{"id":8426,"date":"2026-09-05T22:24:17","date_gmt":"2026-09-05T13:24:17","guid":{"rendered":"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/?p=8426"},"modified":"2026-09-05T22:24:18","modified_gmt":"2026-09-05T13:24:18","slug":"post-8426","status":"publish","type":"post","link":"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/post-8426\/","title":{"rendered":"\u3010NEJM2026\u3011\u7372\u5f97\u6027\u8996\u5e8a\u4e0b\u90e8\u80a5\u6e80\u306e\u65b0\u6cbb\u7642\uff5c\u30bb\u30c3\u30c8\u30e1\u30e9\u30ce\u30c1\u30c9\u306e\u52b9\u679c\u3068\u4ed5\u7d44\u307f\u3092\u5c02\u9580\u533b\u304c\u5206\u304b\u308a\u3084\u3059\u304f\u89e3\u8aac"},"content":{"rendered":"\n<h2 class=\"wp-block-heading\"><strong>\u8133\u50b7\u5bb3\u304c\u3082\u305f\u3089\u3059\u6e80\u8179\u30b7\u30b0\u30ca\u30eb\u306e\u5b8c\u5168\u6d88\u5931\u3068\u904e\u98df\u75c7\u3002\u4e16\u754c\u521d\u306e\u7b2c3\u76f8\u8a66\u9a13\u304c\u8a3c\u660e\u3057\u305f\u3001\u6a5f\u80fd\u7684\u03b1-MSH\u30a2\u30ca\u30ed\u30b0\u306b\u3088\u308b52\u9031\u9593\u306e\u4f53\u91cd\u6291\u5236\u52b9\u679c\u3068\u3001\u30db\u30eb\u30e2\u30f3\u6b20\u640d\u4e0b\u306b\u304a\u3051\u308b\u5b89\u5168\u6027\u7ba1\u7406\u306e\u4f53\u306e\u4ed5\u7d44\u307f<\/strong><\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">\u5c0f\u5150\u671f\u3084\u82e5\u5e74\u671f\u306b\u597d\u767a\u3059\u308b\u982d\u84cb\u54bd\u982d\u816b\uff08\u305a\u304c\u3044\u3044\u3093\u3068\u3046\u3057\u3085\uff09\u3092\u306f\u3058\u3081\u3068\u3059\u308b suprasellar\uff08\u978d\u4e0a\u90e8\uff09\u9818\u57df\u306e\u8133\u816b\u760d\u3002\u3053\u308c\u3089\u306b\u5bfe\u3059\u308b\u5916\u79d1\u7684\u624b\u8853\u3084\u653e\u5c04\u7dda\u6cbb\u7642\u306f\u3001\u591a\u304f\u306e\u5c0a\u3044\u547d\u3092\u6551\u3044\u51fa\u3059\u4e00\u65b9\u3067\u3001\u60a3\u8005\u69d8\u306b\u904e\u9177\u306a\u4ee3\u511f\u3092\u8ab2\u3059\u3053\u3068\u304c\u3042\u308a\u307e\u3059\u3002\u305d\u308c\u304c\u3001\u8133\u306e\u30a8\u30cd\u30eb\u30ae\u30fc\u30d0\u30e9\u30f3\u30b9\u3092\u53f8\u308b\u4e2d\u67a2\u304c\u7269\u7406\u7684\u30fb\u71b1\u7684\u306b\u640d\u306a\u308f\u308c\u308b\u3053\u3068\u3067\u751f\u3058\u308b\u300c\u7372\u5f97\u6027\u8996\u5e8a\u4e0b\u90e8\u80a5\u6e80\uff08Acquired Hypothalamic Obesity: AHO\uff09\u300d\u3067\u3059\u3002 \u60a3\u8005\u69d8\u306f\u3001\u3044\u304f\u3089\u98df\u3079\u3066\u3082\u8133\u304c\u300c\u6e80\u8179\u300d\u3092\u611f\u77e5\u3067\u304d\u306a\u3044\u6975\u9650\u306e\u904e\u98df\u75c7\uff08hyperphagia\uff1a\u6291\u3048\u304d\u308c\u306a\u3044\u7a7a\u8179\u611f\u3068\u98df\u7269\u3078\u306e\u7570\u5e38\u306a\u57f7\u7740\u884c\u52d5\uff09\u306b\u9665\u308a\u3001\u901a\u5e38\u306e\u80a5\u6e80\u6cbb\u7642\u85ac\u3084\u98df\u4e8b\u5236\u9650\u3001\u3055\u3089\u306b\u306f\u80a5\u6e80\u5916\u79d1\u624b\u8853\uff08\u80c3\u7e2e\u5c0f\u8853\u306a\u3069\uff09\u306b\u5bfe\u3057\u3066\u3082\u6975\u3081\u3066\u62b5\u6297\u6027\u306e\u9ad8\u3044\u3001\u6301\u7d9a\u7684\u304b\u3064\u5287\u70c8\u306a\u4f53\u91cd\u5897\u52a0\u3068\u95d8\u3044\u7d9a\u3051\u308b\u3053\u3068\u306b\u306a\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\u56fd\u969b\u591a\u65bd\u8a2d\u5171\u540c\u7b2c3\u76f8\u81e8\u5e8a\u8a66\u9a13\u300cTRANSCEND\u8a66\u9a13\u300d\uff082026\u5e747\u67089\u65e5\u53f7\uff09\u306e\u6700\u65b0\u30c7\u30fc\u30bf\u306f\u3001\u3053\u308c\u307e\u3067\u6cbb\u7642\u6cd5\u306e\u306a\u304b\u3063\u305f\u3053\u306e\u904e\u9177\u306a\u96e3\u75c5\u306b\u5bfe\u3057\u3001\u8996\u5e8a\u4e0b\u90e8\u306e\u4e0b\u6d41\u30b7\u30b0\u30ca\u30eb\u3092\u76f4\u63a5\u523a\u6fc0\u3059\u308b\u65b0\u85ac\u300c\u30bb\u30c3\u30c8\u30e1\u30e9\u30ce\u30c1\u30c9\uff08setmelanotide\uff09\u300d\u304c\u3001\u5287\u7684\u306a\u4f53\u91cd\u6e1b\u5c11\u3068 hunger\uff08\u98e2\u9913\u611f\uff09\u306e\u6291\u5236\u3092\u3082\u305f\u3089\u3059\u3068\u3044\u3046\u79d1\u5b66\u7684\u30a8\u30d3\u30c7\u30f3\u30b9\u3092\u63d0\u793a\u3057\u307e\u3057\u305f\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>1. \u6e80\u8179\u30b7\u30b0\u30ca\u30eb\u300cMC4R\u7d4c\u8def\u300d\u306e\u7834\u7dbb\u3068\u7121\u9650\u306e\u7a7a\u8179\uff08\u4f53\u306e\u4ed5\u7d44\u307f\uff09<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u5065\u5eb7\u306a\u4f53\u306b\u304a\u3044\u3066\u3001\u98df\u4e8b\u306e\u6442\u53d6\u306b\u3088\u308b\u6e80\u8179\u611f\uff08\u98fd\u98df\u30b7\u30b0\u30ca\u30eb\uff09\u306f\u3001\u8996\u5e8a\u4e0b\u90e8\u306e<strong>\u30ec\u30d7\u30c1\u30f3-\u30e1\u30e9\u30ce\u30b3\u30eb\u30c1\u30f3\uff08Leptin-melanocortin\uff09\u7d4c\u8def<\/strong>\u3092\u4ecb\u3057\u3066\u9ad8\u4f4d\u8133\u4e2d\u67a2\u3078\u3068\u4f1d\u9054\u3055\u308c\u307e\u3059\u3002 \u8102\u80aa\u7d30\u80de\u304b\u3089\u5206\u6ccc\u3055\u308c\u305f\u30ec\u30d7\u30c1\u30f3\u304c\u8996\u5e8a\u4e0b\u90e8\u3092\u523a\u6fc0\u3059\u308b\u3068\u3001POMC\u30cb\u30e5\u30fc\u30ed\u30f3\u304b\u3089\u300c\u03b1-\u30e1\u30e9\u30ce\u30b5\u30a4\u30c8\u523a\u6fc0\u30db\u30eb\u30e2\u30f3\uff08\u03b1-MSH\uff09\u300d\u304c\u653e\u51fa\u3055\u308c\u307e\u3059\u3002\u3053\u306e\u03b1-MSH\u304c\u3001\u4e0b\u6d41\u306e\u300c\u30e1\u30e9\u30ce\u30b3\u30eb\u30c1\u30f3-4\u53d7\u5bb9\u4f53\uff08MC4R\uff09\u300d\u306b\u7d50\u5408\u30fb\u523a\u6fc0\u3059\u308b\u3053\u3068\u3067\u3001\u306f\u3058\u3081\u3066\u79c1\u305f\u3061\u306f\u300c\u304a\u8179\u304c\u3044\u3063\u3071\u3044\u3060\u300d\u3068\u3044\u3046\u6e80\u8179\u30b7\u30b0\u30ca\u30eb\u3092\u53d7\u3051\u53d6\u308a\u3001\u6442\u98df\u3092\u505c\u6b62\u3057\u3001\u5b89\u9759\u6642\u30a8\u30cd\u30eb\u30ae\u30fc\u6d88\u8cbb\u3092\u9ad8\u3081\u308b\u3053\u3068\u304c\u3067\u304d\u307e\u3059\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u3057\u304b\u3057\u3001\u8133\u816b\u760d\u3084\u305d\u306e\u9664\u53bb\u624b\u8853\u306b\u3088\u3063\u3066\u8996\u5e8a\u4e0b\u90e8\u304c\u7269\u7406\u7684\u306b\u7834\u58ca\u3055\u308c\u308b\u3068\u3001\u3053\u306e\u03b1-MSH\u3092\u5206\u6ccc\u3059\u308b\u795e\u7d4c\u30cd\u30c3\u30c8\u30ef\u30fc\u30af\u304c\u5bf8