{"id":237,"date":"2026-01-20T21:02:11","date_gmt":"2026-01-20T12:02:11","guid":{"rendered":"https:\/\/miyamotojinnaika.jp\/blog\/?p=237"},"modified":"2026-01-20T21:02:12","modified_gmt":"2026-01-20T12:02:12","slug":"post-237","status":"publish","type":"post","link":"https:\/\/miyamotojinnaika.jp\/blog\/post-237\/","title":{"rendered":"\u7cd6\u5c3f\u75c5\u306b\u3088\u308b\u6162\u6027\u814e\u81d3\u75c5\uff08\u7cd6\u5c3f\u75c5\u6027\u814e\u75c7\uff09\u3092\u6b63\u3057\u304f\u7406\u89e3\u3059\u308b"},"content":{"rendered":"\n<h2 class=\"wp-block-heading\">\u2015 \u6b63\u78ba\u306a\u814e\u6a5f\u80fd\u8a55\u4fa1\u304c\u3001\u5c06\u6765\u3092\u5927\u304d\u304f\u5909\u3048\u308b \u2015<\/h2>\n\n\n\n<p>\u8fd1\u5e74\u3001\u5f53\u9662\u306e\u30db\u30fc\u30e0\u30da\u30fc\u30b8\u3067\u306f\u300c\u7cd6\u5c3f\u75c5\u300d\u306b\u95a2\u3059\u308b\u691c\u7d22\u304c\u660e\u3089\u304b\u306b\u5897\u3048\u3066\u3044\u307e\u3059\u3002<br>\u3053\u308c\u306f\u3001\u5065\u5eb7\u8a3a\u65ad\u3067\u8840\u7cd6\u5024\u3084HbA1c\u3092\u6307\u6458\u3055\u308c\u305f\u65b9\u3001\u3059\u3067\u306b\u7cd6\u5c3f\u75c5\u3067\u6cbb\u7642\u4e2d\u306e\u65b9\u304c\u3001<strong>\u5408\u4f75\u75c7\u3078\u306e\u4e0d\u5b89\u3092\u5f37\u304f\u611f\u3058\u3066\u3044\u308b<\/strong>\u3053\u3068\u306e\u8868\u308c\u3060\u3068\u8003\u3048\u3089\u308c\u307e\u3059\u3002<\/p>\n\n\n\n<p>\u7cd6\u5c3f\u75c5\u3067\u7279\u306b\u6ce8\u610f\u304c\u5fc5\u8981\u306a\u5408\u4f75\u75c7\u306e\u4e00\u3064\u304c\u3001**\u6162\u6027\u814e\u81d3\u75c5\uff08CKD\uff09**\u3067\u3059\u3002<br>\u7cd6\u5c3f\u75c5\u306b\u3088\u3063\u3066\u814e\u81d3\u304c\u969c\u5bb3\u3055\u308c\u308b\u72b6\u614b\u306f\u3001\u4e00\u822c\u306b\u300c\u7cd6\u5c3f\u75c5\u6027\u814e\u75c7\u300d\u3068\u547c\u3070\u308c\u307e\u3059\u304c\u3001\u73fe\u5728\u3067\u306f\u3088\u308a\u5e83\u3044\u6982\u5ff5\u3068\u3057\u3066\u300c<strong>\u7cd6\u5c3f\u75c5\u6027\u814e\u81d3\u75c5<\/strong>\u300d\u3068\u3044\u3046\u8003\u3048\u65b9\u304c\u7528\u3044\u3089\u308c\u3066\u3044\u307e\u3059\uff3b1\uff3d\u3002<\/p>\n\n\n\n<p>\u3053\u306e\u8a18\u4e8b\u3067\u306f\u3001<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\u7cd6\u5c3f\u75c5\u304c\u814e\u81d3\u306b\u4e0e\u3048\u308b\u5f71\u97ff<\/li>\n\n\n\n<li>\u306a\u305c\u65e9\u671f\u767a\u898b\u304c\u91cd\u8981\u306a\u306e\u304b<\/li>\n\n\n\n<li>\u814e\u6a5f\u80fd\u3092\u300c\u6b63\u78ba\u306b\u8a55\u4fa1\u3059\u308b\u300d\u610f\u7fa9<\/li>\n\n\n\n<li>\u5f53\u9662\u3067\u884c\u3063\u3066\u3044\u308b\u65b0\u3057\u3044\u691c\u67fb\u306e\u5f79\u5272<\/li>\n<\/ul>\n\n\n\n<p>\u306b\u3064\u3044\u3066\u3001\u60a3\u8005\u3055\u3093\u306e\u76ee\u7dda\u3067\u8a73\u3057\u304f\u89e3\u8aac\u3057\u307e\u3059\u3002<\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h2 