{"id":359,"date":"2022-03-12T10:20:19","date_gmt":"2022-03-12T01:20:19","guid":{"rendered":"https:\/\/www.jojinkai.com\/hitachino\/?page_id=359"},"modified":"2022-03-12T15:30:21","modified_gmt":"2022-03-12T06:30:21","slug":"cirrhosis","status":"publish","type":"page","link":"https:\/\/www.jojinkai.com\/hitachino\/disease\/cirrhosis\/","title":{"rendered":"\u809d\u786c\u5909"},"content":{"rendered":"\n<h3><strong>\u809d\u786c\u5909\u3068\u306f<\/strong><\/h3>\n\n\n\n<figure class=\"wp-block-image size-large is-resized\"><img loading=\"lazy\" src=\"https:\/\/www.jojinkai.com\/hitachino\/wp-content\/uploads\/sites\/24\/2022\/03\/\u809d\u786c\u5909\u2460-1024x427.jpg\" alt=\"\" class=\"wp-image-380\" width=\"437\" height=\"181\" srcset=\"https:\/\/www.jojinkai.com\/hitachino\/wp-content\/uploads\/sites\/24\/2022\/03\/\u809d\u786c\u5909\u2460-1024x427.jpg 1024w, https:\/\/www.jojinkai.com\/hitachino\/wp-content\/uploads\/sites\/24\/2022\/03\/\u809d\u786c\u5909\u2460-300x125.jpg 300w, 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g\/dL\u4ee5\u4e0b\u306b\u4f4e\u4e0b\u3057\u307e\u3059\u3002\u4f4e\u5024\u306b\u306a\u308b\u3068\u8179\u6c34\u3084\u4f53\u306e\u3080\u304f\u307f\u304c\u751f\u3058\u3066\u304d\u307e\u3059\u3002<\/li><li><strong>\u8840\u5c0f\u677f<\/strong>\uff1a\u8d64\u8840\u7403\u30fb\u767d\u8840\u7403\u3068\u4e26\u3076\u8840\u7403\u3067\u3001\u51fa\u8840\u6642\u306e\u6b62\u8840\u306e\u969b\u306b\u50cd\u304d\u307e\u3059\u3002\u6162\u6027\u809d\u75be\u60a3\u306e\u9032\u884c\u306b\u4f34\u3044\u3001\u8840\u5c0f\u677f\u6570\u304c\u5f90\u3005\u306b\u6e1b\u5c11\u3057\u3066\u3044\u304f\u3053\u3068\u304c\u77e5\u3089\u308c\u3066\u3044\u307e\u3059\uff08\u816b\u308c\u305f\u813e\u81d3\u304c\u8840\u5c0f\u677f\u3092\u7834\u58ca\u3057\u3066\u6e1b\u5c11\u3055\u305b\u307e\u3059\uff09\u3002\u4e00\u822c\u7684\u306b\u809d\u786c\u5909\u3067\u306f\u8840\u5c0f\u677f\u657010\u4e07\/mm3\u4ee5\u4e0b\u306b\u6e1b\u5c11\u3057\u3066\u3044\u307e\u3059\u3002<\/li><li><strong>\u30b3\u30ea\u30f3\u30a8\u30b9\u30c6\u30e9\u30fc\u30bc<\/strong>\uff1a\u809d\u81d3\u3067\u4f5c\u3089\u308c\u308b\u30a2\u30eb\u30d6\u30df\u30f3\u5408\u6210\u80fd\u306e\u6307\u6a19\u3067\u3059\u3002\u809d\u786c\u5909\u3067\u306f\u4f4e\u5024\u3092\u793a\u3057\u307e\u3059\u3002<\/li><li><strong>\u30d7\u30ed\u30c8\u30ed\u30f3\u30d3