{"id":1192,"date":"2024-10-09T12:55:22","date_gmt":"2024-10-09T03:55:22","guid":{"rendered":"https:\/\/miyakojima-seikei.com\/blog\/?p=1192"},"modified":"2024-11-28T17:01:03","modified_gmt":"2024-11-28T08:01:03","slug":"post-1192","status":"publish","type":"post","link":"https:\/\/miyakojima-seikei.com\/blog\/post-1192\/","title":{"rendered":"\u95a2\u7bc0\u30ea\u30a6\u30de\u30c1\uff08RA: Rheumatoid Arthritis\uff09"},"content":{"rendered":"\n<div class=\"wp-block-word-balloon-word-balloon-block\"><div class=\"w_b_box w_b_w100 w_b_flex w_b_div\"><div class=\"w_b_wrap w_b_wrap_talk w_b_L w_b_flex w_b_div\" style=\"\"><div class=\"w_b_ava_box w_b_relative w_b_ava_L w_b_col w_b_f_n w_b_div\"><div class=\"w_b_icon_wrap w_b_relative w_b_div\"><div class=\"w_b_ava_wrap w_b_direction_L w_b_mp0 w_b_div\"><div class=\"w_b_ava_effect w_b_relative w_b_oh w_b_radius w_b_size_S w_b_div\" style=\"\">\n<img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/miyakojima-seikei.com\/blog\/wp-content\/uploads\/bfa4e83201665d8ac298632571164951-300x300.png\" width=\"64\" height=\"64\" alt=\"\u3064\u308b\u3055\u3093\" class=\"w_b_ava_img w_b_w100 w_b_h100  w_b_mp0 w_b_img\" style=\"\" \/>\n<\/div><\/div><\/div><div class=\"w_b_name w_b_w100 w_b_lh w_b_name_C w_b_ta_C w_b_mp0 w_b_div\">\u3064\u308b\u3055\u3093<\/div><\/div><div class=\"w_b_bal_box w_b_bal_L w_b_relative w_b_direction_L w_b_w100 w_b_div\"><div class=\"w_b_space w_b_mp0 w_b_div\"><svg version=\"1.1\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" x=\"0px\" y=\"0px\" width=\"1\" height=\"25\" viewBox=\"0 0 1 1\" fill=\"transparent\" stroke=\"transparent\" stroke-miterlimit=\"10\" class=\"w_b_db w_b_mp0\"><polygon fill=\"transparent\" stroke=\"transparent\" points=\"0,1 0,1 0,1 0,1 \"\/><\/svg><\/div><div class=\"w_b_bal_outer w_b_flex w_b_mp0 w_b_relative w_b_div\" style=\"\"><div class=\"w_b_bal_wrap w_b_bal_wrap_L w_b_div\"><div class=\"w_b_bal w_b_relative w_b_talk w_b_talk_L w_b_shadow_L w_b_ta_L w_b_div\" style=\"font-size:16px;\"><div class=\"w_b_quote w_b_div\"><p><mark style=\"background-color:rgba(0, 0, 0, 0)\" class=\"has-inline-color has-black-color\"><strong>\u300c\u624b\u3084\u8db3\u306e\u95a2\u7bc0\u304c\u75db\u3044\u300d<br>\u300c\u30ea\u30a6\u30de\u30c1\u306e\u6c17\u304c\u3042\u308b\u3068\u6614\u3001\u8a00\u308f\u308c\u305f\u300d<br>\u300c\u95a2\u7bc0\u30ea\u30a6\u30de\u30c1\u3058\u3083\u306a\u3044\u304b\u4e0d\u5b89\u300d<\/strong><\/mark><\/p><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div>\n\n\n\n<div class=\"wp-block-word-balloon-word-balloon-block\"><div class=\"w_b_box w_b_w100 w_b_flex w_b_mla w_b_jc_fe w_b_div\"><div class=\"w_b_wrap w_b_wrap_talk w_b_R w_b_flex w_b_jc_fe w_b_div\" style=\"\"><div class=\"w_b_bal_box w_b_bal_R w_b_relative w_b_direction_R w_b_w100 w_b_div\"><div class=\"w_b_space w_b_mp0 w_b_div\"><svg version=\"1.1\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" x=\"0px\" y=\"0px\" width=\"1\" height=\"25\" viewBox=\"0 0 1 1\" fill=\"transparent\" stroke=\"transparent\" stroke-miterlimit=\"10\" class=\"w_b_db w_b_mp0\"><polygon fill=\"transparent\" stroke=\"transparent\" points=\"0,1 0,1 0,1 0,1 \"\/><\/svg><\/div><div class=\"w_b_bal_outer w_b_flex w_b_mp0 w_b_relative w_b_div\" style=\"\"><div class=\"w_b_bal_wrap w_b_bal_wrap_R w_b_div\"><div class=\"w_b_bal w_b_relative w_b_talk w_b_talk_R w_b_shadow_R w_b_ta_L w_b_div\" style=\"font-size:16px;\"><div class=\"w_b_quote w_b_div\"><p><strong>\u95a2\u7bc0\u306b\u708e\u75c7\u3092\u5f15\u304d\u8d77\u3053\u3057\u3001\u95a2\u7bc0\u306e\u7834\u58ca\u3084\u5909\u5f62\u3092\u5f15\u304d\u8d77\u3053\u3059\u6016\u3044\u75c5\u6c17\u306e\u95a2\u7bc0\u30ea\u30a6\u30de\u30c1\u3002<\/strong><br><strong>\u4eca\u56de\u306f\u95a2\u7bc0\u30ea\u30a6\u30de\u30c1\u306b\u3064\u3044\u3066\u89e3\u8aac\u3057\u307e\u3059\u3002<\/strong><\/p><\/div><\/div><\/div><\/div><\/div><div class=\"w_b_ava_box w_b_relative w_b_ava_R w_b_col w_b_f_n w_b_div\"><div class=\"w_b_icon_wrap w_b_relative w_b_div\"><div class=\"w_b_ava_wrap w_b_direction_R w_b_mp0 w_b_div\"><div class=\"w_b_ava_effect w_b_relative w_b_oh w_b_radius w_b_size_S w_b_div\" style=\"\">\n<img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/miyakojima-seikei.com\/blog\/wp-content\/uploads\/an0006-300x300.png\" width=\"64\" height=\"64\" alt=\"\u30be\u30a6\u5148\u751f\" class=\"w_b_ava_img w_b_w100 w_b_h100  w_b_mp0 w_b_img\" style=\"\" \/>\n<\/div><\/div><\/div><div class=\"w_b_name w_b_w100 w_b_lh w_b_name_C w_b_ta_C w_b_mp0 w_b_div\">\u30be\u30a6\u5148\u751f<\/div><\/div><\/div><\/div><\/div>\n\n\n<div class=\"su-spacer\" style=\"height:60px\"><\/div>\n\n\n\n\n\n<div class=\"su-spacer\" style=\"height:60px\"><\/div>\n\n\n\n\n\n<h2 class=\"wp-block-heading alignfull has-text-align-center has-black-color has-text-color has-link-color has-large-font-size wp-elements-08a591e374d2304e2cf05e740f6eb899\">\u95a2\u7bc0\u30ea\u30a6\u30de\u30c1\u3068\u306f<\/h2>\n\n\n<div class=\"su-divider su-divider-style-double\" style=\"margin:15px 0;border-width:20px;border-color:#f79b2d\"><\/div>\n\n\n<div class=\"su-spacer\" style=\"height:60px\"><\/div>\n\n\n\n<p><strong>\u95a2\u7bc0\u30ea\u30a6\u30de\u30c1\uff08RA: Rheumatoid Arthritis\uff09<\/strong>\u306f\u3001<strong>\u81ea\u5df1\u514d\u75ab\u75be\u60a3<\/strong>\uff08\u514d\u75ab\u30b7\u30b9\u30c6\u30e0\u304c\u8aa4\u3063\u3066\u81ea\u5206\u81ea\u8eab\u306e\u95a2\u7bc0\u306e\u7d44\u7e54\u3092\u653b\u6483\u3057\u3066\u3057\u307e\u3046\u75c5\u6c17\uff09\u306e\u4e00\u3064\u3067\u3001\u4e3b\u306b\u95a2\u7bc0\u306b\u708e\u75c7\u3092\u5f15\u304d\u8d77\u3053\u3057\u3001\u9032\u884c\u3059\u308b\u3068\u95a2\u7bc0\u306e\u7834\u58ca\u3084\u5909\u5f62\u3092\u62db\u304f\u6162\u6027\u75be\u60a3\u3067\u3059\u3002<\/p>\n\n\n\n<p><strong>\u95a2\u7bc0\u30ea\u30a6\u30de\u30c1\u3092\u653e\u7f6e\u3057\u3066\u304a\u304f\u3068\u81ea\u5206\u306e\u5168\u8eab\u306e\u95a2\u7bc0\u3092\u653b\u6483\u3057\u3066\u624b\u3084\u8db3\u306a\u3069\u306e\u95a2\u7bc0<\/strong>\u304c<strong>\u5f90\u3005\u306b\u7834\u58ca<\/strong>\u3055\u308c\u3066\u3057\u307e\u3044\u307e\u3059\u3002<\/p>\n\n\n<div class=\"wp-block-image\">\n<figure class=\"aligncenter size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"221\" height=\"147\" src=\"https:\/\/miyakojima-seikei.com\/blog\/wp-content\/uploads\/5f6f7c7c0ee8542c7b0eb335b30f832c.jpg\" alt=\"\" class=\"wp-image-1342\"\/><figcaption class=\"wp-element-caption\">\u95a2\u7bc0\u30ea\u30a6\u30de\u30c1\u306e\u624b<\/figcaption><\/figure>\n<\/div>\n\n<div class=\"su-spacer\" style=\"height:60px\"><\/div>\n\n\n\n<p style=\"font-size:16px\">\u5168\u4e16\u754c\u306e\u6210\u4eba\u4eba\u53e3\u306b\u304a\u3051\u308b<strong>\u95a2\u7bc0\u30ea\u30a6\u30de\u30c1\u306e\u7f79\u60a3\u7387\u306f\u7d040.5\u301c1.0\uff05<\/strong>\u3002<strong>\u7537\u5973\u6bd4<\/strong>\u306f\u304a\u304a\u3088\u305d<strong>\uff11\uff1a\uff13\u3067\u5973\u6027\u306b\u591a\u304f\u767a\u75c7<\/strong>\u3057\u307e\u3059\u3002<strong>40\u301c60\u6b73<\/strong>\u3067\u767a\u75c7\u3059\u308b\u3053\u3068\u304c\u6700\u3082\u591a\u3044\u3067\u3059\u304c\u3001\u3069\u306e\u5e74\u9f62\u3067\u3082\u767a\u75c7\u3059\u308b\u53ef\u80fd\u6027\u304c\u3042\u308a\u307e\u3059\u3002\u8fd1\u5e74\u306f\u9ad8\u9f62\u5316\u3082\u3042\u308a\u3001<strong>\u9ad8\u9f62\u767a\u75c7\u95a2\u7bc0\u30ea\u30a6\u30de\u30c1\uff1aEORA\uff08Elderly-Onset Rheumatoid Arthritis\uff09<\/strong>\u306e\u60a3\u8005\u6570\u3082\u5897\u52a0\u50be\u5411\u306b\u3042\u308a\u307e\u3059\u3002<\/p>\n\n\n\n<p style=\"font-size:16px\"><\/p>\n\n\n<div class=\"wp-block-image\">\n<figure class=\"aligncenter size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"580\" height=\"369\" src=\"https:\/\/miyakojima-seikei.com\/blog\/wp-content\/uploads\/image-135.png\" alt=\"\" class=\"wp-image-1347\" srcset=\"https:\/\/miyakojima-seikei.com\/blog\/wp-content\/uploads\/image-135.png 580w, https:\/\/miyakojima-seikei.com\/blog\/wp-content\/uploads\/image-135-400x254.png 400w\" sizes=\"auto, (max-width: 580px) 100vw, 580px\" \/><figcaption class=\"wp-element-caption\"><strong>2015\u5e74\u30ea\u30a6\u30de\u30c1\u767d\u66f8\u3088\u308a<\/strong><\/figcaption><\/figure>\n<\/div>\n\n\n<p style=\"font-size:16px\"><\/p>\n\n\n\n<p style=\"font-size:16px\"><\/p>\n\n\n<div class=\"su-spacer\" style=\"height:60px\"><\/div>\n\n\n\n<p style=\"font-size:16px\"><strong>\u3000\u95a2\u7bc0\u30ea\u30a6\u30de\u30c1\uff08RA\uff09<\/strong>\u306f\u3001\u6162\u6027\u7684\u306a\u81ea\u5df1\u514d\u75ab\u75be\u60a3\u3067\u3042\u308a\u3001\u4e3b\u306b\u95a2\u7bc0\u306b\u708e\u75c7\u3092\u5f15\u304d\u8d77\u3053\u3057\u307e\u3059\u304c\u3001\u5168\u8eab\u306b\u3082\u5f71\u97ff\u3092\u53ca\u307c\u3059\u3053\u3068\u304c\u3042\u308a\u307e\u3059\u3002<strong>\u5fc3\u8840\u7ba1\u75be\u60a3\uff08\u5fc3\u81d3\u75c5\u3001\u8133\u5352\u4e2d\uff09\u3084\u9aa8\u7c97\u9b06\u75c7\u306e\u30ea\u30b9\u30af\u3092\u4e0a\u6607<\/strong>\u3055\u305b\u3001<strong>\u9069\u5207\u306a\u6cbb\u7642\u3092\u53d7\u3051\u3066\u3044\u306a\u3044\u5834\u5408<\/strong>\u4e00\u822c\u7684\u306b<strong>\u5bff\u547d\u304c5\u301c10\u5e74\u77ed\u7e2e\u3059\u308b<\/strong>\u3068\u3055\u308c\u3066\u3044\u307e\u3059\u3002<\/p>\n\n\n\n<p style=\"font-size:16px\">\u73fe\u4ee3\u3067\u306f\u3001\u6cbb\u7642\u6cd5\u306e\u9032\u6b69\u306b\u3088\u308a\u3001\u65e9\u671f\u8a3a\u65ad\u3068\u6cbb\u7642\u3092\u53d7\u3051\u305f\u60a3\u8005\u3067\u306f\u3001\u5bff\u547d\u306f\u5065\u5e38\u8005\u3068\u307b\u307c\u5909\u308f\u3089\u306a\u3044\u30ec\u30d9\u30eb\u306b\u307e\u3067\u6539\u5584\u3055\u308c\u3066\u3044\u307e\u3059\u304c\u3001\u65e9\u671f\u8a3a\u65ad\u3001\u65e9\u671f\u6cbb\u7642\u304c\u975e\u5e38\u306b\u91cd\u8981\u3067\u3059\u3002<\/p>\n\n\n\n<p class=\"has-medium-font-size\"><\/p>\n\n\n\n<p class=\"has-medium-font-size\"><\/p>\n\n\n\n<p class=\"has-medium-font-size\"><\/p>\n\n\n\n<p><\/p>\n\n\n<div class=\"su-spacer\" style=\"height:100px\"><\/div>\n\n\n\n<h2 class=\"wp-block-heading alignfull has-text-align-center has-large-font-size\" style=\"font-style:normal;font-weight:800\">\u95a2\u7bc0\u30ea\u30a6\u30de\u30c1\u306e\u75c7\u72b6<\/h2>\n\n\n<div class=\"su-divider su-divider-style-double\" style=\"margin:15px 0;border-width:20px;border-color:#f79b2d\"><\/div>\n\n\n<div class=\"su-spacer\" style=\"height:60px\"><\/div>\n\n\n\n<p><strong>\u3000\u95a2\u7bc0\u30ea\u30a6\u30de\u30c1\uff08RA\uff09<\/strong>\u306f\u3001\u4e3b\u306b\u4f53\u4e2d\u306e\u95a2\u7bc0\u306b\u5909\u5f62\u3092\u304d\u305f\u3059\u2460<strong>\u95a2\u7bc0\u75c7\u72b6<\/strong>\u3092\u4e2d\u5fc3\u3068\u3059\u308b\u75c5\u6c17\u3067\u3059\u304c\u3001\u81ea\u5df1\u514d\u75ab\u75be\u60a3\u306e\u4e00\u3064\u3067\u3042\u308b\u95a2\u7bc0\u30ea\u30a6\u30de\u30c1\u3067\u306f\u5168\u8eab\u306b\u3082\u3055\u307e\u3056\u307e\u306a\u5f71\u97ff\u3092\u53ca\u307c\u3059\u3053\u3068\u304c\u3042\u308a\u307e\u3059\u3002\u3053\u308c\u3092\u2461<strong>\u95a2\u7bc0\u5916\u75c5\u5909<\/strong>\u3068\u8a00\u3044\u307e\u3059\u3002<\/p>\n\n\n<div class=\"su-spacer\" style=\"height:60px\"><\/div>\n\n\n\n<h3 class=\"wp-block-heading\">\u2460\u95a2\u7bc0\u75c7\u72b6\u306e\u7279\u5fb4<\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li style=\"font-size:16px\"><strong>\u5c0f\u3055\u306a\u95a2\u7bc0\uff08\u624b\u3084\u6307\u3001\u8db3\u306e\u95a2\u7bc0\uff09\u306b\u75db\u307f\u3068\u816b\u308c\u304c\u3042\u308b<\/strong><\/li>\n\n\n\n<li><strong>\u4e21\u5074\u5bfe\u79f0\u306b\u75db\u307f\u3084\u816b\u308c\u3001\u71b1\u611f\u304c\u3042\u308b<\/strong><\/li>\n\n\n\n<li style=\"font-size:16px\"><strong>\u95a2\u7bc0\u306e\u5909\u5f62\u304c\u3042\u308b<\/strong><\/li>\n\n\n\n<li style=\"font-size:16px\"><strong>\u95a2\u7bc0\u306e\u306f\u308c\u308b\u5834\u6240\u304c\u5909\u308f\u308b<\/strong><\/li>\n\n\n\n<li><strong>\u8907\u6570\u306e\u95a2\u7bc0\u306b\u75db\u307f\u3084\u816b\u308c\u304c\u3042\u308b<\/strong><\/li>\n\n\n\n<li><strong>\u671d\u306b\u6307\u306e\u3053\u308f\u3070\u308a\u3001\u52d5\u304b\u3057\u306b\u304f\u3055\u3092\u611f\u3058\u308b<\/strong><\/li>\n\n\n\n<li><strong>\u95a2\u7bc0\u306e\u75db\u307f\u3084\u3053\u308f\u3070\u308a\u304c\u306a\u304b\u306a\u304b\u3072\u304b\u306a\u3044\uff086\u9031\u9593\u4ee5\u4e0a\uff09<\/strong><\/li>\n<\/ul>\n\n\n\n<p>\u3000\u95a2\u7bc0\u30ea\u30a6\u30de\u30c1\u306f\u5168\u8eab\u306e\u95a2\u7bc0\u3092\u969c\u5bb3\u3059\u308b\u75c5\u6c17\u306a\u306e\u3067\u3001\u3069\u306e\u95a2\u7bc0\u3067\u3082\u767a\u75c7\u3059\u308b\u53ef\u80fd\u6027\u304c\u3042\u308a\u307e\u3059\u304c\u3001\u7279\u306b<strong>\u624b\u3084\u8db3\u306e\u6307\u306e\u7b2c2\u3001\u7b2c3\u95a2\u7bc0<\/strong>\u306e\u3088\u3046\u306a<strong>\u5c0f\u3055\u3044\u95a2\u7bc0\u3092\u4e2d\u5fc3\u306b\u75db\u307f\u3084\u816b\u308c\u304c\u51fa\u3066\u304f\u308b\u306e\u304c\u7279\u5fb4<\/strong>\u3067\u3059\u3002<\/p>\n\n\n<div class=\"wp-block-image\">\n<figure class=\"aligncenter size-full is-resized\"><img loading=\"lazy\" decoding=\"async\" width=\"291\" height=\"426\" src=\"https:\/\/miyakojima-seikei.com\/blog\/wp-content\/uploads\/a2a2d2a16eb27f83be8da9b24243d580.png\" alt=\"\" class=\"wp-image-1354\" style=\"width:171px;height:auto\" srcset=\"https:\/\/miyakojima-seikei.com\/blog\/wp-content\/uploads\/a2a2d2a16eb27f83be8da9b24243d580.png 291w, https:\/\/miyakojima-seikei.com\/blog\/wp-content\/uploads\/a2a2d2a16eb27f83be8da9b24243d580-205x300.png 205w\" sizes=\"auto, (max-width: 291px) 100vw, 291px\" \/><figcaption class=\"wp-element-caption\">\u95a2\u7bc0\u30ea\u30a6\u30de\u30c1\u3067\u75db\u307f\u3084\u816b\u308c\u3001\u5909\u5f62\u304c\u51fa\u3084\u3059\u3044\u90e8\u4f4d<\/figcaption><\/figure>\n<\/div>\n\n<div class=\"su-spacer\" style=\"height:100px\"><\/div>\n\n\n\n<p>\u4e0b\u306b<strong>\u95a2\u7bc0\u30ea\u30a6\u30de\u30c1\u306e\u3088\u3046\u306b\u6307\u306e\u75db\u307f\u304c\u51fa\u308b\u75c5\u6c17\u3067\u3042\u308b\u3001\u3078\u30d0\u30fc\u30c7\u30f3\u7d50\u7bc0\u30fb\u30d6\u30b7\u30e3\u30fc\u30eb\u7d50\u7bc0\u3068\u95a2\u7bc0\u30ea\u30a6\u30de\u30c1\u306e\u9055\u3044\u306b\u3064\u3044\u3066\u306e\u30b3\u30e9\u30e0<\/strong>\u304c\u3042\u308b\u306e\u3067\u5408\u308f\u305b\u3066\u3054\u89a7\u304f\u3060\u3055\u3044\u3002<\/p>\n\n\n<div class=\"su-spacer\" style=\"height:100px\"><\/div>\n\n\n<blockquote class=\"wp-embedded-content\" data-secret=\"nzJQlAlfUP\"><p><a href=\"https:\/\/miyakojima-seikei.com\/blog\/post-1128\/\">\u3078\u30d0\u30fc\u30c7\u30f3\u7d50\u7bc0\u30fb\u30d6\u30b7\u30e3\u30fc\u30eb\u7d50\u7bc0<\/a><\/p><\/blockquote>\n<p><iframe loading=\"lazy\" class=\"wp-embedded-content\" sandbox=\"allow-scripts\" security=\"restricted\" style=\"position: absolute; visibility: hidden;\" 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src=\"https:\/\/miyakojima-seikei.com\/blog\/wp-content\/uploads\/image-138.png\" alt=\"\" srcset=\"https:\/\/miyakojima-seikei.com\/blog\/wp-content\/uploads\/image-138.png 800w, https:\/\/miyakojima-seikei.com\/blog\/wp-content\/uploads\/image-138-337x300.png 337w, https:\/\/miyakojima-seikei.com\/blog\/wp-content\/uploads\/image-138-673x600.png 673w\" sizes=\"auto, (max-width: 150px) 100vw, 150px\" \/><\/li>\n<\/ul>\n<\/li>\n<\/ul>\n\n\n<div class=\"su-spacer\" 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loading=\"lazy\" decoding=\"async\" width=\"202\" height=\"166\" class=\"wp-image-1374\" style=\"width: 202px;\" src=\"https:\/\/miyakojima-seikei.com\/blog\/wp-content\/uploads\/image-139.png\" alt=\"\" srcset=\"https:\/\/miyakojima-seikei.com\/blog\/wp-content\/uploads\/image-139.png 848w, https:\/\/miyakojima-seikei.com\/blog\/wp-content\/uploads\/image-139-366x300.png 366w, https:\/\/miyakojima-seikei.com\/blog\/wp-content\/uploads\/image-139-731x600.png 731w\" sizes=\"auto, (max-width: 202px) 100vw, 202px\" \/><\/li>\n<\/ul>\n<\/li>\n\n\n\n<li><strong>\u6ed1\u819c\u306e\u708e\u75c7\u3068\u80a5\u539a\uff08\u6ed1\u819c\u708e\uff09<\/strong>\n<ul 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https:\/\/miyakojima-seikei.com\/blog\/wp-content\/uploads\/image-140-295x300.png 295w\" sizes=\"auto, (max-width: 200px) 100vw, 200px\" \/><\/li>\n<\/ul>\n<\/li>\n\n\n\n<li><strong>\u30d1\u30f3\u30cc\u30b9\uff08\u80a5\u539a\u3057\u305f\u6ed1\u819c\uff09\u306e\u5f62\u6210\u3068\u62e1\u5927<\/strong>\n<ul class=\"wp-block-list\">\n<li>\u80a5\u539a\u3057\u305f\u6ed1\u819c\uff08\u30d1\u30f3\u30cc\u30b9\uff09\u306f\u3001\u6b63\u5e38\u306a\u95a2\u7bc0\u3092\u72af\u3057\u3001\u7834\u58ca\u306e\u521d\u671f\u6bb5\u968e\u304c\u9032\u884c\u3057\u307e\u3059\u3002<em>\u95a2\u7bc0<\/em>\u5185\u3067\u8edf\u9aa8\u306b\u88ab\u308f\u308c\u3066\u3044\u306a\u3044<strong>&nbsp;<em>bare