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ǰ

 

 

 

 

 

 

 

 

                Ͻ ãư   !                                                                               

 

 

 

                                                                             

 

 

 

     κ Ư¡   ȯ     ȯ

               dz    ġ         ȯ     û      ι   κ        

    μ ڹݺ      μ      μ     ΰǰ               

         ΰ      Ƿ ȸ     ְ      ǰ     ǰ ʰ      

      ǰĢ   ΰ ġ Ʈؼҹ   ݷ ҿ    

   索 ġ          ġ Ĵ                Ź

      ΰ   dz   ϰ ġ   Ư¡   7  

 

   

       

             ȭ ߻ϴ ü· Ͽ, ũ ΰ .

             ϳ  ӵ ͵ , 索,, ȯ, , , ȯ

             ⿡ Ѵ.  

              ϳ Ư μ û, , μ 鳻, μ ġ, μ , μ

             ٰ, ̴.

 

          κ Ư¡

              ù° ų ָϴ. ¿, 忰, ħ  ɱ  

               󼱱   ε巯 ʴ 찡 ϴ.   ĩ ϱ .

              ° ȭ ƴ. , ɿ ȭ, Ⱑ ʴ.

              ° κ κ ܵ ߻ϴ°찡 幰. 4 ̻ Բ ´.  

              ° ɸ ũ Ѵ. δ ġ ߷ 쵵

               ִ.

             ټ° ๰ ǰ ʿϴ. 70 20뿡 ๰ ۿ 7 質

             ° ġ ɰϴ. ü 45% Ʋϸ ִ.

             ϰ° ȵǰ ̻θ Ÿ ϴ.

              ұϰ ǥ ܿ ޸ ܸ .

             ° û ˻ . Į, ˺ι, ˻ ġ

             û ٸ

             ȩ° ̰ δ. κ Ⱓ ΰ ߺ·Ѵ.

             ° ǻ İ 踸δ ġᰡ ư ȸ, ġ, Ȱ ,

             ũ ̷ ġؾ Ѵ.

              ȯ ȯ ٸ ̰ κ ܰ ġḦ ư ϴ Ŀٶ

              ǰ , ³ ȯ ΰ() 踦 ִ ͵ ְ 谡

             ͵ , 쿬 ߻ պó ̴µ õ ľ

             츮 찡 Ƿ Ͽ Ѵ.

             , μȯ Ư¡ ѻ ȯ , ȯ ³ İ

              ٸ, İ ̸ Ȯ ӻ , , ̻ Ű

             , ġῡ ־ Ư, ɰ ִ ๰ ,

             ص, 輳ɵ ̿ ٸǷ 뷮 ־ Ͽ Ѵ.

 

         ȯ

           μ ź

             ü ȭ ȭ ű ü Ͽ ⿡ ϴ

             ָ Ʋ ź, μ ź, Ǵ ֶ ϰ ַ μ ġŸ ۵,

             , ġŴ ġ 50-60% ϸ ߺ ޼̰ ܰ Ǿ

             Ǵ ط ϸ, Alzheimer ġŴ 30-40% ϸ ϰ ΰ ر

             Ͼ.

 

              ġż ȯ

             () () Ǿ Ȱ ǰ Ÿΰ

              , ݴ Ⱑ ڻ⵵ Ͼµ, ⿡ ϴ

              ﺴ̶ Ѵ.

              ȭ ϴ ȭ,  ɸ , ̰

             ȭ ϰ , δ , ǿ ع

             ־ ̿ Ͽ ̵ ȣϴ . Ҹ, , ɸ

             ü ݿ Ÿ ̸ (ʣ)̶ Ÿ ϵ ̿ .

             п κ ߺϿ ⿡ ̸ ϴµ ʱ⿡ , Ż

             쿡 ɴ ȸ ѷ ƴϴ.

 

              ưȯ

              ȯ ־ ȯ ü 15 % Ѵ. ̰ 鼭 ,

              Ҿ ¸ ȸȭ, ¸ mucoi DZ强, 뵿 ȸȭ

              ¸ ߱Ѵ.

              ȯ

             ɱٰ ȣ , ǽŹ, ƻ , ƿ﷯ ϱ⵵ ϸ

             , йڰ е ӵǴµ , ű, ѳ  ɱ Ҽ䰡 Ǵ

             ۼ(Ҿ) .

              Ǹ ȯ

             Bedford Caired ȯ 40% ¸ȯ ߰ ο ־ Ƽ κ

              ¸ ȸȭ ξ ٰ ǰ ִ.

           

             ο ־ Űִ ִµ ̰ ⸳ μ ϻ Ÿ

              20mm/Hg ̸ ϵ ְ ȸâ, ƹ ̾ ̴µ ǽ

             ϴ 쵵 ִ.

             

              ɰ Ҿ ϳ · 65 Ĵ ϵǸ ο ־ ϱ

              ƴ. ź ǥ Ǿ δ ǹ̰ .

              ưȭ

             ưȭ ʱ⿣ Ƴ ħǰ ߿ Ƴ Ͽ Ű ̴.

 

              ȯ

             

              鼭 Ŀ ۿ ִ ¸ ϴµ غδ

             ·μ ŭ DZ⵵ ϴµ ־ ս

              Ͼ.

              ȭ

             ż ȯμ ־ ȸȭ Ͼ ʴ ȯ  

             µ ȭ ʴ ŸD Ǵ ҷ ȴ.

             

              ߿ ֵ ȯ, , ̸ ֿ ȭ ǿ

             ִ.

              Ƽ

             ̴ ߳⿡ Ͽ ⿡ ӵǴ Ϲ , â, ̸ ο

             ־ ־ ȭŲ.

              μ

              ༺ ָ ʷϴ ȯ 缱 Կ 60

             ̻ ݿ ༺ȭ Ÿ ȣϴ 幰. Ϲ

             Ÿ ʱ⿡ ѷ ȣϰ Ŀ γ

              Ǵµ ̴ ޽ ϸ ̴. Ǹ

              Ǹ鼭 , ̳ 

              ʷѴ.

