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5\uff5e10\uff05\uff09\u3001\u5c3f\u4e2d\u30b1\u30c8\u30f3\u4f53\uff08\u30b1\u30c8\u30fc\u30b7\u30b9\uff09\u3001\u96fb\u89e3\u8cea\u7570\u5e38\u3001\u8efd\u5ea6\u306e\u4e00\u904e\u6027\u7532\u72b6\u817a\u6a5f\u80fd\u4ea2\u9032\u75c7*\u3092\u5f15\u304d\u8d77\u3053\u3059\u3053\u3068\u304c\u3042\u308b\u3002<\/p>\n<p>\u539f\u56e0\uff1aEstrogen, \u03b2-hCG\u5024\u306e\u6025\u6fc0\u306a\u4e0a\u6607\u3002<br>\u5614\u5410\u306f\u901a\u5e38\u598a\u5a205\u9031\u9803\u306b\u767a\u751f\u3057\uff0c9\u9031\u9803\u306b\u30d4\u30fc\u30af\u3092\u8fce\u3048\uff0c16\uff5e18\u9031\u306b\u6d88\u5931\u3059\u3002<\/p>\n<p>\u691c\u67fb\uff1a\u5c3f\u4e2d\u30b1\u30c8\u30f3\u4f53\uff0c\u8840\u6e05\u96fb\u89e3\u8cea\uff0c\u304a\u3088\u3073\u809d\u814e\u6a5f\u80fd\u306e\u6e2c\u5b9a\u3002<\/p>\n<p>\u6cbb\u7642\uff1a\u5fc5\u8981\u6642\u7d4c\u53e3\u6442\u53d6\u306e\u4e00\u6642\u7684\u306a\u4e2d\u6b62\uff0c\u305d\u306e\u5f8c\u5f90\u3005\u306b\u518d\u958b\u3059\u308b\u5834\u5408\u3082\u3042\u308b\u3002\u307e\u305f\u3001\u5fc5\u8981\u306b\u5fdc\u3058\u3066\u8f38\u6db2\uff0c\u30c1\u30a2\u30df\u30f3\uff08Thiamin, Vit.B1\uff1a\u30a6\u30a7\u30eb\u30cb\u30c3\u30b1\u8133\u75c7\u3068Lactac acidosis \u306e\u4e88\u9632)\uff0c\u30d3\u30bf\u30df\u30f3B6\uff08Pyridoxine, \u3064\u308f\u308a\u306e\u75c7\u72b6\u3092\u7de9\u548c\u3059\u308b\uff09\uff0c\u30de\u30eb\u30c1\u30d3\u30bf\u30df\u30f3\uff0c\u96fb\u89e3\u8cea,\u3000\u5236\u5410\u85ac\uff08\u6bcd\u5b50\u306b\u6709\u5bb3\u4e8b\u8c61\u306f\u5831\u544a\u3055\u308c\u3066\u3044\u306a\u3044\u304c\u3001..\u30d7\u30ea\u30f3\u30da\u30e9\u30f3\u306f\u56fd\u5185\u5e83\u304f\u4f7f\u7528\u3055\u308c\u3066\u3044\u308b\u3002\uff09\u306a\u3069\u3002<\/p>\n<p>\u91cd\u75c7\u6642\uff1a\u598a\u5a2016\uff5e18\u9031\u3092\u904e\u304e\u3066\u3082\u6301\u7d9a\u3059\u308b\u598a\u5a20\u60aa\u963b\u306f\u307e\u308c\u3067\u3042\u308b\u304c\uff0c\u809d\u81d3\u969c\u5bb3\u3092\u4e0e\u3048\uff0c\u91cd\u5ea6\u306e\u5c0f\u8449\u4e2d\u5fc3\u90e8\u306e\u58ca\u6b7b\uff0c\u307e\u305f\u306f\u5e83\u7bc4\u306a\u8102\u80aa\u5909\u6027\uff0c\u304a\u3088\u3073\u30a6\u30a7\u30eb\u30cb\u30c3\u30b1\u8133\u75c7\u307e\u305f\u306f\u98df\u9053\u7834\u88c2\u3092\u5f15\u304d\u8d77\u3053\u3059\u3053\u3068\u304c\u3042\u308b\u3002<\/p>\n<p>\uff08\u30b8\u30a2\u30a4\u30ca\u30df\u30c3\u30af\u30b9\uff1a\u30d3\u30bf\u30df\u30f3B1\u30fbB6\u30fbB12\u8907\u5408\u5264\uff09<br>\uff08\u30d7\u30ea\u30f3\u30da\u30e9\u30f3\uff1