
å°¿é žå€ãæ¬æ°ã§äžããŠã¿ã
ç§ã¯ã治çããšãããç·æ§åè±æ¯çã®æ²»çããããŠããŸããŠïŒãŸãä¿ã«ãããèæ¯æ²»çããšããã€ããªãã§ããã©âŠïŒãã®éçšã§ã治çè¬ããšããã¢ããæçšããŠããŸãã
ãããŠãã®æ²»çè¬ã¯ãŸãã«ãèèã«å¯äœçšããåºãäºãå ±åãããŠããäºããããç§ã念ã®çºã«å®æçã«èèã®æ°å€ãšããã¢ããæ€æ»ããŠããŸãã
ãããªãã€ãã®ãèèæ€æ»ããããããšããŠããæã«ãããŸããŸãçé¢šæ€æ»ããããããšæãæ©äŒããããŸããã
ãçé¢šæ€æ»ã®ãã£ããã
å®ã¯è·å Žãäžç·ã§åããé
åã¿ã§ããåç¶ãçªç¶ãç颚ãã«ãªã£ã¡ãã£ããã§ãã
ããæ¥åç¶ãããªããããã®çã¿ã¯ãâŠãã£ãŠèšããªããè¶³ãåŒãæºã£ãŠããŸãã§æŠå Žã®è² å·å
µã®ããã«æä»äºå Žã«çŸããå
æ¯ã¯ãªããªãã®è¡æã§ãããâŠã
ãããã¯ãããã£ãŠã¿ãã£ãããªãã

ç§ã®å°å ã®ç é¢ã§ã¯å500åã§ãèèæ€æ»ããè èæ€æ»ããã³ã¬ã¹ãããŒã«æ€æ»ããªã©ããããæ€æ»ãåãããããèªå販売æ©ã·ã¹ãã ãããããããã§åçš®æ€æ»ãè³Œå ¥ããäžã«ãçé¢šæ€æ»ããšããé ç®ããããŸãã
åºæ¬çã«ã¯ã»ãšãã©ããæ¡è¡ãããæ¡å°¿ãã®ã¿ã§ãã®çµæã¯åŸæ¥èªå® ãžéµéãããŸãã

å®ã¯ç§ã劻ããæ©é
ããããªã倧奜ãã§æ¯æ©ããé
ããè¶ãããããã«ãé
ã飲ã¿ãŸãã

ç§ã¯æããã§ãããæ¯æ¥500ããªã®ããŒã«ãäžäººã§æäœïŒãïŒæ¬ãããã飲ãã§ããŸãã
ãã¡ããããé
代ããããªã嵩ãåããã®ããã«ãªããä»ã®èŽ
æ²¢ããªããã¯å
šç¶åã£ã¡ãããããªç掻ã§ãã
ã§ããç§èªèº«ãé
ã«åŒ·ããªå®¶ç³»ãªäºããã£ãŠããè¥ãæããã®å¥åº·èšºæã§ãæå€ãšãèèã®æ°å€ïŒÎ³GTïŒãã¯ãããŸã§æ
ãŠãæ°å€ãåºããäºã®ãªãããçµæ§å®å¿ããŠã¯ããŸããããä»åïŒåœæä»€åïŒå¹ŽïŒè峿·±ã
ã§ãçé¢šæ€æ»ããäžåºŠè©ŠããŠã¿ãããšæããŸããã

ã第äžåæ€æ»ã
ãããŠä»€åïŒå¹Žã®åæ€æ»ã§å±ãããã®æ°å€ã¯
ãªããšå°¿é žå€ã7.3ãã§ããã
â»ãã®ååã®æ€æ»çµæã ãçŽå€±
ãããŠãã®æ€æ»çµæãšåå°ã®è³æãã¿ããšãªããš

ãå°¿é
žå€ïŒ.0以äžã¯ç颚ã«ãªãå¯èœæ§ããããŸãã
ãšã
ãããŒçŠããŸãããã
ã人çã®æé«ã®æ¥œãã¿ã§ãããæ©é ã ãã¯å¥ªãããããªãïŒã
ããããç§ã®ãç颚äºé²èšç»ããå§ãŸããŸããã
ãç颚äºé²èšç»ã®å§ãŸãã
ã§ããã調ã¹ãã°èª¿ã¹ãã»ã©ãå°¿é žå€ãäžãããšããäºãã¯ããªããšããããã¡ãã£ã¯ãã£å€§å€ã§é£ããããªäºã§ããã

