| 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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| UWD | Urbach-Wiethe disease |
|---|---|
| CLAH | congenital lipoid adrenal hyperplasia |
| LN | Lesch-Nyhan [syndrome]; lipoid nephrosis; Lisch nodule; low necrosis; lupus nephritis; lymph node |
| OU | observation unit; Oppenheimer-Urbach [syndrome] |
| PAP | 1) Prostatic Acid Phosphatase; 전립성 산성 인산분해효소 2) Primary Atypical Pneumoni... |
| lipoid CAH | lipoid adrenal hyperplasia |
|---|---|
| PAP | Pulmonary Alveolar Proteinosis |
| LN | lipoid nephrosis |
| ACCESS | Access to Community Care and Effective Services and Support |
acute angle
| Urbach-Wiethe disease | <disease> A familial disease occurring in the course of latent diabetes, marked by yellowish nodules due to deposits of a protein-lipid complex on the oral tongue and sublingual and faucial areas, translucent keratotic papillomatous eyelid lesions, keratotic lesions on the extremities, and hoarseness. It is due to a disturbance of lipid metabolism with autosomal recessive inheritance and is frequently associated with intracranial calcifications. inheritance: autosomal recessive. Synonym: hyalinasis cutis et mucosae, lipoidosis cutis et mucosae, Urbach-Wiethe disease. (05 Mar 2000) |
|---|---|
| lipoid proteinosis | <disease> A familial disease occurring in the course of latent diabetes, marked by yellowish nodules due to deposits of a protein-lipid complex on the oral tongue and sublingual and faucial areas, translucent keratotic papillomatous eyelid lesions, keratotic lesions on the extremities, and hoarseness. It is due to a disturbance of lipid metabolism with autosomal recessive inheritance and is frequently associated with intracranial calcifications. inheritance: autosomal recessive. Synonym: hyalinasis cutis et mucosae, lipoidosis cutis et mucosae, Urbach-Wiethe disease. (05 Mar 2000) |
| Urbach, Erich | <person> U.S. Dermatologist, 1893-1946. See: Urbach-Wiethe disease. (05 Mar 2000) |
| alveolar proteinosis | A very rare disease in which a phospholipid is widely distributed in cells and accumulates in the alveolar spaces in the lung. In some cases the underlying cause is unknown. In others it may relate to an infection or an immune system dysfunction. The net effect is a progressive interference in the ability of the lung (alveoli) to exchange oxygen and carbon dioxide. Symptoms include cough, weight loss, fatigue, shortness of breath and nail abnormalities (clubbing). Chest X-ray may show infiltrates, but a bronchoscopy with trans-tracheal biopsy is necessary to make a tissue diagnosis or alveolar proteinosis. Spontaneous remission may occur in some individuals while complete respiratory failure occurs in others. (27 Sep 1997) |
| proteinosis | A state characterised by disordered protein formation and distribution, particularly as manifested by the deposition of abnormal proteins in tissues. Origin: protein + G. -osis, condition (05 Mar 2000) |
| pulmonary alveolar proteinosis | <radiology> Overproduction of surfactant which can lead to alveolar (end-air-space) filling, peak age: 20 - 50 yrs, 33% asymptomatic, treatment: lavage Findings: bat-wing alveolar infiltrate, no interstitial disease, no adenopathy (12 Dec 1998) |
| nephrosis, lipoid | Glomerular disease causing heavy proteinuria characterised by absence of obvious histologic glomerular changes on light microscopy. It is also called minimal change glomerular disease and minimal lesion glomerulonephritis. (12 Dec 1998) |
| lipoid | 1. Resembling fat. 2. Former term for lipid. Synonym: adipoid. Origin: Lipo-+ G. Eidos, appearance (05 Mar 2000) |
| lipoid granuloma | Granuloma characterised by aggregates or accumulations of fairly large mononuclear phagocytes that contain lipid. (05 Mar 2000) |
| lipoid nephrosis | <nephrology> A disorder of the kidneys which largely affects the glomerulus, the blood filtering structure. This disorder is one common cause of nephrotic syndrome in children affecting 2 to 3 children per 100,000 population under age 16 in the us. Minimal change disease is also seen rarely in adults. The cause is unknown but may be related to an autoimmune illness. 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. (27 Sep 1997) |
| lipoid theory of narcosis | That narcotic efficiency parallels the coefficient of partition between oil and water, and that lipoids in the cell and on the cell membrane absorb the drug because of this affinity. Synonym: Meyer-Overton theory of narcosis. (05 Mar 2000) |
| abstracting and indexing | Shortening or summarizing of documents; assigning of descriptors for referencing documents. (12 Dec 1998) |
| academies and institutes | Organizations representing specialised fields which are accepted as authoritative; may be non-governmental, university or an independent research organization, e.g., national academy of sciences, brookings institution, etc. (12 Dec 1998) |
| accounts payable and receivable | Short-term debt obligations and assets occurring in the regular course of operational transactions. (12 Dec 1998) |
| aged, 80 and over | A person 80 years of age and older. (12 Dec 1998) |
Synonyms : Lipoidproteinosis, Urbach-Wiethe Lipoid Proteinosis, Urbach-Wiethe Syndrome, Lipoid Proteinosis, Urbach-Wiethe, Urbach Wiethe Disease, Urbach Wiethe Lipoid Proteinosis
제품명 |
판매사 |
보험코드 | 성분/함량 | 구분/보험급여 |
|---|
제품명 |
판매사 |
보험코드 | 성분/함량 | 구분/보험급여 |
|---|