{"id":12339,"date":"2021-08-06T09:55:02","date_gmt":"2021-08-06T00:55:02","guid":{"rendered":"https:\/\/juntan.net\/newblog\/index.php\/2021\/08\/06\/commentary-on-the-news-that-japans-first-chronic-kidney-disease-drug-ckd-has-been-approved\/"},"modified":"2025-07-04T10:12:35","modified_gmt":"2025-07-04T01:12:35","slug":"commentary-on-the-news-that-japans-first-chronic-kidney-disease-drug-ckd-has-been-approved","status":"publish","type":"post","link":"https:\/\/juntan.net\/blog\/kidney-disease\/commentary-on-the-news-that-japans-first-chronic-kidney-disease-drug-ckd-has-been-approved\/","title":{"rendered":"\u30102025\u5e74\u6700\u65b0\u7248\u3011\u6162\u6027\u814e\u81d3\u75c5\uff08CKD\uff09\u6cbb\u7642\u85ac\u30d5\u30a9\u30b7\u30fc\u30ac\u30fb\u30ab\u30ca\u30b0\u30eb\u30fb\u30b1\u30ec\u30f3\u30c7\u30a3\u30a2\u3063\u3066\u3069\u3093\u306a\u85ac\uff1f\u7d14\u70ad\u793e\u9577\u304c\u89e3\u8aac\u3057\u307e\u3059\u3002"},"content":{"rendered":"\n<p>\u3053\u3093\u306b\u3061\u306f\u3002\u7d14\u70ad\u793e\u9577\u306e\u6a0b\u53e3\u3067\u3059\u3002<br><br>2021\u5e748\u6708\u306b\u6162\u6027\u814e\u81d3\u75c5\u6cbb\u7642\u85ac\u3068\u3057\u3066\u627f\u8a8d\u3055\u308c\u305f\u30d5\u30a9\u30b7\u30fc\u30ac\u306b\u5f15\u304d\u7d9a\u304d\u30012022\u5e74\u306b\u306f\u30ab\u30ca\u30b0\u30eb\u3068\u30b1\u30ec\u30f3\u30c7\u30a3\u30a2\u306e2\u5264\u304c\u6162\u6027\u814e\u81d3\u75c5\u6cbb\u7642\u85ac\u3068\u3057\u3066\u4f7f\u3048\u308b\u3088\u3046\u306b\u306a\u308a\u307e\u3057\u305f\u306e\u3067\u3001\u6700\u65b0\u60c5\u5831\u3092\u8ffd\u8a18\u3057\u307e\u3059\u3002<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">2021\u5e748\u6708\u3001\u6162\u6027\u814e\u81d3\u75c5\uff08CKD\uff09\u306e\u6cbb\u7642\u85ac\u3000\u56fd\u5185\u3067\u521d\u3081\u3066\u627f\u8a8d\u3078\uff01<\/h2>\n\n\n\n<p><img decoding=\"async\" src=\"https:\/\/juntan.net\/blog\/wp-content\/uploads\/2021\/08\/fcfca7d7e2d7b271a4bd6d7514142e29-450x300.jpg\" alt=\"\u65b0\u85ac\u306e\u7814\u7a76\u958b\u767a\u306e\u30a4\u30e1\u30fc\u30b8\u5199\u771f\" style=\"width: 640px;\"><br>\u7d14\u70ad\u7c89\u672b\u516c\u5f0f\u5c02\u9580\u5e97\u306e\u304a\u5ba2\u69d8\u306b\u304a\u5c4a\u3051\u3057\u3066\u3044\u308b<a href=\"https:\/\/juntan.net\/blog\/2021\/03\/29\/kiyoratuushin22\/\" target=\"_blank\" rel=\"noopener\">\u300c\u304d\u3088\u3089\u901a\u4fe1\u300d\u3084\u30d6\u30ed\u30b0\u300c\u6162\u6027\u814e\u81d3\u75c5\uff08CKD\uff09\u671f\u5f85\u306e\u65b0\u85ac\u300d<\/a>\u3067\u3082\u7d39\u4ecb\u3057\u305fSGLT2\u963b\u5bb3\u85ac\u304c\u6162\u6027\u814e\u81d3\u75c5\uff08CKD\uff09\u6cbb\u7642\u85ac\u3068\u3057\u3066\u627f\u8a8d\u7533\u8acb\u3055\u308c\u307e\u3057\u305f\u306d\u3002<br><br>\u6628\u65e5\u3082\u304a\u5ba2\u3055\u307e\u304b\u3089\u300c\u6162\u6027\u814e\u81d3\u75c5\u306e\u6cbb\u7642\u85ac\u304c\u51fa\u305f\u3063\u3066\u30c6\u30ec\u30d3\u3067\u898b\u305f\u3093\u3060\u3051\u3069\u3001\u3069\u3093\u306a\u85ac\uff1f\u300d\u3068\u3044\u3046\u304a\u554f\u5408\u305b\u304c\u3042\u308a\u307e\u3057\u305f<\/p>\n\n\n\n<p><img decoding=\"async\" src=\"https:\/\/juntan.net\/blog\/wp-content\/uploads\/2021\/08\/f16e13f483ab068704b28d4760627ceb-450x300.jpg\" alt=\"\u30c6\u30ec\u30d3\u5831\u9053\u306e\u30a4\u30e1\u30fc\u30b8\u5199\u771f\" style=\"width: 640px;\"><br>2021\u5e748\u6708\u306b\u627f\u8a8d\u3055\u308c\u305f\u306e\u306fSGLT2\u963b\u5bb3\u85ac\u306e\u306a\u304b\u306e\u300c\u30d5\u30a9\u30b7\u30fc\u30ac\u300d\u3068\u3044\u3046\u85ac\u306a\u306e\u3067\u3059\u304c\u3001\u30c6\u30ec\u30d3\u3084\u65b0\u805e\u3067\u300c\u56fd\u5185\u521d\u306e\u6162\u6027\u814e\u81d3\u75c5\uff08CKD\uff09\u6cbb\u7642\u85ac\u300d\u3068\u5831\u9053\u3055\u308c\u3066\u3044\u308b\u306e\u3092\u77e5\u3063\u3066\u3001\u7d14\u70ad\u793e\u9577\u7684\u306b\u306f\uff1f\uff1f\uff1f\u3068\u601d\u3063\u3066\u3057\u307e\u3044\u307e\u3057\u305f\u3002<br><br>\u3068\u3044\u3046\u306e\u3082\u6162\u6027\u814e\u81d3\u75c5\uff08CKD\uff09\u7528\u5264\u3067\u3042\u308b\u300c\u30af\u30ec\u30e1\u30b8\u30f3\uff08\u7403\u5f62\u5438\u7740\u70ad\uff09\u300d\u304c1991\u5e74\u306b\u627f\u8a8d\u3055\u308c\u3066\u3044\u308b\u304b\u3089\u306a\u306e\u3067\u3059\u3002\u30af\u30ec\u30e1\u30b8\u30f3\u3092\u958b\u767a\u3057\u305f\u30af\u30ec\u30cf\uff08\u65e7\u5449\u7fbd\u5316\u5b66\u5de5\u696d\uff09\u3055\u3093\u306f\u6094\u3057\u3044\u6c17\u6301\u3061\u306b\u306a\u3063\u3066\u3044\u308b\u306e\u3067\u306f\uff1f<br><br>\u4f59\u8ac7\u3067\u3059\u304c\u3001\u79c1\u3001\u5c31\u8077\u6d3b\u52d5\u3067\u30af\u30ec\u30cf\u306e\u533b\u85ac\u54c1\u90e8\u9580\u3092\u53d7\u3051\u3066\u5f79\u54e1\u9762\u63a5\u3067\u898b\u4e8b\u306b\u843d\u3063\u3053\u3061\u307e\u3057\u305f\uff08\u7b11\uff09\u3067\u3082\u3001\u30af\u30ec\u30cf\u3092\u6068\u3093\u3067\u306f\u3044\u307e\u305b\u3093\u3088\u3002<br><br>\u304a\u304b\u3052\u3067\u4e2d\u5916\u88fd\u85ac\u306e\u7814\u7a76\u6240\u306b\u5c31\u8077\u3057\u3066\u814e\u6027\u8ca7\u8840\u6cbb\u7642\u85ac\u306e\u5275\u85ac\u306b\u643a\u308f\u308c\u305f\u8a33\u3067\u3059\u3057\u3001\u4eca\u3067\u3082\u30e9\u30c3\u30d7\u306f\u300c\u30af\u30ec\u30e9\u30c3\u30d7\u300d\u3092\u611b\u7528\u3057\u3066\u3044\u307e\u3059\uff08\u7b11\uff09\u3002<br><br>\u3010\u53c2\u8003\u3011<br><a href=\"https:\/\/www.mhlw.go.jp\/stf\/newpage_17595.html\" target=\"_blank\" rel=\"noopener\">2021\u5e741\u670827\u65e5\u3000\u85ac\u4e8b\u30fb\u98df\u54c1\u885b\u751f\u5be9\u8b70\u4f1a\u3000\u533b\u85ac\u54c1\u7b2c\u4e00\u90e8\u4f1a\u3000\u8b70\u4e8b\u9332\uff08\u539a\u751f\u52b4\u50cd\u7701\uff09<\/a><br>\uff087\u670828\u65e5\u306e\u5c02\u9580\u90e8\u4f1a\u8b70\u4e8b\u9332\u306f\u4eca\u306e\u3068\u3053\u308d\u539a\u751f\u52b4\u50cd\u7701\u30db\u30fc\u30e0\u30da\u30fc\u30b8\u306b\u30a2\u30c3\u30d7\u3055\u308c\u3066\u3044\u307e\u305b\u3093\u3067\u3057\u305f\uff09<br><a