{"id":13126,"date":"2022-04-08T13:22:08","date_gmt":"2022-04-08T17:22:08","guid":{"rendered":"https:\/\/momandius.com\/?p=13126"},"modified":"2022-04-19T11:20:25","modified_gmt":"2022-04-19T15:20:25","slug":"%ed%86%b5%ed%92%8d-gout","status":"publish","type":"post","link":"https:\/\/momandius.com\/kor\/%ed%86%b5%ed%92%8d-gout\/","title":{"rendered":"\ud1b5\ud48d (Gout)"},"content":{"rendered":"
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\ud1b5\ud48d<\/strong> (Gout)<\/strong><\/p>\r\n

\u00a0<\/strong><\/p>\r\n

\ucf54\ub85c\ub098 19\ub85c \uc57c\uc678 \ud65c\ub3d9\uc744 \uc798 \ubabb\ud558\uace0 \uc9d1\ucf55 \uc2dc\uac04\uc774 \uae38\uc5b4\uc9c0\uba74\uc11c \uadf8\ub85c \uc778\ud55c \uc6b4\ub3d9 \ubd80\uc871\uacfc \uc74c\uc8fc\ub7c9 \uc99d\uac00\ub85c \ubc1c\uacfc \ubc1c\ubaa9\uc5d0 \uc608\uae30\uce58 \ubabb\ud55c \uadf9\uc2ec\ud55c \ud1b5\uc99d\uc744 \uacaa\ub294 \ud1b5\ud48d(Gout) \ud658\uc790\ub4e4\uc774 \uae09\uaca9\ud788 \ub298\uc5b4\ub0ac\uc2b5\ub2c8\ub2e4. \uc0ac\uc2e4 \ud1b5\ud48d\uc740 \uadf8 \uc5ed\uc0ac\uac00 \ubb34\ucc99 \uc624\ub798\ub41c \uc9c8\ud658\uc785\ub2c8\ub2e4. \uc54c\ub809\uc0b0\ub354 \ub300\uc655, \ub8e8\uc774 16\uc138, \ub274\ud134, \ub2e4\ube48\uce58, \ubca4\uc790\ubbfc \ud504\ub7ad\ud074\ub9b0\uc758 \uacf5\ud1b5\uc810\uc740 \ubaa8\ub450 \u2018\ud1b5\ud48d\u2019\uc744 \uc553\uc740 \uc801\uc774 \uc788\ub2e4\ub294 \uac83\uc785\ub2c8\ub2e4. \ud1b5\ud48d\uc740 \ub2e8\ubc31\uc9c8 \ub300\uc0ac \ubb3c\uc9c8\uc778 \uc694\uc0b0\uc774 \uc18c\ubcc0 \ub4f1\uc73c\ub85c \uc81c\ub300\ub85c \ubc30\ucd9c\ub418\uc9c0 \uc54a\uace0 \ubab8\uc5d0 \uc313\uc5ec \uc5fc\uc99d\uc131 \ud1b5\uc99d\uc73c\ub85c \ub098\ud0c0\ub098\ub294 \uc9c8\ud658\uc785\ub2c8\ub2e4. \uc544\uc8fc \uc624\ub798 \uc804\uc5d0\ub294 \ud754\ud55c \uc9c8\ubcd1\uc774 \uc544\ub2c8\uc5c8\uace0 \uc220, \uace0\uae30\ub97c \uc790\uc8fc \uba39\uace0 \uc6c0\uc9c1\uc774\uc9c0 \uc54a\ub294 \ubd80\uc790, \uadc0\uc871, \uc655\uc871\ub4e4\uc774 \uc8fc\ub85c \uac78\ub824\uc11c \u201c\ud669\uc81c\ubcd1\u201d \ud639\uc740 “\uc655\uc758 \uc9c8\ubcd1”\uc774\ub77c \ubd88\ub9ac\uae30\ub3c4 \ud588\uc2b5\ub2c8\ub2e4. \ud558\uc9c0\ub9cc, \ud604\ub300\uc5d0 \ub4e4\uc5b4\uc11c \uba39\uac70\ub9ac\uac00 \ud48d\uc871\ud574\uc9c0\uace0 \uc220 \uc18c\ube44\ub7c9\ub3c4 \ub298\uba74\uc11c \ud1b5\ud48d \ud658\uc790\ub3c4 \ub9e4\ub144 \uc99d\uac00 \ucd94\uc138\uc5d0 \uc788\uc2b5\ub2c8\ub2e4. \uac8c\ub2e4\uac00 \ud1b5\ud48d\uc740 \ub9cc\uc131 \ub300\uc0ac\uc131 \uc9c8\ud658\uc774\uae30\uc5d0 \ud1b5\ud48d\uc744 \ub2e8\uc21c \uad00\uc808\uc5fc\uc73c\ub85c \uc5ec\uaca8 \uad00\ub9ac \uc5c6\uc774 \ubc29\uce58\ud558\uba74 \uc2ec\uc7a5, \ud608\uad00, \uc2e0\uc7a5\uc774 \ub9dd\uac00\uc9c8 \uc218 \uc788\uc2b5\ub2c8\ub2e4.<\/p>\r\n

\ud1b5\ud48d\uc758 \uc6d0\uc778<\/strong>\r\n<\/strong>\ud1b5\ud48d\uc740 \ubcf4\ud1b5 \ub450 \uc885\ub958\ub85c \ub098\ub269\ub2c8\ub2e4. \uadf8 \uc911 \uc6b0\ub9ac\uac00 \uac00\uc7a5 \ud754\ud788 \uc54c\uace0 \uc788\ub294 \ud1b5\ud48d\uc740 \uc601\uc5b4\ub85c\ub294 Gout\ub77c \ubd88\ub9ac\uba70, \uc694\uc0b0\uc774\ub77c\ub294 \ubb3c\uc9c8\uc774 \uc6b0\ub9ac \ubab8 \uc18d\uc5d0 \uacfc\ub2e4\ud558\uac8c \uc313\uc5ec \uc0dd\uae41\ub2c8\ub2e4. \uc694\uc0b0\uc740 \ud4e8\ub9b0\uc774\ub77c\ub294 \ub2e8\ubc31\uc9c8 \uc131\ubd84\uc774 \uc6b0\ub9ac \ubab8\uc5d0\uc11c \uc18c\ud654\ub418\uace0 \uc5d0\ub108\uc9c0\ub85c \uc0ac\uc6a9\ub41c \ud6c4 \ub0a8\uc740 \uc77c\uc885\uc758 \ucc0c\uaebc\uae30\uc785\ub2c8\ub2e4. \ubb38\uc81c\ub294 \uc694\uc0b0\uc740 \uc6d0\ub798 \ucf69\ud325\uc744 \ud1b5\ud574 \uc18c\ubcc0\uc5d0 \ub179\uc544 \ubc30\uc124\ub418\uc57c \ud558\ub294\ub370 \uc81c\ub300\ub85c \ubc30\ucd9c\ub418\uc9c0 \uc54a\uace0 \uacfc\ub2e4\ud55c \uc591\uc774 \ud53c \uc18d\uc744 \ub3cc\uc544\ub2e4\ub2c8\ub2e4 \uad00\uc808\uc5d0 \uba3c\uc800 \uc313\uc774\uac8c \ub429\ub2c8\ub2e4. \uc774\ub807\uac8c \uad00\uc808\uc5d0 \uc313\uc778 \uc694\uc0b0\uc740 \uace0\uccb4 \ud615\ud0dc\ub85c \ubcc0\ud574 \ub0a0\uce74\ub85c\uc6b4 \ubaa8\uc591\uc758 \uc694\uc0b0 \uacb0\uc815\uc744 \ub9cc\ub4dc\ub294\ub370 \uc6b0\ub9ac \ubab8 \uc18d \uba74\uc5ed\uacc4\ub294 \uc774 \uacb0\uc815\uc744 \uc678\ubd80 \uce68\uc785\uc790\ub85c \uc778\uc9c0\ud574 \uacf5\uaca9\ud558\uac8c \ub418\uc5b4 \uc2ec\ud55c \uc5fc\uc99d \ubc18\uc751\uc744 \uc77c\uc73c\ud0b4\uc740 \ubb3c\ub860 \uc694\uc0b0\uc774 \uc313\uc778 \uad00\uc808 \ubd80\uc704\uac00 \ud241\ud241 \ubd93\uace0 \ubd89\uac8c \ubcc0\ud558\uba74\uc11c \ucd9c\uc0b0\uc5d0 \ubc84\uae08\uac00\ub294 \ud1b5\uc99d\uc744 \uc720\ubc1c\ud558\uac8c \ub429\ub2c8\ub2e4. \ud1b5\ud48d\uc740 \uc721\ub958\uc640 \uc220\uc744 \ubb34\ucc99 \uc88b\uc544\ud558\ub294 \ub0a8\uc131\ub4e4\uc5d0\uac8c\uc11c \uc8fc\ub85c \ubc1c\ubcd1\ud558\ub294 \uacbd\ud5a5\uc774 \uc788\uc2b5\ub2c8\ub2e4. \ub610\ud55c, \ud1b5\ud48d \ud658\uc790\uc758 40%\uac00 \uc5c4\uc9c0 \ubc1c\uac00\ub77d\uc5d0\uc11c \ud1b5\uc99d\uc744 \ub290\ub07c\uae30 \uc2dc\uc791\ud558\uc9c0\ub9cc, \uadf8 \uc678, \ubc1c\ubaa9\uc774\ub098 \uc190\ubaa9 \uad00\uc808\uc5d0\uc11c \ud1b5\uc99d\uc744 \ub290\ub07c\uae30 \uc2dc\uc791\ud558\ub294 \uacbd\uc6b0\ub3c4 \ub9ce\uc2b5\ub2c8\ub2e4. \uc815\uc0c1\uc778\uc740 \ubcf4\ud1b5 \ud608\uc561 100mL \uc911 \uc694\uc0b0\uc774 6mg \uc815\ub3c4\uc774\uba70 \ud1b5\ud48d \ud658\uc790\ub294 10mg \uc774\uc0c1\uc778 \uacbd\uc6b0\uac00 \ub9ce\uc2b5\ub2c8\ub2e4. \ud608\uc911 \uc694\uc0b0\uc774 8mg \uc774\uc0c1\uc774\uba74 \uc8fc\uc758\uac00 \ud544\uc694\ud569\ub2c8\ub2e4.<\/p>\r\n\u00a0\"\"\r\n

\ud1b5\ud48d \uce58\ub8cc \ubc29\ubc95<\/strong>\r\n<\/strong>\ubcf4\ud1b5 \ud1b5\ud48d\uc774 \uc2dc\uc791\ub418\uba74 \uc77c\ub2e8 \uc5fc\uc99d\uc744 \uac00\ub77c\uc549\ud600\uc57c \ud558\uae30 \ub54c\ubb38\uc5d0<\/p>\r\n\r\n

    \r\n \t
  • \ube44\uc2a4\ud14c\ub85c\uc774\ub4dc\uc131 \uc18c\uc5fc \uc9c4\ud1b5\uc81c(NSAIDs): \ub098\ud504\ub85d\uc13c(naproxen), \uc778\ub3c4\uba54\ud0c0\uc2e0(indomethacin), \uc220\ub9b0\ub2e5(sulindac), \uc544\uc774\ube0c\ud504\ub85c\ud39c(ibuprofen), \uba5c\ub85d\uc2dc\uce84(meloxicam), \uc140\ub808\ucf55\uc2dc\ube0c(celecoxib) \ub4f1<\/li>\r\n \t
  • \ud504\ub808\ub4dc\ub2c8\uc190\uacfc \uac19\uc740 \ucf54\ub974\ud2f0\ucf54\uc2a4\ud14c\ub85c\uc774\ub4dc \uc8fc\uc0ac<\/li>\r\n \t
  • \uae09\uc131 \ubc1c\uc791 \ud6c4 \uccab 12\uc2dc\uac04 \uc774\ub0b4\uc5d0 \ubcf5\uc6a9 \uc2dc \uac00\uc7a5 \ud6a8\uacfc \uc88b\uc740 \ucf5c\ud0a4\uc2e0(Colchicine)<\/li>\r\n<\/ul>\r\n

