{"id":4055,"date":"2020-01-09T10:07:27","date_gmt":"2020-01-09T01:07:27","guid":{"rendered":"https:\/\/j-appa.or.jp\/?page_id=4055"},"modified":"2020-01-09T10:08:08","modified_gmt":"2020-01-09T01:08:08","slug":"%e8%aa%a4%e5%9a%a5%e6%80%a7%e8%82%ba%e7%82%8e%e5%be%8c%e3%81%ae%e7%b5%8c%e5%8f%a3%e6%91%82%e5%8f%96%e5%86%8d%e9%96%8b%e3%81%ab%e3%81%a4%e3%81%84%e3%81%a6","status":"publish","type":"page","link":"https:\/\/j-appa.or.jp\/?page_id=4055","title":{"rendered":"\u8aa4\u56a5\u6027\u80ba\u708e\u5f8c\u306e\u7d4c\u53e3\u6442\u53d6\u518d\u958b\u306b\u3064\u3044\u3066"},"content":{"rendered":"

\u8aa4\u56a5\u6027\u80ba\u708e\u5f8c\u306e\u7d4c\u53e3\u6442\u53d6\u518d\u958b\u306b\u3064\u3044\u3066<\/h2>\n

\u8aa4\u56a5\u6027\u80ba\u708e\u5f8c\u306b\u306f\u3067\u304d\u308b\u3060\u3051\u65e9\u671f\u306b\u7d4c\u53e3\u6442\u53d6\u3092\u518d\u958b\u3059\u308b\u3053\u3068\u304c\u671b\u307e\u3057\u3044\u3002\u306a\u305c\u306a\u3089\u3001\u7981\u98df\u306b\u306a\u308b\u3053\u3068\u3067\u53e3\u8154\u5185\u3001\u6d88\u5316\u7ba1\u306a\u3069\u5404\u6a5f\u80fd\u306b\u5f71\u97ff\u3092\u4e0e\u3048\u308b\u53ef\u80fd\u6027\u304c\u3042\u308b\u304b\u3089\u3067\u3042\u308b\u3002\u7279\u306b\u53e3\u8154\u5185\u304c\u4e7e\u71e5\u3059\u308b\u3053\u3068\u3067\u3001\u7d30\u83cc\u304c\u5897\u6b96\u3057\u6298\u89d2\u98df\u4e8b\u3092\u518d\u958b\u3057\u3066\u3082\u518d\u5ea6\u8aa4\u56a5\u6027\u80ba\u708e\u3092\u8d77\u3053\u3057\u3066\u3057\u307e\u3046\u304b\u3089\u3067\u3042\u308b\u3002\u3053\u308c\u3092\u907f\u3051\u308b\u305f\u3081\u306b\u3082\u3001\u7d4c\u53e3\u6442\u53d6\u518d\u958b\u306e\u30dd\u30a4\u30f3\u30c8\u304c\u3044\u304f\u3064\u304b\u3042\u308b\u306e\u3067\u3001\u305d\u308c\u306b\u3064\u3044\u3066\u4ee5\u4e0b\u8ff0\u3079\u3066\u3044\u304d\u305f\u3044\u3002<\/p>\n

1\uff0e\t\u80ba\u708e\u304c\u6539\u5584\u3057\u3066\u3044\u308b\u3053\u3068<\/h3>\n