area<\/em>\uff08\u30d9\u30a2\u30a8\u30ea\u30a2\uff09<\/strong>\u3068\u3044\u308f\u308c\u308b<strong>\u6ed1\u819c\u3068\u9aa8\u306e\u5883\u754c\u90e8\u304b\u3089\u9aa8\u7834\u58ca\u304c\u9032\u3080<\/strong>\u3053\u3068\u304c\u7279\u5fb4\u3067\u3059\u3002\u307e\u305f\u3001<strong>MMP\uff08\u30de\u30c8\u30ea\u30c3\u30af\u30b9\u30e1\u30bf\u30ed\u30d7\u30ed\u30c6\u30a2\u30fc\u30bc\uff09\u3068\u547c\u3070\u308c\u308b\u9175\u7d20\u304c\u6d3b\u6027\u5316\u3055\u308c\u3001<strong>\u8edf\u9aa8\u306e\u4e3b\u8981\u6210\u5206\u3067\u3042\u308b<\/strong>\u30b3\u30e9\u30fc\u30b2\u30f3<\/strong>\u3084<strong>\u30d7\u30ed\u30c6\u30aa\u30b0\u30ea\u30ab\u30f3<\/strong>\u3092\u5206\u89e3\u3057\u307e<img loading=\"lazy\" decoding=\"async\" width=\"200\" height=\"167\" class=\"wp-image-1379\" style=\"width: 200px;\" src=\"https:\/\/miyakojima-seikei.com\/blog\/wp-content\/uploads\/image-141.png\" alt=\"\" srcset=\"https:\/\/miyakojima-seikei.com\/blog\/wp-content\/uploads\/image-141.png 427w, https:\/\/miyakojima-seikei.com\/blog\/wp-content\/uploads\/image-141-360x300.png 360w\" sizes=\"auto, (max-width: 200px) 100vw, 200px\" \/>\u3002<\/li>\n<\/ul>\n<\/li>\n\n\n\n<li><strong>\u708e\u75c7\u6027\u30b5\u30a4\u30c8\u30ab\u30a4\u30f3\u306b\u3088\u308b\u8edf\u9aa8\u30fb\u9aa8\u7834\u58ca\u306e\u4fc3\u9032<\/strong>\n<ul class=\"wp-block-list\">\n<li>\u95a2\u7bc0\u5185\u3067\u5206\u6ccc\u3055\u308c\u308b\u708e\u75c7\u6027\u30b5\u30a4\u30c8\u30ab\u30a4\u30f3\uff08<strong>TNF-\u03b1<\/strong>\u3001<strong>IL-1<\/strong>\u3001<strong>IL-6<\/strong>\u306a\u3069\uff09\u304c\u95a2\u7bc0\u7834\u58ca\u3092\u3055\u3089\u306b\u52a0\u901f\u3055\u305b\u307e\u3059\u3002\u8edf\u9aa8\u304c\u5931\u308f\u308c\u308b\u3053\u3068\u3067\u3001\u95a2\u7bc0\u306e\u30af\u30c3\u30b7\u30e7\u30f3\u4f5c\u7528\u304c\u6e1b\u5c11\u3057\u3001\u9aa8\u540c\u58eb\u304c\u76f4\u63a5\u63a5\u89e6\u3059\u308b\u3088\u3046\u306b\u306a\u308a\u3001\u3055\u3089\u306b\u75db\u307f\u304c\u60aa\u5316\u3057\u307e\u3059\u3002<\/li>\n<\/ul>\n<\/li>\n\n\n\n<li><strong>\u7834\u9aa8\u7d30\u80de\u306e\u6d3b\u6027\u5316\u306b\u3088\u308b\u9aa8\u7834\u58ca<\/strong>\n<ul class=\"wp-block-list\">\n<li>\u6ed1\u819c\u708e\u3068\u4e26\u884c\u3057\u3066\u3001\u9aa8\u306e\u7834\u58ca\u3082\u9032\u884c\u3057\u307e\u3059\u3002\u3053\u308c\u306f\u3001\u95a2\u7bc0\u30ea\u30a6\u30de\u30c1\u3067\u708e\u75c7\u6027\u30b5\u30a4\u30c8\u30ab\u30a4\u30f3\u304c<strong>RANKL\u306e\u7523\u751f\u3092\u4fc3\u9032\u3057\u3001\u7834\u9aa8\u7d30\u80de\u3092\u7570\u5e38\u306b\u6d3b\u6027\u5316\u3055\u308c\u307e\u3059\u3002\u7834\u9aa8\u7d30\u80de<\/strong>\u306f\u9aa8\u3092\u5438\u53ce\u3057\u3001<strong>\u9aa8\u3073\u3089\u3093<\/strong>\u3068\u547c\u3070\u308c\u308b\u9aa8\u306e\u6b20\u640d\u3092\u5f15\u304d\u8d77\u3053\u3057\u307e\u3059\u3002<img loading=\"lazy\" decoding=\"async\" width=\"200\" height=\"126\" class=\"wp-image-1384\" style=\"width: 200px;\" src=\"https:\/\/miyakojima-seikei.com\/blog\/wp-content\/uploads\/image-143.png\" alt=\"\" srcset=\"https:\/\/miyakojima-seikei.com\/blog\/wp-content\/uploads\/image-143.png 452w, https:\/\/miyakojima-seikei.com\/blog\/wp-content\/uploads\/image-143-400x251.png 400w\" sizes=\"auto, (max-width: 200px) 100vw, 200px\" \/><\/li>\n<\/ul>\n<\/li>\n\n\n\n<li><strong>\u95a2\u7bc0\u306e\u4e0d\u5b89\u5b9a\u5316\u3068\u5909\u5f62<\/strong>\n<ul class=\"wp-block-list\">\n<li>\u8edf\u9aa8\u3068\u9aa8\u306e\u7834\u58ca\u304c\u9032\u884c\u3059\u308b\u3068\u6b21\u7b2c\u306b\u5909\u5f62\u3057\u3066\u3044\u304d\u307e\u3059\u3002\u95a2\u7bc0\u30ea\u30a6\u30de\u30c1\u3067\u7279\u5fb4\u7684\u306a\u5909\u5f62\u3068\u3057\u3066\u306f\u4e0b\u8a18\u306e\u3088\u3046\u306a\u3082\u306e\u304c\u3042\u308a\u307e\u3059\u3002\n<ul class=\"wp-block-list\">\n<li><strong>\u5c3a\u5074\u504f\u4f4d<\/strong>\u3000<img loading=\"lazy\" decoding=\"async\" width=\"150\" height=\"105\" class=\"wp-image-1392\" style=\"width: 150px;\" src=\"https:\/\/miyakojima-seikei.com\/blog\/wp-content\/uploads\/image-146.png\" alt=\"\"><\/li>\n\n\n\n<li><strong>\u30b9\u30ef\u30f3\u30cd\u30c3\u30af\u5909\u5f62<\/strong>\uff08DIP\u95a2\u7bc0\u904e\u904e\u4f38\u5c55\u3001PIP\u95a2\u7bc0\u5c48\u66f2\uff09\u3000<img loading=\"lazy\" decoding=\"async\" width=\"150\" height=\"83\" class=\"wp-image-1390\" style=\"width: 150px;\" src=\"https:\/\/miyakojima-seikei.com\/blog\/wp-content\/uploads\/image-144.png\" alt=\"\"><\/li>\n\n\n\n<li><strong>\u30dc\u30bf\u30f3\u30db\u30fc\u30eb\u5909\u5f62<\/strong>\uff08DIP\u95a2\u7bc0\u5c48\u66f2\u3001PIP\u95a2\u7bc0\u904e\u4f38\u5c55\uff09\u3000<img loading=\"lazy\" decoding=\"async\" width=\"150\" height=\"68\" class=\"wp-image-1391\" style=\"width: 150px;\" src=\"https:\/\/miyakojima-seikei.com\/blog\/wp-content\/uploads\/image-145.png\" alt=\"\"><\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<\/li>\n\n\n\n<li><strong>\u95a2\u7bc0\u306e\u6a5f\u80fd\u969c\u5bb3\u3068\u75db\u307f\u306e\u60aa\u5316<\/strong>\n<ul class=\"wp-block-list\">\n<li>\u6700\u7d42\u6bb5\u968e\u3067\u306f\u3001\u95a2\u7bc0\u304c\u5b8c\u5168\u306b\u7834\u58ca\u3055\u308c\u3001\u5909\u5f62\u3057\u305f\u95a2\u7bc0\u306f\u6b63\u5e38\u306b\u52d5\u304b\u3059\u3053\u3068\u304c\u3067\u304d\u306a\u304f\u306a\u308a\u307e\u3059\u3002\u3053\u308c\u306b\u3088\u308a\u3001\u65e5\u5e38\u751f\u6d3b\u306b\u304a\u3051\u308b\u6a5f\u80fd\u304c\u5927\u5e45\u306b\u4f4e\u4e0b\u3057\u3001\u6162\u6027\u7684\u306a\u75db\u307f\u304c\u7d9a\u304d\u307e\u3059\u3002<strong>\u95a2\u7bc0\u306e\u5909\u5f62\u3084\u7834\u58ca\u304c\u9032\u884c\u3057\u305f\u5834\u5408\u3001\u624b\u8853\u306a\u3069\u306e\u5916\u79d1\u7684\u4ecb\u5165\u304c\u5fc5\u8981\u306b\u306a\u308b\u3053\u3068\u3082\u3042\u308a\u307e\u3059\u3002<\/strong><img loading=\"lazy\" decoding=\"async\" width=\"200\" height=\"167\" class=\"wp-image-1394\" style=\"width: 200px;\" src=\"https:\/\/miyakojima-seikei.com\/blog\/wp-content\/uploads\/image-147.png\" alt=\"\" srcset=\"https:\/\/miyakojima-seikei.com\/blog\/wp-content\/uploads\/image-147.png 408w, https:\/\/miyakojima-seikei.com\/blog\/wp-content\/uploads\/image-147-360x300.png 360w\" sizes=\"auto, (max-width: 200px) 100vw, 200px\" \/><\/li>\n<\/ul>\n<\/li>\n<\/ol>\n\n\n\n<p>\u3053\u306e\u3088\u3046\u306a\u7d4c\u904e\u3092\u7d4c\u3066\u3001\u95a2\u7bc0\u30ea\u30a6\u30de\u30c1\u3067\u306f\u95a2\u7bc0\u306e\u7834\u58ca\u304c\u9032\u884c\u3057\u307e\u3059\u3002<\/p>\n\n\n\n<div class=\"wp-block-word-balloon-word-balloon-block\"><div class=\"w_b_box w_b_w100 w_b_flex w_b_mla w_b_jc_fe w_b_div\"><div class=\"w_b_wrap w_b_wrap_talk w_b_R w_b_flex w_b_jc_fe w_b_div\" style=\"\"><div class=\"w_b_bal_box w_b_bal_R w_b_relative w_b_direction_R w_b_w100 w_b_div\"><div class=\"w_b_space w_b_mp0 w_b_div\"><svg version=\"1.1\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" x=\"0px\" y=\"0px\" width=\"1\" height=\"25\" viewBox=\"0 0 1 1\" fill=\"transparent\" stroke=\"transparent\" stroke-miterlimit=\"10\" class=\"w_b_db w_b_mp0\"><polygon fill=\"transparent\" stroke=\"transparent\" points=\"0,1 0,1 0,1 0,1 \"\/><\/svg><\/div><div class=\"w_b_bal_outer w_b_flex w_b_mp0 w_b_relative w_b_div\" style=\"\"><div class=\"w_b_bal_wrap w_b_bal_wrap_R w_b_div\"><div class=\"w_b_bal w_b_relative w_b_talk w_b_talk_R w_b_shadow_R w_b_ta_L w_b_div\" style=\"font-size:16px;\"><div class=\"w_b_quote w_b_div\"><p>\u95a2\u7bc0\u304c\u7834\u58ca\u3055\u308c\u308b\u6a5f\u5e8f\u30fb\u7406\u7531\u304c\u3001\u691c\u67fb\u3084\u6cbb\u7642\u306b\u3064\u306a\u304c\u308a\u307e\u3059\u3002<\/p><\/div><\/div><\/div><\/div><\/div><div class=\"w_b_ava_box w_b_relative w_b_ava_R w_b_col w_b_f_n w_b_div\"><div class=\"w_b_icon_wrap w_b_relative w_b_div\"><div class=\"w_b_ava_wrap w_b_direction_R w_b_mp0 w_b_div\"><div class=\"w_b_ava_effect w_b_relative w_b_oh w_b_radius w_b_size_S w_b_div\" style=\"\">\n<img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/miyakojima-seikei.com\/blog\/wp-content\/uploads\/an0006-300x300.png\" width=\"64\" height=\"64\" alt=\"\u30be\u30a6\u5148\u751f\" class=\"w_b_ava_img w_b_w100 w_b_h100  w_b_mp0 w_b_img\" style=\"\" \/>\n<\/div><\/div><\/div><div class=\"w_b_name w_b_w100 w_b_lh w_b_name_C w_b_ta_C w_b_mp0 w_b_div\">\u30be\u30a6\u5148\u751f<\/div><\/div><\/div><\/div><\/div>\n\n\n<div class=\"su-spacer\" style=\"height:100px\"><\/div>\n\n\n\n<div class=\"wp-block-group is-content-justification-center is-nowrap is-layout-flex wp-container-core-group-is-layout-94bc23d7 wp-block-group-is-layout-flex\">\n<h2 class=\"wp-block-heading alignfull has-large-font-size\" id=\"\u95a2\u7bc0\u30ea\u30a6\u30de\u30c1\u306e\u6cbb\u7642\u306e\u5909\u9077\">\u95a2\u7bc0\u30ea\u30a6\u30de\u30c1\u306e\u8a3a\u65ad\u6cbb\u7642\u30ac\u30a4\u30c9\u30e9\u30a4\u30f3\u306e\u5909\u9077<\/h2>\n<\/div>\n\n\n<div class=\"su-divider su-divider-style-double\" style=\"margin:15px 0;border-width:20px;border-color:#f79b2d\"><\/div>\n\n\n<div class=\"su-spacer\" style=\"height:100px\"><\/div>\n\n\n\n<p>\u56fd\u969b\u7684\u306a\u5c02\u9580\u7d44\u7e54\u3067\u3042\u308b<strong>\u30a2\u30e1\u30ea\u30ab\u30ea\u30a6\u30de\u30c1\u5b66\u4f1a\uff08American College of Rheumatology, ACR\uff09<\/strong>\u3084<strong>\u6b27\u5dde\u30ea\u30a6\u30de\u30c1\u5b66\u4f1a\uff08European League Against Rheumatism , EULAR\uff09<\/strong>\u3067\u306f\u5b9a\u671f\u7684\u306b\u95a2\u7bc0\u30ea\u30a6\u30de\u30c1\u3084\u30ea\u30a6\u30de\u30c1\u6027\u75be\u60a3\uff08\u4e7e\u766c\u6027\u95a2\u7bc0\u708e\u3001\u5168\u8eab\u6027\u30a8\u30ea\u30c6\u30de\u30c8\u30fc\u30c7\u30b9\u306a\u3069\uff09\u306e\u8a3a\u65ad\u3084\u6cbb\u7642\u306b\u95a2\u3057\u3066\u3001\u533b\u7642\u73fe\u5834\u3067\u7d71\u4e00\u3055\u308c\u305f\u9ad8\u6c34\u6e96\u306e\u6cbb\u7642\u3092\u63d0\u4f9b\u3059\u308b\u76ee\u7684\u3067\u6700\u65b0\u306e\u30a8\u30d3\u30c7\u30f3\u30b9\u306b\u57fa\u3065\u3044\u305f<strong>\u30ac\u30a4\u30c9\u30e9\u30a4\u30f3\u3092\u5b9a\u671f\u7684\u306b\u66f4\u65b0\u3057\u3001\u7b56\u5b9a<\/strong>\u3057\u3066\u3044\u3057\u307e\u3059\u3002<\/p>\n\n\n\n<figure class=\"wp-block-image size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"463\" height=\"109\" src=\"https:\/\/miyakojima-seikei.com\/blog\/wp-content\/uploads\/image-148.png\" alt=\"\" class=\"wp-image-1398\" srcset=\"https:\/\/miyakojima-seikei.com\/blog\/wp-content\/uploads\/image-148.png 463w, https:\/\/miyakojima-seikei.com\/blog\/wp-content\/uploads\/image-148-400x94.png 400w\" sizes=\"auto, (max-width: 463px) 100vw, 463px\" \/><\/figure>\n\n\n<div class=\"su-spacer\" style=\"height:100px\"><\/div>\n\n\n\n<p id=\"1987\u5e74\u7248\u306eACR\u8a3a\u65ad\u57fa\u6e96\">\u3000<strong>\u6700\u3082\u6614\u306b\u516c\u958b\u3055\u308c\u305f\u95a2\u7bc0\u30ea\u30a6\u30de\u30c1\u306e\u30ac\u30a4\u30c9\u30e9\u30a4\u30f3\u3068<\/strong>\u3057\u3066\u306f<strong>\u30a2\u30e1\u30ea\u30ab\u30ea\u30a6\u30de\u30c1\u5b66\u4f1a\uff08American College of Rheumatology\u3001ACR\uff09<\/strong>\u304c<strong>1987\u5e74\u306b\u5b9a\u3081\u305f\u30ac\u30a4\u30c9\u30e9\u30a4\u30f3\u304c\u4ee3\u8868\u7684<\/strong>\u3067\u3059\u3002\u7279\u5b9a\u306e\u75c7\u72b6\u3084\u81e8\u5e8a\u7684\u7279\u5fb4\u304b\u3089\u95a2\u7bc0\u30ea\u30a6\u30de\u30c1\u306e\u8a3a\u65ad\u3092\u6a19\u6e96\u7684\u306b\u884c\u3046\u305f\u3081\u7b56\u5b9a\u3055\u308c\u307e\u3057\u305f\u3002<strong>\u95a2\u7bc0\u30ea\u30a6\u30de\u30c1\u306e\u7279\u5fb4\u3092\u7406\u89e3\u3059\u308b\u4e0a\u3067\u306f\u3001\u73fe\u5728\u3067\u3082\u6709\u610f\u7fa9\u3067\u3059\u3002<\/strong><\/p>\n\n\n\n<h3 class=\"wp-block-heading\">\u24601987\u5e74\u7248 ACR\u8a3a\u65ad\u57fa\u6e96<\/h3>\n\n\n<div class=\"su-box su-box-style-glass\" id=\"\" style=\"border-color:#cba36b;border-radius:8px;max-width:none\"><div class=\"su-box-title\" style=\"background-color:#fed69e;color:#FFFFFF;border-top-left-radius:6px;border-top-right-radius:6px\">1987\u5e74\u7248\u306eACR\u8a3a\u65ad\u57fa\u6e96<\/div><div class=\"su-box-content su-u-clearfix su-u-trim\" style=\"border-bottom-left-radius:6px;border-bottom-right-radius:6px\">\n1. 1\u6642\u9593\u4ee5\u4e0a\u7d9a\u304f\u671d\u306e\u3053\u308f\u3070\u308a\uff086\u9031\u9593\u4ee5\u4e0a\uff09<br \/>\n2. 3\u3064\u4ee5\u4e0a\u306e\u95a2\u7bc0\uff08\u624b\u3001\u624b\u9996\u3001\u8098\u3001\u819d\u3001\u8db3\u306a\u3069\uff09\u3067\u306e\u708e\u75c7\uff086\u9031\u9593\u4ee5\u4e0a\uff09<br \/>\n3. \u624b\u306e\u95a2\u7bc0\uff08\u624b\u9996\u3001MP\u95a2\u7bc0\u3001PIP\u95a2\u7bc0\uff09\u306b\u304a\u3051\u308b\u708e\u75c7\uff086\u9031\u9593\u4ee5\u4e0a\uff09<br \/>\n4. \u5bfe\u79f0\u6027\u306e\u95a2\u7bc0\u708e\uff086\u9031\u9593\u4ee5\u4e0a\uff09<br \/>\n5. \u76ae\u4e0b\u7d50\u7bc0\uff08\u30ea\u30a6\u30de\u30c8\u30a4\u30c9\u7d50\u7bc0\uff09<br \/>\n6. \u30ea\u30a6\u30de\u30c8\u30a4\u30c9\u56e0\u5b50\uff08RF\uff09\u306e\u967d\u6027<br \/>\n7. X\u7dda\u3067\u306e\u95a2\u7bc0\u7834\u58ca<\/p>\n<p>\u2460-\u2466\u306e4\u3064\u4ee5\u4e0a\u3092\u6e80\u305f\u3059\u5834\u5408\u3001\u95a2\u7bc0\u30ea\u30a6\u30de\u30c1\u3068\u8a3a\u65ad<br \/>\n<\/div><\/div>\n\n\n\n<p>\u3053\u306e\u57fa\u6e96\u306f\u3001\u81e8\u5e8a\u533b\u304c\u95a2\u7bc0\u30ea\u30a6\u30de\u30c1\u306e\u8a3a\u65ad\u3092\u884c\u3046\u306b\u3042\u305f\u3063\u3066\u30011990\u5e74\u4ee3\u5f8c\u534a\u307e\u3067\u306f1987\u5e74\u7248 ACR\u8a3a\u65ad\u57fa\u6e96\u304c\u7528\u3044\u3089\u308c\u3066\u304d\u307e\u3057\u305f\u3002\u4e00\u65b9\u3067<strong>\u521d\u671f\u306e\u95a2\u7bc0\u30ea\u30a6\u30de\u30c1\u3084\u8efd\u75c7\u306e\u60a3\u8005\u3092\u8a3a\u65ad\u3059\u308b\u3053\u3068\u304c\u96e3\u3057\u304f\u3001\u65e9\u671f\u8a3a\u65ad\u306b\u306f\u9650\u754c\u304c\u3042\u3063\u305f<\/strong>\u305f\u3081\u3001<strong>\u521d\u671f\u306e\u95a2\u7bc0\u30ea\u30a6\u30de\u30c1\u306e\u65e9\u671f\u6cbb\u7642\u304c\u96e3\u3057\u304f\u3001\u95a2\u7bc0\u306e\u5909\u5f62\u304c\u51fa\u3066\u3057\u307e\u3063\u3066\u304b\u3089\u306e\u6cbb\u7642\u306b\u306a\u308b\u306a\u3069\u306e\u8ab2\u984c\u304c\u3042\u308a\u307e\u3057\u305f\u3002<\/strong><\/p>\n\n\n\n<figure class=\"wp-block-image size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"285\" height=\"188\" src=\"https:\/\/miyakojima-seikei.com\/blog\/wp-content\/uploads\/image-150.png\" alt=\"\" class=\"wp-image-1401\"\/><\/figure>\n\n\n<div class=\"su-spacer\" style=\"height:100px\"><\/div>\n\n\n\n<p>\u305d\u306e\u5f8c\u691c\u67fb\u7cbe\u5ea6\u306e\u4e0a\u6607\u3084\u7814\u7a76\u306e\u9032\u5316\u3001\u73fe\u5728\u306e<strong>\u95a2\u7bc0\u30ea\u30a6\u30de\u30c1\u306e\u7b2c\u4e00\u9078\u629e\u85ac\u3067\u3042\u308b\u30e1\u30c8\u30c8\u30ec\u30ad\u30b5\u30fc\u30c8\uff08MTX\uff09<\/strong>\u304c\u3001<strong>1999\u5e74<\/strong>\u306b\u65e5\u672c\u3067\u627f\u8a8d\u3055\u308c\u308b\u306a\u3069\u306b\u3088\u308a\u30012000\u5e74\u4ee3\u3054\u308d\u304b\u3089\u95a2\u7bc0\u30ea\u30a6\u30de\u30c1\u306e\u6cbb\u7642\u304c\u98db\u8e8d\u7684\u306b\u9032\u5316\u3057\u3001<strong>2010\u5e74\u306b\u306fACR\u3068EULAR\uff08European League Against Rheumatism\u3001\u6b27\u5dde\u30ea\u30a6\u30de\u30c1\u5b66\u4f1a\uff09\u306b\u3088\u308b\u65b0\u3057\u3044\u8a3a\u65ad\u57fa\u6e96\u304c\u5c0e\u5165\u3055\u308c\u3001\u3088\u308a\u65e9\u671f\u306e\u6bb5\u968e\u3067\u306e\u8a3a\u65ad\u3084\u6cbb\u7642\u4ecb\u5165\u304c\u53ef\u80fd<\/strong>\u3068\u306a\u308b\u3088\u3046\u306b\u6539\u5584\u3055\u308c\u307e\u3057\u305f\u3002<\/p>\n\n\n<div class=\"su-spacer\" style=\"height:100px\"><\/div>\n\n\n\n<p id=\"1987\u5e74\u7248\u306eACR\u8a3a\u65ad\u57fa\u6e96\"><\/p>\n\n\n\n<h3 class=\"wp-block-heading\">\u2461<strong>\u65e9\u671f\u8a3a\u65ad\u3068\u6cbb\u7642\u306e\u91cd\u8981\u6027\u306e\u5f37\u8abf\uff082000\u5e74\u4ee3\u521d\u671f\uff09<\/strong>:<\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>\u65e9\u671f\u8a3a\u65ad\u3068\u6cbb\u7642\u958b\u59cb\u304cRA\u306e\u4e88\u5f8c\u306b\u5927\u304d\u306a\u5f71\u97ff\u3092\u4e0e\u3048\u308b<\/strong>\u3053\u3068\u304c\u660e\u3089\u304b\u306b\u306a\u308a\u3001<strong>\u300c\u3067\u304d\u308b\u3060\u3051\u65e9\u304f\u6cbb\u7642\u3092\u958b\u59cb\u3059\u308b\u300d<\/strong>\u3068\u3044\u3046\u6982\u5ff5\u304c\u5c0e\u5165\u3055\u308c\u307e\u3057\u305f\u3002\u3053\u308c\u306b\u3088\u308a\u3001\u95a2\u7bc0\u306e\u640d\u50b7\u3092\u9632\u304e\u3001\u6a5f\u80fd\u3092\u7dad\u6301\u3059\u308b\u3053\u3068\u304c\u76ee\u6307\u3055\u308c\u308b\u3088\u3046\u306b\u306a\u308a\u307e\u3057\u305f\u3002<\/li>\n\n\n\n<li><strong>\u30e1\u30c8\u30c8\u30ec\u30ad\u30b5\u30fc\u30c8\uff08MTX\uff09<\/strong> \u304c\u6a19\u6e96\u7684\u306a\u521d\u671f\u6cbb\u7642\u85ac\u3068\u3055\u308c\u3001\u7279\u306b\u65e9\u671f\u6bb5\u968e\u3067\u306e\u4f7f\u7528\u304c\u63a8\u5968\u3055\u308c\u307e\u3057\u305f\u3002<img loading=\"lazy\" decoding=\"async\" width=\"150\" height=\"84\" class=\"wp-image-1403\" style=\"width: 150px;\" src=\"https:\/\/miyakojima-seikei.com\/blog\/wp-content\/uploads\/image-151.png\" alt=\"\" srcset=\"https:\/\/miyakojima-seikei.com\/blog\/wp-content\/uploads\/image-151.png 800w, https:\/\/miyakojima-seikei.com\/blog\/wp-content\/uploads\/image-151-400x225.png 400w\" sizes=\"auto, (max-width: 150px) 100vw, 150px\" \/><\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\">\u2462<strong>\u6cbb\u7642\u76ee\u6a19\u3068\u3057\u3066\u306e\u5bdb\u89e3\u30fb\u4f4e\u75be\u60a3\u6d3b\u52d5\u6027\uff082010\u5e74\u7248\u30ac\u30a4\u30c9\u30e9\u30a4\u30f3\uff09<\/strong>:<\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>EULAR\u306f\u3001\u6cbb\u7642\u306e\u6700\u7d42\u76ee\u6a19\u3068\u3057\u3066 <strong>\u5bdb\u89e3\uff08\u75be\u60a3\u306e\u6d3b\u52d5\u304c\u306a\u3044\u72b6\u614b\uff09<\/strong>\u3001\u307e\u305f\u306f\u5c11\u306a\u304f\u3068\u3082 <strong>\u4f4e\u75be\u60a3\u6d3b\u52d5\u6027\uff08LDA\uff09<\/strong> \u3092\u76ee\u6a19\u3068\u3057\u3001\u6cbb\u7642\u306e\u9032\u6357\u3092\u5b9a\u671f\u7684\u306b\u8a55\u4fa1\u3057\u3001\u52b9\u679c\u304c\u4e0d\u5341\u5206\u306a\u5834\u5408\u306b\u306f\u7a4d\u6975\u7684\u306b\u6cbb\u7642\u3092\u5909\u66f4\u3059\u308b\u65b9\u91dd\u3053\u3068\u3092\u660e\u78ba\u306b\u3057\u307e\u3057\u305f\u3002\u3053\u306e\u6982\u5ff5\u306f\u3001<strong>\u300cTreat-to-Target\uff08T2T\uff09\u300d<\/strong>\u3068\u547c\u3070\u308c\u3001<strong>\u73fe\u5728\u306b\u304a\u3051\u308b\u95a2\u7bc0\u30ea\u30a6\u30de\u30c1\u306e\u8a3a\u65ad\u30fb\u6cbb\u7642\u306e\u4e2d\u6838\u3068\u306a\u308b\u8003\u3048\u65b9<\/strong>\u304c\u63d0\u5531\u3055\u308c\u307e\u3057\u305f\u3002<img loading=\"lazy\" decoding=\"async\" width=\"150\" height=\"105\" class=\"wp-image-1409\" style=\"width: 150px;\" src=\"https:\/\/miyakojima-seikei.com\/blog\/wp-content\/uploads\/image-154.png\" alt=\"\" srcset=\"https:\/\/miyakojima-seikei.com\/blog\/wp-content\/uploads\/image-154.png 1333w, https:\/\/miyakojima-seikei.com\/blog\/wp-content\/uploads\/image-154-400x279.png 400w, https:\/\/miyakojima-seikei.com\/blog\/wp-content\/uploads\/image-154-800x559.png 800w\" sizes=\"auto, (max-width: 150px) 100vw, 150px\" \/><\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\">\u2463<strong>\u751f\u7269\u5b66\u7684\u88fd\u5264\u306e\u5c0e\u5165\u3068\u6d3b\u7528\uff082010\u5e74\u4ee3\uff09<\/strong>:<\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>TNF\u963b\u5bb3\u85ac \u306a\u3069\u306e\u751f\u7269\u5b66\u7684\u88fd\u5264<\/strong>\u304c\u958b\u767a\u3055\u308c\u3001\u30e1\u30c8\u30c8\u30ec\u30ad\u30b5\u30fc\u30c8\uff08MTX\uff09\u306a\u3069\u306e\u65e2\u5b58\u306e\u6297\u30ea\u30a6\u30de\u30c1\u85ac\uff1aCS DMARD\uff08Conventional Synthetic Disease-Modifying Antirheumatic Drugs\u3001\u5f93\u6765\u578b\u5408\u6210\u75be\u60a3\u4fee\u98fe\u6027\u6297\u30ea\u30a6\u30de\u30c1\u85ac\uff09\u306e\u307f\u3067\u306f\u30b3\u30f3\u30c8\u30ed\u30fc\u30eb\u304c\u96e3\u3057\u3044\u60a3\u8005\u3055\u3093\u306b\u304a\u3044\u3066\u3001\u3053\u308c\u3089\u306e\u751f\u7269\u5b66\u7684\u88fd\u5264\u304c\u63a8\u5968\u3055\u308c\u308b\u3088\u3046\u306b\u306a\u308a\u307e\u3057\u305f\u3002\u7279\u306b<strong>MTX\u3067\u52b9\u679c\u304c\u4e0d\u5341\u5206\u306a\u5834\u5408\u3001TNF\u963b\u5bb3\u85ac\u3084\u305d\u306e\u4ed6\u306e\u751f\u7269\u5b66\u7684\u88fd\u5264\uff08IL-6\u963b\u5bb3\u85ac\u3001CTLA-4\u62ee\u6297\u85ac\u3001B\u7d30\u80de\u6291\u5236\u85ac\u306a\u3069\uff09\u304c\u63a8\u5968\u3055\u308c\u308b\u3088\u3046\u306b\u306a\u308a\u307e\u3057\u305f\u3002<\/strong><img loading=\"lazy\" decoding=\"async\" width=\"150\" height=\"113\" class=\"wp-image-1407\" style=\"width: 150px;\" src=\"https:\/\/miyakojima-seikei.com\/blog\/wp-content\/uploads\/image-153.png\" alt=\"\" srcset=\"https:\/\/miyakojima-seikei.com\/blog\/wp-content\/uploads\/image-153.png 453w, https:\/\/miyakojima-seikei.com\/blog\/wp-content\/uploads\/image-153-400x300.png 400w\" sizes=\"auto, (max-width: 150px) 100vw, 150px\" \/><\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\">\u2464<strong>JAK\u963b\u5bb3\u85ac\u306e\u5c0e\u5165\uff082017\u5e74\u7248\u30ac\u30a4\u30c9\u30e9\u30a4\u30f3\uff09<\/strong>:<\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\u65b0\u3057\u3044\u6cbb\u7642\u30aa\u30d7\u30b7\u30e7\u30f3\u3068\u3057\u3066\u3001<strong>JAK\u963b\u5bb3\u85ac<\/strong>\uff08\u30b8\u30e3\u30cc\u30b9\u30ad\u30ca\u30fc\u30bc\u963b\u5bb3\u85ac\uff09\u304c\u767b\u5834\u3057\u307e\u3057\u305f\u3002\u3053\u308c\u306f\u3001\u514d\u75ab\u7cfb\u306e\u30b7\u30b0\u30ca\u30eb\u4f1d\u9054\u3092\u963b\u5bb3\u3059\u308b\u3053\u3068\u3067\u3001\u708e\u75c7\u3092\u6291\u3048\u308b\u85ac\u3067\u3059\u3002<strong>JAK\u963b\u5bb3\u85ac\u306f\u3001\u751f\u7269\u5b66\u7684\u88fd\u5264\u3068\u540c\u7b49\u306e\u4f4d\u7f6e\u3065\u3051\u3067\u4f7f\u7528\u3067\u304d\u308b<\/strong>\u3068\u3055\u308c\u3001\u7279\u306b\u751f\u7269\u5b66\u7684\u88fd\u5264\u3067\u52b9\u679c\u304c\u5f97\u3089\u308c\u306a\u3044\u60a3\u8005\u306b\u5bfe\u3057\u3066\u63a8\u5968\u3055\u308c\u307e\u3057\u305f\u3002<\/li>\n\n\n\n<li>\u3053\u306e\u85ac\u5264\u306f\u3001<strong>\u7d4c\u53e3\u85ac<\/strong>\u3067\u3042\u308b\u305f\u3081<strong>\u6ce8\u5c04\u306e\u5fc5\u8981\u304c\u306a\u3044<\/strong>\u3068\u3044\u3046\u70b9\u3067\u3082\u6ce8\u76ee\u3055\u308c\u307e\u3057\u305f\u3002<img loading=\"lazy\" decoding=\"async\" width=\"150\" height=\"113\" class=\"wp-image-1412\" style=\"width: 150px;\" src=\"https:\/\/miyakojima-seikei.com\/blog\/wp-content\/uploads\/image-155.png\" alt=\"\" srcset=\"https:\/\/miyakojima-seikei.com\/blog\/wp-content\/uploads\/image-155.png 453w, https:\/\/miyakojima-seikei.com\/blog\/wp-content\/uploads\/image-155-400x300.png 400w\" sizes=\"auto, (max-width: 150px) 100vw, 150px\" \/><\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\">\u2465<strong>\u500b\u5225\u5316\u6cbb\u7642\u306e\u5f37\u8abf\uff082019\u5e74\u7248\u30ac\u30a4\u30c9\u30e9\u30a4\u30f3\uff09<\/strong>:<\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>EULAR\u306f\u3001\u6cbb\u7642\u3092\u60a3\u8005\u3054\u3068\u306b\u8abf\u6574\u3059\u308b\u3053\u3068\u306e\u91cd\u8981\u6027\u3092\u5f37\u8abf\u3057\u307e\u3057\u305f\u3002<strong>\u60a3\u8005\u306e\u30ea\u30b9\u30af\u56e0\u5b50\uff08\u5e74\u9f62\u3001\u5408\u4f75\u75c7\u3001\u75be\u60a3\u6d3b\u52d5\u6027<\/strong>\u306a\u3069\uff09\u3084\u3001\u85ac\u5264\u306e\u526f\u4f5c\u7528\u3001\u8cbb\u7528\u5bfe\u52b9\u679c\u3092\u8003\u616e\u3057\u306a\u304c\u3089\u6cbb\u7642\u65b9\u91dd\u3092\u6c7a\u5b9a\u3059\u308b\u3053\u3068\u304c\u63a8\u5968\u3055\u308c\u3066\u3044\u307e\u3059\u3002<\/li>\n\n\n\n<li>\u307e\u305f\u3001\u751f\u7269\u5b66\u7684\u88fd\u5264\u3084JAK\u963b\u5bb3\u85ac\u306e\u4f7f\u7528\u6642\u306b\u306f\u3001\u30e1\u30c8\u30c8\u30ec\u30ad\u30b5\u30fc\u30c8\u3092\u4f75\u7528\u3059\u308b\u3053\u3068\u304c\u63a8\u5968\u3055\u308c\u308b\u3053\u3068\u304c\u591a\u3044\u3082\u306e\u306e\u3001<strong>\u30e1\u30c8\u30c8\u30ec\u30ad\u30b5\u30fc\u30c8\u306e\u4f7f\u7528\u304c\u56f0\u96e3\u306a\u60a3\u8005\uff08\u9ad8\u9f62\u8005\u306a\u3069\uff09\u306b\u5bfe\u3057\u3066\u306f\u751f\u7269\u5b66\u7684\u88fd\u5264\u306e\u5358\u5264\u7642\u6cd5\u304c\u53ef\u80fd\u306a\u85ac\u5264\uff08IL-6\u963b\u5bb3\u85ac\u3001T\u7d30\u80de\u5171\u523a\u6fc0\u963b\u5bb3\u85ac\u306a\u3069\uff09\u3082\u627f\u8a8d\u3055\u308c\u308b\u3088\u3046\u306b\u306a\u308a\u307e\u3057\u305f\u3002<\/strong><img loading=\"lazy\" decoding=\"async\" width=\"250\" height=\"67\" class=\"wp-image-1414\" style=\"width: 250px;\" src=\"https:\/\/miyakojima-seikei.com\/blog\/wp-content\/uploads\/7eaa64ec83ce00330d2355c06434e5af.jpg\" alt=\"\" srcset=\"https:\/\/miyakojima-seikei.com\/blog\/wp-content\/uploads\/7eaa64ec83ce00330d2355c06434e5af.jpg 886w, https:\/\/miyakojima-seikei.com\/blog\/wp-content\/uploads\/7eaa64ec83ce00330d2355c06434e5af-400x108.jpg 400w, https:\/\/miyakojima-seikei.com\/blog\/wp-content\/uploads\/7eaa64ec83ce00330d2355c06434e5af-800x216.jpg 800w\" sizes=\"auto, (max-width: 250px) 100vw, 250px\" \/><\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\">\u2466<strong>\u500b\u5225\u5316\u6cbb\u7642<\/strong>\u3068\u8cbb\u7528\u5bfe\u52b9\u679c<strong>\uff082023\u5e74\u7248\u30ac\u30a4\u30c9\u30e9\u30a4\u30f3\uff09<\/strong>:<\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\u6700\u65b0\u306e\u30ac\u30a4\u30c9\u30e9\u30a4\u30f3\u3067\u306f\u3001\u4f9d\u7136\u3068\u3057\u3066\u300cTreat-to-Target\uff08T2T\uff09\u300d\u6226\u7565\u304c\u4e2d\u5fc3\u3067\u3059\u304c\u3001\u30ea\u30b9\u30af\u30d9\u30fc\u30b9\u306e\u6cbb\u7642\u65b9\u91dd\u304c\u3088\u308a\u5f37\u8abf\u3055\u308c\u3001<strong>\u60a3\u8005\u3054\u3068\u306e\u7279\u5fb4\u306b\u57fa\u3065\u3044\u305f\u6700\u9069\u306a\u6cbb\u7642\u6cd5\u3092\u9078\u629e\u3059\u308b\u3053\u3068\u304c\u6c42\u3081\u3089\u308c\u3066\u3044\u307e\u3059\u3002<\/strong><\/li>\n\n\n\n<li>\u307e\u305f\u3001<strong>\u7d4c\u6e08\u7684\u5074\u9762<\/strong> \u306b\u3082\u914d\u616e\u3057\u3001<strong>\u30b8\u30a7\u30cd\u30ea\u30c3\u30af\u85ac<\/strong>\u3084<strong>\u30d0\u30a4\u30aa\u30b7\u30df\u30e9\u30fc<\/strong>\uff08\u5148\u884c\u30d0\u30a4\u30aa\u533b\u85ac\u54c1\u3068\u540c\u7b49\u306e\u54c1\u8cea\u3001\u5b89\u5168\u6027\u3001\u6709\u52b9\u6027\u3092\u6301\u3064\u3053\u3068\u304c\u79d1\u5b66\u7684\u306b\u8a3c\u660e\u3055\u308c\u305f\u751f\u7269\u5b66\u7684\u88fd\u5264\uff09\u306e\u4f7f\u7528\u304c\u63a8\u5968\u3055\u308c\u308b\u5834\u5408\u304c\u3042\u308a\u3001\u8cbb\u7528\u5bfe\u52b9\u679c\u3082\u6cbb\u7642\u9078\u629e\u306e\u91cd\u8981\u306a\u8981\u7d20\u3068\u306a\u3063\u3066\u3044\u307e\u3059\u3002<img loading=\"lazy\" decoding=\"async\" width=\"150\" height=\"86\" class=\"wp-image-1416\" style=\"width: 150px;\" src=\"https:\/\/miyakojima-seikei.com\/blog\/wp-content\/uploads\/image-156.png\" alt=\"\" srcset=\"https:\/\/miyakojima-seikei.com\/blog\/wp-content\/uploads\/image-156.png 595w, https:\/\/miyakojima-seikei.com\/blog\/wp-content\/uploads\/image-156-400x229.png 400w\" sizes=\"auto, (max-width: 150px) 100vw, 150px\" \/><\/li>\n<\/ul>\n\n\n\n<p>EULAR\u306e\u30ac\u30a4\u30c9\u30e9\u30a4\u30f3\u306f\u3001\u95a2\u7bc0\u30ea\u30a6\u30de\u30c1\u306e\u6cbb\u7642\u306b\u304a\u3044\u3066\u3001\u6700\u65b0\u306e\u30a8\u30d3\u30c7\u30f3\u30b9\u306b\u57fa\u3065\u304d\u9069\u5b9c\u66f4\u65b0\u3055\u308c\u3066\u3044\u307e\u3059\u3002\u3088\u308a\u65e9\u671f\u306e\u6700\u9069\u306a\u6cbb\u7642\u3067\u95a2\u7bc0\u30ea\u30a6\u30de\u30c1\u304b\u3089\u5168\u8eab\u3092\u5b88\u308b\u76ee\u7684\u3067\u30ac\u30a4\u30c9\u30e9\u30a4\u30f3\u306e\u7b56\u5b9a\u304c\u884c\u308f\u308c\u3066\u3044\u307e\u3059\u3002<\/p>\n\n\n<div class=\"su-spacer\" style=\"height:100px\"><\/div>\n\n\n\n<h2 class=\"wp-block-heading has-text-align-center has-large-font-size\">\u95a2\u7bc0\u30ea\u30a6\u30de\u30c1\u306e\u691c\u67fb<\/h2>\n\n\n<div class=\"su-divider su-divider-style-double\" style=\"margin:15px 0;border-width:20px;border-color:#f79b2d\"><\/div>\n\n\n<div class=\"su-spacer\" style=\"height:60px\"><\/div>\n\n\n\n<p>\u95a2\u7bc0\u30ea\u30a6\u30de\u30c1\uff08RA\uff09\u306e\u8a3a\u65ad\u306f\u3001\u75c7\u72b6\u3001\u81e8\u5e8a\u6240\u898b\u3001\u8840\u6db2\u691c\u67fb\u3001\u753b\u50cf\u691c\u67fb\u3092\u7d44\u307f\u5408\u308f\u305b\u3066\u884c\u3044\u307e\u3059\u3002<\/p>\n\n\n<div class=\"su-spacer\" style=\"height:60px\"><\/div>\n\n\n\n<h3 class=\"wp-block-heading\">\u2460<strong>\u554f\u8a3a\u3068\u8eab\u4f53\u8a3a\u5bdf<\/strong><\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>\u75c7\u72b6\u306e\u78ba\u8a8d<\/strong>: \u60a3\u8005\u306e\u75c7\u72b6\u3084\u5bb6\u65cf\u6b74\u3001\u95a2\u7bc0\u75db\u3084\u816b\u308c\u3001\u3053\u308f\u3070\u308a\u306a\u3069\u304c\u3069\u306e\u7a0b\u5ea6\u7d9a\u3044\u3066\u3044\u308b\u304b\u3092\u8abf\u3079\u307e\u3059\u3002<strong>\u671d\u306e\u3053\u308f\u3070\u308a<\/strong>\u306a\u3069\u306e\u7279\u5fb4\u304c\u3042\u308b\u304b\u306a\u3069\u3082\u30c1\u30a7\u30c3\u30af\u3057\u307e\u3059\u3002<img loading=\"lazy\" decoding=\"async\" width=\"150\" height=\"250\" class=\"wp-image-1430\" style=\"width: 150px;\" src=\"https:\/\/miyakojima-seikei.com\/blog\/wp-content\/uploads\/image-157.png\" alt=\"\" srcset=\"https:\/\/miyakojima-seikei.com\/blog\/wp-content\/uploads\/image-157.png 204w, https:\/\/miyakojima-seikei.com\/blog\/wp-content\/uploads\/image-157-180x300.png 180w\" sizes=\"auto, (max-width: 150px) 100vw, 150px\" \/><\/li>\n\n\n\n<li><strong>\u95a2\u7bc0\u306e\u72b6\u614b\u78ba\u8a8d<\/strong>: \u624b\u3001\u624b\u9996\u3001\u819d\u306a\u3069\u3001\u8907\u6570\u306e\u95a2\u7bc0\u304c\u5bfe\u79f0\u7684\u306b\u816b\u308c\u3066\u3044\u308b\u304b\u3001\u307e\u305f\u306f\u75db\u307f\u304c\u3042\u308b\u304b\u3092\u78ba\u8a8d\u3057\u307e\u3059\u3002\u7279\u306b<strong>\u5c0f\u95a2\u7bc0\uff08\u624b\u306e\u6307\u3001\u8db3\u306e\u6307\uff09\u306e\u816b\u308c\u3084\u75db\u307f<\/strong>\u304c\u7279\u5fb4\u7684\u3067\u3059\u3002<\/li>\n<\/ul>\n\n\n<div class=\"su-spacer\" style=\"height:60px\"><\/div>\n\n\n\n<h3 class=\"wp-block-heading\">\u2461<strong>\u8840\u6db2\u691c\u67fb<\/strong><\/h3>\n\n\n\n<p>\u95a2\u7bc0\u30ea\u30a6\u30de\u30c1\u306e\u8a3a\u65ad\u3067\u306f\u3001\u3044\u304f\u3064\u304b\u306e\u7279\u7570\u7684\u306a\u6297\u4f53\u3084\u708e\u75c7\u30de\u30fc\u30ab\u30fc\u3092\u691c\u67fb\u3057\u307e\u3059\u3002\u3053\u308c\u306b\u3088\u308a\u3001\u8a3a\u65ad\u3084\u9032\u884c\u5ea6\u306e\u8a55\u4fa1\u304c\u884c\u308f\u308c\u307e\u3059\u3002<\/p>\n\n\n\n<figure class=\"wp-block-image size-full is-resized\"><img loading=\"lazy\" decoding=\"async\" width=\"454\" height=\"340\" src=\"https:\/\/miyakojima-seikei.com\/blog\/wp-content\/uploads\/image-158.png\" alt=\"\" class=\"wp-image-1432\" style=\"width:175px;height:auto\" srcset=\"https:\/\/miyakojima-seikei.com\/blog\/wp-content\/uploads\/image-158.png 454w, https:\/\/miyakojima-seikei.com\/blog\/wp-content\/uploads\/image-158-400x300.png 400w\" sizes=\"auto, (max-width: 454px) 100vw, 454px\" \/><\/figure>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>\u30ea\u30a6\u30de\u30c8\u30a4\u30c9\u56e0\u5b50\uff08RF\uff09<\/strong>: \u591a\u304f\u306e\u95a2\u7bc0\u30ea\u30a6\u30de\u30c1\u60a3\u8005\u3067\u967d\u6027\u3068\u306a\u308b\u6297\u4f53\u3067\u3059\u3002RF\u304c\u967d\u6027\u3067\u3042\u308b\u95a2\u7bc0\u30ea\u30a6\u30de\u30c1\u60a3\u8005\u306f\u3001\u9670\u6027\u306e\u60a3\u8005\u306b\u6bd4\u3079\u3066\u3001\u95a2\u7bc0\u7834\u58ca\u304c\u9032\u884c\u3057\u3084\u3059\u304f\u3001\u91cd\u75c7\u5316\u3059\u308b\u50be\u5411\u304c\u3042\u308a\u307e\u3059\u3002\uff08\u9ad8\u529b\u4fa1\u306e\u5834\u5408\uff09\u3002\u540d\u524d\u3068\u306f\u88cf\u8179\u306b<strong>\u95a2\u7bc0\u30ea\u30a6\u30de\u30c1\u4ee5\u5916\u306e\u75be\u60a3\u3067\u3082\u967d\u6027\u306b\u306a\u308b\u3053\u3068\u304c\u3042\u308a\u307e\u3059\u3002<\/strong><\/li>\n<\/ul>\n\n\n\n<p><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>\u6297CCP\u6297\u4f53\uff08\u6297\u30b7\u30c8\u30eb\u30ea\u30f3\u5316\u30da\u30d7\u30c1\u30c9\u6297\u4f53\u3001ACPA\uff09<\/strong>: <strong>\u95a2\u7bc0\u30ea\u30a6\u30de\u30c1\u306b\u975e\u5e38\u306b\u7279\u7570\u7684\u306a\u6297\u4f53<\/strong>\u3067\u3001\u767a\u75c7\u65e9\u671f\u8a3a\u65ad\u306b\u6709\u7528\u3067\u3059\u3002\u6297CCP\u6297\u4f53\u306f\u95a2\u7bc0\u30ea\u30a6\u30de\u30c1\u60a3\u8005\u306e\u7d0470\uff5e80%\u306e\u60a3\u8005\u3067\u967d\u6027\u3068\u306a\u308a\u3001\u7279\u7570\u5ea6\u304c\u9ad8\u3044\u3067\u3059\u3002\u307e\u305f\u3001<strong>CCP\u6297\u4f53\u304c\u967d\u6027\u3067\u3042\u308b\u95a2\u7bc0\u30ea\u30a6\u30de\u30c1\u60a3\u8005\u306f\u3001\u9670\u6027\u306e\u60a3\u8005\u306b\u6bd4\u3079\u3066\u3001\u95a2\u7bc0\u7834\u58ca\u304c\u9032\u884c\u3057\u3084\u3059\u304f\u3001\u91cd\u75c7\u5316\u3059\u308b\u50be\u5411\u304c\u3042\u308b<\/strong>\u305f\u3081\u3001\u6cbb\u7642\u65b9\u91dd\u306e\u6c7a\u5b9a\u306b\u3082\u5f79\u7acb\u3061\u307e\u3059\u3002<strong>\u6b6f\u5468\u75c5<\/strong>\u3068<strong>\u55ab\u7159<\/strong>\u304c\u6297CCP\u6297\u4f53\u7523\u751f\u306b\u5f71\u97ff\u3092\u4e0e\u3048\u307e\u3059\u3002<\/li>\n<\/ul>\n\n\n\n<p><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>\u708e\u75c7\u30de\u30fc\u30ab\u30fc<\/strong>:\u95a2\u7bc0\u30ea\u30a6\u30de\u30c1\u3067\u95a2\u7bc0\u306e\u708e\u75c7\u304c\u3042\u308b\u5834\u5408\u306b\u4e0a\u6607\u3057\u307e\u3059\u3002\n<ul class=\"wp-block-list\">\n<li><strong>C\u53cd\u5fdc\u6027\u86cb\u767d\uff08CRP\uff09<\/strong>: \u708e\u75c7\u306e\u7a0b\u5ea6\u3092\u793a\u3059\u6307\u6a19\u3002<\/li>\n\n\n\n<li><strong>\u8d64\u8840\u7403\u6c88\u964d\u901f\u5ea6\uff08ESR\uff09<\/strong>: \u708e\u75c7\u304c\u3042\u308b\u3068\u4e0a\u6607\u3059\u308b\u8840\u6db2\u306e\u6c88\u964d\u901f\u5ea6\u3092\u6e2c\u5b9a\u3057\u307e\u3059\u3002<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n\n\n\n<p><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>\u5168\u8840\u7403\u8a08\u7b97\uff08CBC\uff09<\/strong>: \u8ca7\u8840\u3084\u767d\u8840\u7403\u306e\u7570\u5e38\u304c\u3042\u308b\u304b\u3069\u3046\u304b\u3092\u8abf\u3079\u308b\u305f\u3081\u306b\u884c\u3044\u307e\u3059\u3002<strong>\u95a2\u7bc0\u30ea\u30a6\u30de\u30c1\u3067\u306f\u6162\u6027\u7684\u306a\u708e\u75c7\u306b\u3088\u308a\u8ca7\u8840\u304c\u898b\u3089\u308c\u308b\u3053\u3068\u304c\u3042\u308a\u307e\u3059\u3002<\/strong><\/li>\n<\/ul>\n\n\n\n<p>\u3053\u308c\u3089\u306e\u307b\u304b\u306b\u3082\u3001\u4ed6\u306e\u75be\u60a3\u3092\u9664\u5916\u3059\u308b\u305f\u3081\u306b\u6297\u4f53\u691c\u67fb\u3084\u88dc\u4f53\u691c\u67fb\u306a\u3069\u3082\u884c\u308f\u308c\u307e\u3059\u3002<\/p>\n\n\n\n<p><\/p>\n\n\n<div