代æ¿å»çã«ããã¾ãã¾ãªç¨®é¡ããããããã®ä¸ã§ããããããç
æ°ã«ãã®ãããå¹ããã¨å¹è´ããã¿ã¤ãã®ãã®ãããããã¨ãã°ãååç´¹ä»ããç©è³ªXï¼ãã©ã¯ã«ããã©ã«ã½ãªã¥ã¼ã·ã§ã³ï¼ã¯ã
- ãã¨ã¤ãºãèçï¼A.B,Cåï¼ããã©ãªã¢ããã«ãã¹ãçµæ ¸ãã»ã¨ãã©ã®ãããå«ãã人é¡ã®æ°å¤ãã®ç æ°ã®è§£æ±ºæ¹æ³ãçºè¦ããã¾ãããå¤ç¨®ã®ç æ°ãç°¡åã«å¾å§ã§ããããã«ãªãã¾ããã
ã¨ä¸»å¼µããã¦ãã*1ãé島å°æ¦å士ã«ããè¶
ããã©ã«æ°´ã¯ã
- ãã¬ã³ã»ç³å°¿ã»ã¢ããã¼ãã¯ããã»ã¨ãã©ã®ç æ°ãæ²»ãéºä¼åããã©ã«çæ³ã§ãã
ã¨ããã¦ãã*2ãå¤ãã¨ããã§ã¯ãIRT(Induced Remission Therapy:èªå°æ¶å¤±çæ³)ãªãæ²»çæ³ã¯ã
- ãã¬ã³ãã¨ã¤ãºãå¿èç ãã¯ããã¨ããæ°ã ã®é£ç ã99%以ä¸ã®ç¢ºçã§çãã¦ãã¾ãã
ã®ã ããã *3ã
ãã©ã¯ã«ããã©ã«ã½ãªã¥ã¼ã·ã§ã³ãè¶ ããã©ã«æ°´ãèªå°æ¶å¤±çæ³ãªã©ã®ãä¸è½è¬ãã¯ãã¹ã¦ã¤ã³ããã§ããããããããç æ°ã«ãã®ãããå¹ããã¨ãã主張ããã£ãæç¹ã§ã¤ã³ããã¨æå®ãã¦ãããã©ã®ããã«æ²»çã®å¹æå¤å®ãè¡ããã¦ããããèããã°ãããããããã°ãããããç æ°ã«å¹ãä¸è½è¬ãåå¨ããã¨ä»®å®ãã¦ãããããç æ°ã«å¹ããã¨ãã©ããã£ãã確ãããããã ãããç æ°ã®ç¨®é¡ã¯æ°éããªãå¤ããããããã®ç æ°ã«ã¤ãã¦è¨åºè©¦é¨ãè¡ãå¿ è¦ããããçé1å·ã®äºä¾ãæãã ãããç ç´ ãæ¥æ§å骨é«çæ§ç½è¡ç ã«å¹æããããã¨ã確ãããã ãã§ãå°ãªãè¦ç©ãã£ã¦ãæ°å¹´ããã£ã¦ãããããããç æ°ã®ä¸ã®ä¸ç¨®é¡ã§ããæªæ§æ°çç©ã®ä¸ã®ä¸ç¨®é¡ã§ããè¡æ¶²ç³»è «çã®ä¸ã®ä¸ç¨®é¡ã§ããç½è¡ç ã®ä¸ã®ä¸ç¨®é¡ã®æ¥æ§å骨é«çæ§ç½è¡ç ã¸ã®å¹æã確ãããã ãã§ãæ°å¹´ã®æ³æã¨è¤æ°ã®ç 究æ©é¢ãå¿ è¦ãªã®ã ã
