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もう一つの治療の選択肢〜オーバーナイト透析・在宅血液透析について〜
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hobashira-clinic
December 15, 2019
Science
1.5k
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もう一つの治療の選択肢〜オーバーナイト透析・在宅血液透析について〜
hobashira-clinic
December 15, 2019
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Transcript
͏Ұͭͷ࣏ྍͷબࢶ ʙΦʔόʔφΠτಁੳɾࡏ݂ӷಁੳʹ͍ͭͯʙ ҩྍ๏ਓ·ͼ͜ձɹԬ౦΄͠ΒΫϦχοΫ Ϛωʔδϟʔྟচֶٕ࢜ɹਿຊ౽ण ɹୈճ݂ӷড়Խ4UFQ6Qηϛφʔ
݄ɹԬݝதؒࢢੜ·Ε ɹभۀߴઐֶߍɹଔۀ ɹԬҩՊࣃՊٕज़ઐֶߍɹଔۀ ɹἙࡔҪྤ࣮ΫϦχοΫɹೖ৬ ɹɹຊࢁࡔҪྤ࣮ΫϦχοΫɹసଐ ɹాόεΩϡϥʔΞΫηεಁੳɾՊɹೖ৬ ɹҩྍ๏ਓ·ͼ͜ձɹೖ৬ ɹ݄ɹԬ౦΄͠ΒΫϦχοΫ։Ӄ
ΦʔόʔφΠτಁੳ ࡏಁੳ ྫ ࡏಁੳ ྫ 7"ཧ Ϛωδϝϯτ ΦʔόʔφΠτಁੳ ࡏಁੳ
ྫ ࣌ؒɾසճಁੳ ΦʔόʔφΠτಁੳࡏ݂ӷಁੳ ݄ɹԬݝதؒࢢੜ·Ε ɹभۀߴઐֶߍɹଔۀ ɹԬҩՊࣃՊٕज़ઐֶߍɹଔۀ ɹἙࡔҪྤ࣮ΫϦχοΫɹೖ৬ ɹɹຊࢁࡔҪྤ࣮ΫϦχοΫɹసଐ ɹాόεΩϡϥʔΞΫηεಁੳɾՊɹೖ৬ ɹҩྍ๏ਓ·ͼ͜ձɹೖ৬ ɹ݄ɹԬ౦΄͠ΒΫϦχοΫ։Ӄ
͋ͳ͕ͨɺ໌͔Βಁੳͩͱͨ͠Β ͲΜͳ࣏ྍΛߦ͍͍ͨͰ͔͢ʁ
Կ࣌ؒʁ Կճʁ Ͳ͜Ͱʁ
Կ࣌ؒʁ Կճʁ Ͳ͜Ͱʁ ͲΜͳੜ׆Λ ૹΓ͍ͨͰ͔͢ʁ
Ұൠతͳࢪઃಁੳ ճʙ࣌ؒ िճʢ݄ճʣ
Ұൠతͳࢪઃಁੳ ճʙ࣌ؒ िճʢ݄ճʣ
Ұൠతͳࢪઃಁੳ ճʙ࣌ؒ िճʢ݄ճʣ ຊʹըҰతͳ࣏ྍͰྑ͍ͷʁ
ಁੳෆͷ߹ซ Կͱ͔͍ͨ͠ʂʂ ೋ࣍ੑ ෭ߕঢ়થ ػೳဏਐ ಁੳΞϛϩΠυ ߴ݂ѹ ૡᙱײ ϨετϨεϨοά ީ܈
ෆ ൽෘͷ৭ૉண ߴ1ɾ,݂
ۭ͖Ͱࢁ΄Ͳ૿͑ͯ͘Δ͠ɺ ͨ͘͞Μ৯ͯσʔλΠϚΠν ಁੳத͕ͭΔɺ݂ѹԼ͕Δɺ ٸมରԠ͕ࢲͨͪͷࣄʁ
ױऀ͞Μ͕ ࣗͷਓੜΛ Ͳ͏ੜ͖͍͖͍͔ͯͨ ಁੳத৺ͷੜ׆͔Β ੜ׆ͷதͷಁੳ
ࠓͷ͓ ಁੳ࣏ྍͷબࢶ ͬͱ͍͍͋ͬͯΜ͡Όͳ͍ʁ
ΦʔόʔφΠτಁੳ ࡏ݂ӷಁੳ
ΦʔόʔφΠτಁੳ ࡏ݂ӷಁੳ
