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\u5c0f\u515018\u4f8b\u3092\u5bfe\u8c61\u3068\u3057\u305f\u30b3\u30db\u30fc\u30c8\u7814\u7a76\uff08Li\u3089\u306e\u7814\u7a76\uff09\u3067\u306f\u3001\u30a2\u30d0\u30bf\u30bb\u30d7\u30c8\u6cbb\u7642\u306b\u3088\u308aPGA-Activity\u304c3\u304b\u30896\u30f6\u6708\u5f8c\u306b1.5\u300112\u30f6\u6708\u5f8c\u306b0.5\u3078\u3068\u6709\u610f\u306b\u4f4e\u4e0b\u3057\u3001\u76ae\u819a\u306e\u6d3b\u52d5\u6027\u6307\u6a19\uff08mLoSSI\uff09\u3084\u7dcf\u5408\u7684\u91cd\u75c7\u5ea6\u30b9\u30b3\u30a2\uff08LSCAM\uff09\u3082\u5287\u7684\u306b\u6539\u5584\u3057\u307e\u3057\u305f\u3002\u307e\u305f\u3001morphea profunda \u306e\u6210\u4eba\u4f8b\u306b\u304a\u3044\u3066\u3082\u3001\u76ae\u819a\u786c\u5316\u30b9\u30b3\u30a2\uff08mRSS\uff09\u304c18\u21922\uff0819\u30f6\u6708\u5f8c\uff09\u306a\u3069\u3078\u8457\u660e\u306b\u6539\u5584\u3057\u305f\u3053\u3068\u304c\u5831\u544a\u3055\u308c\u3066\u3044\u307e\u3059\u3002 \u81e8\u5e8a\u306b\u7528\u3044\u308b\u969b\u306e\u6975\u3081\u3066\u91cd\u8981\u306a\u6559\u8a13\u306f\u3001\u30a2\u30d0\u30bf\u30bb\u30d7\u30c8\u306b\u3088\u308b\u300c\u76ae\u819a\u786c\u5316\u306e\u6539\u5584\u304c\u660e\u78ba\u3068\u306a\u308b\u307e\u3067\u306b\u534a\u5e74\u4ee5\u4e0a\uff08\u591a\u304f\u306f12\u30f6\u6708\u4ee5\u964d\uff09\u3092\u8981\u3059\u308b\u300d\u3068\u3044\u3046\u7279\u7570\u306a\u85ac\u7406\u52d5\u614b\u3067\u3059\u3002\u5373\u52b9\u6027\u3092\u6c42\u3081\u308b\u306e\u3067\u306f\u306a\u304f\u3001T\u7d30\u80de\u3092\u4ecb\u3057\u305f\u7dda\u7dad\u5316\u306e\u99c6\u52d5\u6e90\u3092\u6839\u5143\u304b\u3089\u3058\u308f\u3058\u308f\u3068\u5305\u56f2\u30fb\u93ae\u9759\u3057\u3066\u3044\u304f\u3001\u9577\u671f\u7684\u306a\u7ba1\u7406\u8a08\u753b\u304c\u5fc5\u8981\u3067\u3059\u3002<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>3. \u30a4\u30f3\u30d5\u30ea\u30ad\u30b7\u30de\u30d6\uff08\u63a8\u5968\u5ea6 2D\uff09\uff1a\u6297TNF-\u03b1\u6297\u4f53\u306b\u3088\u308b\u5f37\u529b\u306a\u6297\u708e\u75c7\u30fb\u30b3\u30e9\u30fc\u30b2\u30f3\u83f2\u8584\u5316<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>\u85ac\u7406\u30e1\u30ab\u30cb\u30ba\u30e0\u3068\u30a8\u30d3\u30c7\u30f3\u30b9<\/strong>\uff1a \u30a4\u30f3\u30d5\u30ea\u30ad\u30b7\u30de\u30d6\u306f\u3001\u5f37\u529b\u306a\u6297\u8868\u5728\u6027\u708e\u75c7\u30fb\u7dda\u7dad\u5316\u4fc3\u9032\u56e0\u5b50\u3067\u3042\u308b\u816b\u760d\u58ca\u6b7b\u56e0\u5b50\u03b1\uff08TNF-\u03b1\uff09\u306b\u7d50\u5408\u3057\u3066\u4e2d\u548c\u3059\u308b\u30e2\u30ce\u30af\u30ed\u30fc\u30ca\u30eb\u6297\u4f53\u3067\u3059\u3002 \u6a19\u6e96\u6cbb\u7642\u62b5\u6297\u6027\u306e\u6210\u4eba generalized morphea \u306b\u5bfe\u3057\u3001\u30a4\u30f3\u30d5\u30ea\u30ad\u30b7\u30de\u30d6\uff085 mg\/kg\uff09\u3092\u67081\u56de\u30fb4\u30f6\u6708\u9593\u6295\u4e0e\u3057\u305f\u7d50\u679c\u3001\u7d05\u6591\u3068\u76ae\u819a\u786c\u5316\u304c\u8457\u660e\u306b\u6539\u5584\u3057\u3001\u7d44\u7e54\u5b66\u7684\u306b\u3082\u81a0\u539f\u7dda\u7dad\u306e\u83f2\u8584\u5316\u3068\u7d44\u7e54\u5185TNF\u30b7\u30b0\u30ca\u30eb\u306e\u6d88\u5931\u304c\u78ba\u8a8d\u3055\u308c\u307e\u3057\u305f\uff08Diab\u3089\u306e\u5831\u544a\uff09\u3002 \u307e\u305f\u3001\u4f53\u8868\u9762\u7a4d\u306e80%\u304c\u786c\u5316\u3057\u305f\u6700\u91cd\u75c7\u306e\u5c0f\u5150 mixed morphea \u306b\u5bfe\u3057\u3066\u3082\u3001\u30a4\u30f3\u30d5\u30ea\u30ad\u30b7\u30de\u30d6\uff0810 mg\/kg\uff09\u3068\u30ec\u30d5\u30eb\u30ce\u30df\u30c9\u306e\u4f75\u7528\u306b\u3088\u308a\u30019\u30f6\u6708\u76ee\u306b\u306fmLoSSI\u304c39\u219222\u3001PGA-Activity\u304c45\u21920\u3078\u3068\u5287\u7684\u306b\u6539\u5584\u3057\u3001\u969c\u5bb3\u3055\u308c\u3066\u3044\u305f\u95a2\u7bc0\u306e\u53ef\u52d5\u57df\u3082\u6539\u5584\u3057\u307e\u3057\u305f\u3002<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>4. \u30ea\u30c4\u30ad\u30b7\u30de\u30d6\uff08\u63a8\u5968\u5ea6 2D\uff09\uff1a\u6297CD20\u6297\u4f53\u306b\u3088\u308bB\u7d30\u80de\u67af\u6e07\u3068\u81ea\u5df1\u6297\u4f53\u7523\u751f\u306e\u6291\u5236<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>\u85ac\u7406\u30e1\u30ab\u30cb\u30ba\u30e0\u3068\u30a8\u30d3\u30c7\u30f3\u30b9<\/strong>\uff1a \u30ea\u30c4\u30ad\u30b7\u30de\u30d6\u306f\u3001\u30d7\u30ecB\u7d30\u80de\u304b\u3089\u6210\u719fB\u7d30\u80de\u8868\u9762\u306b\u7279\u7570\u7684\u306b\u767a\u73fe\u3059\u308b\u300cCD20\u300d\u3092\u6a19\u7684\u3068\u3057\u3001\u6297\u4f53\u4f9d\u5b58\u6027\u7d30\u80de\u969c\u5bb3\uff08ADCC\uff09\u7b49\u306b\u3088\u308a\u3053\u308c\u3089\u3092\u7279\u7570\u7684\u306b\u67af\u6e07\u3055\u305b\u307e\u3059\u3002\u3053\u308c\u306b\u3088\u308a\u3001\u75c5\u52e2\u3092\u53cd\u6620\u3059\u308b\u6297\u4e00\u672c\u9396DNA\u6297\u4f53\u3084\u6297\u30d2\u30b9\u30c8\u30f3\u6297\u4f53\u306a\u3069\u306e\u81ea\u5df1\u6297\u4f53\u7523\u751f\u56de\u8def\u3092\u906e\u65ad\u3057\u307e\u3059\u3002 \u81ea\u5df1\u514d\u75ab\u5408\u4f75\u4f8b\uff08Waldenstr\u00f6m\u2019s macroglobulinemia\u4f75\u7528\u4f8b\u306a\u3069\uff09\u3084\u96e3\u6cbb\u6027 generalized morphea \u306b\u304a\u3044\u3066\u9ad8\u3044\u52b9\u679c\u304c\u5831\u544a\u3055\u308c\u3066\u304a\u308a\u3001\u30df\u30b3\u30d5\u30a7\u30ce\u30fc\u30eb\u9178\u30e2\u30d5\u30a7\u30c1\u30eb\uff08MMF\uff09\u3068\u30ea\u30c4\u30ad\u30b7\u30de\u30d6\u306e2\u5e74\u9593\u7d99\u7d9a\u52a0\u7642\u306b\u3088\u308a\u3001\u5168\u75c5\u5909\u90e8\u306e\u76ae\u819a\u786c\u5316\u304c\u5b8c\u5168\u306b\u6539\u5584\u3057\u3001\u6d3b\u52d5\u671f\u306b\u4e0a\u6607\u3057\u3066\u3044\u305fCK\uff08\u30af\u30ec\u30a2\u30c1\u30f3\u30ad\u30ca\u30fc\u30bc\uff09\u5024\u3082\u5b8c\u5168\u306b\u6b63\u5e38\u5316\u3057\u307e\u3057\u305f\uff08Quintarelli\u3089\u306e\u5831\u544a\uff09\u3002<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>5. \u79d1\u5b66\u304c\u7acb\u8a3c\u3057\u305f\u300c\u30a4\u30f3\u30bf\u30fc\u30d5\u30a7\u30ed\u30f3\u03b3\uff08IFN-\u03b3\uff09\u306e\u5b8c\u5168\u306a\u7121\u52b9\u300d\uff08\u63a8\u5968\u5ea6 1A\u30fb\u4e0d\u63a1\u7528\uff09<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>EBM\u304c\u793a\u3057\u305f\u30d1\u30e9\u30c9\u30c3\u30af\u30b9<\/strong>\uff1a \u304b\u3064\u3066\u57fa\u790e\u7814\u7a76\u306b\u304a\u3044\u3066\u3001IFN-\u03b3\u306b\u306f\u7dda\u7dad\u82bd\u7d30\u80de\u306e\u30b3\u30e9\u30fc\u30b2\u30f3\u5408\u6210\u3092\u76f4\u63a5\u963b\u5bb3\u3059\u308b\u5f37\u529b\u306a\u6297\u7dda\u7dad\u5316\u4f5c\u7528\u304c\u8a8d\u3081\u3089\u308c\u305f\u305f\u3081\u3001\u672c\u75c7\u306b\u5bfe\u3059\u308b\u300c\u5f85\u671b\u306e\u7279\u52b9\u85ac\u300d\u3068\u3057\u3066\u5927\u304d\u306a\u671f\u5f85\u3092\u96c6\u3081\u3066\u3044\u307e\u3057\u305f\u3002 \u3057\u304b\u3057\u3001Hunzelmann\u3089\u306b\u3088\u3063\u3066\u5b9f\u65bd\u3055\u308c\u305f\u300c\u30d7\u30e9\u30bb\u30dc\u5bfe\u7167\u4e8c\u91cd\u76f2\u691c\u30e9\u30f3\u30c0\u30e0\u5316\u6bd4\u8f03\u8a66\u9a13\uff08RCT\uff09\u300d\u306f\u3001\u3053\u306e\u671f\u5f85\u3092\u51b7\u5fb9\u306b\u6253\u3061\u7815\u304d\u307e\u3057\u305f\u3002IFN-\u03b3\u76ae\u4e0b\u6ce8\u3092\u9023\u65e55\u65e5\u9593\u30fb2\u9031\u9593\u6295\u4e0e\u3057\u3001\u305d\u306e\u5f8c\u90311\u56de\u30fb4\u9031\u9593\u6295\u4e0e\u3057\u305f\u7d50\u679c\u3001\u30d7\u30e9\u30bb\u30dc\u7fa4\u3068\u6bd4\u8f03\u3057\u3066\u300c\u76ae\u819a\u786c\u5316\u3001\u75c5\u5909\u306e\u5927\u304d\u3055\u3001I\u578b\u30b3\u30e9\u30fc\u30b2\u30f3mRNA\u30ec\u30d9\u30eb\u306e\u3059\u3079\u3066\u306b\u304a\u3044\u3066\u3001\u6709\u610f\u306a\u6539\u5584\u52b9\u679c\u306f\u5b8c\u5168\u306b\u7686\u7121\u300d\u3067\u3042\u308b\u3053\u3068\u304c\u8a3c\u660e\u3055\u308c\u307e\u3057\u305f\u3002 \u3053\u306e\u5f37\u56fa\u306a\u30a8\u30d3\u30c7\u30f3\u30b9\uff081A\uff09\u306b\u57fa\u3065\u304d\u3001\u6700\u65b0\u30ac\u30a4\u30c9\u30e9\u30a4\u30f32026\u3067\u306f\u300c\u30a4\u30f3\u30bf\u30fc\u30d5\u30a7\u30ed\u30f3\u03b3\u5168\u8eab\u6295\u4e0e\u306f\u7121\u52b9\u3067\u3042\u308a\u3001\u6cbb\u7642\u306b\u7528\u3044\u306a\u3044\u3053\u3068\u3092\u5f37\u304f\u63a8\u5968\u3059\u308b\uff08\u4e0d\u63a1\u7528\uff09\u300d\u3068\u53b3\u683c\u306b\u898f\u5b9a\u3055\u308c\u3066\u3044\u307e\u3059\u3002<\/li>\n<\/ul>\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\u3084\u9020\u5f71MRI\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\u6700\u65b0\u306e\u5206\u5b50\u6a19\u7684\u6cbb\u7642\uff08\u30c8\u30b7\u30ea\u30ba\u30de\u30d6\u3084\u30a2\u30d0\u30bf\u30bb\u30d7\u30c8\u306a\u3069\uff09\u3092\u53d7\u3051\u308b\u60a3\u8005\u69d8\u3001\u3042\u308b\u3044\u306f\u95a2\u7bc0\u30fb\u982d\u9838\u90e8\u75c5\u5909\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\u5065\u5eb7\u3092\u5b88\u308b\u4e0a\u3067\u898b\u904e\u3054\u3055\u308c\u304c\u3061\u3067\u3059\u304c\u6975\u3081\u3066\u91cd\u8981\u306a\u300c\u9632\u885b\u30e9\u30a4\u30f3\u300d\u3067\u3059\u3002 \u4eca\u56de\u306e\u30ac\u30a4\u30c9\u30e9\u30a4\u30f3\u304c\u793a\u3057\u305f\u3088\u3046\u306b\u3001\u982d\u90e8\u30fb\u9854\u9762\u306e\u7dda\u72b6\u5f37\u76ae\u75c7\uff08\u5263\u5275\u72b6\u5f37\u76ae\u75c7\u3084Parry-Romberg\u75c7\u5019\u7fa4\uff09\u3067\u306f\u3001\u9854\u9762\u306e\u975e\u5bfe\u79f0\u3001\u984e\u9aa8\u306e\u5909\u5f62\u3001\u6b6f\u5217\u3084\u6b6f\u6839\u306e\u5909\u5f62\u306b\u52a0\u3048\u3001\u984e\u306e\u7b4b\u8089\u3084\u6ed1\u819c\u306e\u7dda\u7dad\u5316\u306b\u4f34\u3046\u300c\u958b\u53e3\u5236\u9650\uff08\u53e3\u304c\u958b\u304d\u306b\u304f\u3044\u3053\u3068\uff09\u300d\u3084\u300c\u5480\u56bc\u30fb\u54ac\u5408\u969c\u5bb3\u300d\u3092\u9ad8\u983b\u5ea6\u3067\u5408\u4f75\u3057\u307e\u3059\u3002 \u53e3\u304c\u958b\u304d\u306b\u304f\u304f\u306a\u308b\u3068\u3001\u304a\u53e3\u306e\u672c\u6765\u306e\u6d17\u6d44\u30e1\u30ab\u30cb\u30ba\u30e0\uff08\u553e\u6db2\u306e\u5faa\u74b0\u306a\u3069\uff09\u304c\u6975\u7aef\u306b\u640d\u306a\u308f\u308c\u3001\u6bce\u65e5\u306e\u30d6\u30e9\u30c3\u30b7\u30f3\u30b0\u304c\u7269\u7406\u7684\u306b\u56f0\u96e3\u3068\u306a\u308b\u305f\u3081\u3001\u866b\u6b6f\u3084\u91cd\u5ea6\u306e\u6b6f\u5468\u75c5\uff08\u6162\u6027\u708e\u75c7\uff09\u304c\u7206\u767a\u7684\u306b\u5897\u52a0\u3057\u3066\u3057\u307e\u3044\u307e\u3059\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u3055\u3089\u306b\u3001\u30c8\u30b7\u30ea\u30ba\u30de\u30d6\u3084\u30a2\u30d0\u30bf\u30bb\u30d7\u30c8\u3001\u30b9\u30c6\u30ed\u30a4\u30c9\u3001\u30e1\u30c8\u30c8\u30ec\u30ad\u30b5\u30fc\u30c8\u306a\u3069\u306e\u300c\u5f37\u529b\u306a\u5168\u8eab\u514d\u75ab\u6291\u5236\u7642\u6cd5\u300d\u3092\u884c\u3063\u3066\u3044\u308b\u5c40\u9762\u3067\u306f\u3001\u304a\u4f53\u5168\u4f53\u306e\u611f\u67d3\u306b\u5bfe\u3059\u308b\u62b5\u6297\u529b\u304c\u8457\u3057\u304f\u4f4e\u4e0b\u3057\u307e\u3059\u3002 \u3053\u306e\u72b6\u614b\u3067\u3001\u304a\u53e3\u306e\u4e2d\u306b\u6b6f\u5468\u75c5\u3084\u30d7\u30e9\u30fc\u30af\uff08\u30d0\u30a4\u30aa\u30d5\u30a3\u30eb\u30e0\uff1a\u7d30\u83cc\u306e\u584a\uff09\u304c\u5b58\u5728\u3057\u3066\u3044\u308b\u3068\u3001\u65e5\u5e38\u306e\u98df\u4e8b\u3084\u30d6\u30e9\u30c3\u30b7\u30f3\u30b0\u306b\u3088\u308b\u5fae\u7d30\u306a\u50b7\u304b\u3089\u5927\u91cf\u306e\u53e3\u8154\u7d30\u83cc\u304c\u8840\u7ba1\u3078\u3068\u4fb5\u5165\u3057\u307e\u3059\uff08\u4e00\u904e\u6027\u83cc\u8840\u75c7\uff09\u3002 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\u7279\u306bIL-6\u3092\u6a19\u7684\u3068\u3059\u308b\u300c\u30c8\u30b7\u30ea\u30ba\u30de\u30d6\u300d\u306e\u6cbb\u7642\u4e0b\u3067\u306f\u3001\u85ac\u7406\u4f5c\u7528\u306b\u3088\u308a\u751f\u4f53\u306e\u767a\u71b1\u53cd\u5fdc\u3084\u708e\u75c7\u53cd\u5fdc\uff08CRP\u306e\u4e0a\u6607\u306a\u3069\uff09\u304c\u5f37\u529b\u306b\u6291\u5236\u3055\u308c\u308b\u305f\u3081\u3001\u300c\u5927\u5143\u306e\u91cd\u75c7\u611f\u67d3\u75c7\u304c\u8d77\u304d\u3066\u3044\u308b\u306e\u306b\u71b1\u304c\u51fa\u306a\u3044\u3001\u3060\u308b\u3055\u3082\u81ea\u899a\u3057\u306b\u304f\u3044\u300d\u3068\u3044\u3046\u611f\u67d3\u75c7\u306e\u30de\u30b9\u30ad\u30f3\u30b0\u73fe\u8c61\uff08\u5730\u96f7\uff09\u306b\u6700\u5927\u306e\u6ce8\u610f\u304c\u5fc5\u8981\u3067\u3059\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\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\u5b8c\u5168\u306b\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\u6700\u5927\u9650\u306b\u6d3b\u304b\u3057\u307e\u3059\u3002 \u60a3\u8005\u69d8\u306e\u514d\u75ab\u6291\u5236\u5264\u30fb\u751f\u7269\u5b66\u7684\u88fd\u5264\u306e\u4f7f\u7528\u30b9\u30b1\u30b8\u30e5\u30fc\u30eb\u3001\u958b\u53e3\u5236\u9650\u3084\u9aa8\u75c5\u5909\u306e\u7a0b\u5ea6\u3092\u30ea\u30a2\u30eb\u30bf\u30a4\u30e0\u3067\u5185\u79d1\u5c02\u9580\u533b\u3068\u6b6f\u79d1\u533b\u5e2b\u304c\u5171\u6709\u3057\u3001\u304a\u4f53\u306e\u8ca0\u62c5\u3084\u51fa\u8840\u30ea\u30b9\u30af\u306b\u6975\u9650\u307e\u3067\u914d\u616e\u3057\u306a\u304c\u3089\u3001\u30d7\u30ed\u306e\u624b\u306b\u3088\u308b\u5fb9\u5e95\u7684\u306a\u304a\u53e3\u306e\u6e05\u6383\u3068\u6a5f\u80fd\u30fb\u4fdd\u6e7f\u30b1\u30a2\uff08PMTC\u306b\u3088\u308b\u30d0\u30a4\u30aa\u30d5\u30a3\u30eb\u30e0\u9664\u53bb\uff09\u3092\u5b89\u5168\u306b\u63d0\u4f9b\u3057\u307e\u3059\u3002 \u304a\u53e3\u306e\u7d30\u83cc\u3092\u5b8c\u5168\u306b\u30ea\u30bb\u30c3\u30c8\u3059\u308b\u3053\u3068\u3067\u3001\u5185\u79d1\u3067\u884c\u3046\u6700\u5148\u7aef\u306e\u81a0\u539f\u75c5\u6cbb\u7642\u306e\u5b89\u5168\u6027\u3092\u98db\u8e8d\u7684\u306b\u9ad8\u3081\u3001\u5927\u5207\u306a\u304a\u4f53\u3068\u751f\u6d3b\u3092\u30c8\u30fc\u30bf\u30eb\u3067\u652f\u3048\u629c\u304d\u307e\u3059\u3002\u9577\u5f15\u304f\u76ae\u819a\u306e\u3064\u3063\u3071\u308a\u3001\u624b\u8db3\u3084\u984e\u306e\u52d5\u304b\u3057\u306b\u304f\u3055\u3001\u304a\u53e3\u306e\u4e7e\u304d\u3084\u30c8\u30e9\u30d6\u30eb\u306b\u304a\u60a9\u307f\u306e\u65b9\u306f\u3001\u3069\u3046\u305e\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\u76ae\u819a\u306e\u3064\u3063\u3071\u308a\u3084\u3057\u3053\u308a\u3001\u95a2\u7bc0\u62d8\u7e2e\u3001\u751f\u7269\u5b66\u7684\u88fd\u5264\u3084\u5404\u7a2e\u514d\u75ab\u6291\u5236\u6cbb\u7642\u4e2d\u306e\u5168\u8eab\u7ba1\u7406\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\u958b\u53e3\u5236\u9650\u30fb\u984e\u95a2\u7bc0\u30fb\u77ef\u6b63\u6b6f\u79d1\u30fb\u30d7\u30ed\u306b\u3088\u308b\u53e3\u8154\u30b1\u30a2\u30fb\u6709\u75c5\u8005\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-208.png\" alt=\"\" class=\"wp-image-8514\" srcset=\"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/09\/image-208.png 800w, https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/09\/image-208-400x223.png 400w, https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/09\/image-208-767x428.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-209.png\" alt=\"\" class=\"wp-image-8515\" srcset=\"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/09\/image-209.png 800w, https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/09\/image-209-400x223.png 400w, https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/09\/image-209-767x428.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-210.png\" alt=\"\" class=\"wp-image-8516\" srcset=\"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/09\/image-210.png 800w, https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/09\/image-210-400x223.png 400w, https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/09\/image-210-767x428.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-211.png\" alt=\"\" class=\"wp-image-8517\" srcset=\"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/09\/image-211.png 800w, https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/09\/image-211-400x223.png 400w, https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/09\/image-211-767x428.