å¥åº·èšºæã®ã¬ã¯ãã£ãŒ
å®ã¯åã¯ãç£æ¥å»ã§ããã
ç£æ¥å»ãšããã®ã¯ãèŠããã«ãäŒç€Ÿãä»ãã®ãã¯ã¿ãŒã§ãããã®äŒç€Ÿã®è·å¡ã®å¥åº·ç®¡çã¯èªåã蚺ãŠãããŸããããšããç«ã¡äœçœ®ã§ããã
2020幎12æåä¹å·åžã«ç£æ¥å»ã®èªå®è¬åº§ãåãã«è¡ã£ãããšã«ã€ããŠã¯ãéå»èšäºã«æžããããšãããã
https://note.com/nakamuraclinic/n/n3bb82af3d267
ãã£ããç£æ¥å»è³æ ŒãåŸããã®ã®ããããŸã§ãã®è³æ Œã掻çšããããšã¯äžåºŠããªãã£ãã
ãããå
æ¥ãåã«ç£æ¥å»ãšããŠåããŠã®ä»äºã®ãªãã¡ãŒãèã蟌ãã ãå
šç€Ÿå¡ã®å¥åº·èšºæãããŠããã®åŸã瀟å¡ã®åã§å¥åº·ã¬ã¯ãã£ãŒããé¡ããããããšãããªãã¡ãŒã§ããã
ãç
é¢ã«è¡ããªãè¬ã飲ããªãã¯ã¯ãã³ãæã€ãªããšãã䞻矩ã®åãã埡瀟ã®ç€Ÿå¡ã®åã§ã¬ã¯ãã£ãŒãããã°ãäžæããã°ç€Ÿå¡ãæŽåãèµ·ãããããããŸããã(ç¬)ãããã¿ã©ã¡ãªç£æ¥å»ãåŒã¶ãªïŒãã£ãšæ®éã®å¥Žãå¯è¶ãïŒãã¿ãããªãããã§ããããã§ããïŒ
ãšãã念æŒãã«ãããããããããã²ã«ïŒããšã®ãåžæãªã®ã§ãé æ
®ãªãèªèª¬ãã¶ã€ããããŠããã ããã

ãŸããã¿ãªãããç é¢ã«è¡ãã°ããè¡å§äžããïŒããã³ã¬ã¹ãããŒã«äžããïŒããå°¿é žäžããïŒããšæ£ã ãæå°ãããããšæããŸãã

西æŽå»åŠãšããã®ã¯ã人éã®äœããã«ãšã¿ãªããŸãããæŸã£ãŠããã°ãè¡å§ãäžãã£ãããã³ã¬ã¹ãããŒã«ãäžãã£ããããšããå
·åã«ãèªåã§æ£åžžå€ã«æããããšãã§ããªãäœãšãããã®ãã«ããè¬ã§äœãšãæŽããŠãããã
ãªãäžãã£ãŠããã®ãããã®åå ã«ã¯ç®ãããããããšã«ããè¬ã§æ£åžžå€ã«åŒãäžããããšãããã西æŽå»åŠãªãã§ããã
æ¬åœã«ãããæ£ããããšãªã®ããäœã«ããããšãªã®ãã
仿¥ã¯ãããã話ãããããšæããŸãã

ãŸããéå§è¬ããããããè¡å§ã®åºæºå€ãšããã®ã¯äœãªã®ãïŒ

è¡å§ã®åºæºå€ã¯ãé·ãã180/100 mmHgã ã£ããããããçŸåšã®åºæºå€ã¯ã140/90 mmHgã«ãªã£ãŠãããããã ãšãæ¥æ¬äººã®ã»ãŒå šå¡ãé«è¡å§ãšããããšã«ãªã£ãŠããŸãããªããããªãã¿ã©ã¡ããŸããéã£ãŠããã®ãïŒ

æ¥æ¬é«è¡å§åŠäŒãšããåŠäŒããããŸããããã®çäºé·ãããã°ã1ååãšããéãããããŸããããã¯ç§å¯ã§ãäœã§ããªããŠãå
¬éã®ããŒã¿ã§ããã
ã€ãŸãã補è¬äŒç€Ÿããã«ãŒã«ãäœã人ãã¡ã«å€§éãæ¡ãããŠãèªç€Ÿè£œåã®å£²ã蟌ã¿ã«æå©ãªã«ãŒã«ãäœãããŠãããããããæ§é ããããšããããšã§ããããã¯äœããæ¥æ¬é«è¡å§åŠäŒã«éããŸããã

