| 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. |
||
| ELSI | ethical, legal, and social issues |
|---|---|
| PRO | peer review organization; physician review organization; Professional Review Organization; pronation... |
| ICD | I-cell disease; immune complex disease; implantable cardioverter defibrillator; impulse-control diso... |
| MEDPAR | Medical Provider Analysis and Review; Medicare Provider Analysis and Review |
| OIR | Office of Information Resources; Office of International Research |
| AHCPR | Agency for Health Care Policy and Research |
|---|---|
| HRSA | Health Resources and Services Administration |
| OARS | Older American Resources and Services |
| MEDPAR | Medicare Provided Analysis and Review |
| DUR | Drug Use Review |
institution (기관, 제도
acute angle
| united states health resources and services administration | A component of the public health service that provides leadership related to the delivery of health services and the requirements for and distribution of health resources, including manpower training. (12 Dec 1998) |
|---|---|
| issues | Unresolved conflicts regarding alternative uses of available resources. Subjects of public interest. (05 Dec 1998) |
| united states agency for health care policy and research | An agency of the public health service established in 1990 to "provide indexing, abstracting, translating, publishing, and other services leading to a more effective and timely dissemination of information on research, demonstration projects, and evaluations with respect to health care to public and private entities and individuals engaged in the improvement of health care delivery.." it supersedes the national centre for health services research. (12 Dec 1998) |
| International Classification of Impairments Disabilities and Handicaps | A WHO-sponsored numerical taxonomy of the impairments, disabilities and handicaps consequent upon injury and disease. (05 Mar 2000) |
| rate setting and review | A method of examining and setting levels of payments. (12 Dec 1998) |
| conservation of energy resources | Planned management, use, and preservation of energy resources. (12 Dec 1998) |
| conservation of natural resources | The protection, preservation, restoration, and rational use of all resources in the total environment. (12 Dec 1998) |
| health resources | Available manpower, facilities, revenue, equipment, and supplies to produce requisite health care and services. (12 Dec 1998) |
| energy-generating resources | Natural energy sources of power supply. (12 Dec 1998) |
| policy | 1. A ticket or warrant for money in the public funds. 2. The writing or instrument in which a contract of insurance is embodied; an instrument in writing containing the terms and conditions on which one party engages to indemnify another against loss arising from certain hazards, perils, or risks to which his person or property may be exposed. See Insurance. 3. A method of gambling by betting as to what numbers will be drawn in a lottery; as, to play policy. Interest policy, a policy that shows by its form that the assured has a real, substantial interest in the matter insured. Open policy, one in which the value of the goods or property insured is not mentioned. Policy book, a book to contain a record of insurance policies. Policy holder, one to whom an insurance policy has been granted. Policy shop, a gambling place where one may bet on the numbers which will be drawn in lotteries. Valued policy, one in which the value of the goods, property, or interest insured is specified. Wager policy, a policy that shows on the face of it that the contract it embodies is a pretended insurance, founded on an ideal risk, where the insured has no interest in anything insured. Origin: F. Police; cf. Pr. Polissia, Sp. Polizia, It. Polizza; of uncertain origin; cf. L. Pollex thumb (as being used in pressing the seal), in LL. Also, seal; or cf. LL. Politicum, poleticum, polecticum, L. Polyptychum, account book, register, fr. Gr. Having many folds or leaves; many + fold, leaf, from to fold; or cf. LL. Apodixa a receipt. Origin: L. Politia, Gr.; cf. F. Police, Of. Police. See Police. 1. Civil polity. 2. The settled method by which the government and affairs of a nation are, or may be, administered; a system of public or official administration, as designed to promote the external or internal prosperity of a state. 3. The method by which any institution is administered; system of management; course. 4. Management or administration based on temporal or material interest, rather than on principles of equity or honor; hence, worldly wisdom; dexterity of management; cunning; stratagem. 5. Prudence or wisdom in the management of public and private affairs; wisdom; sagacity; wit. "The very policy of a hostess, finding his purse so far above his clothes, did detect him." (Fuller) 6. Motive; object; inducement. "What policy have you to bestow a benefit where it is counted an injury?" (Sir P. Sidney) Synonym: See Polity. Source: Websters Dictionary (01 Mar 1998) |
| policy making | The decision process by which individuals, groups or institutions establish policies pertaining to plans, programs or procedures. (12 Dec 1998) |
| health policy | Decisions, usually developed by government policymakers, for determining present and future objectives pertaining to the health care system. (12 Dec 1998) |
| public policy | A course or method of action selected, usually by a government, from among alternatives to guide and determine present and future decisions. (12 Dec 1998) |
| national environmental policy act | A federal law enacted in 1969 that requires all federal agencies to consider and analyse the environmental impacts of any proposed action. NEPA requires an environmental impact statement for major federal actions significantly affecting the quality of the environment. NEPA requires federal agencies to inform and involve the public in the agency's decision making process and to consider the environmental impacts of the agency's decision. (05 Dec 1998) |
| nutrition policy | Governmental guidelines and objectives pertaining to public food supply and nutrition including recommendations for healthy diet and changes in food habits to ensure healthy diet. (12 Dec 1998) |
제품명 |
판매사 |
보험코드 | 성분/함량 | 구분/보험급여 |
|---|
제품명 |
판매사 |
보험코드 | 성분/함량 | 구분/보험급여 |
|---|