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홍차넷
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티타임
Warning: Use of undefined constant no - assumed 'no' (this will throw an Error in a future version of PHP) in /home/redtea/html/pb/bbs_title.php on line 21
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- 다양한 주제에 대해 자유롭게 글을 작성하는 게시판입니다.
Warning: Use of undefined constant use_formmail - assumed 'use_formmail' (this will throw an Error in a future version of PHP) in /home/redtea/html/pb/lib.php on line 519
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전체기타일상/생각꿀팁/강좌방송/연예도서/문학영화의료/건강문화/예술경제생활체육과학/기술철학/종교정치요리/음식역사여행육아/가정IT/컴퓨터음악창작게임스포츠사회오프모임
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| Date |
Warning: Use of undefined constant reg_date - assumed 'reg_date' (this will throw an Error in a future version of PHP) in /home/redtea/html/a_skin/bbsd/view.php on line 53 18/04/27 17:44:24 Warning: Use of undefined constant mod_date - assumed 'mod_date' (this will throw an Error in a future version of PHP) in /home/redtea/html/a_skin/bbsd/view.php on line 56 |
| Name | 세상의빛 |
| Subject | 만성 기침은 무엇인가요? |
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기침은 기도의 과도한 객담과 이물질의 제거를 위한 신체의 중요한 방어기전으로 대부분의 기침은 생리적으로 병원을 찾을 필요가 없습니다. 그러나 과도한 기침은 환자들의 일상생활에 악영향을 끼쳐 삶의 질을 저하시키며, 다양한 호흡기계 질환의 일차 증상으로 나타나죠. 따라서 기침의 원인에 대한 정확한 진단적 접근과 이에 대한 적절한 치료는 의학적으로 매우 중요합니다. 기침의 원인을 파악하는데 있어서 중요한 요소는 기침의 지속기간, 환자의 연령, 기저 폐질환 및 심질환의 유무, 동반 증상의 유무 정도를 생각할 수 있습니다. 대부분의 호흡기 감염에 동반되는 기침은 2주 미만 지속되며 가래, 발열, 호흡곤란 등의 증상이 동반할 수 있어요. 특히 노년층은 심각한 폐렴으로 이행할 수 있으므로 의사의 진찰 및 치료가 필수적입니다. 2주 이상 지속되는 기침은 만성 기침으로 정의하고 흔한 원인으로는 1) 상기도 기침 증후군, 2) 기관지 천식, 3) 위-식도 역류 질환을 들 수 있다.(단 비흡연자에게만 해당합니다. 흡연자는 흡연이 원인이죠) 만성 기침은 원인 질환에 대한 치료를 하지 않고 대증 치료만 할 경우 호전을 보이지 않는 경우가 많기 때문에 원인 질환을 찾는 노력이 반드시 필요합니다. 상기도 기침 증후군은 단일 질환을 일컫는 말이 아니고 코, 인후 및 부비동을 포함한 상기도의 자극, 염증 등이 원인이 되어 기침을 주 증상으로 하는 질환군을 말합니다. 기침이 시작된 시기에 감기 같은 상기도 감염의 병력이 있는 경우가 많으며, 기침 외에 콧물이 넘어가는 느낌, 코막힘, 콧물, 인후부 이물감, 인두부의 가려움증을 호소할 수 있습니다. 코 및 눈의 가려움증, 수양성 콧물 등은 알레르기 비염의 가능성을 나타내며 화농성 콧물, 후각저하, 안면통증, 두통 혹은 치통은 비부비동염(축농증)을 시사하죠. 그러나 이러한 증상은 비특이적으로 다른 질환에서도 나타날 수 있기 때문에 의사의 병력 청취 및 진찰이 필수적입니다. 기관지 천식은 기침, 호흡곤란, 천명음을 주 증상으로 하며, 기침만을 증상으로 하는 기침형 천식도 있습니다. 가래가 없는 마른기침이 대부분이고 발작적이며 대개 밤이나 새벽에 발생하며, 상기도 감염, 미세 먼지, 담배연기, 운동, 찬 공기 노출 시에 악화될 수 있습니다. 확진은 기관지 확장제를 흡입 후 폐기능 검사를 하여 기도과민성을 증명하거나 메타콜린 유발 검사를 통해 이루어집니다. 치료는 흡입용 스테로이드 제제의 사용입니다. 만성 기침의 원인으로서 위-식도 역류질환은 소아보다는 성인에서 주로 나타납니다. 기침과 함께 반복적인 속쓰림이나 역류 등의 증상이 있으며, 다른 증상 없이 기침만 있는 경우도 많아서 증상만으로 진단하기 쉽지 않습니다. 보통 2주 이상 기침이 지속되는 비흡연자가 상기도 기침 증후군과 천식이 배제되고, 흉부 엑스선 사진에서 이전과 변화가 없으면 경험적인 약물 요법을 시작하여 증상의 호전이 있으면 위-식도 역류질환을 진단할 수 있습니다. 치료제는 위궤양 치료제인 양전자 펌프 억제제(PPI)가 쓰이며 보통 8주 이상을 치료하게 됩니다. 만성 기침의 치료는 원인 질환에 대한 정확한 진단에서 출발합니다. 앞에서 언급한 질환 외에도 폐종양이나 폐결핵 같은 생명을 위협하거나 오랜 기간 치료를 요하는 질환도 있습니다.. 따라서 기침이 2주 이상 지속될 때에는 진단에 대해 속단을 금하고 전문가와 상의하는 것이 중요합니다. . 요새 미세먼지도 많고 천식도 호발하는 계절이어서 그런지 기침 환자가 많아졌습니다. 티타임에 졸고를 올리니 귀엽게 봐주셨으면 합니다. Warning: Use of undefined constant no - assumed 'no' (this will throw an Error in a future version of PHP) in /home/redtea/html/a_skin/bbsd/view.php on line 133 Warning: Use of undefined constant no - assumed 'no' (this will throw an Error in a future version of PHP) in /home/redtea/html/a_skin/bbsd/view.php on line 146 Warning: Use of undefined constant vote - assumed 'vote' (this will throw an Error in a future version of PHP) in /home/redtea/html/a_skin/bbsd/view.php on line 161 6