              μ

             μ ٰ Ǵ ̶ ϸ , 󺸴 ¸

             ϴµ μ 65 ̻

              κ̴. ӻ Ư¡ ϱ ̸, ô ֿο , ٱ 

             ַ ߻Ͽ , , ôı Ͼµ Ϲ ̰

              Ҵ 30-40, ⿡ û 15%̻ Ѵٰ Ǿ

             , ȯ 񰳺 ־ ص ̶ ȴ

 

                                                

              索 ν 索 ν 索 ڿ

              Ϲ . 쿡 Ư ġḦ ʾƵ ǰ, 

             索 ִ ̿  ϸ ϰ 쿡

              ݰⰡ ª ϴµ ڿ ǹϴ.

 

                  dz

             dz() Ϸ ħ ߻Ǵ ƴϴ.  ̵ ۵Ǿ ٸ ڱ

             ũ Ͼ ̴. ⿡ Ϸ ϴ dz() Ϸ Ʋ ƴϰ,

              ǰ Ǿ Ҿ ϴ ̴. ׷Ƿ dz ()̶

             ִµ. ̷ Ÿ ü ġḦ Ͽ Ѵٰ ϰ ִ.

             ׷ 3 ̳ ݵ dz Ͼٰ Ͽ.

              .

             . հ , ǰ, .

              Ǿٰ Ǯ, , .

              ð .

             Ȥ λҼ ǰ, Ѵ.

             Ȥ п ̻ Ѵ.  

             ̿ ︮(߲) () . ߶  [(Ү)]

              ϰ , ︮(߲),︮(߲), (), dz(), (), ߿, ȭῡ ·

              ߶ Ͽ.

  

      ġ  

     1, ġ

       ſ ġŶ ܼ " ɷȴ"  Ǵ  "ɳ" ǹ̷ ̶  κ 翬 ݰ Ǵ

        Ѵ

       ׷ ó ̷ ν ִ ȭ Ƿ ߴ ΰ

       װ ռ ׸ŭ ϴ Ҽ ġ ɼ ִٴ

       ǰ ȴ.

        ռ Ǹ鼭 ġ ߺ ̸ 츮 󿡼 Ͼ

         ƴϴ

       ֱٵ ġ(dementia) "߽Ű" ǥ Ȳ 鼭

       ġŷ  ǰ ִ

       ù° õ ƴ õ Ÿ ̾ ϰ

       ° ǽִ ϸ

        ° ..ΰݱ ְ Ÿ Ѵ

 

        躸DZⱸ( W H O ) з ִ ġŶ , Ǵ ༺ ȯ

       ı̸ ̷ , , , ,

       , нɷ, Ǵܷ ٹ߼ ֶ ϰ ִ

       ׷ ġŴ ȭ Ǹ и ٸ ̶ ʿ䰡 ִ  

   

      2, ġų Ȳ

       츮 65 ̻ ġų 8.3%μ ̴ 1998 242õ, 2000⿡

       27 8õ,  2020⿡ 619õ(9%) ް ǰ ִ.

       ġ ο з ϸ Ϲ ̸ ġŴ ġ 50% ϰ

       ġŴ 8-20% ϸ ٽ 20% ȯڴ ΰ ġŸ Բ ִٰ Ѵ

 

       μ ġ Ÿ Ư¡

        ù° ȭ ġŸ ϱ ٴ ̸

        ° ġȯڴ ڽ ɷ ְൿ ̻ϴٴ ü ν Ѵٴ

          ̴. ׷ ġ ߻ϸ ſ üߴ ƴ϶ Ǵ,

           , Ͼ Ļ,财, ϻȰ  ȴ,

           ġų ظ,, ȯ, г볪 Ȳ, , ָ ̸

           ǽϸ鼭 ġ Ѵٴ ̱⵵ Ѵ

           Ǹ Ҿ 鼭 ū Ҹ ų ص ̱⵵ ϴµ ̴

          ̶߰ ǹϰ ׸ڳ dz   ϴ ൿ ȯ,ȯû

           ǹѴ

          ġ ȭǸ ȥڼ ԰ų ؾ ٸ  ǻ뵵

            Ʊ ܾ ϴ ȭǾ ش,

 

      3, ġ å

        ġ ̴ θ ô ־ ҿ ٸ ϼ̴

        ̴µ Ƿ û ׷ ڳడ θ ϰ Ѵٸ ڳ

        θ ΰ ް ̴ ġſ ū ġŸ "Ű ȯ" ƴ õ()

         Ϲε ð ġŴ "ڿ ȭ ν ʴ ̴

        ġŴ 뽺 ̴ ׷ κ ų ƴϸ ġ

         ϰ ִ ̴

 

        21 " "ȯ û ũ ˷ ʴ  "ȯں 鿡

         "̶ ֱ ϰ ִ ġŸ ´µ ǥ ǰ ִ

         ġȯڷ 谡 ر ִٴ ̴

        κ ȣڵ ġų μ Ʈ Ƴ Ⱓ Ǵ

        Ʈ ξ ɷ ϴ 쵵 ִ

        ׷Ƿ ̵ ġŰ Ʈ ߾ ְ ξ ٰ α׷

         ȭϴ Ǿ ̴

 

      ġ å

       ġŴ 游 Ѵٸ ⿡ ġᰡ ̹ ִ Ȳϼ

       ̻ ʵ å ʿϴ

       ׷ Ϲ μ ġȯڴ ġŰ ̻ Ⱑ

       쿡 湮ϰ ǹǷ Ǵ ġḦ ȭ ȸ ġ ִ ̴

       ׷ ġȯ Ͽ ̴

 

      ġſ ؼ ǿ

         Ļ Ͽ 80% Ѵ

         ġſ Ŀٶ Ƿ ǰ ϸ鼭 

           Ģ Ѵ

         ֺ ּ 10 ģ ; ΰ ϸ κ ģ Ѵ

         ߴٰ Ǯ ׻ Ÿ ǽϴ Ű 

         û ÷ ְ ġŷ عް Ƿ δ

         ٸ ϴ Ϳ ͸ 츮 ȭϴ Ű

         Ӹȸ ʿ ī峪 ȭ ð ȰѴ

         ̳ ۸Ͽ ǰ ϴ Ȱ ȭ Ѵ

         ִٰ ȸ̳ ҿ ǽϴ ᱳ ΰ

            ȸ  Ѵ

         ׻ ٰ̰ ϸ Ȱ ϵ ؾ Ѵ

 

         ġ ӻ DSM-lll-R з   ߵ еǸ ġŴ ȸȰ̳

          ɷ ǵǴ Ȱ ְ Ǵ ϰ ִ

         ¸ Ѵ.

