{"id":3859,"date":"2026-04-27T07:30:30","date_gmt":"2026-04-26T22:30:30","guid":{"rendered":"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/?p=3859"},"modified":"2026-04-27T07:55:04","modified_gmt":"2026-04-26T22:55:04","slug":"post-3859","status":"publish","type":"post","link":"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/post-3859\/","title":{"rendered":"\u95a2\u7bc0\u30ea\u30a6\u30de\u30c1\u306e\u6574\u5f62\u5916\u79d1\u624b\u8853\u306b\u304a\u3051\u308b\u5468\u8853\u671f\u7ba1\u7406\uff1a\u514d\u75ab\u6291\u5236\u85ac\u3092\u3069\u3046\u3059\u308b\u306e\u304b\uff1f"},"content":{"rendered":"\n<p><strong>\u95a2\u7bc0\u30ea\u30a6\u30de\u30c1\uff08RA\uff09\u60a3\u8005\u306a\u3069\u514d\u75ab\u6291\u5236\u60a3\u8005\u304c\u4eba\u5de5\u95a2\u7bc0\u7f6e\u63db\u8853<\/strong>\u306a\u3069\u306e\u6574\u5f62\u5916\u79d1\u624b\u8853\u3092\u53d7\u3051\u308b\u969b\u3001\u670d\u7528\u3057\u3066\u3044\u308b\u85ac\u5264\u3092\u300c\u4f11\u85ac\uff08\u4e00\u6642\u4e2d\u6b62\uff09\u3059\u3079\u304d\u304b\u3001\u7d99\u7d9a\u3059\u3079\u304d\u304b\u300d\u306f\u975e\u5e38\u306b\u91cd\u8981\u306a\u5224\u65ad\u3068\u306a\u308a\u307e\u3059\u3002\u3053\u308c\u307e\u3067\u306f\u300c\u514d\u75ab\u3092\u6291\u3048\u308b\u85ac\u306f\u611f\u67d3\u75c7\u306e\u30ea\u30b9\u30af\u3092\u9ad8\u3081\u308b\u305f\u3081\u3001\u624b\u8853\u524d\u5f8c\u306f\u4f11\u3080\u3079\u304d\u300d\u3068\u8003\u3048\u3089\u308c\u3066\u304d\u307e\u3057\u305f\u304c\u3001\u6700\u65b0\u306e\u30a8\u30d3\u30c7\u30f3\u30b9\u306f\u3053\u306e\u5e38\u8b58\u3092\u5857\u308a\u66ff\u3048\u3064\u3064\u3042\u308a\u307e\u3059\u3002<\/p>\n\n\n\n<p><strong>1. \u30e1\u30c8\u30c8\u30ec\u30ad\u30b5\u30fc\u30c8\uff08MTX\uff09\u306f\u300c\u4f11\u307e\u306a\u3044\u300d\u306e\u304c\u4e16\u754c\u306e\u30b3\u30f3\u30bb\u30f3\u30b5\u30b9<\/strong><\/p>\n\n\n\n<p>\u30ea\u30a6\u30de\u30c1\u6cbb\u7642\u306e\u30a2\u30f3\u30ab\u30fc\u30c9\u30e9\u30c3\u30b0\u3067\u3042\u308b\u30e1\u30c8\u30c8\u30ec\u30ad\u30b5\u30fc\u30c8\uff08MTX\uff09<strong>\u306b\u95a2\u3057\u3066\u306f\u3001\u624b\u8853\u524d\u5f8c\u3082<\/strong>\u300c\u4f11\u85ac\u305b\u305a\u306b\u7d99\u7d9a\u3059\u308b\u3053\u3068\u300d\u304c\u63a8\u5968\u3055\u308c\u3066\u3044\u307e\u3059\u3002338\u540d\u306e\u60a3\u8005\u3055\u3093\u3092\u5bfe\u8c61\u3068\u3057\u305f\u5927\u898f\u6a21\u306a\u30e9\u30f3\u30c0\u30e0\u5316\u6bd4\u8f03\u8a66\u9a13\uff08RCT\uff09\u3067\u306f\u3001MTX\u3092\u7d99\u7d9a\u3057\u305f\u30b0\u30eb\u30fc\u30d7\u306e\u8853\u5f8c\u5408\u4f75\u75c7\u7387\u304c2\uff05\u3067\u3042\u3063\u305f\u306e\u306b\u5bfe\u3057\u30012\u9031\u9593\u4f11\u85ac\u3057\u305f\u30b0\u30eb\u30fc\u30d7\u3067\u306f15\uff05\u3068\u3001\u3080\u3057\u308d\u4f11\u85ac\u3057\u305f\u65b9\u304c\u5408\u4f75\u75c7\u306e\u30ea\u30b9\u30af\u304c\u9ad8\u307e\u308b\u3068\u3044\u3046\u7d50\u679c\u304c\u51fa\u307e\u3057\u305f\u3002<\/p>\n\n\n\n<p>\u4f11\u85ac\u3057\u306a\u3044\u6700\u5927\u306e\u7406\u7531\u306f\u3001<strong>\u300c\u95a2\u7bc0\u30ea\u30a6\u30de\u30c1\u306e\u518d\u71c3\uff08\u30d5\u30ec\u30a2\uff09\u300d\u3092\u9632\u3050\u305f\u3081<\/strong>\u3067\u3059\u3002\u624b\u8853\u3068\u3044\u3046\u5927\u304d\u306a\u30b9\u30c8\u30ec\u