DR.Hyun pfp

DR.Hyun

@doctor-hyun

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DR.Hyun pfp
DR.Hyun
@doctor-hyun
ํ•˜๋ฃจ ์•ˆํ–ˆ๋‹ค๊ณ  ์ˆœ์œ„๊ฐ€ ํŒํŒ ๋–จ์–ด์ง€๋„ค.. ๋‚ด์ผ๋ถ€ํ„ด ์ง„์งœ ์ •์ƒ์˜์—… ํ•ด์•ผ๊ฒ ๋‹ค ๋‹ค๋“ค ์ž˜์ž~
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DR.Hyun pfp
DR.Hyun
@doctor-hyun
์–ด์ œ์˜ค๋Š˜ ๋ชธ์‚ด๊ธฐ์šด์ด ์‹ฌํ•ด์„œ ๋Œ“๊ธ€์— ๋‹ต์žฅ์„ ๋ชปํ–ˆ๋„ค.. ๋‚ด์ผ๋ถ€ํ„ฐ ์ˆœ์„œ๋Œ€๋กœ ๊ฐˆ๊ฒŒ ๋‹ค๋“ค ํ™˜์ ˆ๊ธฐ ๊ฐ๊ธฐ์กฐ์‹ฌ..
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DR.Hyun pfp
DR.Hyun
@doctor-hyun
๋ถˆ๋ฉด์ฆ ์ง„๋‹จ๊ธฐ์ค€ (insomnia DSM-5) ์˜ค๋Š˜์€ ๋ถˆ๋ฉด์ฆ ์ง„๋‹จ๊ธฐ์ค€์ด์•ผ ํ•˜๋ฃจ์ดํ‹€ ์ž ์ด ์ž˜ ์˜ค์ง€ ์•Š๋Š”๊ฑธ ๋„˜์–ด์„œ ์•„๋ž˜ ๊ธฐ์ค€์— ํ•ด๋‹นํ•˜๋Š” ์‚ฌํ•ญ์ด ๋งŽ์œผ๋ฉด ๋‚ด์›ํ•ด๋ณด๋Š”๊ฑธ ์ถ”์ฒœ!
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DR.Hyun pfp
DR.Hyun
@doctor-hyun
๋‹ค๋“ค ์ ์‹ฌ ๋ง›์žˆ๊ฒŒ ๋จน์—ˆ์–ด? ๋จน๊ณ  ์†Œํ™”๋„ ์‹œํ‚ฌ๊ฒธ ์˜ํ•™์ง€์‹ ๊ด€๋ จํ•ด์„œ ์งˆ๋ฌธ์žˆ์œผ๋ฉด ๋‚จ๊ธฐ๊ณ ๊ฐ€~ ์˜ค๋Š˜๋„ ํŒŒ์ดํŒ…!
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DR.Hyun pfp
DR.Hyun
@doctor-hyun
์˜ค๋Š˜์€ ๊ฐ‘์ž๊ธฐ ์—„์ฒญ ๋”์›Œ์กŒ๋„ค.. ๋‹ค๋“ค ๋”์œ„ ์กฐ์‹ฌํ•˜๊ณ  ์˜ค๋Š˜๋„ ํŒŒ์ดํŒ…!
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DR.Hyun pfp
DR.Hyun
@doctor-hyun
๊ธ‰์„ฑ ์‹ฌ๊ทผ๊ฒฝ์ƒ‰ ์ „์กฐ์ฆ์ƒ (Acute MI symptoms) 1. ์ฅ์–ด์งœ๋Š” ๋“ฏ ํ•˜๋ฉฐ 30๋ถ„ ์ด์ƒ ์ง€์†๋˜๋Š” ์‹ฌํ•œ ๊ฐ€์Šดํ†ต์ฆ 2. ์ƒ์ฒด(์–ด๊นจ~ํŒ”)๋กœ ์ด์–ด์ง€๋Š” ๋ฐฉ์‚ฌํ†ต 3. ๊ตฌํ† , ์–ด์ง€๋Ÿฌ์›€, ์‹์€๋•€์ด ๋™๋ฐ˜๋  ์ˆ˜ ์žˆ์–ด ์œ„์™€ ๊ฐ™์€ ์ฆ์ƒ์ด ์žˆ์œผ๋ฉด ๋ฐ”๋กœ 119์— ์‹ ๊ณ !!