\u65ad\uff08\u7834\u7dbb\uff09\u3055\u308c\u3066\u3057\u307e\u3044\u307e\u3059\u3002\u305d\u306e\u7d50\u679c\u3001\u80c3\u3084\u8178\u304c\u3069\u308c\u307b\u3069\u98df\u3079\u7269\u3067\u6e80\u305f\u3055\u308c\u3066\u3044\u3066\u3082\u3001\u8133\u306e\u6442\u98df\u4e2d\u67a2\u306f\u300c\u5b8c\u5168\u306a\u98e2\u9913\u72b6\u614b\u300d\u3067\u3042\u308b\u3068\u932f\u899a\u3057\u7d9a\u3051\u3001\u60a3\u8005\u69d8\u306e\u7d0472%\u306b\u304a\u3044\u3066\u3001\u81ea\u5206\u306e\u610f\u5fd7\u306e\u529b\u3067\u306f\u6c7a\u3057\u3066\u5236\u5fa1\u3067\u304d\u306a\u3044\u72c2\u66b4\u306a\u904e\u98df\u884c\u52d5\uff08hyperphagia\uff09\u3092\u8a98\u767a\u3059\u308b\u306e\u3067\u3059\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>2. \u640d\u50b7\u3055\u308c\u305f\u30b7\u30b0\u30ca\u30eb\u3092\u5916\u304b\u3089\u518d\u5efa\u3059\u308b\u300c\u6a5f\u80fd\u7684\u03b1-MSH\u30a2\u30ca\u30ed\u30b0\u300d\u306e\u85ac\u7406\uff08\u4f5c\u7528\u6a5f\u5e8f\uff09<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u30bb\u30c3\u30c8\u30e1\u30e9\u30ce\u30c1\u30c9\u306f\u3001\u5185\u56e0\u6027\u03b1-MSH\u306e\u6a5f\u80fd\u3092\u305d\u3063\u304f\u308a\u6a21\u5023\u3059\u308b\u3088\u3046\u306b\u8a2d\u8a08\u3055\u308c\u305f\u3001\u300cMC4R\u9078\u629e\u7684\u4f5c\u52d5\u85ac\u300d\u3067\u3059\u3002 \u3053\u306e\u85ac\u5264\u306f\u3001\u8996\u5e8a\u4e0b\u90e8\u304c\u640d\u50b7\u3057\u3066\u03b1-MSH\u304c\u5206\u6ccc\u3067\u304d\u306a\u304f\u306a\u3063\u3066\u3057\u307e\u3063\u305f\u72b6\u614b\uff08\u4e00\u6b21\u60c5\u5831\u306e\u6b20\u640d\uff09\u3067\u3042\u3063\u3066\u3082\u3001\u305d\u306e\u4e0b\u6d41\u306b\u7121\u50b7\u3067\u6b8b\u3055\u308c\u3066\u3044\u308bMC4R\u306b\u76f4\u63a5\u30a2\u30af\u30bb\u30b9\u3057\u3066\u5f37\u529b\u306b\u7d50\u5408\u30fb\u523a\u6fc0\u3057\u307e\u3059\u3002 \u3059\u306a\u308f\u3061\u3001\u58ca\u308c\u3066\u3057\u307e\u3063\u305f\u300c\u6e80\u8179\u30b9\u30a4\u30c3\u30c1\u300d\u3092\u8133\u306e\u5916\u304b\u3089\u7269\u7406\u7684\u306b\u62bc\u3057\u76f4\u3059\u3053\u3068\u3067\u3001\u5931\u308f\u308c\u3066\u3044\u305f\u30a8\u30cd\u30eb\u30ae\u30fc\u4ee3\u8b1d\u30d0\u30e9\u30f3\u30b9\uff08\u98df\u6b32\u6291\u5236\u3068\u30a8\u30cd\u30eb\u30ae\u30fc\u6d88\u8cbb\u91cf\u306e\u5897\u52a0\uff09\u3092\u30df\u30af\u30ed\u30ec\u30d9\u30eb\u3067\u518d\u5efa\u3059\u308b\u6cbb\u7642\u30a2\u30d7\u30ed\u30fc\u30c1\u3092\u53ef\u80fd\u306b\u3057\u307e\u3057\u305f\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>3. 52\u9031\u9593\u306e\u8ecc\u8de1\uff1aBMI\u309216.5%\u6e1b\u5c11\u3055\u305b\u3001\u5f37\u70c8\u306a\u98e2\u9913\u30b9\u30b3\u30a2\u3092\u6709\u610f\u306b\u6291\u5236\uff08\u6cbb\u7642\u52b9\u679c\uff09<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">TRANSCEND\u8a66\u9a13\u306f\u3001\u65e5\u672c\u3092\u542b\u3080\u4e16\u754c6\u30ab\u56fd29\u65bd\u8a2d\u3067\u5b9f\u65bd\u3055\u308c\u305f\u30014\u6b73\u304b\u308966\u6b73\u307e\u3067\u306eAHO\u60a3\u8005120\u540d\u3092\u5bfe\u8c61\u3068\u3059\u308b\u3001\u4e8c\u91cd\u76f2\u691c\u30e9\u30f3\u30c0\u30e0\u5316\u30d7\u30e9\u30bb\u30dc\u5bfe\u7167\u30d5\u30a7\u30fc\u30ba3\u8a66\u9a13\u3067\u3059\u3002 \u53c2\u52a0\u8005\u306e\u5e73\u5747\u5e74\u9f62\u306f19.9\u6b73\u3067\u3042\u308a\u3001craniopharyngioma\uff08\u982d\u84cb\u54bd\u982d\u816b\uff09\u3092\u539f\u56e0\u3068\u3059\u308b\u5272\u5408\u304c78%\u3092\u5360\u3081\u3001\u30d9\u30fc\u30b9\u30e9\u30a4\u30f3\u306e\u5e73\u5747BMI\u306f41.2\uff0818\u6b73\u4ee5\u4e0a\uff09\u3068\u6975\u3081\u3066\u91cd\u7be4\u306a\u80a5\u6e80\u3092\u5448\u3057\u3066\u3044\u307e\u3057\u305f\u3002 \u4e3b\u8981\u8a55\u4fa1\u9805\u76ee\u3067\u3042\u308b\u300c52\u9031\u6642\u70b9\u306eBMI\u5909\u5316\u7387\u300d\u306b\u304a\u3044\u3066\u3001\u30bb\u30c3\u30c8\u30e1\u30e9\u30ce\u30c1\u30c9\u306f\u5727\u5012\u7684\u306a\u512a\u8d8a\u6027\u3092\u793a\u3057\u307e\u3057\u305f\u3002<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>\u30d7\u30e9\u30bb\u30dc\u7fa4<\/strong>\uff1a52\u9031\u9593\u3067BMI\u304c\u5e73\u5747<strong>3.3%\u5897\u52a0<\/strong>\u3002<\/li>\n\n\n\n<li><strong>\u30bb\u30c3\u30c8\u30e1\u30e9\u30ce\u30c1\u30c9\u7fa4<\/strong>\uff1a52\u9031\u9593\u3067BMI\u304c\u5e73\u5747<strong>16.5%\u6e1b\u5c11<\/strong>\u3002<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">\u4e21\u7fa4\u306e\u6cbb\u7642\u5dee\u306f<strong>\u221219.8\u30d1\u30fc\u30bb\u30f3\u30c8\u30dd\u30a4\u30f3\u30c8<\/strong>\uff0895% CI: \u221224.6\u301c\u221215.1; p&lt;0.001\uff09\u3068\u6975\u3081\u3066\u5287\u7684\u3067\u3057\u305f\u3002 \u3055\u3089\u306b\u3001\u81e8\u5e8a\u7684\u306b\u6975\u3081\u3066\u91cd\u8981\u306a\u57fa\u6e96\u3067\u3042\u308b\u300cBMI 5%\u4ee5\u4e0a\u306e\u6e1b\u5c11\uff0818\u6b73\u4ee5\u4e0a\uff09\u307e\u305f\u306fBMI z\u30b9\u30b3\u30a20.2\u4ee5\u4e0a\u306e\u6e1b\u5c11\uff0818\u6b73\u672a\u6e80\uff09\u300d\u306e\u9054\u6210\u7387\u306f\u3001\u30bb\u30c3\u30c8\u30e1\u30e9\u30ce\u30c1\u30c9\u7fa4\u3067<strong>83%<\/strong>\uff08\u30d7\u30e9\u30bb\u30dc\u7fa4\u3067\u306f21%\uff09\u306b\u9054\u3057\u307e\u3057\u305f\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u307e\u305f\u300112\u6b73\u4ee5\u4e0a\u306e\u60a3\u8005\u69d8\u304c\u81ea\u5df1\u8a55\u4fa1\u3057\u305f\u300c\u6700\u5927\u65e5\u98e2\u9913\u30b9\u30b3\u30a2\uff080\u301c10\u70b9\u6e80\u70b9\uff09\u300d\u306e\u6bd4\u8f03\u306b\u304a\u3044\u3066\u3082\u3001\u30bb\u30c3\u30c8\u30e1\u30e9\u30ce\u30c1\u30c9\u7fa4\u306f<strong>\u22122.73\u30dd\u30a4\u30f3\u30c8<\/strong>\u3068\u5927\u5e45\u306a\u98e2\u9913\u611f\u306e\u6e1b\u5c11\uff08\u30d7\u30e9\u30bb\u30dc\u7fa4\u306f\u22121.45\u30dd\u30a4\u30f3\u30c8, p=0.009\uff09\u3092\u793a\u3057\u3001\u904e\u98df\u75c7\u7279\u6709\u306e\u300c\u98df\u3079\u7269\u3078\u306e\u57f7\u7740\u300d\u304b\u3089\u60a3\u8005\u69d8\u3092\u89e3\u653e\u3057\u3001QOL\uff08\u751f\u6d3b\u306e\u8cea\uff09\u306e\u30b9\u30b3\u30a2\u3092\u8457\u3057\u304f\u5411\u4e0a\u3055\u305b\u307e\u3057\u305f\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>4. \u30e1\u30e9\u30cb\u30f3\u6c88\u7740\uff08\u8272\u7d20\u6c88\u7740\uff09\u3068\u4e0b\u5782\u4f53\u6a5f\u80fd\u4f4e\u4e0b\u75c7\u3092\u5de1\u308b\u5b89\u5168\u6027\u7ba1\u7406\u306e\u7559\u610f\u70b9\uff08\u526f\u4f5c\u7528\uff09<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u30bb\u30c3\u30c8\u30e1\u30e9\u30ce\u30c1\u30c9\u306f\u6975\u3081\u3066\u512a\u308c\u305f\u75be\u60a3\u5236\u5fa1\u529b\u3092\u793a\u3057\u307e\u3057\u305f\u304c\u3001\u305d\u306e\u7279\u7570\u306a\u53d7\u5bb9\u4f53\u7d50\u5408\u7279\u6027\u306b\u4f34\u3046\u3001\u300c\u5185\u5206\u6ccc\u30fb\u5168\u8eab\u7ba1\u7406\u300d\u304c\u5fc5\u8981\u3067\u3059\u3002<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>\u76ae\u819a\u306e\u904e\u8272\u7d20\u6c88\u7740\uff0856%\uff09\u3068\u307b\u304f\u308d\u306e\u6fc3\u8272\u5316\uff0817%\uff09<\/strong>\uff1a \u30bb\u30c3\u30c8\u30e1\u30e9\u30ce\u30c1\u30c9\u306fMC4R\u306b\u9ad8\u89aa\u548c\u6027\u3092\u6301\u3061\u307e\u3059\u304c\u3001\u76ae\u819a\u306e\u30e1\u30e9\u30cb\u30f3\u7523\u751f\u3092\u76f4\u63a5\u523a\u6fc0\u3059\u308b\u30e1\u30e9\u30ce\u30b3\u30eb\u30c1\u30f3-1\u53d7\u5bb9\u4f53\uff08MC1R\uff09\u306b\u5bfe\u3057\u3066\u3082\u90e8\u5206\u7684\u306a\u6d3b\u6027\u5316\u4f5c\u7528\uff08\u4ea4\u53c9\u6d3b\u6027\u5316\uff09\u3092\u53ca\u307c\u3057\u307e\u3059\u3002\u3053\u308c\u306b\u3088\u308a\u3001\u6295\u4e0e\u958b\u59cb\u5f8c\u307e\u3082\u306a\u304f\u5168\u8eab\u306e\u76ae\u819a\u304c\u65e5\u713c\u3051\u3057\u305f\u3088\u3046\u306b\u9ed2\u305a\u307f\uff08\u904e\u8272\u7d20\u6c88\u7740\uff09\u3001\u65e2\u5b58\u306e\u307b\u304f\u308d\u304c\u6fc3\u304f\u306a\u308b\u73fe\u8c61\u304c\u9ad8\u983b\u5ea6\u3067\u767a\u751f\u3057\u307e\u3057\u305f\u3002<\/li>\n\n\n\n<li><strong>\u6d88\u5316\u5668\u75c7\u72b6\u3068\u96fb\u89e3\u8cea\u30d0\u30e9\u30f3\u30b9\u306e\u5371\u6a5f<\/strong>\uff1a \u6700\u3082\u983b\u5ea6\u306e\u9ad8\u3044\u526f\u4f5c\u7528\u3068\u3057\u3066\u300c\u60aa\u5fc3\uff0851%\uff09\u300d\u3084\u300c\u5614\u5410\uff0840%\uff09\u300d\u304c\u6319\u3052\u3089\u308c\u307e\u3059\u3002\u901a\u5e38\u306f\u8efd\u5ea6\u3067\u3059\u304c\u3001AHO\u60a3\u8005\u69d8\u306e\u591a\u304f\u304c\u5408\u4f75\u3057\u3066\u3044\u308b\u300c\u4e0b\u5782\u4f53\u30db\u30eb\u30e2\u30f3\u6b20\u640d\u75c7\uff08\u5c3f\u5d29\u75c7\u3084\u4e8c\u6b21\u6027\u526f\u814e\u4e0d\u5168\uff09\u300d\u306e\u72b6\u6cc1\u4e0b\u3067\u306f\u3001\u3053\u306e\u6d88\u5316\u5668\u75c7\u72b6\u304c\u81f4\u6b7b\u7684\u306a\u5f15\u304d\u91d1\u306b\u306a\u308a\u5f97\u307e\u3059\u3002\u672c\u8a66\u9a13\u306b\u304a\u3044\u3066\u3001\u85ac\u7269\u8a98\u767a\u6027\u306e\u5614\u5410\u306b\u3088\u3063\u3066\u6c34\u5206\u304c\u5931\u308f\u308c\u3001\u5c3f\u5d29\u75c7\uff08AVP\u6b20\u640d\u75c7\uff09\u306e\u5fc5\u9808\u6cbb\u7642\u85ac\u3067\u3042\u308b\u7d4c\u53e3\u30c7\u30b9\u30e2\u30d7\u30ec\u30b7\u30f3\u306e\u5185\u670d\u304c\u56f0\u96e3\u3068\u306a\u3063\u305f\u7d50\u679c\u3001\u6025\u6fc0\u306b\u91cd\u7be4\u306a\u300c\u9ad8\u30ca\u30c8\u30ea\u30a6\u30e0\u8840\u75c7\u300d\u3092\u4f75\u767a\u3057\u3066\u7dca\u6025\u5165\u9662\u306b\u81f3\u3063\u305f\u91cd\u75c7\u4f8b\u304c1\u4f8b\u5831\u544a\u3055\u308c\u3066\u3044\u307e\u3059\u3002\u307e\u305f\u3001\u526f\u814e\u4e0d\u5168\u306e\u5408\u4f75\u60a3\u8005\u306b\u304a\u3044\u3066\u3001\u5614\u5410\u304c\u300c\u526f\u814e\u30af\u30ea\u30fc\u30bc\uff08\u6025\u6027\u526f\u814e\u4e0d\u5168\uff09\u300d\u306e\u75c7\u72b6\u3068\u8aa4\u8a8d\u3055\u308c\u3001\u9069\u5207\u306a\u30b9\u30c6\u30ed\u30a4\u30c9\uff08\u30d2\u30c9\u30ed\u30b3\u30eb\u30c1\u30be\u30f3\uff09\u306e\u5897\u91cf\u5bfe\u5fdc\u304c\u9045\u308c\u308b\u30ea\u30b9\u30af\u3082\u6d6e\u304d\u5f6b\u308a\u3068\u306a\u308a\u307e\u3057\u305f\u3002<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">\u8133\u306e\u640d\u50b7\u3068\u3044\u3046\u7269\u7406\u7684\u30fb\u69cb\u9020\u7684\u306a\u30c0\u30e1\u30fc\u30b8\u304b\u3089\u59cb\u307e\u308b\u300c\u904e\u98df\u3068\u80a5\u6e80\u300d\u3092\u3001\u5358\u306a\u308b\u81ea\u5236\u5fc3\u4e0d\u8db3\u3084\u6020\u60f0\u3068\u6c7a\u3081\u3064\u3051\u308b\u3053\u3068\u306a\u304f\u3001\u53d7\u5bb9\u4f53\u30b7\u30b0\u30ca\u30eb\u306e\u7834\u7dbb\u3068\u3044\u3046\u300c\u4f53\u306e\u4ed5\u7d44\u307f\u300d\u304b\u3089\u8ad6\u7406\u7684\u306b\u6349\u3048\u76f4\u3059\u3053\u3068\u3002\u305d\u3057\u3066\u3001\u4e0b\u5782\u4f53\u30db\u30eb\u30e2\u30f3\u306e\u4e71\u308c\u3084\u6c34\u5206\u30fb\u96fb\u89e3\u8cea\u306e\u30d0\u30e9\u30f3\u30b9\u3092\u7d30\u3084\u304b\u306b\u7dcf\u5408\u5185\u79d1\u533b\u306e\u8996\u70b9\u304b\u3089\u7ba1\u7406\u30fb\u4fdd\u8b77\u3057\u306a\u304c\u3089\u6700\u65b0\u306e\u5206\u5b50\u6cbb\u7642\u3092\u9032\u3081\u308b\u3053\u3068\u3053\u305d\u304c\u3001\u60a3\u8005\u69d8\u306e\u751f\u547d\u306e\u5b89\u5168\u3068\u3001\u5fc3\u8c4a\u304b\u306a\u300c\u98df\u3079\u308b\u559c\u3073\u300d\u3092\u4e21\u7acb\u3055\u305b\u308b\u305f\u3081\u306e\u78ba\u56fa\u305f\u308b\u81e8\u5e8a\u30a2\u30d7\u30ed\u30fc\u30c1\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\u5185\u5206\u6ccc\u7cfb\u3084\u30db\u30eb\u30e2\u30f3\u306e\u7570\u5e38\u3092\u62b1\u3048\u308b\u60a3\u8005\u69d8\u3001\u3042\u308b\u3044\u306f\u6162\u6027\u75be\u60a3\u306e\u7ba1\u7406\u4e2d\u306e\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\u4eca\u56de\u306eNEJM\u8ad6\u6587\u304c\u793a\u3057\u305f\u3088\u3046\u306b\u3001\u8996\u5e8a\u4e0b\u90e8\u3084\u4e0b\u5782\u4f53\u306e\u640d\u50b7\u3001\u3042\u308b\u3044\u306f\u904e\u98df\u75c7\uff08\u66b4\u98df\uff09\u3084\u4e0b\u5782\u4f53\u6a5f\u80fd\u4f4e\u4e0b\u75c7\u3092\u5408\u4f75\u3057\u3066\u3044\u308b\u5c40\u9762\u306b\u304a\u3044\u3066\u306f\u3001\u81ea\u5f8b\u795e\u7d4c\u6a5f\u80fd\u306e\u4f4e\u4e0b\u3084\u30db\u30eb\u30e2\u30f3\u30d0\u30e9\u30f3\u30b9\u306e\u4e71\u308c\u3092\u5951\u6a5f\u3068\u3057\u3066\u3001\u304a\u53e3\u3092\u6f64\u3057\u81ea\u6d44\u4f5c\u7528\u3092\u53f8\u308b\u300c\u553e\u6db2\u306e\u5206\u6ccc\u300d\u304c\u8457\u3057\u304f\u4f4e\u4e0b\u3057\u3001\u91cd\u5ea6\