Hey! Recently we were working on a project for ..We design and build digital products people enjoy using...
A new project is an opportunity to create something unique.We are a Creative Digital Agency based in Buenos Aires, Argentina. We take pride in designing and building...
We look forward to working with you on your next projectAs an interdisciplinary agile team, our production process is flexible, collaborative, and adapts to each client’s needs
Style Tiles are always a good option to show work in progress!We are working on the UX/UI design for a large hotel owners and hospitality management company.
You can check the attachment for a full view..More shots with final designs coming soon.
This is a proposal to add value to a crowdfunding listing pagewe streamline the process without having to make multiple mockups.
Clients easily understand themStyle tiles serve as a flexible starting point that helps us easily communicate the essence of a visual brand for the web.
we have a lot of fun during this phase.We are working on an exciting project for a company in the investment business. Stay tuned!
Hey! Recently we were working on a project for ..We design and build digital products people enjoy using...
A new project is an opportunity to create something unique.We are a Creative Digital Agency based in Buenos Aires, Argentina. We take pride in designing and building...
We look forward to working with you on your next projectAs an interdisciplinary agile team, our production process is flexible, collaborative, and adapts to each client’s needs
Style Tiles are always a good option to show work in progress!We are working on the UX/UI design for a large hotel owners and hospitality management company.
You can check the attachment for a full view..More shots with final designs coming soon.
This is a proposal to add value to a crowdfunding listing pagewe streamline the process without having to make multiple mockups.
Clients easily understand themStyle tiles serve as a flexible starting point that helps us easily communicate the essence of a visual brand for the web.
we have a lot of fun during this phase.We are working on an exciting project for a company in the investment business. Stay tuned!
Hey! Recently we were working on a project for ..We design and build digital products people enjoy using...
A new project is an opportunity to create something unique.We are a Creative Digital Agency based in Buenos Aires, Argentina. We take pride in designing and building...
We look forward to working with you on your next projectAs an interdisciplinary agile team, our production process is flexible, collaborative, and adapts to each client’s needs
Style Tiles are always a good option to show work in progress!We are working on the UX/UI design for a large hotel owners and hospitality management company.
Hey! Recently we were working on a project for ..We design and build digital products people enjoy using...
A new project is an opportunity to create something unique.We are a Creative Digital Agency based in Buenos Aires, Argentina. We take pride in designing and building...
We look forward to working with you on your next projectAs an interdisciplinary agile team, our production process is flexible, collaborative, and adapts to each client’s needs
Style Tiles are always a good option to show work in progress!We are working on the UX/UI design for a large hotel owners and hospitality management company.
You can check the attachment for a full view..More shots with final designs coming soon.
This is a proposal to add value to a crowdfunding listing pagewe streamline the process without having to make multiple mockups.
Clients easily understand themStyle tiles serve as a flexible starting point that helps us easily communicate the essence of a visual brand for the web.
we have a lot of fun during this phase.We are working on an exciting project for a company in the investment business. Stay tuned!
Hey! Recently we were working on a project for ..We design and build digital products people enjoy using...
A new project is an opportunity to create something unique.We are a Creative Digital Agency based in Buenos Aires, Argentina. We take pride in designing and building...
We look forward to working with you on your next projectAs an interdisciplinary agile team, our production process is flexible, collaborative, and adapts to each client’s needs
Style Tiles are always a good option to show work in progress!We are working on the UX/UI design for a large hotel owners and hospitality management company.
You can check the attachment for a full view..More shots with final designs coming soon.
This is a proposal to add value to a crowdfunding listing pagewe streamline the process without having to make multiple mockups.
Clients easily understand themStyle tiles serve as a flexible starting point that helps us easily communicate the essence of a visual brand for the web.
we have a lot of fun during this phase.We are working on an exciting project for a company in the investment business. Stay tuned!
Hey! Recently we were working on a project for ..We design and build digital products people enjoy using...
A new project is an opportunity to create something unique.We are a Creative Digital Agency based in Buenos Aires, Argentina. We take pride in designing and building...
We look forward to working with you on your next projectAs an interdisciplinary agile team, our production process is flexible, collaborative, and adapts to each client’s needs
Style Tiles are always a good option to show work in progress!We are working on the UX/UI design for a large hotel owners and hospitality management company.