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DR.Hyun pfp
DR.Hyun
@doctor-hyun
๊ณ ํ˜ˆ์•• ์ง„๋‹จ๊ธฐ์ค€(Korean soceity HTN guidelines 2022) 1. ์ง„๋ฃŒ์‹คํ˜ˆ์••(๋ณ‘์›) โ‰ฅ 140/90mmHg 2. ๊ฐ€์ •ํ˜ˆ์•• โ‰ฅ 135/85mmHg 3. 24์‹œ๊ฐ„ ํ˜ˆ์••ํ‰๊ท  โ‰ฅ 130/80mmHg ๋ณ‘์›์—์„œ ์žด๋•Œ๋Š” ๋” ๊ธด์žฅํ•˜๊ฒŒ ๋˜์–ด์„œ ํ˜ˆ์••์ด ๋†’๊ฒŒ ๋‚˜์™€~ ๊ทธ๋ž˜์„œ ๊ณ ํ˜ˆ์•• ๊ธฐ์ค€๋„ ๋†’์•„์ง€๋Š”๊ฑฐ์•ผ!!
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DR.Hyun pfp
DR.Hyun
@doctor-hyun
๋‹น๋‡จ ์ง„๋‹จ๊ธฐ์ค€ (DM criteria) 1. ์ „ํ˜•์ ์ธ ์ฆ์ƒ(๋‹ค์Œ, ๋‹ค๋‡จ, ์ด์œ ์—†๋Š” ์ฒด์ค‘๊ฐ์†Œ ๋“ฑ)๊ณผ ์‹์‚ฌ์™€ ๊ด€๊ณ„์—†์ด ์ธก์ •ํ•œ ํ˜ˆ๋‹น์ด 200mg/dL ์ด์ƒ 2. 8์‹œ๊ฐ„ ๊ณต๋ณต ํ˜ˆ๋‹น์ด 126mg/dL ์ด์ƒ 3. 75g ๊ฒฝ๊ตฌ๋‹น๋ถ€ํ•˜๊ฒ€์‚ฌ์—์„œ 2์‹œ๊ฐ„ ํ˜ˆ๋‹น์ด 200mg/dL ์ด์ƒ 4. ๋‹นํ™”ํ˜ˆ์ƒ‰์†Œ ์ˆ˜์น˜๊ฐ€ 6.5% ์ด์ƒ
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DR.Hyun pfp
DR.Hyun
@doctor-hyun
์งฑ๊ตฌ๋ž‘ ์˜ค์ง•์–ด๋ž‘ ์ฐจ์ด๊ฐ€ ๋ญ”์ง€ ์•Œ์•„? . . . . . . . . ์งฑ๊ตฌ๋Š” ๋ชป๋ง๋ ค ์›ƒ์—ˆ์œผ๋ฉด ์ˆ™์ œ์ฃผ๊ณ ๊ฐ€
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DR.Hyun pfp
DR.Hyun
@doctor-hyun
์ €ํƒ„๊ณ ์ง€ ์‹๋‹จ ์‹คํ–‰๋ฒ• (ketogenic diet 3) ์ง€๊ธˆ๊นŒ์ง€ ์–ด๋ ค์šด ์–˜๊ธฐ๋“ค์ด์ง€๋งŒ ์ด์ œ๋Š” ๊ฐ„๋‹จํ•ด~ ์ €ํƒ„๊ณ ์ง€ ์‹๋‹จ์€ ํ•˜๋ฃจ ์„ญ์ทจ ์นผ๋กœ๋ฆฌ์˜ 10%๋ฅผ ํƒ„์ˆ˜ํ™”๋ฌผ๋กœ, 25%๋ฅผ ๋‹จ๋ฐฑ์งˆ๋กœ, 65%๋ฅผ ์ง€๋ฐฉ์œผ๋กœ ์ฑ„์šฐ๋ฉด ๋ผ!!