u306e\u30c9\u30e9\u30a4\u30de\u30a6\u30b9\u3092\u5f15\u304d\u8d77\u3053\u3057\u3084\u3059\u304f\u306a\u308a\u307e\u3059\u3002\u3053\u306e\u304a\u53e3\u304c\u4e7e\u71e5\u3057\u30d0\u30ea\u30a2\u304c\u4f4e\u4e0b\u3057\u305f\u74b0\u5883\u3067\u306f\u3001\u904e\u98df\u306b\u4f34\u3046\u98df\u3079\u7269\u306e\u983b\u98df\uff08\u30c0\u30e9\u30c0\u30e9\u98df\u3044\uff09\u3082\u52a0\u308f\u308b\u3053\u3068\u3067\u3001\u6b6f\u5468\u75c5\u83cc\u3084\u866b\u6b6f\u83cc\u306a\u3069\u306e\u75c5\u539f\u4f53\u304c\u300c\u30d0\u30a4\u30aa\u30d5\u30a3\u30eb\u30e0\uff08\u5f37\u56fa\u306a\u7d30\u83cc\u306e\u5de3\uff09\u300d\u3068\u306a\u3063\u3066\u7206\u767a\u7684\u306b\u7e41\u6b96\u3057\u307e\u3059\u3002\u304a\u53e3\u306e\u4e2d\u306b\u3053\u306e\u30d0\u30a4\u30aa\u30d5\u30a3\u30eb\u30e0\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\u7cd6\u5c3f\u75c5\u306a\u3069\u306e\u4ee3\u8b1d\u7570\u5e38\u3092\u304a\u6301\u3061\u306e\u65b9\u3001\u4e0b\u5782\u4f53\u30fb\u526f\u814e\u4e0d\u5168\u306b\u3088\u308a\u514d\u75ab\u4fdd\u8b77\u3084\u30b9\u30c6\u30ed\u30a4\u30c9\u7ba1\u7406\u3092\u884c\u3063\u3066\u3044\u308b\u60a3\u8005\u69d8\u3001\u3042\u308b\u3044\u306f\u9ad8\u9f62\u306e\u65b9\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\u5168\u8eab\u306e\u81d3\u5668\u3084\u4eba\u5de5\u95a2\u7bc0\u306a\u3069\u306e\u30a4\u30f3\u30d7\u30e9\u30f3\u30c8\u3001\u5fc3\u81d3\u306e\u5f01\u306a\u3069\u306b\u5b9a\u7740\u3057\u3001\u91cd\u75c7\u306e\u6557\u8840\u75c7\u3084\u5316\u81bf\u6027\u611f\u67d3\u75c7\u3092\u5f15\u304d\u8d77\u3053\u3059\u76f4\u63a5\u306e\u539f\u56e0\u7d4c\u8def\uff08\u30c8\u30ea\u30ac\u30fc\uff09\u3068\u306a\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\u30fb\u30db\u30eb\u30e2\u30f3\u7ba1\u7406\u3068\u5b8c\u5168\u306b\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\u5b89\u5168\u306b\u63d0\u4f9b\u3057\u307e\u3059\u3002\u4f53\u5168\u4f53\u306e\u5165\u308a\u53e3\u3067\u3042\u308b\u304a\u53e3\u306e\u74b0\u5883\u3092\u304d\u308c\u3044\u306b\u6574\u3048\u3001\u5168\u8eab\u306e\u514d\u75ab\u529b\u3068\u5b89\u5168\u6027\u3092\u98db\u8e8d\u7684\u306b\u9ad8\u3081\u307e\u3059\u3002\u539f\u56e0\u4e0d\u660e\u306e\u3060\u308b\u3055\u3084\u98df\u6b32\u30fb\u6392\u5c3f\u306e\u9055\u548c\u611f\u3001\u4ee3\u8b1d\u306e\u4e71\u308c\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\u3060\u308b\u3055\u3084\u98df\u6b32\u7570\u5e38\u3001\u5185\u5206\u6ccc\u30fb\u4ee3\u8b1d\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\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\/09\/image-149.png\" alt=\"\" class=\"wp-image-8440\" srcset=\"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/09\/image-149.png 800w, https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/09\/image-149-400x223.png 400w, https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/09\/image-149-767x428.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-150.png\" alt=\"\" class=\"wp-image-8441\" srcset=\"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/09\/image-150.png 800w, https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/09\/image-150-400x223.png 400w, https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/09\/image-150-767x428.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-151.png\" alt=\"\" class=\"wp-image-8442\" srcset=\"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/09\/image-151.png 800w, https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/09\/image-151-400x223.png 400w, https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/09\/image-151-767x428.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-152.png\" alt=\"\" class=\"wp-image-8443\" srcset=\"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/09\/image-152.png 800w, https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/09\/image-152-400x223.png 400w, https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/09\/image-152-767x428.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-153.png\" alt=\"\" class=\"wp-image-8444\" srcset=\"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/09\/image-153.png 800w, https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/09\/image-153-400x223.png 400w, https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/09\/image-153-767x428.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-154.png\" alt=\"\" class=\"wp-image-8445\" srcset=\"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/09\/image-154.png 800w, https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/09\/image-154-400x223.png 400w, https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/09\/image-154-767x428.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-155.png\" alt=\"\" class=\"wp-image-8446\" srcset=\"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/09\/image-155.png 800w, https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/09\/image-155-400x223.png 400w, https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/09\/image-155-767x428.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-156.png\" alt=\"\" class=\"wp-image-8447\" srcset=\"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/09\/image-156.png 800w, https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/09\/image-156-400x223.png 400w, https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/09\/image-156-767x428.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-157.png\" alt=\"\" class=\"wp-image-8448\" srcset=\"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/09\/image-157.png 800w, https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/09\/image-157-400x223.png 400w, https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/09\/image-157-767x428.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-158.png\" alt=\"\" class=\"wp-image-8449\" srcset=\"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/09\/image-158.png 800w, https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/09\/image-158-400x223.png 400w, https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/09\/image-158-767x428.