class=\"su-spacer\" style=\"height:60px\"><\/div>\n\n\n\n<h3 class=\"wp-block-heading\">\u2462<strong>\u753b\u50cf\u691c\u67fb<\/strong><\/h3>\n\n\n\n<p>\u3000\u95a2\u7bc0\u306e\u640d\u50b7\u3084\u708e\u75c7\u306e\u8a55\u4fa1\u306b\u4f7f\u7528\u3055\u308c\u3001<strong>\u95a2\u7bc0\u30ea\u30a6\u30de\u30c1\u306e\u9032\u884c\u5ea6\u3084\u6cbb\u7642\u52b9\u679c\u306e\u5224\u65ad<\/strong>\u306b\u5f79\u7acb\u3061\u307e\u3059\u3002<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>X\u7dda\u691c\u67fb<\/strong>: <strong>\u95a2\u7bc0\u306e\u7834\u58ca<\/strong>\u3084<strong>\u9aa8\u3073\u3089\u3093\u306e\u6709\u7121<\/strong>\u306a\u3069\u3092\u78ba\u8a8d\u3057\u307e\u3059\u3002\u7279\u306b\u3001\u9032\u884c\u3057\u305f\u95a2\u7bc0\u30ea\u30a6\u30de\u30c1\u3067\u306f\u3053\u308c\u3089\u306e\u6240\u898b\u304c\u660e\u3089\u304b\u306b\u306a\u308a\u307e\u3059\u304c\u3001\u521d\u671f\u6bb5\u968e\u3067\u306f\u5909\u5316\u304c\u898b\u3089\u308c\u306a\u3044\u3053\u3068\u3082\u3042\u308a\u307e\u3059\u3002<\/li>\n<\/ul>\n\n\n<div class=\"wp-block-image\">\n<figure class=\"aligncenter size-large is-resized\"><img loading=\"lazy\" decoding=\"async\" width=\"369\" height=\"600\" src=\"https:\/\/miyakojima-seikei.com\/blog\/wp-content\/uploads\/image-131-369x600.png\" alt=\"\" class=\"wp-image-1186\" style=\"width:175px;height:auto\" srcset=\"https:\/\/miyakojima-seikei.com\/blog\/wp-content\/uploads\/image-131-369x600.png 369w, https:\/\/miyakojima-seikei.com\/blog\/wp-content\/uploads\/image-131-185x300.png 185w, https:\/\/miyakojima-seikei.com\/blog\/wp-content\/uploads\/image-131.png 556w\" sizes=\"auto, (max-width: 369px) 100vw, 369px\" \/><figcaption class=\"wp-element-caption\"><strong>\u9aa8\u3073\u3089\u3093<\/strong><\/figcaption><\/figure>\n<\/div>\n\n\n<p><br><br>\u3000\u95a2\u7bc0\u30ea\u30a6\u30de\u30c1\u306f\u9032\u884c\u3059\u308b\u3068\u3001\u4f53\u5168\u4f53\u306e\u95a2\u7bc0\u304c\u969c\u5bb3\u3055\u308c\u307e\u3059\u3002\u4ee3\u8868\u7684\u306a\u30ec\u30f3\u30c8\u30b2\u30f3\u6240\u898b\u3068\u3057\u3066\u306f<\/p>\n\n\n\n<p><strong>\u981a\u690e<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>\u74b0\u8ef8\u690e\u4e9c\u8131\u81fc<\/strong>\uff08atlantoaxial subluxation\u3001AAS\uff09\uff1a\u7b2c\u4e00\u9838\u690e\uff08\u74b0\u690e\u3001C1\uff09\u3068\u7b2c\u4e8c\u9838\u690e\uff08\u8ef8\u690e\u3001C2\uff09\u306e\u9593\u306e\u976d\u5e2f\u3084\u9aa8\u306e\u7834\u58ca\u306b\u3088\u308a\u3001\u4e0d\u5b89\u5b9a\u6027\u304c\u751f\u3058\u3001\u74b0\u690e\u304c\u524d\u65b9\u306b\u6ed1\u308b\u3002\u91cd\u5ea6\u306e\u75c7\u4f8b\u3067\u306f\u810a\u9ac4\u5727\u8feb\u306b\u3088\u308b\u9ebb\u75fa\u3084\u547c\u5438\u56f0\u96e3\u304c\u751f\u3058\u308b\u3053\u3068\u3082\u3042\u308b\u3002<img loading=\"lazy\" decoding=\"async\" width=\"150\" height=\"174\" class=\"wp-image-1452\" style=\"width: 150px;\" src=\"https:\/\/miyakojima-seikei.com\/blog\/wp-content\/uploads\/image-162.png\" alt=\"\" srcset=\"https:\/\/miyakojima-seikei.com\/blog\/wp-content\/uploads\/image-162.png 582w, https:\/\/miyakojima-seikei.com\/blog\/wp-content\/uploads\/image-162-259x300.png 259w, https:\/\/miyakojima-seikei.com\/blog\/wp-content\/uploads\/image-162-518x600.png 518w\" sizes=\"auto, (max-width: 150px) 100vw, 150px\" \/><\/li>\n\n\n\n<li><strong>\u8ef8\u690e\u5782\u76f4\u4e9c\u8131\u81fc<\/strong>\uff08Vertical Atlantoaxial Subluxation\uff09\uff1aVAAI\uff1a\u8ef8\u690e\uff08C2\uff09\u304c\u5782\u76f4\u65b9\u5411\u306b\u8131\u81fc\u3059\u308b\u75c5\u614b<img loading=\"lazy\" decoding=\"async\" width=\"150\" height=\"114\" class=\"wp-image-1453\" style=\"width: 150px;\" src=\"https:\/\/miyakojima-seikei.com\/blog\/wp-content\/uploads\/image-163.png\" alt=\"\"><\/li>\n\n\n\n<li><strong>\u9838\u690e\u8ef8\u690e\u4e0b\u75c5\u5909<\/strong>\uff08Sublaxial leision\uff09\uff1a\u8ef8\u690e\uff08C2\uff09\u3088\u308a\u3082\u4e0b\u4f4d\u306e\u9838\u690e\uff08C3\u4ee5\u4e0b\uff09\u306b\u767a\u751f\u3059\u308b\u7570\u5e38\u3084\u75c5\u5909\u3002\u95a2\u7bc0\u30ea\u30a6\u30de\u30c1\u306e\u30b3\u30f3\u30c8\u30ed\u30fc\u30eb\u304c\u4e0d\u826f\u306a\u4f8b\u3067\u751f\u3058\u308b\u3053\u3068\u304c\u3042\u308b\u3002<\/li>\n<\/ul>\n\n\n\n<p><strong>\u624b<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>\u30dc\u30bf\u30f3\u7a74\u5909\u5f62<\/strong>\uff08Boutonniere deformity\uff09\uff1a\u6ed1\u819c\u708e\u306b\u3088\u308b\u95a2\u7bc0\u306e\u816b\u5927\u306b\u3088\u308a\u3001<strong><strong>DIP\u95a2\u7bc0\u904e\u4f38\u5c55<\/strong><\/strong>\u30fb<strong>PIP\u95a2\u7bc0\u5c48\u66f2<\/strong>\u306e\u5909\u5f62\u304c\u751f\u3058\u308b<img loading=\"lazy\" decoding=\"async\" width=\"150\" height=\"83\" class=\"wp-image-1390\" style=\"width: 150px;\" src=\"https:\/\/miyakojima-seikei.com\/blog\/wp-content\/uploads\/image-144.png\" alt=\"\"><\/li>\n\n\n\n<li><strong>\u30b9\u30ef\u30f3\u30cd\u30c3\u30af\u5909\u5f62\uff08Swan neckdeformity\uff09<\/strong>\uff1a<strong>DIP\u95a2\u7bc0\u5c48\u66f2\u30fbPIP\u95a2\u7bc0\u904e\u4f38\u5c55\u30fbMP\u95a2\u7bc0\u5c48\u66f2<\/strong>\u306e\u5909\u5f62\u304c\u751f\u3058\u308b<img loading=\"lazy\" decoding=\"async\" width=\"150\" height=\"68\" class=\"wp-image-1391\" style=\"width: 150px;\" src=\"https:\/\/miyakojima-seikei.com\/blog\/wp-content\/uploads\/image-145.png\" alt=\"\"><\/li>\n\n\n\n<li><strong>MP\u95a2\u7bc0\u5c3a\u5074\u504f\u4f4d<\/strong>\uff1a<strong>\u624b\u6307\u306eMP\u95a2\u7bc0\uff08\u4e2d\u624b\u6307\u7bc0\u95a2\u7bc0\uff09\u304c\u5c0f\u6307\u5074\uff08\u5c3a\u5074\uff09\u306b\u5411\u304b\u3063\u3066\u504f\u4f4d\u3059\u308b<\/strong><img loading=\"lazy\" decoding=\"async\" width=\"150\" height=\"120\" class=\"wp-image-1454\" style=\"width: 150px;\" src=\"https:\/\/miyakojima-seikei.com\/blog\/wp-content\/uploads\/image-164.png\" alt=\"\"><\/li>\n<\/ul>\n\n\n\n<p><strong>\u8db3<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>\u5916\u53cd\u6bcd\u8dbe<\/strong>\uff1a\u6bcd\u8dbe\u304c\u5c0f\u8dbe\u5074\u3092\u5411\u304f\u3002<img loading=\"lazy\" decoding=\"async\" width=\"150\" height=\"196\" class=\"wp-image-1464\" style=\"width: 150px;\" src=\"https:\/\/miyakojima-seikei.com\/blog\/wp-content\/uploads\/image-170.png\" alt=\"\" srcset=\"https:\/\/miyakojima-seikei.com\/blog\/wp-content\/uploads\/image-170.png 860w, https:\/\/miyakojima-seikei.com\/blog\/wp-content\/uploads\/image-170-229x300.png 229w, https:\/\/miyakojima-seikei.com\/blog\/wp-content\/uploads\/image-170-459x600.png 459w\" sizes=\"auto, (max-width: 150px) 100vw, 150px\" \/><\/li>\n\n\n\n<li><strong>\u5185\u53cd\u5c0f\u8dbe\uff1a<\/strong>\u5c0f\u8dbe\u304c\u6bcd\u6307\u5074\u3092\u5411\u304f<img loading=\"lazy\" decoding=\"async\" width=\"150\" height=\"196\" class=\"wp-image-1463\" style=\"width: 150px;\" src=\"https:\/\/miyakojima-seikei.com\/blog\/wp-content\/uploads\/image-169.png\" alt=\"\" srcset=\"https:\/\/miyakojima-seikei.com\/blog\/wp-content\/uploads\/image-169.png 860w, https:\/\/miyakojima-seikei.com\/blog\/wp-content\/uploads\/image-169-229x300.png 229w, https:\/\/miyakojima-seikei.com\/blog\/wp-content\/uploads\/image-169-459x600.png 459w\" sizes=\"auto, (max-width: 150px) 100vw, 150px\" \/><\/li>\n\n\n\n<li><strong>\u958b\u5e33\u8db3<\/strong>\uff1a\u6a2a\u30a2\u30fc\u30c1\u306e\u4f4e\u4e0b\u306b\u3088\u308a\u3001\u524d\u8db3\u90e8\u306e\u5e45\u304c\u5e83\u304c\u308b<img loading=\"lazy\" decoding=\"async\" width=\"150\" height=\"196\" class=\"wp-image-1465\" style=\"width: 150px;\" src=\"https:\/\/miyakojima-seikei.com\/blog\/wp-content\/uploads\/image-171.png\" alt=\"\" srcset=\"https:\/\/miyakojima-seikei.com\/blog\/wp-content\/uploads\/image-171.png 860w, https:\/\/miyakojima-seikei.com\/blog\/wp-content\/uploads\/image-171-229x300.png 229w, https:\/\/miyakojima-seikei.com\/blog\/wp-content\/uploads\/image-171-459x600.png 459w\" sizes=\"auto, (max-width: 150px) 100vw, 150px\" \/><\/li>\n\n\n\n<li><strong>\u504f\u5e73\u8db3<\/strong>\uff1a\u7e26\u30a2\u30fc\u30c1\u306e\u4f4e\u4e0b\u306b\u3057\u3001\u8db3\u306e\u88cf\u5168\u4f53\u304c\u5730\u9762\u306b\u63a5\u3059\u308b\u72b6\u614b\u306b\u306a\u308b<img loading=\"lazy\" decoding=\"async\" width=\"97\" height=\"63\" class=\"wp-image-1462\" style=\"width: 97px;\" src=\"https:\/\/miyakojima-seikei.com\/blog\/wp-content\/uploads\/image-168.png\" alt=\"\"><\/li>\n\n\n\n<li><strong>Claw toe<\/strong>\uff08\u9df2\u722a\u5909\u5f62\uff09\uff1a\u8db3\u306e\u7b2c2\u30fc\u7b2c5\u8db3\u6307\u306e<strong>DIP\u95a2\u7bc0\u5c48\u66f2\u30fbPIP\u95a2\u7bc0\u5c48\u66f2\u30fbMTP\u95a2\u7bc0\u4f38\u5c55<\/strong>\u306e\u5909\u5f62\u3002\u6307\u306e\u4e0a\u90e8\u3084\u5148\u7aef\u306b\u30bf\u30b3\u3084\u80fc\u80dd\u304c\u3067\u304d\u3001\u75db\u307f\u306e\u539f\u56e0\u306b\u306a\u308b\u3002<img loading=\"lazy\" decoding=\"async\" width=\"93\" height=\"73\" class=\"wp-image-1461\" style=\"width: 93px;\" src=\"https:\/\/miyakojima-seikei.com\/blog\/wp-content\/uploads\/image-167.png\" alt=\"\"><\/li>\n\n\n\n<li><strong>Hammer toe<\/strong>\uff08\u69cc\u72b6\u5909\u5f62\uff09\uff1a\u8db3\u306e\u7b2c2\u30fc\u7b2c5\u8db3\u6307\u306e<strong>DIP\u95a2\u7bc0\u904e\u4f38\u5c55\u30fbPIP\u95a2\u7bc0\u5c48\u66f2<\/strong>\u306e\u5909\u5f62<img loading=\"lazy\" decoding=\"async\" width=\"103\" height=\"75\" class=\"wp-image-1460\" style=\"width: 103px;\" src=\"https:\/\/miyakojima-seikei.com\/blog\/wp-content\/uploads\/image-166.png\" alt=\"\"><\/li>\n<\/ul>\n\n\n<div class=\"su-spacer\" style=\"height:60px\"><\/div>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>\u8d85\u97f3\u6ce2\u691c\u67fb<\/strong>: \u6ed1\u819c\u306e\u708e\u75c7\u3084\u95a2\u7bc0\u5185\u306e\u6db2\u4f53\u306e\u5897\u52a0\u3092\u8a55\u4fa1\u3057\u307e\u3059\u3002\u691c\u67fb\u8005\u306b\u3088\u3063\u3066\u306e\u3070\u3089\u3064\u304d\u306f\u3042\u308a\u307e\u3059\u304c\u3001<strong>X\u7dda\u3088\u308a\u3082\u65e9\u671f\u306e\u95a2\u7bc0\u708e\u3092\u691c\u51fa\u3067\u304d\u308b\u5834\u5408\u304c\u3042\u308a\u307e\u3059\u3002<\/strong>\u95a2\u7bc0\u30ea\u30a6\u30de\u30c1\u3067\u306f\u3001\u95a2\u7bc0\u5185\u306e\u708e\u75c7\u3092\u53cd\u6620\u3057\u3066\u3001\u30d1\u30ef\u30fc\u30c9\u30c3\u30d7\u30e9\u30fc\u6cd5\u3067\u8840\u6d41\u304c\u8c4a\u5bcc\u306b\u306a\u308a\u307e\u3059\u3002<\/li>\n<\/ul>\n\n\n<div class=\"wp-block-image\">\n<figure class=\"aligncenter size-full is-resized\"><img loading=\"lazy\" decoding=\"async\" width=\"234\" height=\"172\" src=\"https:\/\/miyakojima-seikei.com\/blog\/wp-content\/uploads\/image-160.png\" alt=\"\" class=\"wp-image-1442\" style=\"width:234px;height:auto\"\/><figcaption class=\"wp-element-caption\"><strong>\u95a2\u7bc0\u30ea\u30a6\u30de\u30c1\u306e\u6307\u306e\u95a2\u7bc0\u30a8\u30b3\u30fc<\/strong><\/figcaption><\/figure>\n<\/div>\n\n<div class=\"su-spacer\" style=\"height:60px\"><\/div>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>MRI\uff08\u78c1\u6c17\u5171\u9cf4\u753b\u50cf\uff09<\/strong>: <strong>\u9aa8\u3073\u3089\u3093\u3084\u6ed1\u819c\u708e\u306e\u6709\u7121<\/strong>\u306a\u3069\u306e\u8a73\u7d30\u306a\u5909\u5316\u3092\u691c\u51fa\u3057\u3067\u304d\u307e\u3046\u3002\u7279\u306b<strong>\u65e9\u671f\u95a2\u7bc0\u30ea\u30a6\u30de\u30c1\u306e\u8a3a\u65ad<\/strong>\u306b\u6709\u52b9\u3067\u3059\u3002<\/li>\n<\/ul>\n\n\n<div class=\"wp-block-image\">\n<figure class=\"aligncenter size-large is-resized\"><img loading=\"lazy\" decoding=\"async\" width=\"601\" height=\"600\" src=\"https:\/\/miyakojima-seikei.com\/blog\/wp-content\/uploads\/image-161-601x600.png\" alt=\"\" class=\"wp-image-1444\" style=\"width:219px;height:auto\" srcset=\"https:\/\/miyakojima-seikei.com\/blog\/wp-content\/uploads\/image-161-601x600.png 601w, https:\/\/miyakojima-seikei.com\/blog\/wp-content\/uploads\/image-161-300x300.png 300w, https:\/\/miyakojima-seikei.com\/blog\/wp-content\/uploads\/image-161.png 668w\" sizes=\"auto, (max-width: 601px) 100vw, 601px\" \/><figcaption class=\"wp-element-caption\"><strong>\u95a2\u7bc0\u30ea\u30a6\u30de\u30c1\u60a3\u8005\u306eMRI\u753b\u50cf\uff08\u21d2\u306f\u624b\u306e\u9aa8\u3073\u3089\u3093\uff09<\/strong><\/figcaption><\/figure>\n<\/div>\n\n<div class=\"su-spacer\" style=\"height:60px\"><\/div>\n\n\n\n<h3 class=\"wp-block-heading\">\u2463<strong>\u95a2\u7bc0\u6db2\u691c\u67fb<\/strong><\/h3>\n\n\n\n<p>\u95a2\u7bc0\u6db2\u304c\u8caf\u7559\u3057\u3066\u3044\u308b\u5834\u5408\u3001\u95a2\u7bc0\u6db2\u306e\u708e\u75c7\u306e\u6709\u7121\u3084\u611f\u67d3\u75c7\u3001\u75db\u98a8\u3001\u507d\u75db\u98a8\u306a\u3069\u306e\u4ed6\u306e\u95a2\u7bc0\u708e\u306e\u53ef\u80fd\u6027\u304c\u306a\u3044\u304b\u8003\u616e\u3057\u307e\u3059\u3002\u95a2\u7bc0\u30ea\u30a6\u30de\u30c1\u306e\u95a2\u7bc0\u6db2\u306f\u3001\u708e\u75c7\u7d30\u80de\u306e\u5897\u52a0\u306b\u3088\u308a\u6df7\u6fc1\u3057\u305f\u95a2\u7bc0\u6db2\u3068\u306a\u308a\u3001\u6ed1\u819c\u306e\u708e\u75c7\u306b\u3088\u308a\u3001\u95a2\u7bc0\u6db2\u306e\u7523\u751f\u304c\u5897\u3048\u3001\u7c98\u6027\u304c\u4f4e\u4e0b\u3057\u307e\u3059\u3002<img loading=\"lazy\" decoding=\"async\" width=\"150\" height=\"176\" class=\"wp-image-1437\" style=\"width: 150px;\" src=\"https:\/\/miyakojima-seikei.com\/blog\/wp-content\/uploads\/image-159.png\" alt=\"\" srcset=\"https:\/\/miyakojima-seikei.com\/blog\/wp-content\/uploads\/image-159.png 387w, https:\/\/miyakojima-seikei.com\/blog\/wp-content\/uploads\/image-159-256x300.png 256w\" sizes=\"auto, (max-width: 150px) 100vw, 150px\" \/><\/p>\n\n\n<div class=\"su-spacer\" style=\"height:60px\"><\/div>\n\n\n\n<p>\u2460<strong>\u554f\u8a3a\u3068\u8eab\u4f53\u8a3a\u5bdf\u2461\u8840\u6db2\u691c\u67fb<\/strong>\u2462<strong>\u753b\u50cf\u691c\u67fb<\/strong>\u306e\u4e09\u3064\u306f\u95a2\u7bc0\u30ea\u30a6\u30de\u30c1\u306e\u8a3a\u65ad\u306b\u304a\u3044\u3066\u3001\u5fc5\u9808\u3067\u3059\u3002<\/p>\n\n\n<div class=\"su-spacer\" style=\"height:100px\"><\/div>\n\n\n\n<h2 class=\"wp-block-heading has-text-align-center has-large-font-size\">\u95a2\u7bc0\u30ea\u30a6\u30de\u30c1\u306e\u8a3a\u65ad<\/h2>\n\n\n<div class=\"su-divider su-divider-style-double\" style=\"margin:15px 0;border-width:20px;border-color:#f79b2d\"><\/div>\n\n\n\n<p>\u95a2\u7bc0\u30ea\u30a6\u30de\u30c1\u306e\u8a3a\u65ad\u3092\u884c\u3046\u305f\u3081\u306e\u8003\u3048\u65b9\u3068\u3057\u3066\u306f\u3001\u6b21\u306e\u2460\uff0d\u2462\u306e\u624b\u9806\u3067\u95a2\u7bc0\u30ea\u30a6\u30de\u30c1\u304b\u3069\u3046\u304b\u3092\u5224\u65ad\u3057\u307e\u3059\u3002<\/p>\n\n\n<div class=\"su-spacer\" style=\"height:60px\"><\/div>\n\n\n\n<ol class=\"wp-block-list\">\n<li><strong>1\u3064\u4ee5\u4e0a\u306e\u95a2\u7bc0\u306e\u816b\u308c\u3084\u75db\u307f\u304c\u3042\u308b\u304b\u3002<\/strong>\n<ul class=\"wp-block-list\">\n<li>\u95a2\u7bc0\u306b\u75c7\u72b6\u304c\u306a\u3044\u5834\u5408\u306f\u95a2\u7bc0\u30ea\u30a6\u30de\u30c1\u306e\u8a3a\u65ad\u306b\u306f\u306a\u308a\u307e\u305b\u3093\u3002<\/li>\n<\/ul>\n<\/li>\n\n\n\n<li><strong>\u3088\u308a\u53ef\u80fd\u6027\u304c\u9ad8\u3044\u4ed6\u306e\u95a2\u7bc0\u708e\u75be\u60a3\u3067\u306f\u306a\u3044\u304b\u3002<\/strong>\n<ul class=\"wp-block-list\">\n<li>\u95a2\u7bc0\u306b\u75db\u307f\u304c\u3067\u308b\u75c5\u6c17\u306f\u591a\u6570\u3042\u308a\u307e\u3059\u3002\u554f\u8a3a\u3084\u81e8\u5e8a\u6240\u898b\u306a\u3069\u304b\u3089\u3001\u4ed6\u306e\u95a2\u7bc0\u708e\u75be\u60a3\u304c\u3088\u308a\u7591\u308f\u308c\u308b\u5834\u5408\u306f\u3001\u95a2\u7bc0\u30ea\u30a6\u30de\u30c1\u3068\u306f\u5206\u985e\u3055\u308c\u307e\u305b\u3093\u3002<\/li>\n<\/ul>\n<\/li>\n\n\n\n<li><strong>\u9aa8\u3073\u3089\u3093\u304c\u3042\u308b\u304b<\/strong>\n<ul class=\"wp-block-list\">\n<li>\u5358\u7d14\u30ec\u30f3\u30c8\u30b2\u30f3\u3067\u308f\u304b\u308b\u3088\u3046\u306a\u9aa8\u3073\u3089\u3093\u304c\u3042\u308b\u5834\u5408\u306f\u95a2\u7bc0\u30ea\u30a6\u30de\u30c1\u306e\u8a3a\u65ad\u3068\u306a\u308a\u307e\u3059\u3002<\/li>\n<\/ul>\n<\/li>\n\n\n\n<li><strong>\u95a2\u7bc0\u30ea\u30a6\u30de\u30c1\u5206\u985e\u57fa\u6e96\u306b\u5f53\u3066\u306f\u307e\u308b\u304b\u3002<\/strong>\n<ul class=\"wp-block-list\">\n<li>ACR\/EULAR 2010\u5e74 \u95a2\u7bc0\u30ea\u30a6\u30de\u30c1\u5206\u985e\u57fa\u6e96\u3092\u6e80\u305f\u3059\u5834\u5408\u306b\u95a2\u7bc0\u30ea\u30a6\u30de\u30c1\u3068\u8a3a\u65ad\u3057\u307e\u3059\u3002<\/li>\n<\/ul>\n<\/li>\n<\/ol>\n\n\n\n<figure class=\"wp-block-image size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"800\" height=\"433\" src=\"https:\/\/miyakojima-seikei.com\/blog\/wp-content\/uploads\/795316b92fc766b0181f6fef074f03fa-2-800x433.png\" alt=\"\" class=\"wp-image-1487\" srcset=\"https:\/\/miyakojima-seikei.com\/blog\/wp-content\/uploads\/795316b92fc766b0181f6fef074f03fa-2-800x433.png 800w, https:\/\/miyakojima-seikei.com\/blog\/wp-content\/uploads\/795316b92fc766b0181f6fef074f03fa-2-400x217.png 400w, https:\/\/miyakojima-seikei.com\/blog\/wp-content\/uploads\/795316b92fc766b0181f6fef074f03fa-2.png 