a\u6d88\u5316\u7ba1\u4e2d\u67a2\u306b\u4f5c\u7528\u3057\u3001\u6d88\u5316\u5668\u306e\u6a5f\u80fd\u7684\u53cd\u5fdc\u306a\u3044\u3057\u306f\u904b\u52d5\u7570\u5e38\u306e\u6539\u5584\u306b\u3088\u308b\u3082\u306e\u3067\u3059\u3002\u4e2d\u67a2\u6027\u306e\u5614\u5410\u3001\u672b\u68a2\u6027\u306e\u5614\u5410\u3044\u305a\u308c\u306b\u5bfe\u3057\u3066\u3082\u52b9\u679c\u3092\u767a\u63ee\u3059\u308b\u3068\u3055\u308c\u3066\u3044\u307e\u3059)<\/p>\n<p>*<span style=\"font-size: 10pt;\">\u8efd\u5ea6\u306e\u4e00\u904e\u6027\u7532\u72b6\u817a\u6a5f\u80fd\u4ea2\u9032\u75c7 &nbsp;&nbsp; \u598a\u5a20\u521d\u671f\u4e00\u904e\u6027\u7532\u72b6\u817a\u6a5f\u80fd\u4ea2\u9032\u75c7\u3068\u598a\u5a20\u6642\u767a\u75c7\u30d0\u30bb\u30c9\u30a6\u75c5\u3068\u306e\u9451\u5225\u304c\u5fc5\u8981\u3067\u3059\u3002\u598a\u5a20\u521d\u671f\u4e00\u904e\u6027\u7532\u72b6\u817a\u6a5f\u80fd\u4ea2\u9032\u75c7\u306f\u598a\u5a207\u301c15\u9031\u306b\u30d4\u30fc\u30af\u3092\u793a\u3059\u30d2\u30c8\u7d68\u6bdb\u6027\u6027\u817a\u523a\u6fc0\u30db\u30eb\u30e2\u30f3\uff08hCG\uff09\u304c\u3001\u7532\u72b6\u817a\u30db\u30eb\u30e2\u30f3\u306e\u5408\u6210\u30fb\u5206\u6ccc\u3092\u4fc3\u9032\u3059\u308b\u3053\u3068\u306b\u3088\u308a\u51fa\u73fe\u3057\u307e\u3059\u3002\u6587\u732e\u3088\u308ahCG\u6fc3\u5ea6\u304c50,000 &#8211; 75,000IU\/L\u3092\u8d85\u3048\u308b\u3068\u7532\u72b6\u817a\u30db\u30eb\u30e2\u30f3\u904e\u5270\u7523\u751f\u3001200,000\u4ee5\u4e0a\u3067\u306fTSH\u5024\u304c\u6291\u5236\u3055\u308c\u308b\u3002\uff08\u4e0a\u689d\u6842\u4e00\u5148\u751f\uff09<\/span><\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"%E5%A6%8A%E5%A8%A0%E6%82%AA%E9%98%BB_%E5%90%84%E8%AB%96\"><\/span>\u598a\u5a20\u60aa\u963b \u5404\u8ad6<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<h3 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"%E5%AE%9A%E7%BE%A9\"><\/span>\u5b9a\u7fa9<span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<p>\u598a\u5a205\uff5e6\u9031\u3054\u308d\u3088\u308a\u4e00\u904e\u6027\u306b\u60aa\u5fc3\u30fb\u5614\u5410\u3001\u98df\u6b32\u4e0d\u632f\u3001\u98df\u55dc\u5909\u5316\u306a\u3069\u306e\u6d88\u5316\u5668\u75c7\u72b6\u306f<strong> \u300c\u3064\u308f\u308a\u300d&nbsp;<\/strong>morning