ʻO ka allergy protein waiu o ka bipi (CPVO) ka meaʻai āpau mua e hōʻike ʻia i nā keiki. Hoʻomaka ia ma nā mahina mua o ke ola. Pehea e hōʻike ai iā ia iho? He aha nā ʻano hana no APLV? No ke aha e huikau ʻole ai me ka hoʻomanawanui ʻole o ka lactose? Nā Pane mai Dr Laure Couderc Kohen, ka mea ʻāpiki a me ka loea pulmonary pediatric.

Ke kamaʻilio mākou e pili ana i ka waiū waiū o ka bipi, ʻoi aku ka nui o ka maʻi āpau i nā protein i loko o ka waiū o ka bipi. Hoʻopuka nā kānaka āpau i kēia mau protein i ka immunoglobulins E (IgE) ke komo koke lākou i nā meaʻai i loko o nā proteins waiū o ka bipi (waiū, yoghurts, cheeses i hana ʻia mai ka waiū o ka bipi). ʻO IgE nā protein o ka ʻōnaehana paleʻea weliweli loa no ka mea kumu lākou i nā ʻōuli maʻi o ka nui o ke koʻikoʻi.

"Kākoʻo ʻia ke alapiʻi i nā proteins waiū o ka bipi e nā kiʻi nui ʻekolu o ke olakino, ʻo ia hoʻi ʻekolu mau ʻano like ʻole o nā ʻōuli: nā ʻōiwi a me nā hanu hanu, nā maʻi digestive a me nā maʻi enterocolitis", e hōʻike ana i ka Dr Couderc Kohen. 

ʻO nā ʻōuli mua

Hōʻike ʻia ke kiʻi lapaʻau mua e:

• urticaria,
• ʻōuli hanu
• edema,
• ʻo ka haʻalulu anaphylactic i nā hihia koʻikoʻi loa.

"I nā pēpē i hānai ʻia a maʻi i ka protein waiū o ka bipi, ʻike pinepine ʻia kēia mau ʻōuli a puni ka weaning ke hoʻomaka nā mākua e hue i ka waiū o ka bipi. Kamaʻilio mākou e pili koke ana i nā maʻi āpau no ka mea ke ʻike koke ʻia kēia mau hōʻailona ma hope koke iho o kaʻai ʻana i ka waiū, i kekahi mau minuke i ʻelua mau hola ma hope o ka lawe ʻana i ka ʻōmole, "wehewehe ka mea ʻaʻa. 

Nā hōʻailona lua

Kuhi ʻia ka lua o nā kiʻi maʻi e nā maʻi digestive e like me:

• ka luaʻi,
• reflux gastroesophageal,
• pāhoehoe.

I kēia hihia, ʻōlelo mākou no ka lohi āpau no ka mea ʻaʻole kū koke kēia mau ʻōuli ma hope o ka lawe ʻana i ka protein waiū o ka bipi. 

Nā ʻōuli rarer

ʻO ke kiʻi ʻekolu a ʻoi loa ʻo ke kiʻi maʻi enterocolitis, ka mea e like me ka luaʻi koʻikoʻi. Eia hou, kamaʻilio mākou e pili ana i ka allergy lohi no ka mea ʻo ka luaʻi ka mea i hala i mau hola ma hope o kaʻai ʻana o ka maʻi maʻi. 

"ʻO kēia mau kiʻi olakino hope loa he ʻoi aku ka koʻikoʻi ma mua o ka mea mua i hiki ke alakaʻi ʻia i ka haʻalulu anaphylactic hiki ke make, akā ke hōʻike nei ke kiʻi enterocolitis i kahi makaʻu nui o ka make wai a me ka pohō wikiwiki i nā keiki kamaliʻi", kuhikuhi ka loea. 

Hoʻomaopopo i nā maʻi digestive a me enterocolitis syndrome he hōʻike maʻi ʻaʻā ia a IgE i komo ʻole ai (maikaʻi ʻole ʻo IgE i ka hoʻāʻo ʻana i ke koko). Ma ka ʻaoʻao ʻē aʻe, maikaʻi nā IgE i ka hopena o ka APLV i nā ʻōuli o ke kino a me ka hanu (kiʻi lapaʻau mua).

Inā manaʻo nā mākua he maʻi maʻi i nā protein waiu bipi i kā lākou keiki ma hope o ka ʻike ʻia ʻana o nā hōʻailona like ʻole ma hope o ka ʻai ʻana i nā huahana waiu i hana ʻia mai ka waiū bipi, pono e hana ʻia kahi nānā e ke kauka allergist. 

"Hana mākou i ʻelua mau hoʻokolokolo:

Nā hoʻāʻo ʻana o ka ʻili āpau

ʻO lākou ka waiho ʻana i kahi kulu o ka waiū o ka bipi ma ka ʻili a ʻeha hoʻi i loko o kēlā kulu e hoʻokuʻu i ka waiū i loko o ka ʻili.

