항이뇨호르몬 부적절분비(분비이상)증후군 (SIADH) -저나트륨혈증 발생

<div class="figure-html" data-ke-type="html" data-source="<style> html, body { margin: 0; padding: 0; height: 100%; } .container { position: relative; width: 100%; height: 100%; } .content { position: relative; padding: 20px; height: 100%; overflow-y: auto; z-index: 1; } .overlay { position: absolute; top: 0; left: 0; width: 100%; height: 100%; background: rgba(255, 255, 255, 0); touch-action: none; } .mobile-only { display: none; position: absolute; top: 0; left: 0; width: 100%; height: 80vh; min-height: 500px; max-height: 90vh; z-index: 10; } @media only screen and (max-width: 768px) { .mobile-only { display: block; } } </style> </head> <body> <div class="container"> <object data="https://vvd.bz/j3a" type="video/mp4" class="mobile-only"></object> </div> </body> <div _ngcontent-ng-c1250497818="" class="markdown markdown-main-panel stronger" id="" dir="ltr" style="--animation-duration: 400ms; --fade-animation-function: linear;"><h2 data-sourcepos="1:1-1:39">항이뇨호르몬 부적절분비(분비이상)증후군(SIADH)과 저나트륨혈증</h2><p data-sourcepos="3:1-3:198">항이뇨호르몬 부적절분비 증후군(SIADH)은 <em>바소프레신</em>이라는 호르몬이 과도하게 분비되어 발생하는 입니다. 이 호르몬은 신장에서 수분 재흡수를 증가시켜 혈액의 나트륨 농도를 낮추는 역할을 합니다. SIADH 환자의 경우, 바소프레신이 과도하게 분비되면서 몸속에 수분이 너무 많이 축적되고, 상대적으로 나트륨 농도가 낮아지는 저나트륨혈증이 발생합니다.</p><p data-sourcepos="5:1-5:13"><strong>SIADH의 원인</strong></p><ul data-sourcepos="7:1-11:0"> <li data-sourcepos="7:1-7:9">뇌하수체 종양</li> <li data-sourcepos="8:1-8:17">폐 (폐암, 결핵 등)</li> <li data-sourcepos="9:1-9:24">중추신경계 (뇌종양, 뇌수막염 등)</li> <li data-sourcepos="10:1-11:0">특정 약물 (일부 항우울제, 항경련제 등)</li> </ul><p data-sourcepos="12:1-12:13"><strong>SIADH의 </strong></p><ul data-sourcepos="14:1-16:0"> <li data-sourcepos="14:1-14:32"><strong>경증:</strong> 무 또는 피로감, 두통, 소화불량 등</li> <li data-sourcepos="15:1-16:0"><strong>중증:</strong> 구역, 구토, 근육 경련, 의식 저하, 혼수 등</li> </ul><p data-sourcepos="17:1-17:14"><strong>저나트륨혈증의 진단</strong></p><ul data-sourcepos="19:1-22:0"> <li data-sourcepos="19:1-19:26">혈액 검사를 통해 나트륨 농도를 측정합니다.</li> <li data-sourcepos="20:1-20:27">소변 검사를 통해 나트륨 배설량을 확인합니다.</li> <li data-sourcepos="21:1-22:0">다른 과의 감별을 위해 추가적인 검사가 필요할 수 있습니다.</li> </ul><p data-sourcepos="23:1-23:14"><strong>저나트륨혈증의 </strong></p><ul data-sourcepos="25:1-28:0"> <li data-sourcepos="25:1-25:39"><strong>수분 제한:</strong> 수분 섭취를 제한하여 체내 수분량을 조절합니다.</li> <li data-sourcepos="26:1-26:39"><strong>약물 :</strong> 바소프레신의 작용을 억제하는 약물을 사용합니다.</li> <li data-sourcepos="27:1-28:0"><strong>원인 :</strong> SIADH의 원인 을 합니다.</li> </ul><p data-sourcepos="29:1-29:8"><strong>주의사항</strong></p><ul data-sourcepos="31:1-33:0"> <li data-sourcepos="31:1-31:54">저나트륨혈증이 심한 경우, 뇌부종과 같은 심각한 합병증이 발생할 수 있으므로 주의해야 합니다.</li> <li data-sourcepos="32:1-33:0">SIADH 환자는 의료진의 지시에 따라 적절한 를 받아야 합니다.