         ߵġŴ Ȱ ſ ϰ Ÿο κ ȣ ʿ ´

         ġŴ ϻȰ ɷ ϰ Ǿ ʿ · ּ    

          Ǹ 밳 糪 Ա ¸ δ

 

       ġų ȸ ⡵

        '97 츮 ġȯڴ 24 ߰ϰ ߿ ġų ҸǴ ȸ

          73% մϴ. ȸ ȣϴµ ִ ū ΰŸ ϳԴϴ.

         ȯڵ ȿ ȸ Ӹ ƴ϶ ϸ Ȥ Ҿ⵵ մϴ.

         ̷ ȥ ȸϰ ٴϴ ȯڵ ٵ ""ϰ ȣϴ ߿մϴ.

 

         ġų ȸϸ , Ǵܴɷ Ͱ , ȸⰣ ȭɼ ֽϴ.

          1 ȣ ȣ ź ʰų ǻ޴ɷ ſ

         Ȯε 2 ȣü ȣ ڿ ýü ȣ ʾ

         ġų 縦 Ȯ ϱ ȲԴϴ. ȸ Ⱓ ġ Ż ü

          ߶ Ǵ ġ ʷ ֽϴ.

 

        ġ

          ĻȰ  ϰ ſ Ͽ ̰ ϸ ๰ Ͽ ϴ

           ٶ ˷ ֽϴ.  

           ε鿡Լ Ŵɷ Ÿ. 40 Ǵ 50 ⿡ ̿  

          Ͼ.

          presenile decline ε鿡 Ÿ Alzheimer ϱ ٿ ̸̴.

         ׷ ó κ ڵ ġŰ ų, ʰ ų ̶ ϰ ִµ, ̴

           쿡 ־ ൿ Ŀ ϱ ̴

          ġ ʱ⿡ Ÿ Ȯ Ĵ ̴. ̰ ʹ DZ ȯڴ 1-2 ̳

          θ Եȴ. ̺ 65 ̻󿡼 ǰ ֱ ̰ ִ

          ߰ߵ 21 ɰ ǹ ִ.

 

      Ÿ ȯ

       

         ̰ ־ , ö ϴµ ̰ ü ź¼ Ǿ ü

           µ, ̷ Ÿ 繰 ų ۾ ְ Ǵ Ѵ.

          ٰŸ ۾ ÷ְ ֿ μ 󿡼 4DϷ Ǵ 40뿡 Ÿ

          ȴ.

 

        ȯ()

          ѷ ̷ ׸ Ȳ ȥŹ̴. ׺ ̿ κ

         ϴµ ȥŹ ħ  ڱؼ ڰ

         μ ȭ ̹Ƿ ġ ʿ䰡 .

 

        û

         ɿ û ȭ Ͽ Ÿ ûַ û()̶ ϴµ ̷

          4, 50뿡  ԵǾ ̿ Բ Ǹ 65-70 25%, 75 ̻󿡼 40%

          μ û .

 

         ι

          μȭ Ѱ̸ Ű浹 ȭ , ظαٿ Ÿµ

         Ư ̸Ӻ ̸ μġ 뷮 Ÿ.

 

         κ

          Ư , (ϰ), ȣ⼺ ȭ ǥǿʹ ̷

         뿡 ִ.

           ź Ÿ μ ź¼̶ ϸ ޺ Ǿ

          κп ѷϰ ŸǷ ϱ̶ Ѵ.

 

         μ ڹݺ

         ַ Ʒ Ǵ 幰  ڻ Ÿ ȯ Ư ü ε鿡

         Ÿµ 谡 ѷϸ .

 

         μ

          ȴٸ Ư ߰ ߻ϴ , μ ϴµ ʵ ȭ ʼȯ

          ϴ ȯ պϿ (ۡ)ϴ 찡 ð, ϰ Ǻ

         â ࿡ Ǿ Ǽ() . հ ߰ Żϴµ

         ̰ Ư Ż() Ѵ.

 

        μ

         Ⱑ Ǹ ҿ ׷̵ȣ к ϰ Ÿ ʰ DZ Ʈΰ

         ǥ Ǵµ ڱ ǵ ſ ۸ڰ ϰ ǵ

         ΰյ ҽǵȴ.

          ҵDZ ph ۿ ϵǾ Ͼ Ǹ,

          Ǿ ϰ Ų, ǰ, Ȳ ϰ Ÿ.

         ̻ .

 

       ΰǰ                               

          ΰ ̹Ƿ ̸ . ̰ ӵȴ.  뵿 ٸ

          踦  ƴ϶ ̴. ״Ͻ ġ ϴ 뵿̴. ״Ͻ

           ϴ ̴.

 

           뵿 Ӵ. 뵿 ȭ ߱Ѵ. 뵿 ü 뵿()  ְ

          뵿() ִµ, ߴҼ ų뵿() ִ. Ӹ ô뿡 

          ̳ 뵿 ǹ̰ コ.

 

          ̰ 鼭 Ȱ پ ൿݰ浵 . ε ׷ غ ְ ϴ

          ̴. ׷  ̵ó ݷ   ȵȴ. ε  ؾ Ѵ.״Ͻ·

          κ·ƮƷ·޸ ݷ ٴ ε巴 ȵ»å, Ǽü, , ,

          Ʈ, , ±ر, ȣ, 米 ִ.

