{"id":8830,"date":"2026-09-13T10:06:25","date_gmt":"2026-09-13T01:06:25","guid":{"rendered":"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/?p=8830"},"modified":"2026-09-13T10:42:17","modified_gmt":"2026-09-13T01:42:17","slug":"post-8830","status":"publish","type":"post","link":"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/post-8830\/","title":{"rendered":"\u3010NEJM2026\u30fbIgA\u814e\u75c7\u3011\u88dc\u4f53B\u56e0\u5b50\u963b\u5bb3\u85ac\u30a4\u30d7\u30bf\u30b3\u30d1\u30f3\uff5cAPPLAUSE-IgAN\u6700\u7d4224\u304b\u6708\u30c7\u30fc\u30bf\u3067eGFR\u4f4e\u4e0b\u3092\u7d0448%\u6291\u5236"},"content":{"rendered":"\n<p class=\"wp-block-paragraph\"><strong>IgA\u814e\u75c7\u306e\u708e\u75c7\u3092\u5897\u5e45\u3059\u308b\u300c\u88dc\u4f53\u4ee3\u66ff\u8def\u300d\u3092\u9078\u629e\u7684\u306b\u6291\u3048\u308b\u65b0\u3057\u3044\u6cbb\u7642\u6226\u7565\u3002\u7b2c3\u76f8APPLAUSE-IgAN\u8a66\u9a13\u306e\u6700\u7d4224\u304b\u6708\u89e3\u6790\u3067\u3001\u30a4\u30d7\u30bf\u30b3\u30d1\u30f3\u306f\u6a19\u6e96\u7684\u306a\u652f\u6301\u7642\u6cd5\u3092\u53d7\u3051\u3066\u3044\u308bIgA\u814e\u75c7\u60a3\u8005\u306b\u304a\u3044\u3066\u3001\u86cb\u767d\u5c3f\u306e\u6e1b\u5c11\u3060\u3051\u3067\u306a\u304f\u3001\u9577\u671f\u7684\u306a\u814e\u6a5f\u80fd\u4f4e\u4e0b\u305d\u306e\u3082\u306e\u3092\u6709\u610f\u306b\u7de9\u5f90\u5316\u3057\u307e\u3057\u305f\u3002<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">IgA\u814e\u75c7\uff08IgA nephropathy\uff1aIgAN\uff09\u306f\u3001\u4e16\u754c\u3067\u6700\u3082\u983b\u5ea6\u306e\u9ad8\u3044\u514d\u75ab\u4ecb\u5728\u6027\u7cf8\u7403\u4f53\u75be\u60a3\u306e\u4e00\u3064\u3067\u3059\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u8840\u5c3f\u3084\u86cb\u767d\u5c3f\u3060\u3051\u3067\u9577\u671f\u9593\u81ea\u899a\u75c7\u72b6\u304c\u306a\u3044\u3053\u3068\u3082\u73cd\u3057\u304f\u3042\u308a\u307e\u305b\u3093\u304c\u3001\u4e00\u90e8\u306e\u60a3\u8005\u3055\u3093\u3067\u306f\u814e\u6a5f\u80fd\u304c\u5f90\u3005\u306b\u4f4e\u4e0b\u3057\u3001\u9577\u671f\u7684\u306b\u814e\u4e0d\u5168\u3078\u9032\u884c\u3059\u308b\u53ef\u80fd\u6027\u304c\u3042\u308a\u307e\u3059\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">IgA\u814e\u75c7\u306e\u75c5\u614b\u306f\u5358\u4e00\u306e\u7570\u5e38\u306b\u3088\u3063\u3066\u8aac\u660e\u3055\u308c\u308b\u3082\u306e\u3067\u306f\u3042\u308a\u307e\u305b\u3093\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u73fe\u5728\u306f\u3001<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\u30ac\u30e9\u30af\u30c8\u30fc\u30b9\u6b20\u640dIgA1\uff08Gd-IgA1\uff09\u306e\u5897\u52a0<\/li>\n\n\n\n<li>Gd-IgA1\u306b\u5bfe\u3059\u308b\u81ea\u5df1\u6297\u4f53\u306e\u5f62\u6210<\/li>\n\n\n\n<li>IgA\u3092\u542b\u3080\u514d\u75ab\u8907\u5408\u4f53\u306e\u5f62\u6210\u30fb\u7cf8\u7403\u4f53\u3078\u306e\u6c88\u7740<\/li>\n\n\n\n<li>\u88dc\u4f53\u7cfb\u306e\u6d3b\u6027\u5316<\/li>\n\n\n\n<li>\u7cf8\u7403\u4f53\u708e\u75c7\u30fb\u7dda\u7dad\u5316<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">\u3068\u3044\u3046\u8907\u6570\u6bb5\u968e\u306e\u300cmulti-hit mechanism\u300d\u3067\u7406\u89e3\u3055\u308c\u3066\u3044\u307e\u3059\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u305d\u306e\u4e2d\u3067\u3082\u8fd1\u5e74\u3001\u5927\u304d\u304f\u6ce8\u76ee\u3055\u308c\u3066\u3044\u308b\u306e\u304c\u88dc\u4f53\u4ee3\u66ff\u8def\uff08alternative complement pathway\uff09\u3067\u3059\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">IgA\u814e\u75c7\u3067\u306f\u7cf8\u7403\u4f53\u3078\u306eC3\u6c88\u7740\u304c\u9ad8\u983b\u5ea6\u306b\u8a8d\u3081\u3089\u308c\u3001\u88dc\u4f53\u6d3b\u6027\u5316\u306e\u7a0b\u5ea6\u306f\u7d44\u7e54\u969c\u5bb3\u3084\u814e\u4e88\u5f8c\u3068\u95a2\u9023\u3059\u308b\u3053\u3068\u304c\u5831\u544a\u3055\u308c\u3066\u3044\u307e\u3059\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u3053\u3046\u3057\u305f\u75c5\u614b\u3092\u6a19\u7684\u3068\u3057\u3066\u958b\u767a\u3055\u308c\u305f\u85ac\u5264\u306e\u4e00\u3064\u304c\u3001\u88dc\u4f53B\u56e0\u5b50\u963b\u5bb3\u85ac\u30a4\u30d7\u30bf\u30b3\u30d1\u30f3\uff08iptacopan\uff09\u3067\u3059\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">2026\u5e747\u670830\u65e5\u53f7\u306e\u300eThe New England Journal of Medicine\uff08NEJM\uff09\u300f\u306b\u3001\u7b2c3\u76f8APPLAUSE-IgAN\u8a66\u9a13\u306e<strong>\u6700\u7d4224\u304b\u6708\u89e3\u6790<\/strong>\u304c\u5831\u544a\u3055\u308c\u307e\u3057\u305f\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u3053\u306e\u7d50\u679c\u306f\u3001\u30a4\u30d7\u30bf\u30b3\u30d1\u30f3\u304c\u86cb\u767d\u5c3f\u3092\u6e1b\u3089\u3059\u3060\u3051\u3067\u306a\u304f\u3001IgA\u814e\u75c7\u306b\u304a\u3051\u308b<strong>\u9577\u671f\u7684\u306a\u814e\u6a5f\u80fd\u4f4e\u4e0b\u3092\u7de9\u5f90\u5316\u3059\u308b\u53ef\u80fd\u6027<\/strong>\u3092\u793a\u3059\u91cd\u8981\u306a\u30a8\u30d3\u30c7\u30f3\u30b9\u3067\u3059\u3002<\/p>\n\n\n\n<figure class=\"wp-block-image size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"800\" height=\"447\" src=\"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/09\/image-435.png\" alt=\"\" class=\"wp-image-8832\" srcset=\"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/09\/image-435.png 800w, https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/09\/image-435-400x223.png 400w, https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/09\/image-435-767x428.png 