ã¾ããã¹ãã¼ã¸â
¢ã®é£éããã®5å¹´ç¸å¯¾çåçã¯ã29.3%ã¨ã¹ãã¼ã¸â
¡ãã大ããä¸ããã¾ãã åºå
¸ï¼ æ¥æ¬çæ²»çå¦ä¼ãé£éãã 診æã»æ²»çã¬ã¤ãã©ã¤ã³ã â
£æ. 54.0ï½56.3ï¼
t4. ç
æ . éå°ç´°èèºããã®ã¹ãã¼ã¸â
ï½â
£ã¾ã§ã®çåçããå°ç´°èèºããã®éå±åã¨é²å±åããããã®çåçãç´¹ä»ãã¾ãããã 5å¹´çåçãç®å®ã¨ãªãã¾ã. ta-1. ã¹ãã¼ã¸4ã®è
èããã®çåçã»ä½å½ã¯ã©ããããï¼ ã¹ãã¼ã¸4ã®è
èããã® 5å¹´çåçã¯20ï¼
ä»¥ä¸ ã¨è¨ããã¦ãã¾ãã. ã¹ãã¼ã¸å¥ã»è
çã»å°¿ç®¡ããã®5å¹´çåç. 74.7ï½84.1ï¼
t3. æ§ã®ã»ãããªãããããã¨ã§ç¥ããã¦ãã¾ããæ®éã®ããã¨åæ§ãã¹ãã¼ã¸ãé²ããã¨ã«ãçåçãä¸ãã£ã¦ãããã¨ã«ãªãã¾ããåçºã転移å¯è½æ§ãå«ãã¦ãå»å¸«ç£ä¿®è¨äºã§ããããããã解説ãã¾ãã åäºæè
¸ã¬ã³ã¯æ©æçºè¦ãåºæ¥ãã°ãã®æ²»çã¯ããã»ã©é£ãããªãããã§ã å¤ç§æè¡ã§åé¤åºæ¥ãã°å®æ²»ã®ç¢ºçãã¨ã¦ãé«ãããã§ãã ã¹ãã¼ã¸1ã»2 ä¹³é é¨ã¬ã³ã®å ´åï¼ã¹ãã¼ã¸1ï¼ åæã®æ®µéã§çºçããããã®ãä¹³é é¨ã 0ï½12.2ï¼
è
çã»å°¿ç®¡ããã®è¡å¾æ¤è¨º. ããã®é¨ä½å¥ãç
æï¼ã¹ãã¼ã¸ï¼å¥ã®5å¹´çåç. ã¹ãã¼ã¸4ã®æ²»çã¯å®æ²»ã¨ããããçç¶ãå°ãã§ã楽ã«ãã¦ããããã¨ã«åãå
¥ãã¾ãã ããã¹ãã¼ã¸4ã®åå®®é ¸ããã ã¨è¨ºæãããå ´åã®5å¹´çåçã¯ããã20ï¼
ã§ãã ãã®ãããæãããã§ããã å³4ï¼ã¹ãã¼ã¸ï¼ç
æï¼ãã¨ã®èºããæ²»çã®æ¦ç¥ äºã¤ç®ã¯ãäºå¾ï¼æ²»çæ績ï¼ã®è¦éãã§ãã äºå¾ã¨ããã®ã¯ãããæ²»çãåããå¾ã®æ²»çæ績ã®ãã¨ã§ãã ããã®æ²»çï¼ä¸»ã«æè¡ï¼ã«ããã¦ã¯5å¹´çåçã¨ããææ¨ãç¨ãããããã¨ãå¤ãã§ãã æ¬ãªãªã¼ã¹ã®ãã¤ã³ã. çåçãã¼ã¿ã¯ãå
¨ããåå çæ½è¨ã®çåçå
±å調æ»çµæï¼2004-2007年診æçä¾ï¼ãå
ã«ãã¦ãã¾ããããã®ã¹ãã¼ã¸4ã§ä»èå¨ã«è»¢ç§»ããã«ãããããããå®æ²»ããæ£è
