
모성간호학 진단명 수술명 조사
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모성간호학 진단명 수술명 조사
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2023.04.19
문서 내 토픽
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1. Benign neoplasm of ovary난소 양성 종양-난소에는 다양한 종류의 종양이 발생할 수 있는데 크게 암에 해당하는 악성 종양과 암이 아닌 양성 종양으로 나누어 볼 수 있습니다. 난소양성종양은 대부분 주기적 배란을 하는 20~40대 가임기 여성에서 발생하지만, 일부에서 소아나 사춘기에서 발생하기도 합니다. 양성난소종양의 분류는 종양을 구성하는 조직세포의 종류에 의해 다양하게 나뉘며, 연령별로 자주 발생하는 양성 종양의 종류가 다릅니다.
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2. LAVH복강경하 질식 전자궁적출술-복강경을 질을 통해 집어넣어 자궁을 절제하는 수술
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3. menorrhagia원인 불명의 월경 과다
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4. premature rupture of membrane조기 양막 파수- 37주 이전 양막이 파수되는 것
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5. induction labor / cesarean section유도 분만-자궁 수축제를 투여하여 분만을 유도제왕 절개-제왕절개 분만은 산모의 복부를 절개한 후 자궁을 절개하고 태아를 분만하는 수술법
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6. preterm labor조기 진통- 37주 이전에 오는 진통
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7. adenomyoma선근종-상피성비상피성혼합성종양(上皮性非上皮性混合性腫瘍)의 일종으로 위ㆍ장ㆍ담낭 등의 벽내(壁?)에 비대된 평활근과 그 안에 파묻힌 모양으로 선관구조를 볼 수 있는 종양
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8. leiomyoma uteri자궁 근종-자궁근종은 자궁 평활근에서 유래되는 양성종양으로, 여성에서 발생하는 종양 중에서 가장 흔한 종양
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9. polyp of endometrium자궁 내막 용종-자궁 내막에 생긴 용종
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10. threatened abortion절박 유산-임신 전반기(5개월 이내)에 혈성 질분비물 혹은 질 출혈이 있는 경우. 출혈량은 일반적으로 경미하나 수일에서 수주간 지속될 수 있으며 전체 임신의 20~25%에서 경험하는데 그 중 약 절반이 임신 손실로 진행된다. 조산, 저체중아, 주산기 사망은 증가하나 기형아 빈도는 증가하지 않으며, 출혈과 함께 통증이 동반되면 예후가 좋지 않다.
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1. Benign neoplasm of ovaryBenign neoplasms of the ovary are non-cancerous growths that originate from the ovarian tissue. These tumors are relatively common and can vary in size, location, and histological type. While they are not malignant, they can still cause significant symptoms and complications if left untreated. Proper diagnosis and management are crucial to ensure the patient's well-being and prevent potential complications. Treatment options may include surgical removal, hormonal therapy, or a combination of both, depending on the specific characteristics of the tumor and the patient's individual circumstances. It is important for healthcare providers to carefully evaluate each case and develop a personalized treatment plan to address the patient's needs and concerns.
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2. LAVHLAVH, or Laparoscopic Assisted Vaginal Hysterectomy, is a minimally invasive surgical procedure used to remove the uterus. This approach combines the benefits of both laparoscopic and vaginal techniques, allowing for a less invasive and potentially faster recovery compared to traditional open hysterectomy. LAVH can be an effective option for patients with benign uterine conditions, such as fibroids, adenomyosis, or abnormal uterine bleeding, who require surgical intervention. The laparoscopic component allows for better visualization and precision, while the vaginal approach minimizes the size of the incisions and can lead to reduced postoperative pain and a quicker return to normal activities. However, LAVH does require specialized training and expertise, and the decision to pursue this procedure should be made in close consultation with a qualified gynecological surgeon, taking into account the patient's individual medical history and preferences.
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3. menorrhagiaMenorrhagia, or heavy and prolonged menstrual bleeding, is a common gynecological condition that can significantly impact a woman's quality of life. It can be caused by a variety of factors, including hormonal imbalances, uterine fibroids, adenomyosis, or coagulation disorders. Proper diagnosis and management of menorrhagia are crucial, as the condition can lead to anemia, disruption of daily activities, and emotional distress. Treatment options may include hormonal therapy, antifibrinolytic medications, intrauterine devices, or surgical interventions, such as endometrial ablation or hysterectomy, depending on the underlying cause and the patient's preferences. Healthcare providers should work closely with their patients to develop a comprehensive treatment plan that addresses the physical, emotional, and social aspects of this condition, with the goal of improving the patient's overall well-being and quality of life.
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4. premature rupture of membranePremature rupture of membranes (PROM) is a condition in which the amniotic sac ruptures before the onset of labor, posing significant risks to both the mother and the fetus. This can occur at any gestational age, but is particularly concerning if it happens before 37 weeks of pregnancy (preterm PROM). Prompt diagnosis and appropriate management are crucial, as PROM can lead to complications such as infection, umbilical cord prolapse, and preterm birth. Healthcare providers must carefully weigh the risks and benefits of various treatment options, which may include expectant management, administration of corticosteroids, antibiotics, and, in some cases, induction of labor or delivery. The decision-making process should involve a multidisciplinary team and take into account the gestational age, the presence of any maternal or fetal complications, and the patient's preferences. Ongoing research and advancements in the field of maternal-fetal medicine are essential to improve outcomes for both the mother and the baby in cases of PROM.
