Repercussões da alergia ao leite de vaca sob a ótica materna

Pamela dos Reis; Sonia Silva Marcon; Vanessa Carla  Batista; Verônica Francisquete  Marquete; Evelin Matilde Arcain Nass; Patrícia Chatalov Ferreira; Sueli Mutsumi Tsukuda  Ichisato

doi:10.15253/2175-6783.20202142929

Authors

Pamela dos Reis Universidade Estadual de Maringá http://orcid.org/0000-0003-1000-4649
Sonia Silva Marcon Universidade Estadual de Maringá http://orcid.org/0000-0002-6607-362X
Vanessa Carla Batista Universidade Estadual de Maringá http://orcid.org/0000-0002-3267-3969
Verônica Francisquete Marquete Universidade Estadual de Maringá http://orcid.org/0000-0002-8070-6091
Evelin Matilde Arcain Nass Universidade Estadual de Maringá http://orcid.org/0000-0002-5140-3104
Patrícia Chatalov Ferreira Universidade Estadual de Maringá http://orcid.org/0000-0001-9409-5888
Sueli Mutsumi Tsukuda Ichisato Universidade Estadual de Maringá http://orcid.org/0000-0002-6008-2795

DOI:

https://doi.org/10.15253/2175-6783.20202142929

Keywords:

Milk Hypersensitivity; Maternal and Child Health; Social Support; Breast Feeding; Diet.

Abstract

Objective: understanding the repercussions of cow’s milk allergy from the perspective of mothers. Methods: qualitative study, carried out with nine mothers who were found in Facebook groups. Data was collected through semi-structured interviews and submitted to content analysis. Results: three categories emerged: living with the unpreparedness of health services and professionals to diagnose and treat allergies to cow’s milk protein; social isolation: the result of fear and misunderstanding; and the mother as the central figure of care. Conclusion: the rigorous alimentary restriction that results from allergies to the protein in cow’s milk significantly reverberates in the lives of children and families, especially mothers, leading to the social isolation of the family and to insecurity in the use of health and education services, due to the lack of knowledge and preparation of the professionals.

References

Aranda CS, Cocco RR, Pierotti FF, Mallozi MC, Franco JM, Porto A, et al. Increased sensitization to several allergens over a 12-year period in Brazilian children. Pediatr Allergy Immunol. 2018; 29(3):321-4. doi: https://doi.org/10.1111/pai.12860

Ho MH, Wong WH, Chang C. Clinical spectrum of food allergies: a comprehensive review. Clinic Rev Allerg Immunol. 2014; 46(3):225-40. doi: https://doi.org/10.1007/s12016-012-8339-6

Ministério da Saúde (BR). Comissão Nacional de Incorporação de Tecnologias no SUS. Protocolo Clínico e Diretrizes Terapêuticas Alergia à Proteína do Leite de Vaca (APLV) [Internet]. 2017 [citado 2020 jan. 13]. Disponível em: http://conitec.gov.br/images/Consultas/Relatorios/2017/Relatorio_PCDT_APLV_CP68_2017.pdf.

Flom JD, Sicherer SH. Epidemiology of cow’s milk allergy. Nutrients. 2019; 11(5):1051. doi: https://doi.org/10.3390/nu11051051

Sociedade Portuguesa de Alergologia e Imunologia Clínica. Alergia alimentar: conceitos, conselhos e precauções. Portugal: Thermo Fisher; 2017.

Pensabene L, Salvatore S, D’Auria E, Parisi F, Concolino D, Borrelli O, et al. Cow ‘s milk protein allergy in infancy: a risk factor for functional gastrointestinal disorders in children? Nutrients. 2018; 10(11):1176. doi: https://doi.org/10.3390/nu10111716

Ferreira S, Pinto M, Carvalho P, Gonçalves JP, Lima R, Pereira F. Cow&s milk protein allergy with gastrointestinal manifestations. Birth Growth MJ [Internet]. 2014 [cited Jan 13, 2020]; 23(2):72-9. Available from: https://revistas.rcaap.pt/nascercrescer/article/view/8601

Sanchez-Garcia S, Cipriani F, Ricci G. Food allergy in childhood: phenotypes, prevention and treatment. Pediatr Allerg Immunol. 2015; 26(8):711-20. doi: https://doi.org/10.1111/pai.12514

Minayo MCS. O desafio do conhecimento: pesquisa qualitativa em saúde. São Paulo: Hucitec; 2016.

