{"id":8270,"date":"2026-09-01T07:57:24","date_gmt":"2026-08-31T22:57:24","guid":{"rendered":"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/?p=8270"},"modified":"2026-09-01T07:57:24","modified_gmt":"2026-08-31T22:57:24","slug":"post-8270","status":"publish","type":"post","link":"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/post-8270\/","title":{"rendered":"\u591a\u767a\u6027\u786c\u5316\u75c7\uff1a2026\u5e74NEJM\u30ec\u30d3\u30e5\u30fc\u306e\u89e3\u8aac\uff08\u75c5\u614b\u304b\u3089\u65e9\u671f\u9ad8\u529b\u4fa1\u6cbb\u7642\u306e\u30d1\u30e9\u30c0\u30a4\u30e0\u30b7\u30d5\u30c8\uff09"},"content":{"rendered":"\n<h2 class=\"wp-block-heading\"><strong>EB\u30a6\u30a4\u30eb\u30b9\u611f\u67d3\u3068\u81ea\u5df1\u514d\u75ab\u306e\u9023\u9396\u3002\u6297CD20\u6297\u4f53\u304c\u5207\u308a\u62d3\u304f\u518d\u767a\u30bc\u30ed\u6642\u4ee3\u3068\u3001\u304f\u3059\u3076\u308b\u6162\u6027\u708e\u75c7\uff08PIRA\uff09\u3092\u514b\u670d\u3059\u308b\u6700\u65b0\u795e\u7d4c\u514d\u75ab\u5b66\u306e\u5730\u5e73<\/strong><\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">\u8996\u795e\u7d4c\u306e\u708e\u75c7\u306b\u3088\u308b\u7247\u76ee\u306e\u8996\u529b\u4f4e\u4e0b\u3084\u4e8c\u91cd\u306b\u898b\u3048\u308b\u8907\u8996\u3001\u624b\u8db3\u306e\u3057\u3073\u308c\u3084\u8131\u529b\u3001\u6b69\u884c\u6642\u306e\u3075\u3089\u3064\u304d\u3001\u305d\u3057\u3066\u6392\u5c3f\u969c\u5bb3\u2015\u2015\u3002\u4e2d\u67a2\u795e\u7d4c\u7cfb\uff08\u8133\u30fb\u8996\u795e\u7d4c\u30fb\u810a\u9ac4\uff09\u306e\u795e\u7d4c\u7dda\u7dad\u3092\u8986\u3046\u4fdd\u8b77\u30ab\u30d0\u30fc\u3067\u3042\u308b\u300c\u30df\u30a8\u30ea\u30f3\u9798\uff08\u9ac4\u9798\uff09\u300d\u304c\u81ea\u5df1\u514d\u75ab\u306b\u3088\u3063\u3066\u653b\u6483\u3055\u308c\u3001\u591a\u5f69\u306a\u795e\u7d4c\u75c7\u72b6\u306e\u300c\u518d\u767a\u300d\u3068\u300c\u5bdb\u89e3\u300d\u3092\u7e70\u308a\u8fd4\u3057\u306a\u304c\u3089\u5f90\u3005\u306b\u969c\u5bb3\u304c\u9032\u884c\u3057\u3066\u3044\u304f\u591a\u767a\u6027\u786c\u5316\u75c7\uff08Multiple Sclerosis: MS\uff09\u3002\u5973\u6027\u306b\u591a\u304f\u300120\u301c40\u4ee3\u306e\u82e5\u5e74\u671f\u306b\u597d\u767a\u3059\u308b\u3053\u3068\u304b\u3089\u3001\u60a3\u8005\u69d8\u306e\u5c31\u52b4\u3084\u793e\u4f1a\u751f\u6d3b\u306b\u6975\u3081\u3066\u6df1\u523b\u306a\u6253\u6483\u3092\u4e0e\u3048\u308b\u81ea\u5df1\u514d\u75ab\u6027\u795e\u7d4c\u96e3\u75c5\u306e\u4ee3\u8868\u683c\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\u6700\u65b0\u7dcf\u8aac\uff082026\u5e747\u6708\u53f7\uff09\u306f\u3001MS\u7814\u7a76\u306e\u4e16\u754c\u7684\u6a29\u5a01\u3067\u3042\u308bStephen