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10 ѹѺáͧ
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   2536

ҡҡʴ
   ͧä
ѭҳѹ 8   
   С÷ءèШ
   آҾ  

˵лѨ§
դ§͡
   ä

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  ͡ʡԴ


 



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 ʶԵä秢ͧ      
: ἹҹʶԵ ʶҺѹ觪ҵ (National Cancer Institute)

ä繻ѭҷҧҸóآͧš ˵ءõ»ҳ 
13% ͧ 繨ӹǹҡ 6 ҹ 㹻 .. 2537 
ըӹǹäҡ 18 ҹռҳ 9 ҹ
㹷ء ͧ͹šҴó㹻 2563 š 
դ´äҡ 11 ҹ ШԴ㹻ȷ
ѧѲҡ 7 ҹ ͧҡջѨҧǢͧѺ
Դä

ääҹҹ»㹡áԴä ͹Ҥ
ЪҪ ׹ǢաäǺäԴ͹ աäǺ
ѵҵ¢ͧááʹŴŧ çҧͧЪҡ
¹ŧ áҡǴ ա¹ŧ
ԶաôԹԵͧЪҪ੾Сٺ ô С
Ѻзҹ÷§͡Դäҡ

ä秷辺 6 ѹѺáͧš 移ʹ  秡 
ҹ ˭ 秵Ѻ 移ҡ١ ӴѺ 
Դͧä秷辺л͹ѹͧҡ
ЪҪաԴäԴ͵ҧѹ Ѻѧ վĵԡ
سѵԷҧѹء ԶաôԹԵǴ
ᵡҧѹ

غѵԡâͧä㹻㹻 .. 2536 ըӹǹ
秷辺 63,740
Ȫըӹǹ秷辺32,801 / ä秷辺ҡش
Ȫ 10 ѹѺá

- 秵Ѻ 8,189  
- 移ʹ 5,500  
- ˭ 2,191  
- ͧҡ 1,094  
- 秡л 1,057  
- 秡 1,041  
- ʹ 891  
- 秵ͧ 881  
- ѧç١ 855  
- ʹ 748


˭ԧըӹǹ秷辺 30,940 / 
ä秷辺ҡش˭ԧ 10 ѹѺá 

- 移ҡ١ 5,462  
- ҹ 4,223  
- 秵Ѻ 3,679  
- 移ʹ 2,608  
- ˭ 1,789  
- ѧ 1,252  
- 秪ͧҡ 953  
- 秵´ 885  
- 秡 723  
- 秤١ 703  

 

 

 

10 ѹѺáͧ辺Ȫ¢ͧ 2536

ӴѺ Դ  ASR
1 秵Ѻ 37.4 ,
2 移ʹ 26.5,
3 ˭ 6.2, 
4 秪ͧҡ 5.4,
5 秡л 5.2,
6 4.9, 
7 秵١ҡ 4.4,
8 ç 4.2,
9
 
ʹ
秵 ͧ
3.7,
10 ѧç١ 3.6,

: ἹҹʶԵ ʶҺѹ觪ҵ 
ASR ѵǹͻЪҡ˹ʹ 








ҡҡʴͧä

1. ҡ㹪ǧáзҧ繨ӹǹ 
2. ҡҧҧ˹觵ѭҳѹ 8 С ѭҳ
͹ Ҥ仾ᾷ ͡õǨä ˵
ѭҳ ҹ ͡ѡ䢷ҧᾷ١ͧ͹Сä
 ء 
3. ҡû¢ͧä ͹ ˹ѡŴ ҧ
ش ʴ  
4. ҡ÷觺͡ ء ҡ Ѻ
秪ԴաáШ¢ͧäǹ㴢ͧҧ·Ӥѭش
ͧҡ㹡 ҡ纻Ǵ ʹءҹ 



ѭҳѹ 8 СءèШآҾ 
1.ա¹ŧͧкѺب л ب
   մ ͻʹ 
2. ׹Ӻҡ ҡ´ 蹷ͧҹҹ 
3. ҡ§˺ ѧ 
4. ʹ͵ǷԴ ա 
5. ūѡ 
6. ա¹ŧͧٴ併ҧ 
7. ա͹ҹǹҧ ͧҧ 
8. ʹ 



˵лѨ§
˵лѨ§ͧԴ ͡ 2 Ӥѭ  
1. ԴҡǴ¹͡ҧ 觻Ѩغѹ͡ѹ ǹ
˭ Դҡ˵ 
    1.1 á秷軹͹ͧ þɨҡ
          ժ ſҷ͡Թ (Alfatoxin) á秷Դҡû ҧ    
          ǡⴤ͹ (Hydrocarbon) շ㹢ǹö
          ëԹ (Nitosamine) ռ÷Ҩҡ 
    1.2 ѧ硫 ŵŵҡʧᴴ 
    1.3 ʵѺѡʺ Ὰ 
    1.4 õԴ;Ҹ㹵Ѻ 
    1.5 ҡĵԡҧҧ ٺд 繵 

