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ҿ롤ؿ๰ ۿ
󴺽 2015-08-07 06:14:58
ҿ롤ؿ๰ ۿ
󴺽 2015-08-07 06:14:58
[ۿ Ʈ] Ѿ౹ ö




[׸Ʈ] û ȳϽʴϱ? 'Ǿǰ ۿ Ʈ'Դϴ.

̹ ð ҿؿ ۿ뿡 ˾ƺ ð غ߽ϴ.

Ѿ౹ ö ȭ ֽϴ. ȳϽʴϱ?

[ö ] , ȳϽʴϱ?

[] ׷̵强 ҿؿ(NSAIDs) ΰ? ؿΰ?  ϰ ʴϱ?

[ ] ౹ ̷ ϰ ޽ϴ.

Ư ִ߱ ౹ , ҿ ǥð Ǿֽϴ.

׷ ȯڵ ϴ.

"̰ ΰ?" ȯڵ پ Ḧ ޽ϴ.

׸ ҿ ִ ౹ ޽ϴ. ׷ ȯڵ ̷ ظ ϱ ϴ. "׳ ó ΰ?"

к 帮 ܼ ̻ ȿ ֽϴ.

, ؿ, 3 ⺻ ϰ ִµ, ġó ȭ ո ΰ ߿մϴ.

ܼ ƴϰ ִ ¿ ġġḦ ϱ Դ Դϴ.

࿡ ԵǾ ó ƴ϶ Դϴ.

̳ ð ̳ ذְ ų ״ ͵ ݴϴ.

Ҿư ÷ ؿ θϴ.

ְ ¥ ä װų ų , ٰ ֽϴ.

̷ Ƶ Ծ մϴ. ݴ ϰ ü ۿ ߻ϴ ؾ ϱ⵵ մϴ.

ܰ óġ ް ó ȭ ȿ ֽϴٸ, Ůϴ. ų DZ ҿۿ ſ ߿մϴ.

 ڲ Ծ մϴ.

ΰ ̳ ó浵 µ, ܼ ̸ ʿÿ ص Ư ̸ ҿԴϴ.

ܰ ó濡 Ƽ̳ , ,  ̴µ, ̰ ƴմϴ. ٽ Դϴ.

ջ ̳ , δ, ̻ Ȳ ȭŵϴ.

ī ٺк Ϸ ı ǵ ִ óǾٰ ø ˴ϴ.

ҿ ϼ ̰ COX2 ϱ (FAP, ) ȴٴ ְ ۿ ȣϿ ġſ濡 ȿ ִٴ ֽϴ.

ı COX1,2 ī ջ Դϴ.

[] ؿۿ ׸ ߿ ȯȭ ۿ  Ÿ ڼ Ź帳ϴ.

[ ] NSAIDs COX Ͽ νŸ۶(PG)ռ ϴ.

ۿ COX ؼ Ű ȣ ΰ ִ PG ռ Ͽ ۿ Ÿϴ.

G-protein Ű ȣ ϱ⵵ ϰ ܰ μ opioid peptides Ű ۿ ִٰ մϴ.

ؿۿ ûϺο PG Ͽ ǰ ü϶ DZ Դϴ.

PG ִµ ޿ ϴ ְ ̳ ̿Ͽ ϴ ͵ ֽϴ.

߿ ϴµ.

׿ۿ PG ī к ٰ پµ, ϰ (Ƽ ȯ)ħ ȭϰ ¿  ɷ ŵϴ.

NSAIDs ۿ ȭۿ Ϻζ ǥϴµ COX Ӹ ƴ϶ lipoxygenase ؼ leukotrienes ̰ ȿҹ ̰ Ƽ factor մϴ.

Ȱ ѵ 鳻 PG ൿ ϰ ˷ ḷ ȱ ȭմϴ.

ܰ 鿡 ׿ȿ Ϲ , ؿ 뷮 뷮 Ǿ Ÿ ε, ׿ȿ ϱ ؼ ̰ Ģ ʿմϴ.

׸ NSAIDs ÿ ü , վ ̰ Ÿ⵵ մϴ. ׸ COX ܼ ҿۿ lipoxygenase ܰ ۿ ٸϴ.

[] ھ, վ ̿ ü ٸٰ ϼ̴µ, ڼ Ź帳ϴ.

[ ] ⺻ ݰ ̿ Ե ε, ๰ ӵ ٸ ׷ϴ.