          ԰ ڰ Դ Ӱ ü ѵ ε鿡 ü ܷ ʼ̴.

 

         

          ù°, °  ϵ .

           ڿ 帧 ߸ ȴ. پ

           ܿ   ٿ.

           ε ö  . ׷ ܿö  ϴ .

           ʹ ߿ . 11 Ͽ  ϴ ٰ Ѵ.

            ܿö Ʒ Ʒ ߿  δ ջŰ

            ֱ ̴. ڿ 帧 ؾ ϴ ̴. и

             Ѵٰ ǰ ƴϴ.

    

           °, ڽ ɷ¿ ´  ؾ Ѵ.

           ⿡ ״Ͻ ð  Ⱥ ϴ. ź ̿

            ָ ؾ Ѵ. ε巴  Ѵ. ׷

           ϴ  ϴ.

 

           °, ϴ ſѴ.

            ſ Բ 밨 شٸ ٰ . ſ ü ܷ ' '̴.

             ̰  ִٸ ִ ̴.

 

           °,  ʹ ư .

             ȴ ͵ ̺ Ÿ Ǫ ͵ ̴. ҹ  ־ Ѵ.

             â ƴϴ. ħ ϴ ü Ǹ ̴.  ʴ.

            ׳ ־ ǿ ߾  ϸ ȴ. ̹ ̰ üó ϰ ʴ´.

            ̸ ¤ ϴ å . ׳ ȴ ͵ ̶ ϰ . ϸ ҿ ϴ

            ϵ Ѵ.

 

          ټ°,  ʹ .

             Ǹ . ׷ ̸ ħ ϳ 365 ʰ ϴ 

             ʿ䵵 ִٴ ˷ 帰. ŭ Ʈ Ŀ ο .

            ϶. ڿ ϶.

  

            ȭ ٸ ۵ȴ. ´ ̴. ̵ ȣ ϸ ̰ 鼭 ȣ,ȣ

             . Ǹ ٴ ִ. ̰ 鼭 ߽ ö󰣴.

            ׷Ƿ ٸ ȭ ۵Ǵ ̴.

 

             ȭ Ӹ ۵ȴ. ´ ̴. ̰ . ʾ.

             ׷  ħ Ͼ ϴ ϰ 迡 ؼ ̸ ܿ

              ̶ Ѵ

            . ǰ ߿ ̴. ü ̴ ̰ ̱ ̴.

 

   

          ΰ

            ɸ ϳ . ׷  ΰ  ϱ()

            ̷ ؼ Ͼ α⵵(߾ݻѨԳ) μ κ Ǵ ̶͡

            ϰ ִ.

            ̷   (ڰ) ༺ ༺ ⿡ ϴ

            ̷ 150ְ. Ư ܿ£ ġ ÷ ̷ ϳ̴

             3 μ (๰.ڸ. ġ). ( , ).

             (ħ, ), ٷ װ̴. ׸ ÷ 쿡 ڱ 𸶵 Ư

              ڿ ǰ Ư¡̴,

 

            ׷  ϴ°?

             Ļ縦 ؾѴ

               Ư ĺٴ ڿ ַ ؾѴ. ׷ ⸣ .  

             ġ ȭ Ѵ

                ϴ ġ Ŀ̳ () 忡 ׻ ġϿ δ . ġ շ

                ̳ ڱϿ ħ к ׷ 淯 ش

             ȯڿ

                ̴. ׷ ȯ ġ⳪ ħ ߺѴ. ⿡

                ð ĵǴ ͵ ٷ ̴

                ȯڿ ʴ . ȥ ҿ ʴ , Ư ̳ ̵ ܿö ̷

               ҿ ȵȴ

            ڱ ؼ ȵȴ

                ڱ ϸ ⿡ ɸ . Ư ܿ£ Ŀ ϸ ⿡ ɼ ,

               Ŀ ڴ ϰ Դ .  

            Ѵ

                ֻϿ ִ ÷ ̴. ؾ ÷ ̷

                ְ Ǵ ̷ 150̳ ֱ ֱ⶧ ȿ ִ

                ⿡ ȿ ִٰ ٴ ̴

 

        Ƿ ȸ

            Ƿȸ 10

            ̱ йи Ŭ Ƿȸ 10

            ڱ⿡ ʿ ų

              ̱ ڻ翡 ϸ Ʊ Ϸ翡 16ð ϴ Ʊ 12ð. 6-8ð

               ̶ ̴.

            ѳ ؼ

              㿡 µ ð Ǹ ΰ  ϳ

                ̶ Ѵ

            ִ Ļ縦

               Ư İ ô޸ Ǵµ ̰ ģ ǿ Ұ

               ȭ ϱ ̴

            븦

                밡 ġ νк ڱ ٰ 絵 ްŰ Ŭ ݺ ν

               ,  Ƿΰ, ׸ ؿ ⸦ ȴٰ ̱ ũ ڻ ߴ

            Ÿ

               ŸC,B 뼺 Ÿ ҸDZ Ƿ ؾ Ѵ.

               ׷ Ÿ ȿ ̸ŰǷ ǰ ¿ Ÿ ʿ䰡

            ö

            Ƿθ ڱϴ

              ī, ƾ, Ÿ ๰ Ƿο ش. ĿǸ ϴ ڱ ĿǸ ߴϸ

              Ƿΰ ִ

           

              쵿 ܷõ ü Ʈ ڷ ̰ܳ Ƿθ Ѵ.   ͽü  

              Ҹ Ͽ Ƿθ ȸش

            Ȱֱ⿡ Ư Ƿ ˾

              üȭ źȭ , ӽű, Ư Ƿΰ

              ̶ 缷 ޽ ʿϴ

           Ҹ Ƿΰ ߵȴ

              ұĢ Ļ, ü ȭ, ֺ ģ , ȥ, и λ翡 ߴ

               쿡 Ƿΰ ߵȴ. ̶ ޽İ 缷븦 ʿ䰡 ִ.

