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¡à Leprosy ³ª : ³ªº´ -------- ÇмúÀû ¿ë¾î·Î »ç¿ë

¡à Hansen's Disease ÇѼ¾º´ -- »çȸÀû ¿ë¾î·Î »ç¿ë



¢Â Leprosy Control ³ªº´°ü¸®

 - Elimination ÅðÄ¡

- Eradication ¹Ú¸ê

- Leprosarium ÇѼ¾¿ä¾ç½Ã¼³. ÇѼ¾»ýÈ°½Ã¼³
  - Invalid home Àå¾ÖÀνü³

- Home patient À簡ȯÀÚ

- Settlement village Á¤Âø³ó¿ø

- Contact person Á¢ÃËÀÚ

- Children contact Á¢ÃËÀÚ³à

- Conjugal leprosy ºÎºÎ°£ Àü¿°³ª

- Reactivation ÀçÈ°¼ºÈ­

- Relapse Àç¹ß

- Cured Ä¡À¯µÈ

- Arrested Á¤ÁöµÈ

- Inactive ºñÈ°µ¿¼º

- Subclinical relapse ºÒÇö¼ºÀç¹ß

- Subclinical infection ºÒÇö¼º°¨¿°



¢Â WHO°ü°è¿ë¾î

< MDT ¡µº¹ÇÕ³ªÈ­Çпä¹ý
Multidrug therapy

< PALs¡µ³ªº´·ÂÀÚ
Persons Affected by Leprosy

¡´LEC¡µ³ªº´ÅðÄ¡¿îµ¿
Leprosy Elimination Campaign

¡´SAPEL¡µ³ªº´ÅðġƯȰ»ç¾÷
Special Action Projects for the Elimination of Leprosy



¢Â Type classification º´ÇüºÐ·ù

- Madrid classification

Indeterminate group of leprosy ( I ) ºÎÁ¤±º³ª

Tuberculoid type of leprosy (T) °áÇÙ¾çÇü³ª

Borderline group of leprosy (B) Áß°£±º³ª

Lepromatous type of leprosy (L) ³ªÁ¾Çü³ª

- Ridley and Jopling classification

Indeterminate leprosy ( I ) ºÎÁ¤±º³ª

Tuberculoid leprosy (TT) °áÇپ糪

Borderline tuberculoid leprosy (BT) ±Ù°áÇپ糪

Mid-Borderline leprosy (BB) Áß°£³ª

Borderline lepromatous leprosy (BL) ±Ù³ªÁ¾³ª

Lepromatous leprosy (LL) ³ªÁ¾³ª

- Operational classification

Paucibacillary leprosy (PB) Èñ±Õ³ª

Multibacillary leprosy (MB) ´Ù±Õ³ª

Simple lesion PB (SLPB) ´ÜÀϺ´¼ÒÈñ±Õ³ª

- ±âŸºÐ·ù

Histoid leprosy Á¶Á÷±¸¾ç³ª

Neural leprosy ½Å°æ³ª

Dimorphous ÀÌ»ó¼º

Pure neural leprosy (PNL) ¼ø¼ö½Å°æ³ª

Mono neuritis ´Ü¹ß¼º½Å°æ¿°

Mono neurapathy ´Ü¹ß¼º½Å°æº´Áõ

Non polar type ºñ±ØÇü

LLp : polar type ±ØÇü

LLs : sub-polar type ¾Æ±ØÇü



¢Â Disability Àå¾Ö

- Disability index Àå¾ÖÁö¼ö

Grade 0,1,2 : 0µµ, 1µµ, 2µµ

- Stima »óÈç

- Claw-hand ±¸¼ö

- Drop-foot Á·Çϼö

- Lagophthalmos Åä¾È

- Leonine face »çÀÚ¾È

- Madarosis ¹Ì¸ð Å»¶ôÁõ

- Gynecomastia ¿©¼º À¯¹æ



¢Â Lepra reaction ³ª¹ÝÀÀ

- Erythrema nodosum leprosum (ENL) ³ª¼º°áÀýÈ«¹Ý

- Reversal reaction °¡¿ª¼º¹ÝÀÀ

- Downgrading reaction ÇÏÇ༺¹ÝÀÀ

- Type ¥° reaction ¥°Çü ¹ÝÀÀ

- Type ¥± reaction ¥±Çü ¹ÝÀÀ



¢Â Lepra bacilli ³ª±Õ

- Mycobacterium leprae ³ª±Õ

- Generation time ¼¼´ë ½Ã°£

- Dormant ÀáÀ缺

- Persister ÈÞ¸é±Õ(ÀÜÁ¸±Õ)

- Drug Resistance (DR) ¾àÁ¦ ³»¼º



¢Â Skin Smear ÇǺεµ¸»°Ë»ç

- Nasal scraping ºñÁ¡¸· ¼ÒÆÄ(ºñÁ¡¸· ¼ÒÆÄ)

- Bacterial Index (BI) ¼¼±Õ Áö¼ö

- Morphological Index (MI) ÇüÅ Áö¼ö

fragmented ´ÜÆí¼º

granular °ú¸³»ó

solid °íü»ó

globi ±Õ±«



¢Â Lepromin test ·¹ÇÁ·Î¹Î°Ë»ç

- The early reaction Á¶±â¹ÝÀÀ (Fernadez)

- The late reaction ¸¸±â¹ÝÀÀ (Mitsuda)



¢Â ELISA(Enzyme Linked Immunoloabsorbent Assy) È¿¼Ò¸é¿ªÈíÂø°Ë»ç



¢Â PCR (Polymerase Chain Reaction) ÁßÇÕ¿¬¼â¹ÝÀÀ







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