767w\" sizes=\"auto, (max-width: 800px) 100vw, 800px\" \/><\/figure>\n\n\n\n<h2 class=\"wp-block-heading\">\u30a4\u30d7\u30bf\u30b3\u30d1\u30f3\u306f\u3069\u306e\u3088\u3046\u306b\u88dc\u4f53\u4ee3\u66ff\u8def\u3092\u6291\u3048\u308b\u306e\u304b\uff1f<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">\u88dc\u4f53\u4ee3\u66ff\u8def\u3067\u306f\u3001\u88dc\u4f53B\u56e0\u5b50\uff08factor B\uff09\u304c\u91cd\u8981\u306a\u5f79\u5272\u3092\u62c5\u3063\u3066\u3044\u307e\u3059\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">B\u56e0\u5b50\u304c\u6d3b\u6027\u5316\u3055\u308c\u308b\u3068\u3001\u305d\u306e\u4e00\u90e8\u3067\u3042\u308bBb\u304cC3b\u3068\u7d50\u5408\u3057\u3066C3\u8ee2\u63db\u9175\u7d20\uff08C3bBb\uff09\u3092\u5f62\u6210\u3057\u307e\u3059\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u3053\u308c\u306b\u3088\u3063\u3066\u88dc\u4f53\u53cd\u5fdc\u304c\u5897\u5e45\u3055\u308c\u3001<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>C3\u6d3b\u6027\u5316 \u2192 \u708e\u75c7\u53cd\u5fdc \u2192 \u7cf8\u7403\u4f53\u969c\u5bb3<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u3068\u3044\u3046\u9023\u9396\u304c\u9032\u307f\u307e\u3059\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u30a4\u30d7\u30bf\u30b3\u30d1\u30f3\u306fB\u56e0\u5b50\u3092\u9078\u629e\u7684\u306b\u963b\u5bb3\u3059\u308b\u3053\u3068\u3067\u3001\u3053\u306e\u88dc\u4f53\u4ee3\u66ff\u8def\u306e\u5897\u5e45\u56de\u8def\u3092\u6291\u5236\u3059\u308b\u7d4c\u53e3\u4f4e\u5206\u5b50\u85ac\u3067\u3059\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u91cd\u8981\u306a\u306e\u306f\u3001IgA\u814e\u75c7\u305d\u306e\u3082\u306e\u3092\u300c\u88dc\u4f53\u3060\u3051\u306e\u75c5\u6c17\u300d\u3068\u8003\u3048\u308b\u306e\u3067\u306f\u306a\u304f\u3001<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>IgA\u514d\u75ab\u8907\u5408\u4f53\u306b\u3088\u3063\u3066\u59cb\u307e\u3063\u305f\u708e\u75c7\u3092\u88dc\u4f53\u4ee3\u66ff\u8def\u304c\u5897\u5e45\u3059\u308b<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u3068\u3044\u3046\u4f4d\u7f6e\u3065\u3051\u3067\u3059\u3002<\/p>\n\n\n\n<figure class=\"wp-block-image size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"800\" height=\"447\" src=\"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/09\/image-436.png\" alt=\"\" class=\"wp-image-8833\" srcset=\"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/09\/image-436.png 800w, https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/09\/image-436-400x223.png 400w, https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/09\/image-436-767x428.png 767w\" sizes=\"auto, (max-width: 800px) 100vw, 800px\" \/><\/figure>\n\n\n\n<figure class=\"wp-block-image size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"800\" height=\"447\" src=\"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/09\/image-437.png\" alt=\"\" class=\"wp-image-8835\" srcset=\"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/09\/image-437.png 800w, https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/09\/image-437-400x223.png 400w, https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/09\/image-437-767x428.png 767w\" sizes=\"auto, (max-width: 800px) 100vw, 800px\" \/><\/figure>\n\n\n\n<h2 class=\"wp-block-heading\">APPLAUSE-IgAN\u8a66\u9a13\u3068\u306f\uff1f<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">APPLAUSE-IgAN\u8a66\u9a13\u306f\u3001\u56fd\u969b\u5171\u540c\u7b2c3\u76f8\u4e8c\u91cd\u76f2\u691c\u30e9\u30f3\u30c0\u30e0\u5316\u6bd4\u8f03\u8a66\u9a13\u3067\u3059\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u5bfe\u8c61\u3068\u306a\u3063\u305f\u306e\u306f\u3001\u751f\u691c\u3067IgA\u814e\u75c7\u3068\u8a3a\u65ad\u3055\u308c\u3001\u652f\u6301\u7642\u6cd5\u3092\u53d7\u3051\u3066\u3044\u308b\u306b\u3082\u304b\u304b\u308f\u3089\u305a\u3001<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>eGFR 30 mL\/min\/1.73 m\u00b2\u4ee5\u4e0a<\/li>\n\n\n\n<li>24\u6642\u9593\u5c3f\u86cb\u767d\/\u30af\u30ec\u30a2\u30c1\u30cb\u30f3\u6bd4\uff08UPCR\uff091.0 g\/g\u4ee5\u4e0a<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">\u306e\u86cb\u767d\u5c3f\u304c\u6b8b\u3063\u3066\u3044\u308b\u6210\u4eba\u60a3\u8005\u3067\u3059\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u6700\u7d42\u89e3\u6790\u306b\u306f477\u4eba\u304c\u542b\u307e\u308c\u3001<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>\u30a4\u30d7\u30bf\u30b3\u30d1\u30f3200 mg 1\u65e52\u56de\uff1a238\u4eba<\/strong><\/li>\n\n\n\n<li><strong>\u30d7\u30e9\u30bb\u30dc\uff1a239\u4eba<\/strong><\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">\u306b\u7121\u4f5c\u70ba\u306b\u5272\u308a\u4ed8\u3051\u3089\u308c\u307e\u3057\u305f\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u4e3b\u8981\u8a55\u4fa1\u9805\u76ee\u306f\u300124\u304b\u6708\u9593\u306b\u304a\u3051\u308b<strong>\u5e74\u9593\u7dcfeGFR\u30b9\u30ed\u30fc\u30d7<\/strong>\u3067\u3057\u305f\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u3064\u307e\u308a\u3001<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>\u300c\u86cb\u767d\u5c3f\u304c\u6e1b\u3063\u305f\u304b\u300d\u3060\u3051\u3067\u306f\u306a\u304f\u3001\u300c\u5b9f\u969b\u306b\u814e\u6a5f\u80fd\u304c\u4f4e\u4e0b\u3059\u308b\u901f\u5ea6\u3092\u9045\u3089\u305b\u3089\u308c\u305f\u304b\u300d<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u3092\u8a55\u4fa1\u3057\u305f\u8a66\u9a13\u3067\u3059\u3002<\/p>\n\n\n\n<figure