href=\"https:\/\/www.kureha.co.jp\/about\/history.html\" target=\"_blank\" rel=\"noopener\">\u30af\u30ec\u30cf\u306e\u6b74\u53f2\u30fb\u6cbf\u9769\u3000-\u682a\u5f0f\u4f1a\u793e\u30af\u30ec\u30cf<\/a><\/p>\n\n\n\n<h2 class=\"wp-block-heading\">\u30d5\u30a9\u30b7\u30fc\u30ac\u30fb\u30ab\u30ca\u30b0\u30eb\u3063\u3066\u3069\u3093\u306a\u85ac\uff1f<\/h2>\n\n\n\n<p><img decoding=\"async\" src=\"https:\/\/juntan.net\/blog\/wp-content\/uploads\/2021\/08\/fbc540842691718738b7f3390c72e30f-450x300.jpg\" alt=\"\u85ac\u3092\u6c42\u3081\u308b\u624b\u306e\u30a4\u30e1\u30fc\u30b8\u5199\u771f\" style=\"width: 640px;\"><br>\u3055\u3066\u3001\u672c\u984c\u306b\u5165\u308a\u307e\u3059\u304c\u3001\u8ca9\u58f2\u540d\u30d5\u30a9\u30b7\u30fc\u30ac\uff08\u4e00\u822c\u540d\u79f0\uff1a\u30c0\u30d1\u30b0\u30ea\u30d5\u30ed\u30b8\u30f3\u30d7\u30ed\u30d4\u30ec\u30f3\u30b0\u30ea\u30b3\u30fc\u30eb\u6c34\u548c\u7269\uff09\u3082\u30012022\u5e746\u6708\u306b\u627f\u8a8d\u3055\u308c\u305f\u30ab\u30ca\u30b0\u30eb\uff08\u4e00\u822c\u540d\u79f0\uff1a\u30ab\u30ca\u30b0\u30ea\u30d5\u30ed\u30b8\u30f3\u6c34\u548c\u7269\uff09\u3082\u3001SGLT2\u963b\u5bb3\u85ac\u306b\u5206\u985e\u3055\u308c\u308b\u7cd6\u5c3f\u75c5\u306e\u6cbb\u7642\u85ac\u3067\u3059\u3002<br><br>\u814e\u81d3\u306b\u3042\u308bSGLT2\u3068\u3044\u3046\u30dd\u30f3\u30d7\uff08\u5c3f\u4e2d\u306b\u6368\u3066\u3089\u308c\u305f\u30d6\u30c9\u30a6\u7cd6\u3092\u518d\u5438\u53ce\u3057\u3066\u8840\u6db2\u306b\u623b\u3059\u30dd\u30f3\u30d7\u306e\u3088\u3046\u306a\u7269\u8cea\uff09\u306e\u50cd\u304d\u3092\u963b\u5bb3\u3059\u308b\u3053\u3068\u3067\u3001\u30d6\u30c9\u30a6\u7cd6\u3092\u5c3f\u4e2d\u306b\u6368\u3066\u3066\u8840\u7cd6\u5024\u3092\u4e0b\u3052\u308b\u50cd\u304d\u304c\u3042\u308a\u307e\u3059\u3002<br><br>\u30d5\u30a9\u30b7\u30fc\u30ac\u306f\u65e5\u672c\u306b\u304a\u3044\u30662014\u5e74\u306b\u300c2\u578b\u7cd6\u5c3f\u75c5\u300d\u30012019\u5e74\u306b\u300c1\u578b\u7cd6\u5c3f\u75c5\u300d\u30012020\u5e74\u306b\u300c\u6162\u6027\u5fc3\u4e0d\u5168\u300d\u306e\u6cbb\u7642\u85ac\u3068\u3057\u3066\u627f\u8a8d\u3055\u308c\u3066\u3044\u307e\u3059\u3002<br><br>\u305d\u3057\u30662021\u5e74\u3001\u300c\u6162\u6027\u814e\u81d3\u75c5\u300d\u306e\u6cbb\u7642\u85ac\u3068\u3057\u3066\u627f\u8a8d\u3055\u308c\u308b\u3053\u3068\u306b\u306a\u308a\u307e\u3057\u305f\u3002<br>\u306a\u305c\u5fc3\u4e0d\u5168\u3084\u814e\u81d3\u75c5\u306b\u52b9\u304f\u306e\u304b\uff1f\u4eca\u306e\u3068\u3053\u308d\u30e1\u30ab\u30cb\u30ba\u30e0\u306f\u660e\u3089\u304b\u3067\u306f\u3042\u308a\u307e\u305b\u3093\u304c\u3001\u30e1\u30ab\u30cb\u30ba\u30e0\u304c\u89e3\u660e\u3055\u308c\u308c\u3070\u66f4\u306b\u52b9\u679c\u7684\u306a\u6cbb\u7642\u85ac\u306e\u958b\u767a\u306b\u3064\u306a\u304c\u308b\u3068\u671f\u5f85\u3055\u308c\u307e\u3059\u3002<br>\u3010\u53c2\u8003\u3011<br>\u30fb<a href=\"https:\/\/med.astrazeneca.co.jp\/product\/brand-fxg.html\" target=\"_blank\" rel=\"noopener\">\u30d5\u30a9\u30b7\u30fc\u30ac\u3000-\u30a2\u30b9\u30c8\u30e9\u30bc\u30cd\u30ab\u533b\u7642\u95a2\u4fc2\u8005\u5411\u3051\u60c5\u5831<\/a><br>\u30fb<a href=\"https:\/\/www.mt-pharma.co.jp\/news\/2022\/MTPC220621.html\" target=\"_blank\" rel=\"noopener\">\u30ab\u30ca\u30b0\u30eb\u3000-\u7530\u8fba\u4e09\u83f1\u88fd\u85ac<\/a><\/p>\n\n\n\n<h2 class=\"wp-block-heading\">\u30d5\u30a9\u30b7\u30fc\u30ac\u3084\u30ab\u30ca\u30b0\u30eb\u306f\u6162\u6027\u814e\u81d3\u75c5\uff08CKD\uff09\u306a\u3089\u8ab0\u3067\u3082\u4f7f\u3048\u308b\uff1f<\/h2>\n\n\n\n<p><img decoding=\"async\" src=\"https:\/\/juntan.net\/blog\/wp-content\/uploads\/2021\/08\/c82be6e3d5d3c9fb18f9a1db166fd035-450x300.jpg\" alt=\"\u9752\u7a7a\u3000\u5973\u6027\" style=\"width: 640px;\"><br>\u3053\u306e\u30d6\u30ed\u30b0\u3092\u6700\u521d\u306b\u66f8\u3044\u305f2021\u5e748\u67085\u65e5\u6642\u70b9\u3067\u306f\u6162\u6027\u814e\u81d3\u75c5\uff08CKD\uff09\u6cbb\u7642\u85ac\u3068\u3057\u3066\u306e\u30d5\u30a9\u30b7\u30fc\u30ac\u306f\u6b63\u5f0f\u627f\u8a8d\u3055\u308c\u3066\u3044\u306a\u3044\u306e\u3067\u3001\u3069\u306e\u3088\u3046\u306a\u6162\u6027\u814e\u81d3\u75c5\uff08CKD\uff09\u60a3\u8005\u304c\u30d5\u30a9\u30b7\u30fc\u30ac\u6cbb\u7642\u306e\u5bfe\u8c61\u306b\u306a\u308b\u306e\u304b\uff1f\u306f\u660e\u3089\u304b\u3067\u306f\u3042\u308a\u307e\u305b\u3093\u3067\u3057\u305f\u3002<br><br>\u3057\u304b\u3057\u3001\u30d5\u30a9\u30b7\u30fc\u30ac\u306e\u56fd\u969b\u7684\u306a\u81e8\u5e8a\u8a66\u9a13\uff08DAPA-CKD\uff09\u3067\u306f\u7cd6\u5c3f\u75c5\u306e\u6709\u7121\u3092\u554f\u308f\u306a\u30444,304\u4f8b\u306e\u6162\u6027\u814e\u81d3\u75c5\uff08CKD\uff09\u60a3\u8005\u3067\u81e8\u5e8a\u8a66\u9a13\u304c\u884c\u308f\u308c\u3066\u3044\u308b\u306e\u3067\u3001\u7cd6\u5c3f\u75c5\u3067\u306a\u304f\u3066\u3082\u30d5\u30a9\u30b7\u30fc\u30ac\u304c\u4f7f\u3048\u308b\u3088\u3046\u306b\u306a\u308b\u306e\u3067\u306f\uff1f\u3068\u671f\u5f85\u3057\u3066\u3044\u307e\u3059\u3002<br><br>\u3057\u304b\u3057\u3001DAPA-CKD\u8a66\u9a13\u3067\u306feGFR\u304c25\u4ee5\u4e0a75\u672a\u6e80\u306e\u6162\u6027\u814e\u81d3\u75c5\uff08CKD\uff09\u60a3\u8005\u3067\u3042\u308a\u3001\u5c1a\u4e14\u3064\u3001ACE\u963b\u5bb3\u85ac\uff08\u307e\u305f\u306fARB\uff09\u3068\u3044\u3046\u8840\u5727\u3092\u4e0b\u3052\u308b\u85ac\u30924\u9031\u9593\u4ee5\u4e0a\u670d\u7528\u3057\u3066\u3044\u308b\u60a3\u8005\u304c\u81e8\u5e8a\u8a66\u9a13\u306e\u5bfe\u8c61\u306b\u306a\u3063\u3066\u3044\u307e\u3059\u3002<br><br>\u3068\u3044\u3046\u3053\u3068\u306f\u3001\u65e5\u672c\u306e\u6162\u6027\u814e\u81d3\u75c5\uff08CKD\uff09\u6cbb\u7642\u306b\u304a\u3044\u3066\u3001<br>\u2460eGFR\u304c25\u3088\u308a\u3082\u4e0b\u306e\u5834\u5408\u306f\u4f7f\u3048\u308b\u306e\u304b\uff1f<br>\u2461ACE\u963b\u5bb3\u85ac\u3084ARB\u4ee5\u5916\u306e\u8840\u5727\u306e\u85ac\uff08\u30ab\u30eb\u30b7\u30a6\u30e0\u62ee\u6297\u85ac\u306a\u3069\uff09\u3092\u98f2\u3093\u3067\u3044\u308b\u3068\u4f7f\u3048\u306a\u3044\u306e\u304b\uff1f<br>\u3068\u3044\u3046\uff12\u70b9\u304c\u6c17\u306b\u306a\u308a\u307e\u3059\u3002\u6b63\u5f0f\u306b\u627f\u8a8d\u3055\u308c\u305f\u3089\u60c5\u5831\u3092\u8ffd\u8a18\u3057\u307e\u3059\u306d\u3002<br>\u3010\u53c2\u8003\u3011<a