ãé£ã¹ç©ã®å¶éãçš®é¡ã现ãããã®ã¯ãã¡ããããéåããéããŠãé广ããªäºããããšãã
ããšããŒã«ã¯ãã£ã±ã飲ã¿ç¶ãããã§ããâŠã
ãããå
šãŠãããŸããçŽåŸããããã§ãããªãæ
å ±ãã°ããã§ããã
ã ã£ãŠãã®æžãããŠããäºã®å€ãã¯ãã»ãŒçãšåãåœããåãªé£ç掻ãçæŽ»ç¿æ
£ãã§ããã£ãã®ã§âŠã
ãããæèããã ãã§ãå°¿é
žå€ãäžããããšã¯ã¡ãã£ãšãããã«ç°¡åã«ã¯æããŸããã§ããã
ãã©ãŸããã®ç¹ã«é¢ããŠã¯ïŒ¡ïŒ§ïŒ¡æ²»çã«é¢ããŠãåãã§ãããã
ããŸãã¯ããã培åºçã«ã
ããã§ç§ã¯ãããããªå¯Ÿçæ³ãçµéšè ãªã©ã®æ å ±çºä¿¡ãå ã«
ãŸããèªåã§ãçŽåŸãããäžã€ã®äºãã培åºçã«ããããšæ±ºããŸããã
ããã¯ãæ°Žåãå€ãæåãããã§ãã

ãªããªããããã§æ¹åãããŠããæ¹ãæ¯èŒçå€ãã®ã¯ãã¡ããããªããšãªããè¡äžã®å°¿é
žå€ãäžããããé¢ç¯éšãžã®å°¿é
žçµæ¶åãé²ãããšããäºã«ãæ°Žå倧éæåããã®å€§éæåºãã¯ããªãçã«ããªã£ãŠãããªãšãæã£ãããã§ãã
ããã§ç§ã¯æãåã£ãŠ
ããæŒã飯ãé£ã¹çµããé ãŸã§ã«æ°ŽåãïŒïŒ¬è¿ãæãäºã
ã³ããç®æšã«ããŸããã

ããšã¯ãååŸããå¯ããŸã§ã¯æ®éã®ç掻ããããŠãæ°Žåã¯ããããäžæ¥ã§ãçŽ2.5ãïŒïŒ¬è¿ããæåã§ããã®ã§ã¯ãªãã§ããããã
ãšããææ³ã§ãã
ãæ¯æ¥ã®ã«ãŒãã£ã³ã«ã
ãããŠãã®æ¥ãããå¹³æ¥ã ãã¯æ¯æ¥ãããå®è¡ãããŸããã
ã»ãŒæ°Žã ã£ãããšãããããã€ã¬ã«è¡ãé »åºŠãã¯ååŸããã ãå¢ããããªã£ãšããæèŠã§ããã
ããããŠããããçŽïŒå¹ŽåŸã

ããããŸããã®å°¿é
žå€å¢ããŠãŸãããâŠã
ãããããã§ç§ã¯
ãããâŠããããããååã®æ€æ»ã®æç¹ã§èªåã®æ°å€ããïŒ.ïŒãïŒããããã®ç¯å²å ã ã£ãã®ã§ã¯ïŒã
ãšãæããŸããã
ãšããã®ã治çã䌌ããããªæããªãã§ãããè¡æ¶²ã®æ°å€ã®æ¹åãã£ãŠæ¯çްè¡ç®¡ã®é ã ãŸã§è¡ãæž¡ãäºããã£ãŠãïŒå¹ŽãïŒå¹Žãããã¯æ®éã«ãããã€ã¡ãŒãžãªãã§ãããã
ãŸããŠãæ¯æ¥ã®ãé
ã®é£²ãéèªäœãæžãããŠãªããã§ã
ãç§ã¯ããã«è¿œãèšã¡ããããã¹ãã

