸来减少胎儿神经管缺损的可能。一般建议怀孕前至怀孕时的前12周每天摄入叶酸至少400微克；但是其他维生素、矿物质的补充需要谨慎，并且需要注意保持体重增长的平稳性。——本集内容感谢周云仙，阮佳音医师供稿
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