L. Hauser\u533b\u5e2b\u306b\u3088\u308a\u57f7\u7b46\u3055\u308c\u3001\u767a\u75c7\u306e\u5f15\u304d\u91d1\u3068\u306a\u308b\u30a8\u30d7\u30b9\u30bf\u30a4\u30f3\u30fb\u30d0\u30fc\uff08EB\uff09\u30a6\u30a4\u30eb\u30b9\u3068B\u7d30\u80de\u306e\u30df\u30af\u30ed\u306a\u4f53\u306e\u4ed5\u7d44\u307f\u304b\u3089\u3001\u81e8\u5e8a\u73fe\u5834\u306e\u5e38\u8b58\u3092\u8986\u3057\u305f\u300c\u6c88\u9ed9\u306e\u9032\u884c\uff08PIRA\uff09\u300d\u306e\u6982\u5ff5\u3001\u305d\u3057\u3066\u6297CD20\u30e2\u30ce\u30af\u30ed\u30fc\u30ca\u30eb\u6297\u4f53\u3092\u306f\u3058\u3081\u3068\u3059\u308b\u65e9\u671f\u9ad8\u529b\u4fa1\u6cbb\u7642\u304c\u3082\u305f\u3089\u3057\u305f\u4e88\u5f8c\u306e\u5287\u7684\u306a\u6539\u5584\u3068\u672a\u6765\u306e\u6cbb\u7642\u6226\u7565\u3092\u5305\u62ec\u7684\u306b\u89e3\u304d\u660e\u304b\u3057\u3066\u3044\u307e\u3059\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>1. EB\u30a6\u30a4\u30eb\u30b9\u3068B\u7d30\u80de\u304c\u70b9\u706b\u3059\u308b\u81ea\u5df1\u514d\u75ab\u30ab\u30b9\u30b1\u30fc\u30c9\uff08\u4f53\u306e\u4ed5\u7d44\u307f\uff09<\/strong> <\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u591a\u767a\u6027\u786c\u5316\u75c7\u306e\u767a\u75c7\u306b\u306f\u3001HLA-DRB1*15:01\u306a\u3069\u306e\u907a\u4f1d\u7684\u7d20\u56e0\u306b\u52a0\u3048\u3001\u74b0\u5883\u8981\u56e0\u304c\u8907\u96d1\u306b\u7d61\u307f\u5408\u3063\u3066\u3044\u307e\u3059\u3002\u8fd1\u5e74\u78ba\u7acb\u3055\u308c\u305f\u6700\u3082\u6c7a\u5b9a\u7684\u306a\u30a8\u30d3\u30c7\u30f3\u30b9\u304c\u3001\u300c\u30a8\u30d7\u30b9\u30bf\u30a4\u30f3\u30fb\u30d0\u30fc\uff08EB\uff09\u30a6\u30a4\u30eb\u30b9\u611f\u67d3\u300d\u3068\u306e\u56e0\u679c\u95a2\u4fc2\u3067\u3059\u3002EB\u30a6\u30a4\u30eb\u30b9\u672a\u611f\u67d3\u8005\u304cMS\u3092\u767a\u75c7\u3059\u308b\u3053\u3068\u306f\u6975\u3081\u3066\u7a00\u3067\u3042\u308a\u3001\u601d\u6625\u671f\u4ee5\u964d\u306e\u611f\u67d3\uff08\u4f1d\u67d3\u6027\u5358\u6838\u7403\u75c7\u306a\u3069\uff09\u3092\u7d4c\u3066\u8a18\u61b6B\u7d30\u80de\u5185\u306b\u751f\u6daf\u6f5c\u4f0f\u3057\u305f\u30a6\u30a4\u30eb\u30b9\u304c\u3001\u81ea\u5df1\u514d\u75ab\u66b4\u8d70\u306e\u30ab\u30bf\u30ea\u30b9\u30c8\uff08\u89e6\u5a92\uff09\u3068\u3057\u3066\u6a5f\u80fd\u3057\u307e\u3059\u3002 \u30a6\u30a4\u30eb\u30b9\u611f\u67d3\u306b\u3088\u3063\u3066\u523a\u6fc0\u3055\u308c\u305fB\u7d30\u80de\u306f\u3001\u4e2d\u67a2\u795e\u7d4c\u7cfb\u3078\u306e\u30db\u30fc\u30df\u30f3\u30b0\u80fd\u3092\u7372\u5f97\u3057\u3001\u81ea\u5df1\u6297\u539f\u30da\u30d7\u30c1\u30c9\u3092\u75c5\u539f\u6027T\u7d30\u80de\uff08CD4\u967d\u6027\u30fbCD8\u967d\u6027T\u7d30\u80de\uff09\u3078\u52b9\u7387\u3088\u304f\u63d0\u793a\u3057\u307e\u3059\u3002\u3055\u3089\u306b\u3001EB\u30a6\u30a4\u30eb\u30b9\u6297\u539f\uff08EBNA1\u3084BRRF2\u306a\u3069\uff09\u306b\u5bfe\u3059\u308b\u6297\u4f53\u304c\u3001\u30d2\u30c8\u4e2d\u67a2\u795e\u7d4c\u7cfb\u306e\u69cb\u6210\u6210\u5206\uff08GlialCAM\u306a\u3069\uff09\u3068\u5206\u5b50\u76f8\u540c\u6027\uff08\u5206\u5b50\u6a21\u5023\uff09\u306b\u3088\u3063\u3066\u4ea4\u53c9\u53cd\u5fdc\u3092\u8d77\u3053\u3057\u3001\u81ea\u5df1\u306e\u30df\u30a8\u30ea\u30f3\u9798\u3084\u30aa\u30ea\u30b4\u30c7\u30f3\u30c9\u30ed