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음식 앨러지 약물 요법

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음식 앨러지 Food Allergy</TD></TR></TBODY></TABLE>
 
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음식 앨러지 병태</TD></TR>
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.1) 음식 앨러지는 일명 음식 과민 반응(Food Hypersensitivity)이라고도 함
 
.2) 피부가 음식에 접촉하자 마자 발생하는 경우로부터 음식에 함유된 단백질이 위장에서 부분적으로 분해된 분자가 흡수 되어 체내에서 복합 항원을 형성 하고 비로서 항원 항체 반응인 과민 반응을 일으키는 경우 까지 다양한 앨러지 병태를 나타 냄</TD></TR></TBODY></TABLE>
 
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음식 앨러지를 유발하는 음식</TD></TR>
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매우 다양하나 음식 앨러지의 90%를 찾이하는 음식은 아래와 같다
 
-땅콩
-우유
-달걀 
 
-밤등 낫트류
-생선
-조개류
 
-대두 콩
-밀 등이다
.
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음식 앨러지 증상 </TD></TR>
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·         -두드러기 –가려움증(구강 입술 혀 목 눈 피부 등)
·         -부종(혈관 부종, 입술,혀, 눈뚜겅, 얼굴)
·         -삼키기 어려움
 
·         -콧물 코 막힘
·         -쉰 목 소리 
·         -호흡 곤란 천명(그르렁 거림)
 
·         -구역 구토
·         -복통 위 경련 
·         -현기증 
 
·         -졸도 
·         -숔크 
·         -사망
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음식 앨러지 발생 빈도 </TD></TR>
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.1) 3세 이하 소아는 6-7%
.2) 성인은 4%</TD></TR></TBODY></TABLE>
 
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음식 앨러지 유발하기 쉬운 자 </TD></TR>
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-가족 력 있는 자
-앨러지 비염 있는 자
-천식 있는 자 
-아토피 피부염 있는지 </TD></TR></TBODY></TABLE>
 
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음식 앨러지는 저절로 살아지기도 한다 </TD></TR>
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-소아의 우유 앨러지는 75%가 자라면서 없어진다
 
-우유, 대두 콩 달걀 밀가루에 앨러지 있던 소아의 50%는 6살이 지나면서 
이 음식들에 대한 앨러지가 살아진다 12세까지 이들 음식에 앨러진인 소아는 
성인이 되면서 92%가 살아진다 - </TD></TR></TBODY></TABLE>
 
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음식 앨러지는 어떻게 진단하나 </TD></TR>
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앨러지 전문 의를 방문하면 전문적인 진단 방법으로 앨러지 음식을 판명해 
낼 수 있다 </TD></TR></TBODY></TABLE>
 
 
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음식 앨러지 치료 법</TD></TR>
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.1) 솤크 같은 응급 시는 Epinephrine 정맥 주사로 응급 치료한다 
 
.2) 통상의 앨러지 증상은 항 히스타민 제 (D<A title=Diphenhydramine href="http://en.wikipedia.org/wiki/Diphenhydramine">iphenhydramine</A>) 투약하여
증상 유발 원인 물질인  Histamine 작용을 차단 해야 한다
 
.3) 체내 면역 반응을 차단 하기 위하여 부신 피질 호르몬 경구용을 사용한다
 
.4) 앨러지 발생을 예방하기 위해서는 종래는 Cromoglycate 을 경구 복용하여
Histamine 유리를 억제 했으나 효과가 별로 신통치 않음이 밝혀졌다
현재로는 앨러지 음식을 피하는 방법 밖에 없다
 
.5) 음식 앨러지가 중증으로 판명된 자는 1회용 Epinephrine 주사를 휴대하고
다녀야 하며 “나는 음식 앨러지 환자”임을 나태는 명표를 지니고 다녀야한다</TD></TR></TBODY></TABLE>
 
 
 
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근거</TD></TR>
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