</li> </ul><p data-sourcepos="34:1-34:17"><strong>저나트륨혈증 관련 </strong><div class="attachment-container search-images"><response-element class="" ng-version="0.0.0-PLACEHOLDER"><single-image _nghost-ng-c3800257488="" class="ng-star-inserted"><div _ngcontent-ng-c3800257488="" hide-from-message-actions="" class="image-container hide-from-message-actions ng-star-inserted"><div _ngcontent-ng-c3800257488="" class="overlay-container ng-star-inserted"><a _ngcontent-ng-c3800257488="" rel="noopener" externallink="" aria-live="polite" class="image-source-link ng-star-inserted" _nghost-ng-c3763661306="" jslog="181501;track:generic_click,impression;BardVeMetadataKey:[[&quot;r_4ca6f6adfc858887&quot;,&quot;c_aa65d542f5d707b4&quot;,null,&quot;rc_75f127b292fae331&quot;,null,null,&quot;ko&quot;,null,null,null,null,1,0]];mutable:true" s://.amc.seoul.kr/asan/healthinfo/disease/diseaseDetail.do?contentId=32308"><span _ngcontent-ng-c3763661306="" data-test-id="content" class="ng-star-inserted"><img _ngcontent-ng-c3800257488="" class="image loaded" alt="저나트륨혈증 " src="https://encrypted-tbn2.gstatic.com/images?q=tbn:ANd9GcS5BWyaAcD3ID_C2_28jjWICH5rY3bZRV8jk3QNYAEoIKXmgfEi3lOGTjFZAGgL"></span><span _ngcontent-ng-c3763661306="" class="cdk-visually-hidden ng-star-inserted"></span></a><a _ngcontent-ng-c3800257488="" rel="noopener" class="source ng-star-inserted" s://.amc.seoul.kr/asan/healthinfo/disease/diseaseDetail.do?contentId=32308" jslog="182483;track:generic_click,impression;BardVeMetadataKey:[[&quot;r_4ca6f6adfc858887&quot;,&quot;c_aa65d542f5d707b4&quot;,null,&quot;rc_75f127b292fae331&quot;,null,null,&quot;ko&quot;,null,null,null,null,1,0]];mutable:true"><img _ngcontent-ng-c3800257488="" alt="" class=" ng-star-inserted" src="https://encrypted-tbn1.gstatic.com/-tbn?q=tbn:ANd9GcR_OGkNY939KtAlXHzryOtz698n7F2zVByGZ2pzU-DnYHBX97Iziqw8jaakLddnCoBJ2aiCSkuHOE0jiO6n6dc0hlfRpX3SiKr2wQ"><span _ngcontent-ng-c3800257488="" class="label ellipsis gds-label-m-alt">.amc.seoul.kr</span><span _ngcontent-ng-c3800257488="" aria-label=""></span></a></div><div _ngcontent-ng-c3800257488="" aria-hidden="true" class="caption ellipsis gds-label-m-alt ng-star-inserted"> 저나트륨혈증 </div></div></single-image></response-element></div></p><p data-sourcepos="38:1-38:9"><strong>참고 자료</strong></p><ul data-sourcepos="40:1-42:0"> <li data-sourcepos="40:1-40:104">관리청 국가건강정보센터: <response-element class="" ng-version="0.0.0-PLACEHOLDER"><link-block class="ng-star-inserted"><a rel="noopener" externallink="" _nghost-ng-c3763661306="" jslog="197247;track:generic_click,impression;BardVeMetadataKey:[[&quot;r_4ca6f6adfc858887&quot;,&quot;c_aa65d542f5d707b4&quot;,null,&quot;rc_75f127b292fae331&quot;,null,null,&quot;ko&quot;,null,null,null,null,1,0]]" s://pubmed.ncbi.nlm.nih.gov/24074529/">https://pubmed.ncbi.nlm.nih.gov/24074529/</a></link-block></response-element></li> <li data-sourcepos="41:1-42:0">MSD 매뉴얼: <response-element class="" ng-version="0.0.0-PLACEHOLDER"><link-block class="ng-star-inserted"><a rel="noopener" externallink="" _nghost-ng-c3763661306="" jslog="197247;track:generic_click,impression;BardVeMetadataKey:[[&quot;r_4ca6f6adfc858887&quot;,&quot;c_aa65d542f5d707b4&quot;,null,&quot;rc_75f127b292fae331&quot;,null,null,&quot;ko&quot;,null,null,null,null,1,0]]" s://.msdmanuals.com/professional/endocrine-and-metabolic-disorders/electrolyte-disorders/hyponatremia">https://.msdmanuals.com/professional/endocrine-and-metabolic-disorders/electrolyte-disorders/hyponatremia</a></link-block></response-element></li> </ul><p data-sourcepos="43:1-43:101"><strong>Disclaimer:</strong> 이 정보는 일반적인 지식 제공을 위한 것이며, 의료 전문가의 조언을 대체하지 않습니다. 건강 상태에 대한 궁금한 점은 반드시 의사와 상담하시기 바랍니다.