\u30f3\u6642\u9593<\/strong>\uff1a\u809d\u81d3\u3067\u4f5c\u3089\u308c\u308b\u8840\u6db2\u51dd\u56fa\u56e0\u5b50\u3068\u3044\u3046\u6210\u5206\u306b\u3088\u3063\u3066\u3001\u8840\u6db2\u304c\u56fa\u307e\u308b\u6642\u9593\u306e\u6307\u6a19\u3067\u3059\u3002\u809d\u786c\u5909\u3067\u306f\u8840\u6db2\u51dd\u56fa\u56e0\u5b50\u306e\u5408\u6210\u304c\u4f4e\u4e0b\u3059\u308b\u305f\u3081\u3001\u30d7\u30ed\u30c8\u30ed\u30f3\u30d3\u30f3\u6642\u9593\u304c\u5ef6\u9577\u3057\u307e\u3059\u3002<\/li><li><strong>\u30a2\u30f3\u30e2\u30cb\u30a2<\/strong>\uff1a\u30bf\u30f3\u30d1\u30af\u8cea\u3092\u6750\u6599\u306b\u8178\u5185\u7d30\u83cc\u306b\u3088\u3063\u3066\u7523\u751f\u3055\u308c\u307e\u3059\u304c\u3001\u809d\u786c\u5909\u3067\u306f\u5206\u89e3\u304c\u4f4e\u4e0b\u3059\u308b\u305f\u3081\u8840\u6db2\u4e2d\u306b\u5897\u52a0\u3057\u307e\u3059\u3002\u9ad8\u5024\u306b\u306a\u308b\u3068\u3001\u610f\u8b58\u969c\u5bb3\u306a\u3069\u306e\u809d\u6027\u8133\u75c7\u3068\u547c\u3070\u308c\u308b\u75c5\u614b\u304c\u8d77\u304d\u308b\u5834\u5408\u304c\u3042\u308a\u307e\u3059\u3002<\/li><li><strong>\u7dcf\u30d3\u30ea\u30eb\u30d3\u30f3<\/strong>\uff1a\u9ec4\u75b8\u3092\u8868\u3059\u6307\u6570\u3002\u809d\u786c\u5909\u3067\u6a5f\u80fd\u4f4e\u4e0b\u304c\u304a\u3053\u308b\u3068\u4e0a\u6607\u3057\u307e\u3059\u3002\u901a\u5e383mg\/dl\u3092\u8d85\u3048\u308b\u3068\u773c\u7403\u7d50\u819c\u304c\u9ec4\u8272\u304f\u306a\u3063\u3066\u304d\u307e\u3059\u3002<\/li><\/ul>\n\n\n\n<p>\u3053\u308c\u3089\u306e\u691c\u67fb\u5024\u306f\u3044\u308d\u3044\u308d\u306a\u6761\u4ef6\u306b\u5f71\u97ff\u3055\u308c\u3001\u5358\u72ec\u3067\u809d\u786c\u5909\u3068\u8a3a\u65ad\u3059\u308b\u3053\u3068\u306f\u4e0d\u53ef\u80fd\u306a\u306e\u3067\u3001\u3044\u304f\u3064\u304b\u306e\u691c\u67fb\u3092\u7d44\u307f\u5408\u308f\u305b\u3066\u8a3a\u65ad\u306b\u7528\u3044\u307e\u3059\u3002\u307e\u305f\u3001\u809d\u81d3\u75c5\u306e\u9032\u884c\u72b6\u614b\u306e\u6307\u6a19\u306e\u4e00\u3064\u3067\u3042\u308b\u3001\u7e4a\u7dad\u5316\u3092\u53cd\u6620\u3059\u308b\u9805\u76ee\u3068\u3057\u3066\u4ee5\u4e0b\u306e\u3082\u306e\u304c\u6319\u3052\u3089\u308c\u307e\u3059\u3002<\/p>\n\n\n\n<ul><li><strong>M2BPGi (Mac-2 binding protein glycosylation