| 영문 | tubal pregnancy | 한글 | 자궁관임신 |
|---|---|---|---|
| 설명 | 난관내에 일어난 자궁외임신. 대개 임신을 끝까지 지속시키지 못하고 유산하거나, 혹은 복강내로 터져 목숨이 위태롭게 되기도 한다. 빠른 진단으로 일어날 합병증을 예방해야 한다. |
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| 영문 | ectopic pregnancy | 한글 | 자궁외 임신 |
|---|---|---|---|
| 설명 | 산부인과 영역에서 가장 빈번한 응급 병으로, 그 발생 빈도는 매년 증가하는 추세이다. 자궁외 임신은 수정란이 정상적인 위치인 자궁몸통의 내강에 착상되지 않고 다른 곳, 즉 난소에서 나온 난자를 자궁까지 운반하는 자궁관, 난자를 생산하는 난소, 자궁을 지지하는 여러 인대, 복강, 자궁의 입구에 해당하는 자궁경부 등에 착상되는 임신을 말한다. 착상하는 부위에 따라 자궁관 임신, 자궁목관 임신, 난소 임신, 복막임신, 인대내 임신 등으로 나뉘며, 가장 흔한 자궁외 임신은 자궁관 임신이다. 자궁외 임신이 증가하는 이유로는 우선 불결한 성적 접촉에 의해 전파되는 급성 난관염의 증가를 생각할 수 있다. 실제 급성 난관염을 앓았던 여성은 그 다음 임신에서 자궁외 임신이 될 확률이 정상인에 비하여 7배나 높은 것으로 알려져 있다. 또한 자궁내 피임장치를 사용하는 여성에서도 정상인보다 높은 율의 자궁외 임신이 보고되었다. 자궁외 임신이 되면 반드시 다양한 형태의 하복부 동통을 나타낸다. 대부분 최종 월경일을 기준으로 4주쯤 후부터 부정기 질출혈을 보인다. 또 과반수의 환자에서 유방통이나 멀미 등이 나타나기도 하나, 체온 상승은 드물다. 그러나 빠른맥은 흔히 보이는 증상이다. 자궁외 임신의 문제점은 점점 자란 태아로 인해서 자궁외 임신이 된 부위(특히 자궁관)가 그것의 크기를 견디지 못해서 파열되는 것이다. 그렇게 되면 많은 양의 피가 한꺼번에 출혈이 되어 생명을 잃을 수도 있다. 대부분의 자궁외 임신은 현재의 발달된 진단방법으로 빠르고 정확하게 진단할 수 있다. 즉 직장과 자궁사이에 존재하는 복강의 일부분인 막힌주머니(복강 중에서 가장 낮은 부분에 존재하여 복강내의 출혈이나 기타의 액체는 이부분에 모인다)천자술로 0.5mm이상의 비응혈성 혈액의 흡입이 될 경우에 자궁외 임신의 파열로 인한 출혈임을 알 수가 있고, 초음파 영상법에 의한 진단, 최근의 면역 화학적 호르몬 측정법과 복강경 검사법, 또한 자궁내막 조직검사 등으로써 진단할 수 있다. |
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| AFP | Alpha(α) Feto-Protein [HP 1826, 1858, 1859, 2265] ; Oncofetal Antigens &nbs... |
|---|---|
| grav. | gravida; pregnancy; 임신 |
| GTN | - Stages of GTN(FIGO, WHO) 1. Stage O; Molar Pregnancy(H-Mole... |
| IDA | 1) Imino-Diacetic Acid 2) Iron Deficiency Anemia &nb... |
| PAPP | Pregnancy Associated Plasma Protein |
| multiple drug resistant tuberculosis | A strain of TB that does not respond to two or more standard anti-TB drugs. MDR-TB usually occurs when treatment is interrupted thus allowing mutations in the organism to occur that confer drug resistance. (09 Oct 1997) |
|---|---|
| multiple ego states | Various psychological organizational state's reflecting different personas or life experiences. (05 Mar 2000) |
| multiple embolism | Embolism caused by the arrest of a number of small emboli. (05 Mar 2000) |
| multiple endocrine adenomatosis | The presence of functioning tumours in more than one endocrine gland, commonly the pancreatic islets and parathyroid glands, which may be associated with Zollinger-Ellison syndrome; dominant inheritance. Synonym: multiple endocrine adenomatosis. (05 Mar 2000) |
| multiple endocrine deficiency syndrome | <syndrome> Acquired deficiency of the function of several endocrine glands, usually on an auto-immune basis. Synonym: multiple glandular deficiency syndrome. (05 Mar 2000) |
| multiple endocrine neoplasia | (type I) This is a hereditary disorder in which two or more of the following glands: parathyroid, pancreas, pituitary, adrenals or thyroid develop hyperplasia or a tumour. (type II) This is a hereditary disorder in which two or more of the following glands: thyroid, adrenal or parathyroid, develop overgrowth (hyperplasia) or malignant cells (cancer). The underlying cause is genetic and a positive family history for this illness is a risk factor. Incidence: approximately 3 in 100,000 people in the general population. Origin: Gr. Plassein = to form (27 Sep 1997) |
| multiple endocrine neoplasia 1 | <radiology> Multiple endrocrine neoplasia syndrome three P's. Pituitary adenoma, 65% can develop Cushing's, acromegaly, prolactinoma, parathyroid hyperplasia / adenoma, 88% can develop hyper-PTH pancreatic isleT-cell tumour, gastrinoma (Z-E) most common, 50% of Z-E can develop MEN-1, inconstant features: bronchial/intestinal carcinoid, thyroid adenoma, adrenal cortical tumour, lipoma, thymoma tissue expression Primary hyperparathyroidism (90%), Gastrinoma (30%), Prolactinoma (15%), Other (10%). Synonym: Wermer syndrome (12 Dec 1998) |
