안구건조증이 심할 때

  마이봄샘 기능 저하(MGD)로 인한 안구건조증에는 단순한 수분 보충용 인공눈물(히알루론산 등)만으로는 효과가 부족할 수 있습니다. 눈물의 증발을 막아주는 '기름층(Lipid Layer)'을 보강해주는 제품 을 선택하셔야 합니다. 한국에서 구하실 수 있는 대표적인 제품들을 처방 유무 와 **제형(물약/겔/연고)**에 따라 분류해 드립니다. 1. 점안액 (물약 형태) 낮 시간에 수시로 넣기 좋은 형태입니다. 일반 인공눈물보다 약간 우유빛을 띠거나 흔들어 써야 하는 경우가 많습니다. 카티오놈 (Cationorm) [처방전 필요]: 가장 추천되는 제품 중 하나입니다. 양이온성 나노유화 기술이 적용되어 눈물막의 3개 층(기름층, 수분층, 점액층)을 모두 보충해 줍니다. 눈에 넣었을 때 따가움이 적고 지속력이 좋아 마이봄샘 기능 저하 환자에게 안과에서 자주 처방합니다. 리프레쉬 옵티브 (Refresh Optive) [약국 구매 가능 / 처방 가능]: 기본 성분(CMC)에 글리세린 등이 포함되어 보습력을 높인 제품입니다. 미국 등 해외에서는 지질 성분이 강화된 '옵티브 어드밴스드'가 유명하지만, 국내 약국에서는 일반 옵티브 제품을 더 흔히 볼 수 있습니다. 기타 보조제: 프렌즈 아이드롭 이나 로토 시리즈 등에 포함된 '폴리소르베이트' 성분도 점액층을 보강하여 눈물막 안정에 도움을 줄 수 있지만, 전문적인 지질층 치료제라기보다는 보조적인 성격이 강합니다. 2. 점안 겔 (Gel) 및 연고 농도가 짙어 시야가 일시적으로 흐려질 수 있으므로, 취침 직전 이나 증상이 아주 심할 때 사용하는 것이 좋습니다. 리포직 점안겔 (Liposic Gel) [약국 구매 가능]: 가장 대중적인 지질 보강제 입니다. '카보머' 성분이 눈물의 구조를 모방하여 수분을 잡아두고 지질층 역할을 대신합니다. 일반의약품이라 안과 처방 없이도 약국에서 바로 구입할 수 있어 접근성이 좋습니다. (처방 시 보험 적용 가능) 듀라티얼즈 안연고 (...

Encountering Cancer in the Maze

 Professor Kim Gyuwon, an expert in cancer, has written a book that chronicles his journey through battling cancer. Having suffered from the disease for a long time, he has lost his sense of smell, taste, and much of his hearing, and he has turned his experiences into a written account. Reading his book evokes a profound sense of goodwill from start to finish, and I am truly grateful for that.

The book consistently raises the question of why cancer attempts to thrive by breaking down its own foundation (the body). It details the progression from initial diagnosis to recurrence, multiple surgeries, and chemotherapy, revealing how he has personally endured the illness he has studied his entire life. He reflects on how chemotherapy leaves traces in the body and what it really means for those who are suffering from it. The book also presents a friendly overview of the history of cancer treatment over the past century, while posing the fundamental question of what life truly is in the search for breakthroughs and limitations in treatment.


While traditional chemotherapy shows definitive effects, it also comes with terrifying side effects. This has led humanity to delve into understanding the body and cells, even reaching the realm of genomics. However, he notes that we have encountered a dilemma where we can’t go further in understanding cells. The fact that cancer treatment has become trapped within cellular issues underscores that cancer is fundamentally a problem of organs, which he argues is often overlooked. He emphasizes that the interactions between cells, as well as their connections beyond their immediate neighbors, are as crucial as the internal cellular issues.


This concept aligns with the work of American psychologist Ken Wilber, who explains the dimensions of atoms, cells, and the entire human body as holons. While we acknowledge that humans are made of cells, we are also so much more than that. Phenomena that do not exist at the cellular level can manifest at the organ level, and human beings can perform functions that are unimaginable to individual organs.


In his book, Professor Kim describes cancer as a phenomenon where certain parts of a multicellular body attempt to revert to a unicellular state. This is akin to how, despite living in a society, each individual inherently possesses a solitary nature. He draws a parallel between this intrinsic aspect and the reasons behind the proliferation of cancer within the social body.

I extend my gratitude and respect to Professor Kim for showcasing profound insights about cancer and life in this small book. Furthermore, I sincerely wish for him to break free from the struggles of cancer and complete his reflections. This is also a light and hope for all of us.


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