ΦʔόʔφΠτಁੳ ৸͍ͯΔؒʹΔಁੳ ਓؒ୭Ͱ৸Δ ͦͷ৸Δ࣌ؒΛ׆༻ ਭ࣌ؒʹಁੳΛߦ͏ͷͰ ࣌ؒಁੳ͕࣮ݱͰ͖Δ ʢʙ࣌ؒʣ ମײ࣌ؒΛ͘Ͱ͖Δ தͷ࣌ؒΛ ϑϧ׆༻Ͱ͖Δ
ӃͷΦʔόʔφΠτಁੳ ʙ ·Ͱʹ ಁੳ։࢝ ಁੳऴྃ w࣌ʹ࢝ΊΕ࣌ؒಁੳՄೳ wʮʓ࣌ؒಁੳʯΑΓʮʓ࣌·Ͱಁੳʯͱ͍͏ߟ͑ํ ˞ຖճͷಁੳ͕࣌ؒҟͳΔํ͍Δ wऴΘͬͨํͦͷ··ࣄɹPSɹ͍ͬͨΜ͓Ո
w࣌ؒ͋ͨΓͷআਫ͕গͳ͘ͳΔ
ΦʔόʔφΠτಁੳͷ҆શੑʁ w ͕ಧ͖ʹ͍͘ڥ w ৸ฦΓͳͲͷମಈ w தΑΓগͳ͍ελοϑ Χϝϥࢹ ग़݂ηϯα
ӃͷΦʔόʔφΠτಁੳࣗݾճऩ ࡂରࡦΛతͱͯ͠ ΦʔόʔφΠτಁੳ࣮ࢪ݅ͷҰͭͱ͍ͯ͠Δ ݄ɹ࣌ େࡕ෦ൃੜ ࠷େऑ
ൈํ๏ ݀ʹࢭ݂༻λϒϨο τΛషΓ͚Δ λϒϨοτͷ্ʹɺ ΫογϣϯͱͳΔΨʔ θΛͤΔ Ψʔθͷ্͔Βςʔϓ
Ͱѹഭ͢Δ Λൈ͘
ൈํ๏ ݀ʹࢭ݂༻λϒϨο τΛషΓ͚Δ λϒϨοτΛϕϧτͰ కΊΔ Λൈ͘
ࣗݾճऩɹ̦ˍ̖ ̦ɽༀʢࣹʣͲ͏ͯ͠Δʁ ̦ɽճऩதελοϑͷࣄʁ ̦ɽࣄނτϥϒϧͳ͍ʁ
ࣗݾճऩɹ̦ˍ̖ ̦ɽༀʢࣹʣͲ͏ͯ͠Δʁ ̖ɽճऩ࣌ɺελοϑ͕๚চͯ͠ༀ͠·͢ ̦ɽճऩதελοϑͷࣄʁ ̖ɽױऀ͞ΜͷݟकΓ८ճͰ͢ ̦ɽࣄނτϥϒϧͳ͍ʁ ̖ɽͨ·ʹࢭ݂ࣦഊ͢Δ͜ͱ͋Γ·͢
ΦʔόʔφΠτಁੳ আਫ͕؇͔ʹͳΔ͜ͱ͕ɺ ԿΑΓͷϝϦοτɽ தͷ࣌ؒΛ༗ޮ׆༻͠ɺ ࣾձ෮ؼ͍͢͠ɽ ಠډͷױऀ͞Μͳ͍ɽ
ΦʔόʔφΠτಁੳ ࡏ݂ӷಁੳ
ΦʔόʔφΠτಁੳ ࡏ݂ӷಁੳ
ࡏ݂ӷಁੳ ױऀ͕ɺࣗͷډͰɺ ࣗݾཧͷͱߦ͏݂ӷಁੳ ἥࣗݾἥ͕جຊ ಁੳՄೳ࣌ؒ ࢪઃʹΑͬͯҟͳΔ ࣗʹϓϥΠϕʔτڥ ௨Ӄ͕࣌ؒෆཁ ͚ͩ͡Όͳ͍ʂ
))%ͷಛ
ճ੍ݶͳ͠ ݄ճͷ੍ݶͳ͘ ಁੳΛߦ͑Δ
ճ੍ݶͳ͠ ࣌ؒࣗ༝ ճͷಁੳ࣌ؒࣗͷ ੜ׆ʹ߹ΘͤͯܭըͰ͖Δ
ճ੍ݶͳ͠ ࣌ؒࣗ༝ ಁੳεέδϡʔϧ ࣗ༝ʹܾΊΒΕΔ ͖ͳ࣌ʹͰ͖Δ
ࢪઃಁੳͷݶքΛ͑ͨ ΑΓࣗ༝ͳಁੳੜ׆ ճ੍ݶͳ͠ ࣌ؒࣗ༝ ͖ͳ࣌ʹͰ͖Δ
ճ ࣌ؒ ͍ͭʁ σʔλ ମௐ ߹ซ
ճ ࣌ؒ ͍ͭʁ σʔλ ମௐ ߹ซ ࢪઃಁੳͷࠔ͍ͬͯΔ͜ͱ ))%ͳΒղܾͰ͖Δ͔͠Ε·ͤΜ
ಁੳྔͷࢦඪ %S4DSJCOFSɼ%S0SFPQPVMPT )%1 )FNPEJBMZTJT1SPEVDU ಁੳճि ɹ ಁੳ࣌ؒճ × 2
Ҏ্͕ྑ͍ͱఏএɹӃͰҎ্Λਪ ɹ ࣌ؒ ɹ ɹ ɹ ɹ ɹ ճि ɹ ɹ ɹ ɹ ɹ ɹ ɹ
HDP Alb BUN Cr Ca P K β2-MG Hb #1