\u30b5\u30a4\u30c8\u3092\u653b\u6483\u3059\u308b\u81ea\u5df1\u6297\u4f53\u3084\u708e\u75c7\u6027\u30b5\u30a4\u30c8\u30ab\u30a4\u30f3\uff08IL-6\u3001TNF-\u03b1\u3001GM-CSF\u306a\u3069\uff09\u3092\u653e\u51fa\u3057\u3066\u6fc0\u3057\u3044\u708e\u75c7\u3092\u8a98\u5c0e\u3057\u307e\u3059\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>2. \u6025\u6027\u5de3\u72b6\u75c5\u5909\u304b\u3089\u300c\u304f\u3059\u3076\u308b\u6162\u6027\u6d3b\u52d5\u6027\u75c5\u5909\u300d\u3078\uff1aMRI\u304c\u6349\u3048\u308b\u75c5\u614b\u306e\u5909\u9077<\/strong> <\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u6025\u6027\u671f\u306e\u75c5\u5909\u3067\u306f\u3001\u8840\u7ba1\u5468\u56f2\u306e\u8840\u6db2\u8133\u95a2\u9580\uff08BBB\uff09\u304c\u7834\u7dbb\u3057\u3001\u30ea\u30f3\u30d1\u7403\u3084\u5358\u7403\u304c\u6d78\u6f64\u3057\u3066\u5c40\u6240\u7684\u306a\u8131\u9ac4\u3068\u8ef8\u7d22\u640d\u50b7\u3092\u5f15\u304d\u8d77\u3053\u3057\u307e\u3059\u3002\u3053\u306e\u6025\u6027\u708e\u75c7\u306f\u9020\u5f71MRI\u691c\u67fb\u306b\u304a\u3044\u3066\u30ac\u30c9\u30ea\u30cb\u30a6\u30e0\u9020\u5f71\u5897\u5f37\u75c5\u5909\uff08\u7d041\u30f6\u6708\u6301\u7d9a\uff09\u3068\u3057\u3066\u6349\u3048\u3089\u308c\u3001\u81e8\u5e8a\u7684\u306a\u300c\u6025\u6027\u518d\u767a\u300d\u306e\u5f15\u304d\u91d1\u3068\u306a\u308a\u307e\u3059\u3002 \u3057\u304b\u3057\u3001\u6025\u6027\u708e\u75c7\u304c\u6570\u9031\u9593\u3067\u6cbb\u307e\u3063\u305f\u5f8c\u3082\u3001\u75c5\u5909\u306f\u5b8c\u5168\u306b\u6c88\u9759\u5316\u3059\u308b\u308f\u3051\u3067\u306f\u3042\u308a\u307e\u305b\u3093\u3002\u75c5\u5909\u8fba\u7e01\u90e8\u306b\u9244\u3092\u542b\u3093\u3060\u6d3b\u6027\u5316\u30df\u30af\u30ed\u30b0\u30ea\u30a2\u304c\u5e2f\u72b6\u306b\u96c6\u7a4d\u3057\u3001BBB\u304c\u6bd4\u8f03\u7684\u4fdd\u305f\u308c\u305f\u9589\u9396\u74b0\u5883\u306e\u4e2d\u3067\u795e\u7d4c\u8ef8\u7d22\u3092\u3058\u308f\u3058\u308f\u3068\u7834\u58ca\u3057\u7d9a\u3051\u308b\u300c\u6162\u6027\u6d3b\u52d5\u6027\u75c5\u5909\uff08\u5e38\u78c1\u6027\u30ea\u30e0\u75c5\u5909\uff1aPRL\uff09\u300d\u3078\u3068\u79fb\u884c\u3059\u308b\u3053\u3068\u304c\u660e\u3089\u304b\u306b\u306a\u308a\u307e\u3057\u305f\u3002\u3055\u3089\u306b\u3001\u8edf\u819c\u306b\u96a3\u63a5\u3059\u308b\u8133\u819c\u30ea\u30f3\u30d1\u5c0f\u7bc0\uff08\u7570\u6240\u6027\u30ea\u30f3\u30d1\u7d44\u7e54\uff09\u304b\u3089\u653e\u51fa\u3055\u308c\u308b\u6db2\u6027\u56e0\u5b50\u304c\u3001\u5927\u8133\u76ae\u8cea\u306e\u8131\u9ac4\u3084\u5e83\u7bc4\u306a\u795e\u7d4c\u7d30\u80de\u8131\u843d\uff08\u8133\u840e\u7e2e\uff09\u3092\u52a0\u901f\u3055\u305b\u307e\u3059\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>3. \u300c\u518d\u767a\u3092\u6291\u3048\u3066\u3082\u969c\u5bb3\u304c\u9032\u3080\u300d\u30d1\u30e9\u30c9\u30c3\u30af\u30b9\uff1aPIRA\uff08\u6c88\u9ed9\u306e\u9032\u884c\uff09\u306e\u89e3\u660e<\/strong> <\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