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[对牛奶过敏的儿童。营养治疗]

[Children who are allergic to cow's milk. Nutritional treatment].

作者信息

Casado Dones M José, Cruz Martín Rosa M, Moreno González Cristina, Oya Luis Isabel, Martin Rodríguez María

机构信息

Enfermeras de Unidad Coronaria y Trasplantes de Hospital Universitario Puerta de Hierro, Madrid.

出版信息

Rev Enferm. 2008 Sep;31(9):51-8.

Abstract

An allergy or intolerance to cow's milk protein (APLV-IPLV) is the most frequent food allergy among early childhood in our environment, related to genetic and environmental factors. This allergy tends to appear during the first few months of life, after the introduction of cow's milk protein in a child's diet and it manifests itself with symptoms which depend on foreign matter being introduced (immunological or otherwise). A diagnosis is made by means of the patient's case history and is completed by laboratory tests. Treatment consists of excluding cow's milk protein from the child's diet. Formulas derived from cow's milk are substituted by a hydrolyzed formula or one based on soybean. The prognosis is good: patients respond to this diet which does not include cow's milk protein and the majority of patients succeed in forming tolerance for cow's milk protein. A nurse's role is fundamental in educating parents and later on the child in order to achieve following a diet which completely eliminates cow's milk protein (PLV).

摘要

牛奶蛋白过敏或不耐受(APLV - IPLV)是我们环境中幼儿期最常见的食物过敏,与遗传和环境因素有关。这种过敏往往在婴儿出生后的头几个月出现,即在儿童饮食中引入牛奶蛋白之后,其症状取决于引入的外来物质(免疫性或其他方面)。通过患者病史进行诊断,并通过实验室检查加以完善。治疗方法是从儿童饮食中排除牛奶蛋白。牛奶衍生配方奶粉被水解配方奶粉或大豆配方奶粉所替代。预后良好:患者对不含牛奶蛋白的这种饮食有反应,大多数患者成功形成对牛奶蛋白的耐受性。护士在教育家长以及随后教育孩子遵循完全排除牛奶蛋白(PLV)的饮食方面起着至关重要的作用。

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