392 4.2 26.0 4.1 9.5 4.7 4.1 15.0 12.0 #2 188 4.5 34.4 7.7 10.3 3.3 4.2 16.5 12.4 #3 182 4.8 40.9 8.6 9.7 3.8 4.4 18.0 12.3 #4 172 4.3 32.7 6.3 9.1 4.8 5.0 18.6 11.1 #5 147 4.3 48.9 7.8 8.5 4.7 4.9 17.5 9.6 #6 147 4.1 41.9 6.1 9.2 4.4 5.0 21.7 9.1 #7 126 4.4 47.1 8.6 8.9 4.6 6.0 23.0 12.9 #8 123 4.0 26.3 7.5 8.9 4.1 5.0 16.0 12.2 #9 108 4.3 35.4 7.5 8.9 3.8 4.8 20.2 11.8 #10 108 4.6 49.2 6.7 9.8 3.8 4.4 14.0 10.0 #11 100 4.1 42.4 7.4 8.7 5.5 5.0 25.9 11.8 #12 100 4.4 32.0 8.1 9.2 3.9 5.1 23.2 11.4 #13 100 4.1 33.0 6.1 9.3 4.5 4.3 14.1 9.7 #14 100 4.4 30.0 5.5 9.3 3.4 4.8 16.4 10.0 #15 96 4.1 47.2 7.2 9.2 3.5 5.4 22.7 10.7 #16 96 4.2 47.3 9.8 8.2 5.1 5.1 20.4 12.3 #17 88 4.0 34.0 7.0 9.3 4.3 4.0 15.6 12.3 #18 88 4.3 40.2 9.6 9.1 3.1 4.2 20.2 12.0 #19 64 3.8 36.1 10.4 9.7 4.4 4.8 25.3 10.0 #20 61 4.4 46.8 10.0 9.9 6.6 4.2 21.7 11.0 #21 54 4.0 49.0 10.1 9.2 3.1 5.0 23.1 10.6 HDP Alb BUN Cr Ca P K β2-MG Hb Ќ.(͕ ҎԼ "MC ΄΅Ҏ্ , ʙ $B ಁੳӷ͕ॏཁ 1ͷԼ͕Γ ͗͢ʹҙ ˞ಁੳӷͰͷิਖ਼͕ඞཁ
))%ױऀ ਓ ɹຊಁੳҩֶձʮΘ͕ࠃͷຫੑಁੳྍ๏ͷݱگʯΑΓ શಁੳױऀɹສਓͱͯ͠ 0 150 300 450 600
1975 1976 1977 1978.6 1979.6 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017
ͳͥ૿͑ͳ͍ʁ))%ױऀ
ҩྍऀ͕ѹతʹ ))%ΛΒͳ͍
ɹਓਛଁר ɹྟচಁੳ݄߸
Α͋͘Δޡղ wಁੳஔΛࣗͰങΘͳ͍ͱ͍͚ͳ͍ʁ wିॅͰͰ͖ͳ͍ʁ wࣗݾἥ͍͠ʁ wຖ݄ߴֹͳࣗݾෛ୲͕͋Δʁ
Α͋͘Δޡղ wಁੳஔΛࣗͰങΘͳ͍ͱ͍͚ͳ͍ʁ wିॅͰͰ͖ͳ͍ʁ wࣗݾἥ͍͠ʁ wຖ݄ߴֹͳࣗݾෛ୲͕͋Δʁ /0