href=\"https:\/\/www.ebm-library.jp\/diabetes\/trial\/detail\/51799.html\" target=\"_blank\" rel=\"noopener\">DAPA-CKD\u3000-\u7cd6\u5c3f\u75c5\u30c8\u30e9\u30a4\u30a2\u30eb\u30c7\u30fc\u30bf\u30d9\u30fc\u30b9<\/a><\/p>\n\n\n\n<h2 class=\"wp-block-heading\">2021\u5e748\u6708\u8ffd\u8a18\uff1a\u30d5\u30a9\u30b7\u30fc\u30ac\u306f\u7cd6\u5c3f\u75c5\u3067\u306f\u306a\u3044\u6162\u6027\u814e\u81d3\u75c5\u3067\u3082\u4f7f\u3048\u308b\u85ac\uff01<\/h2>\n\n\n\n<p>\u30a2\u30b9\u30c8\u30e9\u30bc\u30cd\u30ab\uff08\u88fd\u9020\u8ca9\u58f2\u5143\uff09\u3068\u5c0f\u91ce\u85ac\u54c1\u5de5\u696d\uff08\u8ca9\u58f2\uff09\u306f\u30d5\u30a9\u30b7\u30fc\u30ac\u306b\u3064\u3044\u3066\u30012\u578b\u7cd6\u5c3f\u75c5\u5408\u4f75\u306e\u6709\u7121\u306b\u95a2\u308f\u3089\u305a\u3001\u300c\u6162\u6027\u814e\u81d3\u75c5\uff08\u305f\u3060\u3057\u3001\u672b\u671f\u814e\u4e0d\u5168\u53c8\u306f\u900f\u6790\u65bd\u884c\u4e2d\u306e\u60a3\u8005\u3092\u9664\u304f\uff09\u300d\u306e\u52b9\u80fd\u53c8\u306f\u52b9\u679c\u306e\u8ffd\u52a0\u627f\u8a8d\u3092\u53d6\u5f97\u3057\u305f\u3068\u767a\u8868\u3057\u307e\u3057\u305f\u3002<\/p>\n\n\n\n<p>\u4e88\u60f3\u901a\u308a\u3001\u7cd6\u5c3f\u75c5\u306e\u6709\u7121\u306b\u95a2\u308f\u3089\u305a\u4f7f\u3048\u308b\u3088\u3046\u306b\u306a\u3063\u305f\u308f\u3051\u3067\u3059\u304c<br><br>\u30fbeGFR\u304c25\u672a\u6e80\u3067\u3082\u4f7f\u3048\u308b\u306e\u304b\uff1f<br>\u30fb\u964d\u5727\u5264\uff08ACE\u963b\u5bb3\u85ac\u3084ARB\uff09\u306e\u4f75\u7528\u306f\u5fc5\u9808\u306a\u306e\u304b\uff1f<br>\u30fb\u6162\u6027\u814e\u81d3\u75c5\u7279\u6709\u306e\u526f\u4f5c\u7528\u306f\u3042\u308b\u306e\u304b\uff1f<br><br>\u3068\u3044\u3063\u305f\u70b9\u306b\u3064\u3044\u3066\u3001\u6539\u8a02\u3055\u308c\u305f\u6dfb\u4ed8\u6587\u7ae0\u304b\u3089\u629c\u7c8b\u3057\u3066\u307f\u307e\u3059\u3002<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">eGFR 25\u672a\u6e80\u3067\u3082\u4f7f\u3048\u308b\u306e\uff1f<\/h3>\n\n\n\n<p>\u300eeGFR\u304c25mL\/min\/1.73m2\u672a\u6e80\u306e\u60a3\u8005\u3067\u306f\u3001\u672c\u5264\u306e\u814e\u4fdd\u8b77\u4f5c\u7528\u304c\u5341\u5206\u306b\u5f97\u3089\u308c\u306a\u3044\u53ef\u80fd\u6027\u304c\u3042\u308b\u3053\u3068\u3001\u672c\u5264\u6295\u4e0e\u4e2d\u306beGFR\u304c\u4f4e\u4e0b\u3059\u308b\u3053\u3068\u304c\u3042\u308a\u3001\u814e\u6a5f\u80fd\u969c\u5bb3\u304c\u60aa\u5316\u3059\u308b\u304a\u305d\u308c\u304c\u3042\u308b\u3053\u3068\u304b\u3089\u3001\u6295\u4e0e\u306e\u5fc5\u8981\u6027\u3092\u614e\u91cd\u306b\u5224\u65ad\u3059\u308b\u3053\u3068\uff08\u6dfb\u4ed8\u6587\u7ae05.7\u9805\u3088\u308a\u629c\u7c8b\uff09\u300f\u3068\u66f8\u304b\u308c\u3066\u304a\u308a\u3001\u814e\u6a5f\u80fd\u969c\u5bb3\u306e\u60aa\u5316\u306b\u5341\u5206\u6ce8\u610f\u3059\u308c\u3070\u3001\u5168\u304f\u4f7f\u3048\u306a\u3044\u308f\u3051\u3067\u306f\u306a\u3055\u305d\u3046\u3067\u3059\u3002<\/p>\n\n\n\n<p>\u307e\u305f\u3001\u6dfb\u4ed8\u6587\u7ae08.2\u9805\u306b\u306f\u300e\u7cd6\u5c3f\u75c5\u306e\u8840\u7cd6\u30b3\u30f3\u30c8\u30ed\u30fc\u30eb\u6539\u5584\u3092\u76ee\u7684\u3068\u3057\u3066\u4f7f\u7528\u3057\u3066\u3044\u308b\u60a3\u8005\u306b\u304a\u3044\u3066\u306f\u3001\u7d99\u7d9a\u7684\u306beGFR\u304c45mL\/min\/1.73m2\u672a\u6e80\u306b\u4f4e\u4e0b\u3057\u305f\u5834\u5408\u306f\u6295\u4e0e\u306e\u4e2d\u6b62\u3092\u691c\u8a0e\u3059\u308b\u3053\u3068\u300f\u3068\u66f8\u304b\u308c\u3066\u3044\u307e\u3059\u304c\u3001\u3053\u308c\u306f\u300ceGFR 45\u672a\u6e80\u3067\u306f\u30d5\u30a9\u30b7\u30fc\u30ac\u306e\u8840\u7cd6\u30b3\u30f3\u30c8\u30ed\u30fc\u30eb\u52b9\u679c\u304c\u5f97\u3089\u308c\u306a\u304f\u306a\u308b\u306e\u3067\u3001\u7cd6\u5c3f\u75c5\u6cbb\u7642\u85ac\u3068\u3057\u3066\u306f\u4e2d\u6b62\u3092\u691c\u8a0e\u3059\u308b\u3053\u3068\u300d\u3068\u3044\u3046\u610f\u5473\u5408\u3044\u3067\u3042\u308a\u3001\u6162\u6027\u814e\u81d3\u75c5\u6cbb\u7642\u85ac\u3068\u3057\u3066\u4e2d\u6b62\u3092\u6c42\u3081\u3066\u3044\u308b\u308f\u3051\u3067\u306f\u7121\u3044\u3088\u3046\u3067\u3059\u3002<\/p>\n\n\n\n<p>\u5c1a\u3001\u6dfb\u4ed8\u6587\u7ae017\u9805\uff08\u81e8\u5e8a\u6210\u7e3e\uff09\u3067\u306f\u3001\u4eca\u56de\u306e\u627f\u8a8d\u306e\u5143\u306b\u306a\u3063\u305f\u30d5\u30a9\u30b7\u30fc\u30ac\u56fd\u969b\u5171\u540c\u30d7\u30e9\u30bb\u30dc\u5bfe\u8c61\u4e8c\u91cd\u76f2\u691c\u6bd4\u8f03\u8a66\u9a13\u306b\u304a\u3044\u3066\u3001\u300e\u672c\u5264\u6295\u4e0e\u4e2d\u306beGFR\u304c25mL\/min\/1.73m2\u672a\u6e80\u306b\u4f4e\u4e0b\u3057\u305f\u5834\u5408\u3067\u3082\u672c\u5264\u6295\u4e0e\u3092\u7d99\u7d9a\u53ef\u3068\u3057\u3001\u3055\u3089\u306b\u900f\u6790\u304c\u5fc5\u8981\u3068\u306a\u3063\u305f\u5834\u5408\u3067\u3082\u672c\u5264\u6295\u4e0e\u306f\u7d99\u7d9a\u53ef\u3068\u3057\u305f\u300f\u3068\u66f8\u304b\u308c\u3066\u3044\u308b\u3053\u3068\u304b\u3089\u3001eGFR\u304c25\u3092\u5207\u3063\u3066\u3044\u308b\u5834\u5408\u306b\u30d5\u30a9\u30b7\u30fc\u30ac\u3092\u4f7f\u3046\u304b\u5426\u304b\u306f\u3001\uff08\u6700\u7d42\u7684\u306b\u306f\uff09\u60a3\u8005\u3068\u533b\u5e2b\u306e\u8003\u3048\u6b21\u7b2c\u306a\u306e\u3060\u3068\u601d\u3044\u307e\u3059\u3002<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">ACE\u963b\u5bb3\u85ac\u3084ARB\u3068\u3044\u3063\u305f\u964d\u5727\u5264\u306e\u4f75\u7528\u306f\u5fc5\u9808\u306a\u306e\uff1f<\/h3>\n\n\n\n<p>\u6dfb\u4ed8\u6587\u7ae0\u306e4\u9805\uff08\u52b9\u80fd\u53c8\u306f\u52b9\u679c\uff09\u306b\u306f\u3001\u300e\u3007\u6162\u6027\u814e\u81d3\u75c5\u3001\u305f\u3060\u3057\u3001\u672b\u671f\u814e\u4e0d\u5168\u53c8\u306f\u900f\u6790\u65bd\u884c\u4e2d\u306e\u60a3\u8005\u3092\u9664\u304f\u300f\u3068\u8ffd\u