| 영문 | Dilatation and Curettage(D & C) | 한글 | 자궁긁어냄술, 자궁목확장 |
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| 설명 | 자궁이란 태아가 수태되어서 분만전까지 발육하고 성장하는 공간이다. 자궁속에 병변이 있어 임신이 계속될 수 없거나 아니면 다른 이유로 임신되어 있는 태아를 제거하고자 할 경우에 사용되는 방법이다. 여기서 긁어내기 위하여는 우선 자궁의 입구에 해당하는 자궁목을 확장시켜야 한다. 여기에는 급속히 확장을 시도하는 법과 서서히 확장을 시도하는 2가지 방법이 있다. 자궁목을 급속히 확장할 때는 헤가르 목관확장기(Hegar's dilatator)를 사용한다. 이것은 작은 금속막대로 작은 크기부터 큰 크기까지 다양한 크기가 있어서 우선 작은 막대로 시작하여 점점 큰 크기의 막대를 자궁목에 넣어서 자궁목을 확장시킨다. 서서히 확장시킬 때는 Laminaria tent를 목관에 삽입하는 방법을 사용한다. Laminaria tent란 해초로 만든 작은 막대로 수분을 흡수하면 점점 늘어나는 성질이 있다. 이것을 자궁의 목에 넣으면 이것이 수분을 흡수하여 늘어나므로 천천히 자궁의 목이 늘어난다. 자궁목이 충분히 늘어나면 그 속으로 끝이 숟가락처럼 생긴 기구를 넣어서 자궁속의 병변이나 임신된 태아를 긁어내는데 여기에 사용되는 숟가락처럼 생긴 기구를 큐렛이라고 한다. 초기 임신중절 즉 유산과 같은 임신과 관련된 경우뿐만 아니라, 비임신 자궁의 자궁내막조직의 채취 및 제거를 위해서도 행해지는 수기이다. 이는 원칙적으로 마취하에 실시되는 것으로 자궁목관을 확장하고 기구로 자궁 내용물을 제거하고 큐렛으로 자궁내벽을 깨끗이 한다. 자궁천공이나 자궁목의 파열 등의 위험이 따르며, 수술후 감염 또는 출혈 등에 대한 주의가 필요하다. |
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| GAS | galactorrhea-amenorrhea syndrome; gastric acid secretion; gastrin; gastroenterology; general adaptat... |
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| KW change | Keith Wagener change |
| GLOBE | Global Learning and Observations to Benefit the Environment |
| GUSTO | Global Utilization of Streptokinase and Tissue Plasminogen Activator for Occluded Coronary Arteries ... |
| GAF scale | Global Assessment of Functioning scale |
| CGI-C | Clinical Global Impression of Change |
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| GUSTO-I | Global Utilization of Streptokinase and TPA for Occluded Coronary Arteries |
| FAC | Fractional area change |
| HSC | Health System Change |
| MCD | Minimal change disease |
| planetary | 1. Of or pertaining to the planets; as, planetary inhabitants; planetary motions; planetary year. 2. Consisting of planets; as, a planetary system. 3. <astronomy> Under the dominion or influence of a planet. "Skilled in the planetary hours." 4. Caused by planets. "A planetary plague." 5. Having the nature of a planet; erratic; revolving; wandering. "Erratical and planetary life." Planetary days, the days of the week as shared among the planets known to the ancients, each having its day. Hutton. Planetary nebula, a nebula exhibiting a uniform disk, like that of a planet. Origin: Cf. L. Planetarius an astrologer, F. Planetaire planetary. See Planet. Source: Websters Dictionary (01 Mar 1998) |
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| evolution, planetary | Creation and development of bodies within solar systems, includes study of early planetary geology. (12 Dec 1998) |
| global | The complete, generalised, overall, or total aspect. (05 Mar 2000) |
| global aphasia | In which all aspects of speech and communication are severely impaired. at best, patients can understand or speak only a few words or phrases; they cannot read or write. Synonym: mixed aphasia, total aphasia. (05 Mar 2000) |
| global ecology | <study> The study of the relationship of organisms to each other and to their environment on a global scale. (09 Oct 1997) |
| global paralysis | Paralysis of both whole sides of the body; survival is usually of short duration. Synonym: generalised paralysis. (05 Mar 2000) |
| global stability | <ecology> The ability of an ecological unit (such as a habitat) or taxonomic unit to withstand great disturbances without being greatly affected. (09 Oct 1997) |
| transient global amnesia | A memory disorder seen in middle aged and elderly persons characterised by an episode of amnesia and bewilderment which persists for several hours; during the episode the patient has a memory defect for present and recent past events, but is fully alert, oriented, capable of high-level intellectual activity, and has a normal neurological examination. Typically, these amnesic episodes occur spontaneously, and most patients experience only one; of uncertain aetiology-probably ischemic, but not due to atherosclerosis. (05 Mar 2000) |
