암 치료 후 진료 및 건강관리 매뉴얼

지속적인 의학 기술의 발전으로 장기간 생존하는 암환자들이 증가하고 있습니다.

암 진단과 치료를 경험한 국민이 100만 명에 육박하는 현실에서 지역사회에 늘어나고 있는 암생존자들이 겪고 있는 의료 문제를
파악하고 적절한 건강관리를 제공하는 것이 의료인들에게 점점 더 요청되고 있습니다. 그러나 아직 의료인들에게는 여전히 낯설
고, 이에 대한 체계적인 진료 지침서는 부족한 현실입니다. 부정확한 의학정보가 범람하는 가운데 의료인이 암 치료 후의 진료
와 건강을 적절하게 관리해 주지 못한다면, 환자와 가족들은 근거가 부족한 건강기능식품이나 보완대체요법에 의지하며 혼란을
경험할 수밖에 없습니다. 이러한 문제를 해결하기 위해서, 각 분야의 최고 의료전문가들이 함께 모여 암 치료 후 꼭 알아야 할
진료 정보와 건강관리 방법을 체계적으로 집대성한 ‘암 치료 후 진료 및 건강관리 매뉴얼’을 발간하게 되었습니다. 본 책자는
크게 1부의 ‘세부 암종 및 치료법’과 2부의 ‘암생존자를 위한 단계별 예방 및 질환 관리’ 두 파트로 구성되어 있습니다. 1부
에서는 우리나라에서 호발 하는 세부 암종별로 치료 과정에서 꼭 알아야 할 의학지식 및 증상 관리법에 대해서 정리하였고, 2부
에서는 암생존자를 위한 건강증진(1차예방), 조기검진(2차예방), 증상관리 및 재활(3차예방), 만성질환관리에 대해 단계별 체계
적으로 정리하였습니다. 특히 2부의 ‘암생존자를 위한 단계별 예방 및 질환 관리’ 내용은 암환자를 돌보는 의료진뿐만 아니라
비의료인들도 건강관리 지침서로 참고할 수 있을 것입니다.

암 진단 후 치료 및 장기건강관리까지 각 단계 별로 환자들에게 꼭 필요한 의료서비스를 체계적으로 제공할 수 있는 양질의 의료
진이 양성되는데 본 책자가 일조할 수 있기를 기대합니다. 또한, 환자 스스로도 암 치료 이후의 질병과 건강관리를 주도적으로
할 수 있는데 도움이 되기를 바랍니다.



2013년 6월

대표저자 윤 영 호



Part 1. 세부 암종 및 치료법

Ch.1 위암 ·······················································
·········································11

Ch.2 폐암 ·······················································
······································· 29

Ch.3 대장암 ······················································
····································· 43

Ch.4 유방암 ······················································
····································· 71

Ch.5 부인암 ······················································
····································· 85

Ch.6 갑상선암 ·····················································
·································· 119

Ch.7 두경부암 ·····················································
·································· 137

Ch.8 전립선암 ·····················································
································· 149

Ch.9 림프종(임파선암) ·················································
·························· 165

Ch.10 항암화학요법 후 관리를 위한 환자교육자료 ····································
173

Ch.11 방사선치료 후 관리 ···············································
······················ 189



Part 2. 암생존자를 위한 단계별 예방 및 질환관리

암생존자를 위한 건강증진 : 1차 예방

Ch.1 체중조절 ·····················································
·································· 209

Ch.2 절주 ·······················································
······································ 221

Ch.3 금연 ·······················································
······································ 235



암생존자를 위한 조기검진 : 2차 예방

Ch.4 이차암 검진····················································
······························ 257



암생존자를 위한 증상관리 : 3차 예방

Ch.5 골다공증 ·····················································
·································· 271

Ch.6 심혈관 : 고혈압 ·················································
···························· 287

Ch.7 내분비 : 당뇨, 고지혈증 ·············································
···················· 311

Ch.8 호흡기 : 만성호흡기질환 ·············································
··················· 327



암생존자를 위한 만성질환 관리

Ch.9 폐경기증후군 및 여성 성기능 장애 ·········································
········· 343

Ch.10 운동 등 재활 ··················································
···························· 351

Ch.11 통증 ······················································
···································· 373

Ch.12 피로 ······················································
···································· 391

Ch.13. 정서적 불안, 우울 ···············································
······················· 401