{"id":58,"date":"2025-05-04T10:50:23","date_gmt":"2025-05-04T01:50:23","guid":{"rendered":"https:\/\/daigo-tsuji-iin.jp\/blog\/?p=58"},"modified":"2026-04-29T10:51:03","modified_gmt":"2026-04-29T01:51:03","slug":"post-58","status":"publish","type":"post","link":"https:\/\/daigo-tsuji-iin.jp\/blog\/post-58\/","title":{"rendered":"\u4e2d\u9ad8\u5e74\u5973\u6027\u306b\u5897\u52a0\u4e2d\uff01\u975e\u7d50\u6838\u6027\u6297\u9178\u83cc\u75c7\u3068\u306f\uff1f\u75c7\u72b6\u30fb\u8a3a\u65ad\u30fb\u6cbb\u7642\u306e\u3059\u3079\u3066\u3092\u5c02\u9580\u533b\u304c\u89e3\u8aac"},"content":{"rendered":"\n<p>\u9577\u5f15\u304f\u54b3\u3084\u75f0\u3001\u8840\u75f0\u306a\u3069\u4f53\u91cd\u6e1b\u5c11\u306a\u3069\u304c\u3042\u308b\u5834\u5408\u306f\u975e\u7d50\u6838\u6027\u6297\u9178\u83cc\u75c7\u306e\u53ef\u80fd\u6027\u304c\u3042\u308a\u307e\u3059\u3002\u8fd1\u5e74\u65e5\u672c\u3067\u3082\u5897\u52a0\u50be\u5411\u306b\u3042\u308b\u975e\u7d50\u6838\u6027\u6297\u9178\u83cc\u75c7\u306e\u8a3a\u65ad\u65b9\u6cd5\u3084\u6cbb\u7642\u306b\u3064\u3044\u3066\u8a73\u3057\u304f\u307e\u3068\u3081\u307e\u3057\u305f\u3002<br><\/p>\n\n\n\n<h2 class=\"wp-block-heading\">\u975e\u7d50\u6838\u6027\u6297\u9178\u83cc\uff08NTM\uff09\u75c7\u3068\u306f\uff1f<\/h2>\n\n\n\n<p>\u975e\u7d50\u6838\u6027\u6297\u9178\u83cc\uff08NTM\uff1aNontuberculous Mycobacteria\uff09\u306f\u3001\u7d50\u6838\u83cc\u304a\u3088\u3073\u30cf\u30f3\u30bb\u30f3\u75c5\u83cc\u4ee5\u5916\u306e\u6297\u9178\u83cc\u5c5e\u306e\u83cc\u7a2e\u3092\u6307\u3057\u307e\u3059\u3002NTM\u306f\u74b0\u5883\u4e2d\u306b\u5e83\u304f\u5b58\u5728\u3057\u3001\u5065\u5eb7\u306a\u4eba\u306e\u76ae\u819a\u3084\u7c98\u819c\u3001\u5206\u6ccc\u7269\u4e2d\u306b\u5b58\u5728\u3057\u3066\u3044\u3066\u3082\u3001\u5fc5\u305a\u3057\u3082\u75c5\u6c17\u3092\u5f15\u304d\u8d77\u3053\u3059\u308f\u3051\u3067\u306f\u3042\u308a\u307e\u305b\u3093\u3002\u8fd1\u5e74\u306f\u3001\u3053\u306eNTM\u306b\u3088\u308b\u6162\u6027\u547c\u5438\u5668\u611f\u67d3\u75c7\u304c\u5897\u52a0\u50be\u5411\u3067\u3042\u308a\u3001\u7279\u306b\u4e2d\u9ad8\u5e74\u5973\u6027\u306b\u591a\u304f\u898b\u3089\u308c\u307e\u3059\u3002<br><\/p>\n\n\n\n<h2 class=\"wp-block-heading\">\u3069\u3093\u306a\u83cc\u304c\u3044\u308b\uff1f<\/h2>\n\n\n\n<p>\u4eba\u306b\u611f\u67d3\u3059\u308b\u83cc\u3060\u3051\u3067\u308230\u7a2e\u985e\u7a0b\u5ea6\u77e5\u3089\u308c\u3066\u3044\u307e\u3059\u3002\u4e00\u90e8\u3092\u3054\u7d39\u4ecb\u3055\u305b\u3066\u3044\u305f\u3060\u304d\u307e\u3059\u3002<\/p>\n\n\n\n<figure class=\"wp-block-table\"><table class=\"has-fixed-layout\"><thead><tr><th>\u5206\u985e<\/th><th>\u83cc\u7a2e<\/th><\/tr><\/thead><tbody><tr><td><strong>\u975e\u767a\u8272\u83cc\u7fa4\uff08Nonchromogens\uff09<\/strong><\/td><td>MAC\uff08<em>M. avium, M. intracellulare<\/em>\uff09<br><em>M. terrae complex<br>M. ulcerans<br>M. xenopi<br>M. simiae complex<br>M. malmoense<br>M. szulgai<br>M. asiaticum<br>M. haemophilum<\/em><\/td><\/tr><tr><td><strong>\u5149\u767a\u8272\u83cc\u7fa4\uff08Photochromogens\uff09<\/strong><\/td><td><em>M. kansasii complex<br>M. marinum<\/em><\/td><\/tr><tr><td><strong>\u6697\u767a\u8272\u83cc\u7fa4\uff08Scotochromogens\uff09<\/strong><\/td><td><em>M. gordonae<br>M. scrofulaceum<\/em><\/td><\/tr><tr><td><strong>\u8fc5\u901f\u5897\u6b96\u83cc\u7fa4\uff08Rapidly growing mycobacteria\uff09<\/strong><\/td><td><em>M. abscessus group\uff08M. abscessus, M. bolletii, M. massiliense\uff09<br>M. fortuitum complex\uff08M. fortuitum, M. peregrinum, M. porcinum\uff09<br>M. chelonae<br>M. smegmatis<br>M. mucogenicum<\/em><\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n<p>\u4ee3\u8868\u7684\u306a\u83cc\u3068\u7279\u5fb4\u3092\u8868\u306b\u304a\u793a\u3057\u3057\u307e\u3059\u3002<\/p>\n\n\n\n<figure class=\"wp-block-table\"><table class=\"has-fixed-layout\"><thead><tr><th>\u83cc\u7a2e\u540d<\/th><th>\u7279\u5fb4<\/th><\/tr><\/thead><tbody><tr><td><strong><em>Mycobacterium avium complex (MAC)<\/em><\/strong><\/td><td>\u4e16\u754c\u7684\u306b\u6700\u591a\u3002\u65e5\u672c\u3084\u97d3\u56fd\u3067\u3082\u6025\u5897\u4e2d\u3002\u6c34\u30fb\u571f\u58cc\u30fb\u30b7\u30e3\u30ef\u30fc\u306a\u3069\u304c\u611f\u67d3\u6e90\u3002\u514d\u75ab\u4e0d\u5168\u8005\u3067\u306f\u64ad\u7a2e\u6027\u611f\u67d3\u3082\u3042\u308a\u5f97\u308b<\/td><\/tr><tr><td><strong><em>M. kansasii<\/em><\/strong><\/td><td>\u7c73\u56fd\u4e2d\u5357\u90e8\u3084\u90fd\u5e02\u90e8\u306e\u6c34\u9053\u6c34\u304c\u4e3b\u306a\u611f\u67d3\u6e90\u3068\u3055\u308c\u308b\u3002HIV\u60a3\u8005\u3067\u306f\u611f\u67d3\u7387\u304c\u9ad8\u3044<\/td><\/tr><tr><td><strong><em>M. abscessus<\/em><\/strong><\/td><td>\u65e5\u672c\u3084\u97d3\u56fd\u3067\u5897\u52a0\u4e2d\u3002\u9ad8\u3044\u8010\u6027\u3092\u3082\u3061\u6cbb\u7642\u56f0\u96e3\u3002\u75c5\u9662\u306e\u6c34\u56de\u308a\u30fb\u5668\u5177\u306a\u3069\u304b\u3089\u306e\u611f\u67d3\u304c\u554f\u984c\u306b<\/td><\/tr><tr><td><strong><em>M. fortuitum<\/em><\/strong><\/td><td>\u7f8e\u5bb9\u65