class=\"wp-block-image size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"800\" height=\"447\" src=\"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/09\/image-438.png\" alt=\"\" class=\"wp-image-8836\" srcset=\"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/09\/image-438.png 800w, https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/09\/image-438-400x223.png 400w, https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/09\/image-438-767x428.png 767w\" sizes=\"auto, (max-width: 800px) 100vw, 800px\" \/><\/figure>\n\n\n\n<figure class=\"wp-block-image size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"800\" height=\"447\" src=\"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/09\/image-439.png\" alt=\"\" class=\"wp-image-8837\" srcset=\"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/09\/image-439.png 800w, https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/09\/image-439-400x223.png 400w, https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/09\/image-439-767x428.png 767w\" sizes=\"auto, (max-width: 800px) 100vw, 800px\" \/><\/figure>\n\n\n\n<h2 class=\"wp-block-heading\">1\uff0eeGFR\u4f4e\u4e0b\u901f\u5ea6\u3092\u7d0448\uff05\u6291\u5236<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">24\u304b\u6708\u9593\u306e\u5e74\u9593\u7dcfeGFR\u30b9\u30ed\u30fc\u30d7\u306f\u3001<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>\u30a4\u30d7\u30bf\u30b3\u30d1\u30f3\u7fa4\uff1a\u22123.10 mL\/min\/1.73 m\u00b2\/\u5e74<\/strong><\/li>\n\n\n\n<li><strong>\u30d7\u30e9\u30bb\u30dc\u7fa4\uff1a\u22126.12 mL\/min\/1.73 m\u00b2\/\u5e74<\/strong><\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">\u3067\u3057\u305f\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u7fa4\u9593\u5dee\u306f\u3001<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>3.02 mL\/min\/1.73 m\u00b2\/\u5e74<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u3067\u3042\u308a\u3001\u7d71\u8a08\u5b66\u7684\u306b\u3082\u6709\u610f\u3067\u3057\u305f\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u3053\u308c\u306f\u3001\u30d7\u30e9\u30bb\u30dc\u7fa4\u3068\u6bd4\u8f03\u3057\u3066\u30a4\u30d7\u30bf\u30b3\u30d1\u30f3\u7fa4\u3067\u306f\u3001<strong>eGFR\u4f4e\u4e0b\u901f\u5ea6\u304c\u304a\u3088\u305d48\uff5e50\uff05\u7de9\u5f90\u5316\u3057\u305f<\/strong>\u3053\u3068\u3092\u610f\u5473\u3057\u307e\u3059\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">IgA\u814e\u75c7\u306e\u6cbb\u7642\u306b\u304a\u3044\u3066\u3001\u86cb\u767d\u5c3f\u4f4e\u4e0b\u306f\u975e\u5e38\u306b\u91cd\u8981\u306a\u6307\u6a19\u3067\u3059\u304c\u3001\u6700\u7d42\u7684\u306b\u60a3\u8005\u3055\u3093\u306b\u3068\u3063\u3066\u91cd\u8981\u306a\u306e\u306f\u3001<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>\u300c\u814e\u81d3\u306e\u6a5f\u80fd\u3092\u3067\u304d\u308b\u3060\u3051\u9577\u671f\u9593\u7dad\u6301\u3067\u304d\u308b\u304b\u300d<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u3067\u3059\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u4eca\u56de\u306e24\u304b\u6708\u30c7\u30fc\u30bf\u306f\u3001\u305d\u306e\u70b9\u3092\u76f4\u63a5\u8a55\u4fa1\u3057\u305f\u3068\u3044\u3046\u610f\u5473\u3067\u975e\u5e38\u306b\u91cd\u8981\u3067\u3059\u3002<\/p>\n\n\n\n<figure class=\"wp-block-image size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"800\" height=\"447\" src=\"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/09\/image-440.png\" alt=\"\" class=\"wp-image-8838\" srcset=\"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/09\/image-440.png 800w, https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/09\/image-440-400x223.png 400w, https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/09\/image-440-767x428.png 767w\" sizes=\"auto, (max-width: 800px) 100vw, 800px\" \/><\/figure>\n\n\n\n<figure class=\"wp-block-image size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"800\" height=\"447\" src=\"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/09\/image-441.png\" alt=\"\" class=\"wp-image-8839\" srcset=\"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/09\/image-441.png 800w, https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/09\/image-441-400x223.png 400w, https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/09\/image-441-767x428.png 767w\" sizes=\"auto, (max-width: 800px) 100vw, 800px\" \/><\/figure>\n\n\n\n<h2 class=\"wp-block-heading\">2\uff0e\u8907\u5408\u814e\u30a8\u30f3\u30c9\u30dd\u30a4\u30f3\u30c8\u308243\uff05\u4f4e\u4e0b<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">\u526f\u6b21\u8a55\u4fa1\u9805\u76ee\u3068\u3057\u3066\u3001<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>eGFR\u304c30\uff05\u4ee5\u4e0a\u6301\u7d9a\u7684\u306b\u4f4e\u4e0b<\/li>\n\n\n\n<li>eGFR 15 mL\/min\/1.73 