補è¬äŒç€Ÿããå»è
ã«å¯ŸããŠè¬æŒæãå¯ä»ãç ç©¶è²»ãªã©ãäŸäžããããšã§ãå»è
ãšãã£ããçµã³ã€ããŠãããã€ãŸããå»è
ã®å人çãªå©çããæ£è
ã®å©çãããåªå
ãããçµæã補è¬äŒç€Ÿã倧ãã«å²ãã£ãŠãããããã¯ãããã«å©ççžåã§ããæ³£ããèŠãã®ã¯ãå¿
èŠããªãè¬ã飲ãŸãããæ£è
ã§ãã
å®éãéå§è¬ã飲ãã§ãæ£è
ã«ã©ããªäžå©çãããã®ãã

éå§è¬ã飲ã人ãšããã®ã¯ãè³æ¢å¡ãªãå¿çæ¢å¡ãªããé節ãªçŸæ£ãäºé²ããããã«éå§è¬ã飲ãããã§ããããããããå®éã®ãšãããéå§è¬ã飲ãã§ãã人ã®ã»ãããè³æ¢å¡ã®çºçã6å²å€ãã£ãããã®ç
æ°ãé²ãããã«é£²ãã§ããã¯ãã®è¬ã§ãããããã®çºçãå¢ããŠãããšãããã¿ã©ã¡ãèµ·ãã£ãŠãããããããããã ããããªããéå§è¬ã飲ãã§ãã人ã®ã»ããçã®çºçã4.5åå€ãã£ãã
ãã®ãã人éã®äœã¯ãã«ãããªããè¡å§ãé«ããšããããšã¯ãäœã¯ãè¡å§ããããå¿
èŠæ§ãããããäžããŠããããã§ããããããåãå»è
ã¯ãããã«ãã®åå ãèããããšããªãããæ°åãåºæºå€ä»¥äžã«äžããïŒããšç¡çããè¬ã飲ãŸããããã®çµæãã©ããªããã

ããšãã°ããã±ãŸããããã¯åœç¶ã§ãããããã£ããå¿èãé 匵ã£ãŠè¡å§ãäžããŠããã®ã«ãç¡çã«è¬ã§è¡å§ãäžãããã®ã ãããè³ã¯èè¡ã«é¥ã£ãŠãèªç¥æ©èœãäœäžããŠããŸãã

ãããã¯ãæ»ã«ãŸããæ¯èŒçãããã®éå§çŸ€(ããŸã150ãããã¯èš±å®¹ç¯å²ã«ãããã)ãšããã£ããäžãã矀(ã150ãªããŠé«ãïŒ140以äžã«ãã£ããäžããïŒã)ãšãã2矀ãã2幎é远ããããããã®çµæããã£ããè¡å§ãäžãã矀ã®ã»ãããæ»äº¡çã29ïŒ
é«ãã£ãã
ããããå»è
ã®èšãããšãçŽ çŽã«èããäººã®æ«è·¯ãšããããšã«ãªããŸãã
ããšããããããšããå»è
ãæ±ºãŸã£ãŠããã®ããæžå¡©ãã
ããã«ã€ããŠã¯ã以åã®èšäºã§æžããŸããã

ç«åŠç ç©¶ã«ãããšãè¡å§ãšæãçžé¢ããã®ã¯è¥æºåºŠã§ããå¡©ã®æåéã¯ã»ãŒç¡é¢ä¿ã§ãããªã®ã§ãè¡å§ãèªç¶ã«æžãããããªããè¬ããããé£äºãšéåã§ããè¬ã§ç¡çããäžããã£ãŠãå¥åº·äžã®ã¡ãªããã¯ãªãããŸãåœããåã®è©±ã§ãããã

ã³ã¬ã¹ãããŒã«éäžè¬ãããããã¹ã¿ãã³ã§ããããããããã¶ã眪深ãè¬ã§ããããã¯è£œè¬äŒç€Ÿã®ãã«ç®±ã§ãã¿ãªããã®äžã«ã飲ãã§ã人ãããããšæããŸãã

ããã飲ããšã確ãã«ã³ã¬ã¹ãããŒã«ã¯äžãããŸãããããããã®ä»£ãããæ§ã ãªå¯äœçšãåºãã®ã§ãããããšãã°ç³å°¿ç ã«ãªããŸãã



