㨾ԡԴ ͧ ͧ


ǹ˭¶֧ä¤ͧѡԴѺ˭ҡ 駹 ТǡѺäǹ˭ѡǢͧѺ˭ͼ٧ պؤ§ҹ鹷ʹǡѺԴä੾ä㨾ԡԴ ͡١ҹͤԴä

觤ԧ͡ä㹤ô ҧҨªԵ͹Դ ҧҡ ͵ǨáԴ ҧµǨ͡ҡçҺѧʹ ҡѧ 1-2 ͹ ѧҡ 㹡óշä㨾ԡԴ 硺ҧҨäѧԴ 駹Ѻ˵آͧä

ҡԴ¢ŨҡŹԸä㹾ػͧ 稾ҾҧҿҡҳѲҡǧҸҪԹ ʶҹóä㨾ԡԴ㹻Ѩغѹͧǧҧ ͧҡ·硵áԴջҳ鹷ء 㹢зӹǹᾷǪҭ ҹüҵѴä㨾ԡԴǻջҳ 50 ҹ ᾷ㨷ҵѴ硹ҡ ͧء ੾ФسͤسѧҧἹ١ ͡ѧ駤 ѹ֡ͧҡ ͻͧѹ١¨ҡä äշҷҧ ¹仾 ѹФ


ä...

..حͺ ҳԪ иҹŹԸä ˵آͧԴä㨾ԡԴ 90 ҺѴ ä㨾ԡԴä㨷辺·ش ֧ 70-80 ͧä硷 㹷áԴ 8 ͡ԴժԵ 1,000 Դ㹻» 1 ҹ 硷ä㨾ԡԴ ֧ 8,000 硷ä㨾ԡԴ 84 Ǩ 7 ѹ ѺõǨᾷ;Һ 㹨ӹǹ ҳ 50 ҡ ҡõ ҧ ѹ ҧҨªԵҺä ( 2) 硷ä㨾ԡԴӹǹ˹ҡ еǨ辺觼Դѻá

硷ä㨾ԡԴ ҧդԴԢͧҧ ҳ 30, 硡ҡôǹ 8, 繤ԴԨҡôҵԴѴѹ (Rubella Syndrome) 3

ҡõԴ֡硷ä㨾ԡԴ ԴçҺҸԺ 㹢Ǻá 24 ͧѡ¡üҵѴ, 20 ԡͧ Ƿ輹ѧͧҧ ͧͧ㨷袹Ҵ 繵 23 ªԵ ѧ㹻˹ ªԵҡ㨾ԡԴҳ 1,800 㹢Ǻá

ѧ鹡õǨҧ硵áԴ֧Ǻá ֧դӤѭҡ ä㨾ԡԴҧԴ 輹ѧͧҧ 㨵պ§硹 繵ͧѺѡ öժԵ͹ ͧͧѹá͹ õԴͷͺdz


¡ä㨾ԡԴ

ä㨾ԡԴªԴҨ¡ 2 Դ˭ Դ ЪԴ ͡繪Դҡҡ ..حͺ ҳԪ ͸Ժѡɳҡ÷ 2 Ẻ ѧ

դԴçҧͧкʹʹ 㨷Դ 繤ԴԷʹӼѺʹᴧ ֧ҡõ ԴԷ辺ҨԴ輹ѧ 㨻ԴʹԷ () Դҧһ (պ) ʹʹպͼԴ ҡҹʴҡ¹͡ҧ繪Ѵਹ ǹҡᾷоºѧԭ ҡÿѧ§鹢ͧǾҡüԴ ҡ¨ҡ÷ӧҹ˹ѡҡԹ 辺¤˹§ ѡٴй شѡ ˹ѡ鹪

Դ ФԴԢͧ ʹʹԴ鹵㹤 ੾㹪ǧ 3 ͹áͧõ駤 觤ԴԹ鹷ʹӻʹᴧ§ҧ ѡɳо¤ Ƿ輹ѧҧͧҧͧ Ѻõպͧҧͧͧ͡ҧ ֧ǡʹʹᴧ˭ҡ㨷Ѻѹ ä㨾ԡԴԴǹ ʴҡ¹͡繪Ѵਹ ҡ鹼ԴҡõǵҧµáԴ

ä㨾ԡԴԴšзкع¹ǹ㴡ءǹ öդԡҡ˹Դǡѹ ҧ駤ԡù ջѭ㹵͹Դ 㹺ҧ駡Դѭ˭ѧҡԴҹ


ǹҡѹء ջѨ§

˵ءԴä㨾ԡԴҺѴ ҡ֡Ңͧᾷ 駢ѹɰҹǡѺѨ§ռŷ١Դä㨾ԡԴҨԴҡ˵شѧ仹
1. ˵بҡ 駤 ҡ (ǧ 35-40 ) ѵ§٧駤ѧ äѧ ѺäǺ ҹ ѹԵ٧ ҡ纻¢ͧ ҡõԴѴѹе駤 ੾Ъǧ 3 ͹áͧõ駤 ԴʾԴ Ѻѧ͡좳е駤͹

