{"id":1342,"date":"2026-01-31T21:24:42","date_gmt":"2026-01-31T12:24:42","guid":{"rendered":"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/?p=1342"},"modified":"2026-01-31T21:24:42","modified_gmt":"2026-01-31T12:24:42","slug":"post-1342","status":"publish","type":"post","link":"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/post-1342\/","title":{"rendered":"\u4e9c\u6025\u6027\u8907\u5408\u5909\u6027\u75c7\uff1a\u7b11\u6c17\u30ac\u30b9\u5438\u5165\u306b\u3088\u308b\u526f\u4f5c\u7528"},"content":{"rendered":"\n

32\u6b73\u7537\u6027\u3002\u7279\u8a18\u3059\u3079\u304d\u65e2\u5f80\u306a\u3057\u3002<\/p>\n\n\n\n

6\u9031\u9593\u524d\u304b\u3089\u8155\u3068\u8db3\u306b\u3046\u305a\u304d\u611f\u304c\u3042\u308a\u30012\u9031\u9593\u524d\u304b\u3089\u6b69\u304f\u3053\u3068\u304c\u51fa\u6765\u306a\u3044\u72b6\u614b\u306b\u81f3\u3063\u305f\u305f\u3081\u3001\u6551\u6025\u5916\u6765\u3092\u53d7\u8a3a\u3057\u305f\u3002<\/p>\n\n\n\n

\u767a\u75c7\u306e2\u30f5\u6708\u524d\u304b\u3089\u300c\u7b11\u6c17\u30ac\u30b9\uff08N2O\uff09\u300d\u3092\u6bce\u65e5\u5438\u3044\u59cb\u3081\u305f\u3002<\/p>\n\n\n\n

\u8eab\u4f53\u691c\u67fb\u3067\u306f\u30ed\u30f3\u30d9\u30eb\u30b0\u30c6\u30b9\u30c8\u967d\u6027\uff08\u810a\u9ac4\u5f8c\u7d22\u306b\u554f\u984c\u304c\u3042\u308b\u304b\u78ba\u8a8d\u3059\u308b\u30c6\u30b9\u30c8\uff1a\u4e21\u8db3\u3092\u63c3\u3048\u3066\u305f\u3061\u3001\u76ee\u3092\u9589\u3058\u3066\u3082\u3089\u3063\u3066\u7acb\u3061\u7d9a\u3051\u308b\u4e8b\u304c\u3067\u304d\u308b\u304b\u30c1\u30a7\u30c3\u30af\u3059\u308b\u30c6\u30b9\u30c8\u3002\u30d0\u30e9\u30f3\u30b9\u3092\u5d29\u305b\u3070\u967d\u6027\uff09\u3001\u611f\u899a\u5931\u8abf\u3001\u632f\u52d5\u899a\u4f4e\u4e0b\u3092\u8a8d\u3081\u305f\u304c\u3001\u6e29\u75db\u899a\u306f\u4fdd\u305f\u308c\u3066\u3044\u305f\u3002<\/p>\n\n\n\n

MRI\u65bd\u884c\u3002T2\u5f37\u8abf\u753b\u50cf\u306b\u3066C1\uff5eTh12\u307e\u3067\u306e\u5f8c\u90e8\u810a\u9ac4\u306b\u9ad8\u4fe1\u53f7\u304c\u793a\u3055\u308c\u305f\u3002<\/p>\n\n\n\n

\"\"<\/figure>\n\n\n\n

\u6c34\u5e73\u65ad\u3067\u306fT2\u5f37\u8abf\u753b\u50cf\u3068FLAIR\u306b\u3066\u810a\u9ac4\u5f8c\u7d22\u306b\u9ad8\u4fe1\u53f7\u3092\u8a8d\u3081\u305f\u3002<\/p>\n\n\n\n