ç³å°¿ç
ã§ã¯ãªã人ããã¢ãã«ãã¹ã¿ãã³ã10é±é飲ãã ãã§ãã€ã³ã¹ãªã³æµææ§ãå¢å ãããããã§ãç³å°¿ç
æ£è
ã®äžäžãããã§ããå»è
ã¯éæããªå£°ã§èšãã§ãããããããïŒè¡ç³å€ãå¢ããŠããŸããããç³å°¿ç
ã®è¬ããåºãããŠãããŸããã
ããããŠå€å€äœµçšæ£è
ãéç£ããã補è¬äŒç€Ÿã®å£²ãäžãã«è²¢ç®ããŠãããæ³£ããèŠãã®ã¯ãå»è
ã®èšãããšãèãåŸåãªæ£è
ã ãã

ã³ããã¯ã¯ãã³ã®è²©å£²åœåããã¯ã¯ãã³ã®æå¹æ§ã¯95ïŒ
ããšããæ°åãã¡ãã£ã¢ã§ãã³ãã³å§äŒãããŠããŸããããããæ®éã«åãåãã°ããã³ããã¯ã¯ãã³ã100人ã®äººãæãŠã°ããã®ãã¡95人ã¯ã³ããã«ããããªããã ãªãã£ãŠæããŸãããã
ã§ããæ¬åœã®ãšãããããã£ãŠè©æ¬ºã§ãã

ã³ãã眹æ£çã¯ãã¯ã¯ãã³æ¥çš®çŸ€ã§0.00045ïŒ
ããã©ã»ãæ¥çš®çŸ€ã§0.00916ïŒ
ã€ãŸããã³ããã¯ã¯ãã³ã®æå¹æ§ã¯ããããã®å·®ããšã£ãŠã0.008âŠãã€ãŸãã0.8ïŒ
ã§ããããããã¯ã¯ãã³ã®æå¹æ§ã¯0.8ïŒ
ïŒãã§ã¯å®£äŒæå¥ã«ãªããªããããã§è£œè¬äŒç€Ÿã¯ãçžå¯Ÿãªã¹ã¯ã®æ¯ããšã£ãŠãã95ïŒ
ã®æžå°ïŒããšäž»åŒµãããå®å
šã«è©æ¬ºãªã®ã§ããããã®ãçžå¯Ÿãªã¹ã¯è©æ¬ºãã¯ã¹ã¿ãã³ã«å§ãŸããŸãã


ããšãã°ãå¿çæ¢å¡ã®çºççã«ã€ããŠãã¹ã¿ãã³æäžçŸ€ã§ã¯1ïŒ ã§ããã©ã»ãæäžçŸ€ã§ã¯2ïŒ ã ã£ããæ¬æ¥ãªãããæå¹æ§1ïŒ ãã§ãããããããã§ã¯å®£äŒã«ãªããªããããã§ãçžå¯Ÿãªã¹ã¯ã®æžå°ã«æ³šç®ããŠããæå¹æ§54ïŒ ïŒããšããŠãè¬ã®å®£äŒææã«ãããèªç€Ÿååã売ã蟌ããããªããããããè©æ¬ºã¯æé£¯åãšããã®ã補è¬äŒç€Ÿã§ãã
å®éã®ãšãããæªçã³ã¬ã¹ãããŒã«ãšãããLDLã³ã¬ã¹ãããŒã«ã§ãããLDLãäœããšæ»äº¡çãäžãããšããã®ãçµ±èšã®ç€ºããšããã§ãã



ããããã¹ã¿ãã³æäžçŸ€ã§ã¯çã®çºççã50ïŒ é«ããšãããªãã±ä»ãã§ãã

ãã£ãšèšããšãã¹ã¿ãã³ã®æçšã«ãã£ãŠãã±ãŸãã


ã§ãå®å¿ããŠãã ãããã¹ã¿ãã³æçšåŸãèªç¥æ©èœé害ãçãã143人ã«ã€ããŠããã®æçšãäžæãããšã128人ãã€ãŸãã90ïŒ ã§èšæ¶æ©èœãæ¹åããŸããããã®ãã¡55人ã¯å®å šå埩ããŸããã

ã ãããé«éœ¢ã®æ¯èŠªãæã€åšãããããããæè¿ãæ¯ãããèšåããããããªã£ãŠãããªããšããå€åã«æ°ã¥ãããã²ãã£ãšããŠãæ¯ãããå€ãªè¬ã飲ãã§ãªãããªããšãè¬æåž³ããã§ãã¯ããŠãã¹ã¿ãã³ã飲ãã§ããããšã«æ°ä»ããããããã«ã¹ã¿ãã³ããããŠãã ããããããããšãèšæ¶åãæ¹åããå¯èœæ§ã¯ããªãé«ãã¯ãã§ãã