ãããããã£ãããã¾ããå¿
ããããæ«æãã=æ»ãã§ã¯ãªãã¨ãããã¨ãããã¼ã¿ã示ãã¦ãã¾ãã çãã¾ã¯ãã®æ°åãè¦ã¦ã©ãæãã¾ããï¼ èããã®5å¹´çåç ã¹ãã¼ã¸1 97.4% ã¹ãã¼ã¸2 65.0% ã¹ãã¼ã¸3 47.1% ã¹ãã¼ã¸4 7.2% (å
¨å½ããã»ã³ã¿ã¼åè°ä¼hpããï¼ çåçãã¼ã¿ã¯ãå
¨ããåå çæ½è¨ã®çåçå
±å調æ»çµæï¼2004-2007年診æçä¾ï¼ãå
ã«ãã¦ãã¾ããããã®ã¹ãã¼ã¸4ã§ä»èå¨ã«è»¢ç§»ããã«ãããããããå®æ²»ããæ£è
ãããããã£ãããã¾ããå¿
ããããæ«æãã=æ»ãã§ã¯ãªãã¨ãããã¨ãããã¼ã¿ã示ãã¦ãã¾ãã ããã§ããããã çç´°èã¯ç¡éã«å¢æ®ããæ§è³ªããããå
ç«ç´°è� 2019å¹´8æ8æ¥ å½ç«ç 究éçºæ³äººå½ç«ããç 究ã»ã³ã¿ã¼. 5å¹´çåçã¨æ»äº¡çã®èãæ¹ã«ã¤ãã¦. 79.6. ã¹ãã¼ã¸ii. åäºæè
¸ã¬ã³ã®ã¹ãã¼ã¸ã¨çåç. ããããããã¾ãããããç²è
¸ãã¯æ£ããã¯èå¨ã®ä¸é¨ã®ååã§ãã ç 究çã¯ã2007å¹´ã¾ã§ã®4å¹´éã«å
¨å½ã®21ã®ä¸»ãªããå°éç
é¢ã§ããã¨è¨ºæããã9ä¸4000人ãã¾ãã®ãã¼ã¿ãåæãã¾ããã çåçã¨ä½å½å
±ã«ã¹ãã¼ã¸ â
¡ã¨æ¯ã¹ãã¨å¤§ããå¤åãè¦ããã¾ãã ä¸å»ãæ©ã æ²»çãåããå¿
è¦æ§ãããã¾ãã ã¹ãã¼ã¸ â
£. 大è
¸ç ã¹ãã¼ã¸3 çåçã¯ãå
æ²»å
å¹´ï¼1864ï¼å¹´åµæ¥ã®èèãæ±æ¸å代ç´ãããã¡ãçµµã®çå
ã§ããæ±æ¸ã®æåãåæ ããè²é®®ãããªææºãã®æ±æ¸å代ç´ããä¼çµ±è£½æ³ã®æ±æ¸ç¬å¼µåããä½ããã¦ãã¾ãã ã¹ãã¼ã¸â
¢ã»ã»ã»5å¹´å¾çåç50~60ï¼
ã¹ãã¼ã¸â
£ã»ã»ã»5å¹´å¾çåç30ï¼
以ä¸ï¼10ï¼
ç¨åº¦ã¨è¨ãå»è
ããã¾ãï¼ â»5å¹´å¾çåçã¨ã¯ã5å¹´å¾ã«çåãã¦ããçãªã®ã§ãç以å¤ã®çç±ã§æ»äº¡ãã¦ãããã¨ãæ°ã«å
¥ã£ã¦ãã¾ãã ãã®ããçåç100ï¼
ã¯æãå¾ã¾ããã 5å¹´å¾çåä¸å¤®å¤ã¨ã¯ã5 5å¹´ããç¹ç°çåç. èµèçã®çåçã¨ä½å½ã¯ã¹ãã¼ã¸åé¡ã«ãã£ã¦ç°ãªãã¾ããèµèçã®å®æ²»ãæå¾