u5f93\u6765\u306e\u75be\u60a3\u30e2\u30c7\u30eb\u3067\u306f\u3001\u300c\u518d\u767a\u306b\u3088\u308b\u5f8c\u907a\u75c7\u306e\u7a4d\u307f\u91cd\u306d\u300d\u306b\u3088\u3063\u3066\u969c\u5bb3\u304c\u84c4\u7a4d\u3057\u3001\u767a\u75c7\u304b\u3089\u5e73\u574715\u301c16\u5e74\u3092\u7d4c\u3066\u5f90\u3005\u306b\u6b69\u884c\u969c\u5bb3\u306a\u3069\u304c\u60aa\u5316\u3059\u308b\u4e8c\u6b21\u6027\u9032\u884c\u578b\uff08SPMS\uff09\u3078\u3068\u79fb\u884c\u3059\u308b\u3068\u8003\u3048\u3089\u308c\u3066\u3044\u307e\u3057\u305f\u3002 \u3057\u304b\u3057\u3001\u8fd1\u5e74\u306e\u9ad8\u529b\u4fa1\u6cbb\u7642\u306e\u666e\u53ca\u306b\u3088\u3063\u3066\u518d\u767a\u304c\u307b\u307c\u5b8c\u5168\u306b\u6291\u3048\u3089\u308c\u308b\u3088\u3046\u306b\u306a\u3063\u305f\u3053\u3068\u3067\u3001\u6975\u3081\u3066\u91cd\u5927\u306a\u4e8b\u5b9f\u304c\u6d6e\u304d\u5f6b\u308a\u3068\u306a\u308a\u307e\u3057\u305f\u3002\u305d\u308c\u304c\u3001<strong>\u300c\u518d\u767a\u6d3b\u52d5\u6027\u3068\u306f\u72ec\u7acb\u3057\u305f\u969c\u5bb3\u9032\u884c\uff08Progression Independent of Relapse Activity: PIRA\uff09\u300d<\/strong>\u3001\u3059\u306a\u308f\u3061\u300c\u6c88\u9ed9\u306e\u9032\u884c\uff08Silent Progression\uff09\u300d\u3067\u3059\u3002 MS\u306e\u75c5\u614b\u306f\u3001\u767a\u75c7\u65e9\u671f\u304b\u3089\u300c\u6025\u6027\u708e\u75c7\u300d\u3068\u300c\u9032\u884c\u6027\u795e\u7d4c\u5909\u6027\u300d\u306e\u53cc\u65b9\u304c\u540c\u6642\u306b\u6c34\u9762\u4e0b\u3067\u9032\u884c\u3057\u3066\u3044\u308b\u5358\u4e00\u306e\u9023\u7d9a\u4f53\u3067\u3042\u308a\u3001\u6025\u6027\u518d\u767a\u306e\u6709\u7121\u306b\u304b\u304b\u308f\u3089\u305a\u3001\u5fae\u5c0f\u306a\u8ef8\u7d22\u50b7\u5bb3\u3084\u30b7\u30ca\u30d7\u30b9\u55aa\u5931\u304c\u4e0d\u53ef\u9006\u7684\u306a\u795e\u7d4c\u969c\u5bb3\u306e\u4e3b\u539f\u56e0\u3068\u306a\u3063\u3066\u3044\u308b\u3053\u3068\u304c\u5224\u660e\u3057\u305f\u306e\u3067\u3059\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>4. \u6cbb\u7642\u6226\u7565\u306e\u30b3\u30da\u30eb\u30cb\u30af\u30b9\u7684\u8ee2\u56de\uff1a\u65e9\u671f\u9ad8\u529b\u4fa1\u5c0e\u5165\uff08Early High-Efficacy\uff09\u306e\u6642\u4ee3\u3078<\/strong> <\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u3053\u306ePIRA\u3084\u9032\u884c\u578b\u3078\u306e\u79fb\u884c\u3092\u98df\u3044\u6b62\u3081\u308b\u305f\u3081\u3001\u6cbb\u7642\u30d1\u30e9\u30c0\u30a4\u30e0\u306f\u6839\u672c\u7684\u306a\u8ee2\u63db\u3092\u9042\u3052\u307e\u3057\u305f\u3002\u304b\u3064\u3066\u4e3b\u6d41\u3067\u3042\u3063\u305f\u300c\u52b9\u679c\u306e\u7a4f\u3084\u304b\u306a\u521d\u671f\u85ac\u304b\u3089\u59cb\u3081\u3001\u52b9\u679c\u4e0d\u5341\u5206\u306a\u3089\u6bb5\u968e\u7684\u306b\u85ac\u3092\u5f37\u3081\u308b\uff08\u30a8\u30b9\u30ab\u30ec\u30fc\u30b7\u30e7\u30f3\u7642\u6cd5\uff09\u300d\u306f\u5426\u5b9a\u3055\u308c\u3001\u300c\u8a3a\u65ad\u5f8c\u3067\u304d\u308b\u9650\u308a\u65e9\u671f\u306b\u3001\u6700\u3082\u52b9\u679c\u306e\u9ad8\u3044\u9ad8\u529b\u4fa1\u6cbb\u7642\uff08High-Efficacy 