çµè«ãã¹ã¿ãã³ã¯é£²ãã§ã¯ãããŸããã
ã¹ã¿ãã³ã«ãã£ãŠãçèé害ãèªç¥é害ãç³å°¿ç
ãçœå
éãè
äžå
šãèé害ãªã©ãæ§ã
ãªç
æ°ãèµ·ãããŸãã
ãªããªã®ãïŒããã¯ã¹ã¿ãã³ã®æ©åºãèããã°ãå¯äœçšã§ã¯ãããŸãããããããäž»äœçšã§ãã
ããšãã°ãã¿ãªãããå±±ãããªãèœã¡èãããµããªãã®ããèããããšããããŸããïŒæ¯å¹Žãèšå€§ãªèœã¡èãçããããããã¯ãå±±ã«äœãå°åç©ã®æ»éªžãææ³ç©ãçãããããããå±±ãèœã¡èãåç©ã®æ»éªžã§åããããšãã話ã¯èããããšããªãã
ããã¯ãã«ããèœã¡èããã£ããšåè§£ããŠãããããã§ããææ©ç©ãåè§£ããŠãåã«æ»ããŠããããã ãããå±±ããèœã¡èã¯ããµããªãã
ã¹ã¿ãã³ã¯ãæ¥æ¬äººã®é è€ç« ãšãã人ãã«ãæ¯ããéçºããŸããããã®ã«ãæ¯ããã³ã¬ã¹ãããŒã«ã®ç£çãé»å®³ãããšããããšã§ããè¬ããšããããšã«ãªã£ãŠããããã©ãåã«èšãããã°ããããªã®ãè¬ã§ããã¯ãããªããçŽç¶ããæ¯ç©ãã«ãæ¯ãªãã§ããã
å®éã®ãšãããè¡äžã«ååšããã³ã¬ã¹ãããŒã«ã®8å²ã¯èèã§ç£çãããã®ã§ãããã¹ã¿ãã³ãšããã«ãæ¯ãèèã«äŸµå
¥ãããšãã³ã¬ã¹ãããŒã«ã®ç£çãé»å®³ãããŸãããã®é»å®³ã«ããã³ã¬ã¹ãããŒã«äœäžããè¬å¹ããšåŒãã§ããã®ã§ãããããã¯èæ©èœé害ãã®ãã®ã§ãã
ãã®ã«ãæ¯ãèè以å€ã«äŸµå
¥ããŠãçèãæº¶ããã°æšªçŽçèè§£çã«ãªãããè³çްèãæº¶ããã°èªç¥çã«ãªãããèµèãæº¶ããã°ç³å°¿ç
ã«ãªãããæ°Žæ¶äœã溶ããã°çœå
éã«ãªãã
äœã®ããšã¯ãªããå¶ç¶èµ·ãã£ãå¯äœçšã§ã¯ãªããŠãå¿
ç¶ãªãã§ããã«ãæ¯ã®ãŸã£ãšããªäœçšãªãã§ããã«ããèœã¡èãåè§£ããããã«ãã¹ã¿ãã³ã人äœãåè§£ããŠããããããªã®ããè¬ããšåŒããããããŸããã

é è€ç« æ°ãã¹ã¿ãã³ãéçºããå瞟ã§ããŒãã«è³ã®åŒã³å£°ãé«ããªã£ãé ãå€åœã®èšè
ãããã質åãããã
ããèªèº«ã®é«ã³ã¬ã¹ãããŒã«ã«ã€ããŠããªãèªåã®çºæåã飲ãŸãã«éåã§äžããã®ã§ããã
é è€æ°ãæ¥æ¬ã«ã¯çŽºå±ã®çœè¢Žãšããèšèããããã ãã
ããã¶ããªãã©ãŒãã«å
ãã 衚çŸã§ããããããªæ¯ç©ã飲ããããªãã ããïŒããšæ¬é³ãèšãããããããŸããã
ã§ãçŸå®ã¯ãããªãã§ããã¹ã¿ãã³ã¯ãéçºè
èªèº«ã飲ãŸãªãã

