ԤˤʤΤϡѤǤ

شϢ˥塼

ݤΰŷ˥塼(TV)/ͭ̾ͤξ㽸ΰ

þǽжʾ

֥Хɥ´ɡפȿǤ졢ƥѿ

yomiDrΰ̼ˡХɥ´ɡѿפǺܤƤޤ
ǯܤĴҤʤꡢ֥Хɥ´ɡפȿǤޤƥɼŤʤȸޤ餬ݤʤʤɡѤۤƧڤޤ󡣡ʣн

̤ˡ±ĹǤƣϡʲΤ褦ˤˤʤäƤޤ
Хɥ´ɤϡȱ֤ΰ۾ǡޤ֤θȿʵȿˤ˱ɤꡢޤ֤μͽФޤþۥ󤬲˺Хɥ´ԤΣ䤯餤ɽޤܤưʳڡˤȴαư㳲ʪŤ˸뤳Ȥ⤢ޤ

ϡͽжưĴ٤ۤIJ֡ʣͣңɡˤǡڤμɤξ֤ߤޤ

Ťϡڤ˱ɤС̤Υƥɤû֤˽椷Ѥ륹ƥɥѥ륹ˡԤޤȿ򤢤Ƥ뼣Ť䡢ޤ˴ùѤɬפʤȤ⤢ޤ

Basedow(Хɥ)Ȥϡþɷۥ(TSH)쥻ץΤλɷˤꡢӤޤιþȹþǽжʾɤ򤭤ȱþǤ

ѵ夬ʹΤǤTSH쥻ץΤޤ줬TSHƱͤκѤTSH쥻ץã뤿ᡢþۥ󤬲˻졢þǽжʾɤޤ

ñ˸äƤޤСʬιþʪȤƸäǧ(TSH쥻ץ)뤿˵ޤΤˤþɷ㤵ιþۥäǤ(þǽжʾ)

ɤνꡢιþۥ󤬷ä뤿˾ɾäƤޤ
þȤϡιƬ鵤ɾι⤵¸ߤþۥʬﴱǤþۥϡT4ˤȥȥ衼ɥ˥T3ˤ2郎ꡢ襦ǤͭߥλΰǤǤϤΤۤȤɤȷ礷Ƥꡢ1ʲͷΥۥ򼨤ޤ

þۥεǽȤƤϡĻĹϤ¥ʡ˻¥ʡǾǮ¥ʤѤޤ

ȾɾȤƤϡνŸ¿ϫ뤬ꡢǮ顢Խ硢̵Сڴʤɤ뤳Ȥޤ

ޤ۴ĴɾȤưة̮ϫ©ڤ졢̮ʤɤޤжھɾȤơؿ餤顢¿ư̲԰ꡢ㲼ͻʤɤޤ

ˡɾȤħŪʤΤޤͽС硢ʣ롢㲼ʤɤ뤳ȤޤХɥ(þ)ȤϡȤ櫓žɷϰͽоɤȤޤ䤹Ȥħޤ

ͽФϴγڤ䡢ݻȿʤɵȿˤȿ¤ǤȤƤϡȿˡʹ(TSHΤ䳰ð۹)¸ߤ뼫ȱּȹͤƤޤ

ž٤ϡBasedow¤νž٤þǽȤʿԤʤȤޤڤαư㳲ϡѤ䳰ڤδݼȿȤʤɡʣŪʸˤ뱿ư¤ǵޤ

ƥɤѤȤƤϡʲΤ褦ˤˤʤäƤޤ³ɤ

þǽжʾɤǼŤƤ-YOSHIKI

ƥĥΥåХɡX JAPANΥ꡼YOSHIKIþǽжʾɤ򴵤äƤ뤳Ȥ7狼äǯ7ǴĹڽοǤȽֿۤ򤫤ʤפȤΰոˤꥹåդˤ⤳ޤǸɽ򹵤Ƥ

þۥʬ̤ˤʤְ̤οͤ䤹μסʼ缣ˤǡΤۤںΥۥƥǵ򼺤äݤƤȤȯµȽְϹþβǽ⼨줿סƱˤȤΤȤϤοۤϤʤΤΰ³ȼŤפ롣ưϵٻߤϻ10ͽɤĥǽ˥塼衼ǹԤ

¤Ǵĥإ˥ѷˤФǴֹɤȿǤ졢ǯ727ƥե˥dzʼѤYOSHIKIνǻǹþȹþǽжʾɤ⸫ĤäƤ

Ƥˤʤ̮ʤɤο۴Ĵξɾжʡ̲ʤɤοоɾռ㳲ȼǽꡢYOSHIKIϥ쥳ǥ󥰤䥳󥵡Ȥι֤̤äƼŤ両³ƤþµΰĤǤХɥ¤ȿǤ줿μΰǯäƳưٻߤߤϼŤǰƤ롣
(YOSHIKIþɽϹþε)