| multiple endocrine neoplasia 2 | <radiology> Multiple endocrine neoplasia syndrome, medullary thyroid carcinoma, usually multifocal; metastasis to local nodes, lung, liver, usually calcify in liver, pheochromocytoma, almost always bilateral, parathyroid hyperplasia, may be secondary to calcitonin secreted by medullary thyroid carcinoma inconstant feature: adrenal cortical hyperplasia Synonym: Sipple syndrome (12 Dec 1998) |
| multiple endocrine neoplasia 3 | <radiology> Multiple endocrine neoplasia syndrome (type 2B, type 3), medullary thyroid carcinoma, pheochromocytoma, marfanoid habitus (Cf: Marfan syndrome), mucosal neuromas, neurofibromas, ganglioneuromatosis coli More info: MEN syndrome 2B Synonym: Schimke, marfanoid syndrome (12 Dec 1998) |
| multiple endocrine neoplasia type 1 | A rare syndrome characterised by hyperplasia and/or neoplasms of the pituitary, parathyroid glands, and pancreatic islets. Hyperparathyroidism occurs in 90% of the cases and is usually the first manifestation of the syndrome. The most frequent pancreatic manifestation is gastrinoma typically leading to zollinger-ellison syndrome. The appearance of this condition has been limited to the loss of allelic heterozygosity at the 11q13 locus on the long arm of chromosome 11. Patients overall exhibit long survival times. Chemotherapy is rare and surgical management is generally dependent on the genetic expression in individual patients. (12 Dec 1998) |
| multiple endocrine neoplasia type 2 | <syndrome> This is a hereditary disorder in which two or more of the following glands: thyroid, adrenal or parathyroid, develop overgrowth (hyperplasia) or malignant cells (cancer). The underlying cause is genetic and a positive family history for this illness is a risk factor. Incidence: approximately 3 in 100,000 people in the general population. (27 Sep 1997) |
| multiple endocrine neoplasia type 2a | A type of multiple endocrine neoplasia characterised by a virtually 100% incidence of medullary thyroid carcinoma, a 50% incidence of pheochromocytoma, and a lesser incidence of parathyroid adenomas associated with hyperparathyroidism. The condition is always transmitted through autosomal dominant inheritance. Genetic testing can identify individuals with the trait in early infancy. Treatment is usually excision of the enlarged parathyroid glands. (12 Dec 1998) |
| multiple endocrine neoplasia type 2b | A type of multiple endocrine neoplasia occurring as an isolated congenital presentation or as a distinct autosomal dominant disease. It is characterised by the 100% incidence of medullary thyroid carcinoma and frequent pheochromocytomas; patients seldom exhibit hyperparathyroidism. It is distinguished from men 2a by its characteristic physical appearance resulting from numerous neural defects including mucosal neuromas of the eyelids, lips, and tongue. The neural abnormalities also include widespread neurogangliomatosis of the gastrointestinal tract leading to abnormal gut motility. Treatment usually requires total thyroidectomy following evaluation for the presence of pheochromocytomas. (12 Dec 1998) |
| multiple epiphysial dysplasia | A dominantly inherited abnormality of epiphyses characterised by difficulty in walking, pain and stiffness of joints, stubby fingers, and often dwarfism of short-limb type; on X-ray examination, the epiphyses are mottled and irregular; ossification centres are late in appearance and may be multiple, but the vertebrae are normal. There is also an autosomal recessive form . Synonym: dysplasia epiphysialis multiplex. (05 Mar 2000) |
| multiple exostosis | A disturbance of enchondral bone growth in which multiple, generally benign osteochondromas of long bones appear during childhood, commonly with shortening of the radius and fibula; the ill-effects are usually mechanical but malignant change is rare; autosomal dominant inheritance. Synonym: diaphysial aclasis, hereditary deforming chondrodystrophy, multiple exostosis, osteochondromatosis. (05 Mar 2000) |