çŠç°å®ãããšãã人ãããŸãã
ä»äºã§ããªããªåããŠããé ãäŒç€Ÿã®å¥åº·èšºæã§ã³ã¬ã¹ãããŒã«é«å€ãææãããè¬ã飲ã¿å§ãããããããæ²åãå§ãŸã£ãã
äžæŽèããå§ãŸããçªç¶ã®è
°çã«è¥²ããããå°»ã®çèãçããŠåãå
¥ããªãã飲ã¿å§ããŠå幎åŸã«ã¯ãé¡ã®ããã¿ãã®ã©ã®æžããã®ã©ã®çèãã€ããè¡å°¿ãèçãè麻ç¹ãè±æ¯ãæå°¿å°é£ãç®èãèããªã£ãŠç±ããã®ãå·ãããã®ãã€ãããªããå
šèº«ã®çèãæããããªããæ²»çæžã¿ã®è«æ¯ãæ¯é«çã«ãªããæ°Žè«ãçµèçãèäžã«ãã«ãã¹ãã®ã©ã¯åœé çãªã©ããããšããããçç¶ãåºãã身äœäžã®æ¯ãæããŠãç®èãçããŠã«ããœãªã䜿ããªãããããå€ãããã«ãªããå°ãã®èŸããé
žã£ã±ãã§ãèã«ãã¿ããæå°¿æã«ã¯å°¿éãçã¿ããã¯ãæ®éã®ç掻ãã§ããªããªã£ãã

æçšãã2幎ãããããè¬ããããããæãã§ã«é
ãããã¯ãçç¶ã¯æ¹åããªãã
ããã§ããã®äººã¯æã£ãããªãå»è
ã«èšãããéãã«è¬ã飲ãã§ããããªãµãã«å¥åº·ã倱ããªããšãããªããã ïŒçµ¶å¯Ÿã«è£œè¬äŒç€Ÿã蚎ããŠããïŒ
åšå²ã¯ãªã ããããæ°æã¡ã¯åãããã©ãç¡çã ãã補è¬äŒç€Ÿã蚎ããã£ãŠãåŒè·å£«ã§åºããŠãã ããããåãŠãããããªããã
ã§ããã®äººã¯èš±ããªãã£ããããã§ãå®é蚎ããã

çµæãèŠäºã«å蚎ããããã®ãšãã®çµéšãæ¬ã«æžããŠããã
åã¯ã¹ã¿ãã³ãšããã®ã¯ãè¬ãšããåã®æ¯ç©ã ãšæã£ãŠããŸããã ãããæ£è
ã®ãè¬æåž³ãèŠãŠãã¹ã¿ãã³ãåŠæ¹ãããŠããã°ãã»ãŒæ¡ä»¶åå°çã«ããã®è¬ããããŠã¿ãªãïŒããšèšãããã«ããŠããŸãã
ç¶ããŠãå°¿é
žãé«ãããšãã©ãã»ã©ãããããããšã(è¡äžã®æé
žåç©è³ªã®ååã¯å°¿é
žç±æ¥)ããŸããå°¿é
žãè¬ã§äžããããšãããã«æå®³ã§ããããããã«ãã¯ã¯ãã³ã®æå®³æ§ã«ã€ããŠããäŒãããã
äžéšã®ç€Ÿå¡ã®æ¹ã«ã¯ã·ã§ããã³ã°ãªã¬ã¯ãã£ãŒã ã£ããšæããŸããç¹ã«ã³ããã¯ã¯ãã³ãä¿¡ããŠãã人ã«ãšã£ãŠã¯ããã£ãšèããŠããã®ãèãé£ããã€ãæéã§ã¯ãªãã£ãããšæ³åããŸãã
ããããäžåºŠã¯ãã£ããã·ã§ãã¯ãæããŠããããªããšã人éã¯å€ãããŸããã西æŽå»åŠãç²ä¿¡ãã人ã«ãšã£ãŠèçæ²»ã«ãªãã°ããšã®æãã§ã¬ã¯ãã£ãŒããã®ã§ãããåã¯ãããã®äŒç€Ÿããç£æ¥å»ãšããŠæåŸ
ãããããšã¯ãªããããããŸãã(ç¬)
以äžãåç¥ãã§ãã

11æ8æ¥ã9æ¥ã«åå€å±ã§æ¥æ¬å
å¶èšåºå»åŠäŒããããŸããã忥ã®ã©ã³ãã§ã³ã»ãããŒã§åãšäžæå®£åžãããææ©ã²ã«ãããŠã ã®æçäœçšã«ã€ããŠè©±ããŸããèå³ã®ããæ¹ã¯ãè¶ããã ããã

11æ15æ¥æå¹ã§è¬æŒäŒãè¡ããŸãã
èå³ã®ããæ¹ã¯ãã²ãåå ãã ããã

11æ23æ¥ã24æ¥ææ©ã²ã«ãããŠã ç ç©¶äŒã®èšåºå ±åäŒãç¥æžã§è¡ããŸãã
äŒå¡ã®æ¹ã
ã¯ãã²ãè¶ããã ããã