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2014-04-10 18:49
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ÇѼ¾º´ÀÇ ¿øÀαÕÀÎ ³ª±ÕÀº Rifampicin ´Ü1ȸ Åõ¾àÀ¸·Î ½Å¼ÓÇϰÔ(3ÀÏÀ̳») »ç¸êµÇ¾î Àü¿° ·ÂÀ» »ó½ÇÇÕ´Ï´Ù.
¿ì¸®³ª¶ó¿¡¼­´Â ¹ßº´µÈ ¸ðµç ȯÀÚ¿¡°Ô RMPµî °­·ÂÇ×»ýÀ縦 Áï½Ã Åõ¾àÇϹǷΠµî·ÏµÈ ¸ðµç ȯÀÚ´Â ºñÀü¿°¼ºÀ¸·ÎµÈ ȯÀÚÀÔ´Ï´Ù.
±×·¯¹Ç·Î Ä¡·áÁßÀΠȯÀÚ·Î ºÎÅÍÀÇ Àü¿°Àº ¿ì·ÁÇÒ Çʿ䰡 ¾øÀ½À» ¾Ë·Áµå¸³´Ï´Ù

<ÇѼ¾º´ÀÇ Á¤ÀÇ>
ÇѼ¾º´À̶õ ³ª±Õ¿¡ ÀÇÇÏ¿© ÇÇºÎ¿Í ¸»ÃʽŰ濡 ÁÖ·Î Ä§ÇØÇÏ´Â ¸¸¼ºÀü¿°¼º ¸é¿ª ÁúȯÀÌ´Ù.

<ÇѼ¾º´ÀÇ Áø´Ü>
ÇѼ¾º´ÀÇ Æ¯À¯ÇÑ ÇǺκ´¼Ò¿Í ¸»ÃʽŰæÀÇ Ä§ÇØ ¶Ç´Â ü¾×À¸·ÎºÎÅÍÀÇ Ç׻꼺±ÕÀÇ °ËÃâ µîÀÌ ´Üµ¶
¶Ç´Â º¹ÇÕÀûÀ¸·Î ÀÎÁöµÇ¾úÀ» ¶§ ÇѼ¾º´À¸·Î Áø´ÜÇϸç,
- ÀÓ»óÇÐÀû Áø´Ü : ÇǺÎ,¸»ÃʽŰæ,ÀÓ»óÁõ»ó
- º´¸®ÇÐÀû Áø´Ü : Á¶Á÷¼Ò°ß, Skin Biopsy
- ¼¼±ÕÇÐÀû Áø´Ü : ³ª±Õ °ËÃâ, Skin smear(AFB Stain)
- ¸é¿ªÇÐÀû Áø´Ü : Lepromin, ELISA
- ºÐÀÚ»ý¹°ÇÐÀû Áø´Ü : DNA-PCR µî¿¡ ÀÇÇÏ¿© Á¾ÇÕÀûÀ¸·Î Æò°¡ È®ÁøÇÑ´Ù.
Ȱµ¿¼ºÈ¯ÀÚ Áø´Ü : ÁøÇ༺ ÇǺκ´¼Ò¿Í ¸»ÃʽŰæÅë, ¼¼±Õ°ËÃâ Áß ´ÜÀÏ ¶Ç´Â º¹ÇÕÀûÀ¸·Î Áõ»óÀ» º¸ÀÏ ¶§ Ȱµ¿¼º ȯÀڷμ­ ÇѼ¾º´À» Áø´ÜÇÑ´Ù
¼¼±Õ°Ë»ç : BI : Bacteriological Index(¼¼±ÕÁö¼ö) 6+ ¡æ 0 MI : Morphological Index(ÇüÅÂÁö¼ö)¼¼±ÕÀÇ ¹éºÐÀ²