bd\u8853\u3084\u624b\u8853\u5f8c\u611f\u67d3\u304c\u5831\u544a\u3055\u308c\u3066\u3044\u308b\u3002\u6bd4\u8f03\u7684\u6cbb\u7642\u3057\u3084\u3059\u3044\u5834\u5408\u3082\u3042\u308b<\/td><\/tr><tr><td><strong><em>M. chelonae<\/em><\/strong><\/td><td>\u7f8e\u5bb9\u51e6\u7f6e\u3084\u30ab\u30c6\u30fc\u30c6\u30eb\u306a\u3069\u533b\u7642\u884c\u70ba\u5f8c\u306e\u611f\u67d3\u3002\u514d\u75ab\u6291\u5236\u72b6\u614b\u306e\u60a3\u8005\u3067\u91cd\u75c7\u5316\u3059\u308b\u3053\u3068\u3082\u3042\u308b<\/td><\/tr><tr><td><strong><em>M. marinum<\/em><\/strong><\/td><td>\u71b1\u5e2f\u9b5a\u6c34\u69fd\u3084\u6c34\u5834\u3067\u306e\u5916\u50b7\u304c\u539f\u56e0\u3002\u6c34\u4ed5\u4e8b\u306b\u5f93\u4e8b\u3059\u308b\u4eba\u306b\u591a\u3044<\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n<p>\u65e5\u672c\u3067\u306f\u3001Mycobacterium avium complex\uff08MAC\uff09\u3068\u3044\u3046\u83cc\u7fa4\u306b\u3088\u308b\u611f\u67d3\u304c\u5727\u5012\u7684\u306b\u591a\u304f\u3001NTM\u80ba\u75be\u60a3\u306e\u7d0485\uff05\u3092\u5360\u3081\u3066\u3044\u307e\u3059\u3002\u897f\u65e5\u672c\u306e\u307b\u3046\u304cM.intracellulare\u306e\u983b\u5ea6\u304c\u9ad8\u3044\u3068\u5831\u544a\u3055\u308c\u3066\u3044\u307e\u3059\u3002<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">NTM\u306f\u3069\u3053\u306b\u3044\u308b\u306e\uff1f\u3069\u3046\u3084\u3063\u3066\u611f\u67d3\u3059\u308b\uff1f<\/h2>\n\n\n\n<h2 class=\"wp-block-heading\">\u74b0\u5883\u8d77\u6e90<\/h2>\n\n\n\n<p>\u3069\u3093\u306a\u5834\u6240\u306b\u83cc\u304c\u3044\u308b\u304b\u3092\u77e5\u308b\u3053\u3068\u306f\u611f\u67d3\u306e\u4e88\u9632\u306e\u9762\u304b\u3089\u306f\u975e\u5e38\u306b\u91cd\u8981\u3067\u3059\u3002\u3069\u3093\u306a\u3068\u3053\u308d\u306b\u83cc\u304c\u3044\u308b\u306e\u304b\u3001\u304a\u793a\u3057\u3057\u307e\u3059\u3002<br>NTM\u306f\u81ea\u7136\u754c\u306e\u3042\u3089\u3086\u308b\u5834\u6240\u306b\u5b58\u5728\u3057\u307e\u3059\u304c\u571f\u58cc\u3084\u6c34\u56de\u308a\u306b\u591a\u3044\u3053\u3068\u304c\u77e5\u3089\u308c\u3066\u3044\u307e\u3059\u3002<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\u8868\u5c64\u6c34\u3084\u6c34\u9053\u6c34<\/li>\n\n\n\n<li>\u571f\u58cc<\/li>\n\n\n\n<li>\u5bb6\u755c\u3084\u91ce\u751f\u52d5\u7269<\/li>\n<\/ul>\n\n\n\n<p><strong>NTM\u306e\u4e2d\u3067\u3082\u74b0\u5883\u5206\u5e03\u306b\u306f\u9055\u3044\u304c\u3042\u308a\u307e\u3059<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>MAC<\/strong>\uff1a\u30b7\u30e3\u30ef\u30fc\u30d8\u30c3\u30c9\u306e\u30d0\u30a4\u30aa\u30d5\u30a3\u30eb\u30e0\u306b\u306fNTM\u304c\u9ad8\u6fc3\u5ea6\u3067\u691c\u51fa\u3055\u308c\u308b\u3053\u3068\u304c\u793a\u3055\u308c\u3066\u304a\u308a\u3001\u4eba\u3078\u306eMAC\u611f\u67d3\u306e\u6f5c\u5728\u7684\u306a\u611f\u67d3\u6e90\u3068\u3057\u3066\u30b7\u30e3\u30ef\u30fc\u304c\u95a2\u4e0e\u3057\u3066\u3044\u308b\u53ef\u80fd\u6027\u304c\u5831\u544a\u3055\u308c\u3066\u3044\u307e\u3059\u3002\u30a8\u30a2\u30ed\u30be\u30eb\u5316\u3057\u305fMAC\u3092\u5438\u3044\u8fbc\u3080\u3053\u3068\u3067\u80ba\u306b\u30a2\u30ec\u30eb\u30ae\u30fc\u53cd\u5fdc\u3092\u793a\u3059\u300cHot tub Lung\u300d\u3068\u3044\u3046\u75c5\u6c17\u304c\u3042\u308a\u307e\u3059\u3002\u305b\u3063\u304b\u304f\u306e\u6c17\u6301\u3061\u306e\u3044\u3044\u30b8\u30e3\u30b0\u30b8\u30fc\u306a\u3069\u304c\u539f\u56e0\u3068\u306a\u308a\u307e\u3059\u3002<\/li>\n\n\n\n<li><strong><em>M. abscessus<\/em><\/strong>\uff1aMAC\u3068\u540c\u69d8\u306b\u3001M. abscessus\u3082\u81ea\u7136\u754c\u306b\u5e83\u304f\u5b58\u5728\u3059\u308b\u74b0\u5883\u5fae\u751f\u7269\u3067\u3059\u3002\u3053\u308c\u3089\u306f\u3001\u571f\u58cc\u3001\u307b\u3053\u308a\u3001\u6c34\u3001\u9678\u751f\u30fb\u6c34\u751f\u52d5\u7269\u3001\u75c5\u9662\u74b0\u5883\uff08\u4f8b\uff1a\u6c34\u9053\u6c34\uff09\u3001\u6c5a\u67d3\u3055\u308c\u305f\u8a66\u85ac\u3084\u533b\u85ac\u54c1\u304b\u3089\u5206\u96e2\u3055\u308c\u3066\u3044\u307e\u3059\u3002<\/li>\n\n\n\n<li><strong><em>M. kansasii<\/em><\/strong>:\u4ed6\u306eNTM\u3068\u7570\u306a\u308a\u3001<em>M. kansasii<\/em>\u306f\u571f\u58cc\u3084\u81ea\u7136\u6c34\u304b\u3089\u306f\u5206\u96e2\u3055\u308c\u3066\u304a\u3089\u305a\u3001\u6c34\u9053\u6c34\u304b\u3089\u5206\u96e2\u3055\u308c\u3066\u3044\u307e\u3059\u3002\u65e5\u672c\u3067\u3082<em>M.kansasii<\/em>\u306e\u691c\u51fa\u3055\u308c\u308b\u5730\u57df\u306b\u306f\u504f\u308a\u304c\u3042\u308a\u5de5\u696d\u5730\u57df\u306e\u8fd1\u304f\u304c\u591a\u3044\u3068\u3055\u308c\u3066\u3044\u307e\u3059\u3002<\/li>\n<\/ul>\n\n\n\n<h4 