30b9\u304c\u304b\u304b\u308b\u6642\u671f\u306b\u4f11\u85ac\u3059\u308b\u3068\u3001\u30ea\u30a6\u30de\u30c1\u304c\u60aa\u5316\u3057\u3001\u305b\u3063\u304b\u304f\u624b\u8853\u3057\u305f\u95a2\u7bc0\u306e\u7834\u58ca\u304c\u9032\u884c\u3057\u3066\u3057\u307e\u3046\u6050\u308c\u304c\u3042\u308a\u307e\u3059\u3002MTX\u3092\u7d99\u7d9a\u3059\u308b\u3053\u3068\u3067\u3001\u708e\u75c7\u3092\u6291\u3048\u305f\u307e\u307e\u8853\u5f8c\u306e\u30b9\u30e0\u30fc\u30ba\u306a\u56de\u5fa9\u3068\u30ea\u30cf\u30d3\u30ea\u30c6\u30fc\u30b7\u30e7\u30f3\u3092\u652f\u3048\u308b\u3053\u3068\u304c\u3067\u304d\u307e\u3059\u3002<\/p>\n\n\n\n<p><strong>2. \u751f\u7269\u5b66\u7684\u88fd\u5264\uff08bDMARDs\uff09\u306f\u300c\u30b1\u30fc\u30b9\u30d0\u30a4\u30b1\u30fc\u30b9\u300d\u306e\u500b\u5225\u5224\u65ad<\/strong><\/p>\n\n\n\n<p>\u4e00\u65b9\u3067\u3001<strong>\u751f\u7269\u5b66\u7684\u88fd\u5264<\/strong>\u306b\u95a2\u3057\u3066\u306f\u3001MTX\u307b\u3069\u660e\u78ba\u306a\u57fa\u6e96\u304c\u5b9a\u307e\u3063\u3066\u304a\u3089\u305a\u3001\u60a3\u8005\u3055\u3093\u306e\u75be\u60a3\u6d3b\u52d5\u6027\u3084\u624b\u8853\u5185\u5bb9\u306b\u5fdc\u3058\u305f\u67d4\u8edf\u306a\u5bfe\u5fdc\uff08\u500b\u5225\u5224\u65ad\uff09\u304c\u6c42\u3081\u3089\u308c\u307e\u3059\u3002 \u7d047,000\u4eba\u3092\u5bfe\u8c61\u3068\u3057\u305f\u30e1\u30bf\u30a2\u30ca\u30ea\u30b7\u30b9\u306b\u3088\u308c\u3070\u3001\u751f\u7269\u5b66\u7684\u88fd\u5264\u3092\u4f11\u85ac\u3057\u3066\u3082\u7d99\u7d9a\u3057\u3066\u3082\u3001\u624b\u8853\u90e8\u4f4d\u306e\u611f\u67d3\u7387\u3084\u50b7\u306e\u6cbb\u308a\u306e\u9045\u308c\uff08\u5275\u50b7\u6cbb\u7652\u9045\u5ef6\uff09\u306b\u6709\u610f\u306a\u5dee\u306f\u8a8d\u3081\u3089\u308c\u307e\u305b\u3093\u3067\u3057\u305f\u3002\u3057\u304b\u3057\u3001\u4f11\u85ac\u3057\u305f\u30b0\u30eb\u30fc\u30d7\u3067\u306f\u30ea\u30a6\u30de\u30c1\u306e\u518d\u71c3\u7387\u304c25.7\uff05\u306b\u9054\u3057\u3066\u304a\u308a\uff08\u7d99\u7d9a\u7fa4\u306f7.3\uff05\uff09\u3001\u5b89\u6613\u306a\u4f11\u85ac\u306f\u75db\u307f\u306e\u518d\u767a\u3092\u62db\u304f\u30ea\u30b9\u30af\u304c\u9ad8\u3044\u3053\u3068\u304c\u793a\u5506\u3055\u308c\u3066\u3044\u307e\u3059\u3002<\/p>\n\n\n\n<p>\u7d50\u8ad6\u3068\u3057\u3066\u3001\u73fe\u5728\u306e\u30ea\u30a6\u30de\u30c1\u8a3a\u7642\u3067\u306f\u3001\u5358\u306b\u611f\u67d3\u30ea\u30b9\u30af\u3092\u6050\u308c\u3066\u85ac\u3092\u6b62\u3081\u308b\u306e\u3067\u306f\u306a\u304f\u3001<strong>\u300c\u611f\u67d3\u75c7\u306e\u4e88\u9632\u300d\u3068\u300c\u30ea\u30a6\u30de\u30c1\u60aa\u5316\u306e\u963b\u6b62\u300d\u306e\u30d0\u30e9\u30f3\u30b9<\/strong>\u3092\u5c02\u9580\u533b\u304c\u7dcf\u5408\u7684\u306b\u5224\u65ad\u3059\u308b\u3053\u3068\u304c\u3001\u624b\u8853\u306e\u6210\u529f\u3068\u8853\u5f8c\u306e\u751f\u6d3b\u306e\u8cea\uff08QOL\uff09\u5411\u4e0a\u306b\u76f4\u7d50\u3057\u307e\u3059\u3002<\/p>\n\n\n\n<figure class=\"wp-block-image size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"800\" height=\"444\" src=\"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/04\/image-23-62.jpg\" alt=\"\" class=\"wp-image-3860\" srcset=\"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/04\/image-23-62.jpg 