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class=\"wp-block-paragraph\">\u307e\u305f\u3001\u795e\u7d4c\u75be\u60a3\u3084\u81ea\u5df1\u514d\u75ab\u75be\u60a3\u3068\u5411\u304d\u5408\u3046\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\u591a\u767a\u6027\u786c\u5316\u75c7\u306e\u3088\u3046\u306b\u514d\u75ab\u4fee\u98fe\u85ac\u3084\u9ad8\u529b\u4fa1\u514d\u75ab\u6291\u5236\u7642\u6cd5\uff08\u6297CD20\u6297\u4f53\u88fd\u5264\u3084\u30b9\u30c6\u30ed\u30a4\u30c9\u7b49\uff09\u3092\u4f7f\u7528\u3057\u3066\u3044\u308b\u5c40\u9762\u3001\u3042\u308b\u3044\u306f\u624b\u8db3\u306e\u8131\u529b\u3084\u5de7\u7dfb\u6027\u969c\u5bb3\u306b\u3088\u3063\u3066\u65e5\u5e38\u306e\u30d6\u30e9\u30c3\u30b7\u30f3\u30b0\u304c\u56f0\u96e3\u306b\u306a\u308b\u72b6\u614b\u3067\u306f\u3001\u304a\u53e3\u306e\u4e2d\u306e\u81ea\u6d44\u4f5c\u7528\u304c\u4f4e\u4e0b\u3057\u3001\u91cd\u5ea6\u306e\u6b6f\u5468\u75c5\u3084\u30d7\u30e9\u30fc\u30af\u306e\u84c4\u7a4d\uff08\u6162\u6027\u708e\u75c7\uff09\u3092\u62db\u304d\u3084\u3059\u304f\u306a\u308a\u307e\u3059\u3002\u304a\u53e3\u306e\u4e2d\u306b\u6162\u6027\u708e\u75c7\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\u514d\u75ab\u4fee\u98fe\u7642\u6cd5\u4e2d\u306e\u65b9\u3001\u7cd6\u5c3f\u75c5\u306a\u3069\u306e\u6301\u75c5\u3092\u304a\u6301\u3061\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\u809d\u81d3\u3084\u5fc3\u81d3\u306e\u5f01\u3001\u4eba\u5de5\u95a2\u7bc0\u306a\u3069\u306b\u5b9a\u7740\u3057\u3001\u91cd\u75c7\u306e\u5316\u81bf\u6027\u611f\u67d3\u75c7\u3084\u5168\u8eab\u6027\u6557\u8840\u75c7\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\u3055\u3089\u306b\u3001\u795e\u7d4c\u6a5f\u80fd\u4f4e\u4e0b\u306b\u4f34\u3046\u56a5\u4e0b\u969c\u5bb3\u304c\u751f\u3058\u305f\u5834\u5408\u3001\u304a\u53e3\u306e\u7d30\u83cc\u3092\u553e\u6db2\u3068\u3068\u3082\u306b\u80ba\u3078\u8aa4\u56a5\u3059\u308b\u3053\u3068\u3067\u300c\u8aa4\u56a5\u6027\u80ba\u708e\u300d\u3092\u4f75\u767a\u3059\u308b\u5371\u967a\u6027\u304c\u8df3\u306d\u4e0a\u304c\u308a\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\u624b\u8db3\u306e\u3057\u3073\u308c\u3084\u8131\u529b\u3001\u539f\u56e0\u4e0d\u660e\u306e\u3060\u308b\u3055\u3001\u304a\u53e3\u306e\u4e7e\u304d\u3084\u30c8\u30e9\u30d6\u30eb\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\u624b\u8db3\u306e\u3057\u3073\u308c\u3084\u81ea\u5df1\u514d\u75ab\u75be\u60a3\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\u6709\u75c5\u8005\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\/09\/image-14.png\" alt=\"\" class=\"wp-image-8271\" srcset=\"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/09\/image-14.png 800w, https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/09\/image-14-400x223.png 400w, https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/09\/image-14-767x428.