52a0\u3055\u308c\u305f\u3060\u3051\u3067\u3001ACE\u963b\u5bb3\u85ac\u3084ARB\u3068\u3044\u3063\u305f\u964d\u5727\u5264\u306e\u4f75\u7528\u306b\u306f\u89e6\u308c\u3089\u308c\u3066\u3044\u306a\u3044\u306e\u3067\u3001\u964d\u5727\u5264\u304c\u51e6\u65b9\u3055\u308c\u3066\u3044\u306a\u304b\u3063\u305f\u308a\u3001\u30ab\u30eb\u30b7\u30a6\u30e0\u62ee\u6297\u85ac\u306e\u3088\u3046\u306a\u4ed6\u306e\u964d\u5727\u5264\u3092\u98f2\u3093\u3067\u3044\u3066\u3082\u5927\u4e08\u592b\u306a\u3088\u3046\u3067\u3059\u3002<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">\u6162\u6027\u814e\u81d3\u75c5\u306b\u7279\u6709\u306e\u526f\u4f5c\u7528\u306f\u3042\u308b\u306e\uff1f<\/h3>\n\n\n\n<p>\u6dfb\u4ed8\u6587\u7ae011\u9805\uff08\u526f\u4f5c\u7528\uff09\u306b\u306f\u6162\u6027\u814e\u81d3\u75c5\u306b\u7279\u6709\u306e\u526f\u4f5c\u7528\u306f\u8ffd\u8a18\u3055\u308c\u306a\u304b\u3063\u305f\u3053\u3068\u304b\u3089\u3001\u4e0b\u8a18\u306e\u300c\u30d5\u30a9\u30b7\u30fc\u30ac\u3092\u670d\u7528\u3059\u308b\u3068\u304d\u306e\u6ce8\u610f\u70b9\u300d\u306b\u6c17\u3092\u3064\u3051\u308c\u3070\u5927\u4e08\u592b\u3067\u3059\u3002<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">\u30a4\u30f3\u30b9\u30ea\u30f3\u3092\u6253\u3063\u3066\u3044\u308b\u5834\u5408\u306f\u8981\u6ce8\u610f\uff01<\/h3>\n\n\n\n<p>\u30d5\u30a9\u30b7\u30fc\u30ac\u306b\u306f5 mg\u9320\u306810 mg\u9320\u304c\u3042\u308a\u307e\u3059\u304c\u3001\u6162\u6027\u814e\u81d3\u75c5\uff08CKD\uff09\u306e\u6cbb\u7642\u3092\u76ee\u7684\u3068\u3059\u308b\u5834\u5408\u306f10 mg\u9320\u30921\u65e51\u56de\u670d\u7528\u3059\u308b\u3053\u3068\u306b\u306a\u308a\u307e\u3059\uff085 mg\u3067\u306e\u6709\u52b9\u6027\u306f\u78ba\u8a8d\u3055\u308c\u3066\u3044\u306a\u3044\u305f\u3081\uff09\u3002\u3068\u3053\u308d\u304c\u30a4\u30f3\u30b9\u30ea\u30f3\u3092\u6295\u4e0e\u3057\u3066\u3044\u308b\u3068\u8840\u7cd6\u5024\u304c\u4e0b\u304c\u308a\u3059\u304e\u308b\u5834\u5408\u304c\u3042\u308b\u306e\u3067\u30a4\u30f3\u30b9\u30ea\u30f3\u91cf\u306e\u8abf\u6574\u304c\u5fc5\u8981\u3068\u306a\u308a\u3001\u300e\u7cd6\u5c3f\u75c5\u6cbb\u7642\u306b\u7cbe\u901a\u3057\u305f\u533b\u5e2b\u3068\u9023\u643a\u3057\u3066\u3001\uff08\u4e2d\u7565\uff095 mg 1\u65e51\u56de\u3067\u6295\u4e0e\u958b\u59cb\u3057\u3001\u8840\u7cd6\u30b3\u30f3\u30c8\u30ed\u30fc\u30eb\u304c\u5b89\u5b9a\u3057\u305f\u3089\u901f\u3084\u304b\u306b10 mg\u306b\u5897\u91cf\u3057\u3066\u304f\u3060\u3055\u3044\u300f\u3068\u6dfb\u4ed8\u6587\u7ae0\u306b\u660e\u8a18\u3055\u308c\u3066\u3044\u307e\u3059\u3002\u30a4\u30f3\u30b9\u30ea\u30f3\u3092\u6253\u3063\u3066\u3044\u308b\u5834\u5408\u306f\u6ce8\u610f\u3057\u3066\u304f\u3060\u3055\u3044\u306d\u3002<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">2022\u5e748\u6708\u8ffd\u8a18\uff1a\u30ab\u30ca\u30b0\u30eb\u306f2\u578b\u7cd6\u5c3f\u75c5\u3092\u5408\u4f75\u3059\u308b\u6162\u6027\u814e\u81d3\u75c5\u306b\u9650\u5b9a<\/h2>\n\n\n\n<p>2022\u5e746\u6708\u306b\u627f\u8a8d\u3055\u308c\u305f\u30ab\u30ca\u30b0\u30eb\u306f\u30d5\u30a9\u30b7\u30fc\u30ac\u3068\u540c\u3058SGLT2\u963b\u5bb3\u85ac\u3067\u3059\u304c\u30012\u578b\u7cd6\u5c3f\u75c5\u3092\u5408\u4f75\u3057\u3066\u3044\u308b\u3053\u3068\u304c\u51e6\u65b9\u306e\u6761\u4ef6\u306a\u306e\u3067\u3001\u9ad8\u8840\u5727\u304c\u539f\u56e0\u306e\u814e\u786c\u5316\u75c7\u3084\u6162\u6027\u7cf8\u7403\u4f53\u814e\u708e\u306e\u5834\u5408\u306b\u306f\u51e6\u65b9\u3057\u3066\u3082\u3089\u3048\u306a\u3044\u3068\u601d\u3044\u307e\u3059\u3002\u307e\u305f\u3001\u300ceGFR\u304c30mL\/min\/1.73m2\u672a\u6e80\u306e\u60a3\u8005\u3067\u306f\u3001\u672c\u5264\u306e\u814e\u4fdd\u8b77\u52b9\u679c\u304c\u5341\u5206\u306b\u5f97\u3089\u308c\u306a\u3044\u53ef\u80fd\u6027\u304c\u3042\u308b\u3053\u3068\u3001\u672c\u5264\u6295\u4e0e\u4e2d\u306beGFR\u304c\u4f4e\u4e0b\u3059\u308b\u3053\u3068\u304c\u3042\u308a\u3001\u814e\u6a5f\u80fd\u969c\u5bb3\u304c\u60aa\u5316\u3059\u308b\u304a\u305d\u308c\u304c\u3042\u308b\u3053\u3068\u304b\u3089\u3001\u65b0\u898f\u306b\u6295\u4e0e\u3057\u306a\u3044\u3053\u3068\u3002\u300d\u3068\u660e\u8a18\u3055\u308c\u3066\u304a\u308a\u3001\u30d5\u30a9\u30b7\u30fc\u30ac\u3088\u308a\u3082\u51e6\u65b9\u3055\u308c\u306b\u304f\u3044\u5185\u5bb9\u3068\u306a\u3063\u3066\u3044\u307e\u3059\u3002<br>\u526f\u4f5c\u7528\u306b\u95a2\u3057\u3066\u306f\u30d5\u30a9\u30b7\u30fc\u30ac\u3068\u540c\u69d8\u306a\u5185\u5bb9\u3067\u3059\u3002<\/p>\n\n\n\n<p>\u3010\u53c2\u8003\u3011<br>\u30fb<a href=\"https:\/\/www.astrazeneca.co.jp\/content\/az-jp\/media\/press-releases1\/2021\/2021082601.html\" target=\"_blank\" rel=\"noopener\">\u30d5\u30a9\u30b7\u30fc\u30ac\u30012\u578b\u7cd6\u5c3f\u75c5\u5408\u4f75\u306e\u6709\u7121\u306b\u95a2\u308f\u3089\u305a\u3001\u65e5\u672c\u3067\u521d\u3081\u3066\u306e\u6162\u6027\u814e\u81d3\u75c5\u306e\u6cbb\u7642\u85ac\u3068\u3057\u3066\u627f\u8a8d\u3092\u53d6\u5f97\u3000\uff0d\u30a2\u30b9\u30c8\u30e9\u30bc\u30cd\u30ab<\/a><br>\u30fb<a href=\"https:\/\/www.ononavi1717.jp\/system\/files\/2021-08\/FXG_oshirase_202108.pdf\" target=\"_blank\" rel=\"noopener\">\u30d5\u30a9\u30b7\u30fc\u30ac\u00ae\u9320\u3000\u6dfb\u4ed8\u6587\u7ae0\u6539\u8a02\u306e\u304a\u77e5\u3089\u305b\u3000\uff0d\u5c0f\u91ce\u85ac\u54c1\u5de5\u696d<\/a><\/p>\n\n\n\n<h2 class=\"wp-block-heading\">2021\u5e749\u6708\u8ffd\u8a18\uff1a\u30d5\u30a9\u30b7\u30fc\u30ac\u306f\u30b9\u30c6\u30fc\u30b8\uff14\u306e\u6162\u6027\u814e\u81d3\u75c5\uff08CKD\uff09\u306b\u3082\u6709\u52b9\uff08\u7c73\u56fd\u814e\u81d3\u5b66\u4f1a\u8a8c\uff09<\/h2>\n\n\n\n<p>\u7c73\u56fd\u30b9\u30bf\u30f3\u30d5\u30a9\u30fc\u30c9\u5927\u5b66\u306e\u30b0\u30eb\u30fc\u30d7\u306f\u30d5\u30a9\u30b7\u30fc\u30ac\u306e\u81e8\u5e8a\u8a66\u9a13\u304b\u3089\u300ceGFR\u304c30\u672a\u6e80\u306e\u30b9\u30c6\u30fc\u30b84\u6162\u6027\u814e\u81d3\u75c5\u60a3\u8005\u300d\u3068\u300ceGFR\u304c30\u4ee5\u4e0a\u3042\u308b\u30b9\u30c6\u30fc\u30b82\u30843\u306e\u60a3\u8005\u300d\u306e\u9593\u306b\u814e\u4fdd\u8b77\u52b9\u679c\u306e\u5dee\u3084\u526f\u4f5c\u7528\u306e\u5dee\u304c\u3042\u308b\u304b\uff1f\u3092\u30b5\u30d6\u89e3\u6790\u3057\u307e\u3057\u305f\u3002<\/p>\n\n\n\n<p>\u305d\u306e\u7d50\u679c\u3001\u30b9\u30c6\u30fc\u30b84\u3067\u3042\u3063\u3066\u3082\u30b9\u30c6\u30fc\u30b8\uff12\/\uff13\u3068\u5909\u308f\u3089\u306a\u3044\u814e\u4fdd\u8b77\u52b9\u679c\u304c\u78ba\u8a8d\u3055\u308c\u3001\u7279\u306b\u6ce8\u76ee\u3059\u3079\u304d\u526f\u4f5c\u7528\u3082\u306a\u304b\u3063\u305f\u3053\u3068\u304c\u5206\u304b\u308a\u307e\u3057\u305f\u3002<\/p>\n\n\n\n<p>\u3010\u53c2\u8003\u3011<a href=\"https:\/\/jasn.asnjournals.org\/content\/32\/9\/2352\" target=\"_blank\" rel=\"noopener\">Effects of Dapagliflozin in Stage 4 Chronic Kidney Disease\u3000<\/a><br>J Am Soc Nephrol. 