{"id":1030,"date":"2022-12-14T06:06:00","date_gmt":"2022-12-13T21:06:00","guid":{"rendered":"https:\/\/www.soujinkai.or.jp\/himawariNaiHifu\/?p=1030"},"modified":"2022-12-15T07:13:56","modified_gmt":"2022-12-14T22:13:56","slug":"urinary-stone","status":"publish","type":"post","link":"https:\/\/soujinkai.or.jp\/himawariNaiHifu\/urinary-stone\/","title":{"rendered":"\u5c3f\u7ba1\u7d50\u77f3\uff08\u5c3f\u8def\u7d50\u77f3\uff09\u306e\u539f\u56e0\u3084\u75c7\u72b6\u30fb\u4e88\u9632\u6cd5\u306b\u3064\u3044\u3066\u89e3\u8aac"},"content":{"rendered":"\n<p>\u7a81\u7136\u306e\u8170\u3084\u4e0b\u8179\u90e8\u75db\u3067\u82e6\u3057\u3080\u300c\u5c3f\u7ba1\u7d50\u77f3\u300d\u3002\u591c\u4e2d\u306b\u7a81\u7136\u3084\u3063\u3066\u304d\u3066\u4e03\u8ee2\u516b\u5012\u3057\u306a\u304c\u3089\u6551\u6025\u5916\u6765\u306b\u99c6\u3051\u8fbc\u3080\u30b1\u30fc\u30b9\u3082\u3057\u3070\u3057\u3070\u3042\u308a\u307e\u3059\u3002<\/p>\n\n\n\n<p>\u4e00\u5ea6\u304b\u304b\u308b\u3068\u4e8c\u5ea6\u3068\u304b\u304b\u308a\u305f\u304f\u306a\u3044\u306e\u304c\u5c3f\u7ba1\u7d50\u77f3\u306e\u75db\u307f\u3067\u3059\u3002\u3067\u304d\u308c\u3070\u666e\u6bb5\u306e\u751f\u6d3b\u3092\u898b\u76f4\u3057\u3066\u4e88\u9632\u3057\u3066\u3044\u304d\u305f\u3044\u3067\u3059\u3088\u306d\u3002\u4eca\u56de\u306f\u5c3f\u7ba1\u7d50\u77f3\u306e\u539f\u56e0\u3084\u75c7\u72b6\u30fb\u4e88\u9632\u65b9\u6cd5\u306a\u3069\u306b\u3064\u3044\u3066\u89e3\u8aac\u3057\u3066\u3044\u304d\u307e\u3059\u3002<\/p>\n\n\n\n<div id=\"ez-toc-container\" class=\"ez-toc-v2_0_82_2 counter-hierarchy ez-toc-counter ez-toc-grey ez-toc-container-direction\">\n<div class=\"ez-toc-title-container\">\n<p class=\"ez-toc-title\" style=\"cursor:inherit\">Table of Contents<\/p>\n<span class=\"ez-toc-title-toggle\"><a href=\"#\" class=\"ez-toc-pull-right ez-toc-btn ez-toc-btn-xs ez-toc-btn-default ez-toc-toggle\" aria-label=\"Toggle Table of Content\"><span class=\"ez-toc-js-icon-con\"><span class=\"\"><span class=\"eztoc-hide\" style=\"display:none;\">Toggle<\/span><span class=\"ez-toc-icon-toggle-span\"><svg style=\"fill: #4bd151;color:#4bd151\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" class=\"list-377408\" width=\"20px\" height=\"20px\" viewBox=\"0 0 24 24\" fill=\"none\"><path d=\"M6 6H4v2h2V6zm14 0H8v2h12V6zM4 11h2v2H4v-2zm16 0H8v2h12v-2zM4 16h2v2H4v-2zm16 0H8v2h12v-2z\" fill=\"currentColor\"><\/path><\/svg><svg style=\"fill: #4bd151;color:#4bd151\" class=\"arrow-unsorted-368013\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"10px\" height=\"10px\" viewBox=\"0 0 24 24\" version=\"1.2\" baseProfile=\"tiny\"><path d=\"M18.2 9.3l-6.2-6.3-6.2 6.3c-.2.2-.3.4-.3.7s.1.5.3.7c.2.2.4.3.7.3h11c.3 0 .5-.1.7-.3.2-.2.3-.5.3-.7s-.1-.5-.3-.7zM5.8 14.7l6.2 6.3 6.2-6.3c.2-.2.3-.5.3-.7s-.1-.5-.3-.7c-.2-.2-.4-.3-.7-.3h-11c-.3 0-.5.1-.7.3-.2.2-.3.5-.3.7s.1.5.3.7z\"\/><\/svg><\/span><\/span><\/span><\/a><\/span><\/div>\n<nav><ul class='ez-toc-list ez-toc-list-level-1 ' ><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-1\" href=\"https:\/\/soujinkai.or.jp\/himawariNaiHifu\/urinary-stone\/#%E5%B0%BF%E7%AE%A1%E7%B5%90%E7%9F%B3%EF%BC%88%E5%B0%BF%E8%B7%AF%E7%B5%90%E7%9F%B3%EF%BC%89%E3%81%A8%E3%81%AF\" >\u5c3f\u7ba1\u7d50\u77f3\uff08\u5c3f\u8def\u7d50\u77f3\uff09\u3068\u306f<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-2\" href=\"https:\/\/soujinkai.or.jp\/himawariNaiHifu\/urinary-stone\/#%E5%B0%BF%E7%AE%A1%E7%B5%90%E7%9F%B3%EF%BC%88%E5%B0%BF%E8%B7%AF%E7%B5%90%E7%9F%B3%EF%BC%89%E3%81%AE%E5%8E%9F%E5%9B%A0%E3%81%AF%EF%BC%9F\" >\u5c3f\u7ba1\u7d50\u77f3\uff08\u5c3f\u8def\u7d50\u77f3\uff09\u306e\u539f\u56e0\u306f\uff1f<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-3\" href=\"https:\/\/soujinkai.or.jp\/himawariNaiHifu\/urinary-stone\/#%E5%B0%BF%E7%AE%A1%E7%B5%90%E7%9F%B3%EF%BC%88%E5%B0%BF%E8%B7%AF%E7%B5%90%E7%9F%B3%EF%BC%89%E3%81%AE%E7%97%87%E7%8A%B6%E3%81%AF%EF%BC%9F\" >\u5c3f\u7ba1\u7d50\u77f3\uff08\u5c3f\u8def\u7d50\u77f3\uff09\u306e\u75c7\u72b6\u306f\uff1f<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-4\" href=\"https:\/\/soujinkai.or.jp\/himawariNaiHifu\/urinary-stone\/#%E5%B0%BF%E7%AE%A1%E7%B5%90%E7%9F%B3%EF%BC%88%E5%B0%BF%E8%B7%AF%E7%B5%90%E7%9F%B3%EF%BC%89%E3%81%AE%E8%A8%BA%E6%96%AD%E3%81%AF%EF%BC%9F\" >\u5c3f\u7ba1\u7d50\u77f3\uff08\u5c3f\u8def\u7d50\u77f3\uff09\u306e\u8a3a\u65ad\u306f\uff1f<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-5\" href=\"https:\/\/soujinkai.or.jp\/himawariNaiHifu\/urinary-stone\/#%E5%B0%BF%E7%AE%A1%E7%B5%90%E7%9F%B3%EF%BC%88%E5%B0%BF%E8%B7%AF%E7%B5%90%E7%9F%B3%EF%BC%89%E3%81%AE%E6%B2%BB%E7%99%82%E3%81%AF%EF%BC%9F\" >\u5c3f\u7ba1\u7d50\u77f3\uff08\u5c3f\u8def\u7d50\u77f3\uff09\u306e\u6cbb\u7642\u306f\uff1f<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-6\" href=\"https:\/\/soujinkai.or.jp\/himawariNaiHifu\/urinary-stone\/#%E5%B0%BF%E7%AE%A1%E7%B5%90%E7%9F%B3%EF%BC%88%E5%B0%BF%E8%B7%AF%E7%B5%90%E7%9F%B3%EF%BC%89%E3%81%AE%E4%BA%88%E9%98%B2%E6%B3%95%E3%81%AF%EF%BC%9F\" >\u5c3f\u7ba1\u7d50\u77f3\uff08\u5c3f\u8def\u7d50\u77f3\uff09\u306e\u4e88\u9632\u6cd5\u306f\uff1f<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-7\" href=\"https:\/\/soujinkai.or.jp\/himawariNaiHifu\/urinary-stone\/#%E3%81%82%E3%82%8F%E3%81%9B%E3%81%A6%E3%81%93%E3%81%A1%E3%82%89%E3%82%82%E3%82%AA%E3%82%B9%E3%82%B9%E3%83%A1%E3%81%A7%E3%81%99\" >\u3042\u308f\u305b\u3066\u3053\u3061\u3089\u3082\u30aa\u30b9\u30b9\u30e1\u3067\u3059<\/a><\/li><\/ul><\/nav><\/div>\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"%E5%B0%BF%E7%AE%A1%E7%B5%90%E7%9F%B3%EF%BC%88%E5%B0%BF%E8%B7%AF%E7%B5%90%E7%9F%B3%EF%BC%89%E3%81%A8%E3%81%AF\"><\/span>\u5c3f\u7ba1\u7d50\u77f3\uff08\u5c3f\u8def\u7d50\u77f3\uff09\u3068\u306f<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<figure class=\"wp-block-image size-large is-resized\"><img decoding=\"async\" data-src=\"https:\/\/soujinkai.or.jp\/himawariNaiHifu\/wp-content\/uploads\/2022\/12\/\u814e\u7d50\u77f3-edited.png\" alt=\"\" class=\"wp-image-5399 lazyload\" width=\"559\" data-srcset=\"https:\/\/soujinkai.or.jp\/himawariNaiHifu\/wp-content\/uploads\/2022\/12\/\u814e\u7d50\u77f3-edited.png 900w, https:\/\/soujinkai.or.jp\/himawariNaiHifu\/wp-content\/uploads\/2022\/12\/\u814e\u7d50\u77f3-edited-300x169.png 300w, https:\/\/soujinkai.or.jp\/himawariNaiHifu\/wp-content\/uploads\/2022\/12\/\u814e\u7d50\u77f3-edited-768x432.png 768w\" data-sizes=\"(max-width: 900px) 100vw, 900px\" src=\"data:image\/svg+xml;base64,PHN2ZyB3aWR0aD0iMSIgaGVpZ2h0PSIxIiB4bWxucz0iaHR0cDovL3d3dy53My5vcmcvMjAwMC9zdmciPjwvc3ZnPg==\" style=\"--smush-placeholder-width: 900px; --smush-placeholder-aspect-ratio: 