{"id":8342,"date":"2026-09-02T22:04:28","date_gmt":"2026-09-02T13:04:28","guid":{"rendered":"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/?p=8342"},"modified":"2026-09-02T22:04:32","modified_gmt":"2026-09-02T13:04:32","slug":"post-8342","status":"publish","type":"post","link":"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/post-8342\/","title":{"rendered":"\u4eba\u5de5\u80a1\u95a2\u7bc0\u306e\u6469\u8017\u304c\u62db\u304f\u300c\u30b3\u30d0\u30eb\u30c8\u4e2d\u6bd2\u300d\u3002\u9ad8\u6fc3\u5ea6\u30b3\u30d0\u30eb\u30c8\u306b\u3088\u308b\u795e\u7d4c\u969c\u5bb3\u30fb\u4ee3\u8b1d\u969c\u5bb3\u30fb\u591a\u8840\u75c7\u3002"},"content":{"rendered":"\n<h2 class=\"wp-block-heading\">\u4eba\u5de5<strong>\u95a2\u7bc0\u5185\u306b\u6b8b\u3055\u308c\u305f\u7d20\u6750\u306e\u5909\u6027\u3068\u7834\u640d\u3002\u305d\u306e\u6469\u64e6\u306b\u3088\u308a\u5f15\u304d\u8d77\u3053\u3055\u308c\u305f\u6fc0\u3057\u3044\u30e1\u30bf\u30ed\u30fc\u30b7\u30b9\u3002HIF-1\u03b1\u306e\u81ea\u5f8b\u7684\u5b89\u5b9a\u5316\u3092\u4ecb\u3057\u305f\u4e8c\u6b21\u6027\u591a\u8840\u75c7\u3068\u5168\u8eab\u6027\u30b3\u30d0\u30eb\u30c8\u6bd2\u6027\u306b\u5bfe\u3059\u308b\u3001\u5916\u79d1\u7684\u518d\u7f6e\u63db\u304a\u3088\u3073\u30ad\u30ec\u30fc\u30b7\u30e7\u30f3\u7642\u6cd5\u3002<\/strong><\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">\u4eba\u5de5\u80a1\u95a2\u7bc0\u5168\u7f6e\u63db\u8853\uff08Total Hip Arthroplasty: THA\uff09\u306f\u3001\u5909\u5f62\u6027\u80a1\u95a2\u7bc0\u75c7\u3084\u5916\u50b7\u5f8c\u306e\u95a2\u7bc0\u6a5f\u80fd\u4e0d\u5168\u306b\u5bfe\u3057\u3066\u6975\u3081\u3066\u9ad8\u3044\u9577\u671f\u6210\u529f\u7387\uff0830\u5e74\u751f\u5b58\u738790%\u4ee5\u4e0a\uff09\u3092\u8a87\u308b\u3001\u73fe\u4ee3\u6574\u5f62\u5916\u79d1\u306e\u91d1\u5b57\u5854\u3068\u306a\u308b\u6cbb\u7642\u6cd5\u3067\u3059\u3002\u3057\u304b\u3057\u3001\u95a2\u7bc0\u3092\u69cb\u6210\u3059\u308b\u30a4\u30f3\u30d7\u30e9\u30f3\u30c8\u306e\u7d20\u6750\u306b\u5909\u6027\u3084\u7834\u640d\u304c\u751f\u3058\u305f\u969b\u3001\u305d\u306e\u6469\u64e6\u306b\u3088\u3063\u3066\u767a\u751f\u3057\u305f\u5fae\u7d30\u306a\u91d1\u5c5e\u7c89\u304c\u8840\u6d41\u306b\u4e57\u3063\u3066\u5168\u8eab\u3092\u4fb5\u8972\u3057\u3001\u8133\u3084\u672b\u68a2\u795e\u7d4c\u3001\u5185\u5206\u6ccc\u7cfb\u3092\u591a\u9762\u7684\u306b\u72c2\u308f\u305b\u308b\u6df1\u523b\u306a\u5168\u8eab\u6027\u4e2d\u6bd2\u75c5\u614b\u3092\u5f15\u304d\u8d77\u3053\u3059\u3053\u3068\u304c\u3042\u308a\u307e\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\u81e8\u5e8a\u554f\u984c\u89e3\u6c7a\uff08Clinical Problem-Solving\uff09\u306e\u8a18\u4e8b\uff082026\u5e747\u67082\u65e5\u53f7\uff09\u306f\u3001\u6b69\u884c\u969c\u5bb3\u3068\u6025\u6fc0\u306a\u8a8d\u77e5\u6a5f\u80fd\u4f4e\u4e0b\u3092\u4e3b\u8a34\u306b\u5165\u9662\u3057\u305f56\u6b73\u5973\u6027\u306e\u8a3a\u65ad\u30d7\u30ed\u30bb\u30b9\u3092\u901a\u3058\u3001\u95a2\u7bc0\u5185\u3067\u767a\u751f\u3057\u305f\u5fae\u5c0f\u78e8\u8017\u304c\u3069\u306e\u3088\u3046\u306b\u3057\u3066\u5168\u8eab\u6bd2\u6027\u3092\u5f15\u304d\u8d77\u3053\u3059\u306e\u304b\u3001\u305d\u306e\u30df\u30af\u30ed\u306a\u751f\u4f53\u529b\u5b66\u3068\u5206\u5b50\u75c5\u614b\u751f\u7406\uff08\u4f53\u