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-212.png\" alt=\"\" class=\"wp-image-8518\" srcset=\"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/09\/image-212.png 800w, https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/09\/image-212-767x428.png 767w, https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/09\/image-212-400x223.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-213.png\" alt=\"\" class=\"wp-image-8519\" srcset=\"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/09\/image-213.png 800w, https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/09\/image-213-400x223.png 400w, https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/09\/image-213-767x428.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-214.png\" alt=\"\" class=\"wp-image-8520\" srcset=\"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/09\/image-214.png 800w, https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/09\/image-214-400x223.png 400w, https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/09\/image-214-767x428.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-215.png\" alt=\"\" class=\"wp-image-8521\" srcset=\"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/09\/image-215.png 800w, https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/09\/image-215-400x223.png 400w, https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/09\/image-215-767x428.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-216.png\" alt=\"\" class=\"wp-image-8522\" srcset=\"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/09\/image-216.png 800w, https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/09\/image-216-400x223.png 400w, https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/09\/image-216-767x428.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-217.png\" alt=\"\" class=\"wp-image-8523\" srcset=\"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/09\/image-217.png 800w, https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/09\/image-217-400x223.png 400w, https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/09\/image-217-767x428.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-218.png\" alt=\"\" class=\"wp-image-8524\" srcset=\"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/09\/image-218.png 800w, https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/09\/image-218-400x223.png 400w, https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/09\/image-218-767x428.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-219.png\" alt=\"\" class=\"wp-image-8525\" srcset=\"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/09\/image-219.png 800w, https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/09\/image-219-400x223.png 400w, https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/09\/image-219-767x428.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\">\u65e5\u672c\u76ae\u819a\u79d1\u5b66\u4f1a\u300c\u9650\u5c40\u6027\u5f37\u76ae\u75c7\u8a3a\u7642\u30ac\u30a4\u30c9\u30e9\u30a4\u30f3\u7b56\u5b9a\u59d4\u54e1\u4f1a\u300d. \u300c\u9650\u5c40\u6027\u5f37\u76ae\u75c7\u8a3a\u7642\u30ac\u30a4\u30c9\u30e9\u30a4\u30f3 2026\uff08\u7b2c 2 \u7248\uff09\u300d. <em>\u65e5\u672c\u76ae\u819a\u79d1\u5b66\u4f1a\u96d1\u8a8c<\/em>. 