sickness\u3068\u547c\u3070\u308c\u3001\u598a\u5a20\u306e\u6210\u7acb\u306b\u4f34\u3046\u751f\u7406\u7684\u5909\u5316\u3067\u3001\u5168\u598a\u5a66\u306e50\uff5e80\uff05\u306b\u51fa\u73fe\u3057\u3001\u598a\u5a2012\uff5e16\u9031\u3054\u308d\u306b\u306f\u307b\u3068\u3093\u3069\u304c\u8efd\u5feb\u3059\u308b\u3002<br>\u3053\u306e\u300c\u3064\u308f\u308a\u300d\u306e\u75c7\u72b6\u304c\u60aa\u5316\u3057\u3001\u98df\u4e8b\u6442\u53d6\u56f0\u96e3\u3068\u306a\u308a\u3001\u6804\u990a\u30fb\u4ee3\u8b1d\u969c\u5bb3\u3092\u6765\u305f\u3057\u3001\u4f53\u91cd\u6e1b\u5c11\u306e\u307b\u304b\u69d8\u3005\u306e\u75c7\u72b6\u3092\u5448\u3057\u3001\u6cbb\u7642\u3092\u5fc5\u8981\u3068\u306a\u3063\u305f\u72b6\u614b\u3092<strong>\u300c\u598a\u5a20\u60aa\u963b\u300d<\/strong>hyperemesis gravidarum\u3068\u3044\u3044\u3001\u5168\u598a\u5a66\u306e0.5\uff05\u524d\u5f8c\u306b\u767a\u75c7\u3059\u308b\u3002<\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"%E5%88%86%E9%A1%9E\"><\/span>\u5206\u985e<span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<p>\u3064\u308f\u308a\u3068\u598a\u5a20\u60aa\u963b\u3068\u306e\u533a\u5206\u306f\u4e0d\u660e\u78ba\u3067\u3042\u308b\u304c\u3001\u75c7\u72b6\u306e\u7a0b\u5ea6\u3088\u308a\u598a\u5a20\u60aa\u963b\u3092\u4ee5\u4e0b\u306e\u75c7\u72b6\u3092\u53c2\u8003\u3057\u5206\u985e\u3057\u307e\u3059\u3002<br><br>\u8efd\u75c7\u598a\u5a20\u60aa\u963b<br>\u30fb\u60aa\u5fc3\u30fb\u5614\u5410\u3092\u4e3b\u5fb4\u3068\u3057\u3001\u98df\u4e8b\u6442\u53d6\u304c\u56f0\u96e3\u3068\u306a\u308b\u3002<br>\u30fb\u8131\u6c34\u75c7\u72b6\uff08\u53e3\u559d\u3001\u76ae\u819a\u4e7e\u71e5\uff09\u304c\u51fa\u73fe\u3057\u3001\u5410\u7269\u306b\u80c6\u6c41\u3084\u8840\u6db2\u304c\u6df7\u3058\u308b\u3053\u3068\u304c\u3042\u308b\u3002<br>\u30fb\u4f53\u91cd\u6e1b\u5c11\u3001\u5026\u6020\u611f\u304c\u751f\u3058\u308b\u3002<br>\u30fb\u5c3f\u4e2d\u30b1\u30c8\u30f3\u4f53\u3001\u30a6\u30ed\u30d3\u30ea\u30ce\u30fc\u30b2\u30f3\u3084\u30a6\u30ed\u30d3\u30ea\u30f3\u3001\u5c3f\u305f\u3093\u3071\u304f\u306e\u967d\u6027<\/p>\n<p>\u4e2d\u7b49\u75c7\u598a\u5a20\u60aa\u963b<br>\u30fb\u8457\u3057\u3044\u4f53\u91cd\u6e1b\u5c11\uff08\uff0d5\uff5e\uff0d10\uff05\uff09\u30fb\u76ae\u819a\u4e7e\u71e5\u304c\u51fa\u73fe\u3057\u3001\u5c3f\u91cf\u304c\u6e1b\u5c11\u3059\u308b\u3002\u5c3f\u4e2d\u30b1\u30c8\u30f3\u4f53\uff082+\uff5e\uff09<br>\u30fb\u983b\u56de\u82e6\u3057\u3044\u5614\u5410\u3001\u98df\u4e8b\u6442\u53d6\u4e0d\u80fd\u3001\u5f37\u5ea6\u5168\u8eab\u5026\u6020\u611f\u3001\u983b\u8108\u3001\u767a\u71b1\u3001\u8efd\u3044\u9ec4\u75b8\u304c\u51fa\u73fe\u3059\u308b\u3002<br>\u30fb\u96fb\u89e3\u8cea\uff08Na,K,Cl\uff09\u7570\u5e38\u3068\u8840\u6e05\u86cb\u767d\u306e\u6e1b\u5c11\u3092\u8a8d\u3081\u308b\u3002<\/p>\n<