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-159.png\" alt=\"\" class=\"wp-image-8450\" srcset=\"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/09\/image-159.png 800w, https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/09\/image-159-400x223.png 400w, https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/09\/image-159-767x428.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-160.png\" alt=\"\" class=\"wp-image-8451\" srcset=\"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/09\/image-160.png 800w, https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/09\/image-160-400x223.png 400w, https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/09\/image-160-767x428.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-161.png\" alt=\"\" class=\"wp-image-8452\" srcset=\"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/09\/image-161.png 800w, https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/09\/image-161-400x223.png 400w, https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/09\/image-161-767x428.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-162.png\" alt=\"\" class=\"wp-image-8453\" srcset=\"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/09\/image-162.png 800w, https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/09\/image-162-767x428.png 767w, https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/09\/image-162-400x223.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-163.png\" alt=\"\" class=\"wp-image-8454\" srcset=\"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/09\/image-163.png 800w, https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/09\/image-163-400x223.png 400w, https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/09\/image-163-767x428.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\">Jennifer L. Miller, Hanneke M. van Santen, Susan A. Phillips, et al. &#8220;Setmelanotide for the Treatment of Acquired Hypothalamic Obesity.&#8221; <em>The New England Journal of Medicine<\/em>. 2026; 395(2): 138-150. DOI: 10.1056\/NEJMoa2512275<\/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. \u7372\u5f97\u6027\u8996\u5e8a\u4e0b\u90e8\u80a5\u6e80\u3084\u904e\u98df\u304c\u5f15\u304d\u8d77\u3053\u3059\u300c\u91cd\u5ea6\u306e\u7cd6\u5c3f\u75c5\u300d\u3084\u4ee3\u8b1d\u7570\u5e38\u3092\u3001\u8840\u6db2\u30c7\u30fc\u30bf\u304b\u3089\u7db2\u7f85\u7684\u306b\u30b9\u30af\u30ea\u30fc\u30cb\u30f3\u30b0\u30fb\u7ba1\u7406\u3057\u305f\u3044\u65b9\u3078<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u8133\u5185\u306e\u6442\u98df\u4e2d\u67a2\uff08MC4R\u7d4c\u8def\uff09\u306e\u640d\u50b7\u306b\u3088\u308b\u904e\u98df\u3084\u6025\u6fc0\u306a\u4f53\u91cd\u5897\u52a0\u306f\u3001\u5168\u8eab\u306e\u7d30\u80de\u306b\u6df1\u523b\u306a\u30a4\u30f3\u30b9\u30ea\u30f3\u62b5\u6297\u6027\u3092\u5f15\u304d\u8d77\u3053\u3057\u3001\u8840\u7cd6\u5024\u3092\u4e71\u3057\u30662\u578b\u7cd6\u5c3f\u75c5\u3084\u8102\u8cea\u4ee3\u8b1d\u7570\u5e38\u3092\u30c9\u30df\u30ce\u5012\u3057\u306e\u3088\u3046\u306b\u60aa\u5316\u3055\u305b\u307e\u3059\u3002\u8133\u306e\u30b7\u30b0\u30ca\u30eb\u306e\u72c2\u3044\u3084\u30db\u30eb\u30e2\u30f3\u6b20\u640d\u304c\u3044\u304b\u306b\u3057\u3066\u5168\u8eab\u306e\u8840\u7ba1\u3092\u8105\u304b\u3059\u4ee3\u8b1d\u7570\u5e38\uff08\u30b5\u30a4\u30ec\u30f3\u30c8\u30fb\u30ad\u30e9\u30fc\uff09\u3092\u8a98\u767a\u3059\u308b\u306e\u304b\u3002\u5065\u5eb7\u8a3a\u65ad\u306a\u3069\u306e\u5fae\u7d30\u306a\u8840\u6db2\u30c7\u30fc\u30bf\u306e\u3086\u3089\u304e\u3092\u5c02\u9580\u533b\u306e\u8996\u70b9\u304b\u3089\u300c\u4f53\u306e\u4ed5\u7d44\u307f\u300d\u3068\u3044\u3046\u4e00\u672c\u306e\u7dda\u3067\u7d50\u3073\u3064\u3051\u3001\u6700\u9069\u306a\u8840\u7ba1\u4fdd\u8b77\u30de\u30cd\u30b8\u30e1\u30f3\u30c8\u3092\u65bd\u3059\u305f\u3081\u306e\u6cbb\u7642\u6226\u7565\u3092\u5fb9\u5e95\u89e3\u8aac\u3057\u307e\u3059\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><a href=\"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/post-3040\/\" target=\"_blank\" rel=\"noopener\">\u8840\u7cd6\u306e\u6ce2\u3092\u79d1\u5b66\u3059\u308b\u3002\u30a4\u30f3\u30b9\u30ea\u30f3\u62b5\u6297\u6027\u3068\u80a5\u6e80\u30fb\u7cd6\u5c3f\u75c5\u304c\u611f\u67d3\u75c7\u306b\u95a2\u4e0e\u3059\u308b\u4f53\u306e\u4ed5\u7d44\u307f<\/a><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>2. \u8133\u816b\u760d\u8853\u5f8c\u306e\u300c\u4e0b\u5782\u4f53\u30fb\u526f\u814e\u4e0d\u5168\u300d\u3092\u5408\u4f75\u3059\u308b\u65b9\u3078\uff1a\u751f\u6daf\u306b\u308f\u305f\u308b\u30b9\u30c6\u30ed\u30a4\u30c9\u6cbb\u7642\u306e\u751f\u7406\u4f5c\u7528\u3068\u3001\u6025\u6027\u30b9\u30c8\u30ec\u30b9\u6642\u306e\u5b89\u5168\u306a\u7ba1\u7406\u6cd5\u3092\u77e5\u308a\u305f\u3044\u65b9\u3078<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u672c\u75c7\u4f8b\u306b\u304a\u3051\u308b\u60a3\u8005\u69d8\u306e\u591a\u304f\uff0866%\uff09\u304c\u300c\u4e8c\u6b21\u6027\u526f\u814e\u4e0d\u5168\uff08ACTH\u6b20\u640d\uff09\u300d\u3092\u5408\u4f75\u3057\u3001\u751f\u6daf\u306b\u308f\u305f\u308b\u30b9\u30c6\u30ed\u30a4\u30c9\uff08\u526f\u814e\u76ae\u8cea\u30db\u30eb\u30e2\u30f3\uff09\u88dc\u5145\u7642\u6cd5\u3092\u53d7\u3051\u3066\u3044\u308b\u3088\u3046\u306b\u3001\u30b9\u30c6\u30ed\u30a4\u30c9\u306f\u751f\u547d\u7dad\u6301\u306b\u4e0d\u53ef\u6b20\u306a\u30db\u30eb\u30e2\u30f3\u3067\u3059\u3002\u81a0\u539f\u75c5\u6cbb\u7642\u3084\u4ee3\u66ff\u88dc\u5145\u7642\u6cd5\u306b\u304a\u3044\u3066\u3001\u30b9\u30c6\u30ed\u30a4\u30c9\u306e\u751f\u7406\u4f5c\u7528\u3092\u8ad6\u7406\u7684\u306b\u7406\u89e3\u3057\u3001\u6613\u611f\u67d3\u6027\u3084\u9aa8\u7c97\u9b06\u75c7\u3001\u3055\u3089\u306b\u306f\u5614\u5410\u3084\u767a\u71b1\u3068\u3044\u3063\u305f\u6025\u6027\u30b9\u30c8\u30ec\u30b9\u6642\u306e\u5bfe\u5fdc\uff08\u30b9\u30c8\u30ec\u30b9\u30ab\u30d0\u30fc\u306b\u3088\u308b\u526f\u814e\u4e0d\u5168\u30fb\u30b7\u30e7\u30c3\u30af\u306e\u9632\u6b62\uff09\u306a\u3069\u306e\u526f\u4f5c\u7528\u30ea\u30b9\u30af\u3092\u672a\u7136\u306b\u9632\u304e\u3001\u85ac\u306e\u6069\u6075\u3092\u5b89\u5168\u306b\u6700\u5927\u5316\u3059\u308b\u305f\u3081\u306e\u4f53\u306e\u4ed5\u7d44\u307f\u3092\u8a73\u3057\u304f\u89e3\u8aac\u3057\u307e\u3059\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><a