ãä¸è½è¬ãã¯ãããããè¨åºè©¦é¨ã¯ãªããã¦ããªãããââçæ³ã¯ã¬ã³ã»ç³å°¿ã»ã¢ããã¼ãã¯ããã»ã¨ãã©ã®ç æ°ãæ²»ãã¾ããã¨ããã¤ã³ããå»çè ã®çºè¨ã®æ¬å½ã«æå³ããã¨ããã¯ããã¾ã¨ããªè¨åºè©¦é¨ãªãã¦ãã¦ãã¾ããããããããè¨åºè©¦é¨ããªãå¿ è¦ããç解ãã¦ãã¾ããããââçæ³ãã¬ã³ã»ç³å°¿ã»ã¢ããã¼ãã¯ããã»ã¨ãã©ã®ç æ°ãæ²»ãã¨ç§ã¯æ ¹æ ãªãæãè¾¼ãã§ãã¾ããã¨ãããã®ã§ããããããããã¨ãã°ããââçæ³ã¯ãstage IVã®éå°ç´°èèºçã®çåæéä¸å¤®å¤ã3ã«æ延ã°ãã¾ããã¨ããçºè¨ã§ãã£ãããä¸å¿ã¯è£ãã¨ããªããã°å¦å®ã§ããªãããã»ã¨ãã©ã®ç æ°ãæ²»ããã¨ããçºè¨ã¯ãè£ãåããã«å¦å®ãã¦ããã
ãä¸è½è¬ãã®æã¡åºãããçç±ã®ä¸ã¤ã¯ãæ½å¨çãªé¡§å®¢ã®å¤§ããã«ããã®ã ããããstage IVã®éå°ç´°èèºçã«å¹ææ群ãããããããã¨ããããé£ç ã«å¹ææ群ãã¨å®£ä¼ããã»ãããã«ã¢ã®æ°ãå¤ããªããæ¨æºå»çã«ã¯éçããããããã«ãæªããã¨æãã¤ã¤ããä¸ç¸·ã®æã¿ãããã¦ã¤ã³ãããä¸è½è¬ãã«é¨ããã¦ãã¾ã人ãããã ãããè¶ ããã©ã«æ°´ãªãããããã¯ç¡å®³ã ãããããã©ã¯ã«ããã©ã«ã½ãªã¥ã¼ã·ã§ã³ã¯äºå¡©ç´ é ¸ãããªã¦ã ã§ããæ害ã§ãããèªå·±è²¬ä»»è«ãçç±ã«ãã¤ã³ããå»çãå§ããè¨èª¬ã«å®¹èªçã§ãã人ãã¡ã¯ããèªåãé£ç ã«ç½¹ãå¿ãå¼±ããªã£ã¦ã絶対ã«é¨ãããªãã¨ããèªä¿¡ãããããªã®ã ããã
ããã«ããä¸è½è¬ãã«ã¯ãæ¨æºå»çãå¿é¿ãããããªãã¨ãã大ããªå¯ä½ç¨ãããããããããç
æ°ãçæéã§å®æ²»ããããç´ æ´ãããæ²»çæ³ããªãæ®åããªãã®ããã¨ããçåã«å¯¾ãã¦ç¨æãããåçã¯é°è¬è«ã§ãããããªãã¡ããä¸è½è¬ã®å¹æãèªãã¦ãã¾ãã¨ãå¤ãã®è£½è¬ä¼ç¤¾ãå»çæ©é¢ãå»å¸«ãã¡ãè·¯é ã«è¿·ããããé°è¬ã«ãã£ã¦çå®ãå°å°ããã¦ãããã¨ããããã ãã¾ããä¸è½è¬ã®åå¨ã¯å»å¦çå®èª¬ã¨èããçç¾ãããããããã»ã¨ãã©ã®ãä¸è½è¬ãã¯ãå®èª¬ã¯ã¦ã½ãã¨ãã主張ã¨ã»ããã«ãªã£ã¦ããããä¸è½è¬ããä¿¡ãã¦ãã¾ã£ã人ã¯ãæ¨æºå»çãé¿ããã§ãããã