þǽжʾɤȤ


þǽжʾɤϡǤϡֹþεǽжʤƤ֡פؤñ˷ιþۥäƤþǾɤȶ̤ޤʤ顢ξԤϤФƱȤƻѤ졢׾ɾ϶¿Ǥ

þۥä븶Ȥơ
1) ȯþǽжʾɡʥХɥ¡ǽþʤɡ
2) ˲þǾɡʰþꡢ̵þʤɡ
3) þǽжʾɡTSHʤɡ
4) þۥޤβݼ
ʤɤޤ٤κǤ¿ΤϥХɥ¤Ǥꡢ˲þǾɤǤ̱ǤʤɤǸĤþǽжʾɤϡ1,000ͤФ 16ͤ𤵤ƤޤƱͤˡǤ̴ԤΤþǾɤͭͤ0.5 ¸ߤޤ

Ǥ׾ɾ(ưة̮¿ؿνŸϫþ)ȷþۥξ徺(fT4fT3)ܤȤʤޤ

þǽжʾɰʳǤϡTSH㲼ƤޤþǽжʾɤǤϹþۥ徺ˤ⤫餺TSH㲼Ƥޤ󡣥Хɥ¤ǤϴͽФʤɤδɾʻͤˤʤޤ

Хɥ¤οǴǤϡ
׾긫
i )Ӥޤþ
ii )ͽФޤͭδɾ
iii)̮νŸͻ迶ʤɤιþǾɽ긫
1İʾ˲äθ긫

i )ͷΥT4(fT4)
ii )TSH(0.1U/mlʲ)
iii)TSHι(TRAbTBII)ޤϹþɷ㹳(TSAb)

ȤʤäƤޤ

þǽжʾɤμ


þǽжʾɤμŤȤƤϡʲΤ褦ʤΤޤ³ɤ

ݤȴӡݥХɥ

ǽٹ𡪤ݤΰǼ夲ƤƤǤ

ؤDzĮŹĤSK(46)ϡï⤬ǧ뾦ŹΥޥɥʡ
Ảιȱ䤱ȴΤˤʤäƤޤ֤⤦жᤤʤפȾĤĤ⡢Ƭޥå򿴤褦ˤʤäӡˤ󡣤ȴӤϤɤɤҤɤʤФ꤫饤餹뤳ȤʤѤ⸽ޤäƤɾϡʲ̤Ǥ

2)ȱӤ٤ʤ
3)饤餹
4)ưةȯ
5)ʤ

±˹Ԥ𤲤줿̾ϥХɥ¤Ǥ


Хɥ¤Ȥϡ˹þɷ㤹빳(þɷۥλɷ㹳)줬þɷۥ (TSH) ˹þ˻ɷ㤹뤿ˡۥɬװʾˤĤƤޤµǤ

Хɥ¤ϡⰵŪ˽¿ȤƤޤ20夫40濴ˡͽ300ͤ1ͤϴäƤȤޤ

þۥȤοդۥǤꡢΤᡢþۥΰ۾ͤˤäդ۾˳ȯˤʤ뤳ȤǡȤ͡ʱƶڤܤޤȤС¡ǽжʤưةäƤ롢դγȯȯ¿(򤫤䤹)Ƥν뤵ѤʤʬΥХ󥹤Ū԰ˤʤ롢饤餹롢Ϥ㲼ȤäȤǤ

SK򽱤äȴӡפϡ餫θǹþȱ֥ƥ˰۾郎ȯþκ˦ʪȴְ㤨⤷ᡢۥ󤬲ʬ硣ǿդԤʤ줿̡ȱӤĹ᤯ȴƤäƤޤäȹͤޤ

ּʤפȤѤϡþ̤Υۥʬ礷줢äΤǤ줳ХɥºΥǡȯμ꤬Ȥʤޤ

Хɥ¤Ǥϡ¾ˤͽС찵þ꡼Ȥ̿ˤäƤ֤˴٤뤳Ȥ⤢ޤSKϼŤ򺬵褯³̡ǯˤ¤ΥȥƱͤ褦ˤʤäǤŪ(ˤä)Ť뤳ȤǽʤȤ¿褦Ǥ⤷ơȻפä±ء

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