p>\u91cd\u75c7\u598a\u5a20\u60aa\u963b<br>\u30fb\u809d\u6a5f\u80fd\u969c\u5bb3\u3001\u9ec4\u75b8\u3092\u8a8d\u3081\u308b\u3002<br>\u30fb\u30b1\u30c8\u30fc\u30b7\u30b9\u3001\u4ee3\u8b1d\u6027\u30a2\u30b7\u30c9\u30fc\u30b7\u30b9\u304c\u51fa\u73fe\u3059\u308b\u3002<br>\u30fb\u610f\u8b58\u969c\u5bb3\uff08\u5931\u898b\u5f53\u8b58\u3001\u5065\u5fd8\u3001\u50be\u7720\u3001\u305b\u3093\u5984\u3001\u5e7b\u899a\uff09\u3001\u773c\u632f\u30fb\u773c\u7403\u904b\u52d5\u969c\u5bb3\u3001\u96e3\u8074\u30fb\u8033\u9cf4\u308a\u3001\u5c0f\u8133\u6027\u904b\u52d5\u5931\u8abf\u306a\u3069\u8133\u75c7\u72b6\uff08\u30a6\u30a8\u30eb\u30cb\u30c3\u30b1\u8133\u75c7\uff09\u304c\u51fa\u73fe\u3059\u308b\u3002<br>\u30fb\u80ce\u5150\u6b7b\u4ea1\u304a\u3088\u3073\u591a\u81d3\u5668\u4e0d\u5168\u306b\u3088\u308b\u6bcd\u4f53\u6b7b\u4ea1\u306b\u81f3\u308b\u5834\u5408\u304c\u3042\u308b\u3002<\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"%E8%A9%95%E4%BE%A1%E3%83%BB%E8%A8%BA%E6%96%AD\"><\/span>\u8a55\u4fa1\u30fb\u8a3a\u65ad<span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<p><span style=\"font-size: 14pt;\">\u598a\u5a20\u60aa\u963b\u306e\u691c\u67fb\uff1a<br><br><\/span>\u2460\u3000\u8840\u6db2\u691c\u67fb\uff08\u5165\u9662\u4e2d\u306f\u9031\u306b1\u56de\u7a0b\u5ea6\uff09\uff1a<br>\u2160. \u30d8\u30de\u30c8\u30af\u30ea\u30c3\u30c8\u5024\u2191\u3001\u5c3f\u91cf\u6e1b\u5c11\u3001\u6fc3\u7e2e\u5c3f\u306b\u3088\u308a\u8840\u6db2\u6fc3\u7e2e\u3001\u8131\u6c34\u306e\u7a0b\u5ea6\u3092\u78ba\u8a8d\u3059\u308b\u3002<br>\u2161. &nbsp;\u96fb\u89e3\u8cea\u3092\u307f\u308b\u3053\u3068\u306b\u3088\u308a\u5614\u5410\u306b\u4f34\u3046\u96fb\u89e3\u8cea\u30d0\u30e9\u30f3\u30b9\u306e\u5909\u52d5\uff08Na\u2193\u3001Cl\u2193\u3001\u7279\u306b<strong>K<\/strong><strong>\u2193<\/strong>\u3092\u8981\u6ce8\u610f\uff01\uff09\u3092\u78ba\u8a8d\u3059\u308b\u3002<br>\u2162. \u4e2d\u7b49\u75c7\u4ee5\u4e0a\u3067\u306f\u809d\u6a5f\u80fd\u3001\u814e\u6a5f\u80fd\u306e\u7570\u5e38\u3001\u7532\u72b6\u817a\u6a5f\u80fd\u306e\u4ea2\u9032\uff08FT3\u2191\u3001FT4\u2191\u3001TSH\u2193\u3001\u6297\u4f53\u9670\u6027\u3001\u7121\u75c7\u72b6\u306f\u4e00\u822c\u7684\uff09\u3092\u8a8d\u3081\u308b\u3053\u3068\u3082\u3042\u308a\u3001\u8131\u6c34\u306b\u4f34\u3046\u8840\u6813\u75c7\u306e\u30ea\u30b9\u30af\u3082\u4ea2\u9032\u3059\u308b\u306e\u3067\u51dd\u56fa\u7cfb\u306e\u691c\u67fb\u3082\u884c\u3046\u3002<br><br>\u2461\u3000\u5c3f\u4e2d\u30b1\u30c8\u30f3\u4f53\u306e\u30c1\u30a7\u30c3\u30af\u306