サン調剤薬局

滋賀県守山市にある『サン調剤薬局』のブログ

投稿時間 : 10時30分23秒

カテゴリー : 指定なし(ブログ)

ジャンル : 日記

滋賀県守山市サン調剤薬局西川でざいます。
今週はA型インフルエンザの方が急増しました。
もしかしたら、昨年のピーク週並みの患者さんの人数だったのではと思う程です。
睡眠時間を十分にとり、薬局内の加湿も心掛け、年末の繁忙時期を乗り切りましょう。
年末年始の休みはもうすぐ!

研修日時   平成29年7月21日13:00~13:30
研修タイトル 前立腺肥大症状とアボルブ
研修要旨
1、前立腺肥大の3大症状は以下の通りである。
 排尿症状:尿が出にくい(尿勢低下、力まないと出ない、尿が途切れがち)
 排尿後症状:尿が出きらない(残尿感がある、トイレに行った後に漏れてしまう)
 畜尿症状:尿が十分にためられない(我慢ができない、夜中に何度も起きてしまう、1日8回以上トイレに行く)
 前立腺肥大症になると、様々な尿トラブルが出現するようになり、QOLに影響を与えるようになる。尿トラブルで
 多いのは頻尿だが、尿勢低下や残尿感も挙げられる。
 昼間頻尿:女性1722万人、男性1595万人
 夜間頻尿:女性2347万人、男性2135万人
2、前立腺は男性だけにある生殖器で、前立腺液の分泌機能・射精時の調整機能・排尿機能をもつ。その大きさは
 クルミ大程度であるが、年齢とともに大きくなる傾向にあり、前立腺肥大症は進行性疾患に分類される。重症化
 するとソフトボール大の大きさにまで肥大することがある。日本に比べ、アメリカの方が前立腺が大きくなる割合  
 が高い。
3、前立腺肥大症患者は年々増加傾向にあり、55歳以上の男性の5人に1人(約400万人)が前立腺肥大症
 ではないかと推計されている。65歳以上の男性では1000人に89,4人が治療のため通院中であると推計
 されており、その数は生活習慣病に比べても少なくない。(高血圧:290,8人、糖尿病:133人)
4、前立腺肥大症治療における障壁は以下の通りである。
 ・初期・軽症:下部尿路症状が出ていても加齢によるものとして受け入れてしまう。
 ・相談するのが恥ずかしい。
 ・中等症・重症:Dr.に相談するのをためらってしまう。
5、前立腺肥大症の合併症は以下の通りである。
 ・閉尿
 ・尿路感染、膀胱結石、膀胱機能低下
 ・腎機能低下
6、前立腺肥大症の診断はIPSS(国際前立腺症状スコア)8点以上が中等症である。
7、前立腺肥大症の治療薬は以下の通りである。
 ・α1遮断薬⇒効果の発現は比較的早い
          3年以上の長期投与は有効性の根拠不十分(安全性は継続している)
          4~5年で約80%が中止になっている(効果不十分または手術に移行)
 ・PDE5阻害薬
 ・5α還元酵素阻害薬(アボルブ)⇒α1遮断薬との併用がグレードAに変更(前立腺の体積が 30ml 以上)
                 combAT試験によりアボルブとα1遮断薬との併用の有用性が示されている。
 ・抗アンドロゲン薬
 ・漢方・植物エキス製剤
 ・抗コリン薬
8、前立腺肥大症のセルフケアとして家庭でできる主なことは以下の通りである。
 ・軽い運動や散歩           
 ・尿を我慢しないようにする
 ・適度な水分をとる(過剰にならないように)
 ・刺激の強い食べ物は避ける   
 ・下半身を冷やさない
 ・アルコールを飲み過ぎない(夕食後のコーヒーも要注意)
 ・便秘にならないようにする    
 ・長時間座った姿勢をとらない
9、アボルブで気を付ける主な点は以下の通りである。
 ・ソフトジェルカプセルのため、夏場など湿度が高いとフニャフニャになる場合がある→涼しいところに保管する。
 ・服用を中止すると徐々に戻ってしまうため、飲み続ける必要がある。
 ・サガーロと同成分。

前回研修会報告 アンチドーピング http://blog.cabrain.net/CN112049/article/id/103778.html
局内研修会履歴 http://www.myph.jp/sun_pharm/pc/free2.html
薬局HP http://www.myph.jp/sun_pharm/pc/index.html
薬局スマホサイト http://sun-ph.jp/sumaho/


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