class=\"wp-block-heading\">\u611f\u67d3\u7d4c\u8def<\/h4>\n\n\n\n<p>\u3069\u3046\u3084\u3063\u3066\u611f\u67d3\u3059\u308b\u306e\u304b\u77e5\u308b\u3053\u3068\u3082\u975e\u5e38\u306b\u91cd\u8981\u3067\u3059\u3002NTM\u306e\u4e00\u822c\u7684\u306a\u611f\u67d3\u7d4c\u8def\u3092\u304a\u793a\u3057\u3057\u307e\u3059\u3002<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>\u5438\u5165<\/strong>\uff1a\u6700\u3082\u4e00\u822c\u7684\u306a\u611f\u67d3\u7d4c\u8def\u306b\u306a\u308a\u307e\u3059\u3002\u30a8\u30a2\u30ed\u30be\u30eb\u5316\u3055\u308c\u305fNTM\u3092\u542b\u3080\u6c34\u3084\u571f\u58cc\u304c\u4e3b\u306a\u611f\u67d3\u6e90\u3068\u306a\u308a\u307e\u3059\u3002<\/li>\n\n\n\n<li><strong>\u7d4c\u53e3\u6442\u53d6<\/strong>\uff1a\u7279\u306b\u5c0f\u5150\u306e\u30ea\u30f3\u30d1\u7bc0\u708e\u3084\u3001HIV\u60a3\u8005\u306e\u64ad\u7a2e\u6027MAC\u306b\u95a2\u4e0e\u3059\u308b\u3068\u3055\u308c\u307e\u3059\u3002<\/li>\n\n\n\n<li><strong>\u76f4\u63a5\u63a5\u7a2e<\/strong>\uff1a\u5916\u50b7\u3084\u533b\u7642\u51e6\u7f6e\u3092\u901a\u3058\u3066\u76ae\u819a\u3084\u8edf\u90e8\u7d44\u7e54\u306bNTM\u304c\u4fb5\u5165\u3057\u3001\u5c40\u6240\u611f\u67d3\u307e\u305f\u306f\u64ad\u7a2e\u6027\u611f\u67d3\u3092\u5f15\u304d\u8d77\u3053\u3057\u307e\u3059\u3002<\/li>\n<\/ul>\n\n\n\n<h4 class=\"wp-block-heading\">\u4eba\u304b\u3089\u4eba\u3078\u306e\u611f\u67d3\u306f\uff1f<\/h4>\n\n\n\n<p>\u4e00\u822c\u306b\u306f<strong>\u4eba\u304b\u3089\u4eba\u3078\u306e\u611f\u67d3\u306f\u8d77\u3053\u3089\u306a\u3044<\/strong>\u3068\u3055\u308c\u307e\u3059\u304c\u3001<strong>\u3054\u304f\u307e\u308c\u306b\u53ef\u80fd\u6027\u304c\u6307\u6458\u3055\u308c\u305f\u4e8b\u4f8b<\/strong>\u3082\u3042\u308a\u307e\u3059\u3002\u3068\u304f\u306b\u3001\u56a2\u80de\u6027\u7dda\u7dad\u75c7\u60a3\u8005\u3055\u3093\u3067\u306e\u540c\u4e00\u682a\u306e\u5206\u96e2\u3084\u3001\u8853\u5f8c\u611f\u67d3\u4f8b\u3067\u306e\u533b\u7642\u5f93\u4e8b\u8005\u3068\u306e\u95a2\u9023\u304c\u5831\u544a\u3055\u308c\u3066\u3044\u307e\u3059\u3002<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">\u3069\u3093\u306a\u4eba\u304c\u611f\u67d3\u3057\u3084\u3059\u3044\uff1f\uff1f\u3069\u3093\u306a\u75c7\u72b6\u304c\u51fa\u307e\u3059\u304b\uff1f<\/h2>\n\n\n\n<p>\u3053\u306e\u75be\u60a3\u306f\u3001\u611f\u67d3\u3057\u3066\u3082\u3059\u3050\u306b\u75c7\u72b6\u304c\u51fa\u308b\u308f\u3051\u3067\u306f\u306a\u304f\u3001\u6162\u6027\u7684\u306b\u9032\u884c\u3059\u308b\u305f\u3081\u3001\u521d\u671f\u306b\u306f\u6c17\u4ed8\u304b\u308c\u306b\u304f\u3044\u306e\u304c\u7279\u5fb4\u3067\u3059\u3002\u75c7\u72b6\u304c\u51fa\u305f\u3068\u304d\u306b\u306f\u3059\u3067\u306b\u80ba\u306e\u75c5\u5909\u304c\u5e83\u304c\u3063\u3066\u3044\u308b\u3053\u3068\u3082\u3042\u308a\u307e\u3059\u3002\u305d\u306e\u305f\u3081\u3001\u65e9\u671f\u767a\u898b\u30fb\u65e9\u671f\u6cbb\u7642\u304c\u975e\u5e38\u306b\u91cd\u8981\u3067\u3059\u3002<br>\u3069\u306e\u3088\u3046\u306a\u65b9\u306b\u611f\u67d3\u304c\u8d77\u304d\u3084\u3059\u3044\u306e\u304b\u3001\u611f\u67d3\u3057\u305f\u5834\u5408\u3001\u3069\u306e\u3088\u3046\u306a\u75c7\u72b6\u304c\u51fa\u308b\u306e\u304b\u3092\u3054\u8aac\u660e\u3057\u307e\u3059\u306d\u3002<\/p>\n\n\n\n<p>\u4e3b\u306a\u30ea\u30b9\u30af\u56e0\u5b50\u3092\u4ee5\u4e0b\u306e\u8868\u306b\u307e\u3068\u3081\u3066\u307f\u307e\u3059<\/p>\n\n\n\n<figure class=\"wp-block-table is-style-stripes\"><table class=\"has-fixed-layout\"><thead><tr><th>\u30ea\u30b9\u30af\u56e0\u5b50<\/th><th>\u8aac\u660e<\/th><\/tr><\/thead><tbody><tr><td><strong>\u9ad8\u9f62\uff0860\u6b73\u4ee5\u4e0a\uff09\u30fb\u7279\u306b\u5973\u6027<\/strong><\/td><td>\u52a0\u9f62\u306b\u4f34\u3046\u514d\u75ab\u6a5f\u80fd\u306e\u4f4e\u4e0b\u3084\u4f53\u8cea\u7684\u306a\u8981\u56e0\u304c\u95a2\u4e0e\u3000\u30a8\u30b9\u30c8\u30ed\u30b2\u30f3\u306a\u3069\u306e\u30db\u30eb\u30e2\u30f3\u306e\u95a2\u4e0e\uff1f<\/td><\/tr><tr><td><strong>\u6162\u6027\u547c\u5438\u5668\u75be\u60a3<\/strong><\/td><td>COPD\uff08\u6162\u6027\u9589\u585e\u6027\u80ba\u75be\u60a3\uff09\u3084\u6c17\u7ba1\u652f\u62e1\u5f35\u75c7\u306a\u3069\u306e\u65e2\u5f80\u304c\u3042\u308b\u5834\u5408<\/td><\/tr><tr><td><strong>\u4f4e\u4f53\u91cd\uff08BMI &lt; 18.5\uff09<\/strong><\/td><td>\u6804\u990a\u72b6\u614b\u306e\u4f4e\u4e0b\u3084\u6162\u6027\u75be\u60a3\u3068\u306e\u95a2\u9023\u304c\u6307\u6458\u3055\u308c\u308b<\/td><\/tr><tr><td><strong>\u80f8\u90ed\u306e\u5909\u5f62<\/strong><\/td><td>\u6f0f\u6597\u80f8\u306a\u3069\u3001\u69cb\u9020\u7684\u7570\u5e38\u304c\u3042\u308b\u3068\u6c17\u9053\u30af\u30ea\u30a2\u30e9\u30f3\u30b9\u304c\u4f4e\u4e0b\u3057\u3084\u3059\u3044<\/td><\/tr><tr><td><strong>\u514d\u75ab\u6291\u5236\u72b6\u614b<\/strong><\/td><td>\u30b9\u30c6\u30ed\u30a4\u30c9\u30fb\u514d\u75ab\u6291\u5236\u85ac\u306e\u4f7f\u7528\u3001HIV\u611f\u67d3\u306a\u3069\u306b\u3088\u308a\u611f\u67d3\u62b5\u6297\u529b\u304c\u4f4e\u4e0b<\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n<p>\u3053\u308c\u3089\u306e\u30ea\u30b9\u30af\u3092\u6301\u3064\u4eba\u306f\u3001\u5b9a\u671f\u7684\u306a\u547c\u5438\u5668\u306e\u691c\u67fb\u3092\u53d7\u3051\u308b\u3053\u3068\u304c\u63a8\u5968\u3055\u308c\u307e\u3059\u3002<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">\u611f\u67d3\u3057\u305f\u5834\u5408\u306e\u75c7\u72b6<\/h2>\n\n\n\n<p class=\"has-black-color has-text-color has-link-color