m\u00b2\u672a\u6e80\u3078\u306e\u6301\u7d9a\u7684\u4f4e\u4e0b<\/li>\n\n\n\n<li>\u7dad\u6301\u900f\u6790\u958b\u59cb<\/li>\n\n\n\n<li>\u814e\u79fb\u690d<\/li>\n\n\n\n<li>\u814e\u4e0d\u5168\u306b\u3088\u308b\u6b7b\u4ea1<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">\u306e\u3044\u305a\u308c\u304b\u3092\u6e80\u305f\u3059<strong>\u8907\u5408\u814e\u30a8\u30f3\u30c9\u30dd\u30a4\u30f3\u30c8<\/strong>\u304c\u8a55\u4fa1\u3055\u308c\u307e\u3057\u305f\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u305d\u306e\u767a\u751f\u7387\u306f\u3001<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>\u30a4\u30d7\u30bf\u30b3\u30d1\u30f3\u7fa4\uff1a21.4\uff05<\/strong><\/li>\n\n\n\n<li><strong>\u30d7\u30e9\u30bb\u30dc\u7fa4\uff1a33.5\uff05<\/strong><\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">\u3067\u3057\u305f\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u30cf\u30b6\u30fc\u30c9\u6bd4\u306f\u3001<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>0.57\uff0895\uff05\u4fe1\u983c\u533a\u9593 0.40\uff5e0.81\uff09<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u3067\u3042\u308a\u3001\u30a4\u30d7\u30bf\u30b3\u30d1\u30f3\u7fa4\u3067\u306f\u8907\u5408\u814e\u30a8\u30f3\u30c9\u30dd\u30a4\u30f3\u30c8\u306e\u30ea\u30b9\u30af\u304c<strong>43\uff05\u4f4e\u4e0b<\/strong>\u3057\u307e\u3057\u305f\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u305f\u3060\u3057\u3001\u3053\u3053\u3067\u3044\u3046\u300c43\uff05\u4f4e\u4e0b\u300d\u306f\u3001\u900f\u6790\u5c0e\u5165\u3060\u3051\u309243\uff05\u6e1b\u3089\u3057\u305f\u3068\u3044\u3046\u610f\u5473\u3067\u306f\u3042\u308a\u307e\u305b\u3093\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">eGFR\u306e\u6301\u7d9a\u7684\u4f4e\u4e0b\u306a\u3069\u3092\u542b\u3081\u305f<strong>\u8907\u5408\u8a55\u4fa1\u9805\u76ee\u5168\u4f53\u306b\u5bfe\u3059\u308b\u76f8\u5bfe\u30ea\u30b9\u30af\u4f4e\u4e0b<\/strong>\u3067\u3042\u308b\u70b9\u306b\u306f\u6ce8\u610f\u304c\u5fc5\u8981\u3067\u3059\u3002<\/p>\n\n\n\n<figure class=\"wp-block-image size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"800\" height=\"447\" src=\"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/09\/image-442.png\" alt=\"\" class=\"wp-image-8840\" srcset=\"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/09\/image-442.png 800w, https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/09\/image-442-400x223.png 400w, https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/09\/image-442-767x428.png 767w\" sizes=\"auto, (max-width: 800px) 100vw, 800px\" \/><\/figure>\n\n\n\n<h2 class=\"wp-block-heading\">3\uff0e\u86cb\u767d\u5c3f\u6539\u5584\u52b9\u679c\u306f\u65e9\u671f\u304b\u3089\u8a8d\u3081\u3089\u308c\u3001\u305d\u306e\u5f8c\u3082\u6301\u7d9a<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">APPLAUSE-IgAN\u8a66\u9a13\u3067\u306f\u3001\u5148\u884c\u3059\u308b9\u304b\u6708\u89e3\u6790\u3067\u3059\u3067\u306b\u3001\u30a4\u30d7\u30bf\u30b3\u30d1\u30f3\u306b\u3088\u3063\u306624\u6642\u9593UPCR\u304c\u30d7\u30e9\u30bb\u30dc\u3068\u6bd4\u8f03\u3057\u3066\u6709\u610f\u306b\u4f4e\u4e0b\u3059\u308b\u3053\u3068\u304c\u793a\u3055\u308c\u3066\u3044\u307e\u3057\u305f\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u4eca\u56de\u306e24\u304b\u6708\u6700\u7d42\u89e3\u6790\u306b\u3088\u3063\u3066\u3001<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>\u86cb\u767d\u5c3f\u3092\u6e1b\u3089\u3059\u52b9\u679c\u3060\u3051\u3067\u306a\u304f\u3001\u305d\u306e\u5148\u306b\u3042\u308b\u814e\u6a5f\u80fd\u4f4e\u4e0b\u306e\u7de9\u5f90\u5316\u307e\u3067\u78ba\u8a8d\u3055\u308c\u305f<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u3053\u3068\u304c\u91cd\u8981\u3067\u3059\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">IgA\u814e\u75c7\u6cbb\u7642\u3067\u306f\u3001\u86cb\u767d\u5c3f\u306f\u5358\u306a\u308b\u300c\u691c\u67fb\u5024\u300d\u3067\u306f\u3042\u308a\u307e\u305b\u3093\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u6301\u7d9a\u3059\u308b\u86cb\u767d\u5c3f\u306f\u7cf8\u7403\u4f53\u969c\u5bb3\u3084\u814e\u6a5f\u80fd\u4f4e\u4e0b\u30ea\u30b9\u30af\u3068\u5bc6\u63a5\u306b\u95a2\u9023\u3059\u308b\u305f\u3081\u3001<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>\u86cb\u767d\u5c3f\u3092\u53ef\u80fd\u306a\u9650\u308a\u6e1b\u3089\u3057\u306a\u304c\u3089\u3001eGFR\u4f4e\u4e0b\u901f\u5ea6\u305d\u306e\u3082\u306e\u3092\u6291\u3048\u308b<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u3053\u3068\u304c\u73fe\u5728\u306e\u6cbb\u7642\u76ee\u6a19\u3068\u306a\u3063\u3066\u3044\u307e\u3059\u3002<\/p>\n\n\n\n<figure class=\"wp-block-image size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"800\" height=\"447\" src=\"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/09\/image-443.png\" alt=\"\" class=\"wp-image-8841\" srcset=\"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/09\/image-443.png 800w, https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/09\/image-443-400x223.png 400w, https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/09\/image-443-767x428.png 767w\" sizes=\"auto, (max-width: 800px) 100vw, 800px\" \/><\/figure>\n\n\n\n<h2 class=\"wp-block-heading\">4\uff0e\u5b89\u5168\u6027\u2015\u7279\u306b\u6ce8\u610f\u3059\u3079\u304d\u306a\u306e\u306f\u91cd\u75c7\u611f\u67d3\u75c7<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">24\u304b\u6708\u9593\u306e\u6709\u5bb3\u4e8b\u8c61\u767a\u73fe\u7387\u306f\u3001<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>\u30a4\u30d7\u30bf\u30b3\u30d1\u30f3\u7fa4\uff1a87.0\uff05<\/strong><\/li>\n\n\n\n<li><strong>\u30d7\u30e9\u30bb\u30dc\u7fa4\uff1a89.1\uff05<\/strong><\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">\u3067\u3001\u5168\u4f53\u3068\u3057\u3066\u5927\u304d\u306a\u5dee\u306f\u3042\u308a\u307e\u305b\u3093\u3067\u3057\u305f\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u91cd\u7be4\u306a\u6709\u5bb3\u4e8b\u8c61\u3082\u3001<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>12.2\uff05<\/strong><\/li>\n\n\n\n<li><strong>11.7\uff05<\/strong><\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">\u3068\u307b\u307c\u540c\u7a0b\u5ea6\u3067\u3057\u305f\u3002<\/p>\n\n\n\n<figure