Solve the allergy myth! Ye Guowei, a pediatrician at Chang Gung, Linkou: Taking care of allergic children does not do these two things.

Solve the allergy myth! Ye Guowei, a pediatrician at Chang Gung, Linkou: Taking care of allergic children does not do these two things? Is your child allergic? Parenting Life magazine invited Ye Guowei, a pediatrician who is also allergic, to share two things that parents don't do when taking care of two allergic children at home (but many parents may take this as a standard), breaking the common misunderstanding of parents about allergies! I like children and devote myself to pediatrics.

Ye Guowei, an attending physician in the Department of Rheumatology, Allergy and Immunology of Chang Gung Memorial Children in Linkou, who likes children and is deeply loved by children, said with a smile: "Maybe the nature of personality is more suitable for children, and children will not cry when they see me! Moreover, unlike adults, children's medical history is simple and full of light, which is one of the reasons why Dr. Ye Guowei joined pediatrics.

As for choosing the departments of allergy, asthma and rheumatism, I think it is invisible but the research on immune mechanism in the body keeps pace with the times. Although complicated, as long as it is understood, it seems that it can explain the cause, not just the treatment.

Live in peace with allergic diseases

Dr. Ye Guowei, who has allergic rhinitis himself, has two sons who have mild nasal allergies since childhood. Until now, they have grown up and gone to college, but they still have some symptoms, but they have not used any specific drugs. Dr. Ye Guowei said that in treatment, allergic diseases are chronic diseases and it is not easy to recover. For example, if a son is allergic to his nose, he will only be treated if there are symptoms. If it doesn't affect his usual life, he will ignore it.

However, if you have asthma, you have different suggestions. Adults or elderly people with asthma must use drugs for a long time. After taking medicine for a period of time, the symptoms of asthmatic children are stable for a long time, so you can discuss the treatment direction with your doctor. Usually, 80% to 90% of children do not need to use asthma drugs for a long time.

Seeing a doctor is to give respect.

What is special about Dr. Ye Guowei when the patient is a baby or a young child? For infants who are not sensible, Dr. Ye Guowei will amuse him with exaggerated voices or body movements. As for the older children, we need to give them "respect". When children want to talk to the doctor, they should talk to him instead of "I'm seeing a doctor, don't argue!" Once children feel the goodwill of doctors, they are usually willing to cooperate with the examination and consultation.

Without medicine, heroes are useless!

The youngest son was sent to the emergency department when he had an asthma attack during the Chinese New Year. Dr. Ye Guowei recalled that he said at that time: "Even if I am a doctor, if there is no medicine at home, there is no place for a hero!" Therefore, it is recommended that parents communicate with doctors to understand their children's diseases, especially asthma, and should understand the way of medication. If they don't understand, they should consult a doctor or pharmacist to find out when they can handle themselves at home.

It is required to prepare medicines in case of emergency.

Suppose that parents have prepared some drugs and fully understand the functions and usage of these drugs. If children have some minor problems, they can deal with them as soon as possible. If the treatment is effective, there is no need to rush to the emergency room in the middle of the night, and you can be more confident and not too nervous when taking care of your children.

Take care of allergic children, don't do these two things!

How do rheumatologists take care of the daily life of allergic children in their infancy? Dr. Ye Guowei said that he didn't do anything special, but there are two things that ordinary parents often do, but doctors can't do!

1, do not take supplements.

General parents may think that allergy means poor immunity, so they must give their children something to supplement their health, but Dr. Ye Guowei, who knows allergic diseases, will not buy any supplements to "enhance immunity".

Dr. Ye Guowei said, "From an empirical point of view, there is no special evidence that these so-called tonics have their effects. Since there is no empirical evidence, I will not buy it because it is quite expensive (laughs ~). " If you want to supplement nutrition, you must take it from food, and a balanced diet is the right way!

2. Don't be picky about food.

Generally speaking, it is often heard that allergic children can't eat seafood, peanuts and many things that can't be eaten. Not only does Dr. Ye Guowei not buy supplements for his children, but Dr. Ye Guowei's children eat everything!

During the consultation process, Dr. Ye Guowei's advice to parents is usually that unless children really have symptoms after eating a certain food, they need to pay attention and avoid it. Otherwise, most children are not allergic to food! Dr. Ye Guowei said that this is my medical opinion. In fact, I treat my children the same way-there are no special restrictions on diet.

Solve the allergy myth! Ye Guowei, a pediatrician at Chang Gung, Linkou: Take care of allergic children and don't do these two things.

There are many allergic children in Taiwan Province province, but parents don't know much about allergies, and even have some misunderstandings. What are the common allergic misunderstandings? Please ask Dr. Ye Guowei to provide parents with a correct concept!

Myth 1, I am afraid that taking medicine is not good for my health.