306e\u4ed5\u7d44\u307f\uff09\u3092\u6559\u3048\u3066\u304f\u308c\u3066\u3044\u307e\u3059\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>1. \u6b69\u884c\u4e0d\u5b89\u5b9a\u3068\u3057\u3073\u308c\u304b\u3089\u8133\u75c7\u307e\u3067\uff1a\u591a\u69d8\u306a\u5168\u8eab\u75c7\u72b6\u306e\u51fa\u73fe\uff08\u81e8\u5e8a\u7d4c\u904e\uff09<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u60a3\u8005\u69d8\u306f\u9ad8\u8840\u5727\u3001\u7532\u72b6\u817a\u6a5f\u80fd\u4f4e\u4e0b\u75c7\u3001\u3046\u3064\u75c5\u306e\u65e2\u5f80\u304c\u3042\u308b56\u6b73\u306e\u5973\u6027\u3067\u3059\u3002\u53d7\u8a3a\u306e8\u9031\u9593\u524d\u304b\u3089\u3001\u4e21\u8db3\u306e\u88cf\u306b\u30c1\u30af\u30c1\u30af\u3068\u3057\u305f\u5bfe\u79f0\u6027\u30fb\u4e0a\u884c\u6027\u306e\u75db\u307f\uff08pins and needles\uff09\u3092\u611f\u3058\u59cb\u3081\u3001\u5f90\u3005\u306b\u4e21\u624b\u306b\u3082\u540c\u69d8\u306e\u611f\u899a\u7570\u5e38\u304c\u5e83\u304c\u308a\u307e\u3057\u305f\u3002\u307e\u305f\u3001\u6b69\u884c\u6642\u306b\u5730\u9762\u306e\u611f\u899a\u304c\u5206\u304b\u3089\u306a\u304f\u306a\u308a\u3001\u58c1\u3092\u4f1d\u308f\u306a\u3051\u308c\u3070\u6b69\u3051\u306a\u3044\u307b\u3069\u306e\u6fc0\u3057\u3044\u300c\u6b69\u884c\u4e0d\u5b89\u5b9a\uff08\u611f\u899a\u6027\u5931\u8abf\uff09\u300d\u3092\u5448\u3059\u308b\u3088\u3046\u306b\u306a\u308a\u307e\u3057\u305f\u3002 \u3055\u3089\u306b\u3001\u53d7\u8a3a\u306e2\u9031\u9593\u524d\u304b\u3089\u306f\u77ed\u671f\u8a18\u61b6\u969c\u5bb3\uff08\u524d\u65e5\u306e\u5915\u98df\u306e\u5185\u5bb9\u3092\u601d\u3044\u51fa\u305b\u306a\u3044\u306a\u3069\uff09\u3001\u96c6\u4e2d\u56f0\u96e3\u3001\u5f37\u3044\u7126\u71e5\u611f\u3001\u52d5\u60b8\u3001\u98df\u6b32\u4e0d\u632f\u304c\u51fa\u73fe\u3057\u3001\u8133\u3068\u672b\u68a2\u795e\u7d4c\u306e\u53cc\u65b9\u304c\u6025\u6fc0\u306b\u4fb5\u3055\u308c\u3066\u3044\u308b\u72b6\u6cc1\uff08\u8133\u75c7\u3068\u591a\u767a\u795e\u7d4c\u969c\u5bb3\u306e\u6df7\u5728\uff09\u304c\u9855\u8457\u3068\u306a\u308a\u307e\u3057\u305f\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u60a3\u8005\u69d8\u306e\u75c5\u6b74\u3092\u9061\u308b\u3068\u300120\u5e74\u524d\u306b\u5de6THA\u3092\u53d7\u3051\u3066\u304a\u308a\u30011\u5e74\u524d\u306b\u7121\u5916\u50b7\u6027\u8131\u81fc\u3092\u5951\u6a5f\u306b\u300c\u30bb\u30e9\u30df\u30c3\u30af\u88fd\u30e9\u30a4\u30ca\u30fc\u300d\u306e\u7834\u7815\u304c\u5224\u660e\u300212\u9031\u9593\u524d\u306b\u5927\u817f\u9aa8\u982d\u3092\u30b3\u30d0\u30eb\u30c8\u30fb\u30af\u30ed\u30e0\u5408\u91d1\u88fd\u3001\u30e9\u30a4\u30ca\u30fc\u3092\u30dd\u30ea\u30a8\u30c1\u30ec\u30f3\u88fd\u306b\u4ea4\u63db\u3059\u308b\u518d\u7f6e\u63db\u8853\uff08revision THA\uff09\u3092\u53d7\u3051\u3066\u3044\u305f\u4e8b\u5b9f\u304c\u5224\u660e\u3057\u307e\u3057\u305f\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>2. \u30e4\u30b9\u30ea\u52b9\u679c\uff08Third-Body