Hey! Recently we were working on a project for ..We design and build digital products people enjoy using...
A new project is an opportunity to create something unique.We are a Creative Digital Agency based in Buenos Aires, Argentina. We take pride in designing and building...
We look forward to working with you on your next projectAs an interdisciplinary agile team, our production process is flexible, collaborative, and adapts to each client’s needs
Style Tiles are always a good option to show work in progress!We are working on the UX/UI design for a large hotel owners and hospitality management company.
You can check the attachment for a full view..More shots with final designs coming soon.
This is a proposal to add value to a crowdfunding listing pagewe streamline the process without having to make multiple mockups.
Clients easily understand themStyle tiles serve as a flexible starting point that helps us easily communicate the essence of a visual brand for the web.
we have a lot of fun during this phase.We are working on an exciting project for a company in the investment business. Stay tuned!
Hey! Recently we were working on a project for ..We design and build digital products people enjoy using...
A new project is an opportunity to create something unique.We are a Creative Digital Agency based in Buenos Aires, Argentina. We take pride in designing and building...
We look forward to working with you on your next projectAs an interdisciplinary agile team, our production process is flexible, collaborative, and adapts to each client’s needs
Style Tiles are always a good option to show work in progress!We are working on the UX/UI design for a large hotel owners and hospitality management company.
You can check the attachment for a full view..More shots with final designs coming soon.
This is a proposal to add value to a crowdfunding listing pagewe streamline the process without having to make multiple mockups.
Clients easily understand themStyle tiles serve as a flexible starting point that helps us easily communicate the essence of a visual brand for the web.
we have a lot of fun during this phase.We are working on an exciting project for a company in the investment business. Stay tuned!
Hey! Recently we were working on a project for ..We design and build digital products people enjoy using...
A new project is an opportunity to create something unique.We are a Creative Digital Agency based in Buenos Aires, Argentina. We take pride in designing and building...
We look forward to working with you on your next projectAs an interdisciplinary agile team, our production process is flexible, collaborative, and adapts to each client’s needs
Style Tiles are always a good option to show work in progress!We are working on the UX/UI design for a large hotel owners and hospitality management company.
최근기사
Hey! Recently we were working on a project for ..We design and build digital products people enjoy using...
A new project is an opportunity to create something unique.We are a Creative Digital Agency based in Buenos Aires, Argentina. We take pride in designing and building...
We look forward to working with you on your next projectAs an interdisciplinary agile team, our production process is flexible, collaborative, and adapts to each client’s needs
Style Tiles are always a good option to show work in progress!We are working on the UX/UI design for a large hotel owners and hospitality management company.
You can check the attachment for a full view..More shots with final designs coming soon.
This is a proposal to add value to a crowdfunding listing pagewe streamline the process without having to make multiple mockups.
Clients easily understand themStyle tiles serve as a flexible starting point that helps us easily communicate the essence of a visual brand for the web.
we have a lot of fun during this phase.We are working on an exciting project for a company in the investment business. Stay tuned!
Hey! Recently we were working on a project for ..We design and build digital products people enjoy using...
A new project is an opportunity to create something unique.We are a Creative Digital Agency based in Buenos Aires, Argentina. We take pride in designing and building...
We look forward to working with you on your next projectAs an interdisciplinary agile team, our production process is flexible, collaborative, and adapts to each client’s needs
Style Tiles are always a good option to show work in progress!We are working on the UX/UI design for a large hotel owners and hospitality management company.
You can check the attachment for a full view..More shots with final designs coming soon.
This is a proposal to add value to a crowdfunding listing pagewe streamline the process without having to make multiple mockups.
Clients easily understand themStyle tiles serve as a flexible starting point that helps us easily communicate the essence of a visual brand for the web.
we have a lot of fun during this phase.We are working on an exciting project for a company in the investment business. Stay tuned!
Hey! Recently we were working on a project for ..We design and build digital products people enjoy using...
A new project is an opportunity to create something unique.We are a Creative Digital Agency based in Buenos Aires, Argentina. We take pride in designing and building...