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\/09\/image-15.png\" alt=\"\" class=\"wp-image-8272\" srcset=\"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/09\/image-15.png 800w, https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/09\/image-15-767x428.png 767w, https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/09\/image-15-400x223.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\/09\/image-16.png\" alt=\"\" class=\"wp-image-8273\" srcset=\"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/09\/image-16.png 800w, https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/09\/image-16-400x223.png 400w, https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/09\/image-16-767x428.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\/09\/image-17.png\" alt=\"\" class=\"wp-image-8274\" srcset=\"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/09\/image-17.png 800w, https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/09\/image-17-400x223.png 400w, https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/09\/image-17-767x428.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\/09\/image-18.png\" alt=\"\" class=\"wp-image-8275\" srcset=\"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/09\/image-18.png 800w, https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/09\/image-18-400x223.png 400w, https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/09\/image-18-767x428.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\/09\/image-19.png\" alt=\"\" class=\"wp-image-8276\" srcset=\"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/09\/image-19.png 800w, https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/09\/image-19-400x223.png 400w, https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/09\/image-19-767x428.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\/09\/image-20.png\" alt=\"\" class=\"wp-image-8277\" srcset=\"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/09\/image-20.png 800w, https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/09\/image-20-400x223.png 400w, https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/09\/image-20-767x428.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\/09\/image-21.png\" alt=\"\" class=\"wp-image-8278\" srcset=\"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/09\/image-21.png 800w, https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/09\/image-21-400x223.png 400w, https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/09\/image-21-767x428.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\/09\/image-22.png\" alt=\"\" class=\"wp-image-8279\" srcset=\"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/09\/image-22.png 800w, https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/09\/image-22-400x223.png 400w, https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/09\/image-22-767x428.