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Warning: Use of undefined constant is_admin - assumed 'is_admin' (this will throw an Error in a future version of PHP) in /home/redtea/html/pb/lib.php on line 605
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Warning: Use of undefined constant is_admin - assumed 'is_admin' (this will throw an Error in a future version of PHP) in /home/redtea/html/pb/lib.php on line 609
Warning: Use of undefined constant is_admin - assumed 'is_admin' (this will throw an Error in a future version of PHP) in /home/redtea/html/pb/lib.php on line 609
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Warning: Use of undefined constant no - assumed 'no' (this will throw an Error in a future version of PHP) in /home/redtea/html/pb/view.php on line 646
Warning: Use of undefined constant no - assumed 'no' (this will throw an Error in a future version of PHP) in /home/redtea/html/pb/view.php on line 646
Warning: Use of undefined constant HTTP_HOST - assumed 'HTTP_HOST' (this will throw an Error in a future version of PHP) in /home/redtea/html/pb/cmt_replace.php on line 3
Warning: Use of undefined constant ismember - assumed 'ismember' (this will throw an Error in a future version of PHP) in /home/redtea/html/a_skin/bbsd/view_comment.php on line 6
Warning: Use of undefined constant file_name - assumed 'file_name' (this will throw an Error in a future version of PHP) in /home/redtea/html/a_skin/bbsd/view_comment.php on line 28
Warning: Use of undefined constant no - assumed 'no' (this will throw an Error in a future version of PHP) in /home/redtea/html/a_skin/bbsd/view_comment.php on line 65
103638 class="iamcmt" style="display:none;"> Warning: Use of undefined constant no - assumed 'no' (this will throw an Error in a future version of PHP) in /home/redtea/html/a_skin/bbsd/view_comment.php on line 66
103638 class='vcm '>
Warning: Use of undefined constant x - assumed 'x' (this will throw an Error in a future version of PHP) in /home/redtea/html/a_skin/bbsd/view_comment.php on line 70
Warning: Use of undefined constant x - assumed 'x' (this will throw an Error in a future version of PHP) in /home/redtea/html/a_skin/bbsd/view_comment.php on line 71
Warning: Use of undefined constant no - assumed 'no' (this will throw an Error in a future version of PHP) in /home/redtea/html/a_skin/bbsd/view_comment.php on line 76
Warning: Use of undefined constant ismember - assumed 'ismember' (this will throw an Error in a future version of PHP) in /home/redtea/html/a_skin/bbsd/view_comment.php on line 117
Warning: Use of undefined constant ismember - assumed 'ismember' (this will throw an Error in a future version of PHP) in /home/redtea/html/a_skin/bbsd/view_comment.php on line 118
Warning: Use of undefined constant ismember - assumed 'ismember' (this will throw an Error in a future version of PHP) in /home/redtea/html/a_skin/bbsd/view_comment.php on line 119
Warning: Use of undefined constant ismember - assumed 'ismember' (this will throw an Error in a future version of PHP) in /home/redtea/html/a_skin/bbsd/view_comment.php on line 120
Warning: Use of undefined constant ismember - assumed 'ismember' (this will throw an Error in a future version of PHP) in /home/redtea/html/a_skin/bbsd/view_comment.php on line 121
103638'> 맥주만땅
Warning: Use of undefined constant mod_date - assumed 'mod_date' (this will throw an Error in a future version of PHP) in /home/redtea/html/a_skin/bbsd/view_comment.php on line 133