class=\"wp-block-heading\">\u7cd6\u5c3f\u75c5\u306f\u306a\u305c\u814e\u81d3\u3092\u50b7\u3064\u3051\u308b\u306e\u304b<\/h2>\n\n\n\n<p>\u814e\u81d3\u306f\u3001\u4f53\u306e\u4e2d\u306e\u300c\u8840\u6db2\u306e\u308d\u904e\u88c5\u7f6e\u300d\u3067\u3059\u3002<br>1\u65e5\u306b\u7d04150\u30ea\u30c3\u30c8\u30eb\u3082\u306e\u8840\u6db2\u304c\u814e\u81d3\u3092\u901a\u904e\u3057\u3001\u8001\u5ec3\u7269\u3084\u4f59\u5206\u306a\u6c34\u5206\u304c\u5c3f\u3068\u3057\u3066\u6392\u51fa\u3055\u308c\u307e\u3059\u3002<\/p>\n\n\n\n<p>\u7cd6\u5c3f\u75c5\u3067\u8840\u7cd6\u5024\u304c\u9ad8\u3044\u72b6\u614b\u304c\u7d9a\u304f\u3068\u3001<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\u7cf8\u7403\u4f53\uff08\u8840\u6db2\u3092\u308d\u904e\u3059\u308b\u90e8\u5206\uff09\u306e\u8840\u7ba1\u306b\u904e\u5270\u306a\u5727\u304c\u304b\u304b\u308b<\/li>\n\n\n\n<li>\u8840\u7ba1\u306e\u5185\u76ae\u304c\u50b7\u3064\u304f<\/li>\n\n\n\n<li>\u708e\u75c7\u3084\u7dda\u7dad\u5316\u304c\u9032\u884c\u3059\u308b<\/li>\n<\/ul>\n\n\n\n<p>\u3068\u3044\u3063\u305f\u5909\u5316\u304c\u8d77\u3053\u308a\u307e\u3059\uff3b2,3\uff3d\u3002<\/p>\n\n\n\n<p>\u3053\u308c\u304c\u9577\u671f\u9593\u7d9a\u304f\u3053\u3068\u3067\u3001<strong>\u814e\u81d3\u306e\u308d\u904e\u80fd\u529b\u306f\u5f90\u3005\u306b\u4f4e\u4e0b<\/strong>\u3057\u3066\u3044\u304d\u307e\u3059\u3002<\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h2 class=\"wp-block-heading\">\u7cd6\u5c3f\u75c5\u6027\u814e\u81d3\u75c5\u306e\u6016\u3055\u306f\u300c\u75c7\u72b6\u304c\u51fa\u306b\u304f\u3044\u300d\u3053\u3068<\/h2>\n\n\n\n<p>\u7cd6\u5c3f\u75c5\u6027\u814e\u81d3\u75c5\u306e\u6700\u5927\u306e\u7279\u5fb4\u306f\u3001<br><strong>\u304b\u306a\u308a\u9032\u884c\u3059\u308b\u307e\u3067\u81ea\u899a\u75c7\u72b6\u304c\u307b\u3068\u3093\u3069\u306a\u3044<\/strong>\u3053\u3068\u3067\u3059\uff3b4\uff3d\u3002<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">\u521d\u671f<\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\u5c3f\u306b\u3054\u304f\u5fae\u91cf\u306e\u305f\u3093\u3071\u304f\uff08\u30a2\u30eb\u30d6\u30df\u30f3\uff09\u304c\u6f0f\u308c\u308b<\/li>\n\n\n\n<li>\u75db\u307f\u3084\u9055\u548c\u611f\u306f\u306a\u3044<\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\">\u4e2d\u7b49\u5ea6<\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\u5c3f\u305f\u3093\u3071\u304f\u304c\u5897\u3048\u308b<\/li>\n\n\n\n<li>\u3080\u304f\u307f\u3001\u8840\u5727\u4e0a\u6607\u304c\u307f\u3089\u308c\u308b\u3053\u3068\u304c\u3042\u308b<\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\">\u9032\u884c\u671f<\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