class=\"wp-block-image size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"800\" height=\"447\" src=\"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/09\/image-444.png\" alt=\"\" class=\"wp-image-8842\" srcset=\"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/09\/image-444.png 800w, https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/09\/image-444-767x428.png 767w, https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/09\/image-444-400x223.png 400w\" sizes=\"auto, (max-width: 800px) 100vw, 800px\" \/><\/figure>\n\n\n\n<p class=\"wp-block-paragraph\">\u4e00\u65b9\u3001\u91cd\u8981\u306a\u6ce8\u610f\u70b9\u304c\u3042\u308a\u307e\u3059\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u91cd\u75c7\u611f\u67d3\u75c7\u306f\u30a4\u30d7\u30bf\u30b3\u30d1\u30f3\u7fa46.7\uff05\u3001\u30d7\u30e9\u30bb\u30dc\u7fa42.1\uff05\u3068\u3001\u30a4\u30d7\u30bf\u30b3\u30d1\u30f3\u7fa4\u3067\u591a\u304f\u8a8d\u3081\u3089\u308c\u307e\u3057\u305f\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u88dc\u4f53\u7cfb\u306f\u7d30\u83cc\u611f\u67d3\u304b\u3089\u4f53\u3092\u5b88\u308b\u81ea\u7136\u514d\u75ab\u306e\u4e00\u90e8\u3067\u3082\u3042\u308b\u305f\u3081\u3001\u88dc\u4f53\u3092\u963b\u5bb3\u3059\u308b\u3068\u3001\u7279\u306b<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\u80ba\u708e\u7403\u83cc\uff08<em>Streptococcus pneumoniae<\/em>\uff09<\/li>\n\n\n\n<li>\u9ac4\u819c\u708e\u83cc\uff08<em>Neisseria meningitidis<\/em>\uff09<\/li>\n\n\n\n<li>\u30a4\u30f3\u30d5\u30eb\u30a8\u30f3\u30b6\u83ccb\u578b\uff08<em>Haemophilus influenzae<\/em> type b\uff09<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">\u306a\u3069\u306e<strong>\u83a2\u819c\u3092\u3082\u3064\u7d30\u83cc<\/strong>\u306b\u3088\u308b\u91cd\u7be4\u306a\u611f\u67d3\u75c7\u306b\u6ce8\u610f\u3059\u308b\u5fc5\u8981\u304c\u3042\u308a\u307e\u3059\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u88dc\u4f53\u963b\u5bb3\u85ac\u3092\u4f7f\u7528\u3059\u308b\u969b\u306b\u306f\u3001\u9069\u5207\u306a\u30ef\u30af\u30c1\u30f3\u63a5\u7a2e\u6b74\u306e\u78ba\u8a8d\u3001\u5fc5\u8981\u306a\u30ef\u30af\u30c1\u30f3\u63a5\u7a2e\u3001\u305d\u3057\u3066\u6cbb\u7642\u4e2d\u306e\u611f\u67d3\u75c7\u72b6\u306e\u65e9\u671f\u767a\u898b\u304c\u6975\u3081\u3066\u91cd\u8981\u3067\u3059\u3002<\/p>\n\n\n\n<figure class=\"wp-block-image size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"800\" height=\"447\" src=\"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/09\/image-445.png\" alt=\"\" class=\"wp-image-8843\" srcset=\"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/09\/image-445.png 800w, https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/09\/image-445-400x223.png 400w, https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/09\/image-445-767x428.png 767w\" sizes=\"auto, (max-width: 800px) 100vw, 800px\" \/><\/figure>\n\n\n\n<h2 class=\"wp-block-heading\">APPLAUSE-IgAN\u8a66\u9a13\u304c\u793a\u3057\u305f\u672c\u5f53\u306e\u610f\u5473<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">\u4eca\u56de\u306e\u7814\u7a76\u7d50\u679c\u3067\u91cd\u8981\u306a\u306e\u306f\u3001<\/p>\n\n\n\n<p 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class=\"wp-block-paragraph\">\u60a3\u8005\u3055\u3093\u306e\u75c5\u614b\u3084\u30ea\u30b9\u30af\u306b\u5fdc\u3058\u3066\u3001IgA\u7523\u751f\u3001\u514d\u75ab\u53cd\u5fdc\u3001\u88dc\u4f53\u7cfb\u306a\u3069\u3092\u6a19\u7684\u3068\u3057\u305f\u6cbb\u7642\u3092\u691c\u8a0e\u3059\u308b\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u3068\u3044\u3046\u3001\u8907\u6570\u306e\u75c5\u614b\u3092\u540c\u6642\u306b\u8003\u3048\u308b\u6cbb\u7642\u6226\u7565\u3078\u9032\u3093\u3067\u3044\u307e\u3059\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u30a4\u30d7\u30bf\u30b3\u30d1\u30f3\u306f\u3001\u3053\u306e\u3046\u3061<strong>\u88dc\u4f53\u4ee3\u66ff\u8def\u3068\u3044\u3046\u708e\u75c7\u5897\u5e45\u7d4c\u8def\u3092\u6a19\u7684\u3068\u3059\u308b\u6cbb\u7642<\/strong>\u3067\u3059\u3002<\/p>\n\n\n\n<figure class=\"wp-block-image size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"800\" height=\"447\" src=\"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/09\/image-446.png\" alt=\"\" class=\"wp-image-8844\" srcset=\"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/09\/image-446.png 800w, https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/09\/image-446-400x223.png 400w, https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/09\/image-446-767x428.png 767w\" sizes=\"auto, (max-width: 800px) 100vw, 800px\" \/><\/figure>\n\n\n\n<h2 