{"id":8210,"date":"2026-08-31T21:37:58","date_gmt":"2026-08-31T12:37:58","guid":{"rendered":"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/?p=8210"},"modified":"2026-09-01T01:04:25","modified_gmt":"2026-08-31T16:04:25","slug":"post-8210","status":"publish","type":"post","link":"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/post-8210\/","title":{"rendered":"\u571f\u58cc\u306e\u5c0f\u3055\u306a\u50b7\u304b\u3089\u5e83\u304c\u308b\u8db3\u306e\u6162\u6027\u7834\u58ca\u3002\u6700\u65b0NEJM\u75c7\u4f8b\u304c\u6559\u3048\u308b\u300c\u83cc\u816b\uff08\u30de\u30c9\u30a5\u30fc\u30e9\u8db3\uff09\u300d\u306e\u4f53\u306e\u4ed5\u7d44\u307f\u3068\u653e\u7dda\u83cc\u611f\u67d3\u75c7\u306e\u8a3a\u65ad\u30fb\u6cbb\u7642\u6226\u7565"},"content":{"rendered":"\n<h2 class=\"wp-block-heading\"><strong>2\u5e74\u9593\u306b\u308f\u305f\u308a\u9032\u884c\u3057\u305f\u8db3\u306e\u816b\u8139\u3068\u6f70\u760d\u5316\u7d50\u7bc0\u3002\u5909\u6cd5\u30c1\u30fc\u30eb\u30fb\u30cd\u30fc\u30eb\u30bc\u30f3\u67d3\u8272\u3068PCR\u691c\u67fb\u304c\u7279\u5b9a\u3057\u305fNocardia brasiliensis\u3068\u3001\u9aa8\u9ac4\u708e\u30fb\u5316\u81bf\u6027\u95a2\u7bc0\u708e\u3092\u6551\u3063\u305f\u30c7\u30d6\u30ea\u30fc\u30c9\u30de\u30f3\u30fbST\u5408\u5264\u6cbb\u7642<\/strong><\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">\u571f\u58cc\u3084\u690d\u7269\u306b\u89e6\u308c\u308b\u6a5f\u4f1a\u306e\u591a\u3044\u8fb2\u4f5c\u696d\u3084\u5c4b\u5916\u6d3b\u52d5\u306b\u304a\u3044\u3066\u3001\u30c8\u30b2\u304c\u523a\u3055\u308b\u306a\u3069\u306e\u5fae\u7d30\u306a\u5916\u50b7\uff08\u523a\u5275\uff09\u3092\u8ca0\u3046\u3053\u3068\u306f\u6c7a\u3057\u3066\u73cd\u3057\u304f\u3042\u308a\u307e\u305b\u3093\u3002\u3057\u304b\u3057\u3001\u305d\u306e\u5c0f\u3055\u306a\u50b7\u53e3\u304b\u3089\u571f\u58cc\u4e2d\u306e\u75c5\u539f\u5fae\u751f\u7269\u304c\u4fb5\u5165\u3057\u3001\u6570\u30f6\u6708\u304b\u3089\u6570\u5e74\u306e\u6b73\u6708\u3092\u304b\u3051\u3066\u76ae\u819a\u3060\u3051\u3067\u306a\u304f\u76ae\u4e0b\u7d44\u7e54\u3001\u7b4b\u8089\u3001\u3055\u3089\u306b\u306f\u9aa8\u3084\u95a2\u7bc0\u3078\u3068\u5f90\u3005\u306b\u7834\u58ca\u3092\u5e83\u3052\u3066\u3044\u304f\u91cd\u7be4\u306a\u6162\u6027\u611f\u67d3\u75c7\u304c\u5b58\u5728\u3057\u307e\u3059\u3002\u305d\u308c\u304c\u300c\u83cc\u816b\uff08mycetoma\uff1a\u5225\u540d\u30de\u30c9\u30a5\u30fc\u30e9\u8db3 \/ Madura foot\uff09\u300d\u3067\u3059\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u4e16\u754c\u6700\u9ad8\u5cf0\u306e\u533b\u5b66\u8a8c\u300eThe New England Journal of Medicine\uff08NEJM\uff09\u300f\u306b\u63b2\u8f09\u3055\u308c\u305f\u75c7\u4f8b\u5831\u544a\uff082026\u5e744\u670830\u65e5\u53f7\uff09\u3067\u306f\u3001\u53f3\u8db3\u306b\u751f\u3058\u305f\u96e3\u6cbb\u6027\u306e\u6f70\u760d\u3068\u816b\u8139\u306b2\u5e74\u9593\u60a9\u307e\u3055\u308c\u305f30\u6b73\u306e\u8fb2\u696d\u5f93\u4e8b\u8005\u306e\u7537\u6027\u306e\u7d4c\u904e\u3092\u901a\u3058\u3001\u3053\u306e\u898b\u904e\u3054\u3055\u308c\u3084\u3059\u3044\u6162\u6027\u6df1\u90e8\u611f\u67d3\u75c7\u306e\u30df\u30af\u30ed\u306a\u4f53\u306e\u4ed5\u7d44\u307f\u3068\u3001\u6b63\u78ba\u306a\u5fae\u751f\u7269\u5b66\u7684\u8a3a\u65ad\u306b\u57fa\u3065\u3044\u305f\u96c6\u5b66\u7684\u6cbb\u7642\u306e\u91cd\u8981\u6027\u304c\u793a\u3055\u308c\u3066\u3044\u307e\u3057\u305f\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>1. 2\u5e74\u9593\u306e\u7de9\u5f90\u306a\u9032\u884c\u3068\u8db3\u306e\u5909\u5f62\uff08\u81e8\u5e8a\u7d4c\u904e\uff09<\/strong> <\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u60a3\u8005\u69d8\u306f\u7279\u8a18\u3059\u3079\u304d\u57fa\u790e\u75be\u60a3\u306e\u306a\u3044\u5065\u5eb7\u306a30\u6b73\u7537\u6027\u3067\u3001\u8fb2\u696d\u5f93\u4e8b\u8005\u3068\u3057\u3066\u9577\u5e74\u306b\u308f\u305f\u308a\u8db3\u306b\u5c0f\u3055\u306a\u602a\u6211\u3092\u7e70\u308a\u8fd4\u3057\u3066\u3044\u307e\u3057\u305f\u3002\u904e\u53bb\u306b\u306f\u3001\u53f3\u8db3\u306e\u7b2c4\u8dbe\u3068\u7b2c5\u8dbe\uff08\u85ac\u6307\u3068\u5c0f\u6307\uff09\u306e\u9593\u306e\u76ae\u819a\u306b\u523a\u50b7\u3092\u8ca0\u3063\u305f\u30a8\u30d4\u30bd\u30fc\u30c9\u304c\u3042\u308a\u307e\u3057\u305f\u3002 \u60a3\u8005\u69d8\u306f\u53f3\u8db3\u306e\u76ae\u819a\u75c5\u5909\u304c2\u5e74\u9593\u306b\u308f\u305f\u3063\u3066\u5f90\u3005\u306b\u60aa\u5316\u3057\u3066\u304d\u305f\u305f\u3081\u3001\u611f\u67d3\u75c7\u5c02\u9580\u30af\u30ea\u30cb\u30c3\u30af\u3078\u7d39\u4ecb\u53d7\u8a3a\u3068\u306a\u308a\u307e\u3057\u305f\u3002\u8eab\u4f53\u8a3a\u5bdf\u3067\u306f\u3001\u53f3\u8db3\u5168\u4f53\u306b\u8457\u660e\u306a\u816b\u8139\uff08\u816b\u308c\uff09\u304c\u8a8d\u3081\u3089\u308c\u3001\u76ae\u819a\u8868\u9762\u306b\u306f\u591a\u6570\u306e\u6f70\u760d\u5316\u3057\u305f\u7d50\u7bc0\uff08\u3057\u3053\u308a\uff09\u304c\u591a\u767a\u3057\u3066\u3044\u307e\u3057\u305f\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u83cc\u816b\u306f\u3001\u4e3b\u306b\u71b1\u5e2f\u3084\u4e9c\u71b1\u5e2f\u306e\u4e7e\u71e5\u30fb\u534a\u4e7e\u71e5\u5730\u57df\u306b\u304a\u3044\u3066\u3001\u88f8\u8db3\u3067\u306e\u4f5c\u696d\u306a\u3069\u306b\u3088\u3063\u3066\u571f\u58cc\u4e2d\u306e\u75c5\u539f\u4f53\u306b\u983b\u7e41\u306b\u66dd\u9732\u3055\u308c\u308b\u4eba\u3005\u306b\u597d\u767a\u3059\u308b\u6162\u6027\u8089\u82bd\u816b\u6027\u611f\u67d3\u75c7\u3067\u3059\u3002\u4e00\u822c\u306b\u300c\u7121\u75db\u6027\u306e\u76ae\u4e0b\u7d50\u7bc0\u300d\u300c\u591a\u767a\u3059\u308b\u6d1e\u9053\uff08\u763b\u5b54\uff1a\u6392\u81bf\u306e\u305f\u3081\u306e\u30c8\u30f3\u30cd\u30eb\uff09\u300d\u300c\u81bf\u6c41\u306e\u6392\u51fa\uff08\u6392\u81bf\uff09\u300d\u3092\u7279\u5fb4\u3068\u3057\u307e\u3059\u304c\u3001\u521d\u671f\u306b\u306f\u75db\u307f\u304c\u4e4f\u3057\u3044\u305f\u3081\u306b\u653e\u7f6e\u3055\u308c\u3084\u3059\u304f\u3001\u53d7\u8a3a\u6642\u306b\u306f\u3059\u3067\u306b\u6df1\u90e8\u7d44\u7e54\u3078\u3068\u75c5\u5909\u304c\u9032\u884c\u3057\u3066\u3044\u308b\u30b1\u30fc\u30b9\u304c\u5c11\u306a\u304f\u3042\u308a\u307e\u305b\u3093\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>2. \u7d30\u83cc\u6027\uff08\u653e\u7dda\u83cc\uff09\u304b\u771f\u83cc\u6027\u304b\uff1a\u8d77\u708e\u83cc\u3092\u898b\u6975\u3081\u308b\u4f53\u306e\u4ed5\u7d44\u307f\u3068\u691c\u67fb\u624b\u6cd5<\/strong> <\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u83cc\u816b\u306e\u6cbb\u7642\u6226\u7565\u3092\u7acb\u3066\u308b\u4e0a\u3067\u6700\u3082\u91cd\u8981\u306a\u30b9\u30c6\u30c3\u30d7\u306f\u3001\u539f\u56e0\u5fae\u751f\u7269\u304c\u300c\u7d30\u83cc\uff08\u653e\u7dda\u83cc\u306a\u3069\uff1a\u653e\u7dda\u83cc\u816b \/ actinomycetoma\uff09\u300d\u3067\u3042\u308b\u304b\u3001\u305d\u308c\u3068\u3082\u300c\u771f\u83cc\uff08\u30ab\u30d3\uff1a\u771f\u83cc\u816b \/ eumycetoma\uff09\u300d\u3067\u3042\u308b\u304b\u3092\u53b3\u5bc6\u306b\u9451\u5225\u3059\u308b\u3053\u3068\u3067\u3059\u3002\u4e21\u8005\u306f\u81e8\u5e8a\u50cf\u304c\u9177\u4f3c\u3057\u3066\u3044\u308b\u3082\u306e\u306e\u3001\u6cbb\u7642\u306b\u7528\u3044\u308b\u85ac\u5264\u304c\u6297\u83cc\u85ac\uff08\u6297\u751f\u5264\uff09\u3068\u6297\u771f\u83cc\u85ac\u3067\u5b8c\u5168\u306b\u7570\u306a\u308b\u305f\u3081\u3067\u3059\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u78ba\u5b9a\u8a3a\u65ad\u306e\u305f\u3081\u3001\u75c5\u5909\u90e8\u304b\u3089\u63a1\u53d6\u3055\u308c\u305f\u76ae\u819a\u751f\u691c\u7d44\u7e54\u306e\u75c5\u7406\u7d44\u7e54\u5b66\u7684\u691c\u67fb\u304c\u65bd\u884c\u3055\u308c\u307e\u3057\u305f\u3002\u9855\u5fae\u93e1\u4e0b\u3067\u306f\u3001\u597d\u4e2d\u7403\u306e\u6d78\u6f64\u3092\u4f34\u3046\u5316\u81bf\u6027\u708e\u75c7\u3068\u3001\u30de\u30af\u30ed\u30d5\u30a1\u30fc\u30b8\u3084\u591a\u6838\u5de8\u7d30\u80de\u304b\u3089\u306a\u308b\u8089\u82bd\u816b\u6027\u708e\u75c7\u304c\u6df7\u5728\u3059\u308b\u300c\u5316\u81bf\u6027\u8089\u82bd\u816b\u6027\u708e\u75c7\u53cd\u5fdc\uff08suppurative and granulomatous inflammatory process\uff09\u300d\u304c\u78ba\u8a8d\u3055\u308c\u307e\u3057\u305f\u3002 \u3055\u3089\u306b\u3001\u5909\u6cd5\u30c1\u30fc\u30eb\u30fb\u30cd\u30fc\u30eb\u30bc\u30f3\u67d3\u8272\uff08modified Ziehl\u2013Neelsen