</p></div> "><div data-ke-class="article"><style> html, body { margin: 0; padding: 0; height: 100%; } .container { position: relative; width: 100%; height: 100%; } .content { position: relative; padding: 20px; height: 100%; overflow-y: auto; z-index: 1; } .overlay { position: absolute; top: 0; left: 0; width: 100%; height: 100%; background: rgba(255, 255, 255, 0); touch-action: none; } .mobile-only { display: none; position: absolute; top: 0; left: 0; width: 100%; height: 80vh; min-height: 500px; max-height: 90vh; z-index: 10; } @media only screen and (max-width: 768px) { .mobile-only { display: block; } } </style> <xbody> <div class="container"> <object data="https://vvd.bz/j3a" type="video/mp4" class="mobile-only" allownetworking="internal" allowscriptaccess="sameDomain"></object> </div> </xbody> <div _ngcontent-ng-c1250497818="" class="markdown markdown-main-panel stronger" id="" dir="ltr" style="--animation-duration: 400ms; --fade-animation-function: linear;"><h2 data-sourcepos="1:1-1:39">항이뇨호르몬 부적절분비(분비이상)증후군(SIADH)과 저나트륨혈증</h2><p data-sourcepos="3:1-3:198">항이뇨호르몬 부적절분비 증후군(SIADH)은 <em>바소프레신</em>이라는 호르몬이 과도하게 분비되어 발생하는 입니다. 이 호르몬은 신장에서 수분 재흡수를 증가시켜 혈액의 나트륨 농도를 낮추는 역할을 합니다. SIADH 환자의 경우, 바소프레신이 과도하게 분비되면서 몸속에 수분이 너무 많이 축적되고, 상대적으로 나트륨 농도가 낮아지는 저나트륨혈증이 발생합니다.</p><p data-sourcepos="5:1-5:13"><strong>SIADH의 원인</strong></p><ul data-sourcepos="7:1-11:0"> <li data-sourcepos="7:1-7:9">뇌하수체 종양</li> <li data-sourcepos="8:1-8:17">폐 (폐암, 결핵 등)</li> <li data-sourcepos="9:1-9:24">중추신경계 (뇌종양, 뇌수막염 등)</li> <li data-sourcepos="10:1-11:0">특정 약물 (일부 항우울제, 항경련제 등)</li> </ul><p data-sourcepos="12:1-12:13"><strong>SIADH의 </strong></p><ul data-sourcepos="14:1-16:0"> <li data-sourcepos="14:1-14:32"><strong>경증:</strong> 무 또는 피로감, 두통, 소화불량 등</li> <li data-sourcepos="15:1-16:0"><strong>중증:</strong> 구역, 구토, 근육 경련, 의식 저하, 혼수 등</li> </ul><p data-sourcepos="17:1-17:14"><strong>저나트륨혈증의 진단</strong></p><ul data-sourcepos="19:1-22:0"> <li data-sourcepos="19:1-19:26">혈액 검사를 통해 나트륨 농도를 측정합니다.</li> <li data-sourcepos="20:1-20:27">소변 검사를 통해 나트륨 배설량을 확인합니다.</li> <li data-sourcepos="21:1-22:0">다른 과의 감별을 위해 추가적인 검사가 필요할 수 있습니다.</li> </ul><p data-sourcepos="23:1-23:14"><strong>저나트륨혈증의 </strong></p><ul data-sourcepos="25:1-28:0"> <li data-sourcepos="25:1-25:39"><strong>수분 제한:</strong> 수분 섭취를 제한하여 체내 수분량을 조절합니다.</li> <li data-sourcepos="26:1-26:39"><strong>약물 :</strong> 바소프레신의 작용을 억제하는 약물을 사용합니다.</li> <li data-sourcepos="27:1-28:0"><strong>원인 :</strong> SIADH의 원인 을 합니다.</li> </ul><p data-sourcepos="29:1-29:8"><strong>주의사항</strong></p><ul data-sourcepos="31:1-33:0"> <li data-sourcepos="31:1-31:54">저나트륨혈증이 심한 경우, 뇌부종과 같은 심각한 합병증이 발생할 수 있으므로 주의해야 합니다.</li> <li data-sourcepos="32:1-33:0">SIADH 환자는 의료진의 지시에 따라 적절한 를 받아야 합니다.