| 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. |
||
| AEI | arbitrary evolution index; atrial emptying index |
|---|---|
| QCO2 | carbon dioxide evolution by a tissue |
| SIE | stroke in evolution |
| APHIS | Animal and Plant Health Inspection Service |
| PTSM | Plant, Technology and Safety Management |
| SELEX | Systematic Evolution of Ligands by EXponential enrichment |
|---|---|
| NPP | Nuclear Power Plant |
| PHD | Plant homeodomain |
| STP | Sewage treatment plant |
| WWTP | Wastewater Treatment Plant |
deradenitis
acute angle
| plant families and groups | Groupings that include specific plants within larger families or divisions. (12 Dec 1998) |
|---|---|
| van der Hoeve's syndrome | <syndrome> A subtype of osteogenesis imperfecta in which progressive conductive hearing loss begins in childhood because of stapedial fixation. (05 Mar 2000) |
| van der Kolk, Jacobus | <person> Dutch physician, 1797-1862. See: van der Kolk's law. (05 Mar 2000) |
| van der Kolk's law | In a mixed nerve, the sensory fibres are distributed to the parts moved by the muscles controlled by the motor fibres. (05 Mar 2000) |
| van der Velden, Reinhardt | <person> German physician, 1851-1903. See: van der Velden's test. (05 Mar 2000) |
| van der Velden's test | A test for free hydrochloric acid, the presence of which turns an added solution of methylene blue from violet to green. (05 Mar 2000) |
| van der Waals attraction | <chemistry> Electrodynamic forces arise between atoms, molecules and assemblies of molecules due to their vibrations giving rise to electromagnetic interactions, these are attractive when the vibrational frequencies and absorptions are identical or similar, repulsive when nonidentical. Other interactions originally proposed by van der Waals were included in this name, but these are usually separated into the Coulomb's force, the Keesom force and the London force. Only the last is of electrodynamic nature. Probably important in holding lipid membranes into that structure and possibly in other interactions, for example cell adhesion. Electrodynamic forces between large scale assemblies can be of relatively long range nature. (18 Nov 1997) |
| van der Waals' forces | First postulated by van der Waals in 1873 to explain deviations from ideal gas behaviour seen in real gases; the attractive force's between atoms or molecules other than electrostatic (ionic), covalent (sharing of electrons), or hydrogen bonding (sharing a proton); generally ascribed to dipolar and dispersion effects, π-electrons, etc.; these relatively nondescript force's contribute to the mutual attraction of organic molecules. Synonym: London forces. (05 Mar 2000) |
| van der Waals, Johannes | <person> Dutch physicist and Nobel laureate, 1837-1923. See: van der Waals' forces. (05 Mar 2000) |
| biologic evolution | Biologic evolution was contrasted with cultural evolution in 1968 by A.G. Motulsky who pointed out that biologic evolution is mediated by genes, shows a slow rate of change, employs random variation (mutations) and selection as agents of change, new variants are often harmful, these new variants are transmitted from parents to offspring, the mode of transmission is simple, complexity is achieved by the rare formation of new genes by chromosome duplication, biologic evolution occurs with all forms of life, and the biology of humans requires cultural evolution. See Cultural evolution. (12 Dec 1998) |
| chemical evolution | The theory of the process by which life arose from inorganic matter. (05 Mar 2000) |
| coincidental evolution | <molecular biology> The tendency for the same mutation to arise simultaneously in all copies of a gene which has been duplicated. (09 Oct 1997) |
| concerted evolution | The ability of two related genes to evolve together as though constituting a single locus. Synonym: coincidental evolution. (05 Mar 2000) |
| convergent evolution | The process where two unrelated structures in unrelated organisms evolve to perform similar functions. (The structures are called analogous structures.) For example: the wings of bats, birds, and insects evolved separately from each other but all are used to perform the function of flying. For another example: the complex eyes of vertebrates, cephalopods (squid and octopus), cubozoan jellyfish, and arthropods (insects, spiders, crustaceans) evolved separately, but all perform the function of vision. (09 Oct 1997) |
| cultural evolution | The continuous developmental process of a culture from simple to complex forms and from homogeneous to heterogeneous qualities. (12 Dec 1998) |
제품명 |
판매사 |
보험코드 | 성분/함량 | 구분/보험급여 |
|---|
제품명 |
판매사 |
보험코드 | 성분/함량 | 구분/보험급여 |
|---|