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酒好き必読！ 肝臓のダメージが分かる健康診断の数値の「意外な組み合わせ」〈γ-GTPだけじゃない〉 | 文春オンライン
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data-share-type="copy" data-track-action="click" type="button"><span>コピー</span></button><span id="copy-btn-result"></span></div> </div> <script> window.fbAsyncInit = function() { FB.init({ appId : '722817551203885', xfbml : true, version : 'v2.11' }); FB.AppEvents.logPageView(); }; document.getElementById('fb-shareBtn').onclick = function() { var href = this.getAttribute('href'); var param = (href.indexOf('?') != -1) ? '&' : '?'; param += 'utm_source=facebook.com&utm_medium=social&utm_campaign=socialLink'; href += param; FB.ui({ method: 'share', display: 'popup', href: href, hashtag:'#伊藤大介' }, function(response){}); return false; } </script> <div class="article-body"> <div class="box bg"> <p>健康診断の結果という“数字の羅列”を、身体を読み解くコンパスに変える――。総合診療医・伊藤大介氏が、健康診断における「肝機能」の見方について解説します。</p> </div> <p>◆◆◆</p> <h2>健康診断の鍵は「ピラミッド」にある</h2> <p>「<span class="bold">γ-GTP</span>が基準値を少し超えているけど、放置しても問題ないだろう」</p> <p> 多くの人が健康診断の結果表を受け取った時、このように特定の項目に目が行きがちだと思います。結果表のA、B、C、D、E……といった判定を見て、一喜一憂するばかりの人も多い。しかし、それでは「宝の地図」であるはずの健康診断を十分に活用したとは言えません。</p> <div class="block ad-banner inarticle"> <p style="color: #8a9299; font-size: 10px; margin-bottom: 3px; margin-top: 3px; text-transform: uppercase; text-align: center;">ADVERTISEMENT</p> <!-- /58502704/bunshun/pc_article_inarticle --> <div style="width: 728px;"> <div id="div-gpt-ad-1589267210795-0"> <script> googletag.cmd.push(function() { googletag.display('div-gpt-ad-1589267210795-0'); }); </script> </div> </div> </div> <p> 私は以下の図のように健康診断の結果は「ピラミッド」にして考えることが重要だと思っています。</p> <figure class="image-area figure-center" style="width:80%;"><div class="image-with-link"><a class="thumb-link ga_tracking" data-track-category="Article Photo Thumbnails" data-track-action="click" href="/articles/photo/75050?pn=1"><img alt="「健康診断のピラミッド」 ©文藝春秋" class="main-image" src="https://bunshun.ismcdn.jp/mwimgs/0/8/1500wm/img_088c140adda05c000e8b0dfb6ab70dfe74746.jpg" loading="lazy"><span class="icon-image-link"><img src="https://bunshun.ismcdn.jp/common/images/bunshun/v1/article/photo/icon-gallery-lap.svg" loading="lazy" alt="写真を見る"></span></a></div> <figcaption>「健康診断のピラミッド」 ©文藝春秋</figcaption> <div class="btn-link-photopage noprovide"><a href="/articles/photo/75050" class="ga_tracking" data-track-category="Article Photolink Top" data-track-action="click">この記事の画像（2枚）</a></div></figure> <p> この連載の<a href="https://bunshun.jp/bungeishunju/articles/h8335?ref=innerLink" class="ga_tracking" data-track-action="click" data-track-category="Article Inner Link">第1回</a>でも説明したことですが、「ピラミッド」で考える利点は、「未病」の段階から「重篤な病気」の段階に至るまで、常に自分が「ピラミッドの何段目にいるのか」を把握できることです。</p> <p> 実はもう一つ、大きな利点があります。それは「全ての臓器・疾患が関連している」ことが可視化されること。<span class="bold">複数の検査項目が上段にある臓器の機能や疾患</span><span class="bold">と関係</span>していることが分かるのです。</p> <p> では、実際には<span class="bold">どんな項目の組み合わせが、どの臓器や疾患と関係しているのでしょうか</span>？ </p> <p> そこで今回は、<span class="bold">実際に医者が重視する「</span><span class="bold">検査項目</span><span class="bold">の組み合わせ」を紹介</span>します。読者の方々は「医者は、こんなところを見ているの！？」と、その意外性に驚かれることもたくさん出てくると思います。</p> <button id="twitter-share-btn" type="button" aria-label="Share on Twitter"> <span class="fab fa-twitter"> <svg fill="none" height="30" viewBox="0 0 29 30" width="29" xmlns="http://www.w3.org/2000/svg"> <path d="m17.2589 12.703 10.7959-12.703h-2.5582l-9.3741 11.0298-7.48707-11.0298h-8.63543l11.3219 16.679-11.3219 13.321h2.55843l9.89927-11.6478 7.9069 11.6478h8.6354zm-3.5041 4.1229-1.1471-1.6608-9.12743-13.21558h3.92959l7.36594 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