    \uc704\uc5d0 \uc5b8\uae09\ud55c \uc57d\uc774\ub098 \uc8fc\uc0ac\ub85c \uc77c\ub2e8 \uae09\uc131 \ud1b5\uc99d\uacfc \uc5fc\uc99d\uc744 \uc644\ud654\uc2dc\ud0a4\ub294 \uce58\ub8cc\ub97c \ud569\ub2c8\ub2e4. \uce58\ub8cc \ud6c4\uc5d0\ub3c4 \ub9cc\uc131\ud654\uac00 \ub41c\ub2e4\uba74\u00a0 \uc18c\uc5fc\uc81c \ud639\uc740 \ucf5c\ud0a4\uc2e0(Colchicine) \uac19\uc740 \uc57d\uc744 \ub9e4\uc77c \uc18c\ub7c9 \ubcf5\uc6a9\ud558\ub3c4\ub85d \ucc98\ubc29\ud558\uc5ec \uc774\ud6c4 \ubc1c\uc791\uc744 \uc608\ubc29\ud558\uac70\ub098, \ud608\uc911 \uc694\uc0b0 \ub18d\ub3c4\ub97c \ub0ae\ucd94\ub294 \uc54c\ub85c\ud4e8\ub9ac\ub180(allopurinol)\uc774\ub098 \ud398\ubd81\uc18c\uc2a4\ud0c0\ud2b8(febuxostat)\uc640 \uac19\uc740 \uc57d\uc73c\ub85c \uc694\uc0b0 \uc0dd\uc131\uc744 \uc5b5\uc81c\ud558\ub294 \uc57d\ubb3c \uce58\ub8cc\ub97c \ubcd1\ud589\ud560 \uc218 \uc788\uc2b5\ub2c8\ub2e4.<\/p>\r\n

    \ud1b5\ud48d \uc608\ubc29\uacfc \uad00\ub9ac<\/strong>\r\n\ub300\ubd80\ubd84 \ud1b5\ud48d \ud658\uc790\ub4e4\uc740 \ud1b5\uc99d\uc774 \uc0ac\ub77c\uc9c0\uba74 \uce58\ub8cc\ub97c \uc911\ub2e8\ud569\ub2c8\ub2e4. \ub54c\ubb38\uc5d0 \uc9c0\uc18d\uc801 \uc57d\ubb3c \uce58\ub8cc\ub97c \ud558\uc9c0 \uc54a\uc544 \ud3c9\uc0dd \ud1b5\ud48d \uc9c8\ud658\uc73c\ub85c \uace0\uc0dd\ud558\uac70\ub098 \uc2e0\uc7a5 \uc9c8\ud658, \ub1cc \ud608\uad00 \uc7a5\uc560 \ub4f1\uacfc \uac19\uc740 \uc2ec\ud55c \ud569\ubcd1\uc99d\uc73c\ub85c \uc0ac\ub9dd\ud558\ub294 \uacbd\uc6b0\ub3c4 \uc788\uc2b5\ub2c8\ub2e4. \ud1b5\ud48d \uc9c4\ub2e8\uc744 \ubc1b\uc558\ub2e4\uba74 \ud3c9\uc0dd \uad00\ub9ac\ud574\uc57c \ud558\ub294 \uc9c8\ubcd1\uc73c\ub85c \uc778\uc2dd\ud558\uace0 \uc7a5\uae30\uc801\uc778 \uce58\ub8cc\uc640 \uacc4\uc18d\uc801\uc778 \uc8fc\uc758\uac00 \ud544\uc694\ud569\ub2c8\ub2e4.<\/p>\r\n\r\n

      \r\n \t
    1. \ud1b5\ud48d\uc744 \uc720\ubc1c\u00b7\uc545\ud654\uc2dc\ud0a4\ub294 \uc694\uc778\uc778 \uacfc\uc2dd, \uc74c\uc8fc, \ud761\uc5f0, \uc2ec\ud55c \uc6b4\ub3d9\uc744 \uc0bc\uac11\ub2c8\ub2e4.<\/li>\r\n \t
    2. \ud4e8\ub9b0 \ud568\uc720\uc728\uc774 \ub192\uc740 \ub0b4\uc7a5 \ub4f1 \ud478\ub978 \uc0dd\uc120(\uccad\uc5b4, \uace0\ub4f1\uc5b4), \ucf69\uacfc \uac19\uc740 \uace0\ub2e8\ubc31 \uc2dd\ud488 \uc12d\ucde8\ub97c \uc904\uc774\uace0 \uc694\uc0b0\uc744 \ub9ce\uc774 \ub9cc\ub4e4\uc5b4\ub0bc \uc218 \uc788\ub294 \u201c\uc544\uc2a4\ud30c\ub77c\uac70\uc2a4, \ucf5c\ub9ac\ud50c\ub77c\uc6cc, \ube0c\ub85c\ucf5c\ub9ac\u201d \uac19\uc740 \uc57c\ucc44\ub3c4 \uacfc\ub3c4\ud558\uac8c \uc12d\ucde8\ud558\uc9c0 \ub9d0\uc544\uc57c \ud569\ub2c8\ub2e4.<\/li>\r\n \t