\u307e\u305a\u306f\u80ba\u708e\u306e\u6cbb\u7642\u3092\u512a\u5148\u3059\u308b\u3002\u3059\u306a\u308f\u3061\u80ba\u708e\u306f\u30b3\u30f3\u30c8\u30ed\u30fc\u30eb\u3055\u308c\u3066\u3044\u306a\u3044\u3053\u3068\u306b\u306f\u3001\u7d4c\u53e3\u6442\u53d6\u306e\u518d\u958b\u306f\u8003\u3048\u306b\u304f\u3044\u3002\u708e\u75c7\u53cd\u5fdc\u3084\u767a\u71b1\u3001\u547c\u5438\u72b6\u614b\u3001\u753b\u50cf\u8a3a\u65ad\u306a\u3069\u3067\u4e3b\u6cbb\u533b\u306f\u80ba\u708e\u306e\u6709\u7121\u3092\u5224\u65ad\u3059\u308b\u3053\u3068\u306b\u306a\u308b\u3002\u3053\u3053\u3067\u3001\u6700\u3082\u6c17\u3092\u4ed8\u3051\u306a\u3051\u308c\u3070\u3044\u3051\u306a\u3044\u306e\u306f\u3001\u4e0d\u9855\u6027\u8aa4\u56a5\u306e\u6709\u7121\u3067\u3042\u308b\u3002\u3053\u308c\u304c\u3042\u308b\u3068\u3001\u8aa4\u56a5\u6027\u80ba\u708e\u3092\u7e70\u308a\u8fd4\u3059\u7d50\u679c\u306b\u3064\u306a\u304c\u308b\u306e\u3067\u3001\u898b\u843d\u3068\u3057\u3066\u306f\u306a\u3089\u306a\u3044\u3002\u3057\u304b\u3057\u3001\u4e0d\u9855\u6027\u8aa4\u56a5\u306f\u5916\u304b\u3089\u306a\u304b\u306a\u304b\u308f\u304b\u308a\u306b\u304f\u3044\u306e\u3067\u3001VE\u3084VF\u691c\u67fb\u306a\u3069\u884c\u3044\u3001\u304d\u3061\u3093\u3068\u3057\u305f\u8a3a\u65ad\u3092\u3057\u3066\u304a\u304f\u5fc5\u8981\u304c\u3042\u308b\u3002<\/p>\n

2.\u3000\u5c02\u9580\u7684\u53e3\u8154\u30b1\u30a2\u3092\u7981\u98df\u4e2d\u3082\u518d\u958b\u5f8c\u3082\u884c\u3046<\/h3>\n