Wear\uff09\u306b\u3088\u308b\u300c\u30e1\u30bf\u30ed\u30fc\u30b7\u30b9\u300d\u306e\u4f53\u306e\u4ed5\u7d44\u307f<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u901a\u5e38\u3001\u30a4\u30f3\u30d7\u30e9\u30f3\u30c8\u306e\u91d1\u5c5e\u6469\u8017\u306f\u6570\u5341\u5e74\u306e\u30b9\u30d1\u30f3\u3067\u7de9\u5f90\u306b\u3057\u304b\u9032\u884c\u3057\u307e\u305b\u3093\u3002\u3057\u304b\u3057\u672c\u75c7\u4f8b\u3067\u306f\u3001\u518d\u7f6e\u63db\u5f8c\u308f\u305a\u304b12\u9031\u9593\u3068\u3044\u3046\u9a5a\u7570\u7684\u306a\u77ed\u671f\u9593\u3067\u5287\u75c7\u578b\u306e\u4e2d\u6bd2\u306b\u9054\u3057\u3066\u3044\u307e\u3057\u305f\u3002\u3053\u306e\u9a5a\u304f\u3079\u304d\u30b9\u30d4\u30fc\u30c9\u306e\u80cc\u666f\u306b\u306f\u3001\u7269\u7406\u7684\u306a\u300c\u30e4\u30b9\u30ea\u52b9\u679c\uff08third-body wear\uff1a\u7b2c\u4e09\u4f53\u6469\u8017\uff09\u300d\u304c\u5b58\u5728\u3057\u3066\u3044\u307e\u3057\u305f\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u524d\u56de\u306e\u518d\u7f6e\u63db\u8853\u306e\u969b\u3001\u57f7\u5200\u533b\u306f\u8089\u773c\u3067\u898b\u3048\u308b\u30bb\u30e9\u30df\u30c3\u30af\u88fd\u30e9\u30a4\u30ca\u30fc\u306e\u7834\u7247\u3092\u5fb9\u5e95\u7684\u306b\u6d17\u6d44\u30fb\u30c7\u30d6\u30ea\u30fc\u30c9\u30de\u30f3\uff08\u5207\u9664\uff09\u3057\u305f\u3082\u306e\u306e\u3001\u7d44\u7e54\u306e\u9699\u9593\u306b\u306f\u76ee\u306b\u898b\u3048\u306a\u3044\u7121\u6570\u306e\u300c\u30df\u30af\u30ed\u306a\u30bb\u30e9\u30df\u30c3\u30af\u5fae\u7c92\u5b50\u300d\u304c\u6b8b\u5b58\u3057\u3066\u3044\u307e\u3057\u305f\u3002 \u3053\u306e\u6975\u3081\u3066\u786c\u5ea6\u306e\u9ad8\u3044\u30bb\u30e9\u30df\u30c3\u30af\u5fae\u7c92\u5b50\u304c\u3001\u65b0\u305f\u306b\u633f\u5165\u3055\u308c\u305f\u30b3\u30d0\u30eb\u30c8\u30fb\u30af\u30ed\u30e0\u88fd\u5927\u817f\u9aa8\u982d\u3068\u30dd\u30ea\u30a8\u30c1\u30ec\u30f3\u30e9\u30a4\u30ca\u30fc\u306e\u6469\u64e6\u9762\u306b\u6ed1\u308a\u8fbc\u307f\u307e\u3057\u305f\u3002 \u3053\u308c\u306b\u3088\u308a\u3001\u6b69\u884c\u306a\u3069\u306e\u65e5\u5e38\u52d5\u4f5c\u306e\u305f\u3073\u306b<strong>\u786c\u3044\u30bb\u30e9\u30df\u30c3\u30af\u5fae\u7c92\u5b50\u304c\u30b3\u30d0\u30eb\u30c8\u30fb\u30af\u30ed\u30e0\u306e\u91d1\u5c5e\u8868\u9762\u3092\u30e4\u30b9\u30ea\u306e\u3088\u3046\u306b\u7d76\u3048\u9593\u306a\u304f\u524a\u308a\u53d6\u308b<\/strong>\u3068\u3044\u3046\u4e8b\u614b\u304c\u767a\u751f\u3057\u307e\u3057\u305f\u3002 \u305d\u306e\u7d50\u679c\u3001\u95a2\u7bc0\u5468\u56f2\u7d44\u7e54\u306b\u306f\u524a\u308a\u53d6\u3089\u308c\u305f\u91d1\u5c5e\u7c89\u304c\u5927\u91cf\u306b\u6c88\u7740\u3057\u3066\u9280\u7070\u8272\u3078\u3068\u5909\u8272\uff08\u30e1\u30bf\u30ed\u30fc\u30b7\u30b9\uff1ametallosis\uff09\u3092\u8a98\u767a\u3059\u308b\u3068\u3068\u3082\u306b\u3001\u53ef\u6eb6\u5316\u3057\u305f\u30b3\u30d0\u30eb\u30c8\u30a4\u30aa\u30f3\u304c\u6012\u6d9b\u306e\u52e2\u3044\u3067\u5168\u8eab\u306e\u8840\u7ba1\u5185\u3078\u3068\u6d41\u51fa\u3057\u305f\u306e\u3067\u3059\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>3. \u9178\u7d20\u30bb\u30f3\u30b5\u30fc\u7570\u5e38\u304c\u62db\u304f\u300c\u30a8\u30ea\u30b9\u30ed\u30dd\u30a8\u30c1\u30f3\u66b4\u8d70\u300d\u3068\u7cd6\u5c3f\u75c5\u30fb\u8133\u75c7\uff08\u5206\u5b50\u75c5\u614b\uff09<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u8840\u6db2\u691c\u67fb\u3067\u306f\u3001\u8840\u6e05\u30b3\u30d0\u30eb\u30c8\u6fc3\u5ea6\u304c<strong>592 ng\/mL<\/strong>\uff08\u6b63\u5e38\u5024 &lt; 