900\/507;\" \/><\/figure>\n\n\n\n<p>\u5c3f\u7ba1\u7d50\u77f3\u3068\u306f\u3001<strong><span class=\"has-inline-color has-luminous-vivid-orange-color\">\u814e\u81d3\u304b\u3089\u5c3f\u9053\u307e\u3067\u306e\u901a\u308a\u9053\u306b\u7d50\u77f3\u304c\u3067\u304d\u308b\u75be\u60a3<\/span><\/strong>\u306e\u3053\u3068\u3002\u4e2d\u5e74\u4ee5\u964d\u306e\u7537\u6027\u3084\u9589\u7d4c\u5f8c\u306e\u5973\u6027\u306b\u591a\u304f\u898b\u3089\u308c\u3001\u4e00\u751f\u306e\u3046\u3061\u306b\u5c3f\u8def\u7d50\u77f3\u306b\u306a\u308b\u78ba\u7387\u306f\u65e5\u672c\u4eba\u3067\u7d0410\uff05\u3068\u3044\u308f\u308c\u3066\u304a\u308a\u3001\u3042\u308a\u3075\u308c\u305f\u75be\u60a3\u3068\u3044\u3048\u307e\u3059\u3002<\/p>\n\n\n\n<p>\u7d50\u77f3\u304c\u3067\u304d\u308b\u5834\u6240\u306b\u3088\u306b\u4e0a\u90e8\u5c3f\u8def\u7d50\u77f3\uff08\u814e\u7d50\u77f3\u30fb\u5c3f\u7ba1\u7d50\u77f3\uff09\u3068\u4e0b\u90e8\u5c3f\u8def\u7d50\u77f3\uff08\u8180\u80f1\u7d50\u77f3\u30fb\u5c3f\u9053\u7d50\u77f3\uff09\u306b\u5206\u3051\u3089\u308c\u307e\u3059\u304c\u3001<strong><mark style=\"background-color:rgba(0, 0, 0, 0)\" class=\"has-inline-color has-luminous-vivid-orange-color\">95\uff05\u306f\u4e0a\u90e8\u5c3f\u8def\u7d50\u77f3<\/mark><\/strong><mark style=\"background-color:rgba(0, 0, 0, 0)\" class=\"has-inline-color has-black-color\">\u306b\u306a\u308a\u307e\u3059<\/mark>\u3002<\/p>\n\n\n\n<p>\u7d50\u77f3\u304c\u3067\u304d\u308b\u3068\u3001\u5c3f\u304c\u3046\u307e\u304f\u6392\u51fa\u3055\u308c\u306a\u304f\u306a\u308a\u3001\u5f8c\u8ff0\u3059\u308b\u300c\u975e\u5e38\u306b\u8f9b\u3044\u8170\u306e\u75db\u307f\u300d\u306b\u3064\u306a\u304c\u3063\u3066\u3044\u304d\u307e\u3059\u3002<\/p>\n\n\n\n<p>2018\u5e74\u306e\u65e5\u672c\u306e\u75ab\u5b66\u8abf\u67fb\u3067\u306f\u3001\u4e00\u751f\u306e\u3046\u3061\u306b\u5c3f\u7ba1\u7d50\u77f3\u306b\u306a\u308b\u78ba\u7387\u306f\u7537\u6027\u30677\u4eba\u306b1\u4eba\u3001\u5973\u6027\u306715\u4eba\u306b\uff11\u4eba\u3002\u307e\u305f\u5c3f\u7ba1\u7d50\u77f3\u306b\u4e00\u5ea6\u304b\u304b\u308b\u3068\u518d\u767a\u7387\u3082\uff15\u5e74\u306745\uff05\u300110\u5e74\u306760\uff05\u3068\u975e\u5e38\u306b\u591a\u304f\u306a\u308b\u306e\u304c\u7279\u5fb4\u306e\u75be\u60a3\u3002\u597d\u767a\u5e74\u9f62\u306f\u7537\u6027\u306740\u6b73\u4ee3\u3001\u5973\u6027\u306750\u6b73\u4ee3\u306b\u306a\u308a\u307e\u3059\u3002<\/p>\n\n\n\n<p>\uff08\u53c2\u7167\uff1a<a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/29648701\/\" title=\"\">Sakamoto S, et al : Chronological changes in the epidemiological characteristics of upper urinary tract urolithiasis in Japan. Int J Urol 25 : 373, 2018.<\/a>\uff09<\/p>\n\n\n<ins class=\"adsbygoogle\"\n        style=\"display:block; text-align:center;\"\n        data-ad-layout=\"in-article\"\n        data-ad-format=\"fluid\"\n        data-ad-client=\"ca-pub-5748007460615735\"\n        data-ad-slot=\"4711491386\"><\/ins>\n        <script>\n        (adsbygoogle = window.adsbygoogle || []).push({});\n        <\/script>\n\n\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"%E5%B0%BF%E7%AE%A1%E7%B5%90%E7%9F%B3%EF%BC%88%E5%B0%BF%E8%B7%AF%E7%B5%90%E7%9F%B3%EF%BC%89%E3%81%AE%E5%8E%9F%E5%9B%A0%E3%81%AF%EF%BC%9F\"><\/span>\u5c3f\u7ba1\u7d50\u77f3\uff08\u5c3f\u8def\u7d50\u77f3\uff09\u306e\u539f\u56e0\u306f\uff1f<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<figure