\u8aa4\u89e3\u3092\u3055\u308c\u3066\u3044\u308b\u65b9\u3082\u5c11\u306a\u304b\u3089\u305a\u3044\u308b\u304c\u3001\u98df\u3079\u3066\u3044\u306a\u3044\u304b\u3089\u3068\u8a00\u3063\u3066\u3001\u53e3\u8154\u30b1\u30a2\u3092\u884c\u308f\u306a\u304f\u3066\u826f\u3044\u7406\u7531\u306f\u3069\u3053\u306b\u3082\u306a\u3044\u3002\u3080\u3057\u308d\u3001\u98df\u3079\u3066\u3044\u306a\u304b\u3089\u3053\u305d\u666e\u6bb5\u4ee5\u4e0a\u306b\u53e3\u8154\u30b1\u30a2\u3092\u884c\u308f\u306a\u3051\u308c\u3070\u306a\u3089\u306a\u3044\u306e\u3067\u3042\u308b\u3002
\n\u7981\u98df\u4e2d\u306e\u53e3\u8154\u5185\u306f\u553e\u6db2\u304c\u51fa\u306b\u304f\u304f\u306a\u3063\u3066\u3044\u308b\u306e\u3067\u3001\u4e7e\u71e5\u3057\u3066\u3044\u308b\u3002\u553e\u6db2\u4e2d\u306b\u306f\u7d30\u83cc\u306b\u5bfe\u3059\u308b\u9632\u5fa1\u6a5f\u69cb\u304c\u3042\u308a\u3001\u3053\u308c\u306b\u3088\u308a\u53e3\u8154\u5185\u304c\u6c5a\u67d3\u3055\u308c\u308b\u306e\u3092\u9632\u3044\u3067\u3044\u308b\u304c\u3001\u7981\u98df\u4e2d\u306f\u3053\u306e\u9632\u5fa1\u6a5f\u80fd\u304c\u50cd\u304d\u306b\u304f\u3044\u3002\u307e\u305f\u3001\u6b6f\u304c\u306a\u304f\u3066\u3082\u820c\u3084\u982c\u306e\u7c98\u819c\u304c\u6c5a\u67d3\u3055\u308c\u3084\u3059\u3044\u3002\u3053\u306e\u7d50\u679c\u8aa4\u56a5\u6027\u80ba\u708e\u304c\u7e70\u308a\u8fd4\u3055\u308c\u308b\u8981\u56e0\u306b\u306a\u308b\u306e\u3067\u3042\u308b\u3002\u3057\u305f\u304c\u3063\u3066\u3001\u5c02\u9580\u7684\u53e3\u8154\u30b1\u30a2\u3092\u884c\u3063\u3066\u3001\u53e3\u8154\u5185\u3092\u6e05\u6f54\u306b\u3059\u308b\u3068\u540c\u6642\u306b\u3001\u523a\u6fc0\u3092\u53e3\u8154\u5185\u306b\u4e0e\u3048\u308b\u3053\u3068\u3067\u553e\u6db2\u3092\u5206\u6ccc\u3057\u3084\u3059\u304f\u3059\u308b\u3002\u3055\u3089\u306b\u7d4c\u53e3\u6442\u53d6\u958b\u59cb\u5f8c\u3082\u7d99\u7d9a\u7684\u306b\u53e3\u8154\u30b1\u30a2\u3092\u884c\u3063\u3066\u3044\u304f\u5fc5\u8981\u304c\u3042\u308b\u3002
\n\u4ee5\u4e0a\u7d4c\u53e3\u6442\u53d6\u958b\u59cb\u306e\u524d\u5f8c\u306f\u5fc5\u305a\u53e3\u8154\u30b1\u30a2\u3092\u884c\u3046\u5fc5\u8981\u304c\u3042\u308a\u3001\u305d\u308c\u304c\u7d4c\u53e3\u6442\u53d6\u958b\u59cb\u306e\u30dd\u30a4\u30f3\u30c8\u3067\u3082\u3042\u308b\u3002<\/p>\n

3.\u3000\u610f\u8b58\u30ec\u30d9\u30eb<\/h3>\n

\u98df\u7269\u3092\u53d6\u308a\u8fbc\u3093\u3060\u308a\u3001\u54bd\u982d\u3078\u9001\u308a\u8fbc\u3093\u3060\u308a\u3059\u308b\u306b\u306f\u81ea\u3089\u306e\u610f\u601d\u304c\u5fc5\u8981\u3067\u3042\u308b\u3002\u3053\u306e\u305f\u3081\u306b\u306f\u958b\u773c\u3057\u3066\u304a\u308a\u3001\u98df\u7269\u3092\u8a8d\u8b58\u3067\u304d\u308b\u30ec\u30d9\u30eb\u306b\u306a\u3044\u3068\u56f0\u96e3\u3067\u3042\u308b\u3002\u3057\u305f\u304c\u3063\u3066\u3001\u8133\u8840\u7ba1\u969c\u5bb3\u3001\u4f4e\u8840\u7cd6\u3001\u809d\u6027\u660f\u7761\u3001\u80ba\u708e\u3084\u5c3f\u8def\u611f\u67d3\u75c7\u306a\u3069\u3067\u610f\u8b58\u30ec\u30d9\u30eb\u304c\u4f4e\u4e0b\u3057\u305f\u5834\u5408\u306b\u306f\u3001\u610f\u8b58\u30ec\u30d9\u30eb\u304c\u623b\u3063\u3066\u304b\u3089\u3001\u7d4c\u53e3\u6442\u53d6\u3092\u884c\u3046\u3053\u3068\u304c\u91cd\u8981\u3067\u3042\u308b\u3002<\/p>\n