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DR.Hyun pfp
DR.Hyun
@doctor-hyun
์ €ํƒ„๊ณ ์ง€ ์‹๋‹จ์˜ ์›๋ฆฌ (ketogenic diet 2)
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DR.Hyun pfp
DR.Hyun
@doctor-hyun
์ €ํƒ„๊ณ ์ง€ ์‹๋‹จ์ด๋ž€? (ketogenic diet 1) ์ €ํƒ„๊ณ ์ง€๋ž€ ๋ง ๊ทธ๋Œ€๋กœ ์„ญ์ทจ ์˜์–‘์†Œ์˜ ์ง€๋ฐฉ ๋น„์ค‘์„ ๋Š˜๋ฆฌ๊ณ  ํƒ„์ˆ˜ํ™”๋ฌผ ๋น„์ค‘์„ ๋‚ฎ์ถ”๋Š” ์‹๋‹จ์ด์•ผ~ ํ•œ๊ตญ์—์„œ๋Š” ํ™ฉ์ œ ๋‹ค์ด์–ดํŠธ๋ผ๊ณ ๋„ ๋งŽ์ด ์•Œ๋ ค์ ธ ์žˆ์ง€ ์ €ํƒ„๊ณ ์ง€ ์‹๋‹จ์€ ์ฒด์ค‘ ๊ฐ๋Ÿ‰๊ณผ ํ˜ˆ๋‹น๊ฐ์†Œ์˜ ํšจ๊ณผ๊ฐ€ ์žˆ์–ด
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DR.Hyun pfp
DR.Hyun
@doctor-hyun
์ €๋…์‹œ๊ฐ„๐Ÿ” ๋‹ค๋“ค ๋ง›์žˆ๋Š” ์ €๋… ๋จน์—ˆ์–ด? ์†Œํ™”์‹œํ‚ฌ ๊ฒธ ์ˆ™์ œ ๋‚ด๊ณ  ๊ฐ€~
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DR.Hyun pfp
DR.Hyun
@doctor-hyun
ํ•˜์ด~ ์ด์ œ ๊ณง ํ‡ด๊ทผ์‹œ๊ฐ„์ด๋„ค ์˜ํ•™์ง€์‹ ์งˆ๋ฌธ๋ฐ›์œผ๋Ÿฌ ์™”์–ด~~ ๊ถ๊ธˆํ•œ๊ฑฐ ๋ฌผ์–ด๋ณด๋ฉด ์—ด์‹ฌํžˆ ๋‹ตํ•ด์ค„๊ฒŒ! ๊ถ๊ธˆํ•œ๊ฑฐ ์—†์–ด๋„ ์ˆ™์ œ ๋‚ด๊ณ  ๊ฐ€!!
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DR.Hyun pfp
DR.Hyun
@doctor-hyun
5. ์นจ๋Œ€์—์„œ๋Š” ์ž ๋งŒ ์ž๊ธฐ!! ๊ต‰์žฅํžˆ ์ค‘์š”ํ•œ๋ฐ ์นจ๋Œ€์—์„œ ํ•ธ๋“œํฐ ๋ณด๋Š” ๊ฑด ๋ฌผ๋ก ์ด๊ณ  ์‹ฌ์ง€์–ด๋Š” ๋…์„œ๋‚˜ ๊ณต๋ถ€๋„ ์ˆ˜๋ฉด์— ๋ฐฉํ•ด๋ผ!! 6. ๋ฐค์— ๊นจ๋ฉด ์‹œ๊ณ„ ๋ณด์ง€๋งˆ!! ๋ณด๋ฉด ๊ดœํžˆ ์ž ์„ ์„ค์ณค๋‹ค๋Š” ์ƒ๊ฐ์— ๊ฑฑ์ •์ด ๋“ค๊ณ  ์ž์—ฐ์Šค๋ ˆ ๋ชธ์ด ๊ธด์žฅํ•˜๊ฒŒ ๋ผ ์ž ์ด ๋” ์˜ค์ง€ ์•Š์•„
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DR.Hyun pfp
DR.Hyun
@doctor-hyun
1. ์ •ํ•ด์ง„ ์‹œ๊ฐ„์— ์ž๊ณ  ์ผ์–ด๋‚˜๊ธฐ. ์ฃผ๋ง์ด๋ผ๊ณ  ๋ˆˆ๋œจ๊ณ  ์นจ๋Œ€์—์„œ ๋ฏธ์ ์ด๋Š”๊ฑด ์•ˆ์ข‹์•„.. 2. ์นดํŽ˜์ธ์ด ํ•จ์œ ๋œ ์Œ์‹ ์„ญ์ทจ๋ฅผ ์ค„์ด๊ธฐ 3. ๋‚ฎ์ž  ๋Š๊ธฐ! ์ž๋”๋ผ๋„ 10~20๋ถ„ ๋ˆˆ ๋ถ™์ด๋Š” ์ •๋„๋กœ๋งŒ ์ž 4. ํž˜๋“ค์ง€๋งŒ.. ์ž๊ธฐ ์ „ 2์‹œ๊ฐ„์€ ๋จน์ง€ ์•Š๊ธฐ..