Bousso RS. A teoria dos sistemas familiares como refe- rencial para pesquisas com famílias que experienciam a doença e a morte. Rev Min Enferm [Internet]. 2008 [ci- tado 2020 jan. 13]; 12(2):257-61. Disponível em: http://www.reme.org.br/artigo/detalhes/266

Sarinho ESC, Lins MGM. Severe forms of food allergy. J Pediatr. 2017; 93(1):53-9. doi: https://doi.org/10.1016/j.jpedp.2017.06.009

Serpa FS, Cruz AAS, Neto AC, Silva ECF, Franco JM, Mello JML, et al. O atendimento médico de pacientes com doenças imunoalérgicas no Brasil: reflexões e propostas para a melhoria. Arq Asma Alerg Imunol. 2017; 1(4). doi: http://dx.doi.org/10.5935/2526-5393.20170049

Gomes RN, Silva DR, Yonamine GH. Impacto psicossocial e comportamental da alergia alimentar em crianças, adolescentes e seus familiares: uma revisão. Braz J Allergy Immunol. 2018; 2(1):95-100. doi: http://dx.doi.org/10.5935/2526-5393.20180007

Goodwin RD, Rodgin S, Goldman R, Rodriguez J, Vos G, Serebrisky D, et al. Food allergy and anxiety and depression among ethnic minority children and their caregivers. J Pediat. 2018; 187:258-264.e1. doi: https://doi.org/10.1016/j.jpeds.2017.04.055

Brum AKR, Fernandes Filha MLFS, Rocha RM, Ferreira SCM. Management of nursing care for children with allergy to cow milk protein. Rev Enferm UFPE online [Internet]. 2016 [cited Dec 21, 2019]; 10(5):4404-7. Available from: https://periodicos.ufpe.br/revistas/revistaenfermagem/article/view/11191/12745

Ministério da Saúde (BR). Agência Nacional de Vigilância Sanitária. Resolução n. 26, de 02 julho 2015. Dispõe sobre os requisitos para rotulagem obrigatória dos principais alimentos que causam alergias alimentares [Internet]. 2015 [citado 2019 dez 21]. Disponível em: http://portal.anvisa.gov.br/documents/10181/2694583/RDC_26_2015_.pdf/b0a1e89b-e23d-452f-b029-a7bea26a698c

Rajani PS, Martin H, Groetch M, Javirnen KM. Presentation and management of food allergy in breastfed infants and risks of maternal elimination diets. J Allergy Clin Immunol Pract. 2020; 8(1):52-67. doi: https://doi.org/10.1016/j.jaip.2019.11.007

Manti S, Lougaris V, Cuppari C, Tardino L, Dipasquale V, Arrigo T, et al. Breastfeeding and IL-10 levels in children affected by cow’s milk protein allergy: a restrospective study. Immunobiology. 2017; 222(2):358-62. doi: http://dx.doi.org/10.1016/j.imbio.2016.09.003

Urbanetto PDG, Gomes GC, Costa AR, Nobre CMG, Xavier DM, Silva JG. Guidelines on breastfeeding received by pregnant women during prenatal care. Cienc Cuid Saúde. 2017; 16(4). doi: https://doi.org/10.4025/cienccuidsaude.v16i4.34071

Silva MFFS, Pereira LB, Ferreira TN, Souza AAM. Breastfeeding self-efficacy and interrelated factors. Rev Rene. 2018; 19:e3175. doi: https://doi.org/10.15253/2175-6783.2018193175