ݰ 1~2ð 30~86ð پϱ, ̺ 1.8~2.5ð, Ŭ䳫 1~2ð, 䳲(Ż) 2~4ð, ϼ 12~15ð, ǷϽį 30~86ðԴϴ.

þ ̺ 30и ۿ ۵Ǿ 4~6ð ӵ˴ϴ. ܰ ȭ ۿ ؼ 1 Ŀ Ÿ 1~2 ӵ˴ϴ.

Ŭ䳫 30~60 ° ȿ ۵Ǿ 8ð ӵ˴ϴ.

ϼ 30~60 ° ȿ Ÿ ϰ 7ð ӵ˴ϴ.

ܰ ȭȿ 2 Ŀ Ÿ ϰ 2~4 ӵ˴ϴ.

վþ ǷϽį 1ð° ȿ ۵Ǿ 2~3ϰ ӵǰ ܰ ȭȿ 7~12 Ŀ Ÿ Ͽ 2~3ְ ӵ˴ϴ.

ð վ ̷ ǷϽį ̺溸 ̺ , ҿ ۿ Ÿ ó ȯڰ ̺ ȣϴ մϴ.

ü ̷δ 14 ̻ ִ 䳲(Ż) ִ , ڱÿ ü ־ ̳ ڱ Ͽ ΰ 1 ܱ ȣϴ ֽϴ. ġ մϴ.

ġ뿡 12 ݱ ϼ η ϴٴ 򰡰 ۿ鿡 η ϱ ġ η ϼ ó ϰ ɴϴ.

ܰ 鿡 ƼŬ䳫, Ż÷Ʈ, ۽ú(60̻ ) ȭ ȿ Ͽ ȣ ˴ϴ.

ƼŬ䳫 Ŭ䳫 ε ҿȿ ְ Ż÷Ʈ COX ٸ NSAIDs Calcium activated chloride channel ۿ mucin ְ Cl-/HCO3- exchanger activity մϴ.

۽ú COX2 뵵 ϰ ȭ մϴ. ̷ ܰ ȭ ٸ NSAIDs Ǿ ó ° ޶ ֽϴ.

[] ҿ ۿ뿡  ְ Ư ؾ ұ?

[ ] ϴ ֳ ǥ̰. ۿ ߿մϴ. δ ŵ. õȯڿ ̳ , ߽Ű ۿ ֽϴ.

[] 嵶, Ÿ Դϱ?

[ ] ҿ COX Ͽ PG ҽŵϴ. PGI2 к ϰ PGE2, PGF2 忡 ȣ մϴ.

̰͵ ܵǸ к ϰ ȣ ս ߻Ͽ ۿ ̳ ˾ ߻մϴ.

ҿ ְ ߻ Ȯ ؿ 뷮 5~10%, 뷮 10~20% ſ ū Դϴ.

̺ ۿ 1 ƽǸ 1.6 Ŭ䳫 1.8 ϼ 2.2 εŸ 2.4 ǷϽį 3.8 Դϴ.

[] ۿ ̰ Ŀ  ˴ϱ?

[ ] (CV) ۿ 帶 Դϴ. ɺ ȯ ȯڿ Ǹ մϴ.

(CV) ۿ 2000 ʹݱ ߿õ ʾҽϴ.

׷ ֱٿ ָ ǰ ְ Ŭ䳫, ƼŬ䳫 CV ۿ ֿ ̽ ǰ ֽϴ.

CV ۿ ⺻ COX1 COX2 踦 캸ƾ մϴ.

COX1 ϸ ۿ ϴ ƮҺ(TXA2) Ͽ Ŀϴ.

̰ ַ ۿ. ׷ COX2 ϸ νŸŬ PGI2 Ǿ ˴ϴ. ׷ϱ 츮 ˰ ִ ٷ COX2 ϸ ۿ پ . ˰ ־µ, COX2 ۿ ۿ ߻ ִٴ Դϴ.

׷ COX2 ʰ.

ۿ ū Ŭ䳫, ƼŬ䳫̰ ۽ú ̺. ۿ ϼԴϴ.

ҿ CV ۿ ߻ Ȯ 嵶 10% Դϴ. ܱ ū . Ⱓ 뷮 մϴ. 輺 ū ȯڿԴ ϼ ϴ Ͻø ǰڽϴ.

[] ŵ ۿ ߻մϱ?

[ ] ŵ ⺻ ҿ ҿ ȣ ϰ ִ PG Դϴ.

COX ϸ PGE2 ܵǾ ϰ Ʈ ߻ϰ ɺ ݴϴ.