staining\uff09\u3092\u5b9f\u65bd\u3057\u305f\u3068\u3053\u308d\u3001\u7279\u5fb4\u7684\u306a\u300c\u7cf8\u72b6\u306b\u5206\u5c90\u3059\u308b\u69cb\u9020\u7269\uff08filamentous, branching structures\uff09\u300d\u304c\u89b3\u5bdf\u3055\u308c\u3001\u5f31\u6297\u9178\u6027\u3092\u793a\u3059\u30ce\u30ab\u30eb\u30b8\u30a2\u5c5e\uff08Nocardia species\uff09\u306e\u5b58\u5728\u306b\u5408\u81f4\u3059\u308b\u6240\u898b\u304c\u5f97\u3089\u308c\u307e\u3057\u305f\u3002\u6700\u7d42\u7684\u306b\u3001\u75c5\u5909\u7d44\u7e54\u3092\u7528\u3044\u305f\u30dd\u30ea\u30e1\u30e9\u30fc\u30bc\u9023\u9396\u53cd\u5fdc\uff08PCR\uff09\u691c\u67fb\u306b\u3088\u3063\u3066\u300c<em>Nocardia brasiliensis<\/em>\uff08\u30ce\u30ab\u30eb\u30b8\u30a2\u30fb\u30d6\u30e9\u30b8\u30ea\u30a8\u30f3\u30b7\u30b9\uff09\u300d\u304c\u907a\u4f1d\u5b50\u30ec\u30d9\u30eb\u3067\u540c\u5b9a\u3055\u308c\u3001\u30ce\u30ab\u30eb\u30b8\u30a2\u611f\u67d3\u306b\u3088\u308b\u653e\u7dda\u83cc\u816b\u3068\u78ba\u5b9a\u8a3a\u65ad\u3055\u308c\u307e\u3057\u305f\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>3. \u9aa8\u9ac4\u708e\u30fb\u5316\u81bf\u6027\u95a2\u7bc0\u708e\u306e\u4f75\u767a\u3068\u3001\u5916\u79d1\u30fb\u5185\u79d1\u306e\u96c6\u5b66\u7684\u30a2\u30d7\u30ed\u30fc\u30c1<\/strong> <\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u8db3\u306e\u753b\u50cf\u691c\u67fb\u3092\u5b9f\u65bd\u3057\u305f\u3068\u3053\u308d\u3001\u75c5\u5909\u306f\u76ae\u819a\u3084\u76ae\u4e0b\u7d44\u7e54\u306b\u3068\u3069\u307e\u3089\u305a\u3001\u8db3\u306e\u9aa8\u3084\u95a2\u7bc0\u306b\u307e\u3067\u76f4\u63a5\u6ce2\u53ca\u3057\u3066\u304a\u308a\u3001\u300c\u9aa8\u9ac4\u708e\uff08osteomyelitis\uff09\u300d\u304a\u3088\u3073\u300c\u5316\u81bf\u6027\u95a2\u7bc0\u708e\uff08septic arthritis\uff09\u300d\u3092\u5408\u4f75\u3057\u3066\u3044\u308b\u3053\u3068\u304c\u5224\u660e\u3057\u307e\u3057\u305f\u3002 \u30ce\u30ab\u30eb\u30b8\u30a2\u5c5e\u306a\u3069\u306e\u653e\u7dda\u83cc\u306f\u3001\u7d44\u7e54\u306e\u9593\u9699\u3092\u7e2b\u3046\u3088\u3046\u306b\u5f90\u3005\u306b\u5897\u6b96\u3057\u3001\u5f37\u56fa\u306a\u5fae\u5c0f\u30b3\u30ed\u30cb\u30fc\uff08\u83cc\u584a \/ \u9846\u7c92\uff09\u3092\u5f62\u6210\u3057\u306a\u304c\u3089\u5468\u56f2\u306e\u7b4b\u819c\u3084\u9aa8\u76ae\u8cea\u3092\u878d\u89e3\u30fb\u7834\u58ca\u3057\u3066\u3044\u304f\u6027\u8cea\u3092\u6301\u3063\u3066\u3044\u307e\u3059\u3002\u8840\u6d41\u304c\u4e4f\u3057\u304f\u58ca\u6b7b\u7d44\u7e54\u304c\u4ecb\u5728\u3059\u308b\u9aa8\u3084\u95a2\u7bc0\u306e\u6df1\u90e8\u3067\u306f\u3001\u5185\u670d\u85ac\u5358\u72ec\u3067\u306f\u5341\u5206\u306a\u85ac\u7269\u6fc3\u5ea6\u304c\u5c4a\u304d\u306b\u304f\u3044\u3068\u3044\u3046\u6cbb\u7642\u4e0a\u306e\u5927\u304d\u306a\u58c1\u304c\u5b58\u5728\u3057\u307e\u3059\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u305d\u3053\u3067\u533b\u7642\u30c1\u30fc\u30e0\u306f\u3001\u611f\u67d3\u3057\u305f\u58ca\u6b7b\u7d44\u7e54\u3084\u81bf\u3092\u7269\u7406\u7684\u306b\u5fb9\u5e95\u9664\u53bb\u3057\u3066\u8840\u6d41\u3092\u6539\u5584\u3055\u305b\u308b\u300c\u5916\u79d1\u7684\u30c7\u30d6\u30ea\u30fc\u30c9\u30de\u30f3\uff08\u5207\u9664\u30fb\u6e05\u6383\u8853\uff09\u300d\u3092\u65bd\u884c\u3057\u307e\u3057\u305f\u3002\u305d\u306e\u4e0a\u3067\u3001Nocardia brasiliensis\u306b\u5bfe\u3057\u3066\u6975\u3081\u3066\u9ad8\u3044\u611f\u53d7\u6027\u3092\u6301\u3064\u30c8\u30ea\u30e1\u30c8\u30d7\u30ea\u30e0\u30fb\u30b9\u30eb\u30d5\u30a1\u30e1\u30c8\u30ad\u30b5\u30be\u30fc\u30eb\uff08ST\u5408\u5264\uff09\u306e\u5185\u670d\u6cbb\u7642\u30926\u30f6\u6708\u9593\u306b\u308f\u305f\u308a\u7d99\u7d9a\u6295\u4e0e\u3057\u307e\u3057\u305f\u3002 \u6cbb\u7642\u958b\u59cb\u304b\u30896\u30f6\u6708\u5f8c\u306e\u30d5\u30a9\u30ed\u30fc\u30a2\u30c3\u30d7\u6642\u3001\u53f3\u8db3\u306e\u76ae\u819a\u7d50\u7bc0\u3084\u6f70\u760d\u306f\u304d\u308c\u3044\u306b\u4e0a\u76ae\u5316\u30fb\u7622\u75d5\u5316\u3057\u3001\u816b\u8139\u3082\u5287\u7684\u306b\u8efd\u5feb\u3057\u3066\u826f\u597d\u306a\u56de\u5fa9\u3092\u9042\u3052\u307e\u3057\u305f\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u5c4b\u5916\u3067\u306e\u523a\u50b7\u3084\u5207\u308a\u50b7\u306e\u5f8c\u306b\u3001\u6570\u30f6\u6708\u301c\u6570\u5e74\u5358\u4f4d\u3067\u6cbb\u3089\u306a\u3044\u76ae\u819a\u306e\u3057\u3053\u308a\u3084\u6392\u81bf\u304c\u7d9a\u304f\u5834\u5408\u3001\u5358\u306a\u308b\u5275\u50b7\u30c8\u30e9\u30d6\u30eb\u3068\u898b\u904e\u3054\u3055\u305a\u306b\u6df1\u90e8\u306e\u6162\u6027\u611f\u67d3\u75c7\uff08\u83cc\u816b\u3084\u975e\u7d50\u6838\u6027\u6297\u9178\u83cc\u75c7\u306a\u3069\uff09\u3092\u7591\u3046\u3053\u3068\u3001\u305d\u3057\u3066\u7d44\u7e54\u8a3a\u30fb\u67d3\u8272\u30fbPCR\u691c\u67fb\u306b\u3088\u3063\u3066\u6b63\u78ba\u306b\u8d77\u708e\u83cc\u3092\u7279\u5b9a\u3057\u3001\u5916\u79d1\u7684\u51e6\u7f6e\u3068\u304a\u85ac\u3092\u7d44\u307f\u5408\u308f\u305b\u308b\u3053\u3068\u304c\u3001\u624b\u8db3\u306e\u6a5f\u80fd\u3068\u9aa8\u95a2\u7bc0\u3092\u5b88\u308a\u629c\u304f\u305f\u3081\u306e\u78ba\u56fa\u305f\u308b\u533b\u7642\u306e\u539f\u5247\u3068\u306a\u308a\u307e\u3059\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>\u25a1\u30af\u30ea\u30cb\u30c3\u30af\u304b\u3089\u306e\u30e1\u30c3\u30bb\u30fc\u30b8<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u67cf\u4e94\u5473\u6b6f\u79d1\u5185\u79d1\u30ea\u30a6\u30de\u30c1\u30af\u30ea\u30cb\u30c3\u30af\u3067\u306f\u3001\u7dcf\u5408\u5185\u79d1\u5c02\u9580\u533b\u30fb\u30ea\u30a6\u30de\u30c1\u81a0\u539f\u75c5\u5c02\u9580\u533b\u3001\u304a\u3088\u3073\u809d\u81d3\u5c02\u9580\u533b\u304c\u5728\u7c4d\u3057\u3001\u65e5\u3005\u52c9\u5b66\u306b\u52aa\u3081\u308b\u3053\u3068\u3067\u6b63\u78ba\u306a\u8a3a\u65ad\u30fb\u6cbb\u7642\u3092\u884c\u3048\u308b\u3088\u3046\u52aa\u529b\u3092\u7a4d\u307f\u91cd\u306d\u3066\u3044\u307e\u3059\u3002\u60a3\u8005\u69d8\u306e\u8a34\u3048\u304c\u3001\u3069\u306e\u3088\u3046\u306a\u300c\u4f53\u306e\u4ed5\u7d44\u307f\u300d\u3067\u8d77\u304d\u3066\u3044\u308b\u306e\u304b\u3092\u3001\u8eab\u4f53\u8a3a\u5bdf\u3001\u7dbf\u5bc6\u306a\u8840\u6db2\u691c\u67fb\u3084\u8d85\u97f3\u6ce2\u30b9\u30af\u30ea\u30fc\u30cb\u30f3\u30b0\u30fb\u5fc5\u8981\u306b\u5fdc\u3058\u3066CT\u7b49\u304b\u3089\u8ad6\u7406\u7684\u306b\u89e3\u304d\u660e\u304b\u3057\u3001\u6b63\u78ba\u306a\u8a3a\u65ad\u306a\u3089\u3073\u306b\u5b89\u5168\u306a\u6cbb\u7642\u7ba1\u7406\u30d7\u30ed\u30b0\u30e9\u30e0\u3092\u3054\u63d0\u6848\u3057\u307e\u3059\u3002\u5f53\u9662\u306e\u5185\u79d1\u30fb\u767a\u71b1\u5916\u6765\u306f\u571f\u66dc\u65e5\u306e\u5348\u5f8c\u308217\u6642\u307e\u3067\u8a3a\u7642\u3092\u884c\u3063\u3066\u304a\u308a\u3001\u5e73\u65e5\u304a\u5fd9\u3057\u304f\u3066\u7cbe\u5bc6\u306a\u5065\u5eb7\u7ba1\u7406\u3084\u691c\u67fb\u306b\u306a\u304b\u306a\u304b\u901a\u3048\u306a\u3044\u60a3\u8005\u69d8\u3067\u3082\u3001\u9031\u672b\u306b\u3086\u3068\u308a\u3092\u6301\u3063\u3066\u5c02\u9580\u533b\u306b\u3088\u308b\u304d\u3081\u7d30\u304b\u306a\u30d5\u30a9\u30ed\u30fc\u30a2\u30c3\u30d7\u3092\u53d7\u3051\u3066\u3044\u305f\u3060\u304f\u3053\u3068\u304c\u53ef\u80fd\u3067\u3059\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u307e\u305f\u3001\u611f\u67d3\u75c7\u3092\u4e88\u9632\u30fb\u7ba1\u7406\u3059\u308b\u4e0a\u3067\u3001\u304a\u53e3\u306e\u4e2d\u306e\u885b\u751f\u7ba1\u7406\uff08\u6b6f\u79d1\u7ba1\u7406\uff09\u306f\u3001\u898b\u904e\u3054\u3055\u308c\u304c\u3061\u3067\u3059\u304c\u6975\u3081\u3066\u91cd\u8981\u306a\u300c\u9632\u885b\u30e9\u30a4\u30f3\u300d\u3067\u3059\u3002\u4eca\u56de\u306e\u75c7\u4f8b\u3067\u307f\u3089\u308c\u305f\u3088\u3046\u306a\u9aa8\u3084\u95a2\u7bc0\u3078\u306e\u6df1\u90e8\u611f\u67d3\uff08\u9aa8\u9ac4\u708e\u3084\u5316\u81bf\u6027\u95a2\u7bc0\u708e\uff09\u306f\u3001\u76ae\u819a\u306e\u5916\u50b7\u3060\u3051\u3067\u306a\u304f\u3001\u300c\u304a\u53e3\u306e\u4e2d\u306e\u6162\u6027\u611f\u67d3\u300d\u3092\u8d77\u70b9\u3068\u3057\u3066\u3082\u5bb9\u6613\u306b\u767a\u751f\u3057\u307e\u3059\u3002\u304a\u53e3\u306e\u4e2d\u306b\u91cd\u5ea6\u306e\u6b6f\u5468\u75c5\uff08\u6162\u6027\u708e\u75c7\uff09\u304c\u5b58\u5728\u3057\u3066\u3044\u308b\u3068\u3001\u98df\u4e8b\u306e\u969b\u306e\u5480\u56bc\uff08\u565b\u3080\u3053\u3068\uff09\u3084\u6bce\u65e5\u306e\u30cf\u30df\u30ac\u30ad\u3068\u3044\u3063\u305f\u4e9b\u7d30\u306a\u523a\u6fc0\u306b\u3088\u3063\u3066\u3001\u6b6f\u5468\u30