\u814e\u6a5f\u80fd\uff08eGFR\uff09\u304c\u4f4e\u4e0b<\/li>\n\n\n\n<li>\u8ca7\u8840\u3001\u98df\u6b32\u4e0d\u632f\u3001\u3060\u308b\u3055<\/li>\n\n\n\n<li>\u900f\u6790\u304c\u5fc5\u8981\u306b\u306a\u308b\u53ef\u80fd\u6027<\/li>\n<\/ul>\n\n\n\n<p>\u300c\u75c7\u72b6\u304c\u306a\u3044\uff1d\u814e\u81d3\u304c\u5143\u6c17\u300d\u3068\u306f\u9650\u3089\u306a\u3044\u70b9\u304c\u3001\u3053\u306e\u75c5\u6c17\u306e\u96e3\u3057\u3055\u3067\u3059\u3002<\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h2 class=\"wp-block-heading\">\u900f\u6790\u5c0e\u5165\u306e\u6700\u5927\u539f\u56e0\u306f\u7cd6\u5c3f\u75c5<\/h2>\n\n\n\n<p>\u65e5\u672c\u304a\u3088\u3073\u4e16\u754c\u5404\u56fd\u3067\u3001<strong>\u900f\u6790\u5c0e\u5165\u306e\u539f\u56e0\u7b2c1\u4f4d\u306f\u7cd6\u5c3f\u75c5<\/strong>\u3067\u3059\uff3b5\uff3d\u3002<br>\u3053\u308c\u306f\u3001\u300c\u7cd6\u5c3f\u75c5\uff1d\u5fc5\u305a\u900f\u6790\u306b\u306a\u308b\u300d\u3068\u3044\u3046\u610f\u5473\u3067\u306f\u3042\u308a\u307e\u305b\u3093\u3002<\/p>\n\n\n\n<p>\u4e00\u65b9\u3067\u3001<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\u767a\u898b\u304c\u9045\u308c\u305f<\/li>\n\n\n\n<li>\u814e\u6a5f\u80fd\u4f4e\u4e0b\u306b\u6c17\u3065\u304b\u305a\u653e\u7f6e\u3055\u308c\u305f<\/li>\n\n\n\n<li>\u8840\u7cd6\u30fb\u8840\u5727\u7ba1\u7406\u304c\u4e0d\u5341\u5206\u3060\u3063\u305f<\/li>\n<\/ul>\n\n\n\n<p>\u5834\u5408\u3001\u900f\u6790\u306b\u81f3\u308b\u30ea\u30b9\u30af\u304c\u9ad8\u307e\u308b\u3053\u3068\u306f\u78ba\u304b\u3067\u3059\uff3b6\uff3d\u3002<\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h2 class=\"wp-block-heading\">\u814e\u6a5f\u80fd\u8a55\u4fa1\u306f\u300c\u30af\u30ec\u30a2\u30c1\u30cb\u30f3\u3060\u3051\u300d\u3067\u306f\u4e0d\u5341\u5206\u306a\u3053\u3068\u304c\u3042\u308b<\/h2>\n\n\n\n<p>\u4e00\u822c\u7684\u306a\u8840\u6db2\u691c\u67fb\u3067\u306f\u3001\u814e\u6a5f\u80fd\u8a55\u4fa1\u306b<strong>\u8840\u6e05\u30af\u30ec\u30a2\u30c1\u30cb\u30f3<\/strong>\u304c\u7528\u3044\u3089\u308c\u307e\u3059\u3002<br>\u305d\u3053\u304b\u3089\u8a08\u7b97\u3055\u308c\u308b\u306e\u304c eGFR\uff08\u63a8\u7b97\u7cf8\u7403\u4f53\u6ffe\u904e\u91cf\uff09\u3067\u3059\u3002<\/p>\n\n\n\n<p>\u3057\u304b\u3057\u3001\u30af\u30ec\u30a2\u30c1\u30cb\u30f3\u306b\u306f\u5f31\u70b9\u304c\u3042\u308a\u307e\u3059\u3002<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\u7b4b\u8089\u91cf\u306e\u5f71\u97ff\u3092\u53d7\u3051\u3084\u3059\u3044<\/li>\n\n\n\n<li>\u9ad8\u9f62\u8005\u3084\u5973\u6027\u3067\u306f\u814e\u6a5f\u80fd\u3092\u904e\u5927\u8a55\u4fa1\u3059\u308b\u3053\u3068\u304c\u3042\u308b<\/li>\n\n\n\n<li>\u65e9\u671f\u814e\u969c\u5bb3\u3067\u306f\u5909\u5316\u304c\u51fa\u306b\u304f\u3044<\/li>\n<\/ul>\n\n\n\n<p>\u3064\u307e\u308a\u3001<strong>\u7cd6\u5c3f\u75c5\u521d\u671f\u306e\u814e\u969c\u5bb3\u3092\u898b\u9003\u3059\u53ef\u80fd\u6027<\/strong>\u304c\u3042\u308b\u306e\u3067\u3059\uff3b7\uff3d\u3002<\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h2 