class=\"wp-block-image size-full\"><img decoding=\"async\" width=\"900\" height=\"506\" data-src=\"https:\/\/soujinkai.or.jp\/himawariNaiHifu\/wp-content\/uploads\/2022\/12\/image-2022-12-15T071211.838-edited.webp\" alt=\"\" class=\"wp-image-5402 lazyload\" data-srcset=\"https:\/\/soujinkai.or.jp\/himawariNaiHifu\/wp-content\/uploads\/2022\/12\/image-2022-12-15T071211.838-edited.webp 900w, https:\/\/soujinkai.or.jp\/himawariNaiHifu\/wp-content\/uploads\/2022\/12\/image-2022-12-15T071211.838-edited-300x169.webp 300w, https:\/\/soujinkai.or.jp\/himawariNaiHifu\/wp-content\/uploads\/2022\/12\/image-2022-12-15T071211.838-edited-768x432.webp 768w\" data-sizes=\"(max-width: 900px) 100vw, 900px\" src=\"data:image\/svg+xml;base64,PHN2ZyB3aWR0aD0iMSIgaGVpZ2h0PSIxIiB4bWxucz0iaHR0cDovL3d3dy53My5vcmcvMjAwMC9zdmciPjwvc3ZnPg==\" style=\"--smush-placeholder-width: 900px; --smush-placeholder-aspect-ratio: 900\/506;\" \/><\/figure>\n\n\n\n<p>\u3067\u306f\u306a\u305c\u5c3f\u7ba1\u7d50\u77f3\u306f\u3067\u304d\u308b\u306e\u3067\u3057\u3087\u3046\u3002\u7c21\u5358\u306b\u3044\u3046\u3068<\/p>\n\n\n\n<ul 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style=\"background-color:rgba(0, 0, 0, 0)\" class=\"has-inline-color has-vivid-red-color\">\u9ad8\u30ab\u30eb\u30b7\u30a6\u30e0\u5c3f\u75c7\u3001\u9ad8\u30b7\u30e5\u30a6\u9178\u5c3f\u75c7\u3001\u9ad8\u5c3f\u9178\u5c3f\u75c7\u3001\u4f4e\u30af\u30a8\u30f3\u9178\u5c3f\u75c7\u3001\u4f4e\u30de\u30b0\u30cd\u30b7\u30a6\u30e0\u5c3f\u75c7<\/mark><\/strong>\u3092\u6301\u3063\u3066\u3044\u308b\u65b9\u306a\u3069\u306f\u3001\u5c3f\u7ba1\u7d50\u77f3\u3092\u4f5c\u308a\u3084\u3059\u304f\u306a\u308a\u307e\u3059\u3002<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">\u2463\u3000\u3010\u91cd\u8981\u3011\u751f\u6d3b\u7fd2\u6163\u304c\u4e71\u308c\u3066\u3044\u308b<\/h3>\n\n\n\n<p>\u4e0a\u8a18\u306b\u3042\u3052\u305f\u4ee5\u4e0a\u306b\u6700\u3082\u5927\u5207\u306a\u306e\u304c\u300c\u751f\u6d3b\u7fd2\u6163\u306e\u4e71\u308c\u300d\u3067\u3059\u3002\u7279\u306b<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\u52d5\u7269\u6027\u305f\u3093\u3071\u304f\u8cea\u306e\u6442\u53d6\u306e\u5897\u52a0<\/li>\n\n\n\n<li>\u5869\u5206\u63a5\u7a2e\u306e\u5897\u52a0<\/li>\n\n\n\n<li>\u679c\u7cd6\u306e\u6442\u53d6\u306e\u5897\u52a0<\/li>\n<\/ul>\n\n\n\n<p>\u306a\u3069\u306b\u3088\u308b\u5c3f\u7ba1\u7d50\u77f3\u306e\u5897\u52a0\u304c\u6307\u6458\u3057\u3066\u304d\u3055\u308c\u3066\u3044\u307e\u3059\u3002\u7279\u306b\u91cd\u8981\u306a\u306e\u306f\u300c\u80a5\u6e80\u300d\u3067\u3042\u308a\u3001\u80a5\u6e80\u306f\u7d50\u77f3\u5f62\u6210\u306e\u5927\u304d\u306a\u539f\u56e0\u306e\uff11\u3064\u3002\u80a5\u6e80\u306b\u3088\u308b\u7d50\u77f3\u30ea\u30b9\u30af\u306e\u5897\u52a0\u306f\u5973\u6027\u306e\u65b9\u304c\u9855\u8457\u3067\u3042\u308a\u3001\u305d\u306e\u305f\u3081\u5973\u6027\u3067\u306e\u5c3f\u7ba1\u7d50\u77f3\u306e\u65b9\u304c\u5897\u3048\u3066\u304d\u3066\u3044\u307e\u3059\u3002<\/p>\n\n\n\n<p>\u305d\u306e\u305f\u3081\u3001<strong><mark style=\"background-color:rgba(0, 0, 0, 