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EndoTODAY ³»½Ã°æ ±³½Ç


[¶÷ºíÆí¸ðÃæ (Giardia lamblia)] - ðû

Ãâó: CDC

¶÷ºíÆí¸ðÁõÀº »ý°¢º¸´Ù ÈçÇÕ´Ï´Ù. ¿©ÇàÀÚ ¼³»ç(traveler's diarrhea)ÀÇ °¡Àå Áß¿äÇÑ ¿øÀÎÀÔ´Ï´Ù. ¹Ì±¹¿¡¼­´Â ¼öÀμº À§Àå¿° (waterborne epidemics of gastroenteritis)ÀÇ °¡Àå ÈçÇÑ ¿øÀÎÀÔ´Ï´Ù. ±¹³»ÀÇ Æ÷³¶ (cyst) ¾ç¼º·üÀº 0.5%ÀÔ´Ï´Ù. ÃÖ±Ù¿¡´Â ¹«Áõ»ó ¼ºÀο¡¼­ °Ç°­°ËÁø µµÁß ¹ß°ßµÇ´Â °æ¿ì°¡ ÈçÇÕ´Ï´Ù.

¿À¿°µÈ À½½Ä¹°À̳ª ¹°À» ÅëÇØ °¨¿°µË´Ï´Ù. Æ÷³¶Àº ½ÊÀÌÁöÀå¿¡¼­ Å»³¶(excystation)ÇÏ¿© ½ÊÀÌÁöÀåÀ̳ª ¼ÒÀå »óºÎ¿¡¼­ ¿µ¾çÇü (trophozoite) »óÅ·Π±â»ýÇÕ´Ï´Ù. °¨¿° ÈÄ Áõ¼¼¸¦ ³ªÅ¸³»±â±îÁö Æò±Õ 2ÁÖ°¡ ¼Ò¿äµË´Ï´Ù. °æ°¨¿°À̸é Áõ»óÀÌ ¾øÀ» ¼ö ÀÖÀ¸³ª, Áß°¨¿°ÀÌ¸é ¼³»ç¿Í º¹ÅëÀÌ ¹ß»ýÇÕ´Ï´Ù. ±Þ¼º±â¿¡´Â ³¿»õ°¡ µ¶ÇÏ°í °ÅÇ°ÀÌ ÀÖ´Â ¼³»ç¿Í ÇÔ²² °æ·Ã¼º º¹Åë, °¡½º, º¹ºÎÆظ¸, ±¸¿ª, ±¸Åä µî »óºÎÀ§Àå°ü Áõ¼¼°¡ ÇöÀúÇÑ °ÍÀÌ Æ¯Â¡ÀÔ´Ï´Ù.

±Þ¼º±â ÈÄ ¶Ç´Â ±Þ¼º±â¸¦ °æÇèÇÏÁö ¾ÊÀº °æ¿ì¿¡µµ ¸¸¼º °æ°ú¸¦ ÃëÇÒ ¼ö ÀÖ½À´Ï´Ù. ¸¸¼º±â¿¡´Â º¹ºÎÆظ¸°¨, ³¿»õ°¡ ¸¹Àº Á×°°Àº ¼³»ç, Áö¹æº¯, ½Ä¿åºÎÁø, ±¸¿ª, ±¸Åä, üÁß°¨¼Ò µîÀÇ Áõ¼¼°¡ °¡´ÉÇÕ´Ï´Ù. µû¶ó¼­ ¸¸¼º¼³»ç³ª ¿øÀÎ ºÒ¸í ¸¸¼ºº¹ÅëÀÇ °¨º°Áø´Ü¿¡ Æ÷ÇԵǾî¾ß ÇÕ´Ï´Ù.