2021 Sep;32(9):2352-2361. <br>doi: 10.1681\/ASN.2021020167. Epub 2021 Jul 16.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">\u30d5\u30a9\u30b7\u30fc\u30ac\u30fb\u30ab\u30ca\u30b0\u30eb\u3092\u670d\u7528\u3059\u308b\u3068\u304d\u306e\u6ce8\u610f\u70b9\uff08\u526f\u4f5c\u7528\uff09<\/h3>\n\n\n\n<p><img loading=\"lazy\" decoding=\"async\" width=\"450\" height=\"300\" src=\"https:\/\/juntan.net\/blog\/wp-content\/uploads\/2021\/08\/146f6b76e4607dda40158920a19d7d25-450x300.jpg\" alt=\"\u61f8\u5ff5\u3059\u308b\u5973\u533b\u306e\u30a4\u30e1\u30fc\u30b8\u56f3\"><br>SGLT2\u963b\u5bb3\u85ac\u306f\u7cd6\u5c3f\u75c5\u60a3\u8005\u306e\u8840\u7cd6\u5024\u306e\u4e71\u308c\u3092\u5b89\u5b9a\u3055\u305b\u308b\u3060\u3051\u3067\u306a\u304f\u3001\uff08\u4f5c\u7528\u6a5f\u5e8f\u306f\u89e3\u660e\u3055\u308c\u3066\u3044\u307e\u305b\u3093\u304c\uff09\u814e\u81d3\u3084\u5fc3\u81d3\u3092\u5b88\u3063\u3066\u304f\u308c\u308b\u4f5c\u7528\u3092\u767a\u63ee\u3057\u307e\u3059\u3002<br>\u3057\u304b\u3057\u3001\u300c\u826f\u85ac\u306f\u53e3\u306b\u82e6\u3057\u300d\u3068\u3044\u3046\u3088\u3046\u306b\u3044\u304f\u3064\u304b\u306e\u61f8\u5ff5\u6750\u6599\uff08\u526f\u4f5c\u7528\uff09\u3082\u3042\u308a\u307e\u3059\u3002<br>eGFR\u306e\u4f4e\u4e0b\u901f\u5ea6\u304c\u7de9\u3084\u304b\u306b\u306a\u308a\u300c\u900f\u6790\u3092\u9060\u3056\u3051\u308b\u300d\u3068\u3044\u3046\u30d9\u30cd\u30d5\u30a3\u30c3\u30c8\u3068\u4ee5\u4e0b\u306b\u66f8\u304f\u3088\u3046\u306a\u30ea\u30b9\u30af\uff08\u307e\u308c\u306b\u51fa\u73fe\u3059\u308b\u526f\u4f5c\u7528\uff09\u3092\u5929\u79e4\u306b\u304b\u3051\u3066\u3001SGLT2\u963b\u5bb3\u85ac\uff08\u30d5\u30a9\u30b7\u30fc\u30ac\u3084\u30ab\u30ca\u30b0\u30eb\uff09\u3092\u4f7f\u3046\u304b\u5426\u304b\u3092\u533b\u5e2b\u3068\u8a71\u3057\u5408\u3063\u3066\u304f\u3060\u3055\u3044\u3002<\/p>\n\n\n\n<h3 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class=\"wp-block-heading\">\u4f53\u91cd\u6e1b\u5c11<\/h3>\n\n\n\n<p>\u4eba\u9593\u306e\u30a8\u30cd\u30eb\u30ae\u30fc\u6e90\u3067\u3082\u3042\u308b\u30d6\u30c9\u30a6\u7cd6\u3092\u5c3f\u306b\u6368\u3066\u308b\u4f5c\u7528\u304c\u3042\u308b\u306e\u3067\u3001\u30a8\u30cd\u30eb\u30ae\u30fc\u4e0d\u8db3\u306b\u3088\u308b\u4f53\u91cd\u6e1b\u5c11\u304c\u304a\u304d\u308b\u5834\u5408\u304c\u3042\u308a\u307e\u3059\u3002<br>\u30a8\u30cd\u30eb\u30ae\u30fc\u4e0d\u8db3\u306f\u7b4b\u8089\u91cf\u3084\u7b4b\u529b\u304c\u4f4e\u4e0b\u3059\u308b\u30b5\u30eb\u30b3\u30da\u30cb\u30a2\u306e\u539f\u56e0\u306b\u306a\u308b\u306e\u3067\u3001\u9ad8\u9f62\u8005\u306f\u7279\u306b\u6c17\u3092\u3064\u3051\u3066\u3001\u5b9a\u671f\u7684\u306b\u4f53\u91cd\u3092\u30c1\u30a7\u30c3\u30af\u3057\u3066\u304f\u3060\u3055\u3044\u3002<br>\u6025\u306b\u4f53\u91cd\u304c\u6e1b\u3063\u305f\u6642\u306b\u306f\u6c34\u5206\u3092\u3057\u3063\u304b\u308a\u6442\u3063\u3066\u3001\u30a8\u30cd\u30eb\u30ae\u30fc\u88dc\u7d66\u306b\u306fMCT\u30aa\u30a4\u30eb\u306a\u3069\u3092\u4f7f\u3044\u3064\u3064\u3001\u670d\u7528\u7d99\u7d9a\u306e\u53ef\u5426\u3084\u98df\u4e8b\u5185\u5bb9\u3092\u533b\u5e2b\u306b\u76f8\u8ac7\u3057\u3066\u304f\u3060\u3055\u3044\u3002<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">\u30b1\u30c8\u30a2\u30b7\u30c9\u30fc\u30b7\u30b9<\/h3>\n\n\n\n<p>\u30a8\u30cd\u30eb\u30ae\u30fc\u6e90\u3067\u3042\u308b\u30d6\u30c9\u30a6\u7cd6\u3092\u5c3f\u4e2d\u306b\u6368\u3066\u308b\u4f5c\u7528\u304c\u3042\u308b\u305f\u3081\u3001\u30a8\u30cd\u30eb\u30ae\u30fc\u4e0d\u8db3\u306b\u9665\u3063\u305f\u4f53\u306f\u30b1\u30c8\u30f3\u4f53\u3068\u3044\u3046\u5225\u306e\u30a8\u30cd\u30eb\u30ae\u30fc\u6e90\u3092\u4f5c\u308a\u51fa\u3057\u307e\u3059\u3002<br>\u8840\u6db2\u4e2d\u306b\u30b1\u30c8\u30f3\u4f53\u304c\u5897\u3048\u3059\u304e\u308b\u3068\u8840\u6db2\u304c\u9178\u6027\u306b\u50be\u3044\u3066\u5371\u967a\u306a\u72b6\u614b\uff08\u30b1\u30c8\u30a2\u30b7\u30c9\u30fc\u30b7\u30b9\uff09\u306b\u306a\u308b\u3053\u3068\u304c\u3042\u308a\u307e\u3059\u3002<br>\u60aa\u5fc3\u30fb\u5614\u5410\u30fb\u98df\u6b32\u6e1b\u9000\u30fb\u8179\u75db\u30fb\u904e\u5ea6\u306a\u53e3\u6e07\u30fb\u5026\u6020\u611f\u30fb\u547c\u5438\u56f0\u96e3\u30fb\u610f\u8b58\u969c\u5bb3\u306a\u3069\u306e\u75c7\u72b6\u304c\u3042\u3089\u308f\u308c\u305f\u3089\u3001\u3059\u3050\u306b\u75c5\u9662\u306b\u884c\u3063\u3066\u304f\u3060\u3055\u3044\u3002<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">\u6027\u5668\u611f\u67d3\u3001\u5c3f\u8def\u611f\u67d3\u3001\u814e\u76c2\u814e\u708e<\/h3>\n\n\n\n<p>\u5c3f\u4e2d\u306e\u30d6\u30c9\u30a6\u7cd6\u6fc3\u5ea6\u304c\u9ad8\u304f\u306a\u308b\u306e\u3067\u3001\u7d30\u83cc\u304c\u611f\u67d3\u3059\u308b\u3068\u901a\u5e38\u3088\u308a\u3082\u7e41\u6b96\u3057\u3084\u3059\u304f\u306a\u308a\u307e\u3059\u3002<br>\u7d30\u83cc\u304c\u6027\u5668\u3067\u7559\u307e\u308c\u3070\u6027\u5668\u611f\u67d3\u3002\u8180\u80f1\u3067\u7e41\u6b96\u3059\u308b\u3068\u8180\u80f1\u708e\u3002\u5c3f\u9053\u3092\u3064\u305f\u3063\u3066\u814e\u81d3\u307e\u3067\u7d30\u83cc\u304c\u5230\u9054\u3059\u308b\u3068\u814e\u76c2\u814e\u708e\u306b\u306a\u3063\u3066\u3057\u307e\u3044\u307e\u3059\u3002<br>\u9670\u90e8\u306e\u75d2\u307f\u3084\u6392\u5c3f\u6642\u306e\u75db\u307f\u3001\u5c3f\u306e\u6fc1\u308a\u3001\u8840\u5c3f\u306a\u3069\u3044\u3064\u3082\u3068\u9055\u3046\u75c7\u72b6\u306b\u6c17\u3065\u3044\u305f\u3089\u6ccc\u5c3f\u5668\u79d1\u3092\u53d7\u8a3a\u3057\u307e\u3057\u3087\u3046\u3002<\/p>\n\n\n\n<p>\u3010\u53c2\u8003\u3011<a