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Teach you to identify allergies

BY Iris Wheatley 2020-04-12

  Most people experience allergies all their lives. Allergy is the human body''s hypersensitivity to normal substances. Allergic constitution is prone to allergic reactions to various allergens.

  Allergies are related to heredity. Generally, children have this kind of problem, and one or both parents will have similar problems. The more obvious the allergic constitution of the parents, the earlier the child will have symptoms.

  Allergic constitution is related to the environment. The more allergic factors in the environment, the more obvious the allergic symptoms appearing in the child and the earlier the time. That is to say, although it is allergic, it does not have enough allergens to stimulate and generally does not cause allergic reactions.

   Inhalation allergens include mites, pollen, mold, dust (including cigarettes), cockroaches.

  Eating allergens into the group is more, but common are all kinds of protein, especially eggs, milk, followed by nuts and juicy fruit. The less the content of allergens in the environment, the less likely it is to cause allergies. Many people need years of allergen stimuli before they can develop obvious allergies.

   Not long ago, I went to China-Japan Friendship Hospital for further study. Under the personal guidance of a professor of pediatric respiratory and allergy experts at Beijing China-Japan Friendship Hospital, I became more and more aware of allergies.

  The following teaches parents to understand allergies from the following aspects.

  (1) Skin: Eczema and seborrheic dermatitis. Skin allergies usually appear shortly after the child is born.

   Eczema mainly manifests as many erythema or small papules on the skin surface, and there is obvious exudation. If you scratch it with your hand, it will ulcerate the skin surface, and yellow liquid will flow out of the skin ulceration and scab. Eczema often occurs on the head and face, such as the forehead, cheeks, top of the head, etc., and may also spread throughout the body. Children with eczema will feel itchy, so they will be restless and crying, which will affect their sleep. If care is not taken, it is very likely that the affected skin will become infected and purulent, forming pustular herpes.

  Seborrheic dermatitis is mainly manifested in the scab on the top of the head of the baby. A little larger, there will be more head oil, easy to lose hair. Adults are prone to dandruff and hair loss.

  Skin hyperkeratosis, dryness, especially for children over three years old, many children with protein allergies have hyperkeratosis of the skin, thickening of the hair follicles, keratosis of the skin. The skin becomes dark, especially the hands, knees, and neck. Many parents will wash their children''s hands and neck repeatedly, but it will not be effective.

  (2): Digestive system

  Digestive system allergic symptoms are generally:

  Children fart far after birth, and sound Loud and often burp easily. Some children will also experience physiological diarrhea, stool 6 to 7 times a day, for loose stools, the main reason is lactose intolerance or animal protein allergies. These symptoms will be significantly improved after adding supplementary food. In addition to diarrhea, constipation is also a very important manifestation of food allergies.

  (3) Mucosa

   1. Eyes: The earliest appearance of mucosa is allergic conjunctivitis. The child is about 1 to 3 months old You will rub your eyes or rub your forehead against the adult’s body or clothes. She often tears. When you go out, the wind will shed tears. In severe cases, the nasolacrimal duct will be blocked. Around 4 years old, the child will have amblyopia or myopia, and severe cases will also blink frequently. Examination will show that the child''s eyelid is congested obviously, with pebble-like protrusions, and severe cases have stones.

   2. Nose: The second appearance is allergy to the nasal mucosa. The main manifestations are rubbing the nose, picking the nose, sneezing, clearing the nose or stuffy nose. 6 months ago, because of a blocked nose, children often cried when they were breastfeeding, did not like breastfeeding, did not sleep well at night, and loved to roll over (note! This symptom is easily confused with calcium deficiency, but calcium supplementation has no effect). If the recurrence is not good and the infection is complicated, there will be sinusitis and adenoid hypertrophy. At this time, the child will sleep and grind his teeth, talk dreams, drool, or even snore. In the morning, he smells in his mouth. After drinking water or brushing his teeth disappear.