Warning: Use of undefined constant no - assumed 'no' (this will throw an Error in a future version of PHP) in /home/redtea/html/a_skin/bbsd/view_comment.php on line 140
Warning: Use of undefined constant no - assumed 'no' (this will throw an Error in a future version of PHP) in /home/redtea/html/a_skin/bbsd/view_comment.php on line 140
Warning: Use of undefined constant reg_date - assumed 'reg_date' (this will throw an Error in a future version of PHP) in /home/redtea/html/a_skin/bbsd/view_comment.php on line 142
18/04/27 17:48
103638>삭제 주소복사
Warning: Use of undefined constant level - assumed 'level' (this will throw an Error in a future version of PHP) in /home/redtea/html/a_skin/bbsd/view_comment.php on line 150
수십년째 만성 기침을 달고 다니는 흉부외과 의사를 알고 있어서 ....
Warning: Use of undefined constant level - assumed 'level' (this will throw an Error in a future version of PHP) in /home/redtea/html/a_skin/bbsd/view_comment.php on line 158
Warning: Use of undefined constant password - assumed 'password' (this will throw an Error in a future version of PHP) in /home/redtea/html/a_skin/bbsd/view_comment.php on line 166
Warning: Use of undefined constant vote - assumed 'vote' (this will throw an Error in a future version of PHP) in /home/redtea/html/a_skin/bbsd/view_comment.php on line 171
Warning: Use of undefined constant vote - assumed 'vote' (this will throw an Error in a future version of PHP) in /home/redtea/html/a_skin/bbsd/view_comment.php on line 172
Warning: Use of undefined constant vote - assumed 'vote' (this will throw an Error in a future version of PHP) in /home/redtea/html/a_skin/bbsd/view_comment.php on line 172
Warning: Use of undefined constant no - assumed 'no' (this will throw an Error in a future version of PHP) in /home/redtea/html/a_skin/bbsd/view_comment.php on line 173
Warning: Use of undefined constant no - assumed 'no' (this will throw an Error in a future version of PHP) in /home/redtea/html/a_skin/bbsd/view_comment.php on line 173
Warning: Use of undefined constant vote - assumed 'vote' (this will throw an Error in a future version of PHP) in /home/redtea/html/a_skin/bbsd/view_comment.php on line 173
Warning: Use of undefined constant level - assumed 'level' (this will throw an Error in a future version of PHP) in /home/redtea/html/a_skin/bbsd/view_comment.php on line 158
Warning: Use of undefined constant password - assumed 'password' (this will throw an Error in a future version of PHP) in /home/redtea/html/a_skin/bbsd/view_comment.php on line 166
Warning: Use of undefined constant vote - assumed 'vote' (this will throw an Error in a future version of PHP) in /home/redtea/html/a_skin/bbsd/view_comment.php on line 171
Warning: Use of undefined constant vote - assumed 'vote' (this will throw an Error in a future version of PHP) in /home/redtea/html/a_skin/bbsd/view_comment.php on line 172
Warning: Use of undefined constant vote - assumed 'vote' (this will throw an Error in a future version of PHP) in /home/redtea/html/a_skin/bbsd/view_comment.php on line 172
Warning: Use of undefined constant no - assumed 'no' (this will throw an Error in a future version of PHP) in /home/redtea/html/a_skin/bbsd/view_comment.php on line 173
Warning: Use of undefined constant no - assumed 'no' (this will throw an Error in a future version of PHP) in /home/redtea/html/a_skin/bbsd/view_comment.php on line 173
Warning: Use of undefined constant vote - assumed 'vote' (this will throw an Error in a future version of PHP) in /home/redtea/html/a_skin/bbsd/view_comment.php on line 173
103638>
103638>