10\uff09\u3068\u3044\u3046\u81f4\u6b7b\u7684\u306a\u8d85\u9ad8\u5024\u306b\u9054\u3057\u3066\u3044\u307e\u3057\u305f\u3002\u3053\u306e\u30b3\u30d0\u30eb\u30c8\u304c\u9ad8\u6fc3\u5ea6\u306b\u9054\u3059\u308b\u3068\u3001\u4f53\u5185\u306e\u30b7\u30b0\u30ca\u30eb\u4f1d\u9054\u7cfb\u306b\u81f4\u547d\u7684\u306a\u7570\u5e38\u304c\u5f15\u304d\u8d77\u3053\u3055\u308c\u307e\u3059\u3002<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>\u30b3\u30d0\u30eb\u30c8\u8a98\u767a\u6027\u591a\u8840\u75c7\uff08\u4e8c\u6b21\u6027\u8d64\u8840\u7403\u5897\u52a0\u75c7\uff09<\/strong>\uff1a \u60a3\u8005\u69d8\u306e\u30d8\u30e2\u30b0\u30ed\u30d3\u30f3\uff08Hb\uff09\u5024\u306f\u3001\u30d9\u30fc\u30b9\u30e9\u30a4\u30f3\u306e12.5 g\/dL\u304b\u3089<strong>19.0 g\/dL<\/strong>\u3078\u3068\u6025\u4e0a\u6607\u3057\u3066\u3044\u307e\u3057\u305f\u3002\u3053\u306e\u9a5a\u304f\u3079\u304d\u591a\u8840\u75c7\u306e\u30df\u30af\u30ed\u306a\u4f53\u306e\u4ed5\u7d44\u307f\u306f\u3001\u30b3\u30d0\u30eb\u30c8\u304c\u4f53\u5185\u306e\u300c\u9178\u7d20\u30bb\u30f3\u30b5\u30fc\u300d\u3092\u9a19\u3059\u3053\u3068\u306b\u3042\u308a\u307e\u3059\u3002 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\u3002<\/li>\n\n\n\n<li><strong>\u9ad8\u8840\u7cd6\u3068\u7532\u72b6\u817a\u6a5f\u80fd\u4f4e\u4e0b<\/strong>\uff1a \u30b3\u30d0\u30eb\u30c8\u306f\u809d\u81d3\u306b\u304a\u3044\u3066\u7cd6\u65b0\u751f\u3092\u4fc3\u9032\u3059\u308b\u305f\u3081\u3001HbA1c\u306f7.5%\u3078\u3068\u6025\u4e0a\u6607\u3057\u3001\u7cd6\u5c3f\u75c5\u3092\u4e00\u6642\u7684\u306b\u65b0\u898f\u767a\u75c7\u3055\u305b\u307e\u3057\u305f \u3002\u3055\u3089\u306b\u3001\u7532\u72b6\u817a\u7d44\u7e54\u3078\u30b3\u30d0\u30eb\u30c8\u304c\u6c88\u7740\u3057\u3066\u30db\u30eb\u30e2\u30f3\u7523\u751f\u3092\u963b\u5bb3\u3057\u305f\u305f\u3081\u3001\u30ec\u30dc\u30c1\u30ed\u30ad\u30b7\u30f3\u306e\u5fc5\u8981\u91cf\u304c\u6025\u5897\u3059\u308b\u7532\u72b6\u817a\u6a5f\u80fd\u4f4e\u4e0b\u75c7\u3092\u5448\u3057\u307e\u3057\u305f\u3002<\/li>\n\n\n\n<li><strong>\u795e\u7d4c\u30fb\u8033\u6bd2\u6027<\/strong>\uff1a 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\u5fb9\u5e95\u7684\u306a\u767a\u751f\u6e90\u5bfe\u7b56\u3068\u3001\u30ad\u30ec\u30fc\u30b7\u30e7\u30f3\u306b\u3088\u308b\u6551\u6e08\uff08\u8a3a\u65ad\u3068\u6cbb\u7642\uff09<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>\u8a3a\u65ad<\/strong>\uff1a 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ng\/mL\u672a\u6e80\u306e\u691c\u51fa\u9650\u754c\u4ee5\u4e0b\u3078\u3068\u5287\u7684\u306b\u4f4e\u4e0b\u3057\u307e\u3057\u305f\u3002\u3053\u308c\u306b\u4f34\u3044\u3001\u8133\u75c7\u3001\u6b69\u884c\u6642\u306e\u3075\u3089\u3064\u304d\u3001\u7532\u72b6\u817a\u6a5f\u80fd\u306f\u5b8c\u6cbb\u3057\u3001\u8840\u7cd6\u5024\u3084\u30d8\u30e2\u30b0\u30ed\u30d3\u30f3\u5024\u3082\u5b8c\u5168\u306b\u6b63\u5e38\u5316\u3057\u307e\u3057\u305f\u3002\u3057\u304b\u3057\u3001\u5185\u8033\u306e\u7834\u58ca\u306b\u3088\u308b\u96e3\u8074\u30fb\u8033\u9cf4\u308a\u3001\u304a\u3088\u3073\u672b\u68a2\u795e\u7d4c\u306e\u611f\u899a\u920d\u9ebb\uff08\u3057\u3073\u308c\uff09\u306f\u3001\u4e00\u90e8\u304c\u4e0d\u53ef\u9006\u7684\u306a\u795e\u7d4c\u5909\u6027\u3092\u304d\u305f\u3057\u3066\u3044\u305f\u305f\u3081\u3001\u4e0d\u5b8c\u5168\u306a\u56de\u5fa9\uff08\u90e8\u5206\u7684\u306a\u5f8