b\u3088\u308a\u98e2\u9913\u72b6\u614b\u306e\u7a0b\u5ea6\u3092\u628a\u63e1\u3059\u308b\u3002\u967d\u6027\u3068\u306a\u308c\u3070\u60aa\u963b\u3068\u8a3a\u65ad\u3057\u3001\u5f37\u967d\u6027\uff08\uff12+\uff5e\uff13+\u4ee5\u4e0a\uff09\u3068\u306a\u308c\u3070\u5165\u9662\u7ba1\u7406\u304c\u5fc5\u8981\u3068\u306a\u308b\u3002\u5165\u9662\u4e2d\u306f\u6570\u65e5\u6bce\u306b\u691c\u67fb\u3059\u308b\u3002\u4f53\u91cd\u3082\u6570\u65e5\u6bce\u306b\u6e2c\u5b9a\u3059\u308b\u3002<br>\u30fb\u4f53\u91cd\u6e2c\u5b9a\uff1a5\uff05\u4ee5\u4e0a\u306e\u4f53\u91cd\u6e1b\u5c11\u3092\u8a8d\u3081\u308c\u3070\u5165\u9662\u6cbb\u7642\u3092\u691c\u8a0e\u3057\u300110\uff05\u4ee5\u4e0a\u306e\u4f53\u91cd\u6e1b\u5c11\u306f\u5f37\u304f\u5165\u9662\u6cbb\u7642\u3092\u304a\u52e7\u3081\u3059\u308b\u3002<br>\u30fb\u30d3\u30bf\u30df\u30f3B1\u6b20\u80fd\u306b\u3088\u308b\u30a6\u30a8\u30eb\u30cb\u30c3\u30b1\u8133\u75c7\u306b\u3088\u308b\u795e\u7d4c\u75c7\u72b6\u306f\u4e0d\u53ef\u9006\u6027\u306e\u6df1\u523b\u306a\u5408\u4f75\u75c7\u3067\u3042\u308a\u3001\u91cd\u50b7\u8005\u306b\u306f\u795e\u7d4c\u5b66\u7684\u5fb4\u5019\u304c\u307f\u3089\u308c\u306a\u3044\u304b\u6ce8\u610f\u3092\u6255\u3063\u3066\u89b3\u5bdf\u3059\u308b\u3002<\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"%E6%B2%BB%E7%99%82\"><\/span>\u6cbb\u7642<span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<ul>\n<li>\u98df\u4e8b\u7642\u6cd5\uff1a\u81ea\u5206\u306e\u597d\u307f\u306b\u3042\u3063\u305f\u98df\u4e8b\u3084\u6d88\u5316\u306e\u826f\u3044\u3082\u306e\u3092\u6442\u53d6\u3059\u308b\u3053\u3068\u3092\u6307\u5c0e\u3059\u308b\u3002\u7a7a\u8179\u3001\u6e80\u8179\u306f\u75c7\u72b6\u3092\u5897\u60aa\u3055\u305b\u308b\u3053\u3068\u304c\u591a\u3044\u305f\u3081\u3001\u98df\u4e8b\u3092\u5c11\u91cf\u305a\u3064\u983b\u56de\uff085\uff5e6\u98df\uff09\u306b\u63a5\u7a2e\u3059\u308b\u3053\u3068\u3092\u6307\u5c0e\u3059\u308b\u3002\u98df\u4e8b\u6442\u53d6\u304c\u56f0\u96e3\u306a\u5834\u5408\u306b\u306f\u30b9\u30fc\u30d7\u3001\u30b8\u30e5\u30fc\u30b9\u306a\u3069\u6c34\u5206\u88dc\u7d66\u3068\u30ab\u30ed\u30ea\u30fc\u78ba\u4fdd\u306b\u3064\u3068\u3081\u308b\u3002<\/li>\n<li>\u598a\u5a20\u60aa\u963b\u3067\u5165\u9662\u3059\u308b\u3088\u3046\u306a\u30b1\u30fc\u30b9\u3067\u3082\u7d76\u98df\u3068\u3059\u308b\u5fc5\u8981\u306f\u306a\u3044\u3002\u5165\u9662\u5f8c\u306e12\u6642\u9593\u7d76\u98df\u3067\u3082\u7d4c\u53e3\u6442\u53d6\u7d99\u7d9a\u3067\u3082\u75c7\u72b6\u306e\u7d4c\u904e\u306b\u306f\u5909\u5316\u3092\u8a8d\u3081\u306a\u3044\uff08Tan