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  • 2024.03.08 오늘의 공부
    카테고리 없음 2024. 3. 8. 17:09
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    국문  영문 
    낭성수종이란 무엇입니까?

    What is a cystic hygroma?

    낭성수종은 림프계의 기형이나 막힘으로 인해 아기의 목에 가장 자주 형성되는 체액으로 가득 찬 주머니(낭)입니다. A cystic hygroma is a fluid-filled sac (cyst) that forms most often on your baby’s neck due to a malformation or blockage of the lymphatic system. 
    림프계는 노폐물과 독소를 제거하기 위해 혈류와 순환계를 통해 림프액(백혈구로 가득 찬 수분)을 이동시키는 조직 및 기관 그룹입니다. The lymphatic system is a group of tissues and organs that move lymph fluid (a watery fluid full of white blood cells) through your bloodstream and circulatory system to remove waste and toxins.
    낭포성 습도종은 임신 중 초음파로 나타날 수 있으며, 아기가 태어난 후에 피부 아래에 돌기나 부풀어오르는 형태로 나타날 수 있습니다. Cystic hygromas can appear during pregnancy on an ultrasound or after your baby is born as a bump or bulge under their skin. 
    임신 중에 hygroma가 나타나면 유산이나 사산의 위험이 있습니다. If the hygroma appears during pregnancy, there is a risk of miscarriage or stillbirth.
    낭성수종은 누구에게 영향을 미치나요?

    Who does a cystic hygroma affect?

    낭성수종은 태아 발달 중 림프계가 형성되는 방식에 영향을 미치는 유전적 변화의 결과일 수 있으므로 모든 아기에게 영향을 미칠 수 있습니다. A cystic hygroma could affect any baby since it may be the result of a genetic change that affects how the lymphatic system forms during fetal development. 
    낭성수종은 단독으로 발생하거나 다운증후군, 터너증후군, 누난증후군과 같은 유전적 질환으로 진단받은 어린이에게서 발생할 수 있습니다. Cystic hygromas can occur on their own or among children diagnosed with a genetic condition like Down syndrome, Turner syndrome or Noonan syndrome.
    낭성수종은 신체적 외상이나 호흡기 감염 후 성인에게서도 형성될 수 있습니다. Cystic hygromas could also form in adults after physical trauma or a respiratory infection.
    낭성수종은 얼마나 흔한가요?

    How common is a cystic hygroma?

    낭성수종은 드물며 유아기 동안 발생하는 모든 비암성(양성) 종양의 6%만을 차지합니다.  Cystic hygromas are rare and account for only 6% of all non-cancerous (benign) tumors during early childhood.
    성인 낭성수종은 극히 드뭅니다.  Adult cystic hygromas are extremely rare.
     

    Symptoms and Causes

     
    낭성수종의 증상은 무엇입니까?

    What are the symptoms of a cystic hygroma?

    낭성수종의 증상은 체액이 채워진 주머니(낭종)의 크기와 위치에 따라 다릅니다. 증상은 다음과 같습니다. Symptoms of a cystic hygroma vary based on the size and location of the fluid-filled sac (cyst). Symptoms could include:
    피부 아래에 돌출이 있습니다.

    낭종 위의 피부에는 푸른 색조가 있습니다.

    낭종은 부드럽습니다.

    낭종은 목에 가장 자주 나타나지만 신체 어느 곳에서나 형성될 수 있습니다.

    크기는 포도에서 자몽까지 다양하며 아기가 성장함에 따라 크기도 커질 수 있습니다.
    • A bulge under the skin.
    • Skin over the cyst has a blue tint.
    • The cyst is soft.
    • The cyst most often appears on the neck, but it can form anywhere on the body.
    • Size ranges from a grape to grapefruit and could increase in size as the baby grows
    낭성 수종의 심각한 증상은 다음과 같습니다. Severe symptoms of a cystic hygroma include:
    신체의 일부를 물리적으로 손상시킵니다.

    뼈 또는 장기 손상.

    수유에 어려움이 있습니다.

    호흡 곤란(기도 폐쇄).

    출혈.

    전염병.
    • Physically disfigure part of the body.
    • Bone or organ damage.
    • Feeding difficulties.
    • Difficulty breathing (airway obstruction).
    • Hemorrhage.
    • Infection.
    임신 중에 낭성 수종(cystic hygroma)이 있으면 태아의 발달과 성장에 영향을 미치는 낭종의 합병증으로 인해 유산이나 사산의 위험이 있습니다. If a cystic hygroma is present during pregnancy, there is a risk of miscarriage or stillbirth due to complications from the cyst affecting how the fetus develops and grows. 
    낭종은 태아의 몸에 과도한 양의 체액(수종)을 생성하여 조기 사망을 초래할 수 있습니다. The cyst could create an excess amount of fluid in the fetus’ body (hydrops), which could cause early death.
     

    What causes cystic hygroma?