wp-elements-c9e8ff2b5679cf2c80f5ac99cfb97c88\"><strong>\u6162\u6027\u7684\u306a\u54b3<\/strong>\u3084<strong>\u75f0\u306e\u5897\u52a0\uff08\u6642\u306b\u81bf\u6027\uff09<\/strong>\u3001<strong>\u8840\u75f0<\/strong>\u3001<strong>\u5026\u6020\u611f<\/strong>\u3001<strong>\u767a\u71b1<\/strong>\u3001<strong>\u4f53\u91cd\u6e1b\u5c11<\/strong>\u3001<strong>\u547c\u5438\u56f0\u96e3<\/strong>\u306a\u3069\u306e\u75c7\u72b6\u3092\u5f15\u304d\u8d77\u3053\u3057\u307e\u3059\u3002NTM\u7279\u6709\u306e\u75c7\u72b6\u304c\u3042\u308b\u308f\u3051\u3067\u306f\u3042\u308a\u307e\u305b\u3093\u3002COPD\u306a\u3069\u6162\u6027\u7684\u306a\u547c\u5438\u5668\u75be\u60a3\u3068\u975e\u5e38\u306b\u3088\u304f\u4f3c\u3066\u304a\u308a\u3001\u60a3\u8005\u3055\u3093\u81ea\u8eab\u3067\u306f\u5224\u65ad\u304c\u96e3\u3057\u3044\u30b1\u30fc\u30b9\u3082\u5c11\u306a\u304f\u3042\u308a\u307e\u305b\u3093\u3002<\/p>\n\n\n\n<p>\u7279\u306b\u3001<strong>\u54b3\u304c\u6570\u9031\u9593\u4ee5\u4e0a\u7d9a\u304f\u65b9<\/strong>\u3084\u3001<strong>\u9ec4\u8272\u3044\u81bf\u6027\u306e\u75f0\u304c\u5897\u3048\u3066\u3044\u308b<\/strong>\u3068\u3044\u3046\u5834\u5408\u306b\u306f\u3001NTM\u75c7\u3092\u542b\u3081\u305f\u611f\u67d3\u75c7\u306e\u53ef\u80fd\u6027\u3082\u8003\u616e\u3059\u308b\u5fc5\u8981\u304c\u3042\u308a\u307e\u3059\u3002<\/p>\n\n\n\n<h1 class=\"wp-block-heading\">\u3069\u3046\u3084\u3063\u3066\u8a3a\u65ad\u3057\u307e\u3059\u304b\uff1f\uff1f<\/h1>\n\n\n\n<p>\u75c7\u72b6\u306f\u4ed6\u306e\u6162\u6027\u7684\u306a\u80ba\u306e\u75c5\u6c17\u3068\u975e\u5e38\u306b\u4f3c\u3066\u304a\u308a\u533a\u5225\u304c\u96e3\u3057\u3044\u3067\u3059\u3002\u75c7\u72b6\u3060\u3051\u3067\u8a3a\u65ad\u306f\u96e3\u3057\u304f\u3001\u4ed6\u306e\u691c\u67fb\u3068\u7d44\u307f\u5408\u308f\u305b\u3066\u8a3a\u65ad\u3059\u308b\u3053\u3068\u306b\u306a\u308a\u307e\u3059\u3002\u305d\u308c\u304c\u753b\u50cf\u691c\u67fb\u3068\u5580\u75f0\u691c\u67fb\u3001\u8840\u6db2\u691c\u67fb\u306b\u306a\u308a\u307e\u3059\u3002NTM\u4ee5\u5916\u306e\u75c5\u6c17\u304c\u306a\u3044\u304b\u3069\u3046\u304b\u3092\u8abf\u3079\u308b\u3068\u3044\u3046\u3053\u3068\u3082\u975e\u5e38\u306b\u91cd\u8981\u3067\u3059\u3002<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">\uff11\uff1a\u753b\u50cf\u691c\u67fb<\/h2>\n\n\n\n<p>\u80f8\u90e8X\u7dda\u5199\u771f\u3084\u80f8\u90e8CT\u691c\u67fb\u3092\u884c\u3044\u307e\u3059\u3002\u7279\u306bCT\u691c\u67fb\u306f\u3001\u75c5\u6c17\u3092\u7d5e\u308a\u8fbc\u3093\u3067\u3044\u304f\u306e\u306b\u975e\u5e38\u306a\u691c\u67fb\u3068\u306a\u308a\u307e\u3059\u3002CT\u3067\u8a8d\u3081\u308b\u6240\u898b\u306b\u3064\u3044\u3066\u3001\u4ee3\u8868\u7684\u306a\u3082\u306e\u3092\u304a\u793a\u3057\u3057\u307e\u3059\u3002<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">NTM\u80ba\u75be\u60a3\u306eCT\u753b\u50cf\u306e\u57fa\u672c\u30d1\u30bf\u30fc\u30f3<\/h3>\n\n\n\n<p>NTM\u75c7\u306eCT\u753b\u50cf\u3067\u306f\u3001\u4ee5\u4e0b\u306e2\u3064\u306e\u4e3b\u8981\u306a\u30d1\u30bf\u30fc\u30f3\u304c\u3088\u304f\u8a8d\u3081\u3089\u308c\u307e\u3059\uff1a<\/p>\n\n\n\n<figure class=\"wp-block-table\"><table class=\"has-fixed-layout\"><thead><tr><th>\u30d1\u30bf\u30fc\u30f3<\/th><th>\u7279\u5fb4<\/th><th>\u5bfe\u5fdc\u3059\u308b\u81e8\u5e8a\u50cf<\/th><\/tr><\/thead><tbody><tr><td><strong>\u7d50\u7bc0\u30fb\u6c17\u7ba1\u652f\u62e1\u5f35\u578b<\/strong><\/td><td>\u5c0f\u8449\u4e2d\u5fc3\u6027\u306e\u7d50\u7bc0\u3001\u6728\u306e\u82bd\u69d8\u9670\u5f71\u3001\u6c17\u7ba1\u652f\u62e1\u5f35\uff08\u7279\u306b\u53f3\u4e2d\u8449\u30fb\u820c\u533a\uff09<\/td><td>\u4e2d\u9ad8\u5e74\u5973\u6027\u306b\u591a\u3044\u3002\u6162\u6027\u7d4c\u904e\u3002<\/td><\/tr><tr><td><strong>\u7a7a\u6d1e\u578b\uff08\u7dda\u7dad\u7a7a\u6d1e\u578b\uff09<\/strong><\/td><td>\u4e0a\u8449\u512a\u4f4d\u306e\u7a7a\u6d1e\u3001\u7dda\u7dad\u5316\u3001\u7121\u6c17\u80ba\u3001\u6c17\u7ba1\u652f\u62e1\u5f35<\/td><td>\u55ab\u7159\u6b74\u306e\u3042\u308b\u9ad8\u9f62\u7537\u6027\u306b\u591a\u3044\u3002\u9032\u884c\u901f\u3044\u3002<\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n<p>\u3053\u308c\u306f\u4e3b\u306bMAC\u75c7\u306e\u753b\u50cf\u3092\u5206\u985e\u3059\u308b\u5834\u5408\u306b\u7528\u3044\u3089\u308c\u307e\u3059\u3002\u307e\u305f\u83cc\u7a2e\u306b\u3088\u308a\u3001\u753b\u50cf\u3082\u9055\u3044\u304c\u3042\u308a\u307e\u3059\uff08\u3044\u3064\u3082\u660e\u78ba\u306b\u5206\u985e\u3067\u304d\u308b\u308f\u3051\u3067\u306f\u3042\u308a\u307e\u305b\u3093\u304c\u30fb\u30fb\u30fb\uff09<\/p>\n\n\n\n<figure class=\"wp-block-table\"><table class=\"has-fixed-layout\"><thead><tr><th>\u83cc\u7a2e<\/th><th>CT\u753b\u50cf\u306e\u7279\u5fb4<\/th><\/tr><\/thead><tbody><tr><td><strong><em>Mycobacterium avium complex<\/em>\uff08MAC\uff09<\/strong><\/td><td>\u5c0f\u8449\u4e2d\u5fc3\u6027\u7d50\u7bc0\u3001\u6728\u306e\u82bd\u69d8\u9670\u5f71\u3001\u6c17\u7ba1\u652f\u62e1\u5f35\uff08\u53f3\u4e2d\u8449\u30fb\u820c\u533a\uff09\u3001\u6642\u306b\u7a7a\u6d1e\u3002<\/td><\/tr><tr><td><strong><em>Mycobacterium