class=\"wp-block-heading\">\u65e5\u672c\u3067\u306fIgA\u814e\u75c7\u306b\u5bfe\u3057\u3066\u672a\u627f\u8a8d\u3067\u3059<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">\u975e\u5e38\u306b\u91cd\u8981\u306a\u70b9\u3068\u3057\u3066\u3001<strong>2026\u5e749\u6708\u73fe\u5728\u3001\u30a4\u30d7\u30bf\u30b3\u30d1\u30f3\u306f\u65e5\u672c\u3067\u306fIgA\u814e\u75c7\u306b\u5bfe\u3057\u3066\u627f\u8a8d\u3055\u308c\u3066\u3044\u307e\u305b\u3093\u3002<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">APPLAUSE-IgAN\u8a66\u9a13\u306f\u5c06\u6765\u306e\u6cbb\u7642\u6226\u7565\u3092\u8003\u3048\u308b\u3046\u3048\u3067\u91cd\u8981\u306a\u7814\u7a76\u3067\u3059\u304c\u3001\u3053\u306e\u8a18\u4e8b\u306f\u30a4\u30d7\u30bf\u30b3\u30d1\u30f3\u306e\u56fd\u5185\u3067\u306e\u4f7f\u7528\u3092\u63a8\u5968\u3059\u308b\u3082\u306e\u3067\u306f\u3042\u308a\u307e\u305b\u3093\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u5b9f\u969b\u306eIgA\u814e\u75c7\u6cbb\u7642\u306f\u3001<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\u86cb\u767d\u5c3f<\/li>\n\n\n\n<li>eGFR<\/li>\n\n\n\n<li>\u8840\u5727<\/li>\n\n\n\n<li>\u814e\u751f\u691c\u6240\u898b<\/li>\n\n\n\n<li>\u5e74\u9f62<\/li>\n\n\n\n<li>\u5408\u4f75\u75c7<\/li>\n\n\n\n<li>\u3053\u308c\u307e\u3067\u306e\u6cbb\u7642<\/li>\n\n\n\n<li>\u5c06\u6765\u7684\u306a\u814e\u4e0d\u5168\u30ea\u30b9\u30af<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">\u306a\u3069\u3092\u7dcf\u5408\u3057\u3066\u6c7a\u5b9a\u3059\u308b\u5fc5\u8981\u304c\u3042\u308a\u307e\u3059\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u6cbb\u7642\u65b9\u91dd\u306b\u3064\u3044\u3066\u306f\u814e\u81d3\u5185\u79d1\u5c02\u9580\u533b\u3068\u76f8\u8ac7\u3059\u308b\u3053\u3068\u304c\u91cd\u8981\u3067\u3059\u3002<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">\u307e\u3068\u3081<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">APPLAUSE-IgAN\u8a66\u9a13\u306e24\u304b\u6708\u6700\u7d42\u89e3\u6790\u3067\u306f\u3001\u30a4\u30d7\u30bf\u30b3\u30d1\u30f3\u306b\u3088\u3063\u3066\u3001<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>\u5e74\u9593eGFR\u4f4e\u4e0b\u901f\u5ea6\u304c\u7d0448\uff5e50\uff05\u7de9\u5f90\u5316<\/strong><\/li>\n\n\n\n<li><strong>\u5e74\u9593eGFR\u30b9\u30ed\u30fc\u30d7\u5dee 3.02 mL\/min\/1.73 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class=\"wp-block-paragraph\">\u4eca\u56de\u306e\u7d50\u679c\u306f\u3001\u305d\u306e\u75c5\u614b\u306e\u4e00\u90e8\u3067\u3042\u308b<strong>\u88dc\u4f53\u4ee3\u66ff\u8def\u3092\u9078\u629e\u7684\u306b\u6a19\u7684\u3068\u3059\u308b\u3053\u3068\u3067\u3001\u814e\u6a5f\u80fd\u4f4e\u4e0b\u305d\u306e\u3082\u306e\u3092\u7de9\u5f90\u5316\u3067\u304d\u308b\u53ef\u80fd\u6027<\/strong>\u3092\u793a\u3057\u305f\u91cd\u8981\u306a\u7814\u7a76\u3068\u3044\u3048\u307e\u3059\u3002<\/p>\n\n\n\n<figure class=\"wp-block-image size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"800\" height=\"447\" src=\"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/09\/image-447.png\" alt=\"\" class=\"wp-image-8845\" srcset=\"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/09\/image-447.png 800w, https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/09\/image-447-400x223.png 400w, https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/09\/image-447-767x428.png 767w\" sizes=\"auto, (max-width: 800px) 100vw, 800px\" \/><\/figure>\n\n\n\n<h2 class=\"wp-block-heading\">\u30af\u30ea\u30cb\u30c3\u30af\u304b\u3089\u306e\u30e1\u30c3\u30bb\u30fc\u30b8<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">IgA\u814e\u75c7\u3092\u542b\u3080\u6162\u6027\u814e\u81d3\u75c5\u3067\u306f\u3001\u521d\u671f\u306b\u306f\u81ea\u899a\u75c7\u72b6\u304c\u307b\u3068\u3093\u3069\u306a\u3044\u3053\u3068\u3082\u73cd\u3057\u304f\u3042\u308a\u307e\u305b\u3093\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u305d\u306e\u305f\u3081\u3001<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\u5c3f\u86cb\u767d<\/li>\n\n\n\n<li>\u5c3f\u6f5c\u8840<\/li>\n\n\n\n<li>\u8840\u6e05\u30af\u30ec\u30a2\u30c1\u30cb\u30f3<\/li>\n\n\n\n<li>eGFR<\/li>\n\n\n\n<li>\u8840\u5727<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">\u306a\u3069\u30921\u56de\u306e\u5024\u3060\u3051\u3067\u5224\u65ad\u3059\u308b\u306e\u3067\u306f\u306a\u304f\u3001<strong>\u6642\u9593\u7d4c\u904e\u306b\u6cbf\u3063\u3066\u300c\u70b9\u304b\u3089\u7dda\u300d\u3067\u8a55\u4fa1\u3059\u308b\u3053\u3068<\/strong>\u304c\u91cd\u8981\u3067\u3059\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u5f53\u9662\u3067\u306f\u7dcf\u5408\u5185\u79d1\u5c02\u9580\u533b\u30fb\u30ea\u30a6\u30de\u30c1\u5c02\u9580\u533b\u3001\u6d88\u5316\u5668\u30fb\u809d\u81d3\u5c02\u9580\u533b\u304c\u9023\u643a\u3057\u3001\u5065\u5eb7\u8a3a\u65ad\u306a\u3069\u3067\u6307\u6458\u3055\u308c\u305f\u86cb\u767d\u5c3f\u30fb\u8840\u5c3f\u30fb\u814e\u6a5f\u80fd\u4f4e\u4e0b\u306b\u3064\u3044\u3066\u8a55\u4fa1\u3092\u884c\u3063\u3066\u3044\u307e\u3059\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">IgA\u814e\u75c7\u3092\u7591\u3046\u5834\u5408\u3084\u3001\u814e\u751f\u691c\u30fb\u5c02\u9580\u7684\u6cbb\u7642\u304c\u5fc5\u8981\u3068\u8003\u3048\u3089\u308c\u308b\u5834\u5408\u306b\u306f\u3001\u9069\u5207\u306a\u814e\u81d3\u5185\u79d1\u5c02\u9580\u533b\u30fb\u5c02\u9580\u533b\u7642\u6a5f\u95a2\u3068\u9023\u643a\u3057\u3066\u8a3a\u7642\u3092\u9032\u3081\u307e\u3059\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u307e\u305f\u3001\u6162\u6027\u814e\u81d3\u75c5\u3092\u304a\u6301\u3061\u306e\u65b9\u3067\u306f\u3001\u5168\u8eab\u7ba1\u7406\u306e\u4e00\u74b0\u3068\u3057\u3066\u53e3\u8154\u5185\u306e\u5065\u5eb7\u3092\u7dad\u6301\u3059\u308b\u3053\u3068\u3082\u5927\u5207\u3067\u3059\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u6b6f\u5468\u75c5\u3092\u306f\u3058\u3081\u3068\