| 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. |
||
| JD | jejunal diverticulitis; juvenile delinquent; juvenile diabetes |
|---|---|
| ABC | absolute basophil count; absolute bone conduction; acalculous biliary colic; acid balance control; a... |
| CHARGE | coloboma, heart disease, atresia choanae, retarded growth and retarded development and/or CNS anomal... |
| A&P | anterior and posterior; assessment and plans; auscultation and percussion |
| C&P | compensation and pension; complete and pain free [joint movement]; cystoscopy and pyelography |
| DF | Dietary fibre |
|---|---|
| FOTI | Fibre optic transillumination |
| NDF | Neutral detergent fibre |
| RF | Reissner's fibre |
| RNFL | Retinal nerve fibre layer |
acute angle
| diverticulosis/diverticulitis and fibre | High fibre diets help delay the progression of diverticulosis and, at least, reduce the bouts of diverticulitis. (12 Dec 1998) |
|---|
| bowel disorders and fibre | High fibre diets help delay the progression of diverticulosis and, at least, reduce the bouts of diverticulitis. In many cases, it helps reduce the symptoms of the Irritable Bowel Syndrome ( IBS ). It is generally accepted that a diet high in fibre is protective, or at least reduces the incidence, of colon polyps and colon cancer. (12 Dec 1998) |
|---|---|
| diabetes and fibre | Soluble fibres (oat bran, apples, citrus, pears, peas/beans, psyllium, etc.) slow down the digestion of carbohydrates (sugars), which results in better glucose metabolism. Some patients with the adult-onset diabetes may actually be successfully treated with a high-fibre diet alone, and those on insulin, can often reduce their insulin requirements by adhering to a high-fibre diet. (12 Dec 1998) |
| colonic diverticulitis | <radiology> Perforation of diverticulum with intramural/localised paracolic abscess, incidence: 20-25% of diverticular disease, pneumoperitoneum rare CT findings: inflammation of pericolonic fat (98%), diverticula (84%), bowel wall thickening of 4-12 mm (70%), abscess (47%), fluid with or without air of peritonitis (16%); fistula (14%); obstruction (12%); intramural sinus tract (9%); ureteral obstruction (7%) extraluminal contrast with BE: double tracking: longitudinal sinus tract (Crohn disease: longer segments of greater than 10 cm), abscess; fistula see: diverticular disease of colon (12 Dec 1998) |
| colonic diverticulosis | <radiology> Acquired herniations of mucosa and muscularis mucosa through the muscularis propria with wall components of mucosa, submucosa, and serosa = false diverticula of propulsion type, lateral diverticula: arise between mesenteric and antimesenteric teniae on opposite sides, antimesenteric intertenial diverticula: through the weakness in the muscular wall where nutrient arteries pass, giant sigmoid diverticulum: large gas-containing cyst (air entrapment secondary to ball-valve mechanism) arising in the left iliac fossa see: diverticular disease of colon (12 Dec 1998) |
| diverticulitis | <pathology, surgery> Inflammation of a diverticulum, especially inflammation related to colonic diverticula, which may undergo perforation with abscess formation. Sometimes called left sided appendicitis. (18 Nov 1997) |
| diverticulitis, bleeding from | Diverticular bleeding typically occurs intermittently over several days. Colonoscopy is usually performed to confirm the diagnosis and exclude bleeding from other causes. Thermal probes cannot be employed to stop active diverticular bleeding. Therefore, surgical removal of the bleeding diverticula is necessary for those with persistent bleeding. (12 Dec 1998) |
| diverticulitis, colonic | Inflammatory complications of colonic diverticulosis in which diverticula may undergo perforation with abscess formation. (12 Dec 1998) |
| diverticulitis, treatment of acute | Antibiotics are usually needed. Oral antibiotics are sufficient when symptoms are mild. Liquid or low fibre foods are advised during acute diverticulitis attacks. In severe diverticulitis with high fever and pain, patients are hospitalised and given intravenous antibiotics. Surgery is needed for persistent bowel obstruction or abscesses not responding to antibiotics. (12 Dec 1998) |
| diverticulosis | <gastroenterology, surgery> A condition in which a person has small sacs or pouch in the walls of a canal or organ, such as the stomach or intestine. These sacs can become inflamed to cause diverticulitis and can be a risk factor for certain types of cancer. (16 Dec 1997) |
| diverticulosis, colonic | Presence of multiple herniations of the mucosa and submucosa of the colon through the circular muscle layer. (12 Dec 1998) |
| oesophageal intramural pseudo-diverticulosis | <radiology> Dilated submucosal glands and ducts, similar to Rokitansky-Aschoff sinuses of gall bladder, XR: multiple intramural tics, often on one view only, secondary to oesophagitis, relatively asymptomatic, with or without stricture, with or without candidiasis (12 Dec 1998) |
| ureteral pseudo-diverticulosis | <radiology> Proliferation of von Brunn's nests, often missed on IVP may lead to need retrograde urogram, pre-malignant may lead to TCC (12 Dec 1998) |
| argyrophilic fibre | Reticular connective tissue fibre's that react with silver salts and appear black microscopically. (05 Mar 2000) |
| glaucomatous nerve-fibre bundle scotoma | See: caecocentral scotoma. (05 Mar 2000) |
| Reissner's fibre | A rodlike, highly refractive fibre running caudally from the subcommissural organ throughout the length of the central canal of the brainstem and spinal cord. (05 Mar 2000) |
제품명 |
판매사 |
보험코드 | 성분/함량 | 구분/보험급여 |
|---|
제품명 |
판매사 |
보험코드 | 성분/함량 | 구분/보험급여 |
|---|