4.\u3000\u6d88\u5316\u5668\u75be\u60a3\u306e\u6709\u7121<\/h3>\n

\u7d4c\u53e3\u6442\u53d6\u3092\u542b\u3080\u7d4c\u8178\u6804\u990a\u306f\u3001\u4ee5\u4e0b\u306e\u70b9\u306b\u304a\u3044\u3066\u7d4c\u9759\u8108\u7684\u6804\u990a\u3068\u6bd4\u8f03\u3057\u3066\u512a\u308c\u3066\u3044\u308b\u3053\u3068\u304c\u77e5\u3089\u308c\u3066\u3044\u308b\u3002\u2460\u8178\u7ba1\u7c98\u819c\u306e\u840e\u7e2e\u9632\u6b62\u3001\u2461bacteria translocation\uff08\u8178\u5185\u306b\u751f\u606f\u3059\u308b\u751f\u83cc\u304c\u8178\u7ba1\u4e0a\u76ae\u3092\u901a\u904e\u3057\u3066\u8178\u7ba1\u4ee5\u5916\u306e\u81d3\u5668\u306b\u79fb\u884c\u3059\u308b\u73fe\u8c61\u3092\u6307\u3059\uff09\u306e\u56de\u907f\u3001\u2462\u4ee3\u8b1d\u53cd\u5fdc\u4ea2\u9032\u306e\u6291\u5236\u3001\u2463\u80c6\u6c41\u3046\u3063\u305f\u3044\u306e\u56de\u907f\u3001\u2464\u6d88\u5316\u7ba1\u8815\u52d5\u904b\u52d5\u306e\u7dad\u6301\u3001\u2465\u30ab\u30c6\u30fc\u30c6\u30eb\u306b\u3088\u308b\u83cc\u8840\u75c7\u306e\u56de\u907f\u3001\u2466\u9577\u671f\u7ba1\u7406\u53ef\u80fd\u3001\u2467\u5ec9\u4fa1\u3001\u3067\u3042\u308b\u3002\u3053\u308c\u3089\u306e\u5229\u70b9\u3092\u8003\u3048\u308b\u3068\u3001\u7d4c\u8178\u6804\u990a\u304c\u7b2c\u4e00\u9078\u629e\u3067\u3042\u308b\u304c\u3001\u6d88\u5316\u7ba1\u3092\u4e2d\u5fc3\u3068\u3057\u305f\u6d88\u5316\u5668\u81d3\u5668\u306b\u9589\u585e\u306a\u3069\u306e\u75c5\u5909\u304c\u306a\u3044\u3053\u3068\u304c\u524d\u63d0\u3068\u306a\u308b\u3002\u307e\u305f\u3001\u7981\u98df\u304c\u9577\u671f\u9593\u306b\u308f\u305f\u3063\u305f\u60a3\u8005\u306b\u5bfe\u3057\u3066\u306f\u7d4c\u53e3\u6442\u53d6\u3092\u518d\u958b\u3059\u308b\u306b\u3042\u3063\u305f\u3063\u3066\u3001\u6d88\u5316\u7ba1\u306e\u6a5f\u80fd\u56de\u5fa9\u3092\u4fc3\u9032\u3055\u305b\u308b\u305f\u3081\u3001GFO\u7642\u6cd5\uff08G\uff1b\u30b0\u30eb\u30bf\u30df\u30f3\u3001F:\u6c34\u6eb6\u6027\u30d5\u30a1\u30a4\u30d0\u30fc\u3001O\uff1a\u30aa\u30ea\u30b4\u7cd6\uff09\u3092\u884c\u3046\u3053\u3068\u304c\u3042\u308b\u3002\u305d\u306e\u307b\u304b\u306b\u3001\u8aa4\u56a5\u6027\u80ba\u708e\u306e\u539f\u56e0\u3068\u3057\u3066\u80c3\u98df\u9053\u9006\u6d41\uff08GERD\uff09\u304c