 

         ְ

             ӿ ƹ Oƺ ٴ ϴ. ׷ ѱ. ̶ ̳ɴϴ.

              17 22 ſ ̶ ɷ ٽ ϴ϶.

              ϳ ٴ ٸ ƴմϴ.

              ٰſ ְ ̶ 濡 ֽϴ. ̰ ̹ ε Դϴ.

              ȯڶ dz, η ʾ ׽ϴ.

            ٰ̰ » ܺ κ ϴ

            ׷ ׽ ٽ İ ڱ ȯڰ ٸ

             ǰ ϴ. ɷ ٽ ̰ ҷ Դϴ

              ε  ǰ õԴϴ. ׵ λ ϴ.

              ٰſ ׷ ϴ.

 

         ǰ

             ׷ 츮 ӿ ܳϴ. 츮 ͼ ̰

              ֽϴ.

              ִ ε ֵ ׼ӿ Ҹ ִ մϴ.

             ׷ ߿ Դϴ. ׷ õ Ǵ ߿ Դϴ.

             ̹ Ͼ߸ ׷ ϰ ʴϴ.

              츮 ϰ δ (poly) մϴ.

              ϰ ϴ ſ پմϴ. ߿ ߿ ı Դϴ

              ı ΰ ֽϴ. Bı Tı ֽϴ

             ٷ Tı 츮 ۿ ϰ ֽϴ.

              ı ϸ ɸ Ͽ ɸϴ. ı ĵҶ Ư

             µ, ĵҰ ٷ ̷  , ϼ Ӵϴ. Ͽ

             ɸ ʰ ɸ ʴ ַ Tı ĵ Դϴ

             ݴ ı ĵ ϱ ˷⳪ , ׸

              ɸ ϴ.

             ׷ ֱٿ ı ϰ ִ ο ߰ߵǾϴ װ ɡ̶ Դϴ.

             (ENDO) ζ ̰ ̶ Դϴ. Դϴ.

            ׷ ̶ ȣ ü 츮 Tı ϰ Ѵٴ

             Դϴ.

              ü ִ ƴ϶ , Ҿ, ñ, г

             شٴ ֱ ϴ

              ٽøϸ ȭ, ٰſ ⵵ մϴ

              ٷ ⿡ ǰ ֽϴ.   

              ı ϼ ƸԴ Դϴ. ׸ ı ϰ Ϸ

              ; մϴ

              ´ ϴ Դϴ

              ϴ.

              ȭ ¥̳ ʽϴ. ׷ ص ȭ˴ϴ.

             ׷ ȭǸ ħմϴ.

               츮 ϰ ִ ׻ ׷ ֽϴ

              ֱٿ ̾Ƴ̶  ְ ü ߻ ȴٴ ǵ ߰ߵǾϴ

              ̾Ƴ ߻Ǹ ҿ Ÿʰ ֽϴ

              ΰԴ ׷ ֽϴ. ϴ ׷ ϰ մϴ.

              츮 ϴ ϳ ϰ θ 츮 ɴϴ

 

         ǰ ʰ

              θ ǰ ڱǰ ڱⰡ

             ϰ Ѵ. x ǰ ʰ Ѵٸ.

              ⸦ ԰ äҸ Ծ ()

              ұ ԰ ʸ Ծ ()

              ԰ Ծ ()

              ԰ þ Ѷ ()

              ϰ ڰ ()

              ȭ ׻ ()

              ԰ ϶ ()

              ϶ ()

              ϴ õ . ()

               Ÿ ɾ ()

               ǻ糪 , Ǵ θ Ǵ Ÿ ִ Ѱ   ڱⰡ

              ǽ õؾ ׵̴.

              Ϻ( ܻ), ܸ(ܻӭ٤)̶ , ǰ ֱ

              ö ϰ Ǵ ̴

               ǰ ϱ ߸ϸ ܸѴٴ ̴

 

         ()ǰ Ģ

             () ǰ 12 Ģ

            " ηϴ" "ȭ ߾ȵȴ" " "....

             Ϻ Ű ߽ ڻ ֱ ȣϴ 12 õĢ ҰϿ`ߴ

             غ ؾѴ

             Ļ ִ Ŀ ֱϰ õ Ѵ. к Ȱ

              ȭغ · ȴ

             Ļ м ؾѴ.

                ̳ ø 񼮵 ȭ .

             Ļ ٰ̰ ؾѴ

                ٰſ к Ȱ ش.

              Ļð ؾѴ.

                Ĺ õõ 鿩 Ÿװ ̹Ƿ ȭŰⰡ Ѱ

             Ծ Ѵ.

                ų ߰ſ Ѵ.

             , ݹ̴.

                忡 , ƹ غ ڱ ޸ Ͱ .

             ĻĿ ޽ ؾѴ.

                Ļ縦 , μ Ȱ ϱ ̴.

             Ϸ Ȯ ؾѴ.

                ð Ľ ε巯.

             ھѴ.

                 ڱ Ѵ.

            

             ַ

                  ȴ.

             ڽ ؾ Ѵ

                ó ٸǷ ڽ ¸ ׻ ˰ ֵ Ѵ.

 

       

            Ͽ ΰ з ִ

            ϳ üü ߻ϴ ڻ ̰, ٸ ϳ ,Ȥ ϵ

             Ǿ ̼, Ѵ

             ο ִ. Դ 1.3Űα׷ ȴ,

             δ ġ ó ֺ ִ ƴ϶ ִ.

            ۿ ̵   дϰ ִ ̵ȴ,

             ִ. 峪 Ǵ ü

             ִ.

            峪 Ǵ ü ʴ´. ̰

            ÿ ȴ

            ǰܿ, ȯ ڽ ڰ ̹ ȭ ¿ִ

           ׷ ̶ ǽ ǻ翡 ޷

            ޴ ߿ϴ.

 

           ׎ٸ ִ  ִ°?

            ġ ǻΰ ¾ .

            ѷ 谨 ִ

            谡

            Ŀ

            Ƿΰ Կ´.

            ϰ .

            ü ҵȴ.