800w, https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/04\/image-23-62-400x222.jpg 400w\" sizes=\"auto, (max-width: 800px) 100vw, 800px\" \/><\/figure>\n\n\n\n<figure class=\"wp-block-image size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"800\" height=\"458\" src=\"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/04\/image-23-63.jpg\" alt=\"\" class=\"wp-image-3861\" srcset=\"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/04\/image-23-63.jpg 800w, https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/04\/image-23-63-400x229.jpg 400w\" sizes=\"auto, (max-width: 800px) 100vw, 800px\" \/><\/figure>\n\n\n\n<figure class=\"wp-block-image size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"800\" height=\"442\" src=\"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/04\/image-23-64.jpg\" alt=\"\" class=\"wp-image-3862\" srcset=\"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/04\/image-23-64.jpg 800w, https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/04\/image-23-64-400x221.jpg 400w\" sizes=\"auto, (max-width: 800px) 100vw, 800px\" \/><\/figure>\n\n\n\n<figure class=\"wp-block-image size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"800\" height=\"445\" src=\"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/04\/image-23-65.jpg\" alt=\"\" class=\"wp-image-3863\" srcset=\"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/04\/image-23-65.jpg 800w, https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/04\/image-23-65-400x223.jpg 400w\" sizes=\"auto, (max-width: 800px) 100vw, 800px\" \/><\/figure>\n\n\n\n<figure class=\"wp-block-image size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"800\" height=\"431\" src=\"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/04\/image-23-66.jpg\" alt=\"\" class=\"wp-image-3864\" srcset=\"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/04\/image-23-66.jpg 800w, https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/04\/image-23-66-400x216.jpg 400w\" sizes=\"auto, (max-width: 800px) 100vw, 800px\" \/><\/figure>\n\n\n\n<figure class=\"wp-block-image size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"800\" height=\"426\" src=\"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/04\/image-23-67.jpg\" alt=\"\" class=\"wp-image-3865\" srcset=\"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/04\/image-23-67.jpg 800w, https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/04\/image-23-67-400x213.jpg 400w\" sizes=\"auto, (max-width: 800px) 100vw, 800px\" \/><\/figure>\n\n\n\n<figure class=\"wp-block-image size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"800\" height=\"457\" src=\"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/04\/image-23-68.jpg\" alt=\"\" class=\"wp-image-3866\" srcset=\"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/04\/image-23-68.jpg 800w, https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/04\/image-23-68-400x229.jpg 400w\" sizes=\"auto, (max-width: 800px) 100vw, 800px\" \/><\/figure>\n\n\n\n<figure class=\"wp-block-image size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"800\" height=\"440\" 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