今天娃体检儿医给的 Preventing Peanut Allergy (LEAP Study 2015)
Peanut allergy is more likely if peanut introduction is delayed until after 11 months of age. Early introduction allows the body to make protective antibodies which can prevent an allergic reaction from developing. There is little to no peanut allergy in Israel where babies commonly receive Bamba (peanut puffs) as an early finger food and that's what gave scientific investigators the idea to do the LEAP study. This study showed up to an 80% reduction of peanut allergy in those babies who started peanut protein between 4-11 months. It is safe and recommended to start your baby on peanut protein in infancy as long as your baby:
1. Doesn't have severe eczema (needing at least 2 courses of steroid creams for 12 days or more each course) 2. Doesn't have hives or a more severe reaction to another food. 3. Doesn't have a parent or sibling with peanut allergy.
If your baby has one of the risk factors above, he or she may need a blood test and/or a visit with one of our pediatric allergists to find out if it is safe to feed peanut protein. The allergist will do a skin test and, if the skin test result is below a certain size, will give you the green light to start peanut protein at home. For mildly positive skin test results the allergist may recommend that you bring your child back to the Kenmore office to have an oral food challenge as not all children with small positive reactions are truly allergic to peanut. Of course you would also be told if your child needs to completely avoid peanut protein.
Options for Introducing Peanut to Your Baby to Prevent Allergy 1. 1 tsp smooth peanut butter mixed with 20-30 mL formula, pumped breast milk, or pureed fruit or vegetable on 3 days per week. 2. Bamba Snack (peanut puffs made by Osem): 21 sticks on 3 days per week a. Babies less than 7 months: 21 sticks softened with 20-30 mL of water,formula, or breast milk and mixed with milk or pureed fruit or vegetable on 3 days per week. b Babies > 7 months who finger feed: 21 Bamba sticks as finger food on 3 days per week. 3. No whole peanuts until at least 4 years of age because of risk of choking.
It is important to keep giving the peanut over years so that your baby makes protective antibodies to peanut that will prevent future allergic reactions.
只不过那个lz后来也说可以理解nut free了
如果不是身边有这种情况，没看lz科普贴之前，有多少人知道过敏能严重到这样
我自己身边没有这样的人，也是读过大家分享的故事之后才发现严重性 ---发自Huaren 官方 iOS APP
她对虾。龙虾。都过敏，。。。但是她对扇贝（带子）完全不过敏。。。
所以我们都是拿着表格测试才知道的。。。
ps. 过去完全隔离的方法的最大弊端就是可能会对过敏源越来越敏感，最后真的是闻也闻不得，碰也碰不得。花生过敏的严格控制正在过去几十年的经验看， 是失败的。 所以现在新的guideline就改成越来越早的加。
啰嗦几句，孩子小时候学校幼儿园可以合作， 但是孩子长大以后， 谁care啊。 我知道好多悲剧都是high school, college，甚至工作以后突然接触到花生，就那个了。 我家小孩子的学校从去年开始取消nuts free了， 学校不会提供含nuts的食物， 但是小孩子可以自己从家里带。 毕竟这个世界形形色色， 我知道有小孩子只吃peanut butter sandwich的。 anyway, 作为有两个严重过敏的孩子的妈，我不能要求这个世界围着我的孩子转，只能努力的让他们适应环境保护自己。
我在火车上遇到一对小夫妻在吃零食，刚上车坐他们对面的带娃妈很凶地跟人家说不许吃因为她家孩子过敏。连个寒暄连个please和sorry都没有
幸好小夫妻涵养好，要是换不好的干脆救吵起来了。
http://forums.huaren.us/archiver/showtopic.aspx?topicid=1895604&page=5
那后来治好了吗？
我一个ABC同事也说她小时候也没有见过那么多花生过敏的情况，现在经常听到这样的事。
这边不需要养娃就知道啊，很多年轻同事也是各种过敏，最常见的是不吃普通高点，要gluten free的
现在治疗严重过敏的研究很多，不仅限于脱敏。脱敏虽然能暂时压制过敏反应，但是很多人在停止接触过敏源一段时间后，又开始有过敏反应。现在有新的研究可以用药物隔断过敏造成的严重反应。还有基因疗法直接针对过敏抗体。再过10年现代医学对于过敏的态度应该会有翻天覆地的变化。
re 那个帖子的楼主把自私当作了自己的政治正确 恶心
所以我们要抵制疫苗，就象中世纪的欧洲一样，来次瘟疫，没死的自然就有了抗体，死的也算自然淘汰，你说是不是这个理？
Preventing Peanut Allergy (LEAP Study 2015)
Peanut allergy is more likely if peanut introduction is delayed until after 11 months of age. Early introduction allows the body to make protective antibodies which can prevent an allergic reaction from developing. There is little to no peanut allergy in Israel where babies commonly receive Bamba (peanut puffs) as an early finger food and that's what gave scientific investigators the idea to do the LEAP study. This study showed up to an 80% reduction of peanut allergy in those babies who started peanut protein between 4-11 months. It is safe and recommended to start your baby on peanut protein in infancy as long as your baby:
1. Doesn't have severe eczema (needing at least 2 courses of steroid creams for 12 days or more each course)
2. Doesn't have hives or a more severe reaction to another food.
3. Doesn't have a parent or sibling with peanut allergy.
If your baby has one of the risk factors above, he or she may need a blood test and/or a visit with one of our pediatric allergists to find out if it is safe to feed peanut protein. The allergist will do a skin test and, if the skin test result is below a certain size, will give you the green light to start peanut protein at home. For mildly positive skin test results the allergist may recommend that you bring your child back to the Kenmore office to have an oral food challenge as not all children with small positive reactions are truly allergic to peanut. Of course you would also be told if your child needs to completely avoid peanut protein.
Options for Introducing Peanut to Your Baby to Prevent Allergy
1. 1 tsp smooth peanut butter mixed with 20-30 mL formula, pumped breast milk, or pureed fruit or vegetable on 3 days per week.
2. Bamba Snack (peanut puffs made by Osem): 21 sticks on 3 days per week
a. Babies less than 7 months: 21 sticks softened with 20-30 mL of water,formula, or
breast milk and mixed with milk or pureed fruit or vegetable on 3 days per week.
b Babies > 7 months who finger feed: 21 Bamba sticks as finger food on 3 days per week.
3. No whole peanuts until at least 4 years of age because of risk of choking.
It is important to keep giving the peanut over years so that your baby makes protective antibodies to peanut that will prevent future allergic reactions.
再说了 如果你说的医生因为一个病人的case就像其他病人推荐这种方法，他是怎么拿到行医执照的？
再说了 你说的case你怎么知道那孩子是不间断尝试过敏源脱敏的？为什么不是孩子大了肠胃里面分解酶多了自己outgrow的
我是突发过敏，变猪头过，但是后来恢复了。如果基因过敏，那个应该没办法
好奇怪啊。为什么过敏的问题越来越严重呢？国内也越来越严重似的。小时候只知道表姐海鲜过敏。现在家里和我儿子同辈的只有两个小孩，都过敏，不能吃鸡肉什么的。国外好像就更致命。
过敏医生一再嘱咐不要在家玩这个，必须在医生那里做food challenge。
我同事的娃，纯中国血统，过敏不少东西，她老公也过敏，她婆婆也过敏。
所以我同事也不吃花生。
还没呢，泪目。
MM能再详细说说吗？这种疗法叫什么名字，下次去看医生时咨询一下。
免疫系统整个抑制住听着有点吓人啊，那不是和艾滋病发作一样了吗，有点风吹草动会不会挂了？
花生过敏的孩子在学校里午餐分开一个桌子吃饭难道不是为了保护他们吗？怎么就成了自私冷血了？
以色列有一个贴膏药的疗法，在实验过程中。原理就是暴露及其微量的花生类蛋白，然后让身体逐渐适应。
但是还只在实验阶段。
我相信有的人能这样治好，但是很多不一定可以。等待科技突破中。
我是cinnamon powder过敏，在国内几乎没吃过这个所以不知道，出国之后跟着朋友到处乱吃小店的donuts什么的才突然发现的，轻微过敏，就是脸有点肿头疼什么的，偶尔起疹子，一开始心大没太在意（因为在国内啥过敏毛病都没有），后来有一次在邻居家万圣节趴喝了兑了这玩意的伏特加调的鸡尾酒，第二天早上起来肿的太吓人而且有点呼吸困难，去的ER，这才查出来过敏。
后来就是走到哪儿第一次介绍就得说清楚我对这个过敏，open air环境闻到也会头疼——那个时候实习也有老板给我们整个办公室的人发邮件要求不能在办公室还有大休息室吃含有这个的点心。
说实话按照美国这边的饮食习惯基本上我的同事们就没点心能吃了…虽然感觉挺不好意思的但是为了自己不难受，也就坦然享受这样的待遇了。
在学校也是，有个教授特别爱在班里放小点心，我这边确认过敏之后和他说了一声，那之后基本上班里就只放膨化零食了。
不过我那群美国的室友经常忘，好几次早上起来出门的时候厨房大喇喇的放着一盘cinnamon bun，也拿她们没什么办法就是了，只能自己随身带着药以防万一。
而且在外面比如farmers market买东西有时候要问清楚有没有，也会有摊主说什么居然还有人过敏这个？就是那种很不上心不当回事儿的口吻。感觉也就是那些非常有名的过敏致死情况很多的才会被高度重视似的
但是免疫这一块我也不太懂，我在国内的时候基本上是没有什么过敏的，出国之后陆续发现的几种鲜花过敏，在国内我还看过这类花展呢，完全没有问题。感觉可能水土和品种也不太一样吧。