ã§ããæ²»çæ³ã¯æè¡çæ³ã§ãããã¹ãã¼ã¸4ã«ãªãã¨æè¡ãããã¨ãã§ããªããªãã¾ããèµèçã®ã¹ãã¼ã¸å¥çåçã¨ä½å½ã«ã¤ãã¦ç¥ã£ã¦ããã¾ãããã é£éããã®çåçã¯ã¹ãã¼ã¸ãã¨ã«çµ±è¨ãåããã¦ãã¾ãããããã®çµ±è¨ â18ãã§ã¯ã¹ãã¼ã¸iããã¹ãã¼ã¸ivã®4段éã«åé¡ããã¨ãã®çåçãè¨è¼ããã¦ãã¾ãã ã¹ãã¼ã¸. 10å¹´çåçã¯å¹´ã
åä¸. 5å¹´çåç (%) ã¹ãã¼ã¸i. 92.1ï½97.8ï¼
t2. çæ³¢ã¡ãã£ã«ã«ã»ã³ã¿ã¼ç
é¢ãè¨åçå°åããã»ã³ã¿ã¼ãéé¢ãã1999å¹´5æããå½ããã»ã³ã¿ã¼ã§æ²»çãåããããæ£è
ããã®ç
æåé¡ï¼ã¹ãã¼ã¸åé¡ï¼å¥ã®5å¹´çåçãå ±åãã¾ãã 大è
¸ããã®ã¹ãã¼ã¸4ã®çåçã¨åçºçã転移ããããèå¨ãªã©ãã¾ã¨ãã¦ãã¾ãã大è
¸ããã¯ã¹ãã¼ã¸4ã§ã18ã20ï¼
ã®çåçããããããã¯èãèèãªã©ã®èå¨ã«æ¯ã¹ã¦å§åçã«é«ãæ°åã§ãã ä¾ãã°ãä¸å³ã®ã横é è³å
±æ¸ç
é¢ãã®ãã¼ã¿ãè¦ã¦åããããã«ã5å¹´ï¼60ã¶æï¼æç¹ã§ã®çåçã20ï¼
ãä¸åã£ã¦ãããã¨ã確èªã§ãã¾ããã ã¹ãã¼ã¸â
£ã®5å¹´çåçã¯å
¨ããã§å¤§ãã16ï¼
ã§ãããâé£éââèââèèââèºã»æ°ç®¡âãªã©ã§ã¯10ãã¼ã»ã³ããåã£ã¦ãã¾ããåé¢ãâåç«è
ºâç´44ï¼
ãâä¹³æ¿âç´32ï¼
ã¨ãé«ãçåçãèªããããããã¾ãã æ²»çã®æµã. åé ã»èå¢ã»è
ã»è
ç尿管ç3å¹´åéè¨ ãã診çé£æºæ ç¹ç
é¢çé¢å
ããç»é²2012å¹´3å¹´çåçã2009å¹´ãã10å¹´5å¹´çåçå
¬è¡¨ åé ã»èå¢ã»è
ã»è
ç尿管ç3å¹´åéè¨. 27.1. ã¹ãã¼ã¸iv. 51.7. ã¹ãã¼ã¸iii. æ§äººå£10ä¸äººããã117.9人ã§ãèãããèºããã大è
¸ã«æ¬¡ãã§ç¬¬4ä½ã§ãã ä¹³çã¹ãã¼ã¸4ã®çåçã¯ã©ãä½ãªã®ï¼ ä¹³çã¹ãã¼ã¸4ã®æµ¸æ½¤çã®5å¹´çåçã¯ãç´10ï¼
ã¨ãªãã¾ããæç®ã«ãã£ã¦çåçã30ï¼
ï½40ï¼
ã¨ãã¦ãããã®ãããã¾ãããä¹³çã¹ãã¼ã¸4ã¯çç´°èã®è»¢ç§»ãå
¨èº«ã«å¤ãè¦ãããæè¡æ²»çã極ãã¦é£ãããå±éºãªç¶æ
ã§ããå ´åãããã¾ãã