2. ԴҡԴҧ ǹ 硷դ
ԡ Դ͡ʹ 繵 Ԥѹ躡ͧ 
ؾҡ âҴǵԹҧԴ ǵԹ 繵  
ǹ˭˵ҨҡǴ ѧ 秡Ҩäö ͧѹ
ǡѺäԴ (Hill R.P,Tannock IF,1987) һЪҪ ǡѺ
êԴ秷Ǵ
ա§ʡѺҹ ٺ ա§ҡdz 
դѹ 繵 Ѻ˵ҧ¹鹡ûͧѹ Һ 
ͧѴ㹡ѵ§͡ ٧ҡҡ  
ѧ鹡仾ᾷͤ͢йǡѺͧ秵 
óշ Ǩá 觨աõͺʹͧ͡
ѡҤ͹ҧ 



Ѩ§͡ä秷Ӥѭ 2  
á Ѩ¨ҡǴ¹͡ҧ á秷軹
͹ ҡ ͧ ѡä 繵 駡Ѻѧ 
Ấ оҸԺҧԴ 

ͷͧ
Ѩҧ ԴԷҧѹء 
ͧͧкԤѹ зؾ 繵 



դ§͡ä մѧ
1. ٺ դ§͡秢ͧк ʹ 
    Сͧ§ 繵 
2. 繻Ш §͡秵Ѻ ҷ駴ٺ
    Ѵ §͡秪ͧҡӤʹ 
3. 繾ТͧʵѺѡʺԴ ͼͺѺзҹ
    þ ſҷ͡ 辺ҡҷ軹͹
    ʧ 繵 ҡѺзҹШӨ§͡秵Ѻҡ
    Ѻ 2 ҧ ͡ 秵Ѻҡ 
4. Ѻзҹ÷ѹ٧繻Ш §͡
    ҹ ˭ ͺ١ е١ҡ 
5. Դ;ҸѺ Ѻзҹ÷Թ繻Ш 
    §͡秷͹Ӵ㹵Ѻ 
6. ԤѹͧѹԴҡԴԨҡѹء͵Դ
    ʹ §͡秵ͧ 移ҡ١
    ͧʹʹ 繵 
7. ѺзҹѴ ÷ǹԹǹ
    ͧ繻ШӨ§͡秡
    ˭ 
8. ջѵä㹤ͺ ҷ 秢ͧ͵ ҹ 
    ѧ ˭誹Դ繵 繵 
9. ҡᴴѴ繻ШӨѺѹ¨ҡʧᴴջҳͧ
    ʧŵ ŵ ӹǹҡ ռŷ秼˹ѧ 




5 С͡ûͧѹ
1. ѺзҹѡСšҡ ӻ Ӵ͡ ѡй  
    ǼѡҴ ͤ  
2.Ѻзҹ÷աҡҡ ѡ ⾴
    ѭת 
3.Ѻзҹ÷ີ- ÷չ ǵԹ ٧ ѡ  
    -ͧ 
4. Ѻзҹ÷ǵԹ٧ ѡ ҧ  
5. Ǻ˹ѡ 


7 СŴ§ 
1.Ѻзҹ÷Ң 
2. Ŵѹ 
3.Ŵôͧ û-ҧ ѹ ÷趹
   ÷-  
4.Ѻзҹء Ժ » Ҩ  
5.شŴٺ 
6.Ŵôš 
7. ҵҡᴴ 
ͻͧѹä˭ ǹ
кҧԹ 
ͻͧѹ˭ 
ͻͧѹʹ ͧ§ лʹ 
ͻͧѹʹ  
äǹդѹѺä١ اӴ ҹ ˭ ͡ ѧСŴѺзҹ÷ ѧҹ٧ 
Ъ»ͧѹ ҹ 



ͤա§ҡ觷͡ʡԴ
- ÷Ң੾-ͧ ſҷ͡Թ͹
   Ҩ ˵آͧä秵Ѻ 
- ѹ٧з§͡ ҹ ˭
   ١ҡ 
- ҹ з§ ʹ 秡  
   ˭ зäҸѺ §͡
   秢ͧ͹Ӵ㹵Ѻ 
- ٺ з§͡ 移ʹ ͧ§  
   ٺ§͡秪ͧҡ Ъͧ 
- š §͡ Ѻ ҷ駴ٺ§
   ͡ 秪ͧҡ ͧ ͧ§ ʹ 
- ҡᴴѴҡԹ §͡Դ 秼˹ѧ 


 


 






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