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    겨울철 질환관리의 기본상식


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

    [김수영 순천향대서울병원 피부과 교수] 올 겨울은 유난히 춥다고 한다. 연말 크리스마스와 섣달 그믐날 두 번의 소중한 주말 연휴에 모두 한파 주의보가 내려졌다. 영하의 날씨가 지속되는 한겨울, 혹한의 추위에 발생할 수 있는 피부질환, 동상과 동창에 주의해야 한다.

    흔히 ‘동상’이란 추위 때문에 살갗이 얼어서 조직이 상하는 일. 정도에 따라 네 단계로 나뉘는데, 1도는 붉은 반점이 생긴 상태, 2도는 물집이 생긴 상태, 3도는 피부에 궤양이 생긴 상태, 4도는 피부 깊숙이 괴사가 일어난 상태이다. (참고 네이버 국어사전)

    손가락 발가락 등 손발 말단과 귀 코 뺨에 자주 발생한다. 얼어버린 부위는 창백하고 광택이 있을 수 있으며 얼어버린 당시에 아픈 증상은 없으나 다시 따뜻하게 해주면 손상 정도에 따라 증상과 피부 병변이 나타난다. 동상정도에 따라 피부가 붉어지고 통증이나 저림 등의 불쾌감이 생길 수 있지만 손상정도가 심하지 않으면 수 시간 내 정상으로 회복된다.

    만약 장시간 추위에 노출되어 손, 발가락등에 동상이 걸리게 되면 인지한 순간부터라고 빠르게 녹여줘야 한다. 그리고 피부를 녹인후에는 마른 천이나 얇은 수건등으로 감싸 체온 유지를 해주는 것이 중요하다.

    조직 손상이 깊을 경우 피부 조직이 죽어 떨어져 나가는 괴저가 발생하게 되는데 이 상황이 발생한다면 피부 이식 또는 심한경우 말단부위 절단을 해야 할 수도 있다.

    동상의 예방으로서는

    한파 발생 시 야외활동은 되도록 자제하고 실내에 머무르는 게 최선이다. 불가피하게 실외 활동을 해야 하는 사람들은 동상과 같은 한랭질환이 발생하지 않도록 대비해야 한다.

    동상은 낮은 기온에 몸이 노출됐을 때 조직액이 얼면서 세포 내 얼음 결정이 생겨 세포가 직접 손상되거나 조직 혈관이 과도하게 수축해 조직으로 혈류가 차단되면서 발생한다.

    동상을 예방하는 가장 쉬운 방법은 찬 공기에 노출되는 부위를 보온하는 것이다. 귀마개, 장갑, 털신 등으로 동상이 걸리기 쉬운 신체 부위를 보호한다. 손가락, 발가락, 귓불 등 신체 말단 부위는 노출이 심하고 혈류량이 적다. 축축해진 양말이나 장갑, 내의는 즉시 갈아입어야 한다. 같은 온도에서도 습도가 높으면 열전도율이 높아져 동상이 쉽게 발생할 수 있기 때문이다.

    속을 든든하게 하는 것도 도움이 된다. 신체 조직으로 혈액과 열량이 충분히 공급되면 같은 추위에 노출돼도 더 잘 견딜 수 있다.

    이에 반대로 응급처지를 하는 과정에서 잘못된 응급처치는 무엇이 있을까요??

    동창은 한랭에 의한 비정상적인 국소염증반응으로, 역시 추위에 약한 손가락 발가락 등 말단 부위나 귓바퀴, 코에 잘 나타난다. 겨울철 눈 속 등산 등 극한의 추위에 노출되어 발생하는 동상과 달리 동창은 일상적인 외출이나 야외 운동 중에도 걸릴 수 있다.

    동창은 노출 당시에는 증상이 하나도 없다가, 몇시간에 걸쳐 붉은색 또는 보라색 종창이 나타나며, 심한경우에는 물집이나 궤양이 생길 수도 있다. 하지만 이는 2주 정도에 걸쳐 사라지니 걱정하지말고 보온에 신경만 써주면된다.

    만약 동창에 걸리게 되더라도 얼어버린 부위 및 전신을 따뜻하게 하여 몸을 충분히 녹여주며 이는 치료법 보다는 예방에 더 힘을 크게 실어주어야 하는데요. 겨울철 외출 시에는 옷을 최대한 따뜻하게 챙겨 입고, 일기예보에서 한파주의보 또는 경보가 내린 날에는 밖에서 활동하는 업무는 최대한 피하며 만약 하게 되더라도 손가락, 발가락 같은 말단 부위는 두꺼운 양말과 장갑을 사용하여 신체를 보호해주는 것이 중요하다

    또한 이는 몸의 내부 체온이 떨어지게 된다면 혈관들이 수축하게 되어 혈액순환이 잘 안되게 되는데 이 때 충분하게 따뜻하지 않는다면 동창 피해를 입을수도 있다. 그 외에도 추위를 많이 타거나 어린이, 여성, 노인등 같은 취약 층일수로 얇은 옷을 여러겹 껴입거나 내복을 착용하여 보온에 신경써주면 좋다.

    술을 마시거나 흡연하는 건 금물이다. 술을 마시면 잠시 열이 오르는 것 같아 따뜻하다고 느낄 수 있지만 금세 피부혈관이 확장하면서 체온이 급격히 떨어진다. 취하면 추위를 판단하기도 어렵다. 흡연은 혈관 수축을 일으키고 혈액 순환을 방해해 동상을 유발할 수 있으며 동상에 걸렸을 때 회복을 늦출 수 있다.

    이런 노력에도 동상이 발생했다면 우선 해당 부위를 따뜻하게 하는 게 가장 중요하다. 40∼42도의 따뜻한 물에 동상 부위를 담그는 게 좋다. 그러나 빨리 데우기 위해 너무 뜨거운 물에 담그면 화상을 입을 수 있으므로 주의해야 한다.

    난방기의 복사열을 직접 쬐어 손발을 녹이는 행위는 삼가는 게 좋다. 건조한 열은 조직 내부로 쉽게 전달이 안 되기도 하고 복사열은 온도가 아주 높아 화상을 입기 쉽다. 일단 따뜻하게 가온하고 건조한 뒤 보온을 잘한 상태로 병원을 찾아야 한다. 다만 동상이 발생한 후 병원까지 가는 데에 지나치게 오랜 시간이 걸린다면 일시적으로 따뜻하게 녹이기보다는 그대로 둔 채 의사를 찾는 게 낫다. 동상 입은 부위의 조직 내 동결과 해동이 반복적으로 일어나면 피부가 괴사할 확률이 더 높아지기 때문이다. 정재윤 서울대병원 응급의학과 교수는 “산행 중 동상에 걸리면 일시적으로 따뜻하게 녹여도 다시 얼게 될 가능성이 높다”며 “녹았다 얼기를 반복하면 통증도 심하고 조직이 더욱 손상되기 때문에 차라리 동상 입은 상태 그대로 병원에 가는 게 낫다”고 조언했다.

    *참고문헌*

    1. 대한피부과학회 교과서 편찬위원회. 피부과학 제 6판. 대한의학서적. 2014: 185.

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