We look forward to working with you on your next projectAs an interdisciplinary agile team, our production process is flexible, collaborative, and adapts to each client’s needs
Style Tiles are always a good option to show work in progress!We are working on the UX/UI design for a large hotel owners and hospitality management company.
카메라고발
지역뉴스
Hey! Recently we were working on a project for ..We design and build digital products people enjoy using...
A new project is an opportunity to create something unique.We are a Creative Digital Agency based in Buenos Aires, Argentina. We take pride in designing and building...
We look forward to working with you on your next projectAs an interdisciplinary agile team, our production process is flexible, collaborative, and adapts to each client’s needs
Style Tiles are always a good option to show work in progress!We are working on the UX/UI design for a large hotel owners and hospitality management company.
You can check the attachment for a full view..More shots with final designs coming soon.
This is a proposal to add value to a crowdfunding listing pagewe streamline the process without having to make multiple mockups.
Clients easily understand themStyle tiles serve as a flexible starting point that helps us easily communicate the essence of a visual brand for the web.
we have a lot of fun during this phase.We are working on an exciting project for a company in the investment business. Stay tuned!
Hey! Recently we were working on a project for ..We design and build digital products people enjoy using...
A new project is an opportunity to create something unique.We are a Creative Digital Agency based in Buenos Aires, Argentina. We take pride in designing and building...
We look forward to working with you on your next projectAs an interdisciplinary agile team, our production process is flexible, collaborative, and adapts to each client’s needs
Style Tiles are always a good option to show work in progress!We are working on the UX/UI design for a large hotel owners and hospitality management company.
You can check the attachment for a full view..More shots with final designs coming soon.
This is a proposal to add value to a crowdfunding listing pagewe streamline the process without having to make multiple mockups.
Clients easily understand themStyle tiles serve as a flexible starting point that helps us easily communicate the essence of a visual brand for the web.
we have a lot of fun during this phase.We are working on an exciting project for a company in the investment business. Stay tuned!
Hey! Recently we were working on a project for ..We design and build digital products people enjoy using...
A new project is an opportunity to create something unique.We are a Creative Digital Agency based in Buenos Aires, Argentina. We take pride in designing and building...
We look forward to working with you on your next projectAs an interdisciplinary agile team, our production process is flexible, collaborative, and adapts to each client’s needs
Style Tiles are always a good option to show work in progress!We are working on the UX/UI design for a large hotel owners and hospitality management company.
회사소개 | 윤리강령 | 광고안내 | 책임의한계와법적고지
회사소개 | 윤리강령 | 광고안내 | 책임의한계와법적고지
심장 안에 기생충이 자라고 있다고 한다면 여러분은 잘 믿겨지지 않으시겠죠.
운동하기를 싫어하고 호흡이거칠고 ,야외에서 모기에게 많이 노출되었다면
한번쯤은 생각해볼 질병이 심장 사상충입니다.
- 매개체, 발병 및 증상
심장 사상충이 얼마나 위험한 질병인지 알고 계십니까?
모기가 매개체인 이 질병은 20-30년 전만 해도 우리나라에서 흔하지 않은 질병으로 인식되어져 있어서
심장 사상충 자체에 대해서 잘 알지 못하고 진단을 내리기도 힘든 경우가 많았습니다.
미국의 경우는 1960년대에 이미 개에서의 심장사상충 감염률이 21%였다는 보고가 있는 걸로 봐서
우리나라에도 이미 토착화된 질병중의 하나였을 것입니다.
심장사상충(Dirofilaria immitis) 은 아주 작은 유충(microfilaria)으로서 감염된 개의 혈액을 모기가 흡혈하면
혈액 중에 미세사상충이 모기의 체내로 들어가서 모기 몸속에서 두 번의 탈피과정(2주)을 거쳐서
모기체내에서 자란 애벌레는 개에서 감염력을 가집니다.
모기가 애견을 흡혈할 때 피하에서 1-9일 만에 애벌레가 변태하나 이 상태에서는 어떤 병리적인
변화는 발생하지 않으나 4 개월 만에 변태되어 혈관을 타고 폐동맥에서 관찰되어집니다.