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has-vivid-red-color\">\u300c\u6d3b\u6027\u578b\u30d3\u30bf\u30df\u30f3D\u300d\u300c\u5c3f\u9178\u6392\u51fa\u4fc3\u9032\u85ac\uff08\u30d7\u30ed\u30d9\u30cd\u30b7\u30c9\u306a\u3069\uff09\u300d\u300c\u30a2\u30bb\u30bf\u30be\u30e9\u30df\u30c9\uff08\u7dd1\u5185\u969c\u6cbb\u7642\u85ac\uff09\u300d<\/mark><\/strong>\u306a\u3069\u3067\u3059\u3002<\/p>\n\n\n\n<p>\u3053\u308c\u3089\u306e\u85ac\u3092\u98f2\u3093\u3067\u3044\u3066\u3082\u3001\u9069\u5207\u306b\u63a1\u8840\u306a\u3069\u3057\u3066\u7ba1\u7406\u3055\u308c\u3066\u3044\u308c\u3070\u554f\u984c\u3042\u308a\u307e\u305b\u3093\u304c\u3001\u98f2\u3093\u3067\u3044\u3066\u5c3f\u7ba1\u7d50\u77f3\u306b\u306a\u3063\u305f\u5834\u5408\u306f\u8981\u6ce8\u610f\u3068\u3044\u3048\u307e\u3059\u306d\u3002<\/p>\n\n\n\n<p>\uff08\u53c2\u7167\uff1a<strong><a href=\"https:\/\/minds.jcqhc.or.jp\/n\/med\/4\/med0022\/G0000634\/0033\/0017\">\u5c3f\u8def\u7d50\u77f3\u75c7\u8a3a\u7642\u30ac\u30a4\u30c9\u30e9\u30a4\u30f3CQ06<\/a><\/strong>\uff09<br>\uff08\u53c2\u7167\uff1a<a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/29648701\/\">Sakamoto S, et al : Chronological changes in the epidemiological characteristics of upper urinary tract urolithiasis in Japan. 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src=\"data:image\/svg+xml;base64,PHN2ZyB3aWR0aD0iMSIgaGVpZ2h0PSIxIiB4bWxucz0iaHR0cDovL3d3dy53My5vcmcvMjAwMC9zdmciPjwvc3ZnPg==\" style=\"--smush-placeholder-width: 350px; --smush-placeholder-aspect-ratio: 350\/197;\" \/><figcaption class=\"wp-element-caption\">\uff08<a 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href=\"https:\/\/www.soujinkai.or.jp\/himawariNaiHifu\/2021\/05\/05\/ultrasonography\/\">\u8d85\u97f3\u6ce2\u691c\u67fb\u3067\u308f\u304b\u308b\u3053\u3068\u3010\u8cbb\u7528\u30fb\u539f\u7406\u30fb\u30e1\u30ea\u30c3\u30c8\u3084\u30c7\u30e1\u30ea\u30c3\u30c8\u3011<\/a><\/strong>\u3082\u53c2\u7167\u3057\u3066\u304f\u3060\u3055\u3044\u3002\uff09<\/p>\n\n\n\n<p>\u307e\u305f\u814e\u7d50\u77f3\u3082\u8d85\u97f3\u6ce2\u691c\u67fb\u3067\u5bb9\u6613\u306b\u308f\u304b\u308a\u3001\u814e\u81d3\u306b\u7d50\u77f3\u304c\u300cacoustic shadow\u300d\u3068\u547c\u3070\u308c\u308b\u5f71\u3092\u4f5c\u308a\u306a\u304c\u3089\u767d\u304f\u63cf\u51fa\u3055\u308c\u307e\u3059\u3002<\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"%E5%B0%BF%E7%AE%A1%E7%B5%90%E7%9F%B3%EF%BC%88%E5%B0%BF%E8%B7%AF%E7%B5%90%E7%9F%B3%EF%BC%89%E3%81%AE%E6%B2%BB%E7%99%82%E3%81%AF%EF%BC%9F\"><\/span>\u5c3f\u7ba1\u7d50\u77f3\uff08\u5c3f\u8def\u7d50\u77f3\uff09\u306e\u6cbb\u7642\u306f\uff1f<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<figure class=\"wp-block-image size-full\"><img decoding=\"async\" width=\"510\" height=\"287\" data-src=\"https:\/\/soujinkai.or.jp\/himawariNaiHifu\/wp-content\/uploads\/2022\/04\/\u7247\u982d\u75db\u2462-edited.jpeg\" alt=\"\" class=\"wp-image-3013 lazyload\" data-srcset=\"https:\/\/soujinkai.or.jp\/himawariNaiHifu\/wp-content\/uploads\/2022\/04\/\u7247\u982d\u75db\u2462-edited.jpeg 510w, https:\/\/soujinkai.or.jp\/himawariNaiHifu\/wp-content\/uploads\/2022\/04\/\u7247\u982d\u75db\u2462-edited-300x169.jpeg 300w\" data-sizes=\"(max-width: 510px) 100vw, 510px\" src=\"data:image\/svg+xml;base64,PHN2ZyB3aWR0aD0iMSIgaGVpZ2h0PSIxIiB4bWxucz0iaHR0cDovL3d3dy53My5vcmcvMjAwMC9zdmciPjwvc3ZnPg==\" style=\"--smush-placeholder-width: 510px; --smush-placeholder-aspect-ratio: 510\/287;\" 