ããŒã«ã¯æåã®äžæ¬ã ãã«ããŠãã®åŸã¯æåŸãŸã§ããŠã£ã¹ããŒæ°Žå²ããã«å€æŽããäºã«ããŸããã
ããŒã«ããã®æ°Žåã§ã¯ãªããã£ã±ããçæ°Žãæåãããæãã«å¯ãããã£ããã§ãããã
çµæããŒã«ãããç¯çŽã«ããªããŸãããã
ããããŠããããçŽïŒå¹ŽåŸâŠã

ããã®ããã«çŽïŒå¹ŽåŸâŠã

ããã®ããã«å幎åŸâŠã
â»èèæ€æ»ããããã£ãã®ã§

æ°å€ã¯æããã«ãäžããåŸåãã®æ¹ã«åããããšããŠããŸããã
ç®æšã§ãããèå¿ã®ãå°¿é
žå€ïŒ.ïŒãã確å®ã«åãäºããªããªãã§ããŸããã§ããã
ããã§ããã«è¿œãæã¡ããããã¹ããããããªæ
å ±ã®äžã§ããã³ã¬ïŒãã£ãšããã¢ããèŠã€ããŸããâ
ç°¡åã«ãããšããã«ã¯ã飲ããšè¡äžå°¿é
žãçŽïŒïŒïŒ
æžå°ããè
èããã®å°¿é
žææ³ïŒç³žçäœã§ã®ååžåãªã©ãå«ã âfractional excretion of uric acidâïŒãå¢ãããšããå ±åãããããããææ³ãä¿ãã¡ã«ããºã ããé¢äžããŠããå¯èœæ§ããããšã
ãé 調ã«äžãã£ãŠãããã³ã«ãšã©ãã«ã
ãšããããã§æ¯æ¥ïŒæ¯ã®çä¹³ã§ãã

æ¬æ¥ã¯ããšãŒã°ã«ãæåãè¯ãããšã®æ
å ±ããããŸãããæ¯æ¥æåããã®ã«ãããªã«ãéã®äœè£ã¯ãããŸãããããã¯ãçä¹³ãã§ã倧äžå€«ã ãšã®äºâ
ãµããµãã
ç¹ã«ãæ¯æ¥çä¹³ã飲ã人ã»ãšãŒã°ã«ãã宿çã«é£ã¹ã人ã§ãå°¿é
žå€ãäœãã ã£ããšããçµ±èšçãªå·®ãåºãŠãããšã
ãã ãã£ã±ãèèªåã¯æ°ã«ã¯ãªã£ãŠããŸãã®ã§ç§ã¯ãäœèèªçä¹³ãã«ããŸããã
ãããŠãã®ç掻ã忥ã¯ãã¡ããç§ã¯æ¯æ¥å®è¡ããŸããã
ããããŠããããçŽïŒå¹ŽåŸã®å æ¥ã

ããã«ã¬ã¯ã³ã£ãšäžãã£ãŠãããŠãã£ãšãæ£åžžå€ããšãªã£ãŠãããŸããã
ããã治çãšåãããã«ééããªããçžä¹å¹æãã ãšãæããŸãã
ãã ç§ã¯ä»å