           Ȼ ʴ.

           ε 38C̻ .

              ġ ʴ. κ  Źϰ Ư¡ ͱ

              ְ 󺹺θ  ִ

             ⸧ ִ ݸ Ծ ȭ ߾ʵǰ, ݸ U ϰų, ҷ

             ص 쿡 ϴ ޾ƾ Ѵ

             ־ϸ Ȳ̳, 迡 ̹ ǹϱ ̴  

            ̽ Ұ ̽ Ͽ ɷ ִ ̳ ,

            ʿ ϸ, ϼ ʿ 쿡 ϴ

            ׷ Ͽ , , ̸, ̎ ִ

             ϵ Ŀ ̸, ϵ Ǿ

             Ѵ, ׸ ̸ ü ϼ ִ Ѵ ߿

           ϱ ̴, ȯ ϳ ϳ ֱ ϱ

           ư, ̸ ü ϼ ֱ Ұϴ.

          ׷ ܰ ߴ޵Ǿ ֱ ״ Ҿ ʿ䰡

            ׎̸ 켱 ̴. ǵ Ͽ ɸ ʵ

           ؾ Ѵ  

             ǽ Դ ɸ ʴ´

            ġῡ

           ̽ҹ, , ߰, ġ, , , ᰡ, ȿ, ̽Ʈ, , κ, Ȳ ä,

            Ƿ, 漳.

            ʾƾ ǰ

              , , ⸧ Ƣ , ⸧ , ݷ, , 丮

              ,, 尡, , , ߻ϴ ä

            1 簡 ޷

             Įθ:2,500-3,000Cal, :100g, :400g :50-100g, Ÿ: ŸE ȿ ̽Ʈ

              ŸLֻ

           ܹ 밡

              Į, ī, ᰡ, ̽Ʈ, ͵ Ű Ա

             ƹ̳, Ÿ ֻ簡 ʿϴ. ǵ Ĺ Ŀ ߿ϴ

 

       ΰ ġ

            ()  ʹ ϵǾ ְų(̿ϼ), ݴ ʹ Ȱ (ü) 忡

            ð ӹ з ҵǾ ߻Ѵ.

          躯 Ƚ ϸ 躯 Ƚ 3-4Ͽ ѹ

           躯 Ȱ ٸ

        

            űⰡ ̳ ܴϰ .

            Ű ϸ 簡 Ǵ Ÿ

            ð ڿ dksg ִ .

            ϴ Ǯ Ǹ

            ̿ϵǾ DZ .

            Ŀ尨 , Ư ħ Ÿ ȴ

            ׿ Ͼ 躯ô踦 ǿ 踦 .

           ġ

            躯 ϰ .

            (, ä)

            Ļ縦 Ÿ

            ǰ.

            Ģ  Ұ

            ๰δ ڿ 躯 ϴ

 

        Ʈ ؼҹ

           Ű ǻ ̱ ߻ϴ 90% Ʈ õǾ ִٰѴ

            Ʈ , , ˾, 庴 ϸŰ ̴

           Ʈ ϰ, ̰, ׷κ  ִ ս ˾ƺ

            1, 15и Ͼٸ ħ ð Ϸ縦 ε巴  ̴

            2, ʿ ῡ Ȯ

            3, ´

            4, ġְ 10

            5, ׶ ׶ ޸

            6, ϴ 質 ڵ Ѵ

            7, ƴ ܵδ ͵

            8, , ð 30 Ͽ þƿ Ѵ

            9, δ û, ̷ ൿ, ް ӵ Ѵ.

          10, ̳ ؾ Ѱ ð Ѵ

          11, ɼ ִ´ ɾ ȴ

          12, 翡 ̴

          13, 峭 ƶ 峭 ͵ Ʈ Ѵ

          14, ʿ ̸ غصд

          15, δ°

          16, ð 30 Ѵ

          17, ̳ å ٸ غ ϶

          18, ȭ ִ Ѵ

          19, ó ̳ ѱ

          20, 濡 ̳߰ Ÿ ϰŸ .

          21, ϵ ϰ, Ƿθ ϶

          22, ϵ ı ¾ ϴ

          23, Ÿ Ҹ

          24, ȴϴ ľ "׷ "

          25, ս ˶.

          26,

          27, డ ϶

          28, ͼ .

          29, ߷ ʿ ħ, Ŀ϶

          30, Ͽ ȹ

          31, Ȱ ֺ ϶

          32, ȯ ๰

          33, ϴڿ ü ϶

          34, ϴ ƴƴ ͵ ߿ϴ

          35, ٱ ִ  ϶

          36, о ̾߱ ģ

          37, Ʈ ϴ Ҹ O

          38, ִ ȹϰ ٰſ ִٴ ſ ߿ϴ

          39, ׳ Ʈ Ǯ

  

       索 ġ

          ε 索 ô޸ ִ.

          п 索 ɸ Ҿ , ׸ Ʈ

           мϰ ִ. ̰ Ʈ Ҿ ¿

           Ѵٴ ϸ Ʋ ̴

             ǿ ü

           κ ϴ ּ ̴. ڿ ̴

 

         索 (̷ 索 ǽ϶)

            (߲): (), ٽ(), ٴ()̴

             ǰ Ϸ翡 1000cc-1500cc Һ, ׷ 索 2000cc-5000cc̴

             ׷ ̸ ȴ, ׸ ׻ 谡 . Ư ԰ ʹ

            ü ش: 索 ׶ ɸ. Ư ߺ 2-3 ڱ

                찡 ִ ̷ 索˻ ޾ƺƾ Ѵ. 索 ϸ鼭

            Ƿο ° ´: ص Ƿϰ Ż簡 ⸸

                 ϸ 索 ʱ Ѵ

             Ǻο ̻ : 索 ȯڴ ν ݸ ó ⸦ Ѵ.

                ̰ ׷ ̴. Ǻΰ ƴ  

             ÷ ְ : 索 ȯڿԴ ÷ ְ µ ߿ ,

                 鳻, ְ Ÿ.