2026; 136(9): 1533-1584.<\/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. \u30c8\u30b7\u30ea\u30ba\u30de\u30d6\u3084\u30a2\u30d0\u30bf\u30bb\u30d7\u30c8\u306a\u3069\u5f37\u529b\u306a\u751f\u7269\u5b66\u7684\u88fd\u5264\u3092\u4f7f\u7528\u3059\u308b\u65b9\u3078\uff1a\u30b9\u30c6\u30ed\u30a4\u30c9\u3084\u514d\u75ab\u6291\u5236\u5264\u306e\u6b63\u3057\u3044\u4f53\u306e\u4ed5\u7d44\u307f\u3068\u3001\u5b89\u5168\u306a\u526f\u4f5c\u7528\u7ba1\u7406\u306e\u85ac\u7406\u5b66<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u9650\u5c40\u6027\u5f37\u76ae\u75c7\u306e\u9032\u884c\u3092\u6291\u3048\u3001\u96e3\u6cbb\u6027\u306e\u6df1\u90e8\u7dda\u7dad\u5316\u3092\u5236\u5fa1\u3059\u308b\u305f\u3081\u306b\u7528\u3044\u3089\u308c\u308b\u30b9\u30c6\u30ed\u30a4\u30c9\u3084\u751f\u7269\u5b66\u7684\u88fd\u5264\u306f\u6975\u3081\u3066\u6709\u52b9\u306a\u6cbb\u7642\u9078\u629e\u80a2\u3067\u3059\u304c\u3001\u6613\u611f\u67d3\u6027\u3084\u7cd6\u5c3f\u75c5\u3001\u9aa8\u5bc6\u5ea6\u306e\u4f4e\u4e0b\u306a\u3069\u5168\u8eab\u306b\u591a\u69d8\u306a\u526f\u4f5c\u7528\u3092\u3082\u305f\u3089\u3059\u300c\u8af8\u5203\u306e\u5263\u300d\u3067\u3082\u3042\u308a\u307e\u3059\u3002\u3053\u308c\u3089\u306e\u85ac\u5264\u304c\u4f53\u5185\u3067\u679c\u305f\u3059\u751f\u7406\u7684\u306a\u5f79\u5272\u3092\u8ad6\u7406\u7684\u306b\u7406\u89e3\u3057\u3001\u5c02\u9580\u533b\u306e\u3082\u3068\u3067\u5b89\u5168\u306b\u6069\u6075\u3092\u6700\u5927\u5316\u3059\u308b\u305f\u3081\u306e\u3001\u6700\u65b0\u306e\u526f\u4f5c\u7528\u4e88\u9632\u7ba1\u7406\u306e\u4f53\u306e\u4ed5\u7d44\u307f\u3092\u5fb9\u5e95\u89e3\u8aac\u3057\u307e\u3059\u3002\u5f53\u9662\u306e\u5185\u79d1\u306f\u571f\u66dc\u65e5\u308217\u6642\u307e\u3067\u8a3a\u7642\u3092\u884c\u3063\u3066\u304a\u308a\u307e\u3059\u3002<\/p>\n\n\n\n<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>2. \u514d\u75ab\u4f4e\u4e0b\uff08\u6613\u611f\u67d3\u72b6\u614b\uff09\u3084\u30c8\u30b7\u30ea\u30ba\u30de\u30d6\u306b\u3088\u308b\u611f\u67d3\u75c7\u306e\u30de\u30b9\u30ad\u30f3\u30b0\u73fe\u8c61\u306b\u5099\u3048\u3001\u8840\u6d41\u611f\u67d3\uff08\u83cc\u8840\u75c7\uff09\u306e\u30c9\u30df\u30ce\u3092\u6c34\u969b\u3067\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\">\u6700\u65b0\u306e\u5206\u5b50\u6a19\u7684\u85ac\uff08\u30c8\u30b7\u30ea\u30ba\u30de\u30d6\u306a\u3069\uff09\u3084\u30b9\u30c6\u30ed\u30a4\u30c9\u3001\u30e1\u30c8\u30c8\u30ec\u30ad\u30b5\u30fc\u30c8\u306b\u3088\u308b\u5f37\u529b\u306a\u6cbb\u7642\u4e2d\u3001\u3042\u308b\u3044\u306f\u984e\u9854\u9762\u75c5\u5909\u306b\u4f34\u3046\u958b\u53e3\u5236\u9650\u304c\u751f\u3058\u305f\u5c40\u9762\u3067\u306f\u3001\u304a\u53e3\u306e\u4e2d\u306e\u7d30\u83cc\uff08\u30d0\u30a4\u30aa\u30d5\u30a3\u30eb\u30e0\uff09\u306b\u5bfe\u3059\u308b\u62b5\u6297\u529b\u3084\u81ea\u6d44\u4f5c\u7528\u304c\u8457\u3057\u304f\u4f4e\u4e0b\u3057\u307e\u3059\u3002\u5480\u56bc\u3084\u30d6\u30e9\u30c3\u30b7\u30f3\u30b0\u306e\u65e5\u5e38\u523a\u6fc0\u3067\u7d30\u83cc\u304c\u8840\u7ba1\u3078\u4fb5\u5165\u3059\u308b\u300c\u4e00\u904e\