ãã©ãããŸã§äžããããšããäºã¯
ãæ°Žåã®æåéã
ã乳補åã®æåã
ãééããªãæ£ããã£ããã ãããªãšçµè«ã¥ããŸããã
ã ã£ãŠãã®ïŒã€ããããŠããªãã®ã§ã
ã¡ãªã¿ã«ãã¡ãã¯ã2016幎ã®ç ç©¶çºè¡šãã§ããã乳補åãå°¿é žå€ãæããç«åŠèª¿æ»ãã¯2005幎ã«ã¯ãã§ã«ãããŠããã¿ããã§ãâ
ããã®ïŒã€ã®æ¹æ³ã§å°¿é žå€ãäžããã
ãªã®ã§ãããã
ã乳補åã§å°¿é žå€ã®äžæãæããŠã
ãæ°Žåã®æåã§å°¿é
žãå°¿ããæåºããã
ãšããæµããééããªããå°¿é
žå€ã®äœäžãã®çã«ããªã£ãŠããã®ã ãšæããŸãã
ãããŠã治çãããå°¿é žå€æ¹åãã¯ãã¡ãããã©ããªã³ãã«é¢ããŠããããªãã§ãã
æåŸã®æåŸã¯èªåãã©ãã ããããç¶ç¶ã§ãããã ãã ãšæããŸãã
ã¡ãªã¿ã«2018幎㫠BMJïŒè±åœå»åŠèªïŒ ã«åºãïŒäžïŒå人ã§ã®å€§èŠæš¡ãªã¡ã¿ã¢ããªã·ã¹ç ç©¶ã§ã¯ãé£äºãè¡æž å°¿é žå€ã®å€åïŒåæ£ïŒã«å¯äžããå²åã¯æå€§ã§ 0.3ïŒ ä»¥äžããšå ±åãããŠããŸãã â
ã€ãŸãããé£äºãå€ãããããšã§å°¿é
žå€ã«åœ±é¿ãåºãå¯èœæ§ã¯ãããããã®åœ±é¿åã¯éåžžã«å°ãã矀ãå€ããšããæå³ãªãã§ããã
ã人é¡å
šäœã§èŠããšãé£äºã®éãã§å°¿é
žå€ã®å·®ã¯ã»ãšãã©çãŸããªãã
ãšããäºã§ãããå®ã¯ãããªã³äœã®åœ±é¿ãªããŠã»ãŒåœ±é¿ãªããïŒãã¯ããåªåã¬ãã«ãæ±ããããããšããäºã§ããããŸãã
ãææ°ã®æ°å€ã
ãã¡ããç§ã®ææ°ïŒä»€åïŒå¹ŽïŒæïŒæ¥ïŒã®å°¿é
žå€æ°å€ã§ãã

äžææïŒ.ïŒãŸã§ãšãªã£ãŠããŸããããä»ã®ç§ã®ããæ¹ã§æ°å€ïŒä»¥äžã®å®å šåã®ããŒããç¶æåºæ¥ãããã«ãªã£ããããªæ°ãããŸãã

ãã ãããã§çããã«ããã«æšãããã®ã¯ãç§ã¯ããé
ã®éãå€ãããã«ãé£äºå¶éããããã«ãã®å°¿é
žå€ã®æ°å€ãäœäžïŒç¶æã§ããŠãããšããäºãªãã§ãã
決ããŠç¡çãªãããã€å¹æãæå€§éã«åºããå°¿é
žå€ã®äžãæ¹ãã ãšç§ã¯æã£ãŠããŸãã
ãæåŸã«ã
ä»åã®ãã®ãç颚äºé²èšç»ãã¯ããªã«ããç§ã®æ©ã¿ã解決ãã¹ãïŒç§ãšã®æ©é ãæ¥œããã§ãããŠãã劻ããæã®ã¹ãŒãããäœã£ãŠãããããäœèèªçä¹³ããåãããªãããã«åžžã«å·èµåº«ã«ã¹ããã¯ããŠãããŠããŸããã
劻ã«ã¯æ¬åœã«æè¬æè¬ãããªãã§ããããã¯ããç¶ç¶ãããšããäºã¯å€ç¬ãªæŠããã§ãããã®ã§ãã©ãããŠãäžæ¥åäž»ãšãã«ãªããããæ¹ã¯æ¯éäžåºŠåšãã®æ¹ã«ããããçžè«ãããŠã¿ãäºããªã¹ã¹ã¡ããããŸãã
ãæ¯æ¥ã®æ°Žåã®å€§éæåã
ãæ¯æ¥ã®ä¹³è£œåæåã
ãã®ïŒã€ã¯ééããªãå°¿é
žå€ã®äœäžã«å¹æãæåŸ
ã§ããäºã ãšæã£ãã®ã§ãå°¿é
žå€ãé«ãã§æ©ãŸããŠãæ¹ã¯è¯ãã£ããæ¯é詊ãããŠã¿ãŠãã ããâª
ããšãïŒç·æ§åè±æ¯çïŒããæ¹åããããªãæ¬æ°ãªnoteãæžããŠããŸãã
ããèæ¯ã«æ©ãŸããŠããæ¹ã¯æ¯éâ
ä»åã¯ç§ã®å®äœéšïŒçµéšããã§ã¯ãããŸããæåŸãŸã§ã芧ãã ããããããšãããããŸããã
ããã§ã¯m(_ _)m