c\u907a\u75c7\u306e\u6b8b\u5b58\uff09\u306b\u3068\u3069\u307e\u308a\u307e\u3057\u305f\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u6a5f\u68b0\u7684\u306a\u4eba\u5de5\u95a2\u7bc0\u306e\u6469\u8017\u3068\u3044\u3046\u300c\u5c40\u6240\u306e\u7269\u7406\u7684\u30c8\u30e9\u30d6\u30eb\u300d\u304c\u3001\u3072\u3068\u305f\u3073\u8840\u6d41\u306b\u5165\u308c\u3070\u300c\u5168\u8eab\u3092\u8755\u3080\u5316\u5b66\u7684\u4e2d\u6bd2\u300d\u3078\u3068\u5909\u8c8c\u3092\u9042\u3052\u308b\u3002\u3053\u306e\u30c0\u30a4\u30ca\u30df\u30c3\u30af\u306a\u5168\u8eab\u9023\u9396\u3092\u3001\u521d\u671f\u306e\u591a\u8840\u75c7\u3084\u8840\u7cd6\u306e\u3086\u3089\u304e\u3068\u3044\u3063\u305f\u5fae\u7d30\u306a\u691c\u67fb\u30c7\u30fc\u30bf\u306e\u5909\u5316\u304b\u3089\u898b\u843d\u3068\u3055\u305a\u306b\u898b\u629c\u304d\u3001\u901f\u3084\u304b\u306b\u6839\u672c\u539f\u56e0\u3092\u30b7\u30e3\u30c3\u30c8\u30a2\u30a6\u30c8\u3059\u308b\u3053\u3068\u3053\u305d\u304c\u3001\u60a3\u8005\u69d8\u306e\u751f\u547d\u3068\u81d3\u5668\u3001\u305d\u3057\u3066\u751f\u6daf\u306eQOL\u3092\u5b88\u308a\u629c\u304f\u305f\u3081\u306e\u78ba\u56fa\u305f\u308b\u81e8\u5e8a\u63a8\u8ad6\u306e\u529b\u306a\u306e\u3067\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\">\u5f53\u9662\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\u4eba\u5de5\u95a2\u7bc0\uff08THA\u3084TKA\u7b49\uff09\u3092\u306f\u3058\u3081\u3068\u3059\u308b\u30a4\u30f3\u30d7\u30e9\u30f3\u30c8\u6cbb\u7642\u3092\u4f53\u5185\u306b\u53d7\u3051\u3089\u308c\u3066\u3044\u308b\u60a3\u8005\u69d8\u3001\u3042\u308b\u3044\u306f\u6301\u75c5\u3092\u62b1\u3048\u308b\u65b9\u306b\u3068\u3063\u3066\u3001\u304a\u53e3\u306e\u4e2d\u306e\u885b\u751f\u7ba1\u7406\uff08\u6b6f\u79d1\u7ba1\u7406\uff09\u306f\u3001\u5168\u8eab\u306e\u5b89\u5168\u3092\u7ba1\u7406\u3059\u308b\u4e0a\u3067\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\u304a\u53e3\u306e\u4e2d\u306b\u91cd\u5ea6\u306e\u6b6f\u5468\u75c5\u3084\u30d7\u30e9\u30fc\u30af\u306e\u84c4\u7a4d\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\u50b7\u3064\u3044\u305f\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\u4eca\u56de\u306e\u75c7\u4f8b\u306e\u3088\u3046\u306b\u5927\u304d\u306a\u4eba\u5de5\u95a2\u7bc0\u304c\u4f53\u5185\u306b\u3042\u308b\u65b9\u3001\u3042\u308b\u3044\u306f\u7cd6\u5c3f\u75c5\u3084\u6162\u6027\u814e\u81d3\u75c5\u306a\u3069\u306e\u6301\u75c5\u3092\u304a\u6301\u3061\u306e\u65b9\u3001\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\u4eba\u5de5\u95a2\u7bc0\u306e\u5468\u56f2\u306b\u5b9a\u7740\u3057\u3001\u6cbb\u7642\u304c\u6975\u3081\u3066\u56f0\u96e3\u306a\u300c\u4eba\u5de5\u95a2\u7bc0\u5468\u56f2\u708e\uff08\u5316\u81bf\u6027\u95a2\u7bc0\u708e\u30fb\u9aa8\u9ac4\u708e\uff09\u300d\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 of \u7d30\u83cc\u3092\u304d\u308c\u3044\u306b\u30ea\u30bb\u30c3\u30c8\u3059\u308b\u3053\u3068\u3067\u3001\u5168\u8eab\u306e\u30a4\u30f3\u30d7\u30e9\u30f3\u30c8\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\u624b\u8db3\u306e\u3057\u3073\u308c\u3084\u3060\u308b\u3055\u3001\u539f\u56e0\u4e0d\u660e\u306e\u5c3f\u3084\u8840\u6db2\u30c7\u30fc\u30bf\u306e\u7570\u5e38\u3001\u304a\u53e3\u306e\u4e7e\u304d\u3084\u30c8\u30e9\u30d6\u30eb\u306b\u304a\u60a9\u307f\u306e\u65b9\u306f\u3001\u304a\u6c17\u8efd\u306b\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\u3060\u308b\u3055\u3084\u624b\u8db3\u306e\u3057\u3073\u308c\u3001\u751f\u6d3b\u7fd2\u6163\u75c5\u3084\u8840\u6db2\u5024\u306e\u7570\u5e38\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-74.png\" alt=\"\" class=\"wp-image-8343\" srcset=\"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/09\/image-74.png 800w, https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/09\/image-74-767x428.png 767w, https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/09\/image-74-400x223.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-75.png\" alt=\"\" class=\"wp-image-8344\" srcset=\"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/09\/image-75.png 800w, https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/09\/image-75-400x223.png 400w, https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/09\/image-75-767x428.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-76.png\" alt=\"\" class=\"wp-image-8345\" srcset=\"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/09\/image-76.png 800w, https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/09\/image-76-400x223.png 400w, https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/09\/image-76-767x428.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-77.png\" alt=\"\" class=\"wp-image-8346\" srcset=\"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/09\/image-77.png 800w, https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/09\/image-77-400x223.png 400w, https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/09\/image-77-767x428.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-78.png\" alt=\"\" class=\"wp-image-8347\" srcset=\"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/09\/image-78.png 800w, https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/09\/image-78-767x428.png 767w, https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/09\/image-78-400x223.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-79.png\" alt=\"\" class=\"wp-image-8348\" srcset=\"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/09\/image-79.png 800w, https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/09\/image-79-400x223.png 400w, https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/09\/image-79-767x428.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-80.png\" alt=\"\" class=\"wp-image-8349\" srcset=\"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/09\/image-80.png 800w, https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/09\/image-80-400x223.png 400w, https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/09\/image-80-767x428.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-81.png\" alt=\"\" class=\"wp-image-8350\" srcset=\"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/09\/image-81.png 800w, https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/09\/image-81-400x223.png 400w, https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/09\/image-81-767x428.