kansasii<\/em><\/strong><\/td><td>\u4e0a\u8449\u306b\u7a7a\u6d1e\u5f62\u6210\u304c\u4e3b\u4f53\u3001\u58c1\u306f\u6bd4\u8f03\u7684\u8584\u304f\u5e73\u6ed1\u3002\u7d50\u6838\u3068\u985e\u4f3c\u3002<\/td><\/tr><tr><td><strong><em>Mycobacterium abscessus<\/em><\/strong><\/td><td>MAC\u3068\u985e\u4f3c\u3060\u304c\u3001\u7d50\u7bc0\u3084\u6c17\u7ba1\u652f\u62e1\u5f35\u304c\u3088\u308a\u76ee\u7acb\u3064\uff08\u4e0a\u8449\u306b\u3082\u7570\u5e38\u304c\u591a\u3044\uff09\u3002<\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n<h2 class=\"wp-block-heading\">\uff12\uff1a\u7d30\u83cc\u5b66\u7684\u691c\u67fb<\/h2>\n\n\n\n<p>NTM\u75c7\u306b\u3064\u3044\u3066\u306f\u9664\u5916\u8a3a\u65ad\u304c\u91cd\u8981\u3067\u3059\u3002\u6c17\u7ba1\u652f\u62e1\u5f35\u3092\u8a8d\u3081\u308b\u5834\u5408\u3001NTM\u4ee5\u5916\u306e\u7d30\u83cc\u306e\u5b9a\u7740\u304c\u3042\u308b\u3053\u3068\u304c\u3042\u308b\u305f\u3081\u3001\u78ba\u5b9a\u8a3a\u65ad\u306b\u306f\u7d30\u83cc\u5b66\u533b\u7684\u691c\u67fb\u304c\u6b20\u304b\u305b\u307e\u305b\u3093\u3002<\/p>\n\n\n\n<p><a href=\"https:\/\/www.kekkaku.gr.jp\/pub\/pdf\/Guidelines_for_the_Diagnosis_of_Non-tuberculous_Mycobacterial_Antimycosis_2024_rev.pdf\" title=\"\">\u4ee5\u4e0b\u306e\u8868<\/a>\u306b\u307e\u3068\u3081\u3066\u307f\u307e\u3059<\/p>\n\n\n\n<figure class=\"wp-block-table\"><table class=\"has-fixed-layout\"><thead><tr><th>\u533a\u5206<\/th><th>\u5185\u5bb9<\/th><\/tr><\/thead><tbody><tr><td>A. \u81e8\u5e8a\u7684\u57fa\u6e96<\/td><td>\u2460 \u80f8\u90e8CT\uff08HRCT\u304c\u671b\u307e\u3057\u3044\uff09\u3067\u4ee5\u4e0b\u306e\u6240\u898b\uff08\u8907\u6570\u53ef\uff09\uff1a\u7d50\u7bc0\u6027\u9670\u5f71\u3001\u5c0f\u7d50\u7bc0\u6027\u9670\u5f71\u3001\u5206\u679d\u72b6\u9670\u5f71\u306e\u6563\u5e03\u3001\u5747\u7b49\u6027\u9670\u5f71\u3001\u7a7a\u6d1e\u6027\u9670\u5f71\u3001\u6c17\u7ba1\u652f\u307e\u305f\u306f\u7d30\u6c17\u7ba1\u652f\u62e1\u5f35\u9670\u5f71<br>\u2461 \u4ed6\u306e\u75be\u60a3\uff08\u7d50\u6838\u3001\u80ba\u304c\u3093\u306a\u3069\uff09\u3092\u9664\u5916\u3067\u304d\u308b\u3053\u3068<\/td><\/tr><tr><td>B. \u7d30\u83cc\u5b66\u7684\u57fa\u6e96<\/td><td>\u2460 \u7570\u306a\u308b2\u56de\u4ee5\u4e0a\u306e\u5580\u75f0\u691c\u4f53\u3067\u306e\u57f9\u990a\u967d\u6027<br>\u2461 1\u56de\u4ee5\u4e0a\u306e\u6c17\u7ba1\u652f\u6d17\u6d44\u6db2\u307e\u305f\u306f\u80ba\u80de\u6d17\u6d44\u6db2\u3067\u306e\u57f9\u990a\u967d\u6027<br>\u2462 \u75c5\u7406\u7d44\u7e54\u691c\u67fb\uff08\u7d4c\u6c17\u7ba1\u652f\u80ba\u751f\u691c\u307e\u305f\u306f\u80ba\u751f\u691c\uff09\u3067\u6297\u9178\u83cc\u75c7\u306b\u5408\u81f4\u3059\u308b\u6240\u898b\uff0b\u7d44\u7e54\u307e\u305f\u306f\u5580\u75f0\u30671\u56de\u306e\u57f9\u990a\u967d\u6027<\/td><\/tr><tr><td>\u8a3a\u65ad\u78ba\u5b9a<\/td><td>\u81e8\u5e8a\u7684\u57fa\u6e96\uff08A\uff09\u3068\u7d30\u83cc\u5b66\u7684\u57fa\u6e96\uff08B\uff09\u306e\u4e21\u65b9\u3092\u6e80\u305f\u3059\u3053\u3068<\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n<p>\u307e\u305f\u3001MAC\u6297\u4f53\u691c\u67fb\uff08\u6297GPL-core IgA\u6297\u4f53\uff09\u3082\u88dc\u52a9\u8a3a\u65ad\u3068\u3057\u3066\u6709\u7528\u3067\u3059\u3002<strong>\u30ad\u30e3\u30d4\u30ea\u30a2\u00aeMAC \u6297\u4f53ELISA<\/strong>\u3068\u3057\u3066\u6e2c\u5b9a\u304c\u53ef\u80fd\u3067\u3059\u3002\u65e5\u672c\u306e\u5148\u751f\u306e\u7814\u7a76\u304b\u3089\u81e8\u5e8a\u5fdc\u7528\u3055\u308c\u305f\u3082\u306e\u3067\u3001\u5927\u5909\u8a87\u3089\u3057\u3044\u3067\u3059\u306d\u3002\u7279\u306b\u3001\u691c\u51fa\u56f0\u96e3\u306a\u75c7\u4f8b\u3084\u5358\u4e00\u57f9\u990a\u967d\u6027\u4f8b\u306b\u304a\u3044\u3066\u3001\u8840\u4e2d\u6297\u4f53\u306e\u4e0a\u6607\u304c\u8a3a\u65ad\u306e\u4e00\u52a9\u3068\u306a\u308a\u307e\u3059\u3002<\/p>\n\n\n\n<p>GPL\u306f\u3001\u7d50\u6838\u83cc\u3084 <em>M. kansasii<\/em> \u306b\u306f\u5b58\u5728\u3057\u306a\u3044\u304c\u3001<em>M. abscessus<\/em> \u306a\u3069\u306e<strong>\u8fc5\u901f\u767a\u80b2\u83cc<\/strong>\u306b\u306f\u5b58\u5728\u3059\u308b\u305f\u3081\u6ce8\u610f\u304c\u5fc5\u8981\u3067\u306f\u3042\u308a\u307e\u3059\u304c\u3001\u306a\u304b\u306a\u304b\u75f0\u304c\u51fa\u306a\u3044\u60a3\u8005\u3055\u3093\u3082\u5c11\u306a\u304f\u306f\u306a\u3044\u305f\u3081\u3001\u975e\u5e38\u306b\u6709\u7528\u306a\u691c\u67fb\u3060\u3068\u500b\u4eba\u7684\u306b\u306f\u611f\u3058\u3066\u304a\u308a\u307e\u3059\u3002<\/p>\n\n\n\n<p>\u65e5\u672c\u3067\u306f\u3053\u306e\u691c\u67fb\u306e\u7d50\u679c\u3092\u8003\u616e\u3057\u3001\u56fd\u969b\u57fa\u6e96\u3068\u306f\u9055\u3046<a href=\"https:\/\/www.kekkaku.gr.jp\/pub\/pdf\/Guidelines_for_the_Diagnosis_of_Non-tuberculous_Mycobacterial_Antimycosis_2024_rev.pdf\" title=\"\">\u66ab\u5b9a\u7684\u57fa\u6e96<\/a>\u304c2024\u5e74\u306b\u767a\u8868\u3055\u308c\u3066\u3044\u307e\u3059\u3002<\/p>\n\n\n\n<figure class=\"wp-block-table\"><table class=\"has-fixed-layout\"><thead><tr><th>\u533a\u5206<\/th><th>\u5185\u5bb9<\/th><\/tr><\/thead><tbody><tr><td>\u80baMAC\u75c7 \u521d\u56de\u8a3a\u65ad\u6642<\/td><td>\u81e8\u5e8a\u7684\u57fa\u6e96\u3092\u6e80\u305f\u3057\u3001\u5580\u75f0\u691c\u4f531\u56de\u3067\u306e\u57f9\u990a\u967d\u6027\u304b\u3064\u6297GPL-core IgA\u6297\u4f53\u967d\u6027<\/td><\/tr><tr><td>\u80c3\u6db2\u57f9\u990a\u967d\u6027\u6642<\/td><td>\u81e8\u5e8a\u7684\u57fa\u6e96\u3092\u6e80\u305f\u3057\u3001\u80c3\u6db2\u57f9\u990a\u967d\u6027\uff0b\u5580\u75f0\u691c\u4f53\u3067\u30821\u56de\u4ee5\u4e0a\u306e\u57f9\u990a\u967d\u6027\u304c\u3042\u308b\u5834\u5408<\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n<p><\/p>\n\n\n\n<h1 class=\"wp-block-heading\">\u6cbb\u7642\u65b9\u91dd\u306e\u6c7a\u5b9a<\/h1>\n\n\n\n<h2 class=\"wp-block-heading\">\u6cbb\u7642\u304c\u5fc5\u8981\u306a\u30b1\u30fc\u30b9\u3068\u7d4c\u904e\u89b3\u5bdf\u3067\u826f\u3044\u30b1\u30fc\u30b9<\/h2>\n\n\n\n<p>NTM\u80ba\u75be\u60a3\u306f\u3001\u5fc5\u305a\u3057\u3082\u3059\u3079\u3066\u306e\u75c7\u4f8b\u3067\u6cbb\u7642\u3092\u5fc5\u8981\u3068\u3059\u308b\u308f\u3051\u3067\u306f\u3042\u308a\u307e\u305b\u3093\u3002\u6297\u83cc\u85ac\u6cbb\u7642\u306f\u9577\u671f\u306b\u308f\u305f\u308a\u526f\u4f5c\u7528\u3082\u591a\u3044\u305f\u3081\u3001\u60a3\u8005\u3055\u3093\u306e\u72b6\u614b\u3084\u75c5\u578b\u306b\u5fdc\u3058\u305f\u5bfe\u5fdc\u304c\u6c42\u3081\u3089\u308c\u307e\u3059\u3002<\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><strong>\u6cbb\u7642\u304c\u63a8\u5968\u3055\u308c\u308b\u80baMAC\u75c7\u306e\u75c7\u4f8b<\/strong><\/h3>\n\n\n\n<p>\u4ee5\u4e0b\u306e\u3088\u3046\u306a\u6240\u898b\u304c\u3042\u308b\u5834\u5408\u306f\u3001\u6cbb\u7642\u958b\u59cb\u304c\u63a8\u5968\u3055\u308c\u307e\u3059\u3002<\/p>\n\n\n\n<p>\u30fb<strong>\u7a7a\u6d1e\u75c5\u5909\u304c\u3042\u308b<\/strong><br>\u3000\u2192 \u80ba\u7d44\u7e54\u306e\u7834\u58ca\u304c\u5f37\u304f\u3001\u9032\u884c\u6027\u306e\u30ea\u30b9\u30af\u304c\u9ad8\u3044\u3002<\/p>\n\n\n\n<p>\u30fb<strong>\u75c7\u72b6\u304c\u5f37\u3044<\/strong><br>\u3000\u2192 \u54b3\u3001\u75f0\u3001\u5026\u6020\u611f\u3001\u767a\u71b1\u3001\u4f53\u91cd\u6e1b\u5c11\u306a\u3069\u3001\u65e5\u5e38\u751f\u6d3b\u306b\u652f\u969c\u3092\u304d\u305f\u3059\u5834\u5408\u3002<\/p>\n\n\n\n<p>\u30fb<strong>\u753b\u50cf\u3067\u75c5\u5909\u304c\u60aa\u5316\u50be\u5411\u306b\u3042\u308b<\/strong><br>\u3000\u2192 \u7d4c\u904e\u89b3\u5bdf\u4e2d\u306b\u753b\u50cf\u3067\u9032\u884c\u304c\u78ba\u8a8d\u3055\u308c\u308b\u5834\u5408\u306f\u65e9\u671f\u6cbb\u7642\u304c\u671b\u307e\u308c\u308b\u3002<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">\u7d4c\u904e\u89b3\u5bdf\u304c\u9069\u5207\u3068\u8003\u3048\u3089\u308c\u308b\u80baMAC\u75c7\u306e\u75c7\u4f8b<\/h3>\n\n\n\n<p>\u4ee5\u4e0b\u306e\u3088\u3046\u306a\u5834\u5408\u306f\u3001\u305f\u3060\u3061\u306b\u6cbb\u7642\u3092\u958b\u59cb\u305b\u305a\u3001\u7d4c\u904e\u89b3\u5bdf\u304c\u9078\u629e\u3055\u308c\u308b\u3053\u3068\u304c\u3042\u308a\u307e\u3059\u3002<\/p>\n\n\n\n<p>\u30fb<strong>\u4ed6\u306e\u6301\u75c5\u306e\u6cbb\u7642\u304c\u512a\u5148\u3055\u308c\u308b\u30b1\u30fc\u30b9<\/strong><br>\u3000\u2192 \u305f\u3068\u3048\u3070<strong>\u5fc3\u4e0d\u5168\u3084\u9032\u884c\u304c\u3093<\/strong>\u306a\u3069\u3001\u3088\u308a\u7dca\u6025\u6027\u306e\u9ad8\u3044\u75be\u60a3\u304c\u3042\u308b\u5834\u5408\u306f\u3001\u80baMAC\u75c7\u306e\u6cbb\u7642\u3092\u5f8c\u56de\u3057\u306b\u3059\u308b\u3053\u3068\u3082\u3042\u308a\u307e\u3059\u3002<\/p>\n\n\n\n<p>\u30fb<strong>\u3054\u9ad8\u9f62\u306e\u65b9<\/strong>\uff1a\u4e0a\u8a18\u3068\u91cd\u306a\u308a\u307e\u3059\u304c\u3001\u526f\u4f5c\u7528\u306e\u30ea\u30b9\u30af\u304c\u9ad8\u307e\u308a\u307e\u3059\u3002<\/p>\n\n\n\n<p>\u30fb<strong>\u8efd\u5ea6\u306a\u6c17\u7ba1\u652f\u62e1\u5f35\u578b\u3067\u7121\u75c7\u72b6\u3001\u307e\u305f\u306f\u75c7\u72b6\u304c\u8efd\u3044<\/strong><br>\u3000\u2192 \u8eab\u4f53\u3078\u306e\u8ca0\u62c5\u304c\u5c11\u306a\u304f\u3001\u9032\u884c\u306e\u30ea\u30b9\u30af\u3082\u4f4e\u3044\u305f\u3081\u5b9a\u671f\u7684\u306a\u30d5\u30a9\u30ed\u30fc\u3092\u304a\u52e7\u3081\u3059\u308b\u3053\u3068\u304c\u3042\u308a\u307e\u3059\u3002<\/p>\n\n\n\n<p>\u7d4c\u904e\u89b3\u5bdf\u3067\u306f\u30013\u301c6\u304b\u6708\u3054\u3068\u306b\u753b\u50cf\u691c\u67fb\u3068\u5580\u75f0\u57f9\u990a\u3092\u884c\u3044\u3001\u9032\u884c\u306e\u6709\u7121\u3092\u5224\u65ad\u3057\u307e\u3059\u3002<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">\u6cbb\u7642\u306b\u3064\u3044\u3066<\/h2>\n\n\n\n<p><strong>\u6a19\u6e96\u7684\u306a\u6cbb\u7642\u6cd5\uff1a3\u5264\u4f75\u7528\u7642\u6cd5<\/strong><\/p>\n\n\n\n<p>MAC\u80ba\u75be\u60a3\u306b\u5bfe\u3059\u308b\u6a19\u6e96\u6cbb\u7642\u306f\u3001\u4ee5\u4e0b\u306e3\u5264\u3092\u7528\u3044\u305f\u4f75\u7528\u7642\u6cd5\u3067\u3059\u3002<\/p>\n\n\n\n<p>\u30fb<strong>\u30af\u30e9\u30ea\u30b9\u30ed\u30de\u30a4\u30b7\u30f3\u307e\u305f\u306f\u30a2\u30b8\u30b9\u30ed\u30de\u30a4\u30b7\u30f3<\/strong><\/p>\n\n\n\n<p>\u30fb<strong>\u30ea\u30d5\u30a1\u30f3\u30d4\u30f3<\/strong><\/p>\n\n\n\n<p>\u30fb<strong>\u30a8\u30bf\u30f3\u30d6\u30c8\u30fc\u30eb<\/strong><\/p>\n\n\n\n<p>\u