\u3042\u308b\u304c\u3001\u7d4c\u53e3\u6442\u53d6\u958b\u59cb\u524d\u306b\u3001\u3053\u306e\u75be\u60a3\u306e\u6709\u7121\u3092\u78ba\u8a8d\u3059\u308b\u5fc5\u8981\u304c\u3042\u308b\u3002\u3053\u306e\u75be\u60a3\u306f\u3082\u3061\u308d\u3093\u7981\u98df\u4e2d\u306b\u3082\u8d77\u3053\u308a\u3048\u308b\u304c\u3001\u7d4c\u53e3\u6442\u53d6\u958b\u59cb\u304c\u8981\u56e0\u3068\u306a\u3063\u3066\u6d88\u5316\u7ba1\u306e\u8815\u52d5\u904b\u52d5\u304c\u6d3b\u767a\u306b\u306a\u308b\u3053\u3068\u3067\u3001\u75c7\u72b6\u304c\u9855\u8457\u306b\u306a\u308b\u3053\u3068\u304c\u3042\u308b\u3002\u3053\u306eGERD\u306b\u3088\u308a\u80c3\u5185\u5bb9\u7269\u304c\u54bd\u982d\u3084\u5589\u982d\u307e\u3067\u9006\u6d41\u3057\u8aa4\u56a5\u3059\u308b\u3053\u3068\u304c\u80ba\u708e\u767a\u75c7\u306e\u6a5f\u5e8f\u3067\u3042\u308b\u304c\u3001\u80c3\u6db2\u3092\u542b\u3093\u3060\u5185\u5bb9\u7269\u3092\u8aa4\u56a5\u3059\u308b\u3053\u3068\u3067\u3001\u901a\u5e38\u306e\u8aa4\u56a5\u6027\u80ba\u708e\u3088\u308a\u91cd\u7be4\u306a\u30e1\u30f3\u30c7\u30eb\u30bd\u30f3\u75c7\u5019\u7fa4\u304c\u767a\u75c7\u3059\u308b\u3053\u3068\u304c\u77e5\u3089\u308c\u3066\u3044\u308b\u3002\u3053\u306e\u30e1\u30f3\u30c7\u30eb\u30bd\u30f3\u75c7\u5019\u7fa4\u3068\u306f\u80c3\u6db2\u306b\u3088\u308b\u80ba\u7d44\u7e54\u306e\u5316\u5b66\u7684\u640d\u50b7\u306b\u3088\u308a\u767a\u75c7\u3059\u308b\u80ba\u708e\u3067\u3042\u308a\u3001\u901a\u5e38\u306e\u80ba\u708e\u3068\u6bd4\u8f03\u3057\u3066\u75c7\u72b6\u304c\u9077\u5ef6\u3057\u3001\u3088\u308a\u91cd\u7be4\u3068\u306a\u308b\u3002
\n\u307e\u305f\u3001\u7d4c\u9f3b\u80c3\u7ba1\u304c\u633f\u5165\u3055\u308c\u305f\u72b6\u614b\u3082\u554f\u984c\u304c\u3042\u308a\u3001\u30c1\u30e5\u30fc\u30d6\u306b\u3088\u308b\u5589\u982d\u84cb\u306e\u5727\u8feb\u3084\u7d4c\u9f3b\u80c3\u7ba1\u306b\u3088\u308b\u553e\u6db2\u8aa4\u56a5\u304c\u4e3b\u306a\u539f\u56e0\u3068\u3055\u308c\u308b\u304c\u3001\u8aa4\u56a5\u6027\u80ba\u708e\u4e88\u9632\u306e\u305f\u3081\u306b\u306f\u9577\u671f\u7559\u7f6e\u306f\u597d\u307e\u3057\u304f\u306a\u3044\u3002<\/p>\n

5.\u3000\u6804\u990a\u72b6\u614b<\/h3>\n

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