  3. Trachea: Bronchial asthma, mainly manifested by recurrent cough and wheezing. The sound of wheezing is like a cat wheezing with a "hissing" sound; repeated bronchitis, pneumonia, or chronic cough, Especially after exercise or coughing after eating chocolate.

   4. Multiple tics, long-term allergies to the mucous membranes can cause the child to blink frequently, raise his nose, and open his mouth. There are even symptoms of shrugging and stomach cramps. Severe children will also have eyes upturned, clear their throat, and have a strange voice

  (4): heart

  is allergic myocardial damage The first expression is that the child does not like to sleep, has difficulty falling asleep, and is prone to sweat when sleeping at night, especially from half an hour to 2 hours just after falling asleep.

  Secondly, children don’t like to walk, they often have to be hugged. For things they are interested in, they are full of energy and things that are not of interest. Some children will frequently bite or other aggressive behaviors when they are 1 to 2 years old. Children 2 to 5 years old will stutter. Children over 6 years of age will appear inattentive, hyperactive, sloppy, hunched. .

  The age performance of the identification approach

  The child''s allergic injury behaves differently at different ages.

   ●Under 1 year old, because the child is just born, there are antibodies brought by mother in the body, so rarely get sick. Children at this age mainly show rubbing their eyes and not sleeping at night. Children with severe allergies often have blocked noses and sneezes. Another typical manifestation is that the child suddenly does not eat milk, or the milk volume decreases significantly. If your child has these symptoms and has wheezing pneumonia or bronchiolitis between 9 and 11 months, the child has a greater chance of developing asthma in the future.

   ● 3`5 years old, this age group is a high incidence period of allergies. Since children are already able to go out, there are more and more allergens in contact with the outside world, so allergies occur mainly during this period, especially children Go to kindergarten, concentrated and long-term exposure to other environments, cross-infected. During this period, the main symptoms were repeated fever or high fever, often accompanied by headache, dizziness, and odor in the mouth. This is nasal vestibular inflammation or acute sinusitis. In addition, high fever convulsions and myocardial damage also mainly occur at this stage. Most children with high fever convulsions suffer from chronic sinusitis. The manifestation of myocardial damage is that when you sleep at night, you like to sweat and don''t like to walk. Does not gain weight for half a year, or does not change much in weight.

   ● 5-8 years old, the child is thin, loves to move and sweats, talks a lot, and is very smart, but has a big temper and sloppy. Children with chronic sinusitis often have high fever and tonsillitis. We can also sum up two sentences: First, there is no long bones, can not stand upright, can not sit upright, always rely on people. The second is that they don’t have long ears, others talk as if they didn’t hear, and they have to do things more frivolously.

   ● 8-12 years old, the child has poor physical strength, like lying on his or her back, with a hunchback or chest. Or the first thing to go home from school is to lie down or lean on. The teacher reports that the child is smarter, that is, he is not obedient or does not need to work, and loses everything.

   ●12-16 years old, the child learns sloppyly or the academic performance drops, or the academic performance is unstable, suddenly high and low. The teacher will find that the child always wants to sleep in class and is not focused. More retrograde.

  The third way of identification: personality characteristics

  Children with allergies often have very obvious characteristics in personality:

  ◆Smart; p>

  ◆Being active;

  ◆Irritable and irritable;

  ◆It’s very talkative;

  ◆Energetic, seems to be energetic Endless energy;

   ◆ Difficult to fall asleep, do not like to sleep.

  Special interpretation

  1. Stuttering, biting and allergies

  Children around the age of 2 often stutter or bite, there are It may be caused by allergies.

  When allergies damage the heart, the child’s first manifestation is increased heart rate, or even tachycardia. When the child is suddenly excited and has a large amount of activity, tachycardia will occur. The child will not express this feeling of panic in words, and there will be irritability, crying, and even biting and beating.