3053\u306e\u6cbb\u7642\u306f\u90313\u56de\u307e\u305f\u306f\u6bce\u65e5\u306e\u6295\u4e0e\u304c\u3042\u308a\u3001\u75c5\u578b\uff08\u7d50\u7bc0\u6027\u6c17\u7ba1\u652f\u62e1\u5f35\u578b\u304b\u3001\u7a7a\u6d1e\u75c5\u5909\u578b\u304b\uff09\u3084\u91cd\u75c7\u5ea6\u306b\u5fdc\u3058\u3066\u9078\u629e\u3055\u308c\u307e\u3059\u3002\u6cbb\u7642\u671f\u9593\u306f\u3001\u5580\u75f0\u57f9\u990a\u304c\u9670\u6027\u5316\u3057\u3066\u304b\u308912\u304b\u6708\u4ee5\u4e0a\u3068\u3055\u308c\u3066\u3044\u307e\u3059\u3002\u5408\u8a08\u3059\u308b\u3068\u3001\u6cbb\u7642\u671f\u9593\u306f1\u5e74\u534a\u301c2\u5e74\u7a0b\u5ea6\u306b\u53ca\u3076\u3053\u3068\u3082\u3042\u308a\u307e\u3059\u3002<\/p>\n\n\n\n<p><strong>\u91cd\u75c7\u4f8b\u3078\u306e\u8ffd\u52a0\u6cbb\u7642<\/strong><\/p>\n\n\n\n<p>\u30a2\u30df\u30ab\u30b7\u30f3\uff08\u70b9\u6ef4\u307e\u305f\u306f\u5438\u5165\uff09\uff1a\u7279\u306b\u7a7a\u6d1e\u75c5\u5909\u3084\u85ac\u5264\u8010\u6027\u4f8b\u3067\u6709\u7528<\/p>\n\n\n\n<p>\u5916\u79d1\u7684\u5207\u9664\uff1a\u9650\u5c40\u6027\u306e\u75c5\u5909\u3067\u85ac\u7269\u6cbb\u7642\u304c\u7121\u52b9\u306a\u5834\u5408\u306b\u8003\u616e\u3055\u308c\u308b<\/p>\n\n\n\n<p><strong>\u6cbb\u7642\u306b\u4f34\u3046\u526f\u4f5c\u7528\u3068\u6ce8\u610f\u70b9<\/strong><\/p>\n\n\n\n<p>\u6cbb\u7642\u85ac\u306f\u9577\u671f\u4f7f\u7528\u3068\u306a\u308b\u305f\u3081\u3001\u4ee5\u4e0b\u306e\u3088\u3046\u306a\u526f\u4f5c\u7528\u306b\u6ce8\u610f\u304c\u5fc5\u8981\u3067\u3059\u3002<\/p>\n\n\n\n<div class=\"wp-block-group is-vertical is-layout-flex wp-container-core-group-is-layout-8cf370e7 wp-block-group-is-layout-flex\">\n<h4 class=\"wp-block-heading\">\u30fb\u8996\u529b\u969c\u5bb3\uff08\u30a8\u30bf\u30f3\u30d6\u30c8\u30fc\u30eb\uff09<\/h4>\n\n\n\n<h4 class=\"wp-block-heading\">\u30fb\u809d\u6a5f\u80fd\u969c\u5bb3\uff08\u30ea\u30d5\u30a1\u30f3\u30d4\u30f3\u304c\u591a\u3044\u304c\u591a\u5264\u3067\u3082\uff09<\/h4>\n\n\n\n<h4 class=\"wp-block-heading\">\u30fb\u96e3\u8074\u30fb\u814e\u6a5f\u80fd\u969c\u5bb3\uff08\u30a2\u30df\u30ab\u30b7\u30f3\uff09<\/h4>\n\n\n\n<h4 class=\"wp-block-heading\">\u30fb\u6d88\u5316\u5668\u75c7\u72b6\uff08\u30de\u30af\u30ed\u30e9\u30a4\u30c9\u7cfb\u304c\u591a\u3044\u3067\u3059\u304c\u591a\u5264\u3067\u3082\uff09<\/h4>\n<\/div>\n\n\n\n<p>\u5b9a\u671f\u7684\u306a\u773c\u79d1\u53d7\u8a3a\u3092\u52e7\u3081\u3089\u308c\u308b\u3053\u3068\u304c\u3042\u308a\u307e\u3059\u304c\u3001\u30a8\u30bf\u30f3\u30d6\u30c8\u30fc\u30eb\u306e\u526f\u4f5c\u7528\u306e\u78ba\u8a8d\u3068\u306a\u308a\u307e\u3059\u3002\u983b\u5ea6\u304c\u9ad8\u3044\u526f\u4f5c\u7528\u3067\u306f\u3042\u308a\u307e\u305b\u3093\u304c\u3001\u3081\u3093\u3069\u304f\u3055\u304c\u3089\u305a\u306b\u53d7\u8a3a\u3057\u3066\u3082\u3089\u3048\u308b\u3068\u3042\u308a\u304c\u305f\u304f\u601d\u3044\u307e\u3059\u3002<strong>\u5b9a\u671f\u7684\u306a\u63a1\u8840\u691c\u67fb<\/strong>\u306a\u3069\u3092\u884c\u3044\u3001\u526f\u4f5c\u7528\u304c\u3042\u308c\u3070\u901f\u3084\u304b\u306b\u5bfe\u5fdc\u3059\u308b\u5fc5\u8981\u304c\u3042\u308a\u307e\u3059\u3002<\/p>\n\n\n\n<h4 class=\"wp-block-heading\">\uff0a\u5927\u4e8b\u306a\u6ce8\u610f\u70b9\uff1a\u80baMAC\u75c7\u306b\u304a\u3044\u3066<strong>\u30de\u30af\u30ed\u30e9\u30a4\u30c9\u5358\u5264\u3067\u306e\u6cbb\u7642\u306f\u7d76\u5bfe\u306b\u907f\u3051\u308b\u3079\u304d<\/strong>\u3067\u3059\u3002<br><strong>\u30af\u30e9\u30ea\u30b9\u30ed\u30de\u30a4\u30b7\u30f3\u3084\u30a2\u30b8\u30b9\u30ed\u30de\u30a4\u30b7\u30f3\u306e\u5358\u5264\u6295\u4e0e\u306f\u8010\u6027\u83cc\u306e\u9078\u629e\u3092\u5f15\u304d\u8d77\u3053\u3059\u53ef\u80fd\u6027\u304c\u9ad8\u304f\u3001\u6cbb\u7642\u56f0\u96e3\u4f8b\u3068\u306a\u308b\u91cd\u5927\u306a\u30ea\u30b9\u30af<\/strong>\u3092\u4f34\u3044\u307e\u3059\u3002<\/h4>\n\n\n\n<p>\u6cbb\u7642\u52b9\u679c\u306e\u5224\u65ad\u306f\u3001\u5580\u75f0\u57f9\u990a\u691c\u67fb\u3092\u57fa\u306b\u884c\u3044\u30014\u9031\u4ee5\u4e0a\u9593\u9694\u3092\u3042\u3051\u305f\u5580\u75f0\u57f9\u990a\u30673\u56de\u9023\u7d9a\u3057\u3066\u57f9\u990a\u9670\u6027\u304c\u78ba\u8a8d\u3055\u308c\u305f\u6642\u70b9\u3067\u6392\u83cc\u9670\u6027\u5316\u3068\u5224\u65ad\u3057\u307e\u3059\u3002\u305f\u3060\u3001\u75f0\u304c\u3067\u306a\u3044\u3068\u3044\u3046\u5834\u5408\u3082\u591a\u304f\u3001\u3059\u3079\u3066\u306e\u65b9\u3067\u3053\u308c\u304c\u78ba\u8a8d\u3067\u304d\u308b\u308f\u3051\u3067\u306f\u3042\u308a\u307e\u305b\u3093\u3002\u51fa\u306a\u3044\u5834\u5408\u306f\u63a8\u5b9a\u6d88\u5931\u3068\u3057\u3066\u6271\u3046\u3053\u3068\u3082\u3042\u308a\u307e\u3059\u3002<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">\u518d\u767a\u3068\u518d\u611f\u67d3\u306e\u30ea\u30b9\u30af\u306b\u3064\u3044\u3066<\/h2>\n\n\n\n<p>\u80ba\u975e\u7d50\u6838\u6027\u6297\u9178\u83cc\u75c7\uff08NTM\u75c7\uff09\u306f\u3001\u305f\u3068\u3048\u6cbb\u7642\u304c\u6210\u529f\u3057\u3066\u3082<strong>\u518d\u767a\u3084\u518d\u611f\u67d3\u306e\u30ea\u30b9\u30af<\/strong>\u304c\u3042\u308a\u307e\u