href=\"https:\/\/med.astrazeneca.co.jp\/product\/FXG.html#\" target=\"_blank\" rel=\"noopener\">\u30d5\u30a9\u30b7\u30fc\u30ac\u93205mg 10mg\u30a4\u30f3\u30bf\u30d3\u30e5\u30fc\u30d5\u30a9\u30fc\u30e0\u3000-\u30a2\u30b9\u30c8\u30e9\u30bc\u30cd\u30ab<\/a><\/p>\n\n\n\n<h2 class=\"wp-block-heading\">2022\u5e748\u6708\u8ffd\u8a18\uff1a\u30b1\u30ec\u30f3\u30c7\u30a3\u30a2\uff08\u975e\u30b9\u30c6\u30ed\u30a4\u30c9\u578b\u9078\u629e\u7684\u30df\u30cd\u30e9\u30eb\u30b3\u30eb\u30c1\u30b3\u30a4\u30c9\u53d7\u5bb9\u4f53\u62ee\u6297\u85ac\uff09\u304c\u6162\u6027\u814e\u81d3\u75c5\u6cbb\u7642\u85ac\u3068\u3057\u3066\u767b\u5834<\/h2>\n\n\n\n<figure class=\"wp-block-image size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"640\" height=\"430\" src=\"\/blog\/wp-content\/uploads\/2023\/08\/26595034_s-1.jpg\" alt=\"\" class=\"wp-image-49827\" srcset=\"https:\/\/juntan.net\/blog\/wp-content\/uploads\/2023\/08\/26595034_s-1.jpg 640w, https:\/\/juntan.net\/blog\/wp-content\/uploads\/2023\/08\/26595034_s-1-300x202.jpg 300w\" sizes=\"auto, (max-width: 640px) 100vw, 640px\" \/><\/figure>\n\n\n\n<p>2022\u5e746\u6708\u3001\u30d0\u30a4\u30a8\u30eb\u85ac\u54c1\u306f\u975e\u30b9\u30c6\u30ed\u30a4\u30c9\u578b\u9078\u629e\u7684\u30df\u30cd\u30e9\u30eb\u30b3\u30eb\u30c1\u30b3\u30a4\u30c9\u53d7\u5bb9\u4f53\u62ee\u6297\u85ac\u3067\u3042\u308b\u30b1\u30ec\u30f3\u30c7\u30a3\u30a2\uff08\u4e00\u822c\u540d\u79f0\uff1a\u30d5\u30a3\u30cd\u30ec\u30ce\u30f3\uff09\u30922\u578b\u7cd6\u5c3f\u75c5\u3092\u5408\u4f75\u3059\u308b\u6162\u6027\u814e\u81d3\u75c5\uff08CKD\uff09\u6cbb\u7642\u85ac\u3068\u3057\u3066\u767a\u58f2\u3092\u958b\u59cb\u3057\u307e\u3057\u305f\u3002<br>\u30b1\u30ec\u30f3\u30c7\u30a3\u30a2\u306e\u30bf\u30fc\u30b2\u30c3\u30c8\u306fSGLT2\u3067\u306f\u306a\u304f\u3001\u30df\u30cd\u30e9\u30eb\u30b3\u30eb\u30c1\u30b3\u30a4\u30c9\u53d7\u5bb9\u4f53\uff08MR\uff09\u3068\u3044\u3046\u7269\u8cea\u3067\u3059\u3002MR\u304c\u904e\u5270\u306b\u50cd\u304d\u3059\u304e\u308b\u3068\u708e\u75c7\u3084\u7e4a\u7dad\u5316\u306b\u3088\u3063\u3066\u814e\u6a5f\u80fd\u304c\u4f4e\u4e0b\u3057\u3066\u3057\u307e\u3046\u306e\u3067\u3001MR\u306e\u50cd\u304d\u3092\u6291\u3048\u308b\u306e\u304c\u30b1\u30ec\u30f3\u30c7\u30a3\u30a2\u306e\u5f79\u76ee\u3067\u3059\u3002\uff2dR\u62ee\u6297\u85ac\u306f\u9ad8\u8840\u5727\u6cbb\u7642\u306b\u4f7f\u308f\u308c\u3066\u3044\u308b\u6210\u5206\u306a\u306e\u3067\u3001\u814e\u786c\u5316\u75c7\u3084\u814e\u708e\u306b\u3082\u4f7f\u3048\u305d\u3046\u306b\u601d\u3048\u307e\u3059\u304c\u3001\u73fe\u6642\u70b9\u3067\u306f2\u578b\u7cd6\u5c3f\u5c3f\u75c5\u3092\u5408\u4f75\u3057\u305f\u6162\u6027\u814e\u81d3\u75c5\u306b\u4f7f\u7528\u304c\u9650\u5b9a\u3055\u308c\u3066\u3044\u307e\u3059\u3002\u6c17\u306b\u306a\u308b\u526f\u4f5c\u7528\u306f\u2460\u9ad8\u30ab\u30ea\u30a6\u30e0\u8840\u75c7\u3001\u2461\u4f4e\u8840\u5727\u306a\u3069\u3067\u3059\u3002<\/p>\n\n\n\n<p>\u3010\u53c2\u8003\u3011<br>\u30fb<a href=\"https:\/\/www.info.pmda.go.jp\/go\/pack\/2190044F1020_1_02\/\" target=\"_blank\" rel=\"noopener\">\u30b1\u30ec\u30f3\u30c7\u30a3\u30a2\u6dfb\u4ed8\u6587\u66f8\u3000\uff0dPmda<\/a>\u533b\u85ac\u54c1\u533b\u7642\u6a5f\u5668\u7dcf\u5408\u6a5f\u69cb<\/p>\n\n\n\n<p><\/p>\n\n\n\n<h2 class=\"wp-block-heading\">2023\u5e748\u6708\u8ffd\u8a18\uff1aSGLT2\u963b\u5bb3\u85ac\u3001\u814e\u4fdd\u8b77\u4f5c\u7528\u306b\u85ac\u5264\u5dee\u306e\u53ef\u80fd\u6027<\/h2>\n\n\n\n<figure class=\"wp-block-image size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"640\" height=\"427\" src=\"\/blog\/wp-content\/uploads\/2021\/08\/34fe31b8f204355e602b0b611773e8eb.jpg\" alt=\"\" class=\"wp-image-47045\" srcset=\"https:\/\/juntan.net\/blog\/wp-content\/uploads\/2021\/08\/34fe31b8f204355e602b0b611773e8eb.jpg 640w, https:\/\/juntan.net\/blog\/wp-content\/uploads\/2021\/08\/34fe31b8f204355e602b0b611773e8eb-300x200.jpg 300w\" sizes=\"auto, (max-width: 640px) 100vw, 640px\" \/><\/figure>\n\n\n\n<p>\u30d5\u30a9\u30b7\u30fc\u30ac\u3084\u30ab\u30ca\u30b0\u30eb\u304c\u5206\u985e\u3055\u308c\u308b\u300eSGLT2\u963b\u5bb3\u85ac\u300f\u306b\u306f\u3001\u6709\u52b9\u6210\u5206\u9055\u3044\u3067\u3044\u304f\u3064\u304b\u7a2e\u985e\u304c\u3042\u308a\u307e\u3059\u3002<\/p>\n\n\n\n<p><br>\u3000\u30fb\u30d5\u30a9\u30b7\u30fc\u30ac\u306e\u6709\u52b9\u6210\u5206\u540d\u306f\u3001\u30c0\u30d1\u30b0\u30ea\u30d5\u30ed\u30b8\u30f3\u30d7\u30ed\u30d4\u30ec\u30f3\u30b0\u30ea\u30b3\u30fc\u30eb\u3067\u3059\u3002<br>\u3000\u30fb\u30ab\u30ca\u30b0\u30eb\u306e\u6709\u52b9\u6210\u5206\u540d\u306f\u3001\u30ab\u30ca\u30b0\u30ea\u30d5\u30ed\u30b8\u30f3\u6c34\u548c\u7269\u3067\u3059\u3002<\/p>\n\n\n\n<p><br>\u4f53\u5185\u3067\u540c\u3058\u50cd\u304d\u3092\u3057\u307e\u3059\u304c\u3001\u53b3\u5bc6\u306b\u306f\u4f7f\u7528\u3057\u3066\u3044\u308b\u6709\u52b9\u6210\u5206\u306e\u69cb\u9020\u304c\u5c11\u3057\u305a\u3064\u9055\u3063\u3066\u3044\u307e\u3059\uff08\u5148\u767a\u85ac\u3068\u540c\u3058\u69cb\u9020\u3060\u3068\u7279\u8a31\u4fb5\u5bb3\u3067\u8a34\u3048\u3089\u308c\u3066\u3057\u307e\u3046\u306e\u3067\u3001\u5404\u793e\u3068\u3082\u5fae\u5999\u306b\u69cb\u9020\u3092\u5909\u3048\u3066\u7279\u8a31\u306b\u5f15\u3063\u304b\u304b\u3089\u306a\u3044\u3088\u3046\u306b\u5de5\u592b\u3057\u3066\u3044\u308b\u306e\u3067\u3059\uff09\u3002<br><br>\u4eca\u5e742023\u5e746\u6708\u306b\u958b\u50ac\u3055\u308c\u305f\u7cd6\u5c3f\u75c5\u5b66\u4f1a\u306b\u3066\u30011\u5e74\u4ee5\u4e0a\u5404\u7a2eSGLT2\u963b\u5bb3\u85ac\u3092\u6295\u4e0e\u3055\u308c\u305f\u60a3\u8005\u3092\u5bfe\u8c61\u306b\u8abf\u67fb\u3057\u305f\u3068\u3053\u308d\u3001\u814e\u4fdd\u8b77\u52b9\u679c\u306b\u85ac\u306e\u7a2e\u985e\u306b\u3088\u308b\u5dee\u304c\u898b\u3089\u308c\u305f\u3068\u3044\u3046\u5831\u544a\u304c\u3042\u308a\u307e\u3057\u305f\u3002<br><br>\u73fe\u5728\u767a\u58f2\u3055\u308c\u3066\u3044\u308bSGLT2\u963b\u5bb3\u85ac\u306f\u4ee5\u4e0b\u306e\u3088\u3046\u306a\u7a2e\u985e\u304c\u3042\u308a\u307e\u3059\u3002<\/p>\n\n\n\n<figure