| 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. |
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| PRAGMATIC | pregnancy, rheumatoid arthritis, acromegaly, glucose metabolism disorders, mechanical injury, amyloi... |
|---|---|
| HYL, Hyl | hydroxylysine |
| NINCDS/ADRDA | National Institute of Neurological and Communicative Diseases and Stroke/Alzheimer's Disease and Rel... |
| ADME | [drug] absorption, distribution, metabolism, and excretion |
| NIAMDD | National Institute of Arthritis, Metabolism, and Digestive Diseases |
| Hyl | 5-Hydroxylysine |
|---|---|
| ADME | Absorption, distribution, metabolism, and excretion |
| CAM | Crassulacean Acid Metabolism |
| FPM | First pass metabolism |
| calcium metabolism disorders | Disorders in the processing of calcium in the body: its absorption, transport, storage, and utilization. (12 Dec 1998) |
|---|---|
| phosphorus metabolism disorders | Disorders in the processing of phosphorus in the body: its absorption, transport, storage, and utilization. (12 Dec 1998) |
| iron metabolism disorders | Disorders in the processing of iron in the body: its absorption, transport, storage, and utilization. (12 Dec 1998) |
| hydroxylysine | Post translationally hydroxylated lysine is found in collagen and commonly has galactose and then glucose added sequentially by glycosyl transferases. The extent of glycosylation varies with the collagen type. (18 Nov 1997) |
| d-hydroxylysine | A hydroxylated amino acid found in certain collagens. The decreased ability to form 5-hydroxylysine is associated with Ehlers-Danlos syndrome type VI. Synonym: d-hydroxylysine. (05 Mar 2000) |
| 2-O-alpha-D-glucopyranosyl-O-beta-D-galactopyranosyl-hydroxylysine glucohydrolase | <enzyme> Responsible for catabolism of hydroxylysine-linked disaccharide unit derived from collagen in mammals Registry number: EC 3.2.1.- Synonym: glc-gal-hyl glucohydrolase, ggh-glucohydrolase (26 Jun 1999) |
| 5-hydroxylysine | A hydroxylated amino acid found in certain collagens. The decreased ability to form 5-hydroxylysine is associated with Ehlers-Danlos syndrome type VI. Synonym: d-hydroxylysine. (05 Mar 2000) |
| bowel disorders and fibre | High fibre diets help delay the progression of diverticulosis and, at least, reduce the bouts of diverticulitis. In many cases, it helps reduce the symptoms of the Irritable Bowel Syndrome ( IBS ). It is generally accepted that a diet high in fibre is protective, or at least reduces the incidence, of colon polyps and colon cancer. (12 Dec 1998) |
| rehabilitation of speech and language disorders | Procedures for assisting a person with a speech or language disorder to communicate with maximum efficiency. (12 Dec 1998) |
| schizophrenia and disorders with psychotic features | Marked disorders of thought (delusions, hallucinations, or other thought disorder accompanied by disordered affect or behaviour), and deterioration from a previous level of functioning. (12 Dec 1998) |
| sexual and gender disorders | Mental disorders related to sexual dysfunction, paraphillias, and gender identity disorders. (12 Dec 1998) |
| feeding and eating disorders of childhood | Mental disorders related to feeding and eating that are usually diagnosed in infancy or early childhood. (12 Dec 1998) |
| acetyl-CoA - lysine N6-acetyltransferase | <enzyme> First step in catabolism of lysine by saccharomyces cerevisiae Registry number: EC 2.3.1.- Synonym: accoa lysine acetyltransferase, lysine n-6-acetyltransferase, lyc1 gene product (26 Jun 1999) |
| procollagen-lysine, 2-oxoglutarate 5-dioxygenase | <enzyme> A mixed-function oxygenase that catalyses the hydroxylation of peptidyllysine, usually in protocollagen, to peptidylhydroxylysine. The enzyme utilises molecular oxygen with concomitant oxidative decarboxylation of the cosubstrate 2-oxoglutarate to succinate. Chemical name: Procollagen-L-lysine,2-oxoglutarate:oxygen oxidoreductase (5-hydroxylating) Registry number: EC 1.14.11.4 (12 Dec 1998) |
| protein-lysine 6-oxidase | <enzyme> An enzyme oxidizing peptidyl-lysyl-peptide in the presence of water & molecular oxygen to yield peptidyl-allysyl-peptide plus ammonia & hydrogen peroxide. Chemical name: Protein-L-lysine:oxygen 6-oxidoreductase (deaminating) Registry number: EC 1.4.3.13 (12 Dec 1998) |
제품명 |
판매사 |
보험코드 | 성분/함량 | 구분/보험급여 |
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제품명 |
판매사 |
보험코드 | 성분/함량 | 구분/보험급여 |
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