isomer)<\/strong>\uff1a2015\u5e74\u3088\u308a\u4fdd\u967a\u53ce\u8f09\u3055\u308c\u305f\u809d\u7dda\u7dad\u5316\u306e\u65b0\u898f\u8840\u6e05\u30de\u30fc\u30ab\u30fc\u3067\u3059\u3002\u6162\u6027\u809d\u81d3\u75c5\u306e\u75c5\u671f\u306e\u9032\u884c\u306b\u4f34\u3044\u4e0a\u6607\u3057\u307e\u3059\u3002\u305f\u3060\u3057B\u578b\u6162\u6027\u809d\u708e\u3084\u975e\u30a2\u30eb\u30b3\u30fc\u30eb\u6027\u8102\u80aa\u809d\u75c7\u4f8b\u306eM2BPGi\u5024\u306fC\u578b\u809d\u708e\u75c7\u4f8b\u306b\u6bd4\u3079\u308b\u3068\u4f4e\u3044\u3053\u3068\u3001\u75c5\u56e0\u306b\u3088\u308aM2BPGi\u306e\u6a19\u6e96\u5024\u304c\u7570\u306a\u308b\u3053\u3068\u304c\u5831\u544a\u3055\u308c\u3066\u3044\u307e\u3059\u3002<\/li><li><strong>\u30d2\u30a2\u30eb\u30ed\u30f3\u9178\uff1a<\/strong>\u809d\u81d3\u306e\u7dda\u7dad\u5316\u304c\u9032\u3080\u3068\u809d\u81d3\u5185\u306e\u30d2\u30a2\u30eb\u30ed\u30f3\u9178\u7523\u751f\u304c\u4ea2\u9032\u3057\u3001\u8840\u4e2d\u306e\u30d2\u30a2\u30eb\u30ed\u30f3\u9178\u306e\u5206\u89e3\u80fd\u304c\u4f4e\u4e0b\u3059\u308b\u305f\u3081\u3001\u30d2\u30a2\u30eb\u30ed\u30f3\u9178\u306e\u8840\u4e2d\u306e\u6fc3\u5ea6\u304c\u5897\u52a0\u3057\u307e\u3059\u3002<\/li><li><strong>\u2163\u578b\u30b3\u30e9\u30fc\u30b2\u30f3<\/strong>\uff1a\u809d\u708e\u304b\u3089\u809d\u786c\u5909\u306b\u81f3\u308b\u809d\u7dda\u7dad\u5316\u306e\u9032\u5c55\u904e\u7a0b\u306b\u304a\u3044\u3066\u3001\u809d\u7d44\u7e54\u53ca\u3073\u8840\u4e2d\u306e\u2163\u578b\u30b3\u30e9-\u30b2\u30f3\u91cf\u304c\u5897\u52a0\u3057\u307e\u3059\u3002<\/li><li><strong>FIB-4 index<\/strong>\uff1a\u8840\u6db2\u751f\u5316\u5b66\u691c\u67fb\u30c7\u30fc\u30bf(ALT, AST, \u8840\u5c0f\u677f\u6570)\u3092\u7528\u3044\u3066\u809d\u7dda\u7dad\u5316\u306e\u4e88\u6e2c\u3092\u884c\u3046\u30b9\u30b3\u30a2\u30ea\u30f3\u30b0\u30b7\u30b9\u30c6\u30e0\u3067\u3001\u4ee5\u4e0b\u306e\u5f0f\u3067\u7b97\u5b9a\u3055\u308c\u307e\u3059\u3002<\/li><\/ul>\n\n\n\n<p>AST (IU\/L) x \u5e74\u9f62(\u6b73) \/ {10 \u00d7\u8840\u5c0f\u677f\u6570 (\u4e07\/\u03bcL) \u00d7\u221aALT(IU\/L)}<\/p>\n\n\n\n<p>\u7dda\u7dad\u5316\u304c\u9032\u3081\u3070\u6570\u5024\u304c\u5927\u304d\u304f\u306a\u308b\u3053\u3068\u304c\u77e5\u3089\u308c\u3066\u304a\u308a\u3001\u7279\u306b\u975e\u30a2\u30eb\u30b3\u30fc\u30eb\u6027\u8102\u80aa\u809d\u708e\u306e\u5371\u967a\u5ea6\u306a\u3069\u306e\u5224\u5b9a\u306b\u7528\u3044\u3089\u308c\u307e\u3059\u3002<\/p>\n\n\n\n<h4><strong>\u753b\u50cf\u8a3a\u65ad\u691