2. ˵بҡ١ͧ ١դԴԢͧ ҡôǹ ͡ä㨾ԡԴ٧֧ 30-40 ١ʹ͹˹դ§٧蹡ѹ

Ҷ֧ç سͤس·ҹʧ ١áä ͡ʷ١仨äҡ˹ ..حͺ ᨧ ä㨾ԡԴǹҡäԴҡѹءµç ١˹ä㨾ԡԴ ͡ʷ١仨ä龺ҡ § 2-3 ҹ ռŵʵԻѭҢͧ١ Ѻسͤسҹ㴷Һ ١ä㨾ԡԴ ..حͺ й պ ͷӡѡҧѹǧлͧѹá͹ҨԴ á͹դعçᵡҧѹ

  • ͧҴ͡ਹ

    ѡ㹼੾ع¡ 2 շҡҡ ʹҡ ѡԴѧзʹ˹״ҡҧǴ âҴҧعçҡ÷ͧ 繵 ͡ҡЫմҡ Ҵ͡ਹ§ͧ ҡõҧ ҹҨ բҧ Ѻѡҧ١ͧǴ ͡ਹ, ТҴ, ͧ 繵

  • нͧ (brain abscess)

    ѡ㹼¡ ص 4 բ ѡ㹼·ջѭͧѹ ¼ѡջѵ˵ ¨ҡüԴԷҧкҷ ᢹ͹ç ͧ仢ҧ˹ 繵 йѡ¡һԪǹ ҧ 6-8 ѻ ѺüҵѴ˹ͧ͡

  • еԴ (bacterial endocarditis)

    á͹ͧä㨾ԡԴͺءԴ Դҡ÷դԴ㨷к¹ͧʹ¹ Դžӷդ٧仡ᷡͺ ԴѡɳФŶ͡ ҧеԴʹ ͹ѹ ä㹪ͧҡ㹡ʹҧ仵Դ СԴõԴʹʹ 㹺ҧҨա÷ dz§ԴҧعçͧáüҵѴ¹ҧպǹ ԹԨҡѵԡõǨҧҧ´ 㹡ʹС÷ echocardiogram й·ѡ¡һԪǹٻҩմʹ ҹҧ 4-6 ѻ պҧҹ鹷ͧáüҵѴ

ѡҧ¢Ҵ

ѡä㨾ԡԴԸբѺѡɳҡ÷Դ ҧҡعçöͧͧ ҧҡ÷ ͧҺҡ仡͹ Ŵշش ѺüҵѴ 觻ѨغѹüҵѴͧջԷҾҡŴ 觡ѡ·仹 ..حͺ ҳԪ ͸Ժ »ԡѡö 3 Ը ͧ;СüҵѴ ᾷѡѡҼ¡ҡ͹ ǺѺй黯ԺѵԵǵҧ Ѻзҹ ͡ѧ þѡ͹ ҡҡաôԹͧä㹷ҧŧ ᾷҨйѡҴͧ; ԸռҵѴ ͸Ժ¡ѡҤ ѧ
1. Ѻóշ褹ժͧҧԴҧʹӡѺʹᴧ չ ҹҤᾧ ֧ռŢҧ§ͧ ҧáҡդӤѭҡ ͹зӡѡԸ

2. ͧ; ǹջºٹ仢㨷 ªͧҧԴҧͧ㨴ºٹҧöҺٹ ¼ҹʹҺٹ ͧ͡;ش Ըչ੾Сóռä㨾ԡԴռѧͧ·ʹʹ 㨵պᾷٹ仢 㹼ºҧ¡ѡҴԸչ 繡ëҡ͹йӼ仼ҵѴ䢷

3. üҵѴ Ըշշش üҵѴ䢤ԡ ͻԴ 㹻ѨغѹաüҵѴ¡ѺʹӡѺᴧѺ軡 觨ҡõԴҹҹ 10 ռŴѵ§ͧüҵѴʶҺѹᵡҧѹ͡ ·仨й¡ 5%

ͧѹҧ١ä㨾ԡ

ûͧѹä㨾ԡԴö㹺ҧǹ ¡ûͧѹѨ§Ңҧ աҧἹͺǷ ѡآҾآҾ㨢ͧ ҡѺ÷úǹ ա§ҷҨѹµͷá ա§ѧ硫áѹѧ ੾㹪ǧ 3-4 ͹áͧõ駤 ա§ҷ 繡§͡õԴäẤ ʵդѺéմѤչͧѹѴѹ ͡͹դա§պصҡ

֧ԭ˹ҴҹԷҡ÷ҧᾷͧ¨зѴѺȷѲ ѧջѭ㹡ôѡä ͧҡâҴؤҡ÷ҧᾷ ЪҪհҹҡ ѰҴҳ㹡ôԹҹҹآҾ ᾷǪԺѵԷ ͡ᾷ öԹԨä ¡ëѡѵ Ǩҧ ѧ鹢ͧ ʹöҾѧշǧ͡ ͡õǨ俿 ҧ¨繵ͧõǨԹԨ¢ش ͧ觵ѧᾷä 觻Ѩغѹ㹻ջҳ 50 ǹ˭㹡ا෾ҹл дǡͧ 㹡óշͧӡѡҴ¡üҵѴ դҡӺҡҡ觢 駹ᾷ㨷ӡüҵѴըӹǹ հҹҡ ըӹǹҡ㹻 ǹҡ㹪ҧ 繼Ѻôҵðҹ ѧ鹡͹պص 硤֡ͧäҧ ҨԴ鹡Ѻ١ ФҧἹպص ١ҡеǨآҾ ѺѤչͧѹäҧ ͹١ Ъ١·ԴŴѨ§äҧ ..حͺ ҳԪ


(update 31 չҤ 2005)
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