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Meg 留話於:2009/1/29 |
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三個月大嬰兒牛奶蛋白過敏,已經換水解蛋白一個月了, 還是有血絲 |
您好, 我們是住在美國,我的女兒現在三個月,在兩個月大時喝Enfamil, 因為大便中帶血絲黏液, 醫生說是對牛奶蛋白過敏, 於是改喝水解蛋白, 這一個月中, 偶而還是有黏液, 但不是每次都有, 前兩天, 確定大便中又有血絲, 吃, 睡, 活動力都正常, 體重成長也正常, 皮膚也很漂亮, 醫生說最後一招是要換" hypoallergenic amino acid-based formula-----Ele Care",
我的問題是:
1. 若是Ele Care 也沒用呢??
2. 如同我女兒, 除了大便中友血絲之外, 其他都沒有異常的狀況, 這樣也算是過敏嗎? 可以忽略它嗎?
3. 她一歲前可以換回一般的奶粉嗎?
先謝謝您的回答!! |
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蔡鵠遠醫師 回應於:2009/1/30 |
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牛奶蛋白過敏 |
您好
聽您的描述,如果小朋友生長發育且平時活動力都正常,只有無症狀血絲便,最常見的的確是牛奶蛋白過敏,相信醫師也已做了完善的檢查。對於牛奶蛋白過敏的治療,的確是要使用完全水解奶粉配方,其中成分是將蛋白質分解成不具過敏性的小分子氨基酸,因此不會產生過敏。完全水解奶粉有很多種,Ele Care 就是其中一種,大部分的小朋友在使用後應該會改善。另外,在急性期的 1~2 年內,對於柑橘類、巧克力、蛋、 花生、魚、麥粉等副食品的添加,也要小心。建議延後添加副食品的時間,一歲半至兩歲後才添加蛋類製品,海鮮堅果類也希望在兩歲半至三歲後再添加。大部分的牛奶蛋白過敏會隨年紀增長而逐漸改善,可以不用過於擔心。 |
Meg 回應於:2009/2/24 |
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牛奶蛋白過敏檢查 |
蔡醫師謝謝您詳盡的解答
不過說實話, 我的醫生並沒有做任何的檢查耶? 只有確認大便有血絲無誤, 就說是牛奶蛋白過敏. 請問可以做什麼檢查可以確認真的是牛奶蛋白過敏? |
蔡君蓉醫師 回應於:2009/3/2 |
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牛奶蛋白過敏檢查 |
首先牛奶蛋白過敏主要是臨床症狀如之前蔡鵠遠醫師所述,再加上糞便檢查都沒有感染的證據,臨床上也沒有感染的跡象,有時可配合抽血檢查過敏原,但要確定診斷要靠食物刺激測試,亦即先停止食用牛奶蛋白一陣子,等到血絲便改善後,再給予牛奶蛋白食用,若又有相同症狀出現,則可確定診斷。不過嬰兒食物很難避免牛奶蛋白(除非使用完全水解蛋白),又牛奶蛋白過敏的症狀會隨年齡增長而改善,故通常不做此測試。 |
曹敏 回應於:2010/3/4 |
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哪些奶粉属于含有蛋白完全水解的配方奶粉 |
蔡医生你好。我女儿满月后出现湿疹,混合喂养,是对牛奶过敏吗?为什么是在满月后才出现呢。之前为什么没有呢。如果确定是对牛奶过敏,现在市场上哪些奶粉属于蛋白完全水解的配方奶粉呢? |
孫齊醫師 回應於:2010/3/6 |
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. |
曹敏妳好:
小baby滿月後出現紅疹,有時並不一定是對牛奶過敏,異位性皮膚炎也是有可能的診斷,而一般嬰兒對牛奶蛋白過敏的症狀就是在嬰兒時期出現,並不一定會在出生一個月內有症狀,這和每個人的過敏體質和所攝入的奶品種類和量都有關係,而且一般牛奶蛋白過敏還常伴隨出現嘔吐、拉血絲便、腹脹等消化道症狀,建議媽媽可以帶小朋友給醫師評估來確定診斷。
如果是牛奶蛋白過敏選用的配方,有些是屬於大豆蛋白的成份,例如亞培的愛心美、美強生的新素美,這種是以大豆為蛋白質的配方,部份水解奶粉有雀巢的能恩水解,另外完全水解還有雀巢的好敏瑞。建議媽媽還是確定診斷,在醫師的處方下選用這些特殊配方,才能確保小朋友正常的生長發育。 |
陳秀 回應於:2011/2/10 |
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蛋白質流失 |
我的小孩患有先天性淋巴血管的疾病,一直都在喝完全水解蛋的奶粉。可是太貴了,現在已經小三了,不知道有沒有其他的奶粉可以換,現在喝的是新普派,4百克1100元。 |
陳 回應於:2011/2/10 |
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蛋白質 |
我的小孩患有先天性淋巴血管的疾病,一直都在喝完全水解蛋白的奶粉。可是太貴了,現在已經小三了,不知道有沒有其他的奶粉可以換,現在喝的是新普派,4百克1100元。
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陳秀 回應於:2011/2/10 |
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蛋白質流失 |
我的小孩患有先天性淋巴血管的疾病,一直都在喝完全水解蛋白的奶粉。可是太貴了,現在已經小三了,不知道有沒有其他的奶粉可以換,現在喝的是新普派,4百克1100元。
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陳秀 回應於:2011/2/10 |
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蛋白質流失 |
我的小孩患有先天性淋巴血管的疾病,一直都在喝完全水解蛋白的奶粉。可是太貴了,現在已經小三了,不知道有沒有其他的奶粉可以換,現在喝的是新普派,4百克1100元。
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陳韻如醫師 回應於:2011/2/15 |
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To陳秀 |
因不確定您所謂的先天性淋巴血管疾病狀況為何,也不知是否處理過,建議您回去問幫您小孩處理的醫師較為妥當。 |
洪幸騫 回應於:2012/3/29 |
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寶寶都會有類似鼻塞打呼的ㄍㄡㄍㄡ聲.. |
你好..
寶寶目前快2個月了..
都會有類似鼻塞打呼的ㄍㄡㄍㄡ聲..
感覺他好像不能呼吸..
有人說是過敏..
換了水解蛋白奶粉..
吃了快一個月..
還是一樣..
現在有人推薦換大豆配方奶..
請問他真的是過敏ㄇ..
是牛奶的關係ㄇ.. |
陳沛璇 醫師 回應於:2012/4/2 |
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寶寶都會有類似鼻塞打呼的ㄍㄡㄍㄡ聲 |
您好
寶寶在1歲之前 因為構造發育的關係
會暫時性的氣道狹窄
所以會發出ㄏㄡㄏㄡ聲
一般會在吃奶時或是熟睡時明顯
去除感冒或過敏情形 可以觀察到1歲 就會自然改善 |
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你好:寶寶現在快五個月了,五個月之前便便都不太正常都4.5天上1次!一次的量都好多便便的顏色是正常綠色稀便!她剛開始喝明治的醫院回家就慢慢換成雪印的!不過排便都不是天天也要用力後來醫生叫我們讓她喝能恩水解的比較好吸引是真的嗎?我們也有換過安琪兒的不過不適合妹妹大出來的便便是硬的又大不出來!結果我們現在也是換成雪印的!醫院有給我們能恩水解不過有很多人都說比較沒營養是真的嗎? |
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