             Ű : 索 Ű Ÿ. ߿ Ư չ

                 , , 㰡 찡 ְ  ° Ű Ű ִ.

             ո : ȯ ո Ͼ ǰ , ̰ ŷ ϸ

                ̰ .

             . 庴 : 索 Ͽ ǰ 庴 ̸Ű 쵵 ִ.

             , 庴 : 索 Ǵ 쵵 ִ.

                ߿   索

                 ٰ Ѵ. ɱٰ 索 Ͼ

             Ÿ ٸ : ֱ ϸ 索 ϸ ȿ

                  ȭȴٴ м Դ.

                Ư ̰ ٿ ɸ 索 ʿ갡 ִ.

              : 索 ߿ ̴.

                 20% ̷ ȯ̴. 索 ֱ ޴ .

              索 : 翡 ϸ , , ü,

                 ٴ, ٽ, , Ű, ÷ , , °, , ɰ , , ,

                , , , ̸, Ÿ. 索 ġ ⺻Ģ

               ù°: Įθ ϰ, ̸ ϰ Ѵ

               °: Ѵ.

               °:, , 3 Ѵ.

              °:Ÿ Ѵ.

               ټ°:׻ Ļ縦 ϶

 

         ݷ ҿ

              Ծ

              ưȭ Ѵ

              ݷ׷ ϽŲ

              Ĺ ܹ

              Ʈ(͸) Դ´

              Ϸ翡 ϳ Ծ

              ص ռ Ŀ

              䱸Ʈ Ծ

              ũι(chromium) ÷

              ŸC Ծ

              Ģ  ϶.

              ż ⸦ Ŷ

 

          ġ Ĵ

             ̻ڰ ϰ ִ

             ǰ ٷ ϱ ̴. ̷ ǰ ȭ 买

             µ, ü

             买 ü . ׿ ̰ Ǹ鼭 ޴

             з Ŀ ǰ, ó ޾ ȭȴ.

             ̷ ° ӵǸ Ŀ ɼ Ǵ Ŀ ȴ

             ๰ Ͻ ȿ ġ Ѵ

              ๰ ȭ ڱ ־ ġḦ Ѵ.

              ĻȰ νḸ ġ ִ.

 

           ġ -8ġ

             ù 1Ͽ 3ȸ 15а ȱ Ѵ. ȱ ġ

                         ùܰ ̴

                      ϶.-ݿ Įθ Ƿ ޻ϴ

                        ̴

                     Ŷ- Į ܿ ̴

             ° ȱ 30о ÷  

                         1Ͽ 3ȸ 븦϶

                         ٲ.

             ° 5ȸ ȱ ÷

                         ұݷ ٷ

                         븦 ÷ .

              ° ұ .   ڸ Ծ.

              ټ° ȴ¼ӵ ϶. 10 ϰ ޽ ϶.

             ° ȱ ̿  ϶. 䱸Ʈ Ŷ.

             ϰ° .

                            Ϸ翡 3-4ȸ ä Ծ.

                            1Ͽ ѹ ɽĻ縦 ϶

             ° Ϸ ȴ¿ ð 45 ÷.

                            ü ϶- Ȯ Ը ִ

                            8ְ ü϶.

              9 Ŀ Ģ  ϸ鼭 10о ޽ ϰ ϰ

              ÷ 3ȸ Ե Ѵ. Ȯ

              ƿ ִ.п Ĵ

              ֽ: *̹(8. 1, 1 ´),  *޹б

              ν: * ̿, ٽø, ä ʷ(尡 ݷ ϽŲ)

               * ǥ, (Ʈ׸ ݷ׷ ϽŲ)

               * ȣ, (ŸA,C, Į , ׻¸ )

               * ( )

               * , ҿ, Ҽä() ûä(׾):Ÿ, ̳ڶ ־

                    Ѵ,

               * 丶(ŸC,D dzϰ ε巾 Ѵ)

                 ȿǰ: , , ̳, , , Ǹ, , ᳪ, ,, .

 

         

               ֱ ù°  ڴ 庴 .

               庴 ڱ ǰ 帣 ʰ , ҿ

                 װ Ǵ°Դϴ

            庴 .

                 ݷ׷-ݷ׷ 100cc 250mg ̻ 100cc 200mg

                     3-6 帶 ų ũ.

                 -ο 8質 ϴ.

                  - ǿ 3-6赵 庴 ִ

                  üʰ-ü ü 10% ʰǸ 10-13% ϰ, 20%ʰϸ

                     20-25% Ǹ 30% ʰϸ ġ 帶 ȸ 30-40%̻ Ѵ.

                  - Įθ  üʰ ΰ ֿ δ

                  - Ǹ ȯ 2質 ȴ.

                  索-߳⿡ ϸ 索 Ḷ 輺 2-4 Ų.

                  - ߿ϴ

                  θ Ѵٸ ǰ ִ. , ħĻ ϳ

                 Ļ Ϸ ϰ Ģ̰ , ˸ ޽ Ѵ.

                 Ư 庴 谡 Ƿ Ѵ

 

           Ź

                Ұϴٴ λ Բ ǽɹ޴ Ǿ

               ̷ (Ϣ) ϱ?

                Ƿ, 

                ̳ 索 Ѱ

               ġ ġ ԾǺ ̴.

               ׷ ڼ 캸 庴̳ Ϻο ʰ

                ġ ġ ȯ κ Ѵ

                Ư, ġ ɰϰ ո Ǿ ġ 뵵 ϴ.

                 븦 ַ ðų ̴ Ͻ 븦 ȭŰ ӽ

                 ̴, ġຸٴ ʿϴ.

                ٵ 븦 ϴµ 3.3.3 ̴۱ , Ļ 3̳ 3 Ϸ3

                ̸ ۾ Ծ ûϴ ̴

 

          ΰ

               ̿ܿ ߻ ½Ű ǰ ִ

               ⿡ ŸƸ, ƾ Ͽ 1500 ȭչ ԵǾ ִµ ߿

              ߾Ϲ 3.4Ƿ ط ӿ ߰ Ǿ. 츮 ع

              ϱ Ͽ , ,

               ڵ 뿡 Ǵ Ȳ갡, һȭ, źȭ

               ̴ֿ

              Ư ٵ ָ ϴ ¿ ϴ.