u3059\u308b\u6162\u6027\u53e3\u8154\u611f\u67d3\u75c7\u306f\u3001\u4e00\u904e\u6027\u83cc\u8840\u75c7\u3084\u5168\u8eab\u6027\u708e\u75c7\u3068\u306e\u95a2\u9023\u304c\u77e5\u3089\u308c\u3066\u3044\u308b\u305f\u3081\u3001\u5fc5\u8981\u306b\u5fdc\u3058\u3066\u6b6f\u79d1\u3068\u533b\u79d1\u304c\u60c5\u5831\u3092\u5171\u6709\u3057\u306a\u304c\u3089\u6cbb\u7642\u3092\u884c\u3046\u3053\u3068\u306b\u306f\u610f\u7fa9\u304c\u3042\u308a\u307e\u3059\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u305f\u3060\u3057\u3001<strong>PMTC\u3084\u6b6f\u5468\u75c5\u6cbb\u7642\u306b\u3088\u3063\u3066IgA\u814e\u75c7\u305d\u306e\u3082\u306e\u306e\u9032\u884c\u3092\u6291\u5236\u3067\u304d\u308b\u3053\u3068\u304c\u78ba\u7acb\u3057\u3066\u3044\u308b\u308f\u3051\u3067\u306f\u3042\u308a\u307e\u305b\u3093\u3002<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u5f53\u9662\u3067\u306f\u533b\u79d1\u3068\u6b6f\u79d1\u304c\u540c\u4e00\u65bd\u8a2d\u5185\u3067\u8a3a\u7642\u3057\u3066\u3044\u308b\u5229\u70b9\u3092\u751f\u304b\u3057\u3001\u57fa\u790e\u75be\u60a3\u3084\u4f7f\u7528\u85ac\u5264\u3092\u5171\u6709\u3057\u306a\u304c\u3089\u3001\u5b89\u5168\u306a\u6b6f\u79d1\u6cbb\u7642\u30fb\u53e3\u8154\u7ba1\u7406\u306b\u3064\u306a\u3052\u3066\u3044\u307e\u3059\u3002<\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h2 class=\"wp-block-heading\">\u53d7\u8a3a\u3092\u3054\u5e0c\u671b\u306e\u65b9\u3078<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">\ud83d\udc49 <strong>\u3010\u533b\u79d1\u3011\u30a2\u30ec\u30eb\u30ae\u30fc\u81a0\u539f\u75c5\u30ea\u30a6\u30de\u30c1\u5185\u79d1\u30fb\u7dcf\u5408\u5185\u79d1\u30fb\u767a\u71b1\u5916\u6765\u30fb\u86cb\u767d\u5c3f\u30fb\u8840\u5c3f\u30fb\u814e\u6a5f\u80fd\u7570\u5e38\u30fb\u751f\u6d3b\u7fd2\u6163\u75c5\u30fb\u5404\u7a2e\u8840\u6db2\uff0f\u5c3f\u691c\u67fb\u306a\u3069<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u203b\u5f53\u9662\u306e\u5185\u79d1\u306f\u571f\u66dc\u65e5\u5348\u5f8c\u308217\u6642\u307e\u3067\u8a3a\u7642\u3057\u3066\u304a\u308a\u307e\u3059\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><a href=\"https:\/\/melmo-app.com\/clinic\/673d5e08785f0f0030870bdb\/reservation?method=visit\">WEB\u4e88\u7d04\u306f\u3053\u3061\u3089<\/a><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\ud83d\udc49 <strong>\u3010\u6b6f\u79d1\u3011\u6839\u7ba1\u6cbb\u7642\u30fb\u3080\u3057\u6b6f\u30fb\u6b6f\u5468\u75c5\u30fb\u5c02\u9580\u7684\u53e3\u8154\u30b1\u30a2\u30fb\u6709\u75c5\u8005\u6b6f\u79d1\u30fbPMTC\u306a\u3069<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u203b\u5f53\u9662\u306e\u6b6f\u79d1\u306f\u571f\u66dc\u65e514\u6642\u307e\u3067\u8a3a\u7642\u3057\u3066\u304a\u308a\u307e\u3059\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><a href=\"http:\/\/www.gomidental-kashiwa.com\/reservation\/\">WEB\u4e88\u7d04\u306f\u3053\u3061\u3089<\/a><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\ud83d\udcde <strong>\u304a\u96fb\u8a71\u3067\u306e\u3054\u4e88\u7d04\u30fb\u304a\u554f\u3044\u5408\u308f\u305b<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u3010\u533b\u79d1\u301104-7196-7531<br>\u3010\u6b6f\u79d1\u301104-7191-7081<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\ud83c\udfe5 <strong>\u67cf\u4e94\u5473\u6b6f\u79d1\u5185\u79d1\u30ea\u30a6\u30de\u30c1\u30af\u30ea\u30cb\u30c3\u30af<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u3012277-0902<br>\u5343\u8449\u770c\u67cf\u5e02\u5927\u4e95764-1<br>\u5927\u4e95\u4ea4\u5dee\u70b9\u8fd1\u304f\u30fb\u99d0\u8eca\u5834\u5b8c\u5099<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u67cf\u99c5\u6771\u53e3\u3088\u308a\u6771\u6b66\u30d0\u30b9\u7d0415\u5206<br>\u300c\u5927\u4e95\u300d\u4e0b\u8eca \u5f92\u6b691\u5206<\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h2 class=\"wp-block-heading\">\u53c2\u8003\u6587\u732e<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Barratt J, Eren N, Kashihara N, et al.; APPLAUSE-IgAN Study Group.<br><strong>Iptacopan in IgA Nephropathy \u2014 Final 24-Month Data.<\/strong><br><em>N Engl J Med.<\/em> 2026;395(5):465-477.<br>doi:10.1056\/NEJMoa2600743<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Perkovic V, Barratt J, Rovin B, et al.; APPLAUSE-IgAN Investigators.<br><strong>Alternative Complement Pathway Inhibition with Iptacopan in IgA Nephropathy.<\/strong><br><em>N Engl J Med.<\/em> 2025;392:531-543.<br>doi:10.1056\/NEJMoa2410316<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">KDIGO.<br><strong>KDIGO 2025 Clinical Practice Guideline for the Management of Immunoglobulin A Nephropathy and Immunoglobulin A Vasculitis.