3059\u3002<br>NTM\u83cc\u306f<strong>\u6c34\u3084\u571f\u58cc\u306a\u3069\u306e\u81ea\u7136\u74b0\u5883\u306b\u5e83\u304f\u5b58\u5728<\/strong>\u3057\u3066\u304a\u308a\u3001\u751f\u6d3b\u306e\u4e2d\u3067\u518d\u3073\u66dd\u9732\u3055\u308c\u308b\u3053\u3068\u304c\u907f\u3051\u3089\u308c\u306a\u3044\u305f\u3081\u3067\u3059\u3002<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">\u518d\u767a\u306e\u30ea\u30b9\u30af\u56e0\u5b50<\/h3>\n\n\n\n<p>\u4ee5\u4e0b\u306e\u3088\u3046\u306a\u6761\u4ef6\u304c\u3042\u308b\u3068\u3001<strong>\u518d\u767a\u306e\u30ea\u30b9\u30af\u304c\u9ad8\u307e\u308b<\/strong>\u3068\u3055\u308c\u3066\u3044\u307e\u3059<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>\u75c5\u5909\u306e\u5e83\u304c\u308a\u304c\u5927\u304d\u3044<\/strong><\/li>\n\n\n\n<li><strong>\u7a7a\u6d1e\u75c5\u5909\u306e\u6b8b\u5b58<\/strong><\/li>\n\n\n\n<li><strong>\u4f4e\u6804\u990a\u72b6\u614b\uff08\u4f4e\u30a2\u30eb\u30d6\u30df\u30f3\u3001\u4f4eBMI\u306a\u3069\uff09<\/strong><\/li>\n\n\n\n<li><strong>\u55ab\u7159\u6b74\u3084\u6162\u6027\u80ba\u75be\u60a3\uff08COPD\u30fb\u6c17\u7ba1\u652f\u62e1\u5f35\u75c7\u306a\u3069\uff09\u306e\u4f75\u5b58<\/strong><\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\">\u518d\u767a\u4e88\u9632\u306e\u30dd\u30a4\u30f3\u30c8<\/h3>\n\n\n\n<p>\u518d\u767a\u30fb\u518d\u611f\u67d3\u3092\u9632\u3050\u305f\u3081\u306b\u306f\u3001\u4ee5\u4e0b\u306e\u3088\u3046\u306a<strong>\u751f\u6d3b\u7fd2\u6163\u3068\u533b\u7642\u7684\u7ba1\u7406\u306e\u7d99\u7d9a<\/strong>\u304c\u91cd\u8981\u3067\u3059<\/p>\n\n\n\n<div class=\"wp-block-group is-vertical is-layout-flex wp-container-core-group-is-layout-8cf370e7 wp-block-group-is-layout-flex\">\n<p>\u30fb<strong>\u65e5\u5e38\u74b0\u5883\u306e\u885b\u751f\u7ba1\u7406<\/strong><br>\u3000\u2192 \u52a0\u6e7f\u5668\u306e\u6c34\u306e\u4ea4\u63db\u30fb\u6d17\u6d44\u3001<strong>\u30b7\u30e3\u30ef\u30fc\u30d8\u30c3\u30c9\u3084\u6d74\u5ba4\u306e\u6e05\u6383<\/strong>\u3001\u6c34\u56de\u308a\u306e\u30ab\u30d3\u5bfe\u7b56\u3001\u30ac\u30fc\u30cb\u30f3\u30b0\u306a\u3069\u306e\u969b\u306b\u306f\u30de\u30b9\u30af\u7740\u7528\u306a\u3069<\/p>\n\n\n\n<p>\u30fb<strong>\u5b9a\u671f\u7684\u306a\u30d5\u30a9\u30ed\u30fc\u30a2\u30c3\u30d7<\/strong><br>\u3000\u2192 \u534a\u5e74\u3054\u3068\u306e<strong>\u5580\u75f0\u57f9\u990a<\/strong>\u3084<strong>\u80f8\u90e8CT<\/strong>\u3067\u65e9\u671f\u767a\u898b<\/p>\n\n\n\n<p>\u30fb<strong>\u6804\u990a\u72b6\u614b\u306e\u6539\u5584<\/strong><br>\u3000\u2192 <strong>\u6804\u990a\u6307\u5c0e\u3084\u4f53\u91cd\u7ba1\u7406<\/strong>\u3092\u901a\u3058\u3066\u3001\u514d\u75ab\u529b\u3092\u7dad\u6301<\/p>\n<\/div>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>\u304a\u308f\u308a\u306b<\/strong><\/h2>\n\n\n\n<p>NTM\u80ba\u75be\u60a3\u306f\u6c7a\u3057\u3066\u7a00\u306a\u75c5\u6c17\u3067\u306f\u306a\u304f\u3001\u65e5\u672c\u3067\u306f\u5e74\u3005\u60a3\u8005\u6570\u304c\u5897\u52a0\u3057\u3066\u3044\u307e\u3059\u3002\u65e9\u671f\u8a3a\u65ad\u3068\u9069\u5207\u306a\u6cbb\u7642\u306b\u3088\u308a\u3001\u75c7\u72b6\u306e\u6539\u5584\u3084\u9032\u884c\u306e\u6291\u5236\u304c\u671f\u5f85\u3067\u304d\u307e\u3059\u3002\u307e\u305f\u3001\u6cbb\u7642\u4e2d\u306f\u533b\u5e2b\u3068\u306e\u5bc6\u306a\u9023\u643a\u304c\u4e0d\u53ef\u6b20\u3067\u3059\u3002<\/p>\n\n\n\n<p>\u5f53\u9662\u3067\u306f\u3001\u30ec\u30f3\u30c8\u30b2\u30f3\u691c\u67fb\u3001\u5580\u75f0\u57f9\u990a\u3001\u6297\u4f53\u691c\u67fb\u306a\u3069\u3092\u6d3b\u7528\u3057\u3001\u8a3a\u65ad\u304b\u3089\u6cbb\u7642\u3001\u30d5\u30a9\u30ed\u30fc\u30a2\u30c3\u30d7\u307e\u3067\u5bfe\u5fdc\u3057\u3066\u304a\u308a\u307e\u3059\u3002\u91cd\u75c7\u306e\u65b9\u3001\u6cbb\u7642\u53cd\u5fdc\u6027\u306e\u60aa\u3044\u65b9\u306f\u57fa\u5e79\u75c5\u9662\u3068\u306e\u9023\u643a\u304c\u5fc5\u8981\u3068\u306a\u308a\u307e\u3059\u3002\u8fd1\u96a3\u57fa\u5e79\u75c5\u9662\u3068\u306e\u9023\u643a\u3082\u3055\u305b\u3066\u3044\u305f\u3060\u304d\u307e\u3059\uff4c\u3002\u6c17\u306b\u306a\u308b\u75c7\u72b6\u304c\u3042\u308b\u65b9\u306f\u3001\u304a\u6c17\u8efd\u306b\u3054\u76f8\u8ac7\u304f\u3060\u3055\u3044\u3002<\/p>\n\n\n\n<p>\u5f53\u9662\u306f\u4eac\u90fd\u5e02\u4f0f\u898b\u533a\u918d\u9190\u5408\u5834\u753a\u306b\u3042\u308b\u533b\u9662\u3067\u3059\u3002\u547c\u5438\u5668\u5185\u79d1\u306e\u5c02\u9580\u533b\u3067\u3042\u308a\u3001\u547c\u5438\u5668\u9818\u57df\u3092\u4e2d\u5fc3\u306b\u8a3a\u7642\u3092\u884c\u3063\u3066\u304a\u308a\u307e\u3059\u3002<br>\u4eac\u962a\u30d0\u30b9\u5408\u5834\u5ddd\u304b\u3089\u5f92\u6b69\u7d041\u5206<br>\u6771\u897f\u7dda\u77f3\u7530\u304b\u3089\u5f92\u6b69\u7d0410\u5206<br>\u8eca\u306e\u5834\u5408\u306f\u516d\u5730\u8535\u99c5\u304b\u30895\u5206\u3001\u5c71\u79d1\u99c5\u304b\u308915\u5206\u3001\u4eac\u962a\u5b87\u6cbb\u99c5\u304b\u3089\u308215\u5206\u3067\u3059\u3002<br>\u304a\u6c17\u8efd\u306b\u3054\u76f8\u8ac7\u304f\u3060\u3055\u3044\u3002<\/p>\n\n\n\n<div 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