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\/09\/image-23.png\" alt=\"\" class=\"wp-image-8280\" srcset=\"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/09\/image-23.png 800w, https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/09\/image-23-400x223.png 400w, https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/09\/image-23-767x428.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\/09\/image-24.png\" alt=\"\" class=\"wp-image-8281\" srcset=\"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/09\/image-24.png 800w, https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/09\/image-24-400x223.png 400w, https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/09\/image-24-767x428.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\/09\/image-25.png\" alt=\"\" class=\"wp-image-8282\" srcset=\"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/09\/image-25.png 800w, https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/09\/image-25-400x223.png 400w, https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/09\/image-25-767x428.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\/09\/image-26.png\" alt=\"\" class=\"wp-image-8283\" srcset=\"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/09\/image-26.png 800w, https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/09\/image-26-400x223.png 400w, https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/09\/image-26-767x428.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\">Stephen L. Hauser. &#8220;Advances in Multiple Sclerosis.&#8221; <em>The New England Journal of Medicine<\/em>. 2026; 395(1): 54-68.<\/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. \u81ea\u5df1\u514d\u75ab\u6027\u75be\u60a3\u306e\u6025\u6027\u671f\u3084\u518d\u767a\u6642\u306b\u304a\u3051\u308b\u300c\u30b9\u30c6\u30ed\u30a4\u30c9\u6cbb\u7642\u300d\u306e\u6b63\u3057\u3044\u4f53\u306e\u4ed5\u7d44\u307f\u3068\u526f\u4f5c\u7528\u7ba1\u7406\u3092\u77e5\u308a\u305f\u3044\u65b9\u3078<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u591a\u767a\u6027\u786c\u5316\u75c7\u306e\u6025\u6027\u518d\u767a\u6642\u306b\u3082\u7b2c\u4e00\u9078\u629e\u3068\u306a\u308b\u9ad8\u7528\u91cf\u30b0\u30eb\u30b3\u30b3\u30eb\u30c1\u30b3\u30a4\u30c9\uff08\u30e1\u30c1\u30eb\u30d7\u30ec\u30c9\u30cb\u30be\u30ed\u30f3\u30d1\u30eb\u30b9\u7642\u6cd5\uff09\u306f\u3001\u6025\u6fc0\u306a\u795e\u7d4c\u306e\u708e\u75c7\u3092\u93ae\u3081\u308b\u5f37\u529b\u306a\u540d\u85ac\u3067\u3059\u3002\u3057\u304b\u3057\u3001\u30b9\u30c6\u30ed\u30a4\u30c9\u306e\u6295\u4e0e\u306f\u9aa8\u5bc6\u5ea6\u306e\u4f4e\u4e0b\uff08\u9aa8\u7c97\u9b06\u75c7\uff09\u3084\u6613\u611f\u67d3\u6027\u3001\u8010\u7cd6\u80fd\u7570\u5e38\u306a\u3069\u5168\u8eab\u306b\u591a\u9762\u7684\u306a\u5f71\u97ff\u3092\u53ca\u307c\u3059\u305f\u3081\u3001\u5c02\u9580\u533b\u306b\u3088\u308b\u7dfb\u5bc6\u306a\u526f\u4f5c\u7528\u4e88\u9632\u30de\u30cd\u30b8\u30e1\u30f3\u30c8\u304c\u4e0d\u53ef\u6b20\u3067\u3059\u3002\u304a\u85ac\u306e\u6069\u6075\u3092\u6700\u5927\u5316\u3057\u3001\u4f53\u3092\u5b88\u308b\u4ed5\u7d44\u307f\u3092\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=\"aNF9fgW7AK\"><a