성충이 되기 위해서는 두 달의 시간이 소요 됩니다.
처음 모기에 물린 후 6-7개월 만에 성충은 심장과 폐동맥 사이에서 심장사상충 자충 (microfilaria))을
생산 합니다. 이로서 심장사상충의 생활사가 완성 되어 집니다.
임상증상으로는 대다수 심장사상충에 감염된 개에서 무증상이 많고 간혹 증상을 보일 때도 있는데,
이럴 때 체중감소, 운동을 싫어하고 기침과 호흡곤란, 중증일 때는 실신 및 복수증상을 보입니다.
- 진단
특히 오른쪽 심실과 폐동맥(혈액을 폐로 수송하는 동맥)에 기생을 많이 하는데
경정맥의 노장과 양성 간경정맥 반사, 간 비장 종대가 관찰 되어 집니다.
폐실질에 사상충이 침윤이 있을 경우 기침과 crackle음과 같은 이상 폐음이 들립니다.
요즘은 진단키드의 발전으로 혈액 한 방울이면 항원진단키드에서
성장한 암컷 심장사상충의 존재를 증명해줍니다.
유충(microfilaria)의 개체수 검사는 현미경 하에서 계수가 가능하고 때때로 위음성 반응이 나타납니다.
간혹 사상충이 있는 애견의 10-15%정도는 혈류에 유충(microfilaria)이 없는 경우도 있습니다.
이렇게 임상 증상이 나타나고 진단이 되어 진다면 질병의 단계에 따라서 치료하는 방법이 달라집니다.
- 검사
진단을 위해서 여러 가지 검사방법이 있는데 주로 사용 되어지는 것이 직접 도말법(Direct blood smear)
민감도가 50% 정도이고 Modified Knott`s test가 75% 민감도를 보이고
항원검사법(Antigen test)이 95%의 민감도를 보입니다. 종합해서 정확한 진단을 하려면 방사선이나
심장 초음파를 같이 병행하여 실시하는 것이 바람직하다고 볼 수 있습니다.
- 예방
심장 사상충 예방약 중에는 rapid killing을 유발하는 몇몇 약(ivermectin, milbemycin)들이 있는데
투약을 삼가 해야 하며 만약에 할 경우에는 스테로이드나 항히스타민제 전 처치를 하고 애견을
주의 깊게 살펴보아야 할 것입니다.
- 처방
문제가 되는 성충을 치료하기 위해서 처방 되어지는 약물은 비소제제가 포함된 화합물인 Melarsomine 입니다.
이 약물은 매우 안전하며 성충의 약 90%이상을 박멸해줍니다 `
- 합병증
심장사상충 과 관련된 합병증이 많이 있는데 그중에 대표적인 것이 폐혈전색증, 알러지성 폐염, 사구체성 신염
울혈성 신부전증과 대정맥증후군 등이 발생할 수 있습니다.
매개체인 모기가 나타나기 전 4월부터 사라지는 10월까지 꾸준히 매달 예방약 레볼루션, advocate,
하트가드를 접종해주거나 먹여주면 사상충 뿐만 아니라 여러 가지
벼룩, 내•외부에 있는 기생충까지 치료해 주고 예방도 됩니다.
여름의 더위는 사람과 애견들 모두 참기 힘든 폭염의 연속입니다
숨 쉬는 것조차도 힘든 이 여름에 심장 안에서 기생충들이 혈류의 길을 막고 있다면 얼마나 힘이 들겠습니까?
요즘처럼 예방 할 수 있는 여러 가지 방법들이 많이 있는데
심장 안에 무서운 사상충들을 박멸하여서 고통 받는 애견이 없기를 바랍니다.
끝으로 심장사상충에 감염 가능한 동물이 여러 종류가 있는데
개, 여우, 늑대, 코요테, 족제비, 고양이, 바다사자, 사향쥐 그리고 사람이 감염됩니다.
우리 인간에게도 위협이 될 수 있는 심장 사상충으로부터 예방 하기위해
예방 프로그램대로만 해 주신다면 감염될 위험이 사라집니다.
글쓴이 ; 박대웅
현, 대웅동물병원
현, 대한수의사협의회 밀양지회장