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href=\"https:\/\/minds.jcqhc.or.jp\/n\/med\/4\/med0022\/G0000634\/0040\">\u5c3f\u8def\u7d50\u77f3\u75c7\u8a3a\u7642\u30ac\u30a4\u30c9\u30e9\u30a4\u30f3CQ9\u53c2\u7167<\/a>\uff09<\/p>\n\n\n\n<p>\u7a4d\u6975\u7684\u306a\u6cbb\u7642\u65b9\u6cd5\u3068\u3057\u3066\u4ee3\u8868\u7684\u306a\u306e\u304c\u3001\u300c\u4f53\u5916\u885d\u6483\u6ce2\u7d50\u77f3\u7834\u7815\u8853(ESWL)\u300d\u3068\u300c\u7d4c\u5c3f\u9053\u7684\u5c3f\u8def\u7d50\u77f3\u9664\u53bb\u8853(TUL)\u300d\u3067\u3059\u3002ESWL\u306f\u5c02\u7528\u6a5f\u5668\u3067\u767a\u751f\u3055\u305b\u305f\u885d\u6483\u6ce2\u3092\u4f53\u5916\u304b\u3089\u7d50\u77f3\u306b\u5f53\u3066\u3066\u7834\u7815\u3057\u307e\u3059\u3002\u4e00\u65b9\u3001TUL\u306f\u9ebb\u9154\u3092\u304b\u3051\u305f\u75db\u307f\u3092\u4f34\u308f\u306a\u3044\u72b6\u614b\u3067\u5c3f\u9053\u304b\u3089\u300c\u5c3f\u7ba1\u93e1\u300d\u3068\u3044\u3046\u7d30\u3044\u5185\u8996\u93e1\u3092\u633f\u5165\u3001\u7d50\u77f3\u3092\u30e2\u30cb\u30bf\u30fc\u3067\u307f\u306a\u304c\u3089\u53d6\u308a\u307e\u3059\u3002\u307b\u3068\u3093\u3069\u306e\u7d50\u77f3\u306fESWL\u3067\u6cbb\u7642\u53ef\u80fd\u3067\u3059\u3002\uff08<strong><span class=\"has-inline-color has-vivid-cyan-blue-color\">\u5f53\u9662\u3067\u306f\u3044\u305a\u308c\u3082\u884c\u3063\u3066\u3044\u306a\u3044\u306e\u3067\u3001\u7a4d\u6975\u7684\u306a\u6cbb\u7642\u3092\u5e0c\u671b\u3055\u308c\u308b\u65b9\u306f\u3001\u9023\u643a\u3057\u3066\u3044\u308b\u6ccc\u5c3f\u5668\u79d1\u65bd\u8a2d\u306b\u7d39\u4ecb\u3057\u307e\u3059<\/span><\/strong>\uff09<\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"%E5%B0%BF%E7%AE%A1%E7%B5%90%E7%9F%B3%EF%BC%88%E5%B0%BF%E8%B7%AF%E7%B5%90%E7%9F%B3%EF%BC%89%E3%81%AE%E4%BA%88%E9%98%B2%E6%B3%95%E3%81%AF%EF%BC%9F\"><\/span>\u5c3f\u7ba1\u7d50\u77f3\uff08\u5c3f\u8def\u7d50\u77f3\uff09\u306e\u4e88\u9632\u6cd5\u306f\uff1f<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<figure class=\"wp-block-image size-large is-resized\"><img decoding=\"async\" data-src=\"https:\/\/soujinkai.or.jp\/himawariNaiHifu\/wp-content\/uploads\/2022\/04\/22075891_m-edited.jpg\" alt=\"\" class=\"wp-image-3033 lazyload\" width=\"590\" height=\"331\" data-srcset=\"https:\/\/soujinkai.or.jp\/himawariNaiHifu\/wp-content\/uploads\/2022\/04\/22075891_m-edited.jpg 1280w, https:\/\/soujinkai.or.jp\/himawariNaiHifu\/wp-content\/uploads\/2022\/04\/22075891_m-edited-300x169.jpg 300w, https:\/\/soujinkai.or.jp\/himawariNaiHifu\/wp-content\/uploads\/2022\/04\/22075891_m-edited-1024x576.jpg 1024w, https:\/\/soujinkai.or.jp\/himawariNaiHifu\/wp-content\/uploads\/2022\/04\/22075891_m-edited-768x432.jpg 768w, https:\/\/soujinkai.or.jp\/himawariNaiHifu\/wp-content\/uploads\/2022\/04\/22075891_m-edited-1536x864.jpg 1536w\" data-sizes=\"(max-width: 590px) 100vw, 590px\" src=\"data:image\/svg+xml;base64,PHN2ZyB3aWR0aD0iMSIgaGVpZ2h0PSIxIiB4bWxucz0iaHR0cDovL3d3dy53My5vcmcvMjAwMC9zdmciPjwvc3ZnPg==\" style=\"--smush-placeholder-width: 590px; --smush-placeholder-aspect-ratio: 