c\u67fb\u307b\u304b<\/strong><\/h4>\n\n\n\n<p>\u809d\u786c\u5909\u306b\u81f3\u3063\u305f\u809d\u81d3\u306f\u3001\u8089\u773c\u7684\u306b\u306f\u8868\u9762\u304c\u3067\u3053\u307c\u3053\u3057\u3066\u3044\u3066\u3001\u53f3\u8449\u304c\u5c0f\u3055\u304f\u306a\u308b\u306b\u3064\u308c\u3066\u3001\u5de6\u8449\u304c\u5927\u304d\u304f\u306a\u308a\u307e\u3059\uff08\u4ee3\u511f\u6027\u80a5\u5927\uff09\u3002\u3053\u3046\u3057\u305f\u5909\u5316\u3092\u8179\u90e8\u753b\u50cf\u8a3a\u65ad\u691c\u67fb\u3067\u3068\u3089\u3048\u307e\u3059\u3002<strong>\u8179\u90e8\u8d85\u97f3\u6ce2\u691c\u67fb<\/strong>\u3067\u306f\u809d\u81d3\u306e\u5909\u5f62\u3084\u5185\u90e8\u69cb\u9020\u306e\u4e0d\u5747\u4e00\u5316\u3001\u8840\u7ba1\u72ed\u5c0f\u5316\u306a\u3069\u306e\u5909\u5316\u304c\u307f\u3089\u308c\u306a\u3044\u304b\u3092\u30c1\u30a7\u30c3\u30af\u3057\u307e\u3059\u3002\u307e\u305f\u809d\u786c\u5909\u306b\u4f34\u3046\u8179\u6c34\u3084\u813e\u81d3\u306e\u816b\u308c\u306a\u3069\u3082\u8d85\u97f3\u6ce2\u691c\u67fb\u3067\u78ba\u8a8d\u3067\u304d\u307e\u3059\u3002<strong>\u8179\u90e8CT\u691c\u67fb<\/strong>\u3084<strong>\u8179\u90e8MRI\u691c\u67fb<\/strong>\u3067\u3082\u540c\u69d8\u306e\u3053\u3068\u304c\u308f\u304b\u308a\u307e\u3059\u304c\u3001\u809d\u786c\u5909\u306b\u7279\u5fb4\u7684\u306a\u6240\u898b\u304c\u4e4f\u3057\u3044\u521d\u671f\u8a3a\u65ad\u306f\u96e3\u3057\u3044\u3068\u3055\u308c\u3066\u3044\u307e\u3059\u3002<strong>\u4e0a\u90e8\u6d88\u5316\u7ba1\u5185\u8996\u93e1\u691c\u67fb<\/strong>\u3067\u98df\u9053\u3084\u80c3\u306e\u9759\u8108\u304c\u592a\u304f\u306a\u3063\u305f\u9759\u8108\u7624\u306e\u5f62\u6210\u304c\u78ba\u8a8d\u3055\u308c\u305f\u5834\u5408\u306f\u3001\u809d\u786c\u5909\u306b\u81f3\u3063\u3066\u3044\u308b\u53ef\u80fd\u6027\u304c\u9ad8\u3044\u3068\u5224\u65ad\u3055\u308c\u307e\u3059\u3002<\/p>\n\n\n\n<p>\u809d\u786c\u5909\u306e\u78ba\u5b9a\u8a3a\u65ad\u306b\u304a\u3044\u3066\u3082\u3063\u3068\u3082\u512a\u308c\u3066\u3044\u308b\u306e\u306f\u3001\u809d\u81d3\u306b\u91dd\u3092\u523a\u3057\u3066\u7d44\u7e54\u306e\u4e00\u90e8\u3092\u63a1\u53d6\u3057\u3066\uff08<strong>\u809d\u751f\u691c<\/strong>\uff09\u3001\u9855\u5fae\u93e1\u3067\u7dda\u7dad\u306e\u5897\u3048\u65b9\u3092\u89b3\u5bdf\u3059\u308b\u3068\u3055\u308c\u3066\u304d\u307e\u3057\u305f\u3002\u305f\u3060\u3057\u4fb5\u8972\u7684\u306