    3. \u00a0\uc74c\uc8fc\ub294 \ud608\uc911 \uc694\uc0b0\uc758 \ud569\uc131\uc744 \uc99d\uac00\uc2dc\ud0a4\uace0 \uc18c\ubcc0\uc744 \ud1b5\ud55c \ubc30\uc124\ub3c4 \uc5b5\uc81c\ud574 \uae09\uc131 \ubc1c\uc791\uc758 \ubc1c\uc0dd\ub960\uc744 \ub192\uc77c \uc218 \uc788\uc2b5\ub2c8\ub2e4. \ub530\ub77c\uc11c \uc74c\uc8fc\ub294 \ud2b9\ud788 \uc8fc\uc758\ud574\uc57c \ud558\uba70 \ub9e5\uc8fc\uc640 \uc640\uc778\uc740 \ud4e8\ub9b0\uc744 \uac00\uc7a5 \ub9ce\uc774 \ud568\uc720\ud558\uace0 \uc788\uae30\uc5d0 \uc808\ub300\ub85c \ub9c8\uc2dc\uc9c0 \ub9d0\uc544\uc57c \ud569\ub2c8\ub2e4.\u00a0\uacfc\uc77c \uc8fc\uc2a4, \uc124\ud0d5\uc774 \ub9ce\uc774 \ud568\uc720\ub41c \uc74c\ub8cc\uc218 \ub4f1\ub3c4 \ud1b5\ud48d\uc744 \uc720\ubc1c\ud560 \uc218 \uc788\uae30 \ub54c\ubb38\uc5d0 \ubc18\ub4dc\uc2dc \uae08\ud574\uc57c \ud569\ub2c8\ub2e4.<\/li>\r\n \t
    4. \u00a0\ube44\ub9cc, \uc81c 2\ud615 \ub2f9\ub1e8\ubcd1, \uace0\ud608\uc555, \uace0\uc9c0\ud608\uc99d, \uad00\uc0c1 \ub3d9\ub9e5 \uc9c8\ud658\uacfc \uac19\uc740 \uc9c8\ud658\uc774 \uc788\uc73c\uba74 \uc694\uc0b0 \uc218\uce58\uac00 \uc99d\uac00\ud560 \uc218 \uc788\uc73c\ub2c8 \uc8fc\uc758\ud574\uc57c \ud569\ub2c8\ub2e4. \uc57d\ubb3c \uc911\uc5d0\uc11c\ub294 \uace0\uc694\uc0b0\ud608\uc99d\uc744 \uc720\ubc1c\uc2dc\ud0ac \uc218 \uc788\ub294 \uc774\ub1e8\uc81c\ub098 \uc544\uc2a4\ud53c\ub9b0\uc744 \ub9e4\uc77c \ubcf5\uc6a9\ud558\uace0 \uc788\uc9c0\ub294 \uc54a\uc740\uc9c0 \ud655\uc778\ud569\ub2c8\ub2e4.<\/li>\r\n \t
    5. \u00a0\ub2e4\ub978 \uad00\uc808 \uc9c8\ud658\uacfc \ub2ec\ub9ac \ucc1c\uc9c8\uc740 \ubaa8\ub450 \ud574\ub86d\uc2b5\ub2c8\ub2e4. \ub0c9\ucc1c\uc9c8\uc740 \uad00\uc808 \ub0b4\uc5d0 \uce68\ucc29\ub418\ub294 \uc694\uc0b0\uc758 \uc591\uc744 \uc99d\uac00\uc2dc\ud0a4\uba70 \uc628\ucc1c\uc9c8\uc740 \uc5fc\uc99d \ubc18\uc751\uc744 \ub354 \uc545\ud654\uc2dc\ud0b5\ub2c8\ub2e4.<\/li>\r\n \t