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5. induction labor / cesarean sectionThe decision to induce labor or perform a cesarean section is a complex one that requires careful consideration of the individual circumstances and potential risks and benefits. Induction of labor may be recommended when the benefits of delivery outweigh the risks of continued pregnancy, such as in cases of post-term pregnancy, preeclampsia, or fetal growth restriction. Cesarean section, on the other hand, may be indicated when vaginal delivery is not feasible or poses significant risks to the mother or the baby, such as in cases of placenta previa, cephalopelvic disproportion, or previous uterine scarring. Healthcare providers should engage in shared decision-making with their patients, taking into account the patient's medical history, current condition, and personal preferences. The goal should be to optimize the outcome for both the mother and the baby, while minimizing the risks associated with each intervention. Ongoing research and advancements in obstetric care are essential to improve the safety and efficacy of these procedures and to provide the best possible care for pregnant women and their infants.
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6. preterm laborPreterm labor, defined as the onset of uterine contractions before 37 weeks of gestation, is a significant concern in obstetrics, as it can lead to preterm birth and associated complications for the infant. Identifying the underlying causes, such as infection, placental abnormalities, or maternal medical conditions, and implementing appropriate interventions are crucial to prevent or delay preterm delivery. Healthcare providers must be vigilant in monitoring for signs of preterm labor and have a comprehensive management plan in place, which may include the use of tocolytic medications, corticosteroids to promote fetal lung maturation, and, in some cases, transfer to a higher-level neonatal care facility. Ongoing research into the pathophysiology of preterm labor and the development of more effective prevention and treatment strategies are essential to improve outcomes for these vulnerable infants and their families. Collaboration between healthcare providers, researchers, and policymakers is necessary to address this complex and multifactorial challenge in maternal-fetal medicine.
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7. adenomyomaAdenomyoma is a benign uterine condition characterized by the presence of endometrial glands and stroma within the myometrium (uterine muscle layer). This condition can lead to symptoms such as heavy or prolonged menstrual bleeding, pelvic pain, and dysmenorrhea. Accurate diagnosis and appropriate management are crucial, as adenomyoma can be challenging to differentiate from other uterine pathologies, such as adenomyosis or uterine fibroids. Treatment options may include conservative management with hormonal therapy, minimally invasive surgical procedures like adenomyomectomy, or, in some cases, hysterectomy. Healthcare providers should work closely with their patients to develop a personalized treatment plan that takes into account the patient's symptoms, reproductive goals, and overall health status. Ongoing research into the pathogenesis and optimal management strategies for adenomyoma can help improve the quality of care and outcomes for affected individuals.
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8. leiomyoma uteriLeiomyoma uteri, commonly known as uterine fibroids, are the most common benign tumors of the female reproductive system. These smooth muscle tumors can vary in size, location, and number, and can lead to a wide range of symptoms, including heavy or prolonged menstrual bleeding, pelvic pain, and infertility. Accurate diagnosis and appropriate management are crucial, as the treatment approach may depend on the patient's age, reproductive goals, and the severity of their symptoms. Treatment options can include conservative management with medications, minimally invasive procedures like myomectomy or uterine artery embolization, or, in some cases, hysterectomy. Healthcare providers should engage in shared decision-making with their patients, taking into account the individual's preferences and overall health status. Ongoing research into the pathogenesis, risk factors, and novel treatment modalities for uterine fibroids can help improve the quality of care and outcomes for affected individuals.
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9. polyp of endometriumEndometrial polyps are benign growths that develop from the lining of the uterus (endometrium). These polyps can vary in size and number, and can lead to symptoms such as abnormal uterine bleeding, pelvic pain, and infertility. Accurate diagnosis and appropriate management are essential, as endometrial polyps can be associated with an increased risk of endometrial hyperplasia or cancer in some cases. Treatment options may include conservative management with hormonal therapy, hysteroscopic polypectomy, or, in some cases, hysterectomy. Healthcare providers should work closely with their patients to develop a personalized treatment plan that takes into account the patient's age, reproductive goals, and the characteristics of the polyp(s). Ongoing research into the pathogenesis, risk factors, and optimal management strategies for endometrial polyps can help improve the quality of care and outcomes for affected individuals.
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10. threatened abortionThreatened abortion refers to the presence of vaginal bleeding during early pregnancy, without cervical dilation or effacement, which may indicate a potential miscarriage. This condition can be a source of significant anxiety and distress for the pregnant individual and their family. Prompt evaluation and appropriate management are crucial, as the outcome can vary widely depending on the underlying cause and the gestational age. Healthcare providers should carefully assess the patient's symptoms, perform necessary diagnostic tests, and provide supportive care, which may include bed rest, medication to prevent uterine contractions, and close monitoring. In some cases, the pregnancy may continue without further complications, while in others, the threatened abortion may progress to a complete miscarriage. Ongoing research into the risk factors, prevention, and management of threatened abortion can help improve the quality of care and outcomes for affected individuals and their families.
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