    낭성수종의 정확한 원인은 알려져 있지 않습니다. The exact cause of a cystic hygroma is unknown. 
    낭종은 태아 발달 중 림프계 손상의 결과로 형성되거나 성인에게 영향을 미치는 경우 신체적 외상이나 호흡기 감염의 결과로 형성됩니다. The cyst forms as a result of damage to the lymphatic system during fetal development, or as a result of physical trauma or respiratory infection in cases that affect adults. 
    림프계가 손상되면 림프액이 혈류를 통해 흐르지 않고 피부 아래에 모여 체액이 부풀어오르거나 주머니 모양으로 자라게 됩니다. Damage to the lymphatic system causes lymph fluid to collect under the skin instead of flowing through your bloodstream, causing a bulge or sac-like growth of fluid.

    연구에 따르면 낭성수종은 임신 중 흡연이나 음주와 같은 환경적 요인의 결과일 수 있습니다. Studies suggest that cystic hygromas could be the result of environmental factors like smoking or drinking alcohol during pregnancy. 
    다른 연구에서는 림프계 발달에 영향을 미치는 유전적 변화나 돌연변이가 낭성수종을 유발한다고 제안합니다. Other studies suggest that genetic changes or mutations that affect the development of the lymphatic system cause cystic hygromas.
    종종 낭성수종은 저절로 형성되지만 일부는 다운증후군, 터너증후군 또는 누난증후군과 같은 유전적 질환과 결합하여 형성됩니다. Often, cystic hygromas form on their own, but some form in combination with genetic conditions like Down syndrome, Turner syndrome, or Noonan syndrome.
     

    Diagnosis and Tests

    How is cystic hygroma diagnosed?

    낭성수종의 진단은 자녀가 2세가 되기 전에 이루어집니다. Diagnosis of a cystic hygroma occurs before your child reaches two years old. 
    임신 중에는 정기적인 산전 초음파 검사를 통해 낭포성 수종 진단이 가능합니다. During pregnancy, a cystic hygroma diagnosis is possible with a routine prenatal ultrasound
    15~20주 사이에 알파-태아단백을 검출하는 혈액 검사가 진단을 확정하는 데 도움이 됩니다. A blood test to detect alpha-fetoprotein between 15 to 20 weeks helps confirm the diagnosis.

    산전 검사에서 귀하의 자녀에게 비정상적인 염색체 수가 있는 것으로 나타나면 귀하의 자녀는 낭성수종에 걸리기 쉬운 경향이 있을 수 있으며 담당 의료인은 태아의 발달을 주의 깊게 모니터링하여 태아가 건강한지 확인할 것입니다. If prenatal tests suggest that your child has an abnormal number of chromosomes, your child may have a predisposition to cystic hygromas and your provider will carefully monitor the development of your fetus to make sure it is healthy.

    아기가 태어난 후 X-레이, 초음파 또는 MRI와 함께 낭종의 신체 검사를 통해 담당 의사가 진단을 확인하고 자녀의 상태에 맞는 치료 계획을 제안하는 데 도움이 됩니다. After your baby is born, a physical examination of the cyst, along with an X-ray, ultrasound or an MRI will help your provider confirm the diagnosis and offer a treatment plan unique to your child’s condition.
     

    Management and Treatment

    How is a cystic hygroma treated?

    치료는 낭성수종으로 진단된 각 어린이마다 다릅니다. 낭종을 치료하려는 의료 제공자의 목표는 가능하다면 이를 제거하는 것입니다. 치료 옵션에는 다음이 포함될 수 있습니다. Treatment is unique for each child diagnosed with a cystic hygroma. Your provider’s goal to treat the cyst is to remove it, if possible. Treatment options could include:

    낭종을 제거하는 수술입니다.
    낭종에서 체액을 배출합니다(경피 배액).
    낭종의 체액을 몸 전체로 경로를 변경합니다(경화요법).
    레이저로 낭종을 제거합니다(레이저 요법).
    낭종의 크기를 줄입니다(고주파 절제술).
    • Surgery to remove the cyst.
    • Draining fluid from the cyst (percutaneous drainage).
    • Rerouting the cyst’s fluid through the body (sclerotherapy).
    • Removing the cyst with a laser (laser therapy).
    • Shrink the size of the cyst (radiofrequency ablation).
    어떤 경우에는 낭종이 저절로 사라질 수 있으므로 치료가 필요하지 않습니다. In some cases, no treatment is necessary because the cyst could go away on its own. 
    다른 경우에는 림프계가 손상되면 치료 후 낭종이 다시 나타날 수 있습니다. In other cases, the cyst could return after treatment if there is damage to the lymphatic system. 
    치료의 성공 여부는 다양하며 담당 의사가 낭종에서 과도하고 비정상적인 조직을 모두 제거할 수 있는 경우 가장 흔히 긍정적입니다. The success of treatment varies and is most often positive if your surgeon can remove all of the excess and abnormal tissue from the cyst.
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