[Parasitology (5) ºÐ¼±Ãæ. Hyperinfection syndromeÀº ¿Ö ¹«¼·½À´Ï±î?]
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½ºÅ×·ÎÀ̵峪 Ç×¾ÏÁ¦¿¡ ÀÇÇÏ¿© ¸é¿ª·ÂÀÌ ¶³¾îÁö¸é ¹«ÇÑ ÀÚ°¡Áõ½ÄÇÏ¿© hyperinfection syndromeÀÌ ¹ß»ýÇÕ´Ï´Ù. Àü½Å¿¡ ºÐ¼±Ãæ À¯ÃæÀÌ ÆÛÁö´Â hyperinfection syndromeÀÇ »ç¸Á·üÀº 100%ÀÔ´Ï´Ù. ±×·¡¼ ¹«¼·½À´Ï´Ù.
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½ºÅ×·ÎÀÌµå »ç¿ë°ú °ü·ÃµÈ hyperinfection syndrome
ºÐ¼±ÃæÁõÀº Ãæ¶õÀ¸·Î Áø´ÜÇÒ ¼ö ¾ø½À´Ï´Ù. ´ëº¯, ½ÊÀÌÁöÀ庮, °¡·¡¿¡¼ À¯ÃæÀ» °üÂûÇÏ¿© Áø´ÜÇÕ´Ï´Ù.
Ä¡·áÈ¿°ú´Â thiabendazoleÀÌ °¡Àå ÁÁÀºµ¥ ºÎÀÛ¿ëÀÌ ¸¹´Ù´Â ´ÜÁ¡ÀÌ ÀÖ½À´Ï´Ù. ÇöÀçÀÇ treatment of choice´Â ivermectinÀ¸·Î Á¤¸®µÈ °Í °°½À´Ï´Ù. 95% ÀÌ»ó È¿°ú°¡ ÀÖÀ¸¸é¼ ºÎÀÛ¿ëÀÇ ºóµµ´Â ÈξÀ ³·½À´Ï´Ù.
¿©·¯ºÐÀÌ ¸¹ÀÌ º¸½Ã´Â emedicine.medscape.com¿¡´Â "Ivermectin (Stromectol). Binds to glutamate-gated chloride ion channels in invertebrate nerve and muscle cells. Increased permeability of the cell membrane occurs with hyperpolarization, resulting in paralysis and death of the parasite. Effective against adult intestinal strongyloides. Cure rate is 97% with 2-day course. Case reports have been made of successful SC injection of ivermectin in patients unable to achieve adequate serum drug levels after oral administration"¶ó°í µÇ¾î ÀÖ½À´Ï´Ù.
º» º´¿ø ¾àÁ¦°ú¿¡ ¹®ÀÇÇÑ ¹Ù ´ÙÀ½°ú °°Àº ´äº¯À» ¹Þ¾Ò½À´Ï´Ù. 'Thiabendazole, ivermectinÀº Èñ±ÍÀǾàǰ¼¾ÅÍ¿¡¼´Â °ø±ÞµÇ°í ÀÖÁö ¾Ê½À´Ï´Ù. ÇöÀç ±¹¸³ÀÇ·á¿ø¿¡¼ ¾àÀ» ±¸ÇÒ ¼ö ÀÖ½À´Ï´Ù. ±¹¸³ÀÇ·á¿ø¿¡¼´Â 'ÇØ¿ÜÀ¯ÀÔÀü¿°º´°ü¸®±ÔÁ¤'¿¡ µû¶ó Áúº´°ü¸®º»ºÎ¿¡¼ ±¸¸Å ¹× °ø±ÞÇϰí ÀÖ´Â ±¹³» ºñÃà¿ë ÇØ¿ÜÀ¯ÀÔÀü¿°º´Ä¡·á¾à ÁöÁ¤¸ñ·ÏÀ» Åõ¾àÇϰí ÀÖ½À´Ï´Ù. ±¹¸³ÀÇ·á¿ø ¾àÁ¦°ú 2260-7389'
2013³â 6¿ù 11ÀÏ ³»½Ã°æÇÐȸ Áý´ãȸ¿¡¼ ½ÊÀÌÁöÀå SMT ÇüÅ·Π³ªÅ¸³ ºÐ¼±ÃæÁõ¿¡ ´ëÇÑ ¹ßÇ¥°¡ ÀÖ¾ú½À´Ï´Ù (¼º¸ðº´¿ø Áõ·Ê). SMT·Î ¹ßÇöÇÑ ºÐ¼±ÃæÁõÀº Àúµµ óÀ½ º» °ÍÀ̾ú½À´Ï´Ù.
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