href=\"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/post-7663\/\">\u300c\u8af8\u5203\u306e\u5263\u300d\u3092\u540d\u85ac\u306b\u5909\u3048\u308b\u3002\u30b9\u30c6\u30ed\u30a4\u30c9\u6cbb\u7642\u306e\u5b8c\u5168\u30ac\u30a4\u30c9\u3002\u52b9\u679c\u3068\u526f\u4f5c\u7528\u306e\u7406\u89e3\u3067\u5b89\u5168\u306a\u6cbb\u7642\u3092\u3002\u67cf\u6211\u5b6b\u5b50\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; visibility: hidden;\" title=\"\u201c\u300c\u8af8\u5203\u306e\u5263\u300d\u3092\u540d\u85ac\u306b\u5909\u3048\u308b\u3002\u30b9\u30c6\u30ed\u30a4\u30c9\u6cbb\u7642\u306e\u5b8c\u5168\u30ac\u30a4\u30c9\u3002\u52b9\u679c\u3068\u526f\u4f5c\u7528\u306e\u7406\u89e3\u3067\u5b89\u5168\u306a\u6cbb\u7642\u3092\u3002\u67cf\u6211\u5b6b\u5b50\u306e\u30ea\u30a6\u30de\u30c1\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-7663\/embed\/#?secret=2pCNjhAyU0#?secret=aNF9fgW7AK\" data-secret=\"aNF9fgW7AK\" 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. \u514d\u75ab\u4fee\u98fe\u85ac\u4f7f\u7528\u4e2d\u306b\u304a\u3051\u308b\u8840\u6d41\u611f\u67d3\uff08\u83cc\u8840\u75c7\uff09\u3092\u9632\u304e\u3001\u304a\u53e3\u304b\u3089\u5168\u8eab\u306e\u9632\u885b\u30e9\u30a4\u30f3\u3092\u6574\u3048\u305f\u3044\u65b9\u3078\uff08\u533b\u79d1\u6b6f\u79d1\u9023\u643a\uff09<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u6297CD20\u6297\u4f53\u306a\u3069\u306e\u9ad8\u529b\u4fa1\u514d\u75ab\u7642\u6cd5\u3092\u884c\u3063\u3066\u3044\u308b\u5c40\u9762\u3067\u306f\u3001\u4f53\u5168\u4f53\u306e\u611f\u67d3\u9632\u5fa1\u30d0\u30ea\u30a2\u304c\u5909\u5316\u3057\u307e\u3059\u3002\u3053\u306e\u3068\u304d\u3001\u304a\u53e3\u306e\u4e2d\u306b\u6162\u6027\u7684\u306a\u6b6f\u5468\u75c5\uff08\u51fa\u8840\u3084\u708e\u75c7\uff09\u304c\u5b58\u5728\u3059\u308b\u3068\u3001\u6bce\u65e5\u306e\u30d6\u30e9\u30c3\u30b7\u30f3\u30b0\u3084\u5480\u56bc\u3092\u304d\u3063\u304b\u3051\u306b\u5927\u91cf\u306e\u53e3\u8154\u5185\u7d30\u83cc\u304c\u8840\u7ba1\u306b\u4fb5\u5165\u3059\u308b\u300c\u4e00\u904e\u6027\u83cc\u8840\u75c7\u300d\u3092\u62db\u304d\u3001\u91cd\u7be4\u306a\u4e8c\u6b21\u611f\u67d3\u3092\u5f15\u304d\u8d77\u3053\u3059\u5f15\u304d\u91d1\u3068\u306a\u308a\u307e\u3059\u3002\u30cf\u30df\u30ac\u30ad\u3067\u306f\u9664\u53bb\u3067\u304d\u306a\u3044\u7d30\u83cc\u306e\u5de3\uff08\u30d0\u30a4\u30aa\u30d5\u30a3\u30eb\u30e0\uff09\u3092\u30d7\u30ed\u306e\u5c02\u9580\u5668\u5177\u3067\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=\"qHrG1YA334\"><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;\" 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