| 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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| 영문 | referred pain | 한글 | 연관통증 |
|---|---|---|---|
| 설명 | 체내의 장기에 병적인 변화가 일어났을 때, 그 부위에 통증을 느끼는 일 없이, 그 장기와는 떨어져 있는 피부표면의 특정 부위에 통증 또는 감각과민이 느껴지는 것을 말한다. 원인은, 내장의 들섬유가 있는 물질과, 피부의 들섬유가 있는 물질이 공통의 척수시상로에 접속하고 있기 때문이다. |
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| 영문 | spontaneous pain | 한글 | 자발통 |
|---|---|---|---|
| 설명 | 통증을 일으키는 양상은 다양하고 운동-체위의 변환-압박-한랭 또는 가온 등에 의해서 발생-증강되는데 이와 같은 자극을 가함이 없이 평상시에도 자연히 생기는 통증을 말한다. |
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| 영문 | pain | 한글 | 통증 |
|---|---|---|---|
| 설명 | 국한성인 불쾌 또는 고통스러운 감각. 생체에 침해적인 자극이 가해졌을 때 생기는 통각은 상황, 과거의 경험, 심리적인 요인에 의해 변화한다. 특징으로서 순응이 어려울 정도로 다양한 생체반응을 일으킨다. 통각은 몸통증과 내장통증으로 분류되며, 몸통증은 다시 얕은 통증과 깊은 통증으로 나뉜다. 얕은 통증은 피부나 점막의 통각으로 통점으로서 존재하며, 깊은 통증은 근육, 뼈막, 관절통이다. 통증수용기는 자유신경 종말이다. 통증 정보를 전달하는 신경섬유는 Aδ와 C인데 Aδ섬유는 빠른 통증(일차통증)을 전달하고, C섬유는 느린 통증(이차통증)을 전달한다. 통각에는 상위중추에서 하행섬유에 가하는 하행억제가 존재하여, 통각이 상위중추로 전달되는 것을 조절하고 있다. |
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| PQRST | provocative and palliative factors, quality of pain, radiation of pain, severity of pain, timing of ... |
|---|---|
| CP | candle power; capillary pressure; cardiac pacing; cardiac performance; cardiopulmonary; caudate puta... |
| CPS | carbamoylphosphate synthetase; cardioplegic perfusion solution; centipoise; cervical pain syndrome; ... |
| LBP | lipopolysaccharide-binding protein; low back pain; low blood pressure; lumbar back pain |
| MPDS | mandibular pain dysfunction syndrome; myofascial pain dysfunction syndrome |
| CEH | Cervicogenic headache |
|---|---|
| CDH | Chronic daily headache |
| CH | Cluster Headache |
| IHS | International Headache Society |
| PDPH | Post-Dural Puncture Headache |
| benign headache | A benign form of headache that results from the painful spasm (muscle tightness) and inflammation of muscles of the head and neck. Tension headache is one of the most common forms of headache. Spasm and contraction of the head and neck muscles may occur in response to fatigue, overuse, eye strain, excessive smoking, stress, anxiety or depression. Sleeping in an abnormal position or prolonged work involving immobilisation of the neck in one position (typing, computers, etc.) are considered common triggers. Exercising and stretching the muscles of the head and neck can reduce the occurrence of muscle tension headaches. (27 Sep 1997) |
|---|---|
| bilious headache | <disease> An often familial symptom complex of periodic attacks of vascular headache, usually temporal and unilateral in onset, commonly associated with irritability, nausea, vomiting, constipation or diarrhoea and often photophobia, attacks are preceded by constriction of the cranial arteries, usually with resultant prodromal sensory (especially ocular) symptoms and commence with the vasodilation that follows. Origin: Gr. Hemikrania = an affection of half of the head (18 Nov 1997) |
| blind headache | <disease> An often familial symptom complex of periodic attacks of vascular headache, usually temporal and unilateral in onset, commonly associated with irritability, nausea, vomiting, constipation or diarrhoea and often photophobia, attacks are preceded by constriction of the cranial arteries, usually with resultant prodromal sensory (especially ocular) symptoms and commence with the vasodilation that follows. Origin: Gr. Hemikrania = an affection of half of the head (18 Nov 1997) |
| vacuum headache | Headache due to closure of the frontal sinus. (05 Mar 2000) |
| vascular headache | <neurology> A group of headaches felt to involve abnormal sensitivity of the blood vessels (arteries) in the brain to various triggers which results in rapid changes in the artery size due to spasm (constriction). Other arteries in the brain and scalp then open (dilate), and throbbing pain is perceived in the head. Migraine headaches are the most common type of vascular headache. (07 Mar 2000) |
| reflex headache | A headache secondary to another organic condition. Synonym: reflex headache. (05 Mar 2000) |