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-82.png\" alt=\"\" class=\"wp-image-8351\" srcset=\"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/09\/image-82.png 800w, https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/09\/image-82-400x223.png 400w, https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/09\/image-82-767x428.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-83.png\" alt=\"\" class=\"wp-image-8352\" srcset=\"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/09\/image-83.png 800w, https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/09\/image-83-400x223.png 400w, https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/09\/image-83-767x428.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-84.png\" alt=\"\" class=\"wp-image-8353\" srcset=\"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/09\/image-84.png 800w, https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/09\/image-84-400x223.png 400w, https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/09\/image-84-767x428.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-85.png\" alt=\"\" class=\"wp-image-8354\" srcset=\"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/09\/image-85.png 800w, https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/09\/image-85-767x428.png 767w, https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/09\/image-85-400x223.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-86.png\" alt=\"\" class=\"wp-image-8355\" srcset=\"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/09\/image-86.png 800w, https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/09\/image-86-400x223.png 400w, https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/09\/image-86-767x428.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-87.png\" alt=\"\" class=\"wp-image-8356\" srcset=\"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/09\/image-87.png 800w, https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/09\/image-87-400x223.png 400w, https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/09\/image-87-767x428.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-88.png\" alt=\"\" class=\"wp-image-8357\" srcset=\"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/09\/image-88.png 800w, https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/09\/image-88-400x223.png 400w, https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/09\/image-88-767x428.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\">Jasdeep Singh Bajwa, Gurpreet Dhaliwal, Reza Manesh, and Sandesh Rao. &#8220;The Daily Grind.&#8221; <em>The New England Journal of Medicine<\/em>. 2026; 395(1): 70-76.<\/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. \u30b3\u30d0\u30eb\u30c8\u6bd2\u6027\u306b\u3088\u308b\u591a\u8840\u75c7\u3084\u8840\u7cd6\u306e\u6025\u4e0a\u6607\u306e\u3088\u3046\u306b\u3001\u8840\u6db2\u3084\u4ee3\u8b1d\u306e\u300c\u7121\u81ea\u899a\u306a\u7570\u5e38\u300d\u3092\u7db2\u7f85\u7684\u306b\u30b9\u30af\u30ea\u30fc\u30cb\u30f3\u30b0\u3057\u305f\u3044\u65b9\u3078<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u672c\u75c7\u4f8b\u306b\u304a\u3051\u308b\u30d8\u30e2\u30b0\u30ed\u30d3\u30f3\uff08\u591a\u8840\u75c7\uff09\u3084\u8840\u7cd6\u5024\u306e\u6025\u6fc0\u306a\u4e0a\u6607\u304