| 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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| ECVAM | European Centre for the Validation of Alternative Methods |
|---|---|
| DART | developmental and reproductive toxicology |
| ECETOC | European Centre for Ecotoxicity and Toxicology of Chemicals |
| NTP | National Toxicology Program; nitroprusside; normal temperature and pressure; nucleoside triphosphate... |
| TEHIP | Toxicology and Environmental Health Program |
| NTP | National Toxicology Program |
|---|---|
| ACCESS | Access to Community Care and Effective Services and Support |
| EPSDT | Early and Periodic Screening Diagnosis and Treatment |
| SUPPORT | Study to Understand Prognoses and Preferences for Outcomes and Risks of Treatment |
acute angle
| behaviour and behaviour mechanisms | The observable response made to a situation and the unconscious processes underlying it. (12 Dec 1998) |
|---|---|
| genetic toxicology | <study> This is the study of chemicals which can damage the genetic structure of living organisms (including humans) and thus cause problems such as mutations, cancer and birth defects. (09 Oct 1997) |
| toxicology | <study> The scientific study of the chemistry, effects, and treatment of poisonous substances. (09 Oct 1997) |
| reimbursement mechanisms | Processes or methods of reimbursement for services rendered or equipment. (12 Dec 1998) |
| health care evaluation mechanisms | Methods and techniques used in evaluating the quality of health care, its planning, and delivery. (12 Dec 1998) |
| defense mechanisms | Unconscious process used by an individual or a group of individuals in order to cope with impulses, feelings or ideas which are not acceptable at their conscious level; various types include reaction formation, projection and self reversal. (12 Dec 1998) |
| replica methods | <technique> Methods in the preparation of specimens for transmission electron microscopy. The specimen (for example: a piece of freeze fractured tissue) is shadowed with metal and coated with carbon and then the tissue is digested away. The replica is then picked up on a grid and it is the replica that is examined in the microscope. (18 Nov 1997) |
| communication methods, total | Utilization of all available receptive and expressive modes for the purpose of achieving communication with the hearing impaired, such as gestures, postures, facial expression, types of voice, formal speech and non-speech systems, and simultaneous communication. (12 Dec 1998) |
| Crede's methods | Instillation of one drop of a 2% solution of silver nitrate into each eye of the newborn infant, to prevent ophthalmia neonatorum, resting the hand on the fundus uteri from the moment of the expulsion of the foetus, and gently rubbing in case of haemorrhage or failing contraction; then, when the afterbirth is loosened it is expelled by firm compression or squeezing of the fundus by the hand, use of manual pressure on a bladder, particularly a paralysed bladder, to express urine. Synonym: Crede's manoeuvres. (05 Mar 2000) |
| seroepidemiologic methods | Epidemiologic studies based on the detection through serological testing of characteristic change in the serum level of specific antibodies. Latent subclinical infections and carrier states can thus be detected in addition to clinically overt cases. (12 Dec 1998) |
| feeding methods | Methods of giving food to humans or animals. (12 Dec 1998) |
| 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) |
제품명 |
판매사 |
보험코드 | 성분/함량 | 구분/보험급여 |
|---|
제품명 |
판매사 |
보험코드 | 성분/함량 | 구분/보험급여 |
|---|