class=\"wp-block-heading\">\u30b7\u30b9\u30bf\u30c1\u30f3C\u3068\u306f\u4f55\u304b \u2015 \u3088\u308a\u6b63\u78ba\u306a\u814e\u6a5f\u80fd\u6307\u6a19<\/h2>\n\n\n\n<p>\u30b7\u30b9\u30bf\u30c1\u30f3C\u306f\u3001\u5168\u8eab\u306e\u7d30\u80de\u304b\u3089\u4e00\u5b9a\u91cf\u304c\u7523\u751f\u3055\u308c\u3001\u814e\u81d3\u3067\u307b\u307c\u5b8c\u5168\u306b\u308d\u904e\u3055\u308c\u308b\u7269\u8cea\u3067\u3059\u3002<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">\u30b7\u30b9\u30bf\u30c1\u30f3C\u306e\u7279\u5fb4<\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\u7b4b\u8089\u91cf\u306e\u5f71\u97ff\u3092\u307b\u3068\u3093\u3069\u53d7\u3051\u306a\u3044<\/li>\n\n\n\n<li>\u9ad8\u9f62\u8005\u30fb\u3084\u305b\u578b\u306e\u65b9\u3067\u3082\u8a55\u4fa1\u304c\u5b89\u5b9a<\/li>\n\n\n\n<li>\u65e9\u671f\u306e\u814e\u6a5f\u80fd\u4f4e\u4e0b\u3092\u6349\u3048\u3084\u3059\u3044<\/li>\n<\/ul>\n\n\n\n<p>\u8907\u6570\u306e\u7814\u7a76\u3067\u3001<br><strong>\u7cd6\u5c3f\u75c5\u60a3\u8005\u306b\u304a\u3044\u3066\u30b7\u30b9\u30bf\u30c1\u30f3C\u306f\u4e88\u5f8c\u4e88\u6e2c\u306b\u512a\u308c\u308b<\/strong><br>\u3053\u3068\u304c\u793a\u3055\u308c\u3066\u3044\u307e\u3059\uff3b8,9\uff3d\u3002<\/p>\n\n\n\n<p>\u5f53\u9662\u3067\u306f\u3001<br>\ud83d\udc49&nbsp;<strong>\u30af\u30ec\u30a2\u30c1\u30cb\u30f3\uff0b\u30b7\u30b9\u30bf\u30c1\u30f3C<\/strong><br>\u306e\u4e21\u65b9\u3092\u7528\u3044\u308b\u3053\u3068\u3067\u3001\u3088\u308a\u6b63\u78ba\u306a\u814e\u6a5f\u80fd\u8a55\u4fa1\u3092\u91cd\u8996\u3057\u3066\u3044\u307e\u3059\u3002<\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h2 class=\"wp-block-heading\">\u30a6\u30ed\u30e2\u30b8\u30e5\u30ea\u30f3\u6e2c\u5b9a\u304c\u793a\u3059\u300c\u814e\u81d3\u306e\u4e88\u5099\u529b\u300d<\/h2>\n\n\n\n<p>\u30a6\u30ed\u30e2\u30b8\u30e5\u30ea\u30f3\uff08Tamm-Horsfall protein\uff09\u306f\u3001\u814e\u81d3\u306e\u5c3f\u7d30\u7ba1\u304b\u3089\u5206\u6ccc\u3055\u308c\u308b\u305f\u3093\u3071\u304f\u3067\u3059\u3002<\/p>\n\n\n\n<p>\u8fd1\u5e74\u3001<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\u8840\u4e2d\u30a6\u30ed\u30e2\u30b8\u30e5\u30ea\u30f3\u304c\u4f4e\u3044<\/li>\n\n\n\n<li>\u5c3f\u4e2d\u30a6\u30ed\u30e2\u30b8\u30e5\u30ea\u30f3\u304c\u4f4e\u4e0b\u3057\u3066\u3044\u308b<\/li>\n<\/ul>\n\n\n\n<p>\u72b6\u614b\u306f\u3001<strong>\u814e\u81d3\u306e\u5065\u5eb7\u5ea6\u3084\u4e88\u5099\u529b\u306e\u4f4e\u4e0b<\/strong>\u3092\u53