{"id":117,"date":"2025-09-29T07:11:21","date_gmt":"2025-09-28T22:11:21","guid":{"rendered":"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/?p=117"},"modified":"2026-05-25T21:17:49","modified_gmt":"2026-05-25T12:17:49","slug":"post-117","status":"publish","type":"post","link":"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/post-117\/","title":{"rendered":"\u597d\u9178\u7403\u6027\u7b4b\u819c\u708e"},"content":{"rendered":"\n<p class=\"wp-block-paragraph\">66\u6b73\u7537\u6027\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u7d048\u304b\u6708\u524d\u304b\u3089\u8155\u3084\u811a\u306e\u76ae\u819a\u306e\u5f35\u308a\u3068\u816b\u308c\u3001\u75db\u307f\u304c\u51fa\u73fe\u3057\u305f\u3002\u3088\u304f\u306a\u3089\u306a\u3044\u305f\u3081\u5185\u79d1\u5916\u6765\u3092\u53d7\u8a3a\u3057\u305f\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u65e2\u5f80\u3068\u3057\u3066\u306f\u7279\u306b\u306a\u3044\u304c\u3001\u5f37\u76ae\u75c7\u306e\u53ef\u80fd\u6027\u306b\u5bfe\u3057\u3066PSL\u3068MTX\u3092\u5185\u670d\u3057\u3066\u3044\u305f\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u53d7\u8a3a\u6642\u8eab\u4f53\u6240\u898b\u3067\u306f\u3001\u80f4\u4f53\u3001\u8155\u3001\u811a\u306b\u5bfe\u7167\u7684\u306a\u6728\u8cea\u786c\u7d50\u304c\u3042\u308a\u3001\u624b\u3068\u8db3\u306f\u4fdd\u305f\u308c\u3066\u3044\u305f\u3002\u76ae\u819a\u306f\u304f\u307c\u307f\u304c\u3042\u308b\u5916\u89b3\u3067\u3042\u3063\u305f\u3002\u8155\u3092\u4e0a\u3052\u308b\u3068\u8868\u5728\u9759\u8108\u306e\u7d4c\u8def\u306b\u6cbf\u3063\u3066\u304f\u307c\u307f\u304c\u751f\u3058\u305f\u3002\u8098\u306e\u62d8\u7e2e\u3082\u8a8d\u3081\u305f\u3002<\/p>\n\n\n\n<figure class=\"wp-block-image size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"376\" height=\"394\" src=\"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2025\/09\/image-18.jpg\" alt=\"\" class=\"wp-image-118\" srcset=\"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2025\/09\/image-18.jpg 376w, https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2025\/09\/image-18-286x300.jpg 286w\" sizes=\"auto, (max-width: 376px) 100vw, 376px\" \/><\/figure>\n\n\n\n<p class=\"wp-block-paragraph\">\u63a1\u8840\u65bd\u884c\u3002\u597d\u9178\u7403\u6570\u306f2040\/mm3\uff08\u6a19\u6e96\u7bc4\u56f2 15\uff5e500\uff09\u3001\u6297\u6838\u6297\u4f53\u306f\u8a8d\u3081\u306a\u304b\u3063\u305f\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u78ba\u5b9a\u8a3a\u65ad\u306e\u305f\u3081\u3001\u76ae\u819a\u751f\u691c\u65bd\u884c\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u75c5\u7406\u6240\u898b\u3068\u3057\u3066\u306f\u3001\u771f\u76ae\u3068\u76ae\u4e0b\u7d44\u7e54\u306e\u9593\u8cea\u306a\u3089\u3073\u306b\u8840\u7ba1\u5468\u56f2\u306b\u597d\u9178\u7403\u3068\u30ea\u30f3\u30d1\u7403\u306e\u6d78\u6f64\u3092\u8a8d\u3081\u305f\u3002<\/p>\n\n\n\n<figure class=\"wp-block-image size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"478\" height=\"394\" src=\"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2025\/09\/image-18-1.jpg\" alt=\"\" class=\"wp-image-119\" srcset=\"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2025\/09\/image-18-1.jpg 478w, https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2025\/09\/image-18-1-364x300.jpg 364w\" sizes=\"auto, (max-width: 478px) 100vw, 478px\" \/><\/figure>\n\n\n\n<p class=\"wp-block-paragraph\">\u4e0a\u8a18\u6240\u898b\u304b\u3089\u300c\u597d\u9178\u7403\u6027\u7b4b\u819c\u708e\u300d\u3068\u8a3a\u65ad\u3057\u305f\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u60a3\u8005\u306e\u75c7\u72b6\u306f\u73fe\u5728\u4f7f\u7528\u3057\u3066\u3044\u308bPSL\uff0bMTX\u3067\u306f\u7121\u52b9\u3067\u3042\u308a\u3001\u30b9\u30c6\u30ed\u30a4\u30c9\u30d1\u30eb\u30b9\u7642\u6cd5\uff0bIVIG\u304c\u65bd\u884c\u3055\u308c\u3001\u305d\u306e\u5f8cPSL\uff0bMMF\u3067\u7dad\u6301\u3055\u308c\u305f\u30024\u304b\u6708\u5f8c\u3001\u75c7\u72b6\u306f\u5b8c\u5168\u6d88\u5931\u3092\u7dad\u6301\u3057\u3066\u3044\u308b\u3002<\/p>\n\n\n\n<blockquote class=\"wp-block-quote is-layout-flow wp-block-quote-is-layout-flow\">\n<p class=\"wp-block-paragraph\">N Engl J Med 2023; 388:e65<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">DOI: 10.1056\/NEJMicm2212023<\/p>\n<\/blockquote>\n\n\n\n<p class=\"wp-block-paragraph\">\u300c\u597d\u9178\u7403\u6027\u7b4b\u819c\u708e\u300d\u306b\u3064\u3044\u3066\u306f\u4e0b\u8a18\u306b\u3066\u304f\u308f\u3057\u304f\u89e3\u8aac\u3057\u3066\u3044\u307e\u3059<\/p>\n\n\n\n<figure class=\"wp-block-embed is-type-wp-embed\"><div class=\"wp-block-embed__wrapper\">\n<blockquote class=\"wp-embedded-content\" data-secret=\"NAmNvHJzWU\"><a href=\"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/post-4648\/\">\u597d\u9178\u7403\u6027\u7b4b\u819c\u708e\u3068\u306f\uff1f\uff1a\u624b\u8db3\u304c\u786c\u304f\u306a\u308b\u30fb\u76ae\u819a\u304c\u7a81\u3063\u5f35\u308b\u539f\u56e0\u306b\u306a\u308b\u300c\u73cd\u3057\u3044\u81ea\u5df1\u514d\u75ab\u75be\u60a3\u300d\u3092\u67cf\u30fb\u6211\u5b6b\u5b50\u30fb\u53d6\u624b\u306e\u30ea\u30a6\u30de\u30c1\u5c02\u9580\u533b\u304c\u89e3\u8aac<\/a><\/blockquote><iframe loading=\"lazy\" class=\"wp-embedded-content\" sandbox=\"allow-scripts\" security=\"restricted\" style=\"position: absolute; 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