class=\"wp-block-table\"><table><tbody><tr><td><\/td><td>\u6709\u52b9\u6210\u5206\u540d<\/td><td>\u8abf\u67fb\u6570<\/td><td>\u88fd\u54c1\u540d<\/td><td>2023\u5e748\u6708\u6642\u70b9\u306e\u51e6\u65b9\u6761\u4ef6<\/td><\/tr><tr><td>1<\/td><td>\u30ab\u30ca\u30b0\u30ea\u30d5\u30ed\u30b8\u30f3<\/td><td>253\u4f8b<\/td><td>\u30ab\u30ca\u30b0\u30eb<\/td><td>\u7cd6\u5c3f\u75c5\u304c\u306a\u3044\u3068\u30c0\u30e1<\/td><\/tr><tr><td>2<\/td><td>\u30c0\u30d1\u30b0\u30ea\u30d5\u30ed\u30b8\u30f3<\/td><td>70\u4f8b<\/td><td>\u30d5\u30a9\u30b7\u30fc\u30ac<\/td><td>\u7cd6\u5c3f\u75c5\u304c\u306a\u304f\u3066\u3082\u4f7f\u7528\u3067\u304d\u308b<\/td><\/tr><tr><td>3<\/td><td>\u30a8\u30f3\u30d1\u30b0\u30ea\u30d5\u30ed\u30b8\u30f3<\/td><td>135\u4f8b<\/td><td>\u30b8\u30e3\u30c7\u30a3\u30a2\u30f3\u30b9\u3001\u30c8\u30e9\u30c7\u30a3\u30a2\u30f3\u30b9<\/td><td>\u7cd6\u5c3f\u75c5\u304c\u306a\u3044\u3068\u30c0\u30e1<\/td><\/tr><tr><td>4<\/td><td>\u30eb\u30bb\u30aa\u30b0\u30ea\u30d5\u30ed\u30b8\u30f3<\/td><td>60\u4f8b<\/td><td>\u30eb\u30bb\u30d5\u30a3<\/td><td>\u7cd6\u5c3f\u75c5\u304c\u306a\u3044\u3068\u30c0\u30e1<\/td><\/tr><tr><td>5<\/td><td>\u30a4\u30d7\u30e9\u30b0\u30ea\u30d5\u30ed\u30b8\u30f3<\/td><td>44\u4f8b<\/td><td>\u30b9\u30fc\u30b0\u30e9\u3001\u30b9\u30fc\u30b8\u30e3\u30cc<\/td><td>\u7cd6\u5c3f\u75c5\u304c\u306a\u3044\u3068\u30c0\u30e1<\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n<p>\u53c2\u8003\uff1a<a href=\"https:\/\/medical-tribune.co.jp\/news\/2023\/0714557447\/\" target=\"_blank\" rel=\"noopener\" title=\"\">SGLT2\u963b\u5bb3\u85ac\u3001\u814e\u4fdd\u8b77\u4f5c\u7528\u306b\u85ac\u5264\u5dee\u306e\u53ef\u80fd\u6027\uff08\u30e1\u30c7\u30a3\u30ab\u30eb\u30c8\u30ea\u30d3\u30e5\u30fc\u30f3\u7cd6\u5c3f\u75c5\u5b66\u4f1a\u30ec\u30dd\u30fc\u30c8\uff09<\/a><\/p>\n\n\n\n<p><br>\u4eca\u56de\u306e\u5831\u544a\u3067\u306f\u30014\u756a\u76ee\u306e\u30eb\u30bb\u30aa\u30b0\u30ea\u30d5\u30ed\u30b8\u30f3\u7fa4\uff08\u30eb\u30bb\u30d5\u30a3\uff09\u3092\u670d\u7528\u3057\u3066\u3044\u305f\u30b0\u30eb\u30fc\u30d7\u304c\u6295\u4e0e\u304b\u30891\u5e74\u5f8c\u306beGFR\u304c\u30d7\u30e9\u30b9\u306b\u306a\u3063\u305f\u3068\u3044\u3046\u7d50\u679c\u3067\u3057\u305f\u3002<br><br>\u4eca\u306e\u3068\u3053\u308d\u3001\u7cd6\u5c3f\u75c5\u3092\u60a3\u3063\u3066\u3044\u306a\u3044\u6162\u6027\u814e\u81d3\u75c5\u60a3\u8005\u306b\u306f\u3001\u30c0\u30d1\u30b0\u30ea\u30d5\u30ed\u30b8\u30f3\u7fa4\u3067\u3042\u308b\u30d5\u30a9\u30b7\u30fc\u30ac\u3057\u304b\u51e6\u65b9\u3067\u304d\u307e\u305b\u3093\u304c\u3001\u3082\u3068\u3082\u3068\u7cd6\u5c3f\u75c5\u306e\u85ac\u306a\u306e\u3067\u3001\u7cd6\u5c3f\u75c5\u306e\u3042\u308b\u814e\u81d3\u75c5\u60a3\u8005\u306b\u306f\u3001\u3053\u308c\u3060\u3051\u306e\u9078\u629e\u80a2\u304c\u3042\u308a\u307e\u3059\u3002<br><br>\u4eca\u5f8c\u3001SGLT2\u963b\u5bb3\u85ac\u306e\u7814\u7a76\u304c\u9032\u307f\u3001\u305d\u308c\u305e\u308c\u306e\u85ac\u306e\u7279\u5fb4\u304c\u8a73\u3057\u304f\u308f\u304b\u3063\u3066\u304f\u308c\u3070\u3001\u60a3\u8005\u3054\u3068\u306e\u80cc\u666f\u306b\u5fdc\u3058\u3066\u3001\u9078\u629e\u80a2\u304c\u5e83\u304c\u3063\u3066\u304f\u308b\u3053\u3068\u304c\u671f\u5f85\u3067\u304d\u305d\u3046\u3067\u3059\u306d\u3002<br><br><br><br><\/p>\n\n\n\n<p><\/p>\n\n\n\n<h2 class=\"wp-block-heading\">\u307e\u3068\u3081<\/h2>\n\n\n\n<p><img decoding=\"async\" src=\"https:\/\/juntan.net\/blog\/wp-content\/uploads\/2021\/08\/2166e41818a99c4ac87d37d41d46a003-450x300.jpg\" alt=\"\u30b9\u30de\u30db\u3092\u898b\u3066\u559c\u3076\u5973\u6027\" style=\"width: 640px;\"><br>\u3053\u308c\u307e\u3067\u300c\u814e\u81d3\u75c5\u3092\u6cbb\u3059\u85ac\u306f\u306a\u3044\uff01\u300d\u3068\u8a00\u308f\u308c\u7d9a\u3051\u3066\u843d\u80c6\u3057\u3066\u304d\u305f1,300\u4e07\u4eba\u306e\u6162\u6027\u814e\u81d3\u75c5\uff08CKD\uff09\u60a3\u8005\u306b\u3068\u3063\u3066\u30012021\u5e748\u6708\u306e\u30d5\u30a9\u30b7\u30fc\u30ac\u627f\u8a8d\u306f\u6717\u5831\u3067\u3057\u305f\u3002<br><br>\u30d5\u30a9\u30b7\u30fc\u30ac\u306b\u7d9a\u3044\u3066\u3001\u540c\u985e\u306eSGLT2\u963b\u5bb3\u85ac\u3067\u3042\u308b\u30ab\u30ca\u30b0\u30eb\u3084\u30b8\u30e3\u30c7\u30a3\u30a2\u30f3\u30b9\u3082\u6162\u6027\u814e\u81d3\u75c5\uff08CKD\uff09\u6cbb\u7642\u85ac\u3068\u3057\u3066\u958b\u767a\u304c\u9032\u307f\u30012022\u5e746\u6708\u306b\u30ab\u30ca\u30b0\u30eb\u304c\u627f\u8a8d\u3055\u308c\u307e\u3057\u305f\u3002<br><br>\u3057\u304b\u3057\u3001SGLT2\u963b\u5bb3\u85ac\u306e\u5171\u901a\u7279\u6027\u3068\u3057\u3066\u300c\u4f4e\u8840\u7cd6\u300d\u3084\u300c\u8131\u6c34\u300d\u3001\u300c\u4f53\u91cd\u6e1b\u5c11\u300d\u3001\u300c\u30b1\u30c8\u30a2\u30b7\u30c9\u30fc\u30b7\u30b9\u300d\u306a\u3069\u306e\u526f\u4f5c\u7528\u306f\u6b8b\u308b\u3068\u601d\u3044\u307e\u3059\u3002<br><br>\u300c\u6e1b\u5869\u300d\u3084\u300c\u30ab\u30ea\u30a6\u30e0\u5236\u9650\u300d\u3001\u300c\u305f\u3093\u3071\u304f\u8cea\u5236\u9650\u300d\u3068\u3044\u3063\u305f\u814e\u81d3\u75c5\u98df\u3067\u98df\u304c\u7d30\u304f\u306a\u308a\u3001BMI\uff08\u6ce8\uff09\u304c20\u3092\u5207\u3063\u3066\u3057\u307e\u3046\u307b\u3069\u75e9\u305b\u3066\u3057\u307e\u3063\u3066\u3044\u308b\u5834\u5408\u306f\u7279\u306b\u526f\u4f5c\u7528\u304c\u51fa\u3084\u3059\u304f\u306a\u308b\u306e\u3067\u6ce8\u610f\u304c\u5fc5\u8981\u3067\u3059\u3002