PGI2 ҷ Į ݵǰ 忰 ߻ Բ ޼ź ɼ մϴ.

[] ۿ ۿ ǻ׿ Ź帳ϴ.

[ ] õȯڰ ƽǸ ȭǾ ʰ ־µ.

ҿ PG Ͽ õȯڿ Ȥ ֽϴ.

ַ ϰ Ÿµ Ư ̽ ־ϴ. ɸ ҿδ ϸ޼尡 ֽϴ.

߽Ű ۿ ǥ Դϴ. ̺ 쿡 ̺ ܵε 찡 ֽϴ.

ӽ ⿡ ҿ ϸ ¾ƿ ҵǰ и Ű ӽ ı⿡ ݱԴϴ.

NSAIDs Ϲ Ű Ϸ Ʋ ߴϸ ǰ(ƽǸ 7 ߴ). Ǻ ۿδ ǷϽį, , 䳲 ణ ϴ.

[] , ö մϴ.

[ ] , մϴ.

[Ŭ¡Ʈ] , 'Ǿǰ ۿ Ʈ' Դϴ. ð پ ҽ غؼ ãƺ˰ڽϴ. û ֽ ϴ.
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    رŸ ϸ ڿ ֽʽÿ. ּҴ dailypharm@dailypharm.comԴϴ.

ֽż ݴ
  • 2015.11.12 19:13:19 |

    ؿ 뷮 Ծ

    ü ߵǴ°??? غ

    0 0 0
  • 2015.11.10 10:15:43

    naproxen 12 ̸ ݱⰡ ƴ϶ 2 ̸ ݱε~

    naproxen ݱ ߸ ֳ׿~

    0 0 0
  • 2015.08.07 21:59:26 |

    ** 4ΰ 6ΰ?4 6 纸 ξ good!Ư 鳻 ൿ BEST GOOD!6 б Գ?

    1 0 2
    • ̳378954
      2015.08.28 11:42:58 |
      4, 6Դϴ
ٺ Ϲݾ ǸŰ (2024 05)
౹ 71
ǰ ְ
ѽŻ÷(10) 3,500 2,300 1,200 3,028
޾(100) 25,000 22,000 3,000 23,304
Ʒγΰ(100) 30,000 27,000 3,000 29,237
īɾ(10g) 8,000 5,500 2,500 6,472
Ľõ򿬰(5g) 5,500 4,000 1,500 5,035
Ź(4) 5,000 3,500 1,500 4,449
ڶ(20) 7,000 5,800 1,200 6,433
(10) 6,000 4,000 2,000 4,914
Ժ(10) 4,000 3,000 1,000 3,543
ڱ׸(20) 5,000 3,800 1,200 4,622
ť(10) 3,500 2,300 1,200 2,828
Ȱť(1) 1,200 1,000 200 1,140
Ǯɾ(3.3ml) 25,000 22,000 3,000 24,214
޵𿬰(10g) 7,000 5,000 2,000 6,162
öŸ(34) 13,000 10,000 3,000 12,089
뽺ī(20g) 22,000 18,000 4,000 20,358
ġ(1) 1,100 1,000 100 1,000
ӽ÷(21) 10,000 7,500 2,500 8,998
ͺ(10) 3,500 2,300 1,200 3,138
ݿ(1ڽ) 3,000 2,500 500 2,947
׶÷糪ƮŸ(6) 8,000 7,000 1,000 7,973
߽Ÿ(120) 70,000 40,000 30,000 54,203
Źĸ(10ĸ) 3,000 2,000 1,000 2,941
Ÿ̾(120) 60,000 40,000 20,000 49,168
տ(60ĸ) 30,000 24,000 6,000 27,235
Ÿ̷ER(6) 2,500 2,500 0 2,500
ٿ(30g) 12,000 9,000 3,000 11,221
(120) 25,000 18,000 7,000 21,716
Ʒ(6) 4,000 3,000 1,000 3,509
ǽõĸ(270ĸ) 120,000 85,000 35,000 106,875
B(120) 70,000 60,000 10,000 62,308
׳(10) 3,000 2,000 1,000 2,684
6̺(10) 3,500 2,000 1,500 2,965
(60) 250,000 200,000 50,000 224,000
Ⱦ 12,000 9,000 3,000 10,494
̰źĸ(60ĸ) 25,500 22,000 3,500 23,942
Ųť(20) 5,500 4,500 1,000 4,823
λ絹÷(100) 37,000 29,000 8,000 31,878
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