href=\"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/post-7663\/\" target=\"_blank\" rel=\"noopener\">\u3010\u81a0\u539f\u75c5\u30fb\u30ea\u30a6\u30de\u30c1\u5185\u79d1\u3011\u300e\u8af8\u5203\u306e\u5263\u300f\u3092\u540d\u85ac\u306b\u5909\u3048\u308b\u3002\u30b9\u30c6\u30ed\u30a4\u30c9\u6cbb\u7642\u306e\u751f\u7406\u4f5c\u7528\u30fb\u85ac\u7406\u4f5c\u7528\u3068\u547d\u3092\u5b88\u308b\u526f\u4f5c\u7528\u7ba1\u7406\u306e\u4f53\u306e\u4ed5\u7d44\u307f<\/a><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>3. \u904e\u98df\u306b\u3088\u308b\u30c0\u30e9\u30c0\u30e9\u98df\u3044\u3084\u4e0b\u5782\u4f53\u969c\u5bb3\u306b\u4f34\u3046\u300c\u553e\u6db2\u6e1b\u5c11\uff08\u304a\u53e3\u306e\u4e7e\u71e5\uff09\u300d\u304b\u3089\u3001\u5168\u8eab\u3092\u8105\u304b\u3059\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\">\u904e\u98df\u75c7\u306b\u3088\u308b\u98df\u3079\u7269\u306e\u983b\u98df\u3084\u3001\u5185\u5206\u6ccc\u75be\u60a3\uff08\u4e0b\u5782\u4f53\u6a5f\u80fd\u4f4e\u4e0b\u75c7\uff09\u306b\u4f34\u3046\u553e\u6db2\u6e1b\u5c11\uff08\u30c9\u30e9\u30a4\u30de\u30a6\u30b9\uff09\u306f\u3001\u304a\u53e3\u3092\u9178\u6027\u306b\u50be\u3051\u3001\u6b6f\u5468\u30dd\u30b1\u30c3\u30c8\u306b\u6f5c\u3080\u7d30\u83cc\u306e\u5de3\uff08\u30d0\u30a4\u30aa\u30d5\u30a3\u30eb\u30e0\uff09\u3092\u6025\u5897\u3055\u305b\u308b\u6700\u5927\u306e\u5f15\u304d\u91d1\u3068\u306a\u308a\u307e\u3059\u3002\u3053\u3053\u304b\u3089\u8840\u6d41\u306b\u5165\u308b\u300c\u4e00\u904e\u6027\u83cc\u8840\u75c7\u300d\u306f\u3001\u8840\u7cd6\u5024\u306e\u30b3\u30f3\u30c8\u30ed\u30fc\u30eb\u3092\u60aa\u5316\u3055\u305b\u308b\u3060\u3051\u3067\u306a\u304f\u3001\u8840\u7ba1\u969c\u5bb3\u3084\u4eba\u5de5\u95a2\u7bc0\u306a\u3069\u306e\u30a4\u30f3\u30d7\u30e9\u30f3\u30c8\u3001\u5fc3\u81d3\u306e\u5f01\u306b\u7d30\u83cc\u3092\u5b9a\u7740\u3055\u305b\u308b\u6df1\u523b\u306a\u5168\u8eab\u611f\u67d3\u75c7\u306e\u4e3b\u539f\u56e0\u3067\u3059\u3002\u30cf\u30df\u30ac\u30ad\u3067\u306f\u843d\u3068\u305b\u306a\u3044\u7d30\u83cc\u306e\u584a\u3092\u30d7\u30ed\u306e\u5c02\u7528\u5668\u5177\u3067\u5b89\u5168\u306b\u30ea\u30bb\u30c3\u30c8\u3057\u3001\u5168\u8eab\u306e\u5b89\u5168\u3092\u5b88\u308b\u5f53\u9662\u72ec\u81ea\u306e\u533b\u79d1\u6b6f\u79d1\u9023\u643a\u30d7\u30ed\u30b0\u30e9\u30e0PMTC\u306b\u3064\u3044\u3066\u89e3\u8aac\u3057\u307e\u3059\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><a href=\"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/post-5383\/\" target=\"_blank\" rel=\"noopener\">\u3010\u4e88\u9632\u6b6f\u79d1\u3011\u30d0\u30a4\u30aa\u30d5\u30a3\u30eb\u30e0\u3092\u7834\u58ca\u305b\u3088\u3002\u5c02\u9580\u7684\u53e3\u8154\u30b1\u30a2\uff08PMTC\uff09\u304c\u5168\u8eab\u306e\u5065\u5eb7\u3092\u5b88\u308b\u4f53\u306e\u4ed5\u7d44\u307f<\/a><\/p>\n\n\n\n<div class=\"wp-block-group\"><div class=\"wp-block-group__inner-container is-layout-constrained wp-block-group-is-layout-constrained\">\n<div class=\"wp-block-columns is-layout-flex wp-container-core-columns-is-layout-8f761849 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:23%\">\n<figure class=\"wp-block-image\"><img loading=\"lazy\" decoding=\"async\" width=\"600\" height=\"600\" src=\"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/08\/84f9b1a365bb2c08a7e4b50359f34012-600x600.png\" alt=\"\" class=\"wp-image-8240\" srcset=\"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/08\/84f9b1a365bb2c08a7e4b50359f34012-600x600.png 600w, https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/08\/84f9b1a365bb2c08a7e4b50359f34012-150x150.png 150w, https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/08\/84f9b1a365bb2c08a7e4b50359f34012-300x300.png 300w, https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/08\/84f9b1a365bb2c08a7e4b50359f34012-768x768.png 768w, https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/08\/84f9b1a365bb2c08a7e4b50359f34012.png 800w\" sizes=\"auto, (max-width: 600px) 100vw, 600px\" \/><\/figure>\n<\/div>\n\n\n\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:77%\">\n<p class=\"wp-block-paragraph\">\u3010\u57f7\u7b46\u30fb\u76e3\u4fee\u533b\u5e2b\u30d7\u30ed\u30d5\u30a3\u30fc\u30eb\u3011<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u25a0 \u798f\u7530 \u5321\u5fd7\uff08\u3075\u304f\u305f \u307e\u3055\u3057\uff09<br>\u6210\u7530\u8d64\u5341\u5b57\u75c5\u9662 \u30ea\u30a6\u30de\u30c1\u81a0\u539f\u75c5\u5185\u79d1\u90e8\u9577 \/ \u67cf\u4e94\u5473\u6b6f\u79d1\u30fb\u5185\u79d1\u30ea\u30a6\u30de\u30c1\u30af\u30ea\u30cb\u30c3\u30af \u533b\u5e2b\u3002<br>\u65e5\u672c\u5185\u79d1\u5b66\u4f1a\u8a8d\u5b9a \u7dcf\u5408\u5185\u79d1\u5c02\u9580\u533b\u3001\u65e5\u672c\u30ea\u30a6\u30de\u30c1\u5b66\u4f1a\u8a8d\u5b9a \u30ea\u30a6\u30de\u30c1\u5c02\u9580\u533b\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u25a0 \u798f\u7530 \u6dbc\u5b50\uff08\u3075\u304f\u305f \u308a\u3087\u3046\u3053\uff09<br>\u65e5\u672c\u5927\u5b66\u677e\u6238\u6b6f\u5b66\u90e8\u6b6f\u5185\u7642\u6cd5\u5b66\u8b1b\u5ea7\u517c\u4efb\u8b1b\u5e2b\u3002<br>\u65e5\u672c\u6b6f\u5185\u7642\u6cd5\u5b66\u4f1a\u5c02\u9580\u533b\u3001\u65e5\u672c\u6b6f\u79d1\u4fdd\u5b58\u5b66\u4f1a\u8a8d\u5b9a\u533b\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u25a0 \u6625\u539f \u512a\u5b50\uff08\u306f\u308b\u306f\u3089 \u3086\u3046\u3053\uff09<br>\u65e5\u672c\u5185\u79d1\u5b66\u4f1a\u8a8d\u5b9a \u7dcf\u5408\u5185\u79d1\u5c02\u9580\u533b\u3001\u65e5\u672c\u6d88\u5316\u5668\u75c5\u5b66\u4f1a\u5c02\u9580\u533b\u3001\u65e5\u672c\u809d\u81d3\u75c5\u5b66\u4f1a\u5c02\u9580\u533b\u3001\u65e5\u672c\u6d88\u5316\u5668\u5185\u8996\u93e1\u5b66\u4f1a\u5c02\u9580\u533b\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u5168\u56fd\u306e\u60a3\u8005\u69d8\u3084\u3054\u5bb6\u65cf\u306b\u5411\u3051\u3066\u3001\u95a2\u7bc0\u30ea\u30a6\u30de\u30c1\u30fb\u81a0\u539f\u75c5\u30fb\u7dcf\u5408\u5185\u79d1\u30fb\u6d88\u5316\u5668\u30fb\u6b6f\u79d1\u75be\u60a3\u3092\u4e2d\u5fc3\u306b\u5168\u8eab\u306b\u95a2\u3059\u308b\u6700\u65b0\u306e\u533b\u5b66\u8ad6\u6587\u3084\u6b63\u3057\u3044\u77e5\u8b58\u3092\u5206\u304b\u308a\u3084\u3059\u304f\u89e3\u8aac\u30fb\u767a\u4fe1\u3057\u3066\u3044\u307e\u3059\u3002<\/p>\n<\/div>\n<\/div>\n<\/div><\/div>\n","protected":false},"excerpt":{"rendered":"<p>\u8133\u50b7\u5bb3\u304c\u3082\u305f\u3089\u3059\u6e80\u8179\u30b7\u30b0\u30ca\u30eb\u306e\u5b8c\u5168\u6d88\u5931\u3068\u904e\u98df\u75c7\u3002\u4e16\u754c\u521d\u306e\u7b2c3\u76f8\u8a66\u9a13\u304c\u8a3c\u660e\u3057\u305f\u3001\u6a5f\u80fd\u7684\u03b1-MSH\u30a2\u30ca\u30ed\u30b0\u306b\u3088\u308b52\u9031\u9593\u306e\u4f53\u91cd\u6291\u5236\u52b9\u679c\u3068\u3001\u30db\u30eb\u30e2\u30f3\u6b20\u640d\u4e0b\u306b\u304a\u3051\u308b\u5b89\u5168&#8230;<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[47,15,60,26,30],"class_list":["post-8426","post","type-post","status-publish","format-standard","hentry","category-nejm","category-15","category-60","category-26","category-30"],"aioseo_notices":[],"aioseo_head":"\n\t\t<!-- All in One SEO 5.0.1.1 - aioseo.com -->\n\t<meta name=\"description\" content=\"\u8133\u50b7\u5bb3\u304c\u3082\u305f\u3089\u3059\u6e80\u8179\u30b7\u30b0\u30ca\u30eb\u306e\u5b8c\u5168\u6d88\u5931\u3068\u904e\u98df\u75c7\u3002\u4e16\u754c\u521d\u306e\u7b2c3\u76f8\u8a66\u9a13\u304c\u8a3c\u660e\u3057\u305f\u3001\u6a5f\u80fd\u7684\u03b1-MSH\u30a2\u30ca\u30ed\u30b0\u306b\u3088\u308b5\" \/>\n\t<meta name=\"robots\" content=\"max-image-preview:large\" \/>\n\t<meta name=\"author\" content=\"\u798f\u7530 \u5321\u5fd7\"\/>\n\t<link rel=\"canonical\" href=\"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/post-8426\/\" \/>\n\t<meta name=\"generator\" content=\"All in One SEO (AIOSEO) 5.0.1.1\" \/>\n\t\t<meta property=\"og:locale\" content=\"ja_JP\" \/>\n\t\t<meta property=\"og:site_name\" content=\"\u67cf\u4e94\u5473\u6b6f\u79d1\u5185\u79d1\u30ea\u30a6\u30de\u30c1\u30af\u30ea\u30cb\u30c3\u30af\u30d6\u30ed\u30b0 |\" \/>\n\t\t<meta property=\"og:type\" content=\"article\" \/>\n\t\t<meta property=\"og:title\" content=\"\u3010NEJM2026\u3011\u7372\u5f97\u6027\u8996\u5e8a\u4e0b\u90e8\u80a5\u6e80\u306e\u65b0\u6cbb\u7642\uff5c\u30bb\u30c3\u30c8\u30e1\u30e9\u30ce\u30c1\u30c9\u306e\u52b9\u679c\u3068\u4ed5\u7d44\u307f\u3092\u5c02\u9580\u533b\u304c\u5206\u304b\u308a\u3084\u3059\u304f\u89e3\u8aac | \u67cf\u4e94\u5473\u6b6f\u79d1\u5185\u79d1\u30ea\u30a6\u30de\u30c1\u30af\u30ea\u30cb\u30c3\u30af\u30d6\u30ed\u30b0\" \/>\n\t\t<meta property=\"og:description\" content=\"\u8133\u50b7\u5bb3\u304c\u3082\u305f\u3089\u3059\u6e80\u8179\u30b7\u30b0\u30ca\u30eb\u306e\u5b8c\u5168\u6d88\u5931\u3068\u904e\u98df\u75c7\u3002\u4e16\u754c\u521d\u306e\u7b2c3\u76f8\u8a66\u9a13\u304c\u8a3c\u660e\u3057\u305f\u3001\u6a5f\u80fd\u7684\u03b1-MSH\u30a2\u30ca\u30ed\u30b0\u306b\u3088\u308b5\" \/>\n\t\t<meta property=\"og:url\" content=\"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/post-8426\/\" \/>\n\t\t<meta property=\"article:published_time\" content=\"2026-09-05T13:24:17+00:00\" \/>\n\t\t<meta property=\"article:modified_time\" content=\"2026-09-05T13:24:18+00:00\" \/>\n\t\t<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n\t\t<meta name=\"twitter:title\" content=\"\u3010NEJM2026\u3011\u7372\u5f97\u6027\u8996\u5e8a\u4e0b\u90e8\u80a5\u6e80\u306e\u65b0\u6cbb\u7642\uff5c\u30bb\u30c3\u30c8\u30e1\u30e9\u30ce\u30c1\u30c9\u306e\u52b9\u679c\u3068\u4ed5\u7d44\u307f\u3092\u5c02\u9580\u533b\u304c\u5206\u304b\u308a\u3084\u3059\u304f\u89e3\u8aac | \u67cf\u4e94\u5473\u6b6f\u79d1\u5185\u79d1\u30ea\u30a6\u30de\u30c1\u30af\u30ea\u30cb\u30c3\u30af\u30d6\u30ed\u30b0\" \/>\n\t\t<meta name=\"twitter:description\" content=\"\u8133\u50b7\u5bb3\u304c\u3082\u305f\u3089\u3059\u6e80\u8179\u30b7\u30b0\u30ca\u30eb\u306e\u5b8c\u5168\u6d88\u5931\u3068\u904e\u98df\u75c7\u3002\u4e16\u754c\u521d\u306e\u7b2c3\u76f8\u8a66\u9a13\u304c\u8a3c\u660e\u3057\u305f\u3001\u6a5f\u80fd\u7684\u03b1-MSH\u30a2\u30ca\u30ed\u30b0\u306b\u3088\u308b5\" \/>\n\t\t<!-- All in One SEO -->\n\n","aioseo_head_json":{"title":"\u3010NEJM2026\u3011\u7372\u5f97\u6027\u8996\u5e8a\u4e0b\u90e8\u80a5\u6e80\u306e\u65b0\u6cbb\u7642\uff5c\u30bb\u30c3\u30c8\u30e1\u30e9\u30ce\u30c1\u30c9\u306e\u52b9\u679c\u3068\u4ed5\u7d44\u307f\u3092\u5c02\u9580\u533b\u304c\u5206\u304b\u308a\u3084\u3059\u304f\u89e3\u8aac | \u67cf\u4e94\u5473\u6b6f\u79d1\u5185\u79d1\u30ea\u30a6\u30de\u30c1\u30af\u30ea\u30cb\u30c3\u30af\u30d6\u30ed\u30b0","description":"\u8133\u50b7\u5bb3\u304c\u3082\u305f\u3089\u3059\u6e80\u8179\u30b7\u30b0\u30ca\u30eb\u306e\u5b8c\u5168\u6d88\u5931\u3068\u904e\u98df\u75c7\u3002\u4e16\u754c\u521d\u306e\u7b2c3\u76f8\u8a66\u9a13\u304c\u8a3c\u660e\u3057\u305f\u3001\u6a5f\u80fd\u7684\u03b1-MSH\u30a2\u30ca\u30ed\u30b0\u306b\u3088\u308b5","canonical_url":"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/post-8426\/","robots":"max-image-preview:large","keywords":"","webmasterTools":{"miscellaneous":""},"schema":null,"og:locale":"ja_JP","og:site_name":"\u67cf\u4e94\u5473\u6b6f\u79d1\u5185\u79d1\u30ea\u30a6\u30de\u30c1\u30af\u30ea\u30cb\u30c3\u30af\u30d6\u30ed\u30b0 |","og:type":"article","og:title":"\u3010NEJM2026\u3011\u7372\u5f97\u6027\u8996\u5e8a\u4e0b\u90e8\u80a5\u6e80\u306e\u65b0\u6cbb\u7642\uff5c\u30bb\u30c3\u30c8\u30e1\u30e9\u30ce\u30c1\u30c9\u306e\u52b9\u679c\u3068\u4ed5\u7d44\u307f\u3092\u5c02\u9580\u533b\u304c\u5206\u304b\u308a\u3084\u3059\u304f\u89e3\u8aac | \u67cf\u4e94\u5473\u6b6f\u79d1\u5185\u79d1\u30ea\u30a6\u30de\u30c1\u30af\u30ea\u30cb\u30c3\u30af\u30d6\u30ed\u30b0","og:description":"\u8133\u50b7\u5bb3\u304c\u3082\u305f\u3089\u3059\u6e80\u8179\u30b7\u30b0\u30ca\u30eb\u306e\u5b8c\u5168\u6d88\u5931\u3068\u904e\u98df\u75c7\u3002\u4e16\u754c\u521d\u306e\u7b2c3\u76f8\u8a66\u9a13\u304c\u8a3c\u660e\u3057\u305f\u3001\u6a5f\u80fd\u7684\u03b1-MSH\u30a2\u30ca\u30ed\u30b0\u306b\u3088\u308b5","og:url":"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/post-8426\/","article:published_time":"2026-09-05T13:24:17+00:00","article:modified_time":"2026-09-05T13:24:18+00:00","twitter:card":"summary_large_image","twitter:title":"\u3010NEJM2026\u3011\u7372\u5f97\u6027\u8996\u5e8a\u4e0b\u90e8\u80a5\u6e80\u306e\u65b0\u6cbb\u7642\uff5c\u30bb\u30c3\u30c8\u30e1\u30e9\u30ce\u30c1\u30c9\u306e\u52b9\u679c\u3068\u4ed5\u7d44\u307f\u3092\u5c02\u9580\u533b\u304c\u5206\u304b\u308a\u3084\u3059\u304f\u89e3\u8aac | \u67cf\u4e94\u5473\u6b6f\u79d1\u5185\u79d1\u30ea\u30a6\u30de\u30c1\u30af\u30ea\u30cb\u30c3\u30af\u30d6\u30ed\u30b0","twitter:description":"\u8133\u50b7\u5bb3\u304c\u3082\u305f\u3089\u3059\u6e80\u8179\u30b7\u30b0\u30ca\u30eb\u306e\u5b8c\u5168\u6d88\u5931\u3068\u904e\u98df\u75c7\u3002\u4e16\u754c\u521d\u306e\u7b2c3\u76f8\u8a66\u9a13\u304c\u8a3c\u660e\u3057\u305f\u3001\u6a5f\u80fd\u7684\u03b1-MSH\u30a2\u30ca\u30ed\u30b0\u306b\u3088\u308b5"},"aioseo_meta_data":{"post_id":"8426","title":null,"description":null,"keywords":null,"keyphrases":null,"primary_term":null,"canonical_url":null,"og_title":null,"og_description":null,"og_object_type":"default","og_image_type":"default","og_image_url":null,"og_image_width":null,"og_image_height":null,"og_image_custom_url":null,"og_image_custom_fields":null,"og_video":null,"og_custom_url":null,"og_article_section":null,"og_article_tags":null,"twitter_use_og":false,"twitter_card":"default","twitter_image_type":"default","twitter_image_url":null,"twitter_image_custom_url":null,"twitter_image_custom_fields":null,"twitter_title":null,"twitter_description":null,"schema":{"blockGraphs":[],"customGraphs":[],"default":{"data":{"Article":[],"Course":[],"Dataset":[],"FAQPage":[],"Movie":[],"Person":[],"Product":[],"ProductReview":[],"Car":[],"Recipe":[],"Service":[],"SoftwareApplication":[],"WebPage":[]},"graphName":"","isEnabled":true},"graphs":[]},"schema_type":"default","schema_type_options":null,"pillar_content":false,"robots_default":true,"robots_noindex":false,"robots_noarchive":false,"robots_nosnippet":false,"robots_nofollow":false,"robots_noimageindex":false,"robots_noodp":false,"robots_notranslate":false,"robots_max_snippet":null,"robots_max_videopreview":null,"robots_max_imagepreview":"large","priority":null,"frequency":null,"local_seo":null,"breadcrumb_settings":null,"limit_modified_date":false,"ai":null,"created":"2026-09-05 21:10:47","updated":"2026-09-05 21:10:47","seo_analyzer_scan_date":null,"focus_keyword":null,"additional_keywords":null,"truseo_locale":null},"aioseo_breadcrumb":"<div class=\"aioseo-breadcrumbs\"><span class=\"aioseo-breadcrumb\">\n\t\t\t<a href=\"https:\/\/kashiwa-gomi-shikanaika.com\/blog\" title=\"\u30db\u30fc\u30e0\">\u30db\u30fc\u30e0<\/a>\n\t\t<\/span><span class=\"aioseo-breadcrumb-separator\">\u00bb<\/span><span class=\"aioseo-breadcrumb\">\n\t\t\t<a href=\"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/category\/medical_science\/\" title=\"\u5185\u79d1\">\u5185\u79d1<\/a>\n\t\t<\/span><span class=\"aioseo-breadcrumb-separator\">\u00bb<\/span><span class=\"aioseo-breadcrumb\">\n\t\t\t<a href=\"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/category\/medical_science\/%e7%97%87%e4%be%8b\/\" title=\"\u75c7\u4f8b\">\u75c7\u4f8b<\/a>\n\t\t<\/span><span class=\"aioseo-breadcrumb-separator\">\u00bb<\/span><span class=\"aioseo-breadcrumb\">\n\t\t\t<a href=\"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/category\/medical_science\/%e7%97%87%e4%be%8b\/%e4%bb%a3%e8%ac%9d%e3%83%bb%e5%86%85%e5%88%86%e6%b3%8c\/\" title=\"\u4ee3\u8b1d\u30fb\u5185\u5206\u6ccc\">\u4ee3\u8b1d\u30fb\u5185\u5206\u6ccc<\/a>\n\t\t<\/span><span class=\"aioseo-breadcrumb-separator\">\u00bb<\/span><span class=\"aioseo-breadcrumb\">\n\t\t\t\u3010NEJM2026\u3011\u7372\u5f97\u6027\u8996\u5e8a\u4e0b\u90e8\u80a5\u6e80\u306e\u65b0\u6cbb\u7642\uff5c\u30bb\u30c3\u30c8\u30e1\u30e9\u30ce\u30c1\u30c9\u306e\u52b9\u679c\u3068\u4ed5\u7d44\u307f\u3092\u5c02\u9580\u533b\u304c\u5206\u304b\u308a\u3084\u3059\u304f\u89e3\u8aac\n\t\t<\/span><\/div>","aioseo_breadcrumb_json":[{"label":"\u30db\u30fc\u30e0","link":"https:\/\/kashiwa-gomi-shikanaika.com\/blog"},{"label":"\u5185\u79d1","link":"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/category\/medical_science\/"},{"label":"\u75c7\u4f8b","link":"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/category\/medical_science\/%e7%97%87%e4%be%8b\/"},{"label":"\u4ee3\u8b1d\u30fb\u5185\u5206\u6ccc","link":"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/category\/medical_science\/%e7%97%87%e4%be%8b\/%e4%bb%a3%e8%ac%9d%e3%83%bb%e5%86%85%e5%88%86%e6%b3%8c\/"},{"label":"\u3010NEJM2026\u3011\u7372\u5f97\u6027\u8996\u5e8a\u4e0b\u90e8\u80a5\u6e80\u306e\u65b0\u6cbb\u7642\uff5c\u30bb\u30c3\u30c8\u30e1\u30e9\u30ce\u30c1\u30c9\u306e\u52b9\u679c\u3068\u4ed5\u7d44\u307f\u3092\u5c02\u9580\u533b\u304c\u5206\u304b\u308a\u3084\u3059\u304f\u89e3\u8aac","link":"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/post-8426\/"}],"_links":{"self":[{"href":"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-json\/wp\/v2\/posts\/8426","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-json\/wp\/v2\/comments?post=8426"}],"version-history":[{"count":1,"href":"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-json\/wp\/v2\/posts\/8426\/revisions"}],"predecessor-version":[{"id":8455,"href":"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-json\/wp\/v2\/posts\/8426\/revisions\/8455"}],"wp:attachment":[{"href":"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-json\/wp\/v2\/media?parent=8426"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-json\/wp\/v2\/categories?post=8426"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}