dd\u30b1\u30c3\u30c8\u306e\u8840\u7ba1\u304b\u3089\u5927\u91cf\u306e\u53e3\u8154\u5185\u7d30\u83cc\u304c\u5bb9\u6613\u306b\u8840\u6db2\u4e2d\u306b\u4fb5\u5165\u3057\u307e\u3059\uff08\u4e00\u904e\u6027\u83cc\u8840\u75c7\uff09\u3002\u5065\u5eb7\u306a\u72b6\u614b\u3067\u3042\u308c\u3070\u514d\u75ab\u306b\u3088\u3063\u3066\u6392\u9664\u3055\u308c\u307e\u3059\u304c\u3001\u7cd6\u5c3f\u75c5\u306a\u3069\u306e\u6301\u75c5\u3092\u304a\u6301\u3061\u306e\u65b9\u3001\u9aa8\u7c97\u9b06\u75c7\u3084\u4eba\u5de5\u95a2\u7bc0\u7f6e\u63db\u8853\u5f8c\u306e\u65b9\u3001\u3042\u308b\u3044\u306f\u9ad8\u9f62\u306e\u60a3\u8005\u69d8\u306a\u3069\u306e\u69cb\u9020\u7684\u306a\u5f31\u70b9\uff08\u57fa\u8cea\uff09\u304c\u3042\u308b\u72b6\u614b\u3067\u306f\u3001\u8840\u6db2\u306b\u4e57\u3063\u3066\u6d41\u308c\u3066\u304d\u305f\u304a\u53e3\u306e\u7d30\u83cc\u304c\u95a2\u7bc0\u3084\u9aa8\u3001\u5fc3\u81d3\u306e\u5f01\u306a\u3069\u306b\u5b9a\u7740\u3057\u3001\u91cd\u75c7\u306e\u5316\u81bf\u6027\u95a2\u7bc0\u708e\u3084\u611f\u67d3\u6027\u5fc3\u5185\u819c\u708e\u3092\u5f15\u304d\u8d77\u3053\u3059\u76f4\u63a5\u306e\u5f15\u304d\u91d1\uff08\u539f\u56e0\u7d4c\u8def\uff09\u3068\u306a\u3063\u3066\u3057\u307e\u3044\u307e\u3059\u3002\u5f53\u9662\u306e\u6b6f\u79d1\u306f\u571f\u66dc\u65e5\u5348\u5f8c2\u6642\uff0814\u6642\uff09\u307e\u3067\u8a3a\u7642\u3092\u884c\u3063\u3066\u304a\u308a\u3001\u533b\u79d1\u3068\u6b6f\u79d1\u304c\u540c\u3058\u96fb\u5b50\u30ab\u30eb\u30c6\u306e\u3082\u3068\u3067\u7dca\u5bc6\u306b\u9023\u643a\u3059\u308b\u300c\u533b\u79d1\u6b6f\u79d1\u9023\u643a\u6cbb\u7642\u300d\u306e\u5f37\u307f\u3092\u6d3b\u304b\u3057\u3001\u5185\u79d1\u3067\u306e\u5168\u8eab\u7ba1\u7406\u3068\u9023\u52d5\u3057\u306a\u304c\u3089\u3001\u30d7\u30ed\u306b\u3088\u308b\u5fb9\u5e95\u7684\u306a\u304a\u53e3\u306e\u6e05\u6383\uff08PMTC\u306b\u3088\u308b\u30d0\u30a4\u30aa\u30d5\u30a3\u30eb\u30e0\u9664\u53bb\uff09\u3092\u63d0\u4f9b\u3057\u307e\u3059\u3002\u4f53\u5168\u4f53\u306e\u5165\u308a\u53e3\u3067\u3042\u308b\u304a\u53e3\u306e\u7d30\u83cc\u3092\u304d\u308c\u3044\u306b\u30ea\u30bb\u30c3\u30c8\u3059\u308b\u3053\u3068\u3067\u3001\u5185\u79d1\u6cbb\u7642\u306e\u5b89\u5168\u6027\u3092\u98db\u8e8d\u7684\u306b\u9ad8\u3081\u3001\u751f\u6daf\u306b\u308f\u305f\u308b\u304a\u4f53\u306e\u5065\u5eb7\u3092\u30c8\u30fc\u30bf\u30eb\u3067\u652f\u3048\u629c\u304d\u307e\u3059\u3002\u67cf\u30fb\u6211\u5b6b\u5b50\u30a8\u30ea\u30a2\u3067\u539f\u56e0\u4e0d\u660e\u306e\u3060\u308b\u3055\u3084\u76ae\u819a\u30fb\u95a2\u7bc0\u306e\u30c8\u30e9\u30d6\u30eb\u3001\u304a\u53e3\u306e\u4e7e\u304d\u3084\u9055\u548c\u611f\u306b\u304a\u60a9\u307f\u306e\u65b9\u306f\u3001\u304a\u6c17\u8efd\u306b\u5f53\u9662\u307e\u3067\u3054\u76f8\u8ac7\u304f\u3060\u3055\u3044\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>\u25a0\u53d7\u8a3a\u3092\u3054\u5e0c\u671b\u306e\u65b9\u3078<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\ud83d\udc49 <strong>\u3010\u533b\u79d1\u3011\uff08\u30a2\u30ec\u30eb\u30ae\u30fc\u81a0\u539f\u75c5\u30ea\u30a6\u30de\u30c1\u5185\u79d1\u30fb\u7dcf\u5408\u5185\u79d1\u30fb\u767a\u71b1\u5916\u6765\u30fb\u5275\u50b7\u6cbb\u7652\u4e0d\u5168\u3084\u95a2\u7bc0\u306e\u75db\u307f\u3001\u3060\u308b\u3055\u306e\u76f8\u8ac7\u306a\u3069\uff09WEB\u4e88\u7d04\u306f\u3053\u3061\u3089<\/strong> \u203b\u5f53\u9662\u306e\u5185\u79d1\u30fb\u767a\u71b1\u5916\u6765\u306f\u3001\u571f\u66dc\u65e5\u5348\u5f8c\u308217\u6642\u307e\u3067\u8a3a\u7642\u3092\u884c\u3063\u3066\u304a\u308a\u307e\u3059\u3002 <a href=\"https:\/\/melmo-app.com\/clinic\/673d5e08785f0f0030870bdb\/reservation?method=visit\" target=\"_blank\" rel=\"noopener\">https:\/\/melmo-app.com\/clinic\/673d5e08785f0f0030870bdb\/reservation?method=visit<\/a><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\ud83d\udc49 <strong>\u3010\u6b6f\u79d1\u3011\uff08\u6839\u7ba1\u6cbb\u7642\u30fb\u3080\u3057\u6b6f\u30fb\u6b6f\u5468\u75c5\u30fb\u30d7\u30ed\u306b\u3088\u308b\u53e3\u8154\u30b1\u30a2\u30fb\u611f\u67d3\u4e88\u9632\u6b6f\u79d1\u30fb\u4e00\u822c\u6b6f\u79d1\u306a\u3069\uff09WEB\u4e88\u7d04\u306f\u3053\u3061\u3089<\/strong> \u203b\u5f53\u9662\u306e\u6b6f\u79d1\u306f\u3001\u571f\u66dc\u65e5\u5348\u5f8c2\u6642\uff0814\u6642\uff09\u307e\u3067\u8a3a\u7642\u3092\u884c\u3063\u3066\u304a\u308a\u307e\u3059\u3002 <a href=\"http:\/\/www.gomidental-kashiwa.com\/reservation\/\" target=\"_blank\" rel=\"noopener\">http:\/\/www.gomidental-kashiwa.com\/reservation\/<\/a><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\ud83d\udcde <strong>\u304a\u96fb\u8a71\u3067\u306e\u3054\u4e88\u7d04\u30fb\u304a\u554f\u3044\u5408\u308f\u305b\uff08\u304a\u85ac\u306e\u76f8\u8ac7\u30fb\u5065\u5eb7\u8a3a\u65ad\u30fb\u30ef\u30af\u30c1\u30f3\u306a\u3069\uff09<\/strong> \u3010\u533b\u79d1\u3011\uff1a04-7196-7531 \u3010\u6b6f\u79d1\u3011\uff1a04-7191-7081<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\ud83c\udfe5 <strong>\u67cf\u4e94\u5473\u6b6f\u79d1\u5185\u79d1\u30ea\u30a6\u30de\u30c1\u30af\u30ea\u30cb\u30c3\u30af \u30a2\u30af\u30bb\u30b9<\/strong> \u3012277-0902 \u5343\u8449\u770c\u67cf\u5e02\u5927\u4e95764-1\uff08\u5927\u4e95\u4ea4\u5dee\u70b9\u8fd1\u304f\u3001\u99d0\u8eca\u5834\u5b8c\u5099\uff09 \u30d0\u30b9\u3067\u304a\u8d8a\u3057\u306e\u65b9\uff1a\u5343\u4ee3\u7530\u5e38\u78d0\u7dda \u67cf\u99c5\u6771\u53e3 \u6771\u6b66\u30d0\u30b91\u756a\u4e57\u5834\uff08\u300c\u6cbc\u5357\u8eca\u5eab\u300d\u300c\u5c0f\u91ce\u585a\u53f0\u300d\u300c\u624b\u8cc0\u306e\u4e18\u516c\u5712\u300d\u300c\u5e03\u702c\u300d\u884c\u304d\uff09\u3088\u308a\u30d0\u30b915\u5206 \u300c\u5927\u4e95\u300d\u4e0b\u8eca \u5f92\u6b691\u5206 \u8eca\u3067\u304a\u8d8a\u3057\u306e\u65b9\uff1a\u67cf\u99c5\u3088\u308a\u7d0415\u5206<\/p>\n\n\n\n<figure class=\"wp-block-image size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"800\" height=\"447\" src=\"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/08\/image-472.png\" alt=\"\" class=\"wp-image-8211\" srcset=\"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/08\/image-472.png 800w, https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/08\/image-472-400x223.png 400w, https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/08\/image-472-767x428.png 767w\" 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=\"447\" src=\"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/08\/image-473.png\" alt=\"\" class=\"wp-image-8212\" srcset=\"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/08\/image-473.png 800w, https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/08\/image-473-400x223.png 400w, https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/08\/image-473-767x428.png 767w\" 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=\"447\" src=\"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/08\/image-474.png\" alt=\"\" class=\"wp-image-8213\" srcset=\"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/08\/image-474.png 800w, https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/08\/image-474-400x223.png 400w, https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/08\/image-474-767x428.png 767w\" 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=\"447\" src=\"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/08\/image-475.png\" alt=\"\" class=\"wp-image-8214\" srcset=\"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/08\/image-475.png 800w, https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/08\/image-475-400x223.png 400w, https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/08\/image-475-767x428.png 767w\" 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=\"447\" src=\"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/08\/image-476.png\" alt=\"\" class=\"wp-image-8215\" srcset=\"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/08\/image-476.png 800w, https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/08\/image-476-400x223.png 400w, https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/08\/image-476-767x428.png 767w\" 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=\"447\" src=\"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/08\/image-477.png\" alt=\"\" class=\"wp-image-8216\" srcset=\"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/08\/image-477.png 