1648w\" sizes=\"auto, (max-width: 800px) 100vw, 800px\" \/><\/figure>\n\n\n<div class=\"su-spacer\" style=\"height:100px\"><\/div>\n\n\n<div class=\"su-spacer\" style=\"height:60px\"><\/div>\n\n\n\n<p class=\"has-medium-font-size\"><strong>ACR\/EULAR 2010\u5e74 \u95a2\u7bc0\u30ea\u30a6\u30de\u30c1\u5206\u985e\u57fa\u6e96<\/strong><\/p>\n\n\n<div class=\"su-spacer\" style=\"height:60px\"><\/div>\n\n\n\n<p> \u95a2\u7bc0\u30ea\u30a6\u30de\u30c1\u306e\u8a3a\u65ad\u306b\u3042\u305f\u3063\u3066\u3001<strong>2010\u5e74<\/strong>\u306b<strong>ACR\/EULAR\u304c\u7b56\u5b9a\u3057\u305f\u95a2\u7bc0\u30ea\u30a6\u30de\u30c1\u306e\u30ac\u30a4\u30c9\u30e9\u30a4\u30f3\uff082010\u5e74\u7248\uff09<\/strong>\u306b\u305d\u3063\u3066\u8a3a\u65ad\u3092\u884c\u3044\u307e\u3059\u3002\u5177\u4f53\u7684\u306b\u306f\u4ee5\u4e0b\u306e4\u3064\u306e\u30ab\u30c6\u30b4\u30ea\u30fc\u304c\u3042\u308a\u3001\u5408\u8a086\u70b9\u4ee5\u4e0a\u3067\u95a2\u7bc0\u30ea\u30a6\u30de\u30c1\u3068\u8a3a\u65ad\u3055\u308c\u307e\u3059\u3002<\/p>\n\n\n\n<figure class=\"wp-block-image size-full is-resized\"><img loading=\"lazy\" decoding=\"async\" width=\"319\" height=\"495\" src=\"https:\/\/miyakojima-seikei.com\/blog\/wp-content\/uploads\/image-174.png\" alt=\"\" class=\"wp-image-1491\" style=\"width:253px;height:auto\" srcset=\"https:\/\/miyakojima-seikei.com\/blog\/wp-content\/uploads\/image-174.png 319w, https:\/\/miyakojima-seikei.com\/blog\/wp-content\/uploads\/image-174-193x300.png 193w\" sizes=\"auto, (max-width: 319px) 100vw, 319px\" \/><\/figure>\n\n\n<div class=\"su-spacer\" style=\"height:60px\"><\/div>\n\n\n\n<p>\u2460<strong>\u95a2\u7bc0\u306e\u816b\u308c\uff08\u95a2\u7bc0\u75db\uff09\u90e8\u4f4d\u306e\u6570\u3068\u7bc4\u56f2\uff080\u301c5\u70b9\uff09<\/strong><\/p>\n\n\n<div class=\"su-spacer\" style=\"height:60px\"><\/div>\n\n\n\n<p>0\u70b9\u304b\u30895\u70b9\u307e\u3067\u3067\u8a55\u4fa1\u3057\u3001\u75c7\u72b6\u306e\u7bc4\u56f2\u306b\u57fa\u3065\u3044\u3066\u70b9\u6570\u304c\u52a0\u7b97\u3055\u308c\u307e\u3059\u3002\u624b\u3084\u8db3\u306a\u3069\u306e\u5c0f\u95a2\u7bc0\u307b\u3069\u9ad8\u3044\u70b9\u6570\uff08\u95a2\u7bc0\u30ea\u30a6\u30de\u30c1\u306e\u53ef\u80fd\u6027\u304c\u9ad8\u3044\uff09\u3068\u306a\u308a\u307e\u3059\u3002<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>1\u5927\u95a2\u7bc0\uff08\u80a9\u3001\u8098\u3001\u80a1\u3001\u819d\u3001\u8db3\u9996\uff09: 0\u70b9<\/li>\n\n\n\n<li>2\u301c10\u5927\u95a2\u7bc0: 1\u70b9<\/li>\n\n\n\n<li>1\u301c3\u5c0f\u95a2\u7bc0\uff08\u624b\u306e\u6307\u3001\u8db3\u306e\u6307\u3001\u624b\u9996\u306a\u3069\uff09: 2\u70b9<\/li>\n\n\n\n<li>4\u301c10\u5c0f\u95a2\u7bc0: 3\u70b9<\/li>\n\n\n\n<li>10\u4ee5\u4e0a\u306e\u95a2\u7bc0\uff08\u5c11\u306a\u304f\u3068\u30821\u5c0f\u95a2\u7bc0\u3092\u542b\u3080\uff09: 5\u70b9<\/li>\n<\/ul>\n\n\n\n<figure class=\"wp-block-image size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"615\" height=\"123\" src=\"https:\/\/miyakojima-seikei.com\/blog\/wp-content\/uploads\/image-172.png\" alt=\"\" class=\"wp-image-1478\" srcset=\"https:\/\/miyakojima-seikei.com\/blog\/wp-content\/uploads\/image-172.png 615w, https:\/\/miyakojima-seikei.com\/blog\/wp-content\/uploads\/image-172-400x80.png 400w\" sizes=\"auto, (max-width: 615px) 100vw, 615px\" \/><\/figure>\n\n\n<div class=\"su-spacer\" style=\"height:60px\"><\/div>\n\n\n\n<p>\u2461<strong>\u8840\u6e05\u5b66\u7684\u691c\u67fb\uff08\u30ea\u30a6\u30de\u30c8\u30a4\u30c9\u56e0\u5b50[RF]\u3084\u6297CCP\u6297\u4f53\uff09: 0\u301c3\u70b9<\/strong><\/p>\n\n\n<div class=\"su-spacer\" style=\"height:60px\"><\/div>\n\n\n\n<p>\u6297\u4f53\u306e\u967d\u6027\u30fb\u9670\u6027\u306b\u57fa\u3065\u3044\u3066\u70b9\u6570\u3092\u4ed8\u3051\u307e\u3059\u3002\u7279\u306bCCP\u6297\u4f53\u306f\u95a2\u7bc0\u30ea\u30a6\u30de\u30c1\u306e\u65e9\u671f\u8a3a\u65ad\u3084\u4e88\u5f8c\u4e88\u6e2c\u306b\u4f7f\u308f\u308c\u308b\u3053\u3068\u3082\u591a\u304f\u3001\u9ad8\u5024\u3067\u3042\u308c\u3070\u95a2\u7bc0\u7834\u58ca\u304c\u9032\u884c\u3059\u308b\u30ea\u30b9\u30af\u304c\u9ad8\u308a\u307e\u3059\u3002<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>RF\u304a\u3088\u3073\u6297CCP\u6297\u4f53\u304c\u4e21\u65b9\u3068\u3082\u9670\u6027: 0\u70b9<\/li>\n\n\n\n<li>\u4f4e\u967d\u6027\uff08\u57fa\u6e96\u5024\u3088\u308a\u5c11\u3057\u9ad8\u3044\u5834\u5408\uff09: 2\u70b9<\/li>\n\n\n\n<li>\u9ad8\u967d\u6027\uff08\u57fa\u6e96\u5024\u306e3\u500d\u4ee5\u4e0a\u306e\u5834\u5408\uff09: 3\u70b9<\/li>\n<\/ul>\n\n\n<div class=\"su-spacer\" style=\"height:60px\"><\/div>\n\n\n\n<p>\u2462<strong>\u708e\u75c7\u53cd\u5fdc\u306e\u6709\u7121\uff08CRP\u304a\u3088\u3073ESR\uff08\u8d64\u8840\u7403\u6c88\u964d\u901f\u5ea6\uff09\uff09: 0\u301c1\u70b9<\/strong><\/p>\n\n\n\n<p>\u3000\u95a2\u7bc0\u30ea\u30a6\u30de\u30c1\u60a3\u8005\u306e\u4f53\u5185\u306e\u708e\u75c7\u30ec\u30d9\u30eb\u3092\u53cd\u6620\u3059\u308b\u691c\u67fb\u9805\u76ee\u3067\u3042\u308a\u3001\u6cbb\u7642\u52b9\u679c\u3084\u75be\u60a3\u6d3b\u52d5\u6027\u3092\u30e2\u30cb\u30bf\u30ea\u30f3\u30b0\u3059\u308b\u305f\u3081\u306b\u3082\u4f7f\u308f\u308c\u307e\u3059\u3002CRP\u306f\u6025\u6027\u671f\u53cd\u5fdc\u30bf\u30f3\u30d1\u30af\u8cea\u3068\u547c\u3070\u308c\u3001\u95a2\u7bc0\u30ea\u30a6\u30de\u30c1\u306e\u6d3b\u52d5\u6027\u3084\u75c5\u52e2\u306e\u6025\u6fc0\u306a\u60aa\u5316\u3092\u30ea\u30a2\u30eb\u30bf\u30a4\u30e0\u3067\u628a\u63e1\u3059\u308b\u306e\u306b\u5f79\u7acb\u3061\u307e\u3059\u3002\u4e00\u65b9ESR\u306fCRP\u306b\u6bd4\u3079\u3066\u3001\u3088\u308a\u9577\u671f\u9593\u306e\u708e\u75c7\u306e\u72b6\u614b\u3092\u53cd\u6620\u3059\u308b\u305f\u3081\u3001\u95a2\u7bc0\u30ea\u30a6\u30de\u30c1\u306e\u6162\u6027\u708e\u75c7\u306e\u8a55\u4fa1\u306b\u5f79\u7acb\u3061\u307e\u3059\u3002<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>CRP\u3068ESR\u304c\u6b63\u5e38: 0\u70b9<\/li>\n\n\n\n<li>CRP\u307e\u305f\u306fESR\u304c\u7570\u5e38\uff08\u57fa\u6e96\u5024\u3092\u8d85\u3048\u308b\uff09: 1\u70b9<\/li>\n<\/ul>\n\n\n\n<figure class=\"wp-block-image size-full is-resized\"><img loading=\"lazy\" decoding=\"async\" width=\"540\" height=\"360\" src=\"https:\/\/miyakojima-seikei.com\/blog\/wp-content\/uploads\/image-173.png\" alt=\"\" class=\"wp-image-1480\" style=\"width:203px;height:auto\" srcset=\"https:\/\/miyakojima-seikei.com\/blog\/wp-content\/uploads\/image-173.png 540w, https:\/\/miyakojima-seikei.com\/blog\/wp-content\/uploads\/image-173-400x267.png 400w\" sizes=\"auto, (max-width: 540px) 100vw, 540px\" \/><\/figure>\n\n\n<div class=\"su-spacer\" style=\"height:60px\"><\/div>\n\n\n\n<p>\u2463<strong>\u75c7\u72b6\u306e\u6301\u7d9a\u671f\u9593: 0\u301c1\u70b9<\/strong><\/p>\n\n\n\n<p>\u3000\u95a2\u7bc0\u30ea\u30a6\u30de\u30c1\u306f\u6162\u6027\u7684\u306a\u708e\u75c7\u3092\u304d\u305f\u3059\u75c5\u6c17\u3067\u3042\u308a\u3001\u75c7\u72b6\u306e\u6301\u7d9a\u671f\u9593\u306b\u3088\u3063\u3066\u70b9\u6570\u304c\u6c7a\u307e\u308a\u307e\u3059\u3002<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>6\u9031\u9593\u672a\u6e80: 0\u70b9<\/li>\n\n\n\n<li>6\u9031\u9593\u4ee5\u4e0a: 1\u70b9<\/li>\n<\/ul>\n\n\n<div class=\"su-spacer\" style=\"height:60px\"><\/div>\n\n\n\n<p>\u4e00\u65b9\u3001<strong>\u3053\u306e\u5206\u985e\u57fa\u6e96\u3067\u5408\u8a08\u70b9\u304c5\u70b9\u4ee5\u4e0b\u306e\u5834\u5408\u306f\u305d\u306e\u6642\u70b9\u3067\u306f\u95a2\u7bc0\u30ea\u30a6\u30de\u30c1\u3068\u5206\u985e\u3067\u304d\u307e\u305b\u3093\u304c\u3001\u5c06\u6765\u7684\u306b\u95a2\u7bc0\u30ea\u30a6\u30de\u30c1\u306b\u5206\u985e\u53ef\u80fd\u3068\u306a\u308b\u5834\u5408\u3082\u3042\u308b\u305f\u3081\u3001\u5fc5\u8981\u306b\u5fdc\u3058\u5f8c\u65e5\u6539\u3081\u3066\u8a55\u4fa1\u3059\u308b\u3053\u3068\u3067\u3001\u95a2\u7bc0\u30ea\u30a6\u30de\u30c1\u306e\u8a3a\u65ad\u306b\u3044\u305f\u308b\u3053\u3068\u304c\u3042\u308b<\/strong>\u306e\u3067\u3001\u4e00\u5ea6\u8a3a\u65ad\u3055\u308c\u3066\u3044\u306a\u3044\u304b\u3089\u3068\u3044\u3063\u3066\u3001\u95a2\u7bc0\u30ea\u30a6\u30de\u30c1\u3067\u306f\u7121\u3044\u3068\u65ad\u5b9a\u3057\u306a\u3044\u3053\u3068\u304c\u91cd\u8981\u3067\u3059\u3002<\/p>\n\n\n<div class=\"su-spacer\" style=\"height:100px\"><\/div>\n\n\n\n<h2 class=\"wp-block-heading has-text-align-center has-large-font-size\">\u95a2\u7bc0\u30ea\u30a6\u30de\u30c1\u306e\u9451\u5225<\/h2>\n\n\n<div class=\"su-divider su-divider-style-double\" style=\"margin:15px 0;border-width:20px;border-color:#f79b2d\"><\/div>\n\n\n\n<p>\u95a2\u7bc0\u30ea\u30a6\u30de\u30c1\u306f\u5168\u8eab\u306e\u95a2\u7bc0\u304c\u969c\u5bb3\u3055\u308c\u308b\u75c5\u6c17\u3067\u3059\u304c\u3001\u95a2\u7bc0\u30ea\u30a6\u30de\u30c1\u3068\u306e\u9451\u5225\u304c\u5fc5\u8981\u306a\u3001<strong>\u95a2\u7bc0\u3084\u5168\u8eab\u306b\u816b\u308c\u3084\u75db\u307f\u3092\u5f15\u304d\u8d77\u3053\u3059\u3088\u3046\u306a\u4ed6\u306e\u75be\u60a3\u3068\u306e\u533a\u5225\u304c\u91cd\u8981<\/strong>\u3067\u3059\u3002<\/p>\n\n\n<div class=\"su-spacer\" style=\"height:60px\"><\/div>\n\n\n\n<p class=\"has-medium-font-size\"><strong>\u9451\u5225\u75be\u60a3<\/strong><\/p>\n\n\n\n<ol class=\"wp-block-list\">\n<li><strong>\u5909\u5f62\u6027\u95a2\u7bc0\u75c7<\/strong>\n<ul class=\"wp-block-list\">\n<li>\u521d\u671f\u306b\u306f\u708e\u75c7\u304c\u5c11\u306a\u3044\u3002\u4f53\u91cd\u3092\u304b\u3051\u308b\u5927\u95a2\u7bc0\uff08\u819d\u3001\u80a1\u95a2\u7bc0\uff09\u306b\u8d77\u3053\u308a\u3084\u3059\u3044\u3002<\/li>\n<\/ul>\n<\/li>\n\n\n\n<li><strong>\u4e7e\u766c\u6027\u95a2\u7bc0\u708e<\/strong>(\u304b\u3093\u305b\u3093\u305b\u3044\u304b\u3093\u305b\u3064\u3048\u3093)\n<ul class=\"wp-block-list\">\n<li>\u6307\u3084\u8db3\u8dbe\u306e\u300c\u30bd\u30fc\u30bb\u30fc\u30b8\u72b6\u300d\u816b\u8139\uff08\u6307\u8dbe\u708e\uff09\u304c\u7279\u5fb4\u3002\u95a2\u7bc0\u708e\u306f\u975e\u5bfe\u79f0\u6027\u3067\u3042\u308b\u3053\u3068\u304c\u591a\u304f\u3001\u4e7e\u766c\u306e\u76ae\u819a\u75c5\u5909\uff08\u7279\u306b\u8098\u3001\u982d\u76ae\u3001\u819d\u306e\u90e8\u4f4d\uff09\u3092\u4f34\u3046\u3053\u3068\u304c\u591a\u3044<\/li>\n<\/ul>\n<\/li>\n\n\n\n<li><strong>\u611f\u67d3\u6027\u95a2\u7bc0\u708e<\/strong>(\u304b\u3093\u305b\u3093\u305b\u3044\u304b\u3093\u305b\u3064\u3048\u3093)<\/li>\n\n\n\n<li><strong>\u75db\u98a8\u30fb\u507d\u75db\u98a8<\/strong>\n<ul class=\"wp-block-list\">\n<li>\u95a2\u7bc0\u6db2\u304b\u3089\u5c3f\u9178\u7d50\u6676\u3084\u30d4\u30ed\u30ea\u30f3\u9178\u30ab\u30eb\u30b7\u30a6\u30e0\u7d50\u6676\u304c\u898b\u3089\u308c\u308b\u3002\u6025\u6027\u306e\u767a\u4f5c\u304c\u7279\u5fb4\u7684<\/li>\n<\/ul>\n<\/li>\n\n\n\n<li><strong>\u30ea\u30a6\u30de\u30c1\u6027\u591a\u767a\u7b4b\u75db\u75c7<\/strong>\n<ul class=\"wp-block-list\">\n<li>\u9ad8\u9f62\u8005\u306b\u591a\u304f\u80a9\u3084\u8170\u5468\u8fba\u306b\u5e83\u7bc4\u56f2\u306e\u7b4b\u8089\u75db\u3092\u4f34\u3046\u3002\u7b4b\u8089\u3084\u95a2\u7bc0\u5468\u56f2\u306e\u7d44\u7e54\u306e\u75db\u307f\u304c\u4e3b\u3002<\/li>\n<\/ul>\n<\/li>\n\n\n\n<li><strong>\u5f37\u76f4\u6027\u810a\u690e\u708e\uff08AS: Ankylosing Spondylitis\uff09<\/strong>\n<ul class=\"wp-block-list\">\n<li>\u810a\u690e\u3084\u4ed9\u8178\u95a2\u7bc0\u306b\u5f37\u3044\u708e\u75c7\u304c\u4e3b\u3002<\/li>\n<\/ul>\n<\/li>\n\n\n\n<li><strong>RS3PE\u75c7\u5019\u7fa4<\/strong>\uff08\u30a2\u30fc\u30eb\u30a8\u30b9\u30b9\u30ea\u30fc\u30d4\u30fc\u30a4\u30fc\u3057\u3087\u3046\u3053\u3046\u3050\u3093\uff09\n<ul class=\"wp-block-list\">\n<li>Remitting Seronegative Symmetrical Synovitis with Pitting Edema\u306e\u7565\u3067\u3001\u6025\u6027\u306e\u5bfe\u79f0\u6027\u95a2\u7bc0\u708e\u3068\u624b\u80cc\u3084\u8db3\u80cc\u306e\u5727\u75d5\u6027\u6d6e\u816b\u304c\u7279\u5fb4\u3002\u624b\u8db3\u306e\u95a2\u7bc0\u75db\u3084\u3053\u308f\u3070\u308a\u306f\u3042\u308b\u304c\u3001\u95a2\u7bc0\u7834\u58ca\u306f\u901a\u5e38\u898b\u3089\u308c\u306a\u3044\u3002<strong>\u30ea\u30a6\u30de\u30c8\u30a4\u30c9\u56e0\u5b50\uff08RF\uff09<strong>\u3084<\/strong>\u6297CCP\u6297\u4f53<\/strong>\u306f\u9670\u6027\u3002<\/li>\n<\/ul>\n<\/li>\n\n\n\n<li><strong>\u638c\u8e60\u81bf\u75b1\u75c7\u6027\u9aa8\u95a2\u7bc0\u708e<\/strong>(\u3057\u3087\u3046\u305b\u304d\u306e\u3046\u307b\u3046\u3057\u3087\u3046\u305b\u3044\u305b\u3064\u3048\u3093)\n<ul class=\"wp-block-list\">\n<li>\u4e3b\u306b\u80f8\u9396\u95a2\u7bc0\u3001\u808b\u9aa8\u9396\u9aa8\u95a2\u7bc0\u3001\u80a9\u95a2\u7bc0\u306a\u3069\u306e\u4f53\u5e79\u8fd1\u304f\u306e\u95a2\u7bc0\u708e\u304c\u4e3b\u3002\u624b\u306e\u3072\u3089\u3084\u8db3\u306e\u88cf\u306e\u81bf\u75b1\uff08\u638c\u8e60\u81bf\u75b1\uff09\u304c\u53cd\u5fa9\u7684\u306b\u51fa\u73fe\u3059\u308b\u3002\u30ea\u30a6\u30de\u30c1\u56e0\u5b50\uff08RF\uff09\u3084\u6297CCP\u6297\u4f53\u306f\u901a\u5e38\u9670\u6027<\/li>\n<\/ul>\n<\/li>\n\n\n\n<li><strong>\u708e\u75c7\u6027\u8178\u75be\u60a3\u306b\u3068\u3082\u306a\u3046\u95a2\u7bc0\u708e<\/strong>\uff08\u708e\u75c7\u6027\u8178\u75be\u60a3\uff08IBD\uff09\u95a2\u9023\u95a2\u7bc0\u708e\uff09\n<ul class=\"wp-block-list\">\n<li>\u5927\u95a2\u7bc0\uff08\u819d\u3001\u80a1\u95a2\u7bc0\u3001\u8db3\u95a2\u7bc0\u306a\u3069\uff09\u3084\u8ef8\u6027\u95a2\u7bc0\u708e\uff08\u4ed9\u8178\u95a2\u7bc0\u3084\u810a\u690e\uff09\u304c\u591a\u3044\u3002<strong>\u30ea\u30a6\u30de\u30c8\u30a4\u30c9\u56e0\u5b50\uff08RF\uff09<strong>\u3084<\/strong>\u6297CCP\u6297\u4f53<\/strong>\u306f\u901a\u5e38\u9670\u6027\u3002<\/li>\n<\/ul>\n<\/li>\n\n\n\n<li><strong>\u5168\u8eab\u6027\u30a8\u30ea\u30c6\u30de\u30c8\u30fc\u30c7\u30b9\u306a\u3069\u306e\u81a0\u539f\u75c5<\/strong>\n<ul class=\"wp-block-list\">\n<li>\u95a2\u7bc0\u75db\u306f\u975e\u7834\u58ca\u6027\u3002\u9aa8\u3073\u3089\u3093\u306f\u5c11\u306a\u3044\u3002&nbsp;\u8edf\u90e8\u7d44\u7e54\u306e\u5f1b\u7de9\u306b\u3088\u308a\u624b\u6307<em>\u5909\u5f62<\/em>\uff1aJaccoud&nbsp;\u5909\u5f62\u304c\u3042\u308b\u3053\u3068\u3082\u3002\u88dc\u4f53\u4fa1\uff08C3\u3001C4\uff09\u306e\u4f4e\u4e0b\u3001\u6297\u6838\u6297\u4f53\uff08ANA\uff09\u3001\u6297ds-DNA\u6297\u4f53\u3001\u6297Sm\u6297\u4f53\u967d\u6027\u306a\u3069\u304c\u7279\u5fb4<\/li>\n<\/ul>\n<\/li>\n\n\n\n<li><strong>\u53cd\u5fdc\u6027\u95a2\u7bc0\u708e<\/strong>\n<ul class=\"wp-block-list\">\n<li>\u611f\u67d3\u5f8c\u306b\u767a\u75c7\u3059\u308b\u95a2\u7bc0\u708e\u3002HLA-B27\u304c\u30ea\u30b9\u30af\u56e0\u5b50\u3002\u30ea\u30a6\u30de\u30c1\u56e0\u5b50\uff08RF\uff09\u3084\u6297CCP\u6297\u4f53\u306f\u901a\u5e38\u9670\u6027<\/li>\n<\/ul>\n<\/li>\n<\/ol>\n\n\n<div class=\"su-spacer\" style=\"height:60px\"><\/div>\n\n\n\n<p>\u306a\u3069\u3001\u5168\u8eab\u306e\u95a2\u7bc0\u304c\u969c\u5bb3\u3055\u308c\u308b\u75be\u60a3\u306a\u3069\u304c\u3042\u3052\u3089\u308c\u307e\u3059\u3002<\/p>\n\n\n<div class=\"su-spacer\" style=\"height:60px\"><\/div>\n\n\n\n<figure class=\"wp-block-image size-large is-resized\"><img loading=\"lazy\" decoding=\"async\" width=\"800\" height=\"388\" src=\"https:\/\/miyakojima-seikei.com\/blog\/wp-content\/uploads\/image-175-800x388.png\" alt=\"\" class=\"wp-image-1520\" style=\"width:623px;height:auto\" srcset=\"https:\/\/miyakojima-seikei.com\/blog\/wp-content\/uploads\/image-175-800x388.png 800w, https:\/\/miyakojima-seikei.com\/blog\/wp-content\/uploads\/image-175-400x194.png 400w, https:\/\/miyakojima-seikei.com\/blog\/wp-content\/uploads\/image-175.png 856w\" sizes=\"auto, (max-width: 800px) 100vw, 800px\" \/><\/figure>\n\n\n\n<p>\u4e0a\u306e\u8868\u306f\u95a2\u7bc0\u30ea\u30a6\u30de\u30c1\u3068\u95a2\u7bc0\u30ea\u30a6\u30de\u30c1\u4ee5\u5916\u306e\u95a2\u7bc0\u75c7\u72b6\u3092\u304d\u305f\u3059\u75c5\u6c17\u306e\u9451\u5225\u75be\u60a3\u3092\u9451\u5225\u306e\u96e3\u6613\u5ea6\u5225\u306b\u8868\u3057\u305f\u3082\u306e\u3067\u3059\u3002\u95a2\u7bc0\u30ea\u30a6\u30de\u30c1\u306e\u9451\u5225\u75be\u60a3\u306f\u591a\u5c90\u306b\u308f\u305f\u308a\u3001\u307e\u305f\u6cbb\u7642\u6cd5\u3082\u75c5\u6c17\u306b\u3088\u3063\u3066\u3055\u307e\u3056\u307e\u7570\u306a\u308a\u307e\u3059\u3002\u3082\u3057\u3001\u95a2\u7bc0\u306e\u75db\u307f\u304c\u3042\u308b\u3088\u3046\u3067\u3042\u308c\u3070\u6574\u5f62\u5916\u79d1\u3092\u65e9\u3081\u306b\u53d7\u8a3a\u3057\u307e\u3057\u3087\u3046\u3002<\/p>\n\n\n<div class=\"su-spacer\" style=\"height:100px\"><\/div>\n\n\n\n<h2 class=\"wp-block-heading has-text-align-center has-large-font-size\">\u95a2\u7bc0\u30ea\u30a6\u30de\u30c1\u306e\u4e88\u5f8c\u4e0d\u826f\u56e0\u5b50<\/h2>\n\n\n<div class=\"su-divider su-divider-style-double\" style=\"margin:15px 0;border-width:20px;border-color:#f79b2d\"><\/div>\n\n\n\n<p class=\"<h2 id=&quot;example&quot;&gt;\u3053\u308c\u306f\u898b\u51fa\u3057\u3067\u3059\u3002<\/h2&gt;\">\u95a2\u7bc0\u30ea\u30a6\u30de\u30c1\uff08RA\uff09\u306e\u4e88\u5f8c\u4e0d\u826f\u56e0\u5b50\u306f\u3001\u75be\u60a3\u306e\u9032\u884c\u3084\u6cbb\u7642\u52b9\u679c\u306b\u5927\u304d\u304f\u5f71\u97ff\u3092\u4e0e\u3048\u308b\u307e\u3059\u3002\u8a3a\u65ad\u6642\u3088\u308a\u4e88\u5f8c\u4e0d\u826f\u56e0\u5b50\u3092\u78ba\u8a8d\u3057\u3001\u6cbb\u7642\u306e\u5f37\u5ea6\u3092\u8abf\u6574\u3059\u308b\u5fc5\u8981\u304c\u3042\u308a\u307e\u3059\u3002<\/p>\n\n\n<div