<ÇѼ¾º´ÀÇ ÀÓ»ó Áõ»ó>
- ÇǺκ´¼Ò : ¹ÝÁ¡ ¹Ý¹® ±¸Áø °áÀýµîÀÇ ÇǺκ´¼Ò°¡ ¼º»ó(°ÇÁ¶.À±ÅÃ)ÇüÅÂ(Å©±â ¸ð¾ç °æ°è)¼ö(´Ü¹ß ´Ù¼ö) ºÐÆ÷(±¹¼ÒÀû Àü½ÅÀû) »öÁ¶(Å»»ö È«Á¶)µîÀÇ Æ¯Â¡À» °¡Áö°í °¢¾ç°¢»öÀ¸·Î ³ªÅ¸³².
- ¸»ÃʽŰæ : ´ëÀ̽Űæ(Great Auricular Nerve) ô°ñ½Å°æ(Ulnar Nerve) Á¤Á߽Űæ(Median Nerve) ¿ä°ñ½Å°æ(Radial Nerve) ½½¿Í½Å°æ(Common Peroneal Nerve) ºñº¹½Å°æ(Sural Nerve) µîÀÇ Ç¥À缺 ¸»ÃʽŰ氣ÀÇ ºñÈÄ ¶Ç´Â ÀÚ°¢Åë, ¾ÐÅëÀÇ Áõ»óÀ» ³ªÅ¸³»°í ÀÌµé ½Å°æÁö¹è ºÎÀ§¿¡ ´ëÇÑ ¼öÁ·ÀÇ Áö°¢½Å°æÀÇ ÀÌ»ó(¿Â.³Ã°¢, Ã˰¢, Åë°¢) ¶Ç´Â ¿îµ¿½Å°æ ±â´ÉÀÇ ÀÌ»óÀ¸·Î ±ÙÀ°¿îµ¿ÀÇ ÀÌ»óÀÌ ³ªÅ¸³².
- ³ªÁ¾³ªÀÎ °æ¿ì¿¡´Â ¾È.ºñ.»ó±âµµ.±¸°­Á¡¸·.°íȯ.Àӯļ± °£.ºñÀå.½ÅÀå µî Àå±â¿¡µµ ħ¹üµÈ´Ù

 <ÇѼ¾º´ÀÇ º´ÇüºÐ·ù>
ÇѼ¾º´ÀÇ ÀÓ»óÁõ»óÀ» ÁÖ·ÎÇÏ¿© º´¸®Á¶Á÷ ¼Ò°ß ¼¼±Õ°ËÃâ¼Ò°ß Lepromin¹ÝÀÀ ¼Ò°ßÀ» Á¾ÇÕÀûÀ¸·Î Æò°¡ÇÏ¿© º´ÇüÀ» ºÐ·ùÇÑ´Ù
- Madrid classification :
Indeterminate Group (I) ºÎÁ¤±º³ª
Tuberculoid Form (T) °áÇÙ¾çÇü³ª
Borderline Group (B) Áß°£±º³ª
Lepromatous Form (L) ³ªÁ¾Çü³ª

- Ridley and Jopling classification
Indeterminate Leprosy (I) ºÎÁ¤±º³ª
Tuberculoid Leprosy (TT) °áÇپ糪
Borderline Tuberculoid Leprosy (BT) ±Ù°áÇپ糪
Mid-Borderline Leprosy (BB) Áß°£³ª
Borderline Lepromatous Leprosy (BL) ±Ù³ªÁ¾³ª
Lepromatous Leprosy (LL) ³ªÁ¾³ª

- Operation classification for control programme
= Paucibacillary Leprosy(Èñ±Õ³ª)(PB)
(I)(T) in the Madrid classification
(I)(TT)(BT) in the Ridely and Jopling classification
¡Ø smear-positive should be classifided as MB
= Multibacillary Leprosy(´Ù±Õ³ª)(MB)
(B)(L) in the Madrid classification
(BB)(BL)(LL) in the Ridely and Jopling classification ¡Ø any other type when smear-positive

<Ä¡·á>
ÁÖ»ç¿ë¾àÁ¦ Á¾º° ¹× ¼ºÀÎ 1ÀÏ ¿ë·®
DDS ¡æ diaminodiphenyl sulphone(Dapsone)(100mg) ; sulfone Á¦Á¦
663 ¡æ Lamprene ; clofazimine ; dyeÁ¦Á¦
RMP ¡æ Rifampicin(600mg) ; anti-tuberculosisÁ¦Á¦
Mino ¡æ Minocycline(100mg) ; tetracyclineÁ¦Á¦
Clar ¡æ Clarithromycin(500mg) ; macrolidesÁ¦Á¦
Oflo ¡æ Ofloxacin(400mg) ; quinoloneÁ¦Á¦ ±âŸ »ç¿ë ¾àÁ¦ Ethionamide / prothionamide Thiacet



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