</li> </ul><p data-sourcepos="34:1-34:17"><strong>저나트륨혈증 관련 </strong></p><div class="attachment-container search-images"><response-element class="" ng-version="0.0.0-PLACEHOLDER"><single-image _nghost-ng-c3800257488="" class="ng-star-inserted"><div _ngcontent-ng-c3800257488="" hide-from-message-actions="" class="image-container hide-from-message-actions ng-star-inserted"><div _ngcontent-ng-c3800257488="" class="overlay-container ng-star-inserted"><a _ngcontent-ng-c3800257488="" rel="noopener" externallink="" aria-live="polite" class="image-source-link ng-star-inserted" _nghost-ng-c3763661306="" jslog="181501;track:generic_click,impression;BardVeMetadataKey:[["r_4ca6f6adfc858887","c_aa65d542f5d707b4",null,"rc_75f127b292fae331",null,null,"ko",null,null,null,null,1,0]];mutable:true" s: .amc.seoul.kr asan healthinfo disease diseasedetail.do?contentid="32308""><span _ngcontent-ng-c3763661306="" data-test-id="content" class="ng-star-inserted"><img _ngcontent-ng-c3800257488="" class="image loaded" alt="저나트륨혈증 " src="https://img1.daumcdn.net/relay/cafe/original/?fname=https%3A%2F%2Fencrypted-tbn2.gstatic.com%2Fimages%3Fq%3Dtbn%3AANd9GcS5BWyaAcD3ID_C2_28jjWICH5rY3bZRV8jk3QNYAEoIKXmgfEi3lOGTjFZAGgL"></span><span _ngcontent-ng-c3763661306="" class="cdk-visually-hidden ng-star-inserted"></span></a><a _ngcontent-ng-c3800257488="" rel="noopener" class="source ng-star-inserted" s: .amc.seoul.kr asan healthinfo disease diseasedetail.do?contentid="32308"" jslog="182483;track:generic_click,impression;BardVeMetadataKey:[["r_4ca6f6adfc858887","c_aa65d542f5d707b4",null,"rc_75f127b292fae331",null,null,"ko",null,null,null,null,1,0]];mutable:true"><img _ngcontent-ng-c3800257488="" alt="" class=" ng-star-inserted" src="https://img1.daumcdn.net/relay/cafe/original/?fname=https%3A%2F%2Fencrypted-tbn1.gstatic.com%2F-tbn%3Fq%3Dtbn%3AANd9GcR_OGkNY939KtAlXHzryOtz698n7F2zVByGZ2pzU-DnYHBX97Iziqw8jaakLddnCoBJ2aiCSkuHOE0jiO6n6dc0hlfRpX3SiKr2wQ"><span _ngcontent-ng-c3800257488="" class="label ellipsis gds-label-m-alt">.amc.seoul.kr</span><span _ngcontent-ng-c3800257488="" aria-label=""></span></a></div><div _ngcontent-ng-c3800257488="" aria-hidden="true" class="caption ellipsis gds-label-m-alt ng-star-inserted"> 저나트륨혈증 </div></div></single-image></response-element></div><p></p><p data-sourcepos="38:1-38:9"><strong>참고 자료</strong></p><ul data-sourcepos="40:1-42:0"> <li data-sourcepos="40:1-40:104">관리청 국가건강정보센터: <response-element class="" ng-version="0.0.0-PLACEHOLDER"><link-block class="ng-star-inserted"><a rel="noopener" externallink="" _nghost-ng-c3763661306="" jslog="197247;track:generic_click,impression;BardVeMetadataKey:[["r_4ca6f6adfc858887","c_aa65d542f5d707b4",null,"rc_75f127b292fae331",null,null,"ko",null,null,null,null,1,0]]" s: pubmed.ncbi.nlm.nih.gov 24074529 ">https://pubmed.ncbi.nlm.nih.gov/24074529/</a></link-block></response-element></li> <li data-sourcepos="41:1-42:0">MSD 매뉴얼: <response-element class="" ng-version="0.0.0-PLACEHOLDER"><link-block class="ng-star-inserted"><a rel="noopener" externallink="" _nghost-ng-c3763661306="" jslog="197247;track:generic_click,impression;BardVeMetadataKey:[["r_4ca6f6adfc858887","c_aa65d542f5d707b4",null,"rc_75f127b292fae331",null,null,"ko",null,null,null,null,1,0]]" s: .msdmanuals.com professional endocrine-and-metabolic-disorders electrolyte-disorders hyponatremia">https://.msdmanuals.com/professional/endocrine-and-metabolic-disorders/electrolyte-disorders/hyponatremia</a></link-block></response-element></li> </ul><p data-sourcepos="43:1-43:101"><strong>Disclaimer:</strong> 이 정보는 일반적인 지식 제공을 위한 것이며, 의료 전문가의 조언을 대체하지 않습니다. 건강 상태에 대한 궁금한 점은 반드시 의사와 상담하시기 바랍니다.</p></div> </div></div>