u6027\u83cc\u8840\u75c7\u300d\u3084\u4e0d\u9855\u6027\u8aa4\u56a5\u306f\u3001\u8840\u6db2\u3092\u4ecb\u3057\u3066\u5168\u8eab\u306e\u95a2\u7bc0\u3084\u81d3\u5668\u306b\u6df1\u523b\u306a\u4e8c\u6b21\u611f\u67d3\u3092\u62db\u304f\u6700\u5927\u306e\u30c8\u30ea\u30ac\u30fc\u3067\u3059\u3002\u30cf\u30df\u30ac\u30ad\u3067\u306f\u843d\u3068\u305b\u306a\u3044\u7d30\u83cc\u306e\u5de3\u3092\u30d7\u30ed\u306e\u5c02\u7528\u5668\u5177\u3067\u5b89\u5168\u306b\u30ea\u30bb\u30c3\u30c8\u3057\u3001\u533b\u79d1\u306e\u5168\u8eab\u6cbb\u7642\u3092\u5f37\u56fa\u306b\u652f\u3048\u308b\u72ec\u81ea\u306e\u533b\u79d1\u6b6f\u79d1\u9023\u643aPMTC\u306e\u91cd\u8981\u6027\u3092\u8a73\u3057\u304f\u89e3\u8aac\u3057\u307e\u3059\u3002\u5f53\u9662\u306e\u6b6f\u79d1\u306f\u571f\u66dc\u65e514\u6642\u307e\u3067\u8a3a\u7642\u3057\u3066\u304a\u308a\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<p class=\"wp-block-paragraph\"><strong>3. \u76ae\u819a\u306b\u751f\u3058\u305f\u521d\u671f\u306e\u8d64\u307f\u3084\u3064\u3063\u3071\u308a\u304c\u3001\u5f37\u76ae\u75c7\u306e\u30b7\u30b0\u30ca\u30eb\uff08\u30e9\u30a4\u30e9\u30c3\u30af\u30ea\u30f3\u30b0\uff09\u306a\u306e\u304b\u3001\u91d1\u5c5e\u30a2\u30ec\u30eb\u30ae\u30fc\u7b49\u306e\u304b\u3076\u308c\u306a\u306e\u304b\u3001\u79d1\u5b66\u7684\u306b\u9451\u5225\u3057\u305f\u3044\u65b9\u3078<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u9650\u5c40\u6027\u5f37\u76ae\u75c7\uff08\u7279\u306b\u521d\u671f\u306e\u6591\u72b6\u578b\uff09\u3067\u898b\u3089\u308c\u308b\u7279\u5fb4\u7684\u306a\u8d64\u307f\uff08\u7d05\u6591\uff1a\u30e9\u30a4\u30e9\u30c3\u30af\u30ea\u30f3\u30b0\uff09\u3084\u7a81\u3063\u5f35\u308a\u611f\u306f\u3001\u65e5\u5e38\u751f\u6d3b\u3067\u77e5\u3089\u305a\u306b\u89e6\u308c\u3066\u3044\u308b\u5316\u5b66\u7269\u8cea\u3084\u6b6f\u79d1\u91d1\u5c5e\u306a\u3069\u304c\u5f15\u304d\u8d77\u3053\u3059\u300c\u63a5\u89e6\u76ae\u819a\u708e\uff08\u304b\u3076\u308c\uff09\u300d\u306e\u5c40\u6240\u53cd\u5fdc\u3068\u975e\u5e38\u306b\u3088\u304f\u4f3c\u3066\u304a\u308a\u3001\u6b63\u78ba\u306a\u9451\u5225\u304c\u5fc5\u8981\u3067\u3059\u3002\u5b89\u6613\u306a\u81ea\u5df1\u5224\u65ad\u306b\u3088\u308b\u6cbb\u7642\u9045\u5ef6\u3092\u9632\u304e\u3001\u76ae\u819a\u306b\u8d77\u304d\u3066\u3044\u308b\u30c8\u30e9\u30d6\u30eb\u306e\u300c\u771f\u306e\u539f\u56e0\u300d\u3092\u7279\u5b9a\u3057\u3066\u8ad6\u7406\u7684\u306a\u6cbb\u7642\u3078\u3068\u7e4b\u3052\u308b\u305f\u3081\u306e\u30d1\u30c3\u30c1\u30c6\u30b9\u30c8\u306e\u91cd\u8981\u6027\u3068\u3001\u751f\u4f53\u30a2\u30ec\u30eb\u30ae\u30fc\u306e\u4f53\u306e\u4ed5\u7d44\u307f\u3092\u5c02\u9580\u533b\u304c\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-5906\/\" target=\"_blank\" rel=\"noopener\">\u3010\u76ae\u819a\u79d1\u30fb\u30a2\u30ec\u30eb\u30ae\u30fc\u79d1\u3011\u304b\u3076\u308c\u3084\u5168\u8eab\u306e\u96e3\u6cbb\u6027\u76ae\u819a\u708e\u3001\u91d1\u5c5e\u30a2\u30ec\u30eb\u30ae\u30fc\u306e\u539f\u56e0\u3092\u79d1\u5b66\u7684\u306b\u7279\u5b9a\u3059\u308b\u30d1\u30c3\u30c1\u30c6\u30b9\u30c8\u306e\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\" 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