Nā kaha koko

Kākau pū mākou i kahi hoʻāʻo koko e hōʻoia a ʻaʻole paha i ke kū ʻana o ka waiū waiū kikoʻī ʻo IgE i nā ʻano pānaʻi koke ”, wehewehe ʻo Dr Couderc Kohen. 

Inā manaʻo ʻia kahi maʻi maʻi lohi (nā maʻi digestive a me ka maʻi enterocolitis), noi ka mea allergist i nā mākua e kāpae i nā huahana waiū bipi mai ka ʻai a ke keiki no 2 a 4 mau pule. e ʻike inā pau nā hōʻailona a ʻaʻole paha i kēia manawa.

He maʻalahi ka mālama ʻana i ka APLV, ua hoʻokumu ʻia ia ma kahi meaʻai e kāpae ʻia nā meaʻai āpau i hana ʻia me ka protein waiu bipi. I nā keiki maʻi, pono e hōʻalo ʻia ka waiū, yogurts a me nā paʻakai i hana ʻia mai ka waiū bipi. Pono nā mākua e pale i nā huahana ʻē aʻe a pau i loko o ia mea. "No kēia, he mea nui e nānā i nā lepili e hōʻike ana i nā mea hoʻohui ma ke kua o kēlā me kēia huahana," wahi a ka mea allergist. 

I nā pēpē

I nā kamaliʻi hānai hānai wale ʻia i ka waiū (ʻaʻole umauma), aia nā mea pani waiū i nele i ka protein waiū o ka bipi, ma muli o ka hydrolyzed milk protein a i ʻole nā ​​amino acid, a i ʻole ma muli o nā protein proteins, kūʻai ʻia i ka hale kūʻai. E ʻimi mau i ka ʻōlelo aʻo a ka pediatrician a i ʻole ka mea kōkua maʻi ma mua o ke koho ʻana i ka waiū o kāu bipi kauō no ka mea he pono pilikino pilikino nā pēpē. "Eia kekahi laʻana, mai pani ʻoe i ka waiū o kau bipi me ka waiū o ka hipa a me ke kao no ka mea ʻo nā keiki i maʻi i ka waiū o ka bipi hiki ke maʻi i ka hipa a me ka waiū o kao"

Ka hoʻokuʻu ʻia o ka maʻi ʻaʻai

E like me kāu e ʻike ai, ʻaʻole hiki ke mālama ʻia ʻo APLV me nā lāʻau. ʻO ka hoʻopau wale ʻana o ka mea hoʻowali i nīnau ʻia i hiki ke hoʻopau i nā hōʻailona. E pili ana i nā keiki e hōʻike ana i nā ʻōuli o ke kino a me ka hanu ma hope o ke komo ʻana o nā protein waiū o ka bipi, pono mau lākou e lawe i kahi pahu kōkua kōkua mua i loaʻa nā lāʻau antihistamine a me kahi syringe adrenaline e hōʻalo ai i nā pilikia hanu a me / a i ʻole ka weliweli anaphylactic hoʻoweliweli ola.

ʻAe, hoʻōla ʻo APLV maʻamau iā ia iho ma kahi o ka manawa. Kakaikahi o ka poʻe mākua e ʻeha i kēia ʻano alapiʻi. "Inā ʻaʻole e nalo, hele mākou i kahi induction o ka hoʻomanawanui ʻana i ka waha, kahi ʻano therapeutic kokoke i ka hoʻolauna haʻahaʻa ʻana i nā mea liʻiliʻi a laila ka nui o ka waiū o ka bipi i ka papaʻai a hiki ke loaʻa ka hoʻomanawanui ʻana i ka mea alergenic. .

Kēia lapaʻau, hoʻomalu e ka allergist, hiki alakai i ka hapa a piha ke ola a hiki ke hala i kekahi mau mahina a i kekahi mau makahiki. Aia ia ma kēlā me kēia hihia ", wehewehe ʻo Dr Couderc Kohen.

ʻO kēia mau mea ʻokoʻa ʻelua.

ʻAla pālolo waiū protein

ʻO ka allergy protein waiu o ka bipi kahi pane pale i nā protein waiū o ka bipi. ʻO ke kino o ka poʻe me nā maʻi āpau ke hana ʻōnaehana i ke alo o nā protein waiū o ka bipi a hoʻomaka e hana IgE (koe wale nō nā ʻano digestive).

Ka lule a lactose

ʻO ka hoʻomanawanui ʻole ʻana i ka lactose ʻaʻole ia he allergy. ʻO nā hopena i nā pilikia digestive pilikia akā maikaʻi i ka poʻe hiki ʻole ke lactose, ke kō i loko o ka waiū. ʻOiaʻiʻo, ʻaʻohe o kēia poʻe lactase ka enzyme, hiki ke lūlū i ka lactose, kahi e hoʻoulu ai iā lākou, ʻeha ka ʻōpū, hāpala a i ʻole kausea.

"ʻO ia ke kumu a mākou e ʻōlelo aku ai iā lākou e inu i ka waiū lactose ʻole a i ʻole e ʻai i nā huahana dairy i loaʻa i ka enzyme lactase, e like me ka cheeses, no ka laʻana", hoʻopau ka mea allergist.