class=\"su-spacer\" style=\"height:60px\"><\/div>\n\n\n\n<p><strong>\u4e88\u5f8c\u4e0d\u826f\u56e0\u5b50<\/strong><\/p>\n\n\n\n<ol class=\"wp-block-list\">\n<li><strong>\u8840\u6e05\u5b66\u7684\u56e0\u5b50<\/strong>\n<ul class=\"wp-block-list\">\n<li><strong>\u30ea\u30a6\u30de\u30c8\u30a4\u30c9\u56e0\u5b50\uff08RF\uff09\u967d\u6027<\/strong>\u304a\u3088\u3073<strong>\u6297CCP\u6297\u4f53\u967d\u6027<\/strong>\u306e\u60a3\u8005\u306f\u3001\u3088\u308a\u91cd\u7be4\u306a\u95a2\u7bc0\u7834\u58ca\u3084\u75be\u60a3\u306e\u9032\u884c\u304c\u4e88\u6e2c\u3055\u308c\u307e\u3059\u3002\u3053\u308c\u3089\u306e\u6297\u4f53\u304c\u9ad8\u3044\u60a3\u8005\u306f\u3088\u308a\u95a2\u7bc0\u7834\u58ca\u304c\u6025\u901f\u306b\u306a\u308a\u307e\u3059\u3002<\/li>\n<\/ul>\n<\/li>\n\n\n\n<li><strong>\u95a2\u7bc0\u5916\u75c7\u72b6<\/strong>\n<ul class=\"wp-block-list\">\n<li>\u95a2\u7bc0\u5916\u75c7\u72b6\uff08\u80ba\u3001\u5fc3\u81d3\u3001\u8840\u7ba1\u708e\u306a\u3069\uff09\u304c\u898b\u3089\u308c\u308b\u60a3\u8005\u306f\u3001\u5168\u8eab\u306b\u75be\u60a3\u304c\u6ce2\u53ca\u3057\u3066\u3044\u308b\u305f\u3081\u3001\u4e88\u5f8c\u304c\u60aa\u3044\u3068\u3055\u308c\u307e\u3059\u3002<\/li>\n<\/ul>\n<\/li>\n\n\n\n<li><strong>\u591a\u95a2\u7bc0\u708e<\/strong>\n<ul class=\"wp-block-list\">\n<li>\u767a\u75c7\u6642\u306b\u8907\u6570\u306e\u95a2\u7bc0\u304c\u708e\u75c7\u3092\u8d77\u3053\u3057\u3066\u3044\u308b\u5834\u5408\u3084\u3001\u95a2\u7bc0\u306e\u816b\u308c\u304c\u591a\u304f\u78ba\u8a8d\u3055\u308c\u308b\u5834\u5408\u306f\u3001\u95a2\u7bc0\u7834\u58ca\u304c\u9032\u307f\u3084\u3059\u3044\u3067\u3059\u3002<\/li>\n<\/ul>\n<\/li>\n\n\n\n<li><strong>\u65e9\u671f\u306e\u9aa8\u3073\u3089\u3093<\/strong>\n<ul class=\"wp-block-list\">\n<li>\u767a\u75c7\u521d\u671f\u306b\u30ec\u30f3\u30c8\u30b2\u30f3\u3067\u9aa8\u3073\u3089\u3093\u304c\u8a8d\u3081\u3089\u308c\u308b\u60a3\u8005\u306f\u3001\u75c5\u72b6\u306e\u9032\u884c\u304c\u901f\u304f\u3001\u5c06\u6765\u7684\u306b\u95a2\u7bc0\u6a5f\u80fd\u306e\u55aa\u5931\u306e\u30ea\u30b9\u30af\u304c\u9ad8\u3044\u3067\u3059\u3002<\/li>\n<\/ul>\n<\/li>\n\n\n\n<li><strong>\u9ad8\u75be\u60a3\u6d3b\u52d5\u6027<\/strong>\n<ul class=\"wp-block-list\">\n<li>\u75be\u60a3\u6d3b\u52d5\u6027\u30b9\u30b3\u30a2\uff08DAS28\uff09\u304c\u9ad8\u3044\u3001\u307e\u305f\u306fCRP\u5024\u3084ESR\uff08\u8d64\u8840\u7403\u6c88\u964d\u901f\u5ea6\uff09\u304c\u4e0a\u6607\u3057\u3066\u3044\u308b\u5834\u5408\u306f\u3001\u708e\u75c7\u304c\u5f37\u304f\u9032\u884c\u6027\u3067\u3042\u308b\u3053\u3068\u3092\u793a\u5506\u3057\u3001\u4e88\u5f8c\u304c\u60aa\u5316\u3057\u3084\u3059\u3044\u3067\u3059\u3002<\/li>\n<\/ul>\n<\/li>\n\n\n\n<li><strong>\u6cbb\u7642\u306b\u5bfe\u3059\u308b\u53cd\u5fdc\u4e0d\u5341\u5206<\/strong>\n<ul class=\"wp-block-list\">\n<li>\u30e1\u30c8\u30c8\u30ec\u30ad\u30b5\u30fc\u30c8\u3084\u751f\u7269\u5b66\u7684\u88fd\u5264\u306a\u3069\u306e\u6a19\u6e96\u7684\u306a\u6cbb\u7642\u306b\u5bfe\u3059\u308b\u53cd\u5fdc\u304c\u4e0d\u5341\u5206\u306a\u60a3\u8005\u306f\u3001\u75be\u60a3\u306e\u5236\u5fa1\u304c\u96e3\u3057\u304f\u3001\u4e88\u5f8c\u304c\u60aa\u304f\u306a\u308b\u50be\u5411\u304c\u3042\u308a\u307e\u3059\u3002<\/li>\n<\/ul>\n<\/li>\n\n\n\n<li><strong>\u82e5\u5e74\u767a\u75c7<\/strong>\n<ul class=\"wp-block-list\">\n<li>\u82e5\u5e74\u3067\u306e\u767a\u75c7\u306f\u3001\u9577\u671f\u7684\u306a\u75be\u60a3\u306e\u5f71\u97ff\u3092\u53d7\u3051\u3084\u3059\u304f\u3001\u3088\u308a\u91cd\u7be4\u306a\u95a2\u7bc0\u7834\u58ca\u304c\u9032\u884c\u3059\u308b\u30ea\u30b9\u30af\u304c\u9ad8\u3044\u3067\u3059\u3002<\/li>\n<\/ul>\n<\/li>\n\n\n\n<li><strong>\u907a\u4f1d\u7684\u8981\u56e0<\/strong>\n<ul class=\"wp-block-list\">\n<li>HLA-DR4\u3084HLA-DRB1\u907a\u4f1d\u5b50\u304c\u967d\u6027\u3067\u3042\u308b\u3068\u3001RA\u306e\u91cd\u75c7\u5316\u3084\u95a2\u7bc0\u7834\u58ca\u304c\u9032\u884c\u3057\u3084\u3059\u3044\u3053\u3068\u304c\u5831\u544a\u3055\u308c\u3066\u3044\u307e\u3059\u3002<\/li>\n<\/ul>\n<\/li>\n<\/ol>\n\n\n\n<p><\/p>\n\n\n<div class=\"su-spacer\" style=\"height:100px\"><\/div>\n\n\n\n<h2 class=\"wp-block-heading has-text-align-center has-large-font-size\">\u95a2\u7bc0\u30ea\u30a6\u30de\u30c1\u306e\u6cbb\u7642\u6982\u5ff5<\/h2>\n\n\n<div class=\"su-divider su-divider-style-double\" style=\"margin:15px 0;border-width:20px;border-color:#f79b2d\"><\/div>\n\n\n\n<h3 class=\"wp-block-heading\">\u65e9\u671f\u6cbb\u7642\u306e\u91cd\u8981\u6027\uff1a<strong>Window Of Opportunity<\/strong>\u306b\u3064\u3044\u3066<\/h3>\n\n\n\n<p>\u3000<\/p>\n\n\n\n<p>\u95a2\u7bc0\u30ea\u30a6\u30de\u30c1\u6cbb\u7642\u306e<strong>Window Of Opportunity(\u6cbb\u7642\u6a5f\u4f1a\u306e\u7a93<\/strong>\uff09\u3068\u3044\u3046\u8003\u3048\u65b9\u3092\u3054\u5b58\u3058\u3067\u3057\u3087\u3046\u304b\u3002<\/p>\n\n\n\n<p>\u3000\u95a2\u7bc0\u30ea\u30a6\u30de\u30c1\u306f\u9069\u5207\u306a\u6cbb\u7642\u304c\u884c\u308f\u308c\u306a\u3051\u308c\u3070\u3001<strong>\u767a\u75c7\u304b\u30892\u5e74\u4ee5\u5185\u306b\u60a3\u8005\u3055\u3093\u306e70\uff5e90%\u3067\u30ec\u30f3\u30c8\u30b2\u30f3\u4e0a\u3067\u9aa8\u3073\u3089\u3093\uff08\u95a2\u7bc0\u7834\u58ca)\u304c\u73fe\u308c\u307e\u3059\u3002\u4e00\u5ea6\u7834\u58ca\u3055\u308c\u305f\u95a2\u7bc0\u306f\u3001\u57fa\u672c\u7684\u306b\u306f\u5143\u901a\u308a\u623b\u3059\u3053\u3068\u304c\u56f0\u96e3<\/strong>\u3067\u3042\u308b\u305f\u3081\u3001\u95a2\u7bc0\u7834\u58ca\u3092\u4e88\u9632\u3059\u308b\u305f\u3081\u306b\u306f\u65e9\u671f\u306b\u9069\u5207\u306a\u6cbb\u7642\u3092\u5c0e\u5165\u3059\u308b\u5fc5\u8981\u304c\u3042\u308a\u307e\u3059\u3002(\u8fd1\u5e74\u3001\u9aa8\u3073\u3089\u3093\u306b\u5bfe\u3057\u3066\u3001\u30d7\u30e9\u30ea\u30a2\u3068\u3044\u3046\u9aa8\u7c97\u9b06\u75c7\u306e\u304a\u85ac\u3092\u4f7f\u7528\u3059\u308b\u3053\u3068\u3067\u9aa8\u3073\u3089\u3093\u306e\u6539\u5584\u304c\u898b\u3089\u308c\u305f\u3068\u3044\u3046\u5831\u544a\u306f\u3042\u308a\u307e\u3059\u3002)<\/p>\n\n\n<div class=\"su-spacer\" style=\"height:100px\"><\/div>\n\n\n\n<p><strong>\u6cbb\u7642\u53cd\u5fdc\u6027\u306b\u306f\u3042\u308b\u4e00\u5b9a\u306e\u9650\u3089\u308c\u305f\u6642\u671f\u306b\u306e\u307f\u5b58\u5728\u3059\u308b\u85ac\u5264\u611f\u53d7\u6027\u306e\u9ad8\u3044\u6642\u671f<\/strong>\u304c\u3042\u308a\u3001\u3053\u308c\u3092<strong>Window Of Opportunity(\u6cbb\u7642\u6a5f\u4f1a\u306e\u7a93\uff09<\/strong>\u3068\u8a00\u3044\u307e\u3059\u3002<strong>\u3053\u306e\u6642\u671f\u306b\u3044\u304b\u306b\u65e9\u304f\u6cbb\u7642\u3092\u958b\u59cb\u3067\u304d\u308b\u304b<\/strong>\u304c\u3001\u5c06\u6765\u7684\u306a\u95a2\u7bc0\u30ea\u30a6\u30de\u30c1\u306b\u3088\u308b\u95a2\u7bc0\u7834\u58ca\u304b\u3089\u5b88\u308b\u305f\u3081\u306b\u306f\u91cd\u8981\u3067\u3059\u3002<\/p>\n\n\n<div class=\"su-spacer\" style=\"height:100px\"><\/div>\n\n\n\n<h3 class=\"wp-block-heading\">\u95a2\u7bc0\u30ea\u30a6\u30de\u30c1\u6cbb\u7642\u958b\u59cb\u306e\u30bf\u30a4\u30df\u30f3\u30b0<\/h3>\n\n\n\n<p>\u3000\u95a2\u7bc0\u30ea\u30a6\u30de\u30c1\u3068\u8a3a\u65ad\u307e\u3067\u306f\u81f3\u3089\u306a\u3044\u3082\u306e\u306e\u4e2d\u306b\u8a3a\u65ad\u672a\u78ba\u5b9a\u95a2\u7bc0\u708e\u3068\u3044\u3046\u6982\u5ff5\u304c\u3042\u308a\u307e\u3059\u3002<strong>\u8a3a\u65ad\u672a\u78ba\u5b9a\u95a2\u7bc0\u708e\uff08Undifferentiated Arthritis, UA\uff09<\/strong>\u3068\u306f\u3001\u95a2\u7bc0\u306e\u75db\u307f\u3084\u816b\u308c\u306a\u3069\u306e\u75c7\u72b6\u304c\u3042\u308b\u3082\u306e\u306e\u3001\u7279\u5b9a\u306e\u95a2\u7bc0\u708e\u306e\u8a3a\u65ad\u57fa\u6e96\u3092\u6e80\u305f\u3055\u306a\u3044\u72b6\u614b\u3092\u6307\u3057\u307e\u3059\u3002<\/p>\n\n\n\n<p>\u4f8b\u3048\u3070\u95a2\u7bc0\u30ea\u30a6\u30de\u30c1\u3084SLE\u3001\u4e7e\u766c\u6027\u95a2\u7bc0\u708e\u306a\u3069\u306e\u75be\u60a3\u306e\u53ef\u80fd\u6027\u304c\u3042\u308b\u3082\u3082\u306e\u3001\u7279\u5fb4\u7684\u306a\u75c7\u72b6\u304c\u51fa\u305d\u308d\u3063\u3066\u3044\u306a\u3044\u305f\u3081\u3001\u8a3a\u65ad\u304c\u78ba\u5b9a\u3057\u306a\u3044\u521d\u671f\u6bb5\u968e\u306e\u95a2\u7bc0\u708e\u3067\u3059\u3002<\/p>\n\n\n<div class=\"su-spacer\" style=\"height:60px\"><\/div>\n\n\n\n<p>\u3000\u305d\u306e\u4e2d\u304b\u3089\u5f90\u3005\u306b\u95a2\u7bc0\u30ea\u30a6\u30de\u30c1\u306e\u7279\u5fb4\u304c\u306f\u3063\u304d\u308a\u3057\u3066\u304f\u308b\u3053\u3068\u3067\u3001\u95a2\u7bc0\u30ea\u30a6\u30de\u30c1\u306e\u8a3a\u65ad\u306b\u306a\u308a\u307e\u3059\u3002\u305d\u306e\u904e\u7a0b\u306f\u4ee5\u4e0b\u306e\u901a\u308a\u3067\u3059<\/p>\n\n\n\n<p><strong>\u95a2\u7bc0\u30ea\u30a6\u30de\u30c1\u306e\u9032\u884c\u904e\u7a0b<\/strong><\/p>\n\n\n\n<ol class=\"wp-block-list\">\n<li>\u2460\u524d\u6bb5\u968e\n<ul class=\"wp-block-list\">\n<li>RF,CCP\u6297\u4f53\u306e\u967d\u6027\u5316<\/li>\n<\/ul>\n<\/li>\n\n\n\n<li>\u2461\u767a\u75c7\n<ul class=\"wp-block-list\">\n<li>\u671d\u306e\u3053\u308f\u3070\u308a\u3084\u95a2\u7bc0\u708e\u3001\u6613\u75b2\u52b4\u611f\u306a\u3069\u306e\u51fa\u73fe<\/li>\n<\/ul>\n<\/li>\n\n\n\n<li>\u2462\u65e9\u671f\u8a3a\u65ad\n<ul class=\"wp-block-list\">\n<li>ACR\u30fbEULAR(2010)\u306e\u57fa\u6e96<\/li>\n\n\n\n<li>\u30ea\u30b9\u30af\u56e0\u5b50\u306e\u8a55\u4fa1\uff08RF,CCP\u6297\u4f53\u306e\u6297\u4f53\u4fa1\u3084\u6d3b\u52d5\u6027\uff09<\/li>\n<\/ul>\n<\/li>\n\n\n\n<li>\u2463\u8a3a\u65ad\n<ul class=\"wp-block-list\">\n<li>ACR(1987)\u5206\u985e\u57fa\u6e96<\/li>\n<\/ul>\n<\/li>\n\n\n\n<li>\u2464\u9032\u884c\u671f<\/li>\n<\/ol>\n\n\n\n<p>\u3000<strong>Window Of Opportunity<\/strong>\u306e\u8003\u3048\u65b9\u306f\u2462\u306e\u6bb5\u968e\uff08\u5834\u5408\u306b\u3088\u3063\u3066\u306f\u2461\u306e\u8a3a\u65ad\u672a\u78ba\u5b9a\u95a2\u7bc0\u708e\u306e\u6bb5\u968e\uff09\u3067\u95a2\u7bc0\u30ea\u30a6\u30de\u30c1\u306e\u6cbb\u7642\u3092\u884c\u3046\u3053\u3068\u3067\u3001\u95a2\u7bc0\u30ea\u30a6\u30de\u30c1\u306e\u95a2\u7bc0\u7834\u58ca\u3092\u6291\u5236\u3057\u3001\u3088\u308a\u52b9\u679c\u7684\u306a\u6cbb\u7642\u3092\u53ef\u80fd\u306b\u3057\u307e\u3059\u3002<\/p>\n\n\n<div class=\"su-spacer\" style=\"height:60px\"><\/div>\n\n\n\n<p>\u95a2\u7bc0\u30ea\u30a6\u30de\u30c1\u306e\u95a2\u7bc0\u7834\u58ca\u306b\u81f3\u308b\u904e\u7a0b\u306e\u8a73\u3057\u304f\u306f\u21e9<\/p>\n\n\n<div class=\"su-spacer\" style=\"height:100px\"><\/div>\n\n\n\n<a href=\"#id\">\u95a2\u7bc0\u30ea\u30a6\u30de\u30c1\u3067\u95a2\u7bc0\u304c\u7834\u58ca\u3055\u308c\u308b\u7406\u7531\u306f\u3053\u3061\u3089<\/a>\n\n\n<div class=\"su-spacer\" style=\"height:60px\"><\/div>\n\n\n\n<p><\/p>\n\n\n\n<p>\u3055\u3089\u306b\u3001\u95a2\u7bc0\u30ea\u30a6\u30de\u30c1\u6cbb\u7642\u306e\u52b9\u679c\u7684\u306a\u30a2\u30d7\u30ed\u30fc\u30c1\u3068\u3057\u3066<strong>\u300cTreat-to-Target\uff08T2T\uff09\u300d<\/strong>\u3068\u3044\u3046\u65b9\u6cd5\u304c\u5e83\u304f\u63a1\u7528\u3055\u308c\u3066\u3044\u307e\u3059\u3002<\/p>\n\n\n<div class=\"su-spacer\" style=\"height:100px\"><\/div>\n\n\n\n<h3 class=\"wp-block-heading\"><strong>Treat-to-Target\uff08T2T\uff09<\/strong><\/h3>\n\n\n\n<p>\u3000<strong>Treat-to-Target\uff08T2T\uff09<\/strong>\u306f\u95a2\u7bc0\u30ea\u30a6\u30de\u30c1\u306e\u6cbb\u7642\u306b\u304a\u3044\u3066\u3001<strong>\u6cbb\u7642\u76ee\u6a19\u3092\u8a2d\u5b9a\u3057\u3001\u305d\u308c\u3092\u9054\u6210\u3059\u308b\u305f\u3081\u306b\u6cbb\u7642\u8a08\u753b\u3092\u9032\u3081\u308b\u65b9\u6cd5<\/strong>\u306e\u4e00\u3064\u3067\u3001<strong>\u30ea\u30a6\u30de\u30c1\u6cbb\u7642\u306b\u304a\u3051\u308b\u52b9\u679c\u7684\u306a\u30a2\u30d7\u30ed\u30fc\u30c1<\/strong>\u3068\u3057\u3066\u63a1\u7528\u3055\u308c\u3066\u3044\u307e\u3059\u3002 <strong>T2T<\/strong>\u3067\u306f<strong>\u5bdb\u89e3\uff08\u75be\u60a3\u306e\u6d3b\u52d5\u304c\u306a\u3044\u72b6\u614b\uff09<\/strong>\u3001\u307e\u305f\u306f\u5c11\u306a\u304f\u3068\u3082 <strong>\u4f4e\u75be\u60a3\u6d3b\u52d5\u6027\uff08LDA\uff09<\/strong> \u3092\u76ee\u6a19\u3068\u3001\u305d\u306e\u72b6\u614b\u3092\u7dad\u6301\u3059\u308b\u3053\u3068\u3067\u3001\u95a2\u7bc0\u306e\u7834\u58ca\u3092\u6291\u5236\u3057\u307e\u3059\u3002<\/p>\n\n\n<div class=\"su-spacer\" style=\"height:60px\"><\/div>\n\n\n\n<p>\u3000\u305d\u306e\u76ee\u6a19\u3092\u9054\u6210\u3059\u308b\u305f\u3081\u306b\u3001<strong>\u6cbb\u7642\u3092\u5b9a\u671f\u7684\u306b\u8a55\u4fa1\u3057\u3001\u52b9\u679c\u304c\u4e0d\u5341\u5206\u306a\u5834\u5408\u306b\u306f\u7a4d\u6975\u7684\u306b\u6cbb\u7642\u3092\u5909\u66f4\u3092\u884c\u3046<\/strong>\u3053\u3068\u304c\u52e7\u3081\u3089\u308c\u3066\u3044\u307e\u3059\u3002\u6cbb\u7642\u52b9\u679c\u3092\u6700\u9069\u5316\u3057\u3001\u76ee\u6a19\u9054\u6210\u3092\u5171\u6709\u3059\u308b\u3053\u3068\u3067\u3001\u60a3\u8005\u69d8\u3082\u6cbb\u7642\u306b\u5bfe\u3057\u3066\u524d\u5411\u304d\u306b\u306a\u308a\u3084\u3059\u304f\u95a2\u7bc0\u30ea\u30a6\u30de\u30c1\u306e\u9069\u5207\u306a\u30b3\u30f3\u30c8\u30ed\u30fc\u30eb\u3092\u884c\u3046\u3053\u3068\u304c\u3067\u304d\u308b\u306a\u3069\u306e\u30e1\u30ea\u30c3\u30c8\u304c\u3042\u308a\u307e\u3059\u3002<\/p>\n\n\n<div class=\"su-spacer\" style=\"height:60px\"><\/div>\n\n\n\n<p>\u305d\u306e\u6cbb\u7642\u52b9\u679c\u306e\u8a55\u4fa1\u65b9\u6cd5\u3068\u3057\u3066\u306f<strong>DAS28\uff08\u75be\u60a3\u6d3b\u52d5\u6027\u30b9\u30b3\u30a2\uff09\u3001SDAI\uff08\u7c21\u6613\u75be\u60a3\u6d3b\u52d5\u6027\u6307\u6570\uff09\u3001CDAI\uff08\u81e8\u5e8a\u75be\u60a3\u6d3b\u52d5\u6027\u6307\u6570\uff09<\/strong>\u306a\u3069\u304c\u3042\u308a\u307e\u3059\u3002<\/p>\n\n\n<div class=\"su-spacer\" style=\"height:100px\"><\/div>\n\n\n\n<a href=\"#id2\">\u95a2\u7bc0\u30ea\u30a6\u30de\u30c1\u306e\u75be\u60a3\u6d3b\u52d5\u6027\u306b\u3064\u3044\u3066\u306f\u3053\u3061\u3089<\/a>\n\n\n<div class=\"su-spacer\" style=\"height:100px\"><\/div>\n\n\n\n<h2 class=\"wp-block-heading\">\u95a2\u7bc0\u30ea\u30a6\u30de\u30c1\u306e\u6cbb\u7642\u85ac<\/h2>\n\n\n<div class=\"su-divider su-divider-style-double\" style=\"margin:15px 0;border-width:20px;border-color:#f79b2d\"><\/div>\n\n\n<div class=\"su-spacer\" style=\"height:100px\"><\/div>\n\n\n\n<p>\u3000\u95a2\u7bc0\u30ea\u30a6\u30de\u30c1\uff08RA\uff09\u306e\u6cbb\u7642\u85ac\u306f\u3001\u75c5\u6c17\u306e\u9032\u884c\u3092\u6291\u3048\u308b\u3053\u3068\u3092\u76ee\u7684\u306b\u3001\u3055\u307e\u3056\u307e\u306a\u30bf\u30a4\u30d7\u306e\u85ac\u5264\u304c\u4f7f\u7528\u3055\u308c\u307e\u3059\u3002\u6cbb\u7642\u85ac\u306e\u9078\u629e\u306f\u3001\u75c5\u6c17\u306e\u91cd\u75c7\u5ea6\u3084\u9032\u884c\u5ea6\u3001\u60a3\u8005\u306e\u500b\u5225\u306e\u72b6\u6cc1\u306b\u5fdc\u3058\u3066\u6c7a\u5b9a\u3055\u308c\u307e\u3059\u3002<\/p>\n\n\n\n<p><\/p>\n\n\n\n<p>\u3000\u524d\u8ff0\u306e\u3088\u3046\u306b\u3001ACR\u30fbEULAR\u304c\u767a\u884c\u3059\u308b\u30ac\u30a4\u30c9\u30e9\u30a4\u30f3\u306f\u5b9a\u671f\u7684\u306b\u66f4\u65b0\u3055\u308c\u307e\u3059\u304c\u3001\u65e5\u672c\u30ea\u30a6\u30de\u30c1\u5b66\u4f1a\u3082\u6cbb\u7642\u30a2\u30eb\u30b4\u30ea\u30ba\u30e0\u3092\u5b9a\u671f\u7684\u306b\u66f4\u65b0\u3057\u3066\u3044\u307e\u3059\u30022024\u5e74\u73fe\u5728\u3001\u65e5\u672c\u30ea\u30a6\u30de\u30c1\u5b66\u4f1a\u304b\u3089\u95a2\u7bc0\u30ea\u30a6\u30de\u30c1\u30ac\u30a4\u30c9\u30e9\u30a4\u30f32024\u304c\u767a\u884c\u3055\u308c\u3066\u3044\u307e\u3059\u3002<\/p>\n\n\n<div class=\"su-spacer\" style=\"height:100px\"><\/div>\n\n\n\n<figure class=\"wp-block-image size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"798\" height=\"567\" src=\"https:\/\/miyakojima-seikei.com\/blog\/wp-content\/uploads\/image-133.png\" alt=\"\" class=\"wp-image-1327\" srcset=\"https:\/\/miyakojima-seikei.com\/blog\/wp-content\/uploads\/image-133.png 798w, https:\/\/miyakojima-seikei.com\/blog\/wp-content\/uploads\/image-133-400x284.png 400w\" sizes=\"auto, (max-width: 798px) 100vw, 798px\" \/><figcaption class=\"wp-element-caption\">\u65e5\u672c\u30ea\u30a6\u30de\u30c1\u5b66\u4f1a\u3000\u95a2\u7bc0\u30ea\u30a6\u30de\u30c1\u30ac\u30a4\u30c9\u30e9\u30a4\u30f32024<\/figcaption><\/figure>\n\n\n\n<p>\u3000\u95a2\u7bc0\u30ea\u30a6\u30de\u30c1\u306e\u6cbb\u7642\u306f\u4e3b\u306b\u3001\u2460<strong>\u4e3b\u6cbb\u7642<\/strong>\u3068\u2461<strong>\u88dc\u52a9\u7684\u6cbb\u7642<\/strong>\u306b\u308f\u304b\u308c\u307e\u3059\u3002<strong>\u4e3b\u6cbb\u7642<\/strong>\u306f\u514d\u75ab\u7cfb\u306e\u7570\u5e38\u3092\u6291\u5236\u3057\u3001\u708e\u75c7\u3092\u30b3\u30f3\u30c8\u30ed\u30fc\u30eb\u3059\u308b\u3053\u3068\u306b\u3088\u308a\u3001<strong>\u95a2\u7bc0\u306e\u7834\u58ca\u3084\u6a5f\u80fd\u969c\u5bb3\u3092\u9632\u3050\u3053\u3068\u3092\u76ee\u7684<\/strong>\u306b\u884c\u308f\u308c\u307e\u3059\u3002\u4e00\u65b9\u3001<strong>\u88dc\u52a9\u6cbb\u7642<\/strong>\u306f\u95a2\u7bc0\u306e\u7834\u58ca\u306e\u9032\u884c\u3092\u4e88\u9632\u3059\u308b\u76ee\u7684\u3067\u306f\u306a\u304f\u3001<strong>\u708e\u75c7\u3084\u75db\u307f\u306e\u7ba1\u7406\u3092\u884c\u3046\u3053\u3068\u3067\u60a3\u8005\u306eQOL\u5411\u4e0a\u3092\u56f3\u308b\u6cbb\u7642<\/strong>\u3067\u3059\u3002<\/p>\n\n\n<div class=\"su-spacer\" style=\"height:100px\"><\/div>\n\n\n\n<h3 