| 영문 | Dilatation and Curettage(D & C) | 한글 | 자궁긁어냄술, 자궁목확장 |
|---|---|---|---|
| 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. |
||
| TABC | total aerobic bacteria count; typhoid, paratyphoid A, paratyphoid B, and paratyphoid C [vaccine] |
|---|---|
| TAB | total autonomic blockage; typhoid, paratyphoid A, and paratyphoid B [vaccine] |
| TABT | typhoid, paratyphoid A, paratyphoid B, and tetanus toxoid [vaccine] |
| TABTD | typhoid, paratyphoid A, paratyphoid B, tetanus toxoid, and diphtheria toxoid [vaccine] |
| TPT | tetraphenyl tetrazolium; triphalangeal thumb; total protein tuberculin; typhoid-paratyphoid [vaccine... |
| TF | Typhoid fever |
|---|---|
| ACCESS | Access to Community Care and Effective Services and Support |
| EPSDT | Early and Periodic Screening Diagnosis and Treatment |
| SUPPORT | Study to Understand Prognoses and Preferences for Outcomes and Risks of Treatment |
acute angle
| typhoid-paratyphoid A and B vaccine | A suspension of killed typhoid and paratyphoid A and B bacilli. See: typhoid vaccine. Synonym: TAB vaccine. (05 Mar 2000) |
|---|---|
| haemorrhagic fevers, viral | A group of viral diseases of diverse aetiology but having many similar clinical characteristics; increased capillary permeability, leukopenia, and thrombocytopenia are common to all. Haemorrhagic fevers are characterised by sudden onset, fever, headache, generalised myalgia, backache, conjunctivitis, and severe prostration, followed by various haemorrhagic symptoms. Haemorrhagic fever with kidney involvement is haemorrhagic fever with renal syndrome. (12 Dec 1998) |
| paratyphoid | A prolonged febrile illness commonly caused by serotypes of salmonella paratyphi. It is similar to typhoid fever but less severe. (12 Dec 1998) |
| paratyphoid bacillus | One of the three organisms causing the three forms, A, B, and C, of paratyphoid fever. See: paratyphoid fever. (05 Mar 2000) |
| paratyphoid fever | A prolonged febrile illness commonly caused by serotypes of salmonella paratyphi. It is similar to typhoid fever but less severe. (12 Dec 1998) |
| abdominal typhoid | <disease, microbiology> An infectious febrile illness usually spread by contamination of food, milk or water supplies with Salmonella typhi, either directly by sewage, indirectly by flies or by faulty personal hygiene. There are less than 600 cases per year in the us. Asymptomatic carriers harbor the organism in their gallbladder and excrete it in their stools for years. Average incubation time is 10-14 days. Fever, diarrhoeal stools (often bloody), abdominal pain, malaise and a rose coloured rash on the upper abdomen are seen. Severe cases may progress to delirium and obtundation. Complications include glomerulonephritis. Treatment includes intravenous fluids and antibiotics (chloramphenicol or ampicillin). Vaccines are recommended for travel to endemic areas. (27 Sep 1997) |
| ambulatory typhoid | walking typhoid |
| apyretic typhoid | Typhoid fever in which the temperature does not rise more than a degree or two. (05 Mar 2000) |
| bilious typhoid of Griesinger | An acute infection characterised by recurrent episodes of pyrexia alternating with asymptomatic intervals of apparent recovery. This condition has worldwide distribution and is caused by spirochetes of the genus borrelia. (12 Dec 1998) |
| provocation typhoid | An accelerated onset of typhoid fever, sometimes of unusual severity, resulting from typhoid-paratyphoid A and B (T.A.B.) vaccination late in the incubation period. Walking typhoid, typhoid fever without much prostration, the patient being up and around and sometimes working. Synonym: ambulatory typhoid, latent typhoid. (05 Mar 2000) |
| equine typhoid | A highly contagious viral disease caused by equine arteritis virus, member of the family Togaviridae, and characterised by a high fever and respiratory and digestive tract signs; the essential lesions involve smaller arteries, with necrosis which may be followed by thrombosis, infarction, haemorrhages, and oedema; abortion is a common result. Synonym: epizootic cellulitis, equine typhoid. (05 Mar 2000) |
| typhoid | <disease, microbiology> An infectious febrile illness usually spread by contamination of food, milk or water supplies with Salmonella typhi, either directly by sewage, indirectly by flies or by faulty personal hygiene. There are less than 600 cases per year in the US. Asymptomatic carriers harbor the organism in their gallbladder and excrete it in their stools for years. Average incubation time is 10-14 days. Fever, diarrhoeal stools (often bloody), abdominal pain, malaise and a rose coloured rash on the upper abdomen are seen. Severe cases may progress to delirium and obtundation. Complications include glomerulonephritis. Treatment includes intravenous fluids and antibiotics (chloramphenicol or ampicillin). Vaccines are recommended for travel to endemic areas. (27 Sep 1997) |
| typhoid bacillus | A serotype of salmonella enterica which is the aetiologic agent of typhoid. (12 Dec 1998) |
| typhoid bacteriophage | Bacteriophage specific for Salmonella typhi. (05 Mar 2000) |
| typhoid cholera | Old term for cholera with predominantly cerebral manifestations such as confusion or dementia. (05 Mar 2000) |
제품명 |
판매사 |
보험코드 | 성분/함량 | 구분/보험급여 |
|---|
제품명 |
판매사 |
보험코드 | 성분/함량 | 구분/보험급여 |
|---|