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DR.Hyun pfp
DR.Hyun
@doctor-hyun
ํ”ผ๋กœ๊ฐ ํ˜ธ์†Œํ•˜๋Š” ์นœ๊ตฌ๋“ค์ด ๋งŽ๋„ค ๋งŒ์„ฑํ”ผ๋กœ์— ๊ฐ€์žฅ ๋จผ์ € ํ•ด๋ณผ ์ˆ˜ ์žˆ๊ณ  ํšจ๊ณผ์ ์ธ ์น˜๋ฃŒ๋Š” ์ˆ˜๋ฉด์œ„์ƒ ์ง€ํ‚ค๊ธฐ์•ผ~ ์ž ์„ ๋งŽ์ด ์ž๋Š”๋ฐ๋„ ๋‹ค์Œ๋‚  ํ”ผ๊ณคํ•˜๋‹ค๋ฉด ์ˆ˜๋ฉด์˜ ์งˆ์ด ๋–จ์–ด์ ธ์žˆ์„ ๊ฐ€๋Šฅ์„ฑ์ด ๋†’์•„! ์–ด๋–ป๊ฒŒ ์ˆ˜๋ฉด์˜ ์งˆ์„ ๋†’์ด๋Š”์ง€ ๊ฐ„๋‹จํ•˜๊ฒŒ ์•Œ๋ ค์ค„๊ฒŒ~
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DR.Hyun pfp
DR.Hyun
@doctor-hyun
๋Šฆ์€ ์ ์‹ฌ!! ์ž…๋‹ˆ๋‹ค ๋‹ค๋“ค ์‹์‚ฌ ๋ง›์žˆ๊ฒŒ ํ•˜์…จ๋‚˜์š”~~?
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DR.Hyun pfp
DR.Hyun
@doctor-hyun
์˜ค๋Š˜์€ ๋‚ ์”จ๊ฐ€ ์ฐธ ์ข‹๋„ค์š” ๋‹ค๋“ค ์ ์‹ฌ์€ ๋ง›์žˆ๊ฒŒ ๋“œ์…จ๋‚˜์š”~~? ์ž ๋„ ๊นฐ๊ฒธ ์˜ค๋Š˜๋„ ์˜ํ•™ ์ง€์‹ ๊ด€๋ จํ•ด์„œ ์งˆ๋ฌธ ๋ฐ›์•„๋ณด๊ฒ ์Šต๋‹ˆ๋‹ค~~ ์•„๋Š” ์„ ์—์„œ ์—ด์‹ฌํžˆ ๋‹ต๋ณ€ํ•ด๋“œ๋ฆด๊ฒŒ์š”!!
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DR.Hyun pfp
DR.Hyun
@doctor-hyun
์งˆ๋ฌธ๋ฐ›๋Š”๊ฑฐ ์žฌ๋ฐŒ๋‹ค ใ…‹ใ…‹ ๋ชธ ์•„ํ”ˆ๊ฑฐ ๊ด€๋ จํ•ด์„œ ์งˆ๋ฌธ๋ฐ›์„๊ฒŒ~~ ๋‹ฌ์•„๋†“์œผ๋ฉด ์ž๊ณ  ์ผ์–ด๋‚˜์„œ ํ•˜๋‚˜ํ•˜๋‚˜ ์—ด์‹ฌํžˆ ๋‹ตํ•ด์คŒ!!
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