a\u691c\u67fb\u3067\u3042\u308a\u3001\u30b5\u30f3\u30d7\u30ea\u30f3\u30b0\u30a8\u30e9\u30fc\uff08\u53d6\u308b\u5834\u6240\u306b\u3088\u308a\u9032\u884c\u5ea6\u304c\u7570\u306a\u308b\u5834\u5408\uff09\u306a\u3069\u306e\u554f\u984c\u3082\u3042\u308b\u305f\u3081\u3001\u6700\u8fd1\u3067\u306f\u809d\u751f\u691c\u3092\u884c\u308f\u305a\u3001\u30d5\u30a3\u30d6\u30ed\u30b9\u30ad\u30e3\u30f3\u3092\u306f\u3058\u3081\u3068\u3059\u308b\u809d\u81d3\u306e\u786c\u3055\u3092\u6e2c\u5b9a\u3059\u308b\u65b0\u3057\u3044\u8a3a\u65ad\u6a5f\u5668\u3092\u5229\u7528\u3057\u3066\u3001\u8a3a\u65ad\u306b\u5f79\u7acb\u3066\u308b\u65bd\u8a2d\u3082\u591a\u3044\u3088\u3046\u3067\u3059\u3002<\/p>\n\n\n\n<p>\u307e\u305f\u3001\u809d\u786c\u5909\u306b\u306f\u809d\u304c\u3093\u304c\u5408\u4f75\u3057\u3084\u3059\u3044\u306e\u3067\u3001\u5b9a\u671f\u7684\u306b\uff08\u4e09\u304b\u6708\uff5e\u534a\u5e74\u6bce\uff09\u4e0a\u8a18\u306e\u8179\u90e8\u753b\u50cf\u8a3a\u65ad\u691c\u67fb\u3092\u7528\u3044\u3066\u809d\u304c\u3093\u306e\u6709\u7121\u3092\u30c1\u30a7\u30c3\u30af\u3057\u307e\u3059\u3002\u4f75\u305b\u3066\u3001\u809d\u304c\u3093\u306e\u816b\u760d\u30de\u30fc\u30ab\u30fc\u3068\u3055\u308c\u308b<strong>AFP<\/strong>\u3084<strong>PIVKA\u2161<\/strong>\u306a\u3069\u3092\u3001\u5b9a\u671f\u8840\u6db2\u691c\u67fb\u306e\u969b\u306b\u8abf\u3079\u307e\u3059\u3002\u5c0f\u3055\u3044\u3046\u3061\u306b\u809d\u304c\u3093\u3092\u898b\u3064\u3051\u308c\u3070\u6839\u6cbb\u7684\u306a\u6cbb\u7642\u304c\u53ef\u80fd\u306a\u5834\u5408\u304c\u591a\u3044\u306e\u3067\u3001\u533b\u5e2b\u306e\u6307\u793a\u306b\u5f93\u3063\u3066\u3001\u3053\u308c\u3089\u306e\u5b9a\u671f\u7684\u306a\u691c\u67fb\u3092\u53d7\u3051\u3066\u304f\u3060\u3055\u3044\u3002<\/p>\n\n\n\n<h3><strong>\u809d\u786c\u5909\u306e\u6cbb\u7642\u65b9\u6cd5<\/strong><\/h3>\n\n\n\n<p>\u809d\u786c\u5909\u305d\u306e\u3082\u306e\u3092\u6cbb\u7642\u3067\u304d\u308b\u85ac\u5264\u306f\u3001\u73fe\u5728\u306e\u533b\u5b66\u3067\u306f\u307b\u3068\u3093\u3069\u3042\u308a\u307e\u305b\u3093\u304c\u3001\u809d\u708e\u30a6\u30a4\u30eb\u30b9\u306a\u3069\u80cc\u666f\u809d\u75be\u60a3\u306e\u6cbb\u7642\u3084\u3001\u5408\u4f75\u75c7\u306e\u5236\u5fa1\u3092\u76ee\u7684\u3068\u3057\u305f\u591a\u304f\u306e\u85ac\u5264\u3001\u6cbb\u7642\u6cd5\u304c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