| migraine headache | The most common type of vascular headache involving (it is thought). Abnormal sensitivity of blood vessels (arteries) in the brain to various triggers resulting in rapid changes in the artery size due to spasm (constriction). Other arteries in the brain and scalp then open (dilate), and throbbing pain is perceived in the head. The tendency to migraine is inherited and appears to involve serotonin, a chemical in the brain involved in the transmission of nerve impulses that trigger the release of substances in the blood vessels that in turn cause the pain of the migraine. These nerve impulses cause the flashing lights and other sensory phenomena known as an aura that may accompany a migraine. Not all severe headaches are migraines and not all migraines are severe. (12 Dec 1998) |
| migraine without headache | A classic migraine episode in which the teichopsia is not followed by a headache. Synonym: migraine without headache. (05 Mar 2000) |
| cluster headache | <symptom> A term used to describe a headache that is typified by constant, unilateral pain around the eye, with onset usually within 2-3 hours of falling asleep. Can be accompanied by a blocked nasal passage, runny nose, and-or tearing. One may also notice facial flushing, ptosis (dropping eyelid), facial swelling and constriction of the pupils. (27 Sep 1997) |
| muscle tension headache | A benign form of headache that results from the painful spasm (muscle tightness) and inflammation of muscles of the head and neck. Tension headache is one of the most common forms of headache. Spasm and contraction of the head and neck muscles may occur in response to fatigue, overuse, eye strain, excessive smoking, stress, anxiety or depression. Sleeping in an abnormal position or prolonged work involving immobilisation of the neck in one position (typing, computers, etc.) are considered common triggers. Exercising and stretching the muscles of the head and neck can reduce the occurrence of muscle tension headaches. (27 Sep 1997) |
| headache | Pain in various parts of the head, not confined to the area of distribution of any nerve. See: cephalodynia. Synonym: cephalalgia, cephalea, cerebralgia, encephalalgia, encephalodynia. (05 Mar 2000) |
| histamine headache | A term used to describe a headache that is typified by constant, unilateral pain around the eye, with onset usually within 2-3 hours of falling asleep. Can be accompanied by a blocked nasal passage, runny nose, and-or tearing. One may also notice facial flushing, ptosis (dropping eyelid), facial swelling and constriction of the pupils. (27 Sep 1997) |
| histaminic headache | <symptom> A term used to describe a headache that is typified by constant, unilateral pain around the eye, with onset usually within 2-3 hours of falling asleep. Can be accompanied by a blocked nasal passage, runny nose, and-or tearing. One may also notice facial flushing, ptosis (dropping eyelid), facial swelling and constriction of the pupils. (27 Sep 1997) |
| Horton's headache | <symptom> A term used to describe a headache that is typified by constant, unilateral pain around the eye, with onset usually within 2-3 hours of falling asleep. Can be accompanied by a blocked nasal passage, runny nose, and-or tearing. One may also notice facial flushing, ptosis (dropping eyelid), facial swelling and constriction of the pupils. (27 Sep 1997) |
| sick headache | <disease> An often familial symptom complex of periodic attacks of vascular headache, usually temporal and unilateral in onset, commonly associated with irritability, nausea, vomiting, constipation or diarrhoea and often photophobia, attacks are preceded by constriction of the cranial arteries, usually with resultant prodromal sensory (especially ocular) symptoms and commence with the vasodilation that follows. Origin: Gr. Hemikrania = an affection of half of the head (18 Nov 1997) |
제품명 |
판매사 |
보험코드 | 성분/함량 | 구분/보험급여 |
|---|
제품명 |
판매사 |
보험코드 | 성분/함량 | 구분/보험급여 |
|---|