    6. \ud3c9\uc18c \ud608\uc561\uc758 \uc694\uc0b0 \ub18d\ub3c4\uac00 \uc62c\ub77c\uac00\uc9c0 \uc54a\ub3c4\ub85d \ucda9\ubd84\ud55c \uc218\ubd84 \uc12d\ucde8(\ud558\ub8e8 2\ub9ac\ud130 \uc774\uc0c1)\ub97c \uc2b5\uad00\ud654\ud558\uace0 \uaddc\uce59\uc801\uc778 \uc6b4\ub3d9\uacfc \uc801\uc815 \uccb4\uc911 \uc720\uc9c0\uac00 \uc911\uc694\ud569\ub2c8\ub2e4. \uadf8\ub7ec\ub098 \uae09\uaca9\ud558\uace0 \uadf9\uc2ec\ud55c \uccb4\uc911 \uac10\ub7c9\uc740 \uc624\ud788\ub824 \ud608\uc911 \uc694\uc0b0 \ub18d\ub3c4\ub97c \uc99d\uac00\uc2dc\ud0ac \uc218 \uc788\uc2b5\ub2c8\ub2e4. \ud2b9\ud788 \uc80a\uc740 \ubd84\ub4e4\uc774 \uccb4\uc911 \uac10\ub7c9\uc744 \uc704\ud574 \uc6e8\uc774\ud2b8 \ud2b8\ub808\uc774\ub2dd\uc744 \ud558\uba74\uc11c \uc8fc\ub85c \uc12d\ucde8\ud558\ub294 \ub2e8\ubc31\uc9c8 \ubcf4\ucda9\uc81c\ub294 \uccb4\ub0b4 \uc694\uc0b0 \uc218\uce58\ub97c \uae09\uaca9\ud788 \ub192\uc774\uace0 \ud1b5\ud48d\uc744 \uc720\ubc1c\ud560 \uc218 \uc788\uae30\uc5d0 \uc8fc\uc758\ud574\uc57c \ud569\ub2c8\ub2e4.<\/li>\r\n<\/ol>\r\n

      <\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<\/div>","protected":false},"excerpt":{"rendered":"

      \ud1b5\ud48d (Gout) \u00a0 \ucf54\ub85c\ub098 19\ub85c \uc57c\uc678 \ud65c\ub3d9\uc744 \uc798 \ubabb\ud558\uace0 \uc9d1\ucf55 \uc2dc\uac04\uc774 \uae38\uc5b4\uc9c0\uba74\uc11c \uadf8\ub85c \uc778\ud55c \uc6b4\ub3d9 \ubd80\uc871\uacfc \uc74c\uc8fc\ub7c9 \uc99d\uac00\ub85c \ubc1c\uacfc \ubc1c\ubaa9\uc5d0 \uc608\uae30\uce58 \ubabb\ud55c \uadf9\uc2ec\ud55c \ud1b5\uc99d\uc744 \uacaa\ub294 \ud1b5\ud48d(Gout) \ud658\uc790\ub4e4\uc774 \uae09\uaca9\ud788 \ub298\uc5b4\ub0ac\uc2b5\ub2c8\ub2e4. \uc0ac\uc2e4 \ud1b5\ud48d\uc740 \uadf8 \uc5ed\uc0ac\uac00 \ubb34\ucc99 \uc624\ub798\ub41c \uc9c8\ud658\uc785\ub2c8\ub2e4. \uc54c\ub809\uc0b0\ub354 \ub300\uc655, \ub8e8\uc774 16\uc138, \ub274\ud134, \ub2e4\ube48\uce58, \ubca4\uc790\ubbfc \ud504\ub7ad\ud074\ub9b0\uc758 \uacf5\ud1b5\uc810\uc740 \ubaa8\ub450 \u2018\ud1b5\ud48d\u2019\uc744 \uc553\uc740 \uc801\uc774 \uc788\ub2e4\ub294 \uac83\uc785\ub2c8\ub2e4. \ud1b5\ud48d\uc740 \ub2e8\ubc31\uc9c8 \ub300\uc0ac \ubb3c\uc9c8\uc778 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