cd\u6620\u3059\u308b\u3053\u3068\u304c\u5206\u304b\u3063\u3066\u304d\u307e\u3057\u305f\uff3b10,11\uff3d\u3002<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">\u30a6\u30ed\u30e2\u30b8\u30e5\u30ea\u30f3\u306e\u610f\u7fa9<\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>eGFR\u304c\u4fdd\u305f\u308c\u3066\u3044\u3066\u3082\u3001\u5c06\u6765\u306e\u814e\u6a5f\u80fd\u4f4e\u4e0b\u30ea\u30b9\u30af\u3092\u793a\u5506<\/li>\n\n\n\n<li>\u7cd6\u5c3f\u75c5\u60a3\u8005\u306eCKD\u9032\u884c\u4e88\u6e2c\u306b\u6709\u7528<\/li>\n\n\n\n<li>\u900f\u6790\u30ea\u30b9\u30af\u30fb\u6b7b\u4ea1\u30ea\u30b9\u30af\u3068\u306e\u95a2\u9023<\/li>\n<\/ul>\n\n\n\n<p>\u3064\u307e\u308a\u3001<br><strong>\u300c\u4eca\u306f\u5927\u4e08\u592b\u305d\u3046\u306b\u898b\u3048\u308b\u814e\u81d3\u300d\u306e\u5c06\u6765\u3092\u8a55\u4fa1\u3067\u304d\u308b\u6307\u6a19<\/strong><br>\u3068\u8003\u3048\u3089\u308c\u3066\u3044\u307e\u3059\u3002<\/p>\n\n\n\n<p>\u5f53\u9662\u3067\u306f\u3001<strong>\u81ea\u8cbb\u3067\u306e\u30a6\u30ed\u30e2\u30b8\u30e5\u30ea\u30f3\u6e2c\u5b9a<\/strong>\u3092\u5c0e\u5165\u3057\u3001<br>\u3088\u308a\u4e00\u6b69\u5148\u306e\u814e\u81d3\u8a55\u4fa1\u3092\u884c\u3063\u3066\u3044\u307e\u3059\u3002<\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h2 class=\"wp-block-heading\">\u6b63\u78ba\u306a\u8a55\u4fa1\u304c\u3001\u6cbb\u7642\u65b9\u91dd\u3092\u5909\u3048\u308b<\/h2>\n\n\n\n<p>\u814e\u6a5f\u80fd\u3092\u6b63\u78ba\u306b\u628a\u63e1\u3067\u304d\u308b\u3068\u3001<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\u85ac\u5264\u9078\u629e\uff08\u7528\u91cf\u8abf\u6574\uff09<\/li>\n\n\n\n<li>\u8840\u5727\u76ee\u6a19<\/li>\n\n\n\n<li>\u98df\u4e8b\u6307\u5c0e\u306e\u5f37\u5ea6<\/li>\n\n\n\n<li>\u30d5\u30a9\u30ed\u30fc\u9593\u9694<\/li>\n<\/ul>\n\n\n\n<p>\u3092\u3001<strong>\u60a3\u8005\u3055\u3093\u3054\u3068\u306b\u6700\u9069\u5316<\/strong>\u3067\u304d\u307e\u3059\uff3b12\uff3d\u3002<\/p>\n\n\n\n<p>\u7279\u306b\u7cd6\u5c3f\u75c5\u6cbb\u7642\u85ac\u306e\u4e2d\u306b\u306f\u3001<br>\u814e\u6a5f\u80fd\u306b\u3088\u3063\u3066\u4f7f\u7528\u53ef\u5426\u3084\u7528\u91cf\u304c\u5909\u308f\u308b\u3082\u306e\u3082\u591a\u304f\u3001<br>\u300c\u6b63\u3057\u3044\u6570\u5024\u3092\u77e5\u308b\u300d\u3053\u3068\u304c\u5b89\u5168\u306a\u6cbb\u7642\u306b\u3064\u306a\u304c\u308a\u307e\u3059\u3002<\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h2 class=\"wp-block-heading\">\u7cd6\u5c3f\u75c5\u6027\u814e\u81d3\u75c5\u306e\u6cbb\u7642\u306e\u67f1<\/h2>\n\n\n\n<h3 class=\"wp-block-heading\">\u2460 \u8840\u7cd6\u7ba1\u7406<\/h3>\n\n\n\n<p>HbA1c\u3092\u9069\u5207\u306a\u7bc4\u56f2\u306b\u4fdd\u3064\u3053\u3068\u3067\u3001\u814e\u75c7\u9032\u884c\u306f\u660e\u3089\u304b\u306b\u6291\u5236\u3055\u308c\u307e\u3059\uff3b13\uff3d\u3002<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">\u2461 \u8840\u5727\u7ba1\u7406<\/h3>\n\n\n\n<p>\u7cd6\u5c3f\u75c5\uff0bCKD\u3067\u306f\u3001\u8840\u5727\u7ba1\u7406\u304c\u6975\u3081\u3066\u91cd\u8981\u3067\u3059\uff3b14\uff3d\u3002<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">\u2462 \u814e\u4fdd\u8b77\u3092\u610f\u8b58\u3057\u305f\u85ac\u7269\u6cbb\u7642<\/h3>\n\n\n\n<p>\u8fd1\u5e74\u3001\u814e\u4fdd\u8b77\u52b9\u679c\u304c\u793a\u3055\u308c\u305f\u85ac\u5264\u304c\u767b\u5834\u3057\u3001\u6cbb\u7642\u6226\u7565\u306f\u5927\u304d\u304f\u5909\u308f\u3063\u3066\u3044\u307e\u3059\uff3b15,16\uff3d\u3002<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">\u2463 \u751f\u6d3b\u7fd2\u6163\u306e\u8abf\u6574<\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\u6e1b\u5869<\/li>\n\n\n\n<li>\u9069\u6b63\u30ab\u30ed\u30ea\u30fc<\/li>\n\n\n\n<li>\u7981\u7159<\/li>\n\n\n\n<li>\u7d99\u7d9a\u53ef\u80fd\u306a\u904b\u52d5<\/li>\n<\/ul>\n\n\n\n<p>\u3053\u308c\u3089\u306f\u85ac\u3068\u540c\u7b49\u306b\u91cd\u8981\u3067\u3059\uff3b17\uff3d\u3002<\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h2 class=\"wp-block-heading\">\u300c\u900f\u6790\u3092\u9632\u3050\u300d\u305f\u3081\u306b\u6700\u3082\u5927\u5207\u306a\u3053\u3068<\/h2>\n\n\n\n<p>\u7cd6\u5c3f\u75c5\u6027\u814e\u81d3\u75c5\u306f\u3001<br><strong>\u65e9\u671f\u306b\u6c17\u3065\u304d\u3001\u6b63\u78ba\u306b\u8a55\u4fa1\u3057\u3001\u7d99\u7d9a\u3057\u3066\u7ba1\u7406\u3059\u308b<\/strong><br>\u3053\u3068\u3067\u3001\u900f\u6790\u3092\u56de\u907f\u3001\u3042\u308b\u3044\u306f\u5927\u304d\u304f\u9045\u3089\u305b\u3089\u308c\u308b\u53ef\u80fd\u6027\u304c\u3042\u308a\u307e\u3059\uff3b18,19\uff3d\u3002<\/p>\n\n\n\n<p>\u5f53\u9662\u3067\u306f\u3001<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\u6a19\u6e96\u691c\u67fb\uff0b\u30b7\u30b9\u30bf\u30c1\u30f3C<\/li>\n\n\n\n<li>\u3055\u3089\u306b\u30a6\u30ed\u30e2\u30b8\u30e5\u30ea\u30f3\u6e2c\u5b9a<\/li>\n<\/ul>\n\n\n\n<p>\u3092\u7d44\u307f\u5408\u308f\u305b\u3001<br><strong>\u5c06\u6765\u3092\u898b\u636e\u3048\u305f\u814e\u81d3\u8a3a\u7642<\/strong>\u3092\u884c\u3063\u3066\u3044\u307e\u3059\u3002<\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h2 class=\"wp-block-heading\">\u307e\u3068\u3081 \u2015 \u814e\u81d3\u3092\u5b88\u308b\u3053\u3068\u306f\u3001\u4eba\u751f\u3092\u5b88\u308b\u3053\u3068<\/h2>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\u7cd6\u5c3f\u75c5\u306f\u6162\u6027\u814e\u81d3\u75c5\u306e\u6700\u5927\u539f\u56e0<\/li>\n\n\n\n<li>\u521d\u671f\u306b\u306f\u75c7\u72b6\u304c\u306a\u304f\u3001\u691c\u67fb\u304c\u91cd\u8981<\/li>\n\n\n\n<li>\u30af\u30ec\u30a2\u30c1\u30cb\u30f3\u3060\u3051\u3067\u306a\u304f\u3001\u30b7\u30b9\u30bf\u30c1\u30f3C\u30fb\u30a6\u30ed\u30e2\u30b8\u30e5\u30ea\u30f3\u304c\u6709\u7528<\/li>\n\n\n\n<li>\u6b63\u78ba\u306a\u8a55\u4fa1\u304c\u3001\u6cbb\u7642\u306e\u8cea\u3092\u9ad8\u3081\u308b<\/li>\n\n\n\n<li>\u65e9\u671f\u4ecb\u5165\u3067\u900f\u6790\u3092\u9632\u3052\u308b\u53ef\u80fd\u6027\u304c\u3042\u308b<\/li>\n<\/ul>\n\n\n\n<p>\u4e0d\u5b89\u3084\u7591\u554f\u304c\u3042\u308c\u3070\u3001\u3069\u3046\u305e\u65e9\u3081\u306b\u3054\u76f8\u8ac7\u304f\u3060\u3055\u3044\u3002<\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h2 class=\"wp-block-heading\">\u53c2\u8003\u6587\u732e\uff08\u6d77\u5916\u6587\u732e\uff09<\/h2>\n\n\n\n<ol class=\"wp-block-list\">\n<li>Alicic RZ et al.\u00a0<em>Diabetic kidney disease: challenges, progress, and possibilities<\/em>. Clin J Am Soc Nephrol. 2017<\/li>\n\n\n\n<li>Brownlee M.\u00a0<em>The pathobiology of diabetic complications<\/em>. Diabetes. 2005<\/li>\n\n\n\n<li>Forbes JM, Cooper ME.\u00a0<em>Mechanisms of diabetic complications<\/em>. Physiol Rev. 2013<\/li>\n\n\n\n<li>Afkarian M et al.\u00a0<em>Clinical manifestations of kidney disease among adults with diabetes<\/em>. JAMA. 2016<\/li>\n\n\n\n<li>United States Renal Data System.\u00a0<em>USRDS Annual Data Report<\/em>. Am J Kidney Dis. 2020<\/li>\n\n\n\n<li>Fox CS et al.\u00a0<em>Associations of kidney disease measures with mortality and ESRD<\/em>. Lancet. 2012<\/li>\n\n\n\n<li>Stevens LA et al.\u00a0<em>Assessing kidney function \u2014 measured and estimated GFR<\/em>. N Engl J Med. 2006<\/li>\n\n\n\n<li>Shlipak MG et al.\u00a0<em>Cystatin C versus creatinine in determining risk<\/em>. N Engl J Med. 2005<\/li>\n\n\n\n<li>Peralta CA et al.\u00a0<em>Detection of chronic kidney disease with creatinine, cystatin C<\/em>. Ann Intern Med. 2011<\/li>\n\n\n\n<li>Steubl D et al.\u00a0<em>Serum uromodulin predicts progression of kidney disease<\/em>. Kidney Int. 2016<\/li>\n\n\n\n<li>Garimella PS et al.\u00a0<em>Uromodulin and risk of CKD progression<\/em>. J Am Soc Nephrol. 2017<\/li>\n\n\n\n<li>KDIGO.\u00a0<em>Clinical Practice Guideline for Diabetes Management in CKD<\/em>. Kidney Int. 2020<\/li>\n\n\n\n<li>UK Prospective Diabetes Study Group.\u00a0<em>Intensive blood-glucose control<\/em>. Lancet. 1998<\/li>\n\n\n\n<li>Bakris GL et al.\u00a0<em>Blood pressure control in diabetes and CKD<\/em>. Kidney Int. 2019<\/li>\n\n\n\n<li>Wanner C et al.\u00a0<em>Empagliflozin and kidney disease<\/em>. N Engl J Med. 2016<\/li>\n\n\n\n<li>Heerspink HJL et al.\u00a0<em>Dapagliflozin in chronic kidney disease<\/em>. N Engl J Med. 2020<\/li>\n\n\n\n<li>Kramer H et al.