590\/331;\" \/><\/figure>\n\n\n\n<p>\u5c3f\u8def\u7d50\u77f3\u306f\u524d\u8ff0\u306e\u901a\u308a\u518d\u767a\u3057\u3084\u3059\u3044\u75be\u60a3\u3067\u3042\u308a\u3001\u4e00\u5ea6\u304b\u304b\u308b\u3068\u534a\u5206\u7a0b\u5ea6\u306e\u65b9\u304c\u518d\u767a\u3057\u307e\u3059\u3002\u305d\u306e\u305f\u3081\u3001\u518d\u767a\u4e88\u9632\u304c\u3068\u3066\u3082\u5927\u5207\u3067\u3059\u3002<\/p>\n\n\n\n<p>\u3067\u306f\u3001\u3069\u3093\u306a\u3053\u3068\u3092\u6c17\u3092\u4ed8\u3051\u3066\u3044\u3051\u3070\u3088\u3044\u306e\u3067\u3057\u3087\u3046\u304b\u3002\uff16\u3064\u3054\u7d39\u4ecb\u3044\u305f\u3057\u307e\u3059\u3002<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">\u2460\u3000\u7a4d\u6975\u7684\u306b\u6c34\u3092\u98f2\u307f\u307e\u3057\u3087\u3046<\/h3>\n\n\n\n<p>1 \u65e5\u306e\u5c3f\u91cf\u304c2,000 mL \u4ee5\u4e0a\u3068\u306a\u308b\u3088\u3046\u306b\u6c34\u5206\u3092\u53d6\u308b\u3068\u5c3f\u7ba1\u7d50\u77f3\u3092\u4e88\u9632\u3059\u308b\u3053\u3068\u304c\u6570\u591a\u304f\u306e\u81e8\u5e8a\u7814\u7a76\u3067\u793a\u3055\u308c\u3066\u3044\u307e\u3059\u3002\u30aa\u30b7\u30c3\u30b3\u306e\u6d41\u901f\u3067\u7d50\u77f3\u304c\u3067\u304d\u306b\u304f\u304f\u3057\u3001\u30ab\u30eb\u30b7\u30a6\u30e0\u306e\u6fc3\u5ea6\u3092\u5c3f\u91cf\u3067\u3055\u3052\u308b\u305f\u3081\u3067\u3059\u3002<\/p>\n\n\n\n<p>\u305d\u306e\u305f\u3081<strong><mark style=\"background-color:rgba(0, 0, 0, 0)\" class=\"has-inline-color has-luminous-vivid-orange-color\">\u98df\u4e8b\u4ee5\u5916\u306b1 \u65e52,000 mL \u4ee5\u4e0a\u306e\u98f2\u6c34<\/mark><\/strong>\u3092\u7a4d\u6975\u7684\u306b\u3068\u308b\u3088\u3046\u306b\u3057\u307e\u3057\u3087\u3046\u3002<\/p>\n\n\n\n<p>\u9ad8\u6e29\u306e\u74b0\u5883\u306b\u3044\u308b\u65b9\u306f\u7279\u306b\u8131\u6c34\u306b\u306a\u3089\u306a\u3044\u3088\u3046\u306b\u3057\u305f\u65b9\u304c\u3088\u3044\u3067\u3059\u306d\u3002<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">\u2461\u3000\u30b7\u30e5\u30a6\u9178\u3092\u591a\u304f\u3068\u3089\u306a\u3044\u3088\u3046\u306b\u3057\u307e\u3057\u3087\u3046<\/h3>\n\n\n\n<p>\u5c3f\u4e2d\u306b\u6392\u6cc4\u3055\u308c\u308b\u300c\u30b7\u30e5\u30a6\u9178\u300d\u306f\u5c3f\u8def\u7d50\u77f3\u75c7\u3092\u3067\u304d\u3084\u3059\u304f\u3057\u307e\u3059\u3002\u305d\u306e70\uff05\u306f\u98df\u4e8b\u7531\u6765\u306a\u306e\u3067\u3001\u30b7\u30e5\u30a6\u9178\u3092\u591a\u304f\u542b\u3080\u98df\u54c1\u3092\u6442\u308b\u3068\u304d\u306b\u5de5\u592b\u3059\u308b\u3053\u3068\u304c\u5927\u5207\u3067\u3059\u3002<\/p>\n\n\n\n<p>\u30b7\u30e5\u30a6\u9178\u3092\u591a\u304f\u542b\u3080\u98df\u54c1\u306f\u3001<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong><span class=\"has-inline-color has-vivid-cyan-blue-color\">\u307b\u3046\u308c\u3093\u8349\u30fb\u30b9\u30a4\u30d0\uff1a\u3000100g\u3042\u305f\u308a\u30b7\u30e5\u30a6\u9178800mg\u542b\u6709<\/span><\/strong><\/li>\n\n\n\n<li><strong><span class=\"has-inline-color has-vivid-cyan-blue-color\">\u30ad\u30e3\u30d9\u30c4\u30fb\u30d6\u30ed\u30c3\u30b3\u30ea\u30fc\u30fb\u30ab\u30ea\u30d5\u30e9\u30ef\u30fc\u30fb\u30ec\u30bf\u30b9\uff1a\u3000100g\u3042\u305f\u308a\u30b7\u30e5\u30a6\u9178300mg\u542b\u6709<\/span><\/strong><\/li>\n\n\n\n<li><strong><span class=\"has-inline-color has-vivid-cyan-blue-color\">\u30b5\u30c4\u30de\u30a4\u30e2\uff1a\u3000100g\u3042\u305f\u308a\u30b7\u30e5\u30a6\u9178250mg\u542b\u6709<\/span><\/strong><\/li>\n\n\n\n<li><strong><span class=\"has-inline-color has-vivid-cyan-blue-color\">\u30ca\u30b9\uff1a\u3000100g\u3042\u305f\u308a\u30b7\u30e5\u30a6\u9178200mg\u542b\u6709<\/span><\/strong><\/li>\n<\/ul>\n\n\n\n<p>\u306e\u4ed6\u3001\u30bf\u30b1\u30ce\u30b3\u30fb\u30d0\u30ca\u30ca\u306a\u3069\u304c\u3042\u3052\u3089\u308c\u307e\u3059\u3002<strong><span