c\u305d\u3046\u3067\u3042\u3063\u305f\u3088\u3046\u306b\u3001\u591a\u304f\u306e\u5168\u8eab\u6027\u75be\u60a3\u306f\u521d\u671f\u306b\u306f\u81ea\u899a\u75c7\u72b6\u304c\u4e4f\u3057\u304f\u3001\u8840\u6db2\u30c7\u30fc\u30bf\u4e0a\u306e\u300c\u5fae\u7d30\u306a\u3086\u3089\u304e\u300d\u3068\u3057\u3066\u9759\u304b\u306b\u59cb\u307e\u308a\u307e\u3059\u3002\u4e00\u898b\u3001\u95a2\u4fc2\u306e\u306a\u3044\u3088\u3046\u306b\u898b\u3048\u308b\u6570\u5024\u306e\u5909\u5316\u3092\u7dcf\u5408\u5185\u79d1\u5c02\u9580\u533b\u306e\u8996\u70b9\u304b\u3089\u300c\u4f53\u306e\u4ed5\u7d44\u307f\u300d\u3068\u3044\u3046\u7dda\u3067\u7d50\u3073\u3064\u3051\u3001\u91cd\u5927\u306a\u96a0\u308c\u305f\u75c5\u614b\u3092\u65e9\u671f\u306b\u30b9\u30af\u30ea\u30fc\u30cb\u30f3\u30b0\u3059\u308b\u305f\u3081\u306e\u5b9a\u671f\u7684\u306a\u5065\u5eb7\u8a3a\u65ad\uff08\u7279\u5b9a\u5065\u8a3a\u306a\u3069\uff09\u306e\u91cd\u8981\u6027\u3068\u3001\u8840\u6db2\u691c\u67fb\u30c7\u30fc\u30bf\u306e\u5177\u4f53\u7684\u306a\u8aad\u307f\u89e3\u304d\u65b9\u3092\u691c\u67fb\u7d50\u679c\u3092\u3082\u3068\u306b\u89e3\u8aac\u3057\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=\"Ik1YLQ7DPj\"><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=A1XswZDmvh#?secret=Ik1YLQ7DPj\" data-secret=\"Ik1YLQ7DPj\" 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. \u4f53\u5185\u306b\u4eba\u5de5\u95a2\u7bc0\uff08THA\u306a\u3069\uff09\u3092\u6301\u3064\u65b9\u3078\uff1a\u8840\u6d41\u611f\u67d3\u306b\u3088\u308b\u58ca\u6ec5\u7684\u306a\u95a2\u7bc0\u611f\u67d3\u3092\u9632\u3050\u304a\u53e3\u306e\u9632\u885b\u30e9\u30a4\u30f3\uff08\u533b\u79d1\u6b6f\u79d1\u9023\u643a\uff09<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u4f53\u5185\u306b\u4eba\u5de5\u95a2\u7bc0\u306a\u3069\u306e\u30a4\u30f3\u30d7\u30e9\u30f3\u30c8\u3084\u69cb\u9020\u7684\u306a\u5f31\u70b9\u3092\u6709\u3059\u308b\u60a3\u8005\u69d8\u306b\u304a\u3044\u3066\u3001\u304a\u53e3\u306e\u4e2d\u306b\u6f5c\u3080\u6162\u6027\u7684\u306a\u6b6f\u5468\u75c5\uff08\u51fa\u8840\u3084\u708e\u75c7\uff09\u306f\u3001\u65e5\u5e38\u306e\u98df\u4e8b\u3084\u30d6\u30e9\u30c3\u30b7\u30f3\u30b0\u3092\u304d\u3063\u304b\u3051\u306b\u7d30\u83cc\u304c\u8840\u7ba1\u3078\u4fb5\u5165\u3059\u308b\u300c\u4e00\u904e\u6027\u83cc\u8840\u75c7\u300d\u306e\u6700\u5927\u306e\u4f9b\u7d66\u6e90\u3068\u306a\u308a\u307e\u3059\u3002\u8840\u6d41\u306b\u4e57\u3063\u305f\u7d30\u83cc\u304c\u4eba\u5de5\u95a2\u7bc0\u306e\u5468\u56f2\u306b\u5b9a\u7740\u3057\u3066\u91cd\u7be4\u306a\u5316\u81bf\u6027\u95a2\u7bc0\u708e\uff08\u95a2\u7bc0\u5468\u56f2\u708e\uff09\u3092\u5f15\u304d\u8d77\u3053\u3059\u81f4\u547d\u7684\u306a\u611f\u67d3\u30c9\u30df\u30ce\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\u533b\u79d1\u6b6f\u79d1\u9023\u643a\u30d7\u30ed\u30b0\u30e9\u30e0PMTC\u306b\u3064\u3044\u3066\u3001\u305d\u306e\u751f\u7269\u5b66\u7684\u306a\u30e1\u30ab\u30cb\u30ba\u30e0\u3092\u89e3\u8aac\u3057\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=\"dLmYJLkga0\"><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=LdfKSAOUMF#?secret=dLmYJLkga0\" data-secret=\"dLmYJLkga0\" 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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