class=\"wp-block-heading\">\u2460\u4e3b\u6cbb\u7642\u306b\u3064\u3044\u3066<\/h3>\n\n\n\n<p>\u3000\u4e3b\u6cbb\u7642\u306f\u539f\u5247\u7684\u306b<strong>6\u304b\u6708\u4ee5\u5185<\/strong>\u306b<strong>\u5bdb\u89e3\uff08\u75be\u60a3\u306e\u6d3b\u52d5\u304c\u306a\u3044\u72b6\u614b\uff09<\/strong>\u3001\u307e\u305f\u306f\u5c11\u306a\u304f\u3068\u3082 <strong>\u4f4e\u75be\u60a3\u6d3b\u52d5\u6027\uff08LDA\uff09<\/strong> \u304c\u9054\u6210\u3067\u304d\u306a\u3044\u5834\u5408\u306f\u6b21\u306e\u30d5\u30a7\u30fc\u30ba\uff08\u30d5\u30a7\u30fc\u30ba\u2460\u2192\u2461\u2192\u2462\u306e\u9806\uff09\u306b\u9032\u307f\u307e\u3059\u3002<\/p>\n\n\n<div class=\"su-spacer\" style=\"height:100px\"><\/div>\n\n\n\n<p>\u4e3b\u6cbb\u7642\u3067\u7528\u3044\u3089\u308c\u308b<strong>\u85ac\u7269\u6cbb\u7642\u306e\u624b\u9806<\/strong>\u3068\u3057\u3066\u306f\u4ee5\u4e0b\u306e\u901a\u308a\u3067\u3059\u3002<\/p>\n\n\n\n<ol class=\"wp-block-list\">\n<li><strong>\u30e1\u30c8\u30c8\u30ec\u30ad\u30b5\u30fc\u30c8(MTX)\u306e\u958b\u59cb\u30fb\u5897\u91cf<\/strong>(\u5834\u5408\u306b\u3088\u3063\u3066\u306f\u4ed6\u306ecsDMARDs\u3082\uff09\n<ul class=\"wp-block-list\">\n<li>\u95a2\u7bc0\u30ea\u30a6\u30de\u30c1\uff08RA\uff09\u306e\u6cbb\u7642\u306b\u304a\u3044\u3066\u6700\u3082\u5e83\u304f\u4f7f\u7528\u3055\u308c\u308b\u75be\u60a3\u4fee\u98fe\u6027\u6297\u30ea\u30a6\u30de\u30c1\u85ac\uff08DMARDs\uff09\u306e1\u3064\u3067\u3001<strong>RA\u6cbb\u7642\u306e\u300c\u7b2c\u4e00\u9078\u629e\u85ac\u300d\uff08\uff2b\uff45\uff59\u3000\uff24\uff52\uff55\uff47\uff09<\/strong>\u3068\u3057\u3066\u4f4d\u7f6e\u4ed8\u3051\u3089\u308c\u3001\u708e\u75c7\u3092\u6291\u3048\u3001\u95a2\u7bc0\u306e\u7834\u58ca\u3092\u9632\u3050\u52b9\u679c\u304c\u3042\u308a\u307e\u3059\u3002\u8cbb\u7528\u5bfe\u52b9\u679c\u3082\u512a\u308c\u3066\u3044\u308b\u3053\u3068\u304b\u3089\u3001\u53ef\u80fd\u3067\u3042\u308c\u3070\u30e1\u30c8\u30c8\u30ec\u30ad\u30b5\u30fc\u30c8\u3067\u306e\u30b3\u30f3\u30c8\u30ed\u30fc\u30eb\u3092\u884c\u3044\u307e\u3059\u3002\u3054\u9ad8\u9f62\u306e\u65b9\u3084\u5408\u4f75\u75c7\u304c\u3042\u308b\u65b9\u3001\u526f\u4f5c\u7528\u304c\u51fa\u308b\u65b9\u306f\u4ed6\u306e\u85ac\u304c\u9078\u629e\u3055\u308c\u308b\u5834\u5408\u3082\u3042\u308a\u307e\u3059\u3002<\/li>\n<\/ul>\n<\/li>\n\n\n\n<li><strong>\u751f\u7269\u5b66\u7684\u88fd\u5264<\/strong>\uff08bDMARDs\uff09\u307e\u305f\u306f<strong>JAK\u963b\u5bb3\u85ac<\/strong>\u306e\u4f7f\u7528\n<ul class=\"wp-block-list\">\n<li><strong>\uff2d\uff34\uff38\u3084\u4ed6\u306ecsDMARDs\u3067\u30b3\u30f3\u30c8\u30ed\u30fc\u30eb\u304c\u96e3\u3057\u3044\u5834\u5408<\/strong>\u306b\u4f75\u7528\u3057\u307e\u3059\u3002JAK\u963b\u5bb3\u85ac\u306f\u5185\u670d\u3067\u6cbb\u7642\u53ef\u80fd\u3067\u3042\u308a\u3001\u77ed\u671f\u7684\u306b\u306fTNF\u963b\u5bb3\u85ac\u3068\u540c\u7b49\u306e\u52b9\u679c\u304c\u8a8d\u3081\u3089\u308c\u3066\u3044\u307e\u3059\u304c\u3001\u9577\u671f\u7684\u306a\u4f7f\u7528\u306b\u304a\u3044\u3066\u3001\u5fc3\u8840\u7ba1\u30a4\u30d9\u30f3\u30c8\u306e\u30ea\u30b9\u30af\u3084\u533b\u7642\u7d4c\u6e08\u306e\u9762\u304b\u3089\u3001<strong>2024\u5e74\u306e\u30ac\u30a4\u30c9\u30e9\u30a4\u30f3\u3067\u306fJAK\u963b\u5bb3\u85ac\u3068\u751f\u7269\u5b66\u7684\u88fd\u5264\u3067\u306f\u3001\u751f\u7269\u5b66\u7684\u88fd\u5264\u306e\u4f7f\u7528\u3092\u512a\u5148<\/strong>\u3059\u308b\u3053\u3068\u306b\u306a\u308a\u307e\u3057\u305f\u3002<\/li>\n<\/ul>\n<\/li>\n\n\n\n<li><strong>\u4ed6\u306e\u751f\u7269\u5b66\u7684\u88fd\u5264\u3084JAK\u963b\u5bb3\u85ac<\/strong>\u4f7f\u7528\n<ul class=\"wp-block-list\">\n<li>TNF\u963b\u5bb3\u85ac\u306a\u3069\u306e\u751f\u7269\u5b66\u7684\u88fd\u5264\u3092\u4f7f\u3063\u3066\u3082\u30b3\u30f3\u30c8\u30ed\u30fc\u30eb\u304c\u3067\u304d\u306a\u3044\u5834\u5408\u306f\u3001\u751f\u7269\u5b66\u7684\u88fd\u5264\u306e\u5909\u66f4\u304c\u5fc5\u8981\u306b\u306a\u308a\u307e\u3059\u3002<strong>\u52b9\u679c\u4e0d\u5341\u5206\u3067\u3042\u3063\u305f\u5834\u5408\u306f\u3001\u540c\u3058\uff34\uff2e\uff26\u963b\u5bb3\u85ac\u304b\u3089\u9078\u3076\u306e\u3067\u306f\u306a\u304f\u3001\u9055\u3046\u30bf\u30a4\u30d7\u306e\u85ac\u5264\uff08\uff34\uff2e\uff26\u963b\u5bb3\u85ac\u304b\u3089\uff2a\uff21\uff2b\u963b\u5bb3\u85ac\u3078\u306e\u5207\u308a\u66ff\u3048\u306a\u3069\uff09\u3092\u512a\u5148<\/strong>\u3057\u307e\u3059\u3002<\/li>\n<\/ul>\n<\/li>\n<\/ol>\n\n\n<div class=\"su-spacer\" style=\"height:100px\"><\/div>\n\n\n\n<p><strong>\u6297\u30ea\u30a6\u30de\u30c1\u85ac\u306e\u5177\u4f53\u7684\u306a\u85ac\u5264<\/strong>\uff08<strong>\u75be\u60a3\u4fee\u98fe\u6027\u6297\u30ea\u30a6\u30de\u30c1\u85ac\uff08DMARDs\uff09<\/strong><\/p>\n\n\n\n<ol class=\"wp-block-list\">\n<li><strong>\u5f93\u6765\u578b\u5408\u6210DMARDs\uff08CS DMARDs\uff09<\/strong><\/li>\n\n\n\n<li><strong>\u751f\u7269\u5b66\u7684DMARDs\uff08bDMARDs\uff09<\/strong><\/li>\n\n\n\n<li><strong>JAK\u963b\u5bb3\u85ac\uff08tsDMARDs\uff09<\/strong><\/li>\n<\/ol>\n\n\n<div class=\"su-spacer\" style=\"height:100px\"><\/div>\n\n\n\n<h4 class=\"wp-block-heading\"><strong>\u5f93\u6765\u578b\u5408\u6210DMARDs\uff08CS DMARDs\uff09<\/strong><\/h4>\n\n\n\n<p>\u3000<\/p>\n\n\n\n<p>\u3000<strong>CS DMARD<\/strong>\uff08Conventional Synthetic Disease-Modifying Antirheumatic Drugs\u3001\u5f93\u6765\u578b\u5408\u6210\u75be\u60a3\u4fee\u98fe\u6027\u6297\u30ea\u30a6\u30de\u30c1\u85ac\uff09\u306f\u3001\u5316\u5b66\u7684\u306b\u5408\u6210\u3055\u308c\u305f\u85ac\u5264\u3067\u3001\u95a2\u7bc0\u30ea\u30a6\u30de\u30c1\uff08RA\uff09\u306e\u9032\u884c\u3092\u6291\u3048\u308b\u52b9\u679c\u304c\u3042\u308a\u307e\u3059\u3002<\/p>\n\n\n\n<p>\u3000\u75c7\u72b6\u306e\u7de9\u548c\u3084\u75c7\u3092\u6291\u3048\u308b\u3060\u3051\u3067\u306a\u304f\u3001\u75be\u60a3\u305d\u306e\u3082\u306e\u306e\u9032\u884c\u3092\u9045\u3089\u305b\u308b<strong>\u300c\u75be\u60a3\u4fee\u98fe\u6027\u300d<\/strong>\u3092\u6301\u3064\u85ac\u5264\u3067\u3001\u95a2\u7bc0\u306e\u7834\u58ca\u3092\u9632\u304e\u3001\u9577\u671f\u7684\u306a\u75c5\u72b6\u7ba1\u7406\u3092\u884c\u3046\u305f\u3081\u306b\u4f7f\u7528\u3055\u308c\u307e\u3059\u3002<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>\u30e1\u30c8\u30c8\u30ec\u30ad\u30b5\u30fc\u30c8\uff08MTX\uff09<\/strong>: \u6700\u3082\u3088\u304f\u4f7f\u7528\u3055\u308c\u308b\u85ac\u3067\u3001\u30ea\u30a6\u30de\u30c1\u6cbb\u7642\u306e\u7b2c\u4e00\u9078\u629e\u85ac\u3002<\/li>\n\n\n\n<li><strong>\u30b5\u30e9\u30be\u30b9\u30eb\u30d5\u30a1\u30d4\u30ea\u30b8\u30f3\uff08SSZ\uff09<\/strong>: \u8efd\u5ea6\u304b\u3089\u4e2d\u7b49\u5ea6\u306e\u95a2\u7bc0\u30ea\u30a6\u30de\u30c1\u306b\u4f7f\u7528\u3002\u598a\u5a20\u4e2d\u3082\u4f7f\u7528\u3067\u304d\u308b<\/li>\n\n\n\n<li><strong>\u30ec\u30d5\u30eb\u30ce\u30df\u30c9\uff08LEF\uff09<\/strong>: \u30e1\u30c8\u30c8\u30ec\u30ad\u30b5\u30fc\u30c8\u306e\u4ee3\u66ff\u85ac\u3068\u3057\u3066\u4f7f\u7528\u3002<\/li>\n\n\n\n<li><strong>\u30d6\u30b7\u30e9\u30df\u30f3<\/strong>\uff08BUC\uff09\uff1a\u514d\u75ab\u6291\u5236\u306b\u3088\u308b\u611f\u67d3\u75c7\u30ea\u30b9\u30af\u304c\u4f4e\u3044<\/li>\n\n\n\n<li><strong>\u30a4\u30b0\u30c1\u30e2\u30c9<\/strong>\uff1a\u514d\u75ab\u6291\u5236\u306b\u3088\u308b\u611f\u67d3\u75c7\u30ea\u30b9\u30af\u304c\u4f4e\u3044<\/li>\n\n\n\n<li><strong>\u30bf\u30af\u30ed\u30ea\u30e0\u30b9\uff08\u30d7\u30ed\u30b0\u30e9\u30d5\uff09<\/strong>\uff1a<strong>\u4f5c\u7528\u6a5f\u5e8f\u304c\u65e2\u5b58\u306e\u3082\u306e\u3068\u7570\u306a\u308a\u3001\u4ed6\u5264\u52b9\u679c\u4e0d\u5341\u5206\u4f8b\u3067\u3082\u4f7f\u3048\u308b<\/strong><\/li>\n\n\n\n<li><strong>\u30df\u30be\u30ea\u30d3\u30f3<\/strong>\uff08\u30d6\u30ec\u30c7\u30a3\u30cb\u30f3\uff09\uff1a\u526f\u4f5c\u7528\u304c\u5c11\u306a\u3044\u305f\u3081\u3001\u5408\u4f75\u75c7\u306e\u3042\u308b\u65b9\u3067\u3082\u4f7f\u3044\u3084\u3059\u3044<\/li>\n<\/ul>\n\n\n<div class=\"su-spacer\" style=\"height:100px\"><\/div>\n\n\n\n<h4 class=\"wp-block-heading\"><strong>\u751f\u7269\u5b66\u7684DMARDs\uff08bDMARDs\uff09<\/strong><\/h4>\n\n\n\n<p>\u3000<strong>bDMARDs<\/strong>\uff08biologic Disease-Modifying Antirheumatic Drugs\uff09\u306f\u3001\u7279\u5b9a\u306e\u514d\u75ab\u7d30\u80de\u3084\u708e\u75c7\u6027\u7269\u8cea\u3092\u6a19\u7684\u3068\u3057\u305f\u3001\u751f\u7269\u5b66\u7684\u30d7\u30ed\u30bb\u30b9\u3092\u5229\u7528\u3057\u3066\u4f5c\u3089\u308c\u305f\u85ac\u3067\u3059\u3002\u4e3b\u306b\u6ce8\u5c04\u85ac\u3067\u4f7f\u7528\u3055\u308c\u307e\u3059\u3002<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>\u6297TNF\u88fd\u5264<\/strong>: TNF\uff08\u816b\u760d\u58ca\u6b7b\u56e0\u5b50\uff09\u3068\u3044\u3046\u708e\u75c7\u6027\u7269\u8cea\u3092\u963b\u5bb3\u3059\u308b\u85ac\u5264\u3002\n<ul class=\"wp-block-list\">\n<li><strong>\u30a4\u30f3\u30d5\u30ea\u30ad\u30b7\u30de\u30d6\uff08\u30ec\u30df\u30b1\u30fc\u30c9\uff09<\/strong>\u3001<strong>\u30a8\u30bf\u30cd\u30eb\u30bb\u30d7\u30c8\uff08\u30a8\u30f3\u30d6\u30ec\u30eb\uff09<\/strong>\u3001<strong>\u30a2\u30c0\u30ea\u30e0\u30de\u30d6\uff08\u30d2\u30e5\u30df\u30e9\uff09\u30bb\u30eb\u30c8\u30ea\u30ba\u30de\u30d6 \u30da\u30b4\u30eb\uff08\u30b7\u30e0\u30b8\u30a2\uff09<\/strong>\u306a\u3069<\/li>\n<\/ul>\n<\/li>\n\n\n\n<li><strong>\u6297IL-6\u53d7\u5bb9\u4f53\u88fd\u5264<\/strong>: IL-6\uff08\u30a4\u30f3\u30bf\u30fc\u30ed\u30a4\u30ad\u30f36\uff09\u3092\u963b\u5bb3\u3059\u308b\u85ac\u5264\u3002\n<ul class=\"wp-block-list\">\n<li><strong>\u30c8\u30b7\u30ea\u30ba\u30de\u30d6\uff08\u30a2\u30af\u30c6\u30e0\u30e9\uff09<\/strong>\u3084<strong>\u30b5\u30ea\u30eb\u30de\u30d6\uff08\u30b1\u30d6\u30b6\u30e9\uff09<\/strong>\u306a\u3069<\/li>\n<\/ul>\n<\/li>\n\n\n\n<li><strong>B\u7d30\u80de\u963b\u5bb3\u5264<\/strong>: B\u7d30\u80de\u306e\u6d3b\u52d5\u3092\u6291\u5236\u3059\u308b\u3002\n<ul class=\"wp-block-list\">\n<li><strong>\u30ea\u30c4\u30ad\u30b7\u30de\u30d6\uff08\u30ea\u30c4\u30ad\u30b5\u30f3\uff09<\/strong>\u306a\u3069<\/li>\n<\/ul>\n<\/li>\n\n\n\n<li><strong>T\u7d30\u80de\u5171\u523a\u6fc0\u963b\u5bb3\u85ac<\/strong>: T\u7d30\u80de\u306e\u6d3b\u6027\u5316\u3092\u6291\u5236\u3059\u308b\u3002\n<ul class=\"wp-block-list\">\n<li><strong>\u30a2\u30d0\u30bf\u30bb\u30d7\u30c8\uff08\u30aa\u30ec\u30f3\u30b7\u30a2\uff09<\/strong>\u306a\u3069\u3002<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n\n\n<div class=\"su-spacer\" style=\"height:100px\"><\/div>\n\n\n\n<h4 class=\"wp-block-heading\"><strong>JAK\u963b\u5bb3\u85ac\uff08tsDMARDs\uff09<\/strong><\/h4>\n\n\n\n<p>\u3000JAK\u963b\u5bb3\u85ac\u306ftsDMARDs\uff08targeted synthetic DMARDs\uff09\u3068\u3088\u3070\u308c\u3001JAK\uff08\u30e4\u30cc\u30b9\u30ad\u30ca\u30fc\u30bc\uff09\u3068\u3044\u3046\u9175\u7d20\u3092\u963b\u5bb3\u3059\u308b\u3053\u3068\u3067\u3001\u708e\u75c7\u3092\u5f15\u304d\u8d77\u3053\u3059\u30b7\u30b0\u30ca\u30eb\u3092\u30d6\u30ed\u30c3\u30af\u3059\u308b\u65b0\u3057\u3044\u30bf\u30a4\u30d7\u306e\u85ac\u3067\u3059\u3002\u7d4c\u53e3\u85ac\u3068\u3057\u3066\u4f7f\u7528\u3055\u308c\u3001\u7279\u306b\u751f\u7269\u5b66\u7684\u88fd\u5264\u304c\u52b9\u679c\u3092\u793a\u3055\u306a\u3044\u5834\u5408\u306b\u4f7f\u7528\u3055\u308c\u308b\u3053\u3068\u304c\u591a\u3044\u3067\u3059\u3002<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>\u30c8\u30d5\u30a1\u30b7\u30c1\u30cb\u30d6\uff08\u30bc\u30eb\u30e4\u30f3\u30c4\uff09<\/strong><\/li>\n\n\n\n<li><strong>\u30d0\u30ea\u30b7\u30c1\u30cb\u30d6\uff08\u30aa\u30eb\u30df\u30a8\u30f3\u30c8\uff09<\/strong><\/li>\n\n\n\n<li><strong>\u30a6\u30d1\u30c0\u30b7\u30c1\u30cb\u30d6\uff08\u30ea\u30f3\u30f4\u30a9\u30c3\u30af\uff09<\/strong><\/li>\n\n\n\n<li><strong>\u30d5\u30a3\u30eb\u30b4\u30c1\u30cb\u30d6\uff08\u30b8\u30bb\u30ec\u30ab\uff09<\/strong><\/li>\n\n\n\n<li><strong>\u30da\u30d5\u30a3\u30b7\u30c1\u30cb\u30d6\uff08\u30b9\u30de\u30a4\u30e9\u30d6\uff09<\/strong><\/li>\n<\/ul>\n\n\n\n<p><strong>\u611f\u67d3\u75c7\u306e\u30ea\u30b9\u30af<\/strong>\u5897\u52a0\uff08\u7279\u306b\u7d50\u6838\u3084\u5e2f\u72b6\u75b1\u75b9\uff09\u3084<strong>\u8840\u6813\u75c7\u306e\u30ea\u30b9\u30af<\/strong>\u306f\u3042\u308a\u307e\u3059\u304c\u3001JAK\u963b\u5bb3\u85ac\u306f\u7d4c\u53e3\u3067\u670d\u7528\u3067\u304d\u3001\u52b9\u679c\u304c\u901f\u3084\u304b\u306b\u73fe\u308c\u308b\u305f\u3081\u3001\u6ce8\u5c04\u85ac\u306e\u751f\u7269\u5b66\u7684\u88fd\u5264\u304c\u96e3\u3057\u3044\u60a3\u8005\u306b\u3068\u3063\u3066\u3082\u52b9\u679c\u7684\u306a\u9078\u629e\u80a2\u3068\u306a\u308a\u307e\u3059\u3002<\/p>\n\n\n<div class=\"su-spacer\" style=\"height:100px\"><\/div>\n\n\n\n<h3 class=\"wp-block-heading\">\u2461\u88dc\u52a9\u7684\u6cbb\u7642\u306b\u3064\u3044\u3066<\/h3>\n\n\n\n<p>\u88dc\u52a9\u6cbb\u7642\u3067\u7528\u3044\u3089\u308c\u308b\u85ac\u306e\u4e2d\u306b\u306f\u4ee5\u4e0b\u306e\u3088\u3046\u306a\u3082\u306e\u304c\u3042\u308a\u307e\u3059\u3002<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>\u975e\u30b9\u30c6\u30ed\u30a4\u30c9\u6027\u6297\u708e\u75c7\u85ac\uff08NSAIDs\uff09<\/strong>\n<ul class=\"wp-block-list\">\n<li>DMARDs\u3084\u751f\u7269\u5b66\u7684\u88fd\u5264\u306e\u52b9\u679c\u304c\u73fe\u308c\u308b\u307e\u3067\u306e\u9593\u3001\u6025\u6027\u671f\u306e\u708e\u75c7\u3084\u75db\u307f\u3092\u6291\u3048\u308b\u305f\u3081\u306b\u7528\u3044\u3089\u308c\u307e\u3059\u3002\u95a2\u7bc0\u7834\u58ca\u3092\u9632\u3050\u52b9\u679c\u306f\u306a\u3044\u305f\u3081\u3001\u9577\u671f\u7684\u306a\u6cbb\u7642\u306b\u306f\u5411\u3044\u3066\u3044\u307e\u305b\u3093\u3002<\/li>\n\n\n\n<li>\u30ed\u30ad\u30bd\u30d7\u30ed\u30d5\u30a7\u30f3\u3001<strong>\u30a4\u30d6\u30d7\u30ed\u30d5\u30a7\u30f3<\/strong>\u3001<strong>\u30ca\u30d7\u30ed\u30ad\u30bb\u30f3\u3001\u30bb\u30ec\u30b3\u30ad\u30b7\u30d6\uff08\u30bb\u30ec\u30b3\u30c3\u30af\u30b9\uff09<\/strong>\u306a\u3069<\/li>\n<\/ul>\n<\/li>\n\n\n\n<li><strong>\u526f\u814e\u76ae\u8cea\u30b9\u30c6\u30ed\u30a4\u30c9\uff08\u30b0\u30eb\u30b3\u30b3\u30eb\u30c1\u30b3\u30a4\u30c9\uff09<\/strong>\n<ul class=\"wp-block-list\">\n<li>\u5f37\u529b\u306a\u6297\u708e\u75c7\u4f5c\u7528\u3092\u6301\u3061\u3001\u6025\u6fc0\u306a\u95a2\u7bc0\u306e\u708e\u75c7\u3084\u75c7\u72b6\u60aa\u5316\u3092\u6291\u3048\u308b\u305f\u3081\u306b\u4f7f\u7528\u3055\u308c\u307e\u3059\u3002\u4e3b\u6cbb\u7642\u306e\u52b9\u679c\u304c\u73fe\u308c\u308b\u307e\u3067\u306e\u9593\u306b\u88dc\u52a9\u7684\u306b\u4f7f\u7528\u3055\u308c\u307e\u3059\u3002\u9577\u671f\u4f7f\u7528\u3067\u9aa8\u7c97\u3057\u3087\u3046\u75c7\u3084\u7cd6\u5c3f\u75c5\u3001\u611f\u67d3\u75c7\u30ea\u30b9\u30af\u306a\u3069\u304c\u3042\u308b\u305f\u3081\u3001\u4f4e\u7528\u91cf\u304b\u3064\u77ed\u671f\u9593\u306b\u7559\u3081\u308b\u3053\u3068\u304c\u63a8\u5968\u3055\u308c\u307e\u3059\u3002<\/li>\n\n\n\n<li><strong>\u30e1\u30c1\u30eb\u30d7\u30ec\u30c9\u30cb\u30be\u30ed\u30f3<\/strong>\u3001<strong>\u30d7\u30ec\u30c9\u30cb\u30be\u30f3<\/strong>\u306a\u3069<\/li>\n<\/ul>\n<\/li>\n\n\n\n<li><strong>\u6297RANKL\u85ac\uff08\u30c7\u30ce\u30b9\u30de\u30d6\uff09<\/strong>\n<ul class=\"wp-block-list\">\n<li>\u9aa8\u7834\u58ca\u306e\u9032\u884c\u3092\u6291\u3048\u308b\u305f\u3081\u306e\u88dc\u52a9\u85ac\u3068\u3057\u3066\u9aa8\u7c97\u9b06\u75c7\u85ac\u3067\u3042\u308b\u6297RANKL\u85ac\uff08\u5546\u54c1\u540d\uff1a\u30d7\u30e9\u30ea\u30a2\uff09\u304c\u7528\u3044\u3089\u308c\u308b\u3053\u3068\u304c\u3042\u308a\u307e\u3059\u3002\u6297RANKL\u85ac\u306f\u3001\u9aa8\u5438\u53ce\uff08\u9aa8\u306e\u5206\u89e3\uff09\u3092\u6291\u5236\u3059\u308b\u50cd\u304d\u304c\u3042\u308a\u3001\u5f93\u6765\u3001\u9aa8\u7c97\u9b06\u75c7\u85ac\u3068\u3057\u3066\u4f7f\u7528\u3055\u308c\u3066\u304d\u307e\u3057\u305f\u304c\u3001\u8fd1\u5e74\u95a2\u7bc0\u30ea\u30a6\u30de\u30c1\u306b\u3088\u308b\u9aa8\u7834\u58ca\u50cf\u3067\u3042\u308b\u9aa8\u3073\u3089\u3093\u306e\u6291\u5236\u306e\u52b9\u679c\u304c\u5831\u544a\u3055\u308c\u3066\u3044\u307e\u3059\u3002<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n\n\n\n<p>\u4e3b\u6cbb\u7642\u3068\u88dc\u52a9\u7684\u6cbb\u7642\u3092\u7d44\u307f\u5408\u308f\u305b\u308b\u4e8b\u3067\u3001\u95a2\u7bc0\u30ea\u30a6\u30de\u30c1\u306b\u3088\u308b\u9aa8\u7834\u58ca\u3092\u30e1\u30c8\u30c8\u30ec\u30ad\u30b5\u30fc\u30c8\uff08MTX\uff09\u306a\u3069\u514d\u75ab\u306e\u7570\u5e38\u306a\u50cd\u304d\u3092\u6291\u3048\u308b\u3053\u3068\u3067\u708e\u75c7\u3092\u6e1b\u3089\u3057\u3001\u95a2\u7bc0\u7834\u58ca\u3092\u9632\u3050\u85ac\u3092\u4e2d\u5fc3\u306b\u3001\u75db\u307f\u3092\u9069\u5207\u306b\u30b3\u30f3\u30c8\u30ed\u30fc\u30eb\u3057\u3001\u751f\u6d3b\u306e\u8cea\uff08ADL\uff09\u3092\u6700\u5927\u9650\u306b\u4fdd\u3064\u3053\u3068\u3092\u76ee\u6307\u3057\u3066\u3044\u304d\u307e\u3059\u3002<\/p>\n\n\n<div class=\"su-spacer\" style=\"height:100px\"><\/div>\n\n\n\n<p><\/p>\n\n\n\n<p>\u8a73\u3057\u3044\u95a2\u7bc0\u30ea\u30a6\u30de\u30c1\u306e\u6cbb\u7642\u85ac\u306e\u9055\u3044\u306b\u3064\u3044\u3066\u306f\u21e9\u3067\uff01<\/p>\n\n\n<div class=\"su-spacer\" style=\"height:100px\"><\/div>\n\n\n\n<h2 class=\"wp-block-heading has-text-align-center has-large-font-size\">\u95a2\u7bc0\u30ea\u30a6\u30de\u30c1\u306e\u624b\u8853\u6cbb\u7642<\/h2>\n\n\n<div class=\"su-divider su-divider-style-double\" style=\"margin:15px 0;border-width:20px;border-color:#f79b2d\"><\/div>\n\n\n<div