class=\"has-inline-color has-luminous-vivid-orange-color\">\u30b7\u30e5\u30a6\u9178\u306f\u6c34\u306b\u6eb6\u3051\u308b\u306e\u3067\u3001\u3053\u308c\u3089\u306e\u98df\u4e8b\u3092\u3068\u308b\u3068\u304d\u306f\u3086\u3067\u308b\u306a\u3069\u6c34\u3092\u4f7f\u3063\u305f\u98df\u4e8b\u65b9\u6cd5\u306b\u3059\u308b\u3088\u3046\u306b\u3057\u307e\u3057\u3087\u3046\u3002<\/span><\/strong>\u305d\u308c\u4ee5\u4e0a\u306b\u5927\u5207\u306a\u306e\u304c\u3001\u304a\u8336\u3084\u7d05\u8336\u3084\u30b3\u30fc\u30d2\u30fc\u306e\u6442\u53d6\u3002<\/p>\n\n\n\n<p>\u6771\u6b27\u304b\u3089\u306e\u5831\u544a\u3067\u30b7\u30e5\u30a6\u9178\u30ab\u30eb\u30b7\u30a6\u30e0\u7d50\u77f3\u306e\u60a3\u8005\u306e\u98df\u4e8b\u7531\u6765\u306e\u30b7\u30e5\u30a6\u9178\u306b\u3064\u3044\u3066\u3001\u305d\u306e80\u301c85\uff05\u306f\u7d05\u8336\u3084\u30b3\u30fc\u30d2\u30fc\u3068\u3055\u308c\u3066\u304a\u308a\u3001\u5c3f\u8def\u7d50\u77f3\u3092\u7e70\u308a\u8fd4\u3059\u65b9\u306f\u6ce8\u610f\u304c\u5fc5\u8981\u3067\u3059\u3002(<a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/17711092\/\">\u8a73\u7d30\u306f\u3053\u3061\u3089<\/a>\uff09<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">\u2462\u3000\u5c3f\u9178\u3092\u4e0b\u3052\u308b\u3088\u3046\u306b\u3057\u307e\u3057\u3087\u3046<\/h3>\n\n\n\n<p>\u307e\u305f\u3001\u9ad8\u5c3f\u9178\u8840\u75c7\u306e\u65b9\u306f\u30d7\u30ea\u30f3\u4f53\u306e\u904e\u5270\u6442\u53d6\u3067\u5c3f\u9178\u7d50\u77f3\u306b\u306a\u308b\u3053\u3068\u3082\u3042\u308a\u307e\u3059\u3002\u5c3f\u8def\u7d50\u77f3\u3092\u7e70\u308a\u8fd4\u3059\u5834\u5408\u306f\u3001\u5c3f\u9178\u5024\u3092\u4e0b\u3052\u308b\u85ac\u3092\u4f7f\u3063\u305f\u65b9\u304c\u3088\u3044\u5834\u5408\u3082\u3042\u308b\u306e\u3067\u3001\u304b\u304b\u308a\u3064\u3051\u306e\u5148\u751f\u306b\u76f8\u8ac7\u3057\u307e\u3057\u3087\u3046\u3002<\/p>\n\n\n\n<p>\u8a73\u3057\u304f\u306f<strong><a href=\"https:\/\/www.soujinkai.or.jp\/himawariNaiHifu\/2021\/04\/10\/hyperuricemia\/\">\u5c3f\u9178\u3063\u3066\u4f55\u3067\u3059\u304b\uff1f\u9ad8\u5c3f\u9178\u8840\u75c7\u3084\u75db\u98a8\u306b\u3064\u3044\u3066\u89e3\u8aac\u3010\u8a3a\u65ad\u30fb\u98df\u4e8b\u30fb\u751f\u6d3b\u306e\u6ce8\u610f\u70b9\u3011<\/a><\/strong>\u3082\u53c2\u7167\u3057\u3066\u304f\u3060\u3055\u3044\u3002<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">\u2463\u3000\u30ab\u30eb\u30b7\u30a6\u30e0\u306f\u4e00\u5b9a\u91cf\u3068\u308b\u3088\u3046\u306b\u3057\u307e\u3057\u3087\u3046<\/h3>\n\n\n\n<p>\u3088\u304f\u3042\u308b\u9593\u9055\u3044\u3068\u3057\u3066\u306f\u300c\u30ab\u30eb\u30b7\u30a6\u30e0\u304c\u5c3f\u306b\u3067\u3066\u304f\u308b\u306a\u3089\u30ab\u30eb\u30b7\u30a6\u30e0\u3092\u5236\u9650\u3059\u308c\u3070\u3088\u3044\u300d\u3068\u8003\u3048\u3066\u3057\u307e\u3046\u3053\u3068\u3002\u81e8\u5e8a\u7814\u7a76\u304b\u3089\u306f\u30ab\u30eb\u30b7\u30a6\u30e0\u7d50\u77f3\u306e\u518d\u767a\u4e88\u9632\u306b\u306f\uff0c\u30ab\u30eb\u30b7\u30a6\u30e0\u6442\u53d6\u3092\u5236\u9650\u3059\u308b\u3088\u308a\u3001\u4e00\u5b9a\u91cf\u306e\u30ab\u30eb\u30b7\u30a6\u30e0\u3092\u6442\u3063\u305f\u307b\u3046\u304c\u3088\u3044\u3068\u3055\u308c\u3066\u3044\u307e\u3059\u3002(<a 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