ͪΐͬͱ͚͓ͩۚͷ ))%ͷอݥɺ ࢪઃಁੳΑΓ͍Ͱ͢ ʲࡏ݂ӷಁੳࢦಋཧྉʳɹ ˞ࡐྉඅͷٻՄೳ ʲසճࢦಋཧྉʳɹɹɹɹɹ ˞ॳճࢉఆ݄͔Β͔݄ؒɺճ݄·Ͱ ʲಁੳӷڙڅஔՃࢉʳɹɹɹ ʲ࠶ྉʳɹɹɹɹɹɹɹɹɹճ ͓͓Αͦɺ݄ʹສԁ
ଟ͍ʁ গͳ͍ʁ
Ոʹಁੳஔͷ ͋Δ෩ܠ ૾Ͱ͖·͔͢
None
None
None
None
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ͬͯΈΑ͏ ४උͭ̕
None
ࢦಋܭը ױऀ༻ ϚχϡΞϧ ୲ऀ ۈௐ
ࢦಋܭը ױऀ༻ ϚχϡΞϧ ୲ऀ ۈௐ Φϯίʔϧ ମ੍ ͷ ड͚͠ ఆظड
ཧ߲
ࢦಋܭը ױऀ༻ ϚχϡΞϧ ୲ऀ ۈௐ Φϯίʔϧ ମ੍ ͷ ड͚͠ ఆظड
ཧ߲ ஔܖ ʢରϝʔΧʔʣ ױऀ༻ ൃॻ ಉҙॻ ঝॻ
ҡ࣋ཧͷίπ ఆظड ҆શରࡦ σʔλͷཧ ۓٸిରԠ ఆظݕ ഇغ ɾ
ɾ ɾ
透析⽤抜針・漏液検知器と連動。 ⾒針絆Ⓡ検知器との連動 針抜け ⾎液漏れ ग़݂ײ͢Δͱ ಁੳஔͷϙϯϓ͕ࢭ·Δ ಁੳஔ͔Βܯใ͕໐Δ
WebΧϝϥΛ׆༻ͨ͠ ిରԠ WebΧϝϥͰಁੳஔͷը໘ΛϦΞ ϧλΠϜʹϞχλϦϯάͰ͖Δ ͠͠ʁ ͳΜ͔ɺ੩຺ѹͷܯใ͕Կ ճ໐ΓΑΔΜ͚Ͳʁ ΧϝϥͰݟͯΈ·͢Ͷɺ ͪΐͬͱ͍ͬͯͩ͘͞ ͱΓ͋͑ͣɺ͜ͷը໘Έ
ͯΒ͑ͨΒɺͲΜͳঢ় گ͔Θ͔ΔΖ ը໘ʹग़ͯΔܯใͷछྨ ʁͦͷ΄͔ͷͲ͏ ͳͬͯΔ͔ͳʁ
ͳʹΑΓେͳ͜ͱʂ ҡ࣋ཧͷίπ ఆظड ҆શରࡦ σʔλͷཧ ۓٸిରԠ ఆظݕ ഇغ
Կ͔͋ͬͨΒ ऴྃ͢Δ ͜ͷ͚ͭͩΛ ઈରʹकͬͯΒ͏
ਓͷଔۀ ࢝·ͬͯ͠·͑ɺ ҙ֎ͱΧϯλϯʹଓ͖·͢ʂ ·ͣɺ
ΦʔόʔφΠτಁੳ ࡏ݂ӷಁੳ
ҩྍ๏ਓ·ͼ͜ձ Ԭ౦΄͠ΒΫϦχοΫ ݄։Ӄ ՊɾਛଁՊɾපՊ ਓಁੳՊ ಁੳࣨݸࣨʢશݸࣨԽʣ ΦʔόʔφΠτಁੳ ࡏ݂ӷಁੳ ࣌ؒɾසճɾ༵ಁੳ
None
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None
চɹશݸࣨͷಁੳࣨ ಋೖʢݱࡏʣ w ը໘͕ԼΛ͘ w ϝϯςφϯε෦͕গͳ͍ w ૢ࡞ը໘͕େ͖͍ w λονόΠϒػೳ
ΦʔόʔφΠτಁੳத υΞΛดΊ͍ͯΔͷͰ ܯใ౮͕Έ͑ͳ͍ ෦ͷ֎ʹܯใ౮Λ ֎෦ग़ྗͯ͠ Ͳͷ෦͔֬ೝ
None
ݸࣨʹࢹΧϝϥΛઃஔ ױऀͷಉҙΛಘ্ͨͰɺ ಁੳதͷঢ়ଶΛϞχλϦϯά φʔεεςʔγϣϯͰɺ શݸࣨͷΧϝϥΛ֬ೝՄೳ ফ౮ޙ҉ࢹରԠ
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ΦʔόʔφΠτಁੳɺࡏ݂ӷಁੳ ਛସྍ๏ͷ৽ͨͳબࢶ બࢶΛ૿͢͜ͱɺ୭ͷͨΊʁԿͷͨΊʁ