class=\"su-spacer\" style=\"height:100px\"><\/div>\n\n\n\n<p>\u95a2\u7bc0\u30ea\u30a6\u30de\u30c1\uff08RA\uff09\u306e\u624b\u8853\u6cbb\u7642\u306f\u3001\u85ac\u7269\u7642\u6cd5\u304c\u5341\u5206\u306a\u52b9\u679c\u3092\u793a\u3055\u305a\u3001\u95a2\u7bc0\u306e\u75db\u307f\u3084\u6a5f\u80fd\u969c\u5bb3\u304c\u9032\u884c\u3057\u305f\u5834\u5408\u306b\u691c\u8a0e\u3055\u308c\u307e\u3059\u3002\u624b\u8853\u306b\u3088\u3063\u3066\u3001\u75db\u307f\u306e\u8efd\u6e1b\u306b\u3088\u308a\u751f\u6d3b\u306e\u8cea\u3092\u5411\u4e0a\u3055\u305b\u3001\u95a2\u7bc0\u306e\u6a5f\u80fd\u3092\u56de\u5fa9\u3055\u305b\u308b\u3053\u3068\u3092\u76ee\u7684\u3068\u3057\u3066\u3044\u307e\u3059\u3002\u307e\u305f\u3001\u5909\u5f62\u3092\u4fee\u6b63\u3057\u8a8d\u3081\u306e\u6539\u5584\u3092\u306f\u304b\u308b\u3053\u3068\u3082\u3042\u308a\u307e\u3059\u3002<\/p>\n\n\n<div class=\"su-spacer\" style=\"height:100px\"><\/div>\n\n\n\n<p>RA\u306b\u5bfe\u3059\u308b\u4e3b\u306a\u624b\u8853\u306e\u7a2e\u985e\u3067\u3059\u3002<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">1. <strong>\u6ed1\u819c\u5207\u9664\u8853<\/strong><\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\u6ed1\u819c\u306e\u708e\u75c7\u304c\u7d9a\u304f\u3068\u3001\u95a2\u7bc0\u306e\u7834\u58ca\u304c\u9032\u884c\u3059\u308b\u305f\u3081\u3001\u6ed1\u819c\u3092\u90e8\u5206\u7684\u307e\u305f\u306f\u5168\u4f53\u7684\u306b\u9664\u53bb\u3059\u308b\u624b\u8853\u3067\u3059\u3002\u819d\u3084\u624b\u9996\u306a\u3069\u306e\u95a2\u7bc0\u3067\u884c\u308f\u308c\u3001\u75db\u307f\u3092\u8efd\u6e1b\u3057\u3001\u708e\u75c7\u306e\u9032\u884c\u3092\u6291\u5236\u3059\u308b\u52b9\u679c\u304c\u3042\u308a\u307e\u3059\u3002\u30ea\u30a6\u30de\u30c1\u6cbb\u7642\u306e\u4e00\u74b0\u3068\u3057\u3066\u3001\u7279\u306b\u85ac\u7269\u7642\u6cd5\u3060\u3051\u3067\u306f\u75c7\u72b6\u304c\u6539\u5584\u3057\u306a\u3044\u5834\u5408\u3084\u95a2\u7bc0\u306e\u7834\u58ca\u304c\u9032\u884c\u3057\u3066\u3044\u308b\u5834\u5408\u306b\u884c\u3044\u307e\u3059\u3002\u95a2\u7bc0\u7834\u58ca\u304c\u8efd\u5ea6\u3067\u5358\u95a2\u7bc0\u3084\u5c11\u95a2\u7bc0\u306e\u5834\u5408\u306b\u691c\u8a0e\u3055\u308c\u307e\u3059\u3002<\/li>\n<\/ul>\n\n\n\n<p><\/p>\n\n\n\n<h3 class=\"wp-block-heading\">\uff12. <strong>\u95a2\u7bc0\u5f62\u6210\u8853<\/strong><\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>\u95a2\u7bc0\u5f62\u6210\u8853<\/strong>\u306f\u3001\u5909\u5f62\u3057\u305f\u95a2\u7bc0\u306e\u5f62\u3092\u6574\u3048\u3001\u6a5f\u80fd\u3092\u6539\u5584\u3059\u308b\u624b\u8853\u3067\u3059\u3002\u7279\u306b\u624b\u3084\u8db3\u306e\u5c0f\u95a2\u7bc0\u3067\u7528\u3044\u3089\u308c\u3001\u6307\u3084\u8db3\u8dbe\u306e\u5909\u5f62\u3092\u4fee\u6b63\u3059\u308b\u3053\u3068\u3067\u3001\u6a5f\u80fd\u56de\u5fa9\u3084\u898b\u305f\u76ee\u306e\u6539\u5584\u304c\u671f\u5f85\u3055\u308c\u307e\u3059\u3002\u95a2\u7bc0\u30ea\u30a6\u30de\u30c1\u60a3\u8005\u306b\u591a\u3044\u3001\u5916\u53cd\u6bcd\u8dbe\u624b\u8853\u3082\u95a2\u7bc0\u5f62\u6210\u8853\u306b\u542b\u307e\u308c\u307e\u3059<\/li>\n<\/ul>\n\n\n\n<p><\/p>\n\n\n\n<h3 class=\"wp-block-heading\">\uff13. <strong>\u95a2\u7bc0\u56fa\u5b9a\u8853<\/strong><\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\u91cd\u5ea6\u306e\u95a2\u7bc0\u7834\u58ca\u304c\u9032\u884c\u3057\u3001\u95a2\u7bc0\u306e\u75db\u307f\u304c\u5f37\u3044\u5834\u5408\u306b\u884c\u308f\u308c\u308b\u5916\u79d1\u7684\u6cbb\u7642\u306e\u4e00\u3064\u3067\u3059\u3002\u6fc0\u3057\u3044\u75db\u307f\u3084\u95a2\u7bc0\u306e\u4e0d\u5b89\u5b9a\u6027\u304c\u3042\u308b\u5834\u5408\u306b\u3001\u95a2\u7bc0\u3092\u56fa\u5b9a\u3057\u3066\u52d5\u304b\u306a\u304f\u3059\u308b\u3053\u3068\u3067\u3001\u75db\u307f\u306e\u6539\u5584\u3092\u76ee\u6a19\u306b\u3057\u307e\u3059\u3002\u85ac\u7269\u7642\u6cd5\u3001\u6ed1\u819c\u5207\u9664\u8853\u3001\u95a2\u7bc0\u5f62\u6210\u8853\u306a\u3069\u3067\u75db\u307f\u304c\u6539\u5584\u3057\u306a\u3044\u5834\u5408\u306e\u6700\u7d42\u624b\u6bb5\u3068\u3057\u3066\u884c\u308f\u308c\u307e\u3059\u3002\u75db\u307f\u306e\u8efd\u6e1b\u3068\u95a2\u7bc0\u306e\u5b89\u5b9a\u5316\u304c\u4e3b\u306a\u76ee\u7684\u3067\u3042\u308a\u3001\u7279\u306b\u8db3\u9996\u3084\u624b\u9996\u306a\u3069\u306e\u95a2\u7bc0\u3067\u884c\u308f\u308c\u308b\u3053\u3068\u304c\u3042\u308a\u307e\u3059\u3002<\/li>\n<\/ul>\n\n\n\n<p><\/p>\n\n\n\n<h3 class=\"wp-block-heading\">4. <strong>\u4eba\u5de5\u95a2\u7bc0\u7f6e\u63db\u8853<\/strong><\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>\u4eba\u5de5\u95a2\u7bc0\u7f6e\u63db\u8853<\/strong>\u306f\u3001RA\u306b\u3088\u308b\u95a2\u7bc0\u7834\u58ca\u304c\u9032\u884c\u3057\u3001\u95a2\u7bc0\u306e\u6a5f\u80fd\u304c\u5931\u308f\u308c\u305f\u5834\u5408\u306b\u884c\u308f\u308c\u307e\u3059\u3002\u4e3b\u306b\u819d\u95a2\u7bc0\u3084\u80a1\u95a2\u7bc0\u3067\u884c\u308f\u308c\u3001\u4eba\u5de5\u95a2\u7bc0\u3092\u7f6e\u63db\u3059\u308b\u3053\u3068\u3067\u3001\u75db\u307f\u3092\u8efd\u6e1b\u3057\u3001\u95a2\u7bc0\u306e\u6a5f\u80fd\u3092\u56de\u5fa9\u3055\u305b\u307e\u3059\u3002\u8fd1\u5e74\u3001\u95a2\u7bc0\u30ea\u30a6\u30de\u30c1\u3067\u65e9\u671f\u304b\u3089\u969c\u5bb3\u3092\u53d7\u3051\u308b\u90e8\u4f4d\u3067\u3042\u308b\u3001\u624b\u306e\u4eba\u5de5\u95a2\u7bc0\u3082\u9069\u5fdc\u3055\u308c\u3064\u3064\u3042\u308a\u307e\u3059\u3002\u7b2c2\u3001\u7b2c3\u95a2\u7bc0\uff08PIP\u95a2\u7bc0\u3001MCP\u95a2\u7bc0\uff09\u306a\u3069\u3067\u884c\u308f\u308c\u307e\u3059\u304c\u3001\u8010\u4e45\u6027\u306e\u554f\u984c\u306a\u3069\u304c\u3042\u308a\u307e\u3059\u3002<\/li>\n<\/ul>\n\n\n\n<p><\/p>\n\n\n\n<h3 class=\"wp-block-heading\">5. <strong>\u8171\u518d\u5efa\u8853<\/strong><\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>RA\u306b\u3088\u3063\u3066\u8171\u304c\u7834\u624b\u58ca\u3055\u308c\u305f\u308a\u65ad\u88c2\u3057\u305f\u308a\u3059\u308b\u3053\u3068\u304c\u3042\u308a\u307e\u3059\u3002\u8171\u518d\u5efa\u8853\u3067\u306f\u3001\u640d\u50b7\u3057\u305f\u8171\u3092\u4fee\u5fa9\u3057\u3001\u624b\u3084\u8db3\u306e\u6a5f\u80fd\u3092\u6539\u5584\u3057\u307e\u3059\u3002\u7279\u306b\u624b\u6307\u306e\u8171\u304c\u5f71\u97ff\u3092\u53d7\u3051\u305f\u5834\u5408\u306b\u884c\u308f\u308c\u308b\u3053\u3068\u304c\u591a\u3044\u3067\u3059\u3002<\/li>\n<\/ul>\n\n\n\n<p>\u624b\u8853\u6cbb\u7642\u306f\u3001\u85ac\u7269\u7642\u6cd5\u3067\u306e\u6cbb\u7642\u304c\u56f0\u96e3\u306a\u5834\u5408\u306b\u3001\u9069\u5207\u306a\u624b\u8853\u304c\u9078\u3070\u308c\u308b\u3053\u3068\u3067\u60a3\u8005\u306e\u751f\u6d3b\u306e\u8cea\u304c\u5927\u304d\u304f\u5411\u4e0a\u3059\u308b\u53ef\u80fd\u6027\u304c\u3042\u308a\u307e\u3059\u3002<\/p>\n\n\n<div class=\"su-spacer\" style=\"height:100px\"><\/div>\n\n\n\n<div id=\"id2\"><div>\n\n\n\n<h2 class=\"wp-block-heading has-text-align-center has-large-font-size\">\u95a2\u7bc0\u30ea\u30a6\u30de\u30c1\u306e\u8a55\u4fa1\u65b9\u6cd5<\/h2>\n\n\n<div class=\"su-divider su-divider-style-double\" style=\"margin:15px 0;border-width:20px;border-color:#f79b2d\"><\/div>\n\n\n\n<p>\u95a2\u7bc0\u30ea\u30a6\u30de\u30c1\uff08RA\uff09\u306e\u8a55\u4fa1\u306b\u4f7f\u7528\u3055\u308c\u308b\u300c\u30b9\u30b1\u30fc\u30eb\u300d\u306f\u3001\u60a3\u8005\u306e\u75c5\u72b6\u3084\u6cbb\u7642\u52b9\u679c\u3092\u5ba2\u89b3\u7684\u306b\u6e2c\u5b9a\u3059\u308b\u305f\u3081\u306b\u958b\u767a\u3055\u308c\u305f\u6307\u6a19\u3067\u3059\u3002\u4ee3\u8868\u7684\u306a\u30b9\u30b1\u30fc\u30eb\u306b\u306f\u3001<strong>DAS28<\/strong>\u3084<strong>SDAI<\/strong>\u3001<strong>CDAI<\/strong>\u306a\u3069\u304c\u3042\u308a\u307e\u3059\u3002\u305d\u308c\u305e\u308c\u7570\u306a\u308b\u30a2\u30d7\u30ed\u30fc\u30c1\u3067\u708e\u75c7\u306e\u7a0b\u5ea6\u3084\u75be\u60a3\u306e\u6d3b\u52d5\u6027\u3092\u8a55\u4fa1\u3057\u307e\u3059\u3002<\/p>\n\n\n<div class=\"su-spacer\" style=\"height:100px\"><\/div>\n\n\n\n<h3 class=\"wp-block-heading\">\u2460<strong>DAS28\uff08Disease Activity Score 28\uff09<\/strong><\/h3>\n\n\n\n<p>DAS28\u306f\u3001\u95a2\u7bc0\u30ea\u30a6\u30de\u30c1\u306e\u6d3b\u52d5\u6027\u3092\u8a55\u4fa1\u3059\u308b\u305f\u3081\u306b\u5e83\u304f\u4f7f\u308f\u308c\u3066\u3044\u308b\u6307\u6a19\u3067\u3059\u300228\u30ab\u6240\u306e\u95a2\u7bc0\uff08\u80a9\u3001\u8098\u3001\u624b\u3001\u819d\uff09\u306b\u3064\u3044\u3066\u3001**\u816b\u8139\u95a2\u7bc0\u6570\uff08SJC\uff09<strong>\u3068<\/strong>\u5727\u75db\u95a2\u7bc0\u6570\uff08TJC\uff09<strong>\u3092\u8a55\u4fa1\u3057\u3001\u3055\u3089\u306b<\/strong>CRP\uff08C\u53cd\u5fdc\u6027\u86cb\u767d\uff09\u307e\u305f\u306fESR\uff08\u8d64\u8840\u7403\u6c88\u964d\u901f\u5ea6\uff09**\u306e\u6570\u5024\u3001\u304a\u3088\u3073\u60a3\u8005\u81ea\u8eab\u306e\u5168\u822c\u7684\u306a\u5065\u5eb7\u72b6\u614b\u306e\u8a55\u4fa1\uff08VAS\uff09\u3092\u7d44\u307f\u5408\u308f\u305b\u3066\u7b97\u51fa\u3055\u308c\u307e\u3059\u3002<\/p>\n\n\n\n<p><strong>DAS28\u306e\u6570\u5024\u306e\u89e3\u91c8<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>DAS28 \u2264 2.6<\/strong>\uff1a\u5bdb\u89e3\uff08\u75be\u60a3\u6d3b\u52d5\u6027\u304c\u307b\u3068\u3093\u3069\u306a\u3044\u72b6\u614b\uff09<\/li>\n\n\n\n<li><strong>DAS28 2.6\uff5e3.2<\/strong>\uff1a\u4f4e\u75be\u60a3\u6d3b\u52d5\u6027<\/li>\n\n\n\n<li><strong>DAS28 3.2\uff5e5.1<\/strong>\uff1a\u4e2d\u7b49\u5ea6\u75be\u60a3\u6d3b\u52d5\u6027<\/li>\n\n\n\n<li><strong>DAS28 &gt; 5.1<\/strong>\uff1a\u9ad8\u75be\u60a3\u6d3b\u52d5\u6027<\/li>\n<\/ul>\n\n\n\n<p>DAS28\u306f\u3001\u6cbb\u7642\u52b9\u679c\u306e\u8ffd\u8de1\u3084\u75be\u60a3\u6d3b\u52d5\u6027\u306e\u7ba1\u7406\u306b\u5f79\u7acb\u3061\u307e\u3059\u3002<\/p>\n\n\n\n<p><\/p>\n\n\n\n<h3 class=\"wp-block-heading\">\u2461<strong>SDAI\uff08Simplified Disease Activity Index\uff09<\/strong><\/h3>\n\n\n\n<p>SDAI\u306f\u3001\u3088\u308a\u30b7\u30f3\u30d7\u30eb\u306b\u95a2\u7bc0\u30ea\u30a6\u30de\u30c1\u306e\u6d3b\u52d5\u6027\u3092\u8a55\u4fa1\u3059\u308b\u6307\u6a19\u3067\u3001\u6b21\u306e5\u3064\u306e\u8981\u7d20\u3092\u5408\u8a08\u3057\u3066\u30b9\u30b3\u30a2\u3092\u7b97\u51fa\u3057\u307e\u3059\u3002<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\u5727\u75db\u95a2\u7bc0\u6570\uff0828\u95a2\u7bc0\uff09<\/li>\n\n\n\n<li>\u816b\u8139\u95a2\u7bc0\u6570\uff0828\u95a2\u7bc0\uff09<\/li>\n\n\n\n<li>\u60a3\u8005\u306e\u81ea\u5df1\u8a55\u4fa1\uff08VAS\uff09<\/li>\n\n\n\n<li>\u533b\u5e2b\u306b\u3088\u308b\u75be\u60a3\u6d3b\u52d5\u6027\u306e\u8a55\u4fa1\uff08VAS\uff09<\/li>\n\n\n\n<li>CRP\uff08mg\/dL\uff09<\/li>\n\n\n\n<li><\/li>\n<\/ul>\n\n\n\n<p><strong>SDAI\u306e\u6570\u5024\u306e\u89e3\u91c8\uff1a<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>SDAI \u2264 3.3<\/strong>\uff1a\u5bdb\u89e3<\/li>\n\n\n\n<li><strong>SDAI 3.3\uff5e11<\/strong>\uff1a\u4f4e\u75be\u60a3\u6d3b\u52d5\u6027<\/li>\n\n\n\n<li><strong>SDAI 11\uff5e26<\/strong>\uff1a\u4e2d\u7b49\u5ea6\u75be\u60a3\u6d3b\u52d5\u6027<\/li>\n\n\n\n<li><strong>SDAI &gt; 26<\/strong>\uff1a\u9ad8\u75be\u60a3\u6d3b\u52d5\u6027<\/li>\n<\/ul>\n\n\n\n<p>SDAI\u306f\u3001CRP\u304c\u5229\u7528\u3067\u304d\u306a\u3044\u5834\u5408\u306b\u3082\u7c21\u5358\u306b\u8a55\u4fa1\u304c\u3067\u304d\u308b\u305f\u3081\u3001\u81e8\u5e8a\u73fe\u5834\u3067\u3088\u304f\u4f7f\u308f\u308c\u307e\u3059\u3002<\/p>\n\n\n\n<p><\/p>\n\n\n\n<h3 class=\"wp-block-heading\">\u2462 <strong>CDAI\uff08Clinical Disease Activity Index\uff09<\/strong><\/h3>\n\n\n\n<p>CDAI\u306f\u3001SDAI\u306eCRP\u3092\u9664\u3044\u305f\u30d0\u30fc\u30b8\u30e7\u30f3\u3067\u3001\u5b8c\u5168\u306b\u81e8\u5e8a\u7684\u306a\u8a55\u4fa1\u306b\u57fa\u3065\u304d\u307e\u3059\u3002CRP\u3084ESR\u306e\u6570\u5024\u3092\u7528\u3044\u305a\u3001\u6b21\u306e4\u3064\u306e\u8981\u7d20\u3092\u5408\u8a08\u3057\u3066\u30b9\u30b3\u30a2\u3092\u7b97\u51fa\u3057\u307e\u3059\u3002<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\u5727\u75db\u95a2\u7bc0\u6570\uff0828\u95a2\u7bc0\uff09<\/li>\n\n\n\n<li>\u816b\u8139\u95a2\u7bc0\u6570\uff0828\u95a2\u7bc0\uff09<\/li>\n\n\n\n<li>\u60a3\u8005\u306e\u81ea\u5df1\u8a55\u4fa1\uff08VAS\uff09<\/li>\n\n\n\n<li>\u533b\u5e2b\u306e\u8a55\u4fa1\uff08VAS\uff09<\/li>\n<\/ul>\n\n\n\n<p><strong>CDAI\u306e\u6570\u5024\u306e\u89e3\u91c8\uff1a<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>CDAI \u2264 2.8<\/strong>\uff1a\u5bdb\u89e3<\/li>\n\n\n\n<li><strong>CDAI 2.8\uff5e10<\/strong>\uff1a\u4f4e\u75be\u60a3\u6d3b\u52d5\u6027<\/li>\n\n\n\n<li><strong>CDAI 10\uff5e22<\/strong>\uff1a\u4e2d\u7b49\u5ea6\u75be\u60a3\u6d3b\u52d5\u6027<\/li>\n\n\n\n<li><strong>CDAI &gt; 22<\/strong>\uff1a\u9ad8\u75be\u60a3\u6d3b\u52d5\u6027<\/li>\n<\/ul>\n\n\n\n<p>CDAI\u306f\u8840\u6db2\u691c\u67fb\u3092\u5fc5\u8981\u3068\u305b\u305a\u3001\u8fc5\u901f\u306b\u8a55\u4fa1\u3067\u304d\u308b\u305f\u3081\u3001\u5916\u6765\u8a3a\u7642\u3067\u7279\u306b\u6709\u7528\u3067\u3059\u3002<\/p>\n\n\n\n<p><\/p>\n\n\n\n<h3 class=\"wp-block-heading\">\u2463 <strong>HAQ\uff08Health Assessment Questionnaire\uff09<\/strong><\/h3>\n\n\n\n<p>HAQ\u306f\u3001\u60a3\u8005\u306e\u65e5\u5e38\u751f\u6d3b\u306b\u304a\u3051\u308b\u6a5f\u80fd\u7684\u969c\u5bb3\u3092\u8a55\u4fa1\u3059\u308b\u305f\u3081\u306e\u81ea\u5df1\u5831\u544a\u5f0f\u30a2\u30f3\u30b1\u30fc\u30c8\u3067\u3059\u3002\u95a2\u7bc0\u30ea\u30a6\u30de\u30c1\u306b\u3088\u308b\u8eab\u4f53\u6a5f\u80fd\u306e\u969c\u5bb3\u3092\u6e2c\u5b9a\u3059\u308b\u3053\u3068\u3067\u3001\u75be\u60a3\u306e\u5f71\u97ff\u3092\u3088\u308a\u5e83\u3044\u8996\u70b9\u304b\u3089\u628a\u63e1\u3057\u307e\u3059\u3002<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>\u8a55\u4fa1\u9805\u76ee<\/strong>\uff1a\u8d77\u7acb\u3001\u6b69\u884c\u3001\u98df\u4e8b\u3001\u7740\u66ff\u3048\u306a\u3069\u306e8\u3064\u306e\u65e5\u5e38\u52d5\u4f5c\u306b\u3064\u3044\u3066\u3001\u60a3\u8005\u304c\u3069\u306e\u7a0b\u5ea6\u652f\u969c\u3092\u304d\u305f\u3057\u3066\u3044\u308b\u304b\u30920\uff5e3\u70b9\u3067\u8a55\u4fa1\u3002<\/li>\n\n\n\n<li><strong>HAQ\u30b9\u30b3\u30a2<\/strong>\uff1a0\uff5e3\u306e\u7bc4\u56f2\u3067\u30010\u306f\u969c\u5bb3\u304c\u306a\u3044\u3053\u3068\u3092\u793a\u3057\u30013\u306f\u6700\u3082\u91cd\u5ea6\u306e\u969c\u5bb3\u3092\u793a\u3057\u307e\u3059\u3002<\/li>\n<\/ul>\n\n\n\n<p><\/p>\n\n\n<div class=\"su-spacer\" style=\"height:100px\"><\/div>\n\n\n\n<h2 class=\"wp-block-heading has-text-align-center\">\u307e\u3068\u3081<\/h2>\n\n\n<div class=\"su-divider su-divider-style-double\" style=\"margin:15px 0;border-width:20px;border-color:#f79b2d\"><\/div>\n\n\n\n<p>\u95a2\u7bc0\u30ea\u30a6\u30de\u30c1\u306f\u3001\u81ea\u5df1\u514d\u75ab\u306e\u7570\u5e38\u306b\u3088\u3063\u3066\u95a2\u7bc0\u304c\u708e\u75c7\u3092\u8d77\u3053\u3057\u3001\u75db\u307f\u3084\u816b\u308c\u3001\u95a2\u7bc0\u306e\u7834\u58ca\u3092\u5f15\u304d\u8d77\u3053\u3059\u6162\u6027\u75be\u60a3\u3067\u3059\u3002\u4e3b\u306b\u624b\u6307\u3084\u8db3\u306e\u95a2\u7bc0\u304b\u3089\u75c7\u72b6\u304c\u59cb\u307e\u308a\u3001\u9032\u884c\u3059\u308b\u3068\u65e5\u5e38\u751f\u6d3b\u306b\u652f\u969c\u3092\u304d\u305f\u3059\u3053\u3068\u304c\u3042\u308a\u307e\u3059\u3002\u65e9\u671f\u8a3a\u65ad\u3068\u6cbb\u7642\u306e\u958b\u59cb\u304c\u9375\u3068\u306a\u308b\u305f\u3081\u3001\u75c7\u72b6\u304c\u7591\u308f\u308c\u308b\u5834\u5408\u306f\u306f\u3084\u3081\u306b\u533b\u7642\u6a5f\u95a2\u3092\u53d7\u8a3a\u3057\u307e\u3057\u3087\u3046\u3002\u9069\u5207\u306a\u6cbb\u7642\u3067\u3001\u75c5\u6c17\u3068\u5411\u304d\u5408\u3044\u306a\u304c\u3089\u5feb\u9069\u306a\u751f\u6d3b\u3092\u9001\u308b\u3053\u3068\u304c\u53ef\u80fd\u3067\u3059\u3002<\/p>\n\n\n\n<p><\/p>\n\n\n\n<p><\/p>\n\n\n\n<p><\/p>\n","protected":false},"excerpt":{"rendered":"<p>\u95a2\u7bc0\u30ea\u30a6\u30de\u30c1\u3068\u306f \u95a2\u7bc0\u30ea\u30a6\u30de\u30c1\uff08RA: Rheumatoid Arthritis\uff09\u306f\u3001\u81ea\u5df1\u514d\u75ab\u75be\u60a3\uff08\u514d\u75ab\u30b7\u30b9\u30c6\u30e0\u304c\u8aa4\u3063\u3066\u81ea\u5206\u81ea\u8eab\u306e\u95a2\u7bc0\u306e\u7d44\u7e54\u3092\u653b\u6483\u3057\u3066\u3057\u307e\u3046\u75c5\u6c17&#8230;<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[3],"class_list":["post-1192","post","type-post","status-publish","format-standard","hentry","category-ortho"],"aioseo_notices":[],"_links":{"self":[{"href":"https:\/\/miyakojima-seikei.com\/blog\/wp-json\/wp\/v2\/posts\/1192","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/miyakojima-seikei.com\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/miyakojima-seikei.com\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/miyakojima-seikei.com\/blog\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/miyakojima-seikei.com\/blog\/wp-json\/wp\/v2\/comments?post=1192"}],"version-history":[{"count":234,"href":"https:\/\/miyakojima-seikei.com\/blog\/wp-json\/wp\/v2\/posts\/1192\/revisions"}],"predecessor-version":[{"id":1613,"href":"https:\/\/miyakojima-seikei.com\/blog\/wp-json\/wp\/v2\/posts\/1192\/revisions\/1613"}],"wp:attachment":[{"href":"https:\/\/miyakojima-seikei.com\/blog\/wp-json\/wp\/v2\/media?parent=1192"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/miyakojima-seikei.com\/blog\/wp-json\/wp\/v2\/categories?post=1192"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}