ºñ¸¸, ³ëÈ­¹æÁö
ÇǺι̿ë, ¼ºÇü
Å»¸ð(¸ð¹ßÀ̽Ä) ¿¬±¸È¸

ÇÏÀ̵å·Î, hpl ¿ë¾× Á¤¸®

µµ¿òÀÌ µÉ±î ½Í¾î ±Û ¿Ã¸³´Ï´Ù.
 
=======================================================
ºñ¸¸Ä¡·á¿¡ ÀÖ¾ú¾î
¸ÞÁ¶( Áö¹æ À¶ÇØ ÁÖ»ç)¿Í ÇÏÀ̵å·Î ¸®Æ÷Å©¶ö½Ã¾Æ(Áö¹æ À¶ÇØ ¿ë¾×) ÇÁ·Î ÅäÄÝ Á¤¸®.
¸ÞÁ¶´Â lipostaticÀÌ°í hplÀº lipocidalÀÌ´Ù.
Áö¹æÁÖÀÔ¿ë°ú ÈíÀÔ¿ëÀ» ±¸º°Çضó. 500cc(¹è), Çã¹÷Áö (250x2=500)Á¤µµ ³ÖÀ½.

1. ¸ÞÁ¶ : µîÀ强, ¼ö¿ë¼ºÀ̾î¾ß ÇÑ´Ù.
             n/s ¸ÕÀú mix ±×ÀÌÈÄ ¾à¹°¹èÇÕ, 3-4°¡Áö ÀÌ»ó ½âÁö¾Ê´Â °ÍÀÌ ÁÁÀ½.

1) ¼ººÐ : n/s 2cc - amp 2cc - ¸È¸®½º 2cc -, lido( procain) 2cc
             (cellulite¿¡´Â + cari -f (calcitonin)2cc )
             : Ÿ°ÙÀÌ Áö¹æÀ̹ǷΠÁøÇÇ¿¡ÁÖ´Â °ÍÀº »ç½Ç º°Àǹ̰¡ ¾øÀ½.
2) ¹æ¹ý : intra dermal ppp, eidermal nappage¸¦ º´¿ëÇÑ´Ù.
             ppp : 0.03-0.1cc ¹Ì¸¸ÀÇ ¾çÀ» pappule·Î ¸¸µé¾î 2-3cm °£°ÝÀ¸·Î ½Ã¼ú.
                     ÇÇÇÏÁÖ»ç ÁÖÀÇ.
3) Ƚ¼ö : ÁÖ 1ȸ ÃÖ¼Ò 10ȸ ÀÌ»óÇؾßÇÏ°í ¹Ýµå½Ã ´Ù¸¥ °Í °ú º´ÇàÇؾßÇÔ.
4) ÁÖÀÇ»çÇ× : »ç¿ì³ª ÂòÁú¹æ ÇÇÇÏ°í ¸ñ¿å ÇÇÇÏ°í ²ËÂØÀÌ´Â ¿Ê ÇÇÇÒ °Í

2. amp ÁÖ»ç¿ä¹ý : amp 1cc, ¸®µµ 1cc, n/s 8cc ÇÕÀÌ 10cc->5cc ÁÖ»ç±â 2°³·Î ¸¸µé¾î ÇÇÇÏÁÖ»çÇÔ.
                          n/v, ½É°ÔÇ×Áø, dizziness Àß Ã¼Å©ÇÑ´Ù.

3. hpl( Ư¼ö¾à¹° + ÀúÀå : ÀúÀå¾×À¸·Î »ïÅõ¾Ð¿ø¸® Áö¹æÆı«) : ÇÇÇÏÁÖ»ç.
    cf : hydrolipoclasia(only ÀúÀå¾× ¶Ç´Â µîÀå¾×À¸·Î ¼ö¾Ð°ú ÃÊÀ½Æĸ¦ ÀÌ¿ëÇÑ Áö¹æÆı«)
1) Ƚ¼ö : ÃÑ 250cc ¹Ì¸¸ 7ÀÏ °£°ÝÀ¸·Î 5ȸÁ¤µµ ½ÃÇà
2) Àåºñ : infusion pump, ½Ç¸®ÄÜÆ©ºê(ÈíÀÔ¿ëÀÌ ¾Æ´Ñ ¿Â¸® ÁÖÀÔ¿ëÀ̾î¾ß ÇÑ´Ù), ¸®º¸ 1¿¥ÇÃ.
             3way, 18gauge puncture, 1.2 mm 20cm ±æÀÌÁÖÀÔ¿ë cannula, hpl solution
             (Çü Ŭ¸®´Ð°ú µ¿ÀÏ) : 
             a. 100cc ±âÁØ :
                 40cc n/s, 60cc sterile water(¶Ç´Â half saline 1000cc), 0.1cc 1;1000 epi,
                 0.2cc kcl,0.05cc verapamil, 1cc triamcinolone 10mg/ccc, 2cc 2% lido 00mg/20cc,
                 2cc amp 250mg/10cc, 0.1cc dehydrated alcohol
              ** ÂüÁ¶ (x 10 = 1000cc ±âÁØ)
                  : 400cc n/s, 600cc sterile water(¶Ç´Â half saline 1000cc) , 0.25cc 1;1000 epi,
                         2cc kcl, 0.5cc verapamil, 2cc triamcinolone 10mg/ccc, 20cc 2% lido 400mg/20cc,
 