<br><br>\u30d5\u30a9\u30b7\u30fc\u30ac\u306e\u3088\u3046\u306aSGLT2\u963b\u5bb3\u85ac\u3092\u6162\u6027\u814e\u81d3\u75c5\uff08CKD\uff09\u6cbb\u7642\u306b\u4f7f\u3046\u5834\u5408\u306b\u306f\u3001\u5358\u306b\u85ac\u3092\u51e6\u65b9\u3059\u308b\u3060\u3051\u3067\u306a\u304f\u3001\u300c\u7cd6\u8cea\u300d\u30fb\u300c\u305f\u3093\u3071\u304f\u8cea\u300d\u30fb\u300c\u8102\u8cea\u300d\u30fb\u300c\u98df\u7269\u7e4a\u7dad\u300d\u30fb\u300c\u30d3\u30bf\u30df\u30f3\u30fb\u30df\u30cd\u30e9\u30eb\u985e\u300d\u30fb\u300c\u6c34\u5206\u300d\u306a\u3069\u3092\u30d0\u30e9\u30f3\u30b9\u3088\u304f\u3001\u60a3\u8005\u500b\u3005\u4eba\u306b\u9069\u3057\u305f\u304b\u305f\u3061\u3067\u63d0\u6848\u3059\u308b\u98df\u4e8b\u6307\u5c0e\u304c\u3088\u308a\u4e00\u5c64\u5927\u5207\u306b\u306a\u308b\u3068\u601d\u3063\u3066\u3044\u307e\u3059\u3002<br><br>\u307e\u305f\u3001SGLT2\u963b\u5bb3\u85ac\u3068\u306f\u5168\u304f\u9055\u3046\u30e1\u30ab\u30cb\u30ba\u30e0\u3067\u814e\u81d3\u3092\u5b88\u308b\u30b1\u30ec\u30f3\u30c7\u30a3\u30a2\u30822022\u5e746\u6708\u304b\u3089\u4f7f\u3046\u3053\u3068\u304c\u51fa\u6765\u308b\u3088\u3046\u306b\u306a\u308a\u307e\u3057\u305f\u3002\u4eca\u5f8c\u307e\u3059\u307e\u3059\u3001\u69d8\u3005\u306a\u5207\u308a\u53e3\u3067\u814e\u81d3\u3092\u5b88\u308b\u65b9\u6cd5\u304c\u958b\u767a\u3055\u308c\u308b\u3053\u3068\u3092\u9858\u3046\u3070\u304b\u308a\u3067\u3059\u3002<\/p>\n\n\n\n<p>\u6ce8\uff1aBMI\uff1dBody Mass Index \/&nbsp;\u30dc\u30c7\u30a3\u30fb\u30de\u30b9\u6307\u6570&nbsp;\/&nbsp;\u4f53\u683c\u6307\u6570<br>[\u4f53\u91cd(kg)]\u00f7[\u8eab\u9577(m)\u306e2\u4e57]\u3067\u7b97\u51fa\u3055\u308c\u308b\u5024\u3067\u80a5\u6e80\u3084\u4f4e\u4f53\u91cd\uff08\u3084\u305b\uff09\u306e\u5224\u5b9a\u306b\u4f7f\u3044\u307e\u3059\u3002<br>\u3010\u53c2\u8003\u3011<a href=\"https:\/\/www.e-healthnet.mhlw.go.jp\/information\/dictionary\/metabolic\/ym-002.html\" target=\"_blank\" rel=\"noopener\">BMI\u3000-e-\u30d8\u30eb\u30b9\u30cd\u30c3\u30c8\uff08\u539a\u751f\u52b4\u50cd\u7701\uff09<\/a><\/p>\n\n\n\n<p>\u3010\u95a2\u9023\u8a18\u4e8b\u3011<br>\u30fb<a href=\"https:\/\/juntan.net\/blog\/2021\/08\/16\/mr-antagonist-approved-for-chronic-kidney-disease-ckd-drug-in-u-s\/\" target=\"_blank\" rel=\"noopener\">\u30d5\u30a9\u30b7\u30fc\u30ac\u306b\u7d9a\u3051\uff01\u7c73\u56fd\u3067MR\u62ee\u6297\u85ac\uff08\u8840\u5727\u3092\u4e0b\u3052\u308b\u85ac\uff09\u304c\u6162\u6027\u814e\u81d3\u75c5\uff08CKD\uff09\u6cbb\u7642\u85ac\u306e\u627f\u8a8d\u3092\u53d6\u5f97<\/a><br>\u30fb<a href=\"https:\/\/juntan.net\/blog\/2021\/03\/29\/kiyoratuushin22\/\" target=\"_blank\" rel=\"noopener\">\u98df\u3079\u308b\u7d14\u70ad\u304d\u3088\u3089\u901a\u4fe1vol.22-\u6162\u6027\u814e\u81d3\u75c5\u3067\u3082\u8ae6\u3081\u306a\u3044\u3067\uff01\u300c\u6162\u6027\u814e\u81d3\u75c5\uff08CKD\uff09\u671f\u5f85\u306e\u65b0\u85ac\u300d\u6700\u65b0\u60c5\u5831\u3092\u304a\u5c4a\u3051\u3057\u307e\u3059\u3002<\/a><br>\u30fb<a href=\"https:\/\/juntan.net\/blog\/2021\/07\/12\/which-uric-acid-drug-is-suitable-for-kidney-disease\/\" target=\"_blank\" rel=\"noopener\">\u6162\u6027\u814e\u81d3\u75c5(CKD)\u306b\u9069\u3057\u305f\u5c3f\u9178\u306e\u85ac\u306f\uff1f<\/a><br>\u30fb<a href=\"https:\/\/juntan.net\/blog\/2019\/03\/07\/post_98\/\" target=\"_blank\" rel=\"noopener\">\u7d14\u70ad\u793e\u9577\u304c\u89e3\u8aac\u300c\u30af\u30ec\u30e1\u30b8\u30f3\u306b\u3064\u3044\u3066\u306e\u6b63\u3057\u3044\u77e5\u8b58\u3092\uff01\u300d<\/a><\/p>\n\n\n\n<p><a href=\"https:\/\/juntan.net\/blog\/letter\/kiyoratuushin36\/\" title=\"\">\u30fb\u6162\u6027\u814e\u81d3\u75c5\uff08CKD\uff09\u671f\u5f85\u306e\u65b0\u85ac\u201d\u30d5\u30a9\u30b7\u30fc\u30ac\u201d\u306e\u670d\u7528\u4f53\u9a13\u8ac7\u3092\u3054\u7d39\u4ecb\u3057\u307e\u3059<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<p>\u3053\u3093\u306b\u3061\u306f\u3002\u7d14\u70ad\u793e\u9577\u306e\u6a0b\u53e3\u3067\u3059\u3002 2021\u5e748\u6708\u306b\u6162\u6027\u814e\u81d3\u75c5\u6cbb\u7642\u85ac\u3068\u3057\u3066\u627f\u8a8d\u3055\u308c\u305f\u30d5\u30a9\u30b7\u30fc\u30ac\u306b\u5f15\u304d\u7d9a\u304d\u30012022\u5e74\u306b\u306f\u30ab\u30ca\u30b0\u30eb\u3068\u30b1\u30ec\u30f3\u30c7\u30a3\u30a2\u306e2\u5264\u304c\u6162\u6027\u814e\u81d3\u75c5\u6cbb\u7642\u85ac\u3068\u3057\u3066\u4f7f\u3048\u308b\u3088\u3046\u306b\u306a\u308a\u307e\u3057\u305f\u306e\u3067\u3001\u6700\u65b0\u60c5\u5831\u3092\u8ffd\u8a18\u3057\u307e\u3059\u3002 [&hellip;]<\/p>\n","protected":false},"author":2,"featured_media":15390,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[5,16,19],"tags":[],"class_list":["post-12339","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-kidney-disease","category-diagnosis-and-treatment","category-medicine"],"acf":[],"_links":{"self":[{"href":"https:\/\/juntan.net\/blog\/wp-json\/wp\/v2\/posts\/12339","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/juntan.net\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/juntan.net\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/juntan.net\/blog\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/juntan.net\/blog\/wp-json\/wp\/v2\/comments?post=12339"}],"version-history":[{"count":14,"href":"https:\/\/juntan.net\/blog\/wp-json\/wp\/v2\/posts\/12339\/revisions"}],"predecessor-version":[{"id":54853,"href":"https:\/\/juntan.net\/blog\/wp-json\/wp\/v2\/posts\/12339\/revisions\/54853"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/juntan.net\/blog\/wp-json\/wp\/v2\/media\/15390"}],"wp:attachment":[{"href":"https:\/\/juntan.net\/blog\/wp-json\/wp\/v2\/media?parent=12339"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/juntan.net\/blog\/wp-json\/wp\/v2\/categories?post=12339"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/juntan.net\/blog\/wp-json\/wp\/v2\/tags?post=12339"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}