Parents in Taiwan Province Province are most afraid that their allergic children will take western medicine (especially drugs containing steroids), and think that long-term medication will lead to sequelae and complications, so that about 40% to 50% of parents of allergic children will stop taking medicine once they find that their children seem to have no symptoms.

It's just allergies, unlike diabetes and high blood pressure. If you don't take medicine for a day, your blood sugar and blood pressure may soar immediately, and patients are afraid to take medicine. However, even if you don't take medicine on time 1 day, 1 week, or even 1 month, it seems to be safe and sound, so that you often forget to let your child take medicine or deliberately prevent your child from taking medicine, but maybe the weather changes on a certain day or the outside world will induce allergic symptoms.

The consequences of stopping the drug by yourself may be more serious.

Dr. Ye Guowei explained that the ultimate goal of using allergic drugs is of course to hope that you don't need to take any more drugs, but before that, you must prevent the induction of allergies. If you stop taking the medicine yourself, it may cause more adverse reactions, such as severe wheezing and destruction of respiratory tissue, which is really not worth the candle!

Allergy is a chronic disease that requires long-term medication. However, there is no clear time limit for how long to take the medicine, which varies from person to person. Dr. Ye Guowei suggested communicating with the doctor and taking medicine according to the doctor's instructions. Moreover, these drugs for allergic diseases, such as inhaled steroids, are used in very low doses, and there will be no doubt about side effects such as moon face or buffalo shoulder. Parents need not worry too much.

Myth 2. It should be better if you work hard.

For the daily care of allergic children, the doctor will remind parents to pay attention to the cleanliness of the home environment, so parents bought dehumidifiers and air purifiers, thinking that after I listened to the doctor, the child's allergies should be better after using these things, but why didn't the condition improve?

Dr. Ye Guowei pointed out that the cause of allergic diseases is not single. These efforts made by parents will certainly help, but they do not necessarily mean that they will recover. Parents should have this understanding!

Even if you can't, don't blame yourself.

Dr. Ye Guowei, whose husband and wife usually have to go to work, knows very well that it is really not easy for families to change bed sheets and pillowcases every two weeks and wash them with 55-degree hot water.

Wash the washing machine with 55℃ hot water, which originated from the hot water washing mode outside China. For busy parents in Taiwan Province Province, if we really want to reach this water temperature, we have to burn a large pot of hot water to wash the strips. It is difficult to implement in practice, and it does not conform to the lifestyle of Taiwan Province Province. Therefore, Dr. Ye Guowei suggested doing as much as possible.

Dr. Ye Guowei said that you can only say that you should try your best. If you can't do it, parents don't have to blame themselves. If a child's allergy doesn't improve, it doesn't mean that parents didn't do enough to cause it, let alone feel guilty, because they gave birth to an allergic child.

Sometimes I hear the older generation say, "No one in our family is allergic. My daughter-in-law must have brought it! Dr. Ye Guowei believes that although allergies are indeed related to heredity, there is no need to blame someone's heredity. Maybe the other person is allergic, too, but it's not that obvious. It's really not weird.

Professional advice for parents of allergic children

From the standpoint of children's allergic asthma rheumatologist, what Dr. Ye Guowei wants to remind most is that parents with allergic children under 5 years old should not restrict their diet because they are worried about their children's allergies, which will affect their growth and development! It is more important for children to have a balanced diet and pay attention to their growth and development!

Take care of children with pediatricians.

Now is the era when the Internet is in power. You can browse all kinds of information through your mobile phone with one hand, so that parents can't agree! A said not to eat, and B said it was better to eat. Dr. Ye Guowei pointed out that medical knowledge is developing and advancing with the times, but parents will be confused when they read many online articles. Moreover, every child's physical condition is different, and the experience of other children may not be applicable to their own children. It is better to find a pediatrician who can communicate with them and take care of their children's growth and development together. I believe that children can grow up healthily!

Ye Guowei

Present position: Attending physician in Department of Pediatric Allergy, Asthma and Rheumatism, Chang Gung Hospital, Linkou.

Associate Professor of Linkou Chang Gung Memorial Hospital/Chang Gung Memorial University

Chairman of Taiwan Province Asthma Consulting Association

Director of Taiwan Province Pediatric Medical Association

Director of the Immune Society of the Republic of China

Director of Taiwan Province Children Allergy, Asthma and Immunity Society.

Education: Department of Post-Bachelor Medicine, Chang Gung Medical College

Department of Rehabilitation Medicine, Taiwan Province University

Experience: Professor of Immunopharmacology, University of Southampton, UK.

Chairman of Taiwan Province Children's Allergy, Asthma and Immunity Society.

Director, Department of Children Allergy, Asthma and Rheumatism, Chang Gung Children's Medical Center