                        10cc amp 250mg/10cc, 1cc dehydrated alcohol
 
             b. 500cc ±âÁØ
                  n/s 250, d/w 250, ei 0.5cc, bivon 10cc, 2% lido 15cc, malis 2cc, amp 2cc.
                  triam 10-20mg(2-3ÁÖ°£°Ý).
                  - ´Ù¸¥ Á¶ÇÕ : n/s500, bivon 10cc, epi 0.5cc, 2% lido 15cc
              c. 1000cc ±âÁØ 
                  half salin 1liter, lido 20cc, epi 1cc, amp 10cc 250mg 1ample, pondyl 5cc 5mg,
3) µ¿¹ÝÄ¡·á : 1.meso( tanamin, malis)
                   2. ÃÊÀ½ÆÄ 3mega ?hz
                   3. endomology( ¸¶»çÁö ¿­½ÉÈ÷ Çضó)
                   4. rf (°íÁÖÆÄ)
                   5. carboxytherapy
                   6. low level laser 635nm, 10mw°­µµ,6min, weekly.
                   7. ºñ¸¸¾à¹°
3) ¾à¹° ÀÛ¿ë 1. ei - catecholime ÀÚ±Ø
                  2. ¹«¼ö¾ËÄÝ - lipid ºÐÇØ
                  3. kcl- Na-k»ïÅõ¾ÐÁõ°¡
                  4. verapamil- lipidÀÇ ¹èÃâÁõ°¡
                  5. triam- ÀÌÂ÷Àû ºÎÁ¾¿ÏÈ­
4) hpl ÈÄóġ
   (1) Ç×»ýÁ¦ po.
   (2) ÈÄóġ : ½Ã¼úÈÄ 2-3ÀÏ Á¤µµ ¹ö±Ù ÇØÁú¼ö ÀÖ´Ù°í ¼³¸í.
   (3) ½Ã¼úÈÄ ¸¶»çÁö¸¦ ±³À°ÇÏ¿© Áö¹æ¹èÃâÀ» ÃËÁø½ÃÅ´.
   (4) ½Ã¼ú 3ÀÏÈÄ ¸ÞÁ¶¼¼¶óÇǸ¦ ½ÃÇàÇÏ¿© Áö¹æ¹èÃâÀ» ÃËÁø½ÃÅ´.

**** Áö¹æ Á¶ÀÛÀÇ ¹æ¹ý
1. Áö¹æÆı«. : Áö¹æ¼¼Æ÷¸¦ Á×ÀÌ´Â°Í ºñ°¡¿ªÀû -- ÃÊÀ½ÆÄ, ·¹ÀÌÀú
2. Áö¹æÀ¶ÇØ : Áö¹æÀ» ³ìÀÌ´Â °Í - °¡¿ªÀû -- °íÁÖÆÄ, ¸ÞÁ¶
3. Áö¹æ ¹èÃâ : ³ìÀÎ Áö¹æ »ê¹°À» ¹èÃâÇÏ´Â °Í -- °íÁÖÆÄ, Çڵ鸵, ¿£µµ¸ô·ÎÁö, ¸ÞÁ¶
5. Áö¹æ ÈíÀÎ : ¼ö¼ú : ºñ°¡¿ªÀû


by ±èÈÖÁØ  at  2009.10.15. 17:59

[ÀÌÀü±Û] : À̸¶ÁÖ¸§ Á¦°Å ¼ö¼ú À§ÇØ ¼ö¼ú ¼­¾à¼­ ¹ÞÀ¸´Ï À̸¶ÁÖ¸§À» ¾ø¾Ö´Â °ÍÀÌ ¾Æ´Ñ
[´ÙÀ½±Û] : Á¦À̽ýº IPLÀåºñ...


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