800w, https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/08\/image-477-400x223.png 400w, https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/08\/image-477-767x428.png 767w\" 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=\"447\" src=\"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/08\/image-478.png\" alt=\"\" class=\"wp-image-8217\" srcset=\"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/08\/image-478.png 800w, https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/08\/image-478-767x428.png 767w, https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/08\/image-478-400x223.png 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=\"447\" src=\"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/08\/image-479.png\" alt=\"\" class=\"wp-image-8218\" srcset=\"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/08\/image-479.png 800w, https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/08\/image-479-400x223.png 400w, https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/08\/image-479-767x428.png 767w\" 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=\"447\" src=\"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/08\/image-480.png\" alt=\"\" class=\"wp-image-8219\" srcset=\"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/08\/image-480.png 800w, https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/08\/image-480-400x223.png 400w, https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/08\/image-480-767x428.png 767w\" sizes=\"auto, (max-width: 800px) 100vw, 800px\" \/><\/figure>\n\n\n\n<blockquote class=\"wp-block-quote is-layout-flow wp-block-quote-is-layout-flow\">\n<p class=\"wp-block-paragraph\">Juan C. Cata\u00f1o, and Valentina Montoya. &#8220;Mycetoma.&#8221; <em>The New England Journal of Medicine<\/em>. 2026; 394(17): e33.<\/p>\n<\/blockquote>\n\n\n\n<h2 class=\"wp-block-heading\">\u25a0\u95a2\u9023\u8a18\u4e8b<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>1. \u5275\u50b7\u306e\u6cbb\u308a\u306b\u304f\u3055\u3084\u514d\u75ab\u4f4e\u4e0b\u3092\u62db\u304f\u300c\u7cd6\u5c3f\u75c5\u30fb\u8102\u8cea\u7570\u5e38\u30fb\u8840\u5727\u306e\u4e71\u308c\u300d\u3092\u8840\u6db2\u691c\u67fb\u304b\u3089\u65e9\u671f\u306b\u767a\u898b\u3057\u305f\u3044\u65b9\u3078<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u5c0f\u3055\u306a\u50b7\u53e3\u304b\u3089\u6df1\u90e8\u611f\u67d3\u3084\u96e3\u6cbb\u6027\u76ae\u819a\u6f70\u760d\u3078\u3068\u9032\u884c\u3057\u3066\u3057\u307e\u3046\u80cc\u666f\u306b\u306f\u3001\u8840\u7cd6\u5024\u306e\u30b3\u30f3\u30c8\u30ed\u30fc\u30eb\u4e0d\u826f\uff08\u7cd6\u5c3f\u75c5\uff09\u3084\u8840\u6d41\u969c\u5bb3\u3068\u3044\u3063\u305f\u300c\u5168\u8eab\u306e\u57fa\u790e\u75be\u60a3\u300d\u304c\u6f5c\u3093\u3067\u3044\u308b\u3053\u3068\u304c\u5c11\u306a\u304f\u3042\u308a\u307e\u305b\u3093\u3002\u5e74\u306b1\u56de\u306e\u5b9a\u671f\u5065\u5eb7\u8a3a\u65ad\u3092\u901a\u3058\u3066\u3001\u81ea\u899a\u75c7\u72b6\u306e\u306a\u3044\u4ee3\u8b1d\u3084\u8840\u6db2\u306e\u7570\u5e38\u3092\u5ba2\u89b3\u7684\u306a\u6570\u5024\u3068\u3057\u3066\u628a\u63e1\u3057\u3001\u611f\u67d3\u306b\u5f37\u3044\u8eab\u4f53\u3092\u6574\u3048\u308b\u305f\u3081\u306e\u67cf\u5e02\u7279\u5b9a\u5065\u5eb7\u8a3a\u67fb\uff08\u7279\u5b9a\u5065\u8a3a\uff09\u306e\u6d3b\u7528\u6cd5\u3092\u7dcf\u5408\u5185\u79d1\u5c02\u9580\u533b\u304c\u89e3\u8aac\u3057\u307e\u3059\u3002\u5f53\u9662\u306e\u5185\u79d1\u306f\u571f\u66dc\u65e5\u308217\u6642\u307e\u3067\u8a3a\u7642\u3092\u884c\u3063\u3066\u304a\u308a\u307e\u3059\u3002<\/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=\"huH3adDlfi\"><a href=\"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/post-4765\/\">\u30102026\u5e74\u5ea6\u7248\u3011\u67cf\u5e02\u7279\u5b9a\u5065\u8a3a\uff08\u5065\u5eb7\u8a3a\u65ad\uff09\u306f\u3044\u3064\u304b\u3089\uff1f\u5bfe\u8c61\u8005\u30fb\u8cbb\u7528\u30fb\u6301\u3061\u7269\u3092\u67cf\u5e02\u306e\u7dcf\u5408\u5185\u79d1\u5c02\u9580\u533b\u304c\u89e3\u8aac<\/a><\/blockquote><iframe