| Armanni-Ebstein change | Glycogen vacuolization of the loops of Henle, seen in diabetics before the introduction of insulin. Synonym: Armanni-Ebstein change. (05 Mar 2000) |
| Baggenstoss change | Distention of pancreatic acini by proteinaceous secretion, seen in dehydration. (05 Mar 2000) |
| change | An alteration; in pathology, structural alteration of which the cause and significance is uncertain. Synonym: shift. (05 Mar 2000) |
| change of life | Colloquialism for menopause, climacteric. (05 Mar 2000) |
| chemical change | A process in which one or more substances are changed into one or more different substances. (09 Oct 1997) |
| minimal-change disease | <nephrology> A disorder of the kidneys which largely affects the glomerulus, the blood filtering structure. This disorder is one common cause of nephrotic syndrome, minimal glomerular changes, in children affecting 2 to 3 children per 100,000 population under age 16 in the USA. Minimal change disease is also seen rarely in adults. The cause is unknown but may be related to an autoimmune illness. It is marked by oedema, albuminuria, and an increase in cholesterol in the blood, but otherwise with fairly good renal function. Tubular epithelium is vacuolated by cholesterol droplets, but the glomeruli show only that the foot processes of the glomerular epithelial cells are fused, probably secondary to the proteinuria; the cause of the increased glomerular permeability to plasma protein is unknown. Risk factors include a history for a immune disorder, recent immunisation or a bee sting. Diagnosis is made by renal biopsy. Treatment include systemic corticosteroids which are usually quite effective in curing this disease. Other medications include chlorambucil and cyclophosphamide. In most cases, a moderate protein diet (1 gram protein per Kg body weight per day) will be recommended. Salt (sodium) restriction can be helpful to reduce swelling and vitamin D is usually supplemented. Synonym: lipoid nephrosis (27 Sep 1997) |
| minimal-change nephrotic syndrome | <nephrology> A disorder of the kidneys which largely affects the glomerulus, the blood filtering structure. This disorder is one common cause of nephrotic syndrome, minimal glomerular changes, in children affecting 2 to 3 children per 100,000 population under age 16 in the USA. Minimal change disease is also seen rarely in adults. The cause is unknown but may be related to an autoimmune illness. It is marked by oedema, albuminuria, and an increase in cholesterol in the blood, but otherwise with fairly good renal function. Tubular epithelium is vacuolated by cholesterol droplets, but the glomeruli show only that the foot processes of the glomerular epithelial cells are fused, probably secondary to the proteinuria; the cause of the increased glomerular permeability to plasma protein is unknown. Risk factors include a history for a immune disorder, recent immunisation or a bee sting. Diagnosis is made by renal biopsy. Treatment include systemic corticosteroids which are usually quite effective in curing this disease. Other medications include chlorambucil and cyclophosphamide. In most cases, a moderate protein diet (1 gram protein per Kg body weight per day) will be recommended. Salt (sodium) restriction can be helpful to reduce swelling and vitamin D is usually supplemented. Synonym: lipoid nephrosis (27 Sep 1997) |
제품명 |
판매사 |
보험코드 | 성분/함량 | 구분/보험급여 |
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제품명 |
판매사 |
보험코드 | 성분/함량 | 구분/보험급여 |
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