   If the child has allergic myocardial damage, the heart rate will be faster than the normal child, and it will be more excited, the speech will be more, and the speech speed will be faster. The impact of allergies on the airway will manifest as airway hyperresponsiveness, that is, the airway is relatively tense. Both speech and vocalization require airway involvement, and airway tension will limit rapid vocalization. When the child''s high airway response contradicts the child''s increased speech rate, the child will stutter.

  2. Night terrors, bedwetting, snoring and allergies

   snoring, children snoring is mainly due to adenoid hypertrophy, rhinitis, sinusitis It is closely related to the three of adenoid hypertrophy. The first to appear is rhinitis. Symptoms appear around 6 months of the child, that is, the child sneezes, rubs his nose, and sleeps at night. Because children with rhinitis often have nasal mucosal secretions, bacteria can easily breed and multiply on them, causing the child to catch a cold. When a child is invaded by bacteria and viruses, adenoids and tonsils act as lymphoid tissues and act as a vanguard against the enemy. They work first, and the compensation is increased to produce more immune globulin to protect the child from sick. Such an increase is a positive effect. However, when this happens repeatedly, the enlarged adenoids will become physiologically hypertrophic, causing blockage of the nasal passages, making it difficult for sinus secretions to flow out. The more secretions in the sinuses, the more beneficial to the growth and reproduction of bacteria, resulting in Sinusitis. Therefore, rhinitis is the basis, and sinusitis and adenoid hypertrophy are the result of repeated infections. The sinuses are deeper and have smaller openings, which is not easy to cure completely. Therefore, the adenoids of children with sinusitis are more likely to be compensated for enlargement. The enlarged adenoids in turn affect the treatment of sinusitis.

In the treatment of adenoid hypertrophy, we must first control sinusitis, and then treat allergic rhinitis and prevent repeated respiratory infections. That is, it is divided into three steps. First, antibiotics and topical nose medicine are used to treat sinusitis. Then use anti-allergic drugs or other local hormones to treat rhinitis, and the adenoid will shrink.

   Bedwetting, if the child has regular enuresis at night after 3 years old. Or if you have enuresis at least once a week after the age of 5, you should consider whether there are other problems.

  The diseases that cause bedwetting are: pinworm disease (the irritation of the urethra by the insect body), local inflammation of the urethra, spina bifida, etc., but enuresis caused by the disease only accounts for a small proportion. Most children''s bedwetting is related to mental factors, hygiene habits, environmental factors and so on.

  Mental factors include: the child is too tired or over-excited before going to bed. These situations only happen occasionally.

  Environmental factors include: suddenly changing the environment; climate change such as cold. In addition, children drink too much water before going to bed; eat watermelon and other fruits with high water content and diuretic effect; parents do not put urine in time when the child has a bowel movement at night will cause the child to wet the bed. Neither of the above two cases should be considered a problem. If these factors are removed, if we still have bedwetting, we will need to check further.

   Unhealthy hygiene habits include: some parents do not give their children urination training in a timely manner, and the children do not have a sensitive reaction to urination; the child’s underwear is too tight, and the urine is not cleaned and stimulated locally.

   In fact, the child’s excessive sleep is the main reason for the child’s bedwetting. The most common cause is the lack of oxygen in the child’s sleep caused by adenoid hypertrophy, and even sleep apnea syndrome. The symptom that parents can find is snoring! Some children still gritt their teeth, talk dreams, and drool during sleep.

  Night terror

  The main reason for night terror is related to cerebral hypoxia caused by sinusitis and adenoid hypertrophy, as well as the damage caused by food allergies and food allergies Partly IgG-mediated, antigens and antibodies form immune complexes and enter the brain through the blood-brain barrier, making the brain more excitable. When the child first falls asleep, he will involuntarily kick his leg, or suddenly do it at night, and he has words in his mouth, or Silently, he will fall asleep again in a while, and even sleepwalking. In addition to these symptoms, such children also have a strong temper, easy to irritate, and extreme personality. At a very young age, about 3-5 years old, I would often say inexplicably, I killed you, I burned you, I trampled you, and even the child would say, Mom, you killed me, I am not alive.

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