\u3053\u308c\u306f\u4e9c\u6025\u6027\u8907\u5408\u5909\u6027\u75c7\u3067\u898b\u3089\u308c\u308b\u300c\u9006V\u30b5\u30a4\u30f3\u300d\u3068\u3057\u3066\u77e5\u3089\u308c\u308b\u6240\u898b\u3002<\/p>\n\n\n\n

\"\"<\/figure>\n\n\n\n

\u63a1\u8840\u6240\u898b\u306fVitB12 107 pg\/ml(\u57fa\u6e96\u5024 >231)\u3001\u5927\u7403\u6027\u8ca7\u8840\u306f\u8a8d\u3081\u306a\u304b\u3063\u305f\u3002\u6297\u5185\u56e0\u5b50\u6297\u4f53\u9670\u6027\u3060\u3063\u305f\u3002<\/p>\n\n\n\n

N2O\u4f7f\u7528\u306b\u95a2\u9023\u3059\u308b\u300c\u4e9c\u6025\u6027\u8907\u5408\u5909\u6027\u75c7\u300d\u3068\u8a3a\u65ad\u3055\u308c\u305f\u3002<\/p>\n\n\n\n

N2O\u3092\u9577\u671f\u9593\u4f7f\u7528\u3059\u308b\u3068\u3001VitB12\u304c\u4e0d\u6d3b\u6027\u5316\u3055\u308c\u3001\u30e1\u30c1\u30aa\u30cb\u30f3\u5408\u6210\u9175\u7d20\u6d3b\u6027\u304c\u963b\u5bb3\u3055\u308c\u308b\u3002<\/p>\n\n\n\n

N2O\u4f7f\u7528\u306e\u4e2d\u6b62\u3068\u30b7\u30a2\u30ce\u30b3\u30d0\u30e9\u30df\u30f3\uff08Vit.B12\uff09\u6ce8\u5c04\u306b\u3088\u308b\u6cbb\u7642\u30922\u9031\u9593\u53d7\u3051\u305f\u5f8c\u3001Vit.B12\u306f\u6b63\u5e38\u5316\u3057\u305f\u3002<\/p>\n\n\n\n

4\u9031\u9593\u5f8c\u306b\u306f\u81ea\u7acb\u3057\u3066\u6b69\u304f\u3053\u3068\u304c\u51fa\u6765\u308b\u307e\u3067\u56de\u5fa9\u3057\u305f\u3002<\/p>\n\n\n\n

\n

N Engl J Med 2022; 387:832<\/p>\n\n\n\n

DOI: 10.1056\/NEJMicm2119871<\/p>\n<\/blockquote>\n","protected":false},"excerpt":{"rendered":"

32\u6b73\u7537\u6027\u3002\u7279\u8a18\u3059\u3079\u304d\u65e2\u5f80\u306a\u3057\u3002 6\u9031\u9593\u524d\u304b\u3089\u8155\u3068\u8db3\u306b\u3046\u305a\u304d\u611f\u304c\u3042\u308a\u30012\u9031\u9593\u524d\u304b\u3089\u6b69\u304f\u3053\u3068\u304c\u51fa\u6765\u306a\u3044\u72b6\u614b\u306b\u81f3\u3063\u305f\u305f\u3081\u3001\u6551\u6025\u5916\u6765\u3092\u53d7\u8a3a\u3057\u305f\u3002 \u767a\u75c7\u306e2\u30f5\u6708\u524d\u304b\u3089\u300c…<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[31,22,26],"class_list":["post-1342","post","type-post","status-publish","format-standard","hentry","category-mri","category-22","category-26"],"aioseo_notices":[],"_links":{"self":[{"href":"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-json\/wp\/v2\/posts\/1342","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-json\/wp\/v2\/comments?post=1342"}],"version-history":[{"count":1,"href":"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-json\/wp\/v2\/posts\/1342\/revisions"}],"predecessor-version":[{"id":1345,"href":"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-json\/wp\/v2\/posts\/1342\/revisions\/1345"}],"wp:attachment":[{"href":"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-json\/wp\/v2\/media?parent=1342"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-json\/wp\/v2\/categories?post=1342"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}