´ëº¯°Ë»ç·Î Áø´ÜÇÕ´Ï´Ù. °íÇüº¯¿¡¼­´Â Æ÷³¶ÀÌ, ¼³»çº¯¿¡¼­´Â ¿µ¾çÇü°ú Æ÷³¶ÀÌ ¸ðµÎ °ËÃâµÉ ¼ö ÀÖ½À´Ï´Ù. Æ÷³¶ÀÌ Ç×»ó ¹èÃâµÇ´Â °ÍÀº ¾Æ´Ï¹Ç·Î, ÇÏ·ç °É·¯ ¶Ç´Â ÀÌƲ °É·¯ 3-4ȸ 亯Çϸé Áø´ÜÀ²À» ³ôÀÏ ¼ö ÀÖ½À´Ï´Ù. ºÐº¯¿¡¼­ À©ÃæÀÌ °ËÃâµÇÁö ¾ÊÀ¸³ª º» ÁúȯÀÌ ÀÇ½ÉµÇ¸é ½ÊÀÌÁöÀå ³»¿ë¹° °Ë»ç³ª ½ÊÀÌÁöÀå Á¡¸· »ý°ËÀ¸·Î À©ÃæÀ» ã¾Æº¼ ¼ö ÀÖ½À´Ï´Ù.

¶÷ºíÆí¸ðÃæ ¿µ¾çÇü. ¶¯±×¶þ°Ô ´«À» ¶ß°í ¹Ù¶óº¸´Â °Í °°½À´Ï´Ù.

¶÷ºíÆí¸ðÃæ Æ÷³¶

Ä¡·á´Â metronidazole 250mgÀ» ÇÏ·ç ¼¼¹ø ÀÏÁÖÀÏ Åõ¿©ÇÏ´Â °ÍÀÔ´Ï´Ù.


Relative contribution of each phenotype to diarrhea for each pathogen (Hodges K. Gut Microbes 2010)


[FAQs]

[2024-7-14] ¾Öµ¶ÀÚ ÆíÁö

µ¿¹°¿ø ¼öÀÇ»ç·Î À¯ÀοøÀ» ºñ·ÔÇÑ ´Ù¾çÇÑ µ¿¹°°ú ±¤¹üÀ§ÇÑ ÁúȯµéÀ» Á¢ÇÏ°í ÀÖ¾î Á¾Á¾ ±³¼ö´ÔÀÇ EndoTODAY¸¦ °¨»çÈ÷ È°¿ëÇÏ°í ÀÖ½À´Ï´Ù. ¾ß»ýµ¿¹° Áø·á Ư¼º»ó ´Ù¾çÇÑ ±â»ýÃæµéÀ» °øºÎÇÏ´ø Â÷¿¡ º» ¿µ»óÀ» Èï¹Ì·Ó°Ô ÇнÀÇß½À´Ï´Ù. Àúµµ µµ¿òÀ» µå¸®ÀÚ¸é.. Giardia lamblia´Â ¹Ý·Á°ß¿¡¼­µµ ±²ÀåÈ÷ ÈçÈ÷ ¹ß°ßµÇ´Â ¼³»ç ¿øÀÎüÀÔ´Ï´Ù. ¹Ý·Á°ßÀ» Å°¿ì´Â Àα¸°¡ Áõ°¡ÇÏ¿© Á¾Á¾ »ç¶÷¿¡¼­µµ ¹ß°ßµÇ´Â »ç·Ê°¡ ´Ã¾î³¯¼ö ÀÖÀ» µí ÇÕ´Ï´Ù.

°ü·Ã YouTube µ¿¿µ»ó °­ÀÇ


[References]

1) EndoTODAY ±â»ýÃæÇÐ

2) Protein losing enteropathy (PLE) associated with Giardia lamblia (Am J Case Rep 2014)

(A) Duodenal mucosa (H&E, 10¡¿) with focally complete villous atrophy and moderate lymphoplasmocytic and granulocytic infiltration of the L. propria, cryptitis, and focal crypt abscesses (arrow). (B) Multiple Giardia lamblia trophozoites (arrow) adjacent to the apical duodenal epithelium (H&E, 40¡¿).

© ÀÏ¿ø³»½Ã°æ±³½Ç ¹Ù¸¥³»½Ã°æ¿¬±¸¼Ò ÀÌÁØÇà. EndoTODAY Endoscopy Learning Center. Lee Jun Haeng.