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[A round worm with blood sucking]

[2013-8-12. ¾Öµ¶ÀÚÁú¹®] Á¦°¡ ±Ù¹«ÇÏ´Â º´¿ø °Ç°­°ËÁø ´ëÀå³»½Ã°æ¿¡¼­ ¹ß°ßµÈ ±â»ýÃæÀÔ´Ï´Ù. ¹«¾ùÀÌ¸ç ¾î¶²Ä¡·á¸¦ ÇØ¾ß ÇÒ±î¿ä?

[2013-8-12. ÀÌÁØÇà ´äº¯] ÁÁÀº Áú¹® °¨»çÇÕ´Ï´Ù. ¸î °¡Áö Á¤º¸¸¦ Á¤¸®ÇØ º¸°Ú½À´Ï´Ù.

(1) ÀÏ´Ü µÑµÑ ¸»·ÁÀÖÁö¸¸ tube ¸ð¾çÀÔ´Ï´Ù. ±×·¯´Ï±î ¼±ÃæÀÔ´Ï´Ù. ´ëÀå¿¡¼­ ¹ß°ßµÇ¾úÀ¸¹Ç·Î Àå³» ¼±ÃæÀÔ´Ï´Ù.
(2) ¼ö cm Á¤µµÀÇ Å©±âÀÔ´Ï´Ù. 20-30cm Á¤µµ¸é ȸÃæ(Ascaris lumbricoides)ÀÏ ¼ö ÀÖ°í, 0.5 mm- 2 mm Á¤µµ¸é ºÐ¼±Ãæ(Strongyloides stercoralis)ÀÏ ¼ö ÀÖ½À´Ï´Ù. 1 - 4 cm¸é ÆíÃæ, ¿äÃæ, ±¸Ãæ (=½ÊÀÌÁöÀåÃæ) µîÀÌ °¡´ÉÇÕ´Ï´Ù.
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ÀÌ·± Á¤º¸¸¦ ¸ðµÎ ¸ð¾Æ »ý°¢Çغ¸¸é Àú´Â ÆíÃæ(Trichuris trichiura)ÀÏ °ÍÀ¸·Î ÃßÁ¤ÇÕ´Ï´Ù. ´Ù¸¸ ÆíÃæÀº ÈíÇ÷ÇÏ´Â °æ¿ì°¡ µå¹°´Ù´Â Á¡ÀÌ ¸ÂÁö ¾Ê½À´Ï´Ù. Àúµµ µü Çѹø¹Û¿¡ º» ÀûÀÌ ¾ø½À´Ï´Ù (¾Æ·¡ »çÁø ÂüÁ¶). µÎ¹ø° °¡´É¼ºÀÌ ³ôÀº °ÍÀº ±¸ÃæÀÔ´Ï´Ù (¾Æ·¡ »çÁø ÂüÁ¶). ´Ü ±¸ÃæÀº Ãæü µÎ²²°¡ ºñ±³Àû ÀÏÁ¤ÇÏ´Ù´Â Á¡, ±×¸®°í Á¤»ó ±â»ýºÎÀ§°¡ jejunumÀ̶ó´Â Á¡ÀÌ ¸ÂÁö ¾Ê½À´Ï´Ù.


ÇǸ¦ »¡¾Æ¸ÔÀº ÆíÃæ (º´¸®ÇÐÀûÀ¸·Î È®ÀεÊ)


ÇǸ¦ »¡¾Æ¸ÔÀº ±¸Ãæ (Gastrointest Endosc¿¡¼­ °¡Á®¿È)


±â»ýÃæÇÐ ±³½Ç ȤÀº º´¸®°ú¿¡ Ãæü¸¦ º¸³»¼­ µ¿Á¤À» ¹ÞÀ¸¸é È®ÁøÀÌ µË´Ï´Ù. ÀÌ °æ¿ì º´¸®°úº¸´Ù ±â»ýÃæÇÐ ±³½Ç·Î º¸³¾ °ÍÀ» ÃßõÇÕ´Ï´Ù. ÈξÀ Àß ºÁÁֽñ⠶§¹®ÀÔ´Ï´Ù. ±â»ýÃæÇÐ ±³½Ç¿¡ º¸³»±â ¾î·Á¿ï ¶§¸¸ º´¸®°ú¿¡ ºÎŹÇϽʽÿä. ÆíÃæÀ̳ª ±¸ÃæÀº Ä¡·á¿øÄ¢ÀÌ °°½À´Ï´Ù. °¡´ÉÇÏ¸é ³»½Ã°æÀ¸·Î Á¦°ÅÇÏ°í albendazole 400mgÀ» 1ȸ Åõ¿©ÇÏ¸é µË´Ï´Ù. ¾ßä´Â Àß ¾Ä¾î ¸Ô°í, À¯±â³ó À½½ÄÀ» µå½Ç ¶§¿¡´Â ÁÖÀÇ°¡ ÇÊ¿äÇÏ´Ù°í ¾Ë·Áµå¸®¸é µË´Ï´Ù. ¿äÃæÀÏ È®·üÀº ¸Å¿ì ³·Áö¸¸ Ä¡·á´Â ¿äÃæÀÌ °¡Àå ±î´Ù·Ó½À´Ï´Ù. Àü°¡Á·ÀÌ Ä¡·áÇÏ°í ¹Ýº¹Ä¡·áÇØ¾ß ÇÏ´Â µîÀÇ issue°¡ Àֱ⠶§¹®ÀÔ´Ï´Ù (¿äÃæ Ä¡·á¿øÄ¢).

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@ ÁÖÀÎÀåÀÇ ¸®ºä: ³»½Ã°æ °Ë»ç Áß ¸¸³ª´Â ±â»ýÃæ (WORD. 66KB)

@ Related EndoTODAY: GI parasites À§Àå°ü ±â»ýÃæ

@ Related EndoTODAY: Treatment of parasites ±â»ýÃæ¾à

@ Related PDF EndoTODAY (¾ÏÈ£ smcgi): Index of PDF EndoTODAY on GI Parasites


[Furor medicus]

±Ù°£ American Journal of Gastroenterology¿¡ ½Ç¸° Diagnostic testing in extraesophagal GERD : another case of furor medicus?¶ó´Â ³íÆòÀ» ¼Ò°³ÇÕ´Ï´Ù. Á¦°¡ Á¦ÀÏ ½È¾îÇÏ´Â do-somethingism¿¡ ´ëÇÑ ÈǸ¢ÇÑ ³íÆòÀÔ´Ï´Ù. Furor medicus´Â MD consult¿¡¼­´Â ¾Æ·¡¿Í °°ÀÌ ¼³¸íÇÏ°í ÀÖ½À´Ï´Ù. ¾Ö¸ÅÇÏ´Ù°í ÀÌ°Í Àú°Í °Ë»çÇϱ⺸´Ù´Â ÇÑ¹ß ¹°·¯¼­¼­ õõÈ÷ »ý°¢Çغ¸ÀÚ´Â °ÍÀÔ´Ï´Ù.

Here, the physician risks overdoing the diagnostic evaluation or instituting unneeded or harmful treatments in such patients (sometimes called furor medicus).