\u00a0<em>Lifestyle and progression of CKD<\/em>. Clin J Am Soc Nephrol. 2018<\/li>\n\n\n\n<li>Perkovic V et al.\u00a0<em>Canagliflozin and renal outcomes<\/em>. N Engl J Med. 2019<\/li>\n\n\n\n<li>Brenner BM et al.\u00a0<em>Effects of renin\u2013angiotensin system blockade<\/em>. N Engl J Med. 2001<\/li>\n\n\n\n<li>Thomas MC et al.\u00a0<em>Diabetic kidney disease<\/em>. Nat Rev Dis Primers. 2015<\/li>\n<\/ol>\n\n\n\n<p>\u25c6\u3053\u306e\u30d6\u30ed\u30b0\u306f\u3001\u751f\u6210AI\u3092\u7528\u3044\u305f\u539f\u7a3f\u3092\u3001\u9662\u9577\u304c\u76e3\u4fee\u3057\u3066\u304a\u308a\u307e\u3059\u25c6<\/p>\n","protected":false},"excerpt":{"rendered":"<p>\u2015 \u6b63\u78ba\u306a\u814e\u6a5f\u80fd\u8a55\u4fa1\u304c\u3001\u5c06\u6765\u3092\u5927\u304d\u304f\u5909\u3048\u308b \u2015 \u8fd1\u5e74\u3001\u5f53\u9662\u306e\u30db\u30fc\u30e0\u30da\u30fc\u30b8\u3067\u306f\u300c\u7cd6\u5c3f\u75c5\u300d\u306b\u95a2\u3059\u308b\u691c\u7d22\u304c\u660e\u3089\u304b\u306b\u5897\u3048\u3066\u3044\u307e\u3059\u3002\u3053\u308c\u306f\u3001\u5065\u5eb7\u8a3a\u65ad\u3067\u8840\u7cd6\u5024\u3084HbA1c\u3092&#8230;<\/p>\n","protected":false},"author":2,"featured_media":238,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[23,30,43,47,15,7,17,6,19,11,14,13,18,4,12],"class_list":["post-237","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-ldl","category-30","category-43","category-c","category-15","category-about","category-17","category-ckd","category-19","category-11","category-14","category-13","category-18","category-commentary","category-12"],"aioseo_notices":[],"_links":{"self":[{"href":"https:\/\/miyamotojinnaika.jp\/blog\/wp-json\/wp\/v2\/posts\/237","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/miyamotojinnaika.jp\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/miyamotojinnaika.jp\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/miyamotojinnaika.jp\/blog\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/miyamotojinnaika.jp\/blog\/wp-json\/wp\/v2\/comments?post=237"}],"version-history":[{"count":1,"href":"https:\/\/miyamotojinnaika.jp\/blog\/wp-json\/wp\/v2\/posts\/237\/revisions"}],"predecessor-version":[{"id":239,"href":"https:\/\/miyamotojinnaika.jp\/blog\/wp-json\/wp\/v2\/posts\/237\/revisions\/239"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/miyamotojinnaika.jp\/blog\/wp-json\/wp\/v2\/media\/238"}],"wp:attachment":[{"href":"https:\/\/miyamotojinnaika.jp\/blog\/wp-json\/wp\/v2\/media?parent=237"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/miyamotojinnaika.jp\/blog\/wp-json\/wp\/v2\/categories?post=237"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}