<\/strong><\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h2 class=\"wp-block-heading\">\u5408\u308f\u305b\u3066\u8aad\u307f\u305f\u3044\u95a2\u9023\u8a18\u4e8b<\/h2>\n\n\n\n<h3 class=\"wp-block-heading\">1\uff0eIgA\u814e\u75c7\u30fbCKD\u306b\u304a\u3051\u308b\u300c\u814e\u81d3\u3092\u9577\u304f\u5b88\u308b\u6cbb\u7642\u300d\u3092\u77e5\u308a\u305f\u3044\u65b9\u3078<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\"><strong><a href=\"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/post-6490\/\" target=\"_blank\" rel=\"noopener\">\u3010\u814e\u81d3\u5185\u79d1\u30fb\u7dcf\u5408\u5185\u79d1\u3011SGLT2\u963b\u5bb3\u85ac\u30fbERA\u30fb\u88dc\u4f53\u963b\u5bb3\u85ac\u304c\u62d3\u304f\u814e\u4fdd\u8b77\u306e\u65b0\u6642\u4ee3\u3002\u6700\u65b0KDIGO\u30ac\u30a4\u30c9\u30e9\u30a4\u30f3\u306b\u57fa\u3065\u304fIgA\u814e\u75c7\u30fbCKD\u7ba1\u7406\u306e\u4f53\u306e\u4ed5\u7d44\u307f<\/a><\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">IgA\u814e\u75c7\u3092\u542b\u3080\u6162\u6027\u814e\u81d3\u75c5\u306e\u6cbb\u7642\u3067\u306f\u3001\u8840\u5727\u3092\u4e0b\u3052\u308b\u3060\u3051\u3067\u306a\u304f\u3001\u7cf8\u7403\u4f53\u5185\u5727\u3001\u86cb\u767d\u5c3f\u3001\u708e\u75c7\u3001\u514d\u75ab\u30fb\u88dc\u4f53\u7cfb\u306a\u3069\u8907\u6570\u306e\u75c5\u614b\u3092\u540c\u6642\u306b\u8003\u3048\u308b\u6642\u4ee3\u3068\u306a\u3063\u3066\u3044\u307e\u3059\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">RAS\u963b\u5bb3\u85ac\u3001SGLT2\u963b\u5bb3\u85ac\u3092\u306f\u3058\u3081\u3068\u3059\u308b\u814e\u4fdd\u8b77\u6cbb\u7642\u3068\u3001\u75c5\u614b\u6a19\u7684\u6cbb\u7642\u304c\u3069\u306e\u3088\u3046\u306b\u7d44\u307f\u5408\u308f\u3055\u308c\u3066\u3044\u308b\u306e\u304b\u3092\u89e3\u8aac\u3057\u307e\u3059\u3002<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">2\uff0e\u6162\u6027\u75be\u60a3\u3092\u62b1\u3048\u308b\u65b9\u306e\u53e3\u8154\u7ba1\u7406\u306b\u3064\u3044\u3066\u77e5\u308a\u305f\u3044\u65b9\u3078<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\"><strong><a href=\"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/post-5383\/\" target=\"_blank\" rel=\"noopener\">\u3010\u4e88\u9632\u6b6f\u79d1\u3011\u30d0\u30a4\u30aa\u30d5\u30a3\u30eb\u30e0\u3092\u7834\u58ca\u305b\u3088\u3002\u5c02\u9580\u7684\u53e3\u8154\u30b1\u30a2\uff08PMTC\uff09\u304c\u5168\u8eab\u306e\u5065\u5eb7\u3092\u5b88\u308b\u4f53\u306e\u4ed5\u7d44\u307f<\/a><\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u6b6f\u5468\u75c5\u3067\u306f\u6b6f\u5468\u30dd\u30b1\u30c3\u30c8\u5185\u306b\u7d30\u83cc\u6027\u30d0\u30a4\u30aa\u30d5\u30a3\u30eb\u30e0\u304c\u5f62\u6210\u3055\u308c\u3001\u30d6\u30e9\u30c3\u30b7\u30f3\u30b0\u3060\u3051\u3067\u306f\u5341\u5206\u306b\u9664\u53bb\u3067\u304d\u306a\u3044\u3053\u3068\u304c\u3042\u308a\u307e\u3059\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u6162\u6027\u75be\u60a3\u3092\u304a\u6301\u3061\u306e\u65b9\u306b\u3068\u3063\u3066\u3082\u53e3\u8154\u5185\u611f\u67d3\u75c7\u3092\u9069\u5207\u306b\u7ba1\u7406\u3059\u308b\u3053\u3068\u306f\u91cd\u8981\u3067\u3059\u3002\u5f53\u9662\u3067\u306f\u533b\u79d1\u3068\u6b6f\u79d1\u3067\u5168\u8eab\u72b6\u614b\u3084\u4f7f\u7528\u85ac\u5264\u3092\u5171\u6709\u3057\u306a\u304c\u3089\u3001\u5b89\u5168\u306a\u6b6f\u79d1\u6cbb\u7642\u3068\u53e3\u8154\u7ba1\u7406\u3092\u884c\u3063\u3066\u3044\u307e\u3059\u3002<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">3\uff0e\u5065\u8a3a\u3067\u86cb\u767d\u5c3f\u30fb\u8840\u5c3f\u30fbeGFR\u4f4e\u4e0b\u3092\u6307\u6458\u3055\u308c\u305f\u65b9\u3078<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\"><strong><a href=\"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/post-4765\/\" target=\"_blank\" rel=\"noopener\">\u3010\u7dcf\u5408\u5185\u79d1\u3011\u5b9a\u671f\u5065\u8a3a\u306e\u8840\u6db2\u30fb\u5c3f\u30c7\u30fc\u30bf\u3092\u70b9\u304b\u3089\u7dda\u3078\u3002\u81ea\u899a\u75c7\u72b6\u306e\u306a\u3044\u521d\u671f\u814e\u969c\u5bb3\u3092\u898b\u9003\u3055\u306a\u3044\u5065\u5eb7\u8a3a\u65ad\u306e\u6d3b\u7528\u6cd5<\/a><\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u814e\u81d3\u75c5\u306f\u3001\u81ea\u899a\u75c7\u72b6\u304c\u306a\u3044\u307e\u307e\u9032\u884c\u3059\u308b\u3053\u3068\u304c\u3042\u308a\u307e\u3059\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u5c3f\u86cb\u767d\u3001\u5c3f\u6f5c\u8840\u3001\u30af\u30ec\u30a2\u30c1\u30cb\u30f3\u3001eGFR\u3092\u4e00\u5ea6\u306e\u691c\u67fb\u7d50\u679c\u3060\u3051\u3067\u5224\u65ad\u3059\u308b\u306e\u3067\u306f\u306a\u304f\u3001\u904e\u53bb\u304b\u3089\u73fe\u5728\u307e\u3067\u306e\u5909\u5316\u3092\u300c\u70b9\u304b\u3089\u7dda\u300d\u3067\u78ba\u8a8d\u3059\u308b\u3053\u3068\u304c\u65e9\u671f\u767a\u898b\u306e\u91cd\u8981\u306a\u624b\u304c\u304b\u308a\u306b\u306a\u308a\u307e\u3059\u3002<\/p>\n\n\n\n<div class=\"wp-block-group\"><div class=\"wp-block-group__inner-container is-layout-constrained wp-block-group-is-layout-constrained\">\n<div class=\"wp-block-columns is-layout-flex wp-container-core-columns-is-layout-8f761849 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:23%\">\n<figure class=\"wp-block-image\"><img loading=\"lazy\" decoding=\"async\" width=\"600\" height=\"600\" 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class=\"wp-block-paragraph\">\u3010\u57f7\u7b46\u30fb\u76e3\u4fee\u533b\u5e2b\u30d7\u30ed\u30d5\u30a3\u30fc\u30eb\u3011<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u25a0 \u798f\u7530 \u5321\u5fd7\uff08\u3075\u304f\u305f \u307e\u3055\u3057\uff09<br>\u6210\u7530\u8d64\u5341\u5b57\u75c5\u9662 \u30ea\u30a6\u30de\u30c1\u81a0\u539f\u75c5\u5185\u79d1\u90e8\u9577 \/ \u67cf\u4e94\u5473\u6b6f\u79d1\u30fb\u5185\u79d1\u30ea\u30a6\u30de\u30c1\u30af\u30ea\u30cb\u30c3\u30af \u533b\u5e2b\u3002<br>\u65e5\u672c\u5185\u79d1\u5b66\u4f1a\u8a8d\u5b9a \u7dcf\u5408\u5185\u79d1\u5c02\u9580\u533b\u3001\u65e5\u672c\u30ea\u30a6\u30de\u30c1\u5b66\u4f1a\u8a8d\u5b9a \u30ea\u30a6\u30de\u30c1\u5c02\u9580\u533b\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u25a0 \u798f\u7530 \u6dbc\u5b50\uff08\u3075\u304f\u305f 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