loading=\"lazy\" class=\"wp-embedded-content\" sandbox=\"allow-scripts\" security=\"restricted\" style=\"position: absolute; visibility: hidden;\" title=\"\u201c\u30102026\u5e74\u5ea6\u7248\u3011\u67cf\u5e02\u7279\u5b9a\u5065\u8a3a\uff08\u5065\u5eb7\u8a3a\u65ad\uff09\u306f\u3044\u3064\u304b\u3089\uff1f\u5bfe\u8c61\u8005\u30fb\u8cbb\u7528\u30fb\u6301\u3061\u7269\u3092\u67cf\u5e02\u306e\u7dcf\u5408\u5185\u79d1\u5c02\u9580\u533b\u304c\u89e3\u8aac\u201d \u2014 \u67cf\u4e94\u5473\u6b6f\u79d1\u5185\u79d1\u30ea\u30a6\u30de\u30c1\u30af\u30ea\u30cb\u30c3\u30af\u30d6\u30ed\u30b0\" src=\"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/post-4765\/embed\/#?secret=FgF5U3YSN4#?secret=huH3adDlfi\" data-secret=\"huH3adDlfi\" width=\"600\" height=\"338\" frameborder=\"0\" marginwidth=\"0\" marginheight=\"0\" scrolling=\"no\"><\/iframe>\n<\/div><\/figure>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>2. \u304a\u53e3\u306e\u6162\u6027\u708e\u75c7\u304b\u3089\u8840\u6db2\u3092\u4ecb\u3057\u3066\u9aa8\u30fb\u95a2\u7bc0\u3078\u3068\u5e83\u304c\u308b\u7d30\u83cc\u4fb5\u5165\uff08\u83cc\u8840\u75c7\uff09\u3092\u9632\u304e\u305f\u3044\u65b9\u3078\uff08\u533b\u79d1\u6b6f\u79d1\u9023\u643a\uff09<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u672c\u75c7\u4f8b\u306e\u3088\u3046\u306b\u9aa8\u3084\u95a2\u7bc0\u306b\u9054\u3059\u308b\u5316\u81bf\u6027\u75c5\u5909\u306f\u3001\u5916\u50b7\u306e\u307f\u306a\u3089\u305a\u3001\u304a\u53e3\u306e\u4e2d\u306b\u6f5c\u3080\u91cd\u5ea6\u306e\u6b6f\u5468\u75c5\u304c\u539f\u56e0\u3068\u306a\u308b\u300c\u4e00\u904e\u6027\u83cc\u8840\u75c7\u300d\u304b\u3089\u3082\u751f\u3058\u307e\u3059\u3002\u30cf\u30df\u30ac\u30ad\u306a\u3069\u306e\u4e9b\u7d30\u306a\u523a\u6fc0\u3067\u8840\u6d41\u306b\u5165\u308a\u8fbc\u3093\u3060\u304a\u53e3\u306e\u7d30\u83cc\u304c\u3001\u69cb\u9020\u7684\u306a\u5f31\u70b9\u3092\u6301\u3064\u95a2\u7bc0\u3084\u9aa8\u306b\u5b9a\u7740\u3059\u308b\u3053\u3068\u3092\u9632\u3050\u305f\u3081\u3001\u30d7\u30ed\u306e\u5c02\u7528\u5668\u5177\u3067\u30d0\u30a4\u30aa\u30d5\u30a3\u30eb\u30e0\u3092\u6839\u3053\u305d\u304e\u30ea\u30bb\u30c3\u30c8\u3059\u308b\u5f53\u9662\u72ec\u81ea\u306e\u533b\u79d1\u6b6f\u79d1\u9023\u643a\u30a2\u30d7\u30ed\u30fc\u30c1PMTC\u306b\u3064\u3044\u3066\u89e3\u8aac\u3057\u307e\u3059\u3002\u5f53\u9662\u306e\u6b6f\u79d1\u306f\u571f\u66dc\u65e5\u5348\u5f8c14\u6642\u307e\u3067\u8a3a\u7642\u3057\u3066\u304a\u308a\u307e\u3059\u3002<\/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=\"lIZIlsqSwd\"><a href=\"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/post-5383\/\">\u3010\u67cf\u6211\u5b6b\u5b50\u5e02\u30fb\u6b6f\u79d1\u3011\u3046\u304c\u3044\u85ac\u3067\u306f\u843d\u3061\u306a\u3044\u300c\u30d0\u30a4\u30aa\u30d5\u30a3\u30eb\u30e0\u300d\u306e\u6050\u6016\uff1aPMTC\uff08\u30d7\u30ed\u306e\u30af\u30ea\u30fc\u30cb\u30f3\u30b0\uff09\u3067\u3080\u3057\u6b6f\u30fb\u6b6f\u5468\u75c5\u3092\u5fb9\u5e95\u4e88\u9632\uff5e\u6839\u7ba1\u6cbb\u7642\u5c02\u9580\u533b\u304c\u89e3\u8aac\uff5e<\/a><\/blockquote><iframe loading=\"lazy\" class=\"wp-embedded-content\" sandbox=\"allow-scripts\" security=\"restricted\" style=\"position: absolute; visibility: hidden;\" title=\"\u201c\u3010\u67cf\u6211\u5b6b\u5b50\u5e02\u30fb\u6b6f\u79d1\u3011\u3046\u304c\u3044\u85ac\u3067\u306f\u843d\u3061\u306a\u3044\u300c\u30d0\u30a4\u30aa\u30d5\u30a3\u30eb\u30e0\u300d\u306e\u6050\u6016\uff1aPMTC\uff08\u30d7\u30ed\u306e\u30af\u30ea\u30fc\u30cb\u30f3\u30b0\uff09\u3067\u3080\u3057\u6b6f\u30fb\u6b6f\u5468\u75c5\u3092\u5fb9\u5e95\u4e88\u9632\uff5e\u6839\u7ba1\u6cbb\u7642\u5c02\u9580\u533b\u304c\u89e3\u8aac\uff5e\u201d \u2014 \u67cf\u4e94\u5473\u6b6f\u79d1\u5185\u79d1\u30ea\u30a6\u30de\u30c1\u30af\u30ea\u30cb\u30c3\u30af\u30d6\u30ed\u30b0\" src=\"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/post-5383\/embed\/#?secret=gEMonkaD5e#?secret=lIZIlsqSwd\" data-secret=\"lIZIlsqSwd\" width=\"600\" height=\"338\" frameborder=\"0\" marginwidth=\"0\" marginheight=\"0\" scrolling=\"no\"><\/iframe>\n<\/div><\/figure>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>3. 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