               ϻȭź(CO) ڵ ᰡ ҿ ҵǰų ź ҿ ҵ

               , ̾ ſ ϴ

              ȣ⸦ ӿ  ҿ ׷κ 3,000 ϱ

                ɷ ǽŲ. , , ߵ ϸ ʷѴ

 

             3     

               3δ ħ(), ,

               طο Ⱑ  ڱ 似 ϰ ൿ

              ϴ ϼ ߻ϴ ̴.

               ӵ ٸ , , , .

               ó ڰ  δ 70%̻ 2-3 ̻ ħ Ѵ.

              Ͽ ɸ ɼ 40 Ϸ翡 1̻ ǿ   ߻ 20%

               . Ϸ翡 2(40)̻ ǿ 40 쿡 ߻ 70% ȴٰ ڷ

               ȣڻ ߴ

              츮 ǰϰ Ű 𰡳 ⸦ żϰ ȯ Ű ٵ ߿ϴ.

 

         dz

             dz Ÿ  ִ

             հ ѵΰ ̰ ٰų, ū ִ 찰 ų ణ

              , ų ׷ , Ӹ ų 鼭

             ų ణ ̴. ̷ 鼭 ǰų ڲ Ű

             ᵵ ȿ е ҿ dz ϴ ġ öϰ ؾѴ

           dz

             . ڴ ޽

             , ȭ ų Ű θ .

             ׶ ʰ .

             ʰ ¥ ⸧ .

             õõ þ .

             ް ̳ Ȱ ̴

             Ƿʷ 츮 ̳ ʿ ȯ 輳

            ʾ ȿ ȴٴ ִ.

            ׷ dzġḦ ۿ ó ϰ ȯ Ű ٰ

            Ⱓ ɵ Ȱȭ ϴ ̴.

              ϸ Ȱġ , ϴ ٶ ̴

 

          ϰ ġ

             1, ġǺ ƴϴ  ( ǰ  )

             2,  󿡴 ΰ ִ (ı) ̰ (ڿ

                  )̴

             3, ü Ҹ, , , ȸ,, , , , ,

                 , г, Ҿ,, ⼭ Ǹ ϰ ̴

              4, Ǽ̰ ̸ ΰ 屸  ְ Ĺ ϸ 츮

                    ġ ȭ   ش.

 

         5 Ư¡

              ΰ ̴. ٸ ȯ濡

             ٸ üε ٸ, ׷ ڵ ٿ ϸ ־,

             װ ҰѴ

             ù°, Ż翡 ʾҴ. ٽ ϸ ڿ Ģ ߴ̴.

                  ΰ ڿ 깰̴.. ƹ ص   ʴ

                  ΰ ̴.

                  ׷ ǰ ξ Ҵٴ ̴.

              °: ʱ׷ λ ־. ڵ ټ 켱 ʱ׷ٴ

                   Ư¡̴. ñ ʰ ڽ ɷ¿ λ ư   ڼ,

                   װ ٷ ε Ư¡̱⵵ ߴ.

                   ׵ λ . λ ʾҴ.

              °, ַ ڿİ Ծ.

                   ⼭ ڿ̶ ؽĻ縦 ߴٴ ̴

              °: Ҵ. ڵ λ Ҵ.

                      Ǹ ִ װ λ ʾҴ.

                      Ͼ, ´ٴ ϰ Ҵ.

              ټ°,  ߴ.  ؼ ȵȴ. װ ڿ Ģ̿,ǰ

                             ü.

       

             7

                ù° : ״ Ŀ()˶

                                  ɰ ִ ΰ ɰ ִ

                ° : ״ ߸ ˶

                                  ǰ ,˸ , ñ , Ž ,ҾȰ ,   

                                   ȥŹ Ѵ

                                  ̵, ġῡ ռ ûؾ Ѵ.

                                  ϴ ȸϴ ̴

               ° : ״ ڰߵ ֶ   ٿ̴

                    ϵ ߻Ѵ. ̶ Ǹ԰ ǿ ״´

                    Ǹ ƴ϶ Ϲ߻

                ° : ״ ϶

                    ȭ ϸ ȭ 峪 Ǵ 

                   

                     ƴƴ ܽİ δ ̽, ż äҿ ä, ż ſ ǵ

                 ټ° : õġ ҵ ϳ ġ 濡 ʿ ͵ ̸

                      غ μ̴.

                      ż , ϱ, ׸ ̰͵ ̿ ִ ΰ ̴ּ  ü

                      6 Ǿ ż ⸦ ʷ Ѵ Ұ 30% ʿմϴ

                     ϱ ۿѴ, ǰ ٷι̴

                     ޽ ǰ ġῡ ̴

                      Ϸ翡 8ð ھѴ.  ޽ĸʰ ߿ϴ

                      ̳׶̵־ ž Ѵ

                ° : ڿ ׾ ິ(ܻ)

                    ô ֽϴ   ϴ

                   ׷ ڿ迡 õ ׾ ڿġ ͵ ִ

                     ׾ ִ.

                     ӿ ü ذϴ ص ְ ,Ž ,,,

                    ׾ ִ. ü ȭ ȿҰ ʿ ϰ° : ܰ

                    ļ Ҽ ִ ڽ  ġ  Դϴ  

                   ׷ ϰԵǸ ο ġ ü ڿġ ȭ

                    Ǹ 鿪 ׷ Ȱ ϴ

                    ׸Ͽ ҿ  Ͽ  

                   ӿ Դϴ

  

 

     ϳ ϰ      ̿     ϶  ( 1027 )

     õϸ   ڱ    ϸ  !   ( 836 )

 ϳ ó ϻ () ּ ̴ ׸ ϴ ڸ ʰ Ϸ Ͻ̶  (Ѻ 316)

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