PC et.al.BJOG.2020Apr 30\uff09\u3002<\/li>\n<li>\u8f38\u6db2\u7642\u6cd5\uff1a\u8efd\u75c7\u306e\u598a\u5a20\u60aa\u963b\u306b\u306f\u5c3f\u4e2d\u30b1\u30c8\u30f3\u306e\u9670\u6027\u5316\u307e\u3067\u8f38\u6db2\u3092\u884c\u3046\u3002\u7d4c\u53e3\u6442\u53d6\u3067\u304d\u3066\u3044\u306a\u3044\u5834\u5408\u306f\u30021\u65e5\u3042\u305f\u308a2000\uff5e3000ml\u306e\u88dc\u6db2\u3067\u3001\u6c34\u5206\u3001\u30ab\u30ed\u30ea\u30fc\u3068\u96fb\u89e3\u8cea\u306e\u88dc\u5145\u3092\u884c\u3046\u3002\u3068\u304f\u306b\u30a6\u30a8\u30eb\u30cb\u30c3\u30b1\u8133\u75c7\u767a\u75c7\u4e88\u9632\u306e\u305f\u3081\u306b\u30d3\u30bf\u30df\u30f3B1\uff08100mg\/day\u4ee5\u4e0a\uff09\u306e\u6295\u4e0e\u306f\u5fc5\u305a\u884c\u3046\u3002\u96fb\u89e3\u8cea\u88dc\u5145\u306e\u89b3\u70b9\u304b\u3089\u3001\u30e9\u30af\u30c6\u30c3\u30afG\u8f38\u6db2\u3088\u308aKN3B\u8f38\u6db2\u306e\u65b9\u304c\u52b9\u7387\u7684\u3002<\/li>\n<\/ul>\n<p>\u6cbb\u7642\u306b\u62b5\u6297\u3057\u3001\u4e2d\u7b49\u75c7\u4ee5\u4e0a\u306e\u75c7\u72b6\u304c\u51fa\u73fe\u3059\u308b\u304b\u3001\u7d76\u98df\u671f\u9593\u304c\u9577\u671f\u306b\u53ca\u3076\u5834\u5408\u306f\u8102\u8cea\u3092\u542b\u3080\u9ad8\u30ab\u30ed\u30ea\u30fc\u306e\u4e2d\u5fc3\u9759\u8108\u6804\u990a\u3092\u691c\u8a0e\u3059\u308b\u3002<\/p>\n<p><span style=\"font-size: 14pt;\"><strong>\u30fb<\/strong><\/span> \u85ac\u7269\u7642\u6cd5\uff1a\u4e2d\u67a2\u6027\u5236\u5410\u85ac\u3068\u3057\u3066\u30e1\u30c8\u30af\u30ed\u30d4\u30e9\u30df\u30c9\uff08\u30d7\u30ea\u30f3\u30da\u30e9\u30f3\uff09\u3092\u6295\u4e0e\u3059\u308b\u3053\u3068\u306f\u53ef\u80fd\u3067\u3042\u308b\u3002\u307e\u305f\u3001\u6f22\u65b9\u85ac\u3067\u306f\u5c0f\u534a\u590f\u832f\u82d3\u6e6f\u3001\u534a\u590f\u7009\u5fc3\u6e6f\u3001\u4e94\u82d3\u6563\u306a\u3069\u304c\u7528\u3044\u3089\u308c\u308b\u3002<\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"%E5%A6%8A%E5%A8%A0%E6%82%AA%E9%98%BB%E5%85%A5%E9%99%A2%E4%B8%AD%E6%A4%9C%E6%9F%BB%E4%BE%8B\"><\/span>\u598a\u5a20\u60aa\u963b\u5165\u9662\u4e2d\u691c\u67fb\u4f8b<span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<p>\u2460\u8840\u6db2\u691c\u67fb\uff1a\u8840\u4e00\u822c\u3001\u751f\u5316\u5b66\uff08\u90311\u56de\u7a0b\u5ea6\uff09\u3001\u7532\u72b6\u817a\u6a5f\u80fd\uff08\u5fc5\u8981\u6642\uff09<br>\u2461\u4f53\u91cd\u3068\u5c3f\u4e00\u822c\uff08\u4e00\u65e5\u56de\u6570\u3001\u6fc3\u7e2e\u5c3f\u8910\u8272\u5c3f\u306e\u76ee\u8996\uff09\uff08\u9031\uff12\u56de\u7a0b\u5ea6\uff09<br>\u2462\u80ce\u5150\u8d85\u97f3\u6ce2 \uff08\u9031\uff11\uff5e\uff12\u56de\u7a0b\u5ea6\uff09<br>\u2463\u305d\u306e\u4ed6\u5fc5\u8981\u6642\u3001\u51dd\u56fa\u7cfb\u3001CPK\u3001\u795e\u7d4c\u7cfb\u691c\u67fb\u3001\u306a\u3069\u3002<\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"%E8%91%89%E9%85%B8%E3%81%AE%E6%9C%8D%E7%94%A8%E6%99%82%E6%9C%9F%E3%81%A8%E5%88%A9%E7%82%B9\"><\/span>\u8449\u9178\u306e\u670d\u7528\u6642\u671f\u3068\u5229\u70b9<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p><strong>\u8449\u9178\u306e\u670d\u7528\u6642\u671f<br \/><\/strong>\u00a01. \u670d\u7528\u958b\u59cb\u6642\u671f<br \/>\u8449\u9178\u306f\u598a\u5a20\u3092\u8a08\u753b\u3057\u3066\u3044\u308b\u6bb5\u968e\u3001\u3064\u307e\u308a\u598a\u5a20\u524d1\u304b\u6708\u4ee5\u4e0a\u524d\u304b\u3089\u306e\u6442\u53d6\u304c\u63a8\u5968\u3055\u308c\u307e\u3059\u3002\u3053\u308c\u306f\u3001\u80ce\u5150\u306e\u795e\u7d4c\u7ba1\u9589\u9396\u969c\u5bb3\uff08NTD: Neural Tube Defects\uff09\u306e\u4e88\u9632\u306b\u6709\u52b9\u3067\u3042\u308b\u305f\u3081\u3067\u3059\u3002<br \/>\u00a02. \u670d\u7528\u7d42\u4e86\u6642\u671f<br \/>\u598a\u5a20\u5f8c\u306f\u3001\u5c11\u306a\u304f\u3068\u3082\u598a\u5a2012\u9031\u9803\u307e\u3067\u306e\u6442\u53d6\u304c\u63a8\u5968\u3055\u308c\u307e\u3059\u3002\u3053\u308c\u306f\u3001\u795e\u7d4c\u7ba1\u304c\u598a\u5a204\u9031\u304b\u30896\u9031\u306e\u9593\u306b\u5f62\u6210\u3055\u308c\u308b\u305f\u3081\u3067\u3042\u308a\u300112\u9031\u4ee5\u964d\u306f\u80ce\u5150\u306e\u5668\u5b98\u5f62\u6210\u304c\u9032\u3080\u6bb5\u968e\u3068\u306a\u308b\u304b\u3089\u3067\u3059\u3002\u305f\u3060\u3057\u3001\u591a\u304f\u306e\u5c02\u9580\u5bb6\u306f\u598a\u5a20\u5168\u671f\u9593\u3092\u901a\u3058\u3066\u8449\u9178\u3092\u6442\u53d6\u3059\u308b\u3053\u3068\u3092\u652f\u6301\u3057\u3066\u3044\u307e\u3059\u3002<\/p>\n<p><strong>\u8449\u9178\u6442\u53d6\u306e\u5229\u70b9<\/strong><br \/>1. \u795e\u7d4c\u7ba1\u9589\u9396\u969c\u5bb3\uff08NTD\uff09\u306e\u4e88\u9632<br \/>\u8449\u9178\u306f\u80ce\u5150\u306e\u795e\u7d4c\u7ba1\u5f62\u6210\u306b\u91cd\u8981\u306a\u5f79\u5272\u3092\u679c\u305f\u3057\u3001\u810a\u9ac4\u3084\u8133\u306e\u5148\u5929\u6027\u7570\u5e38\uff08\u7121\u8133\u75c7\u3084\u4e8c\u5206\u810a\u690e\u306a\u3069\uff09\u306e\u30ea\u30b9\u30af\u309270\uff05\u7a0b\u5ea6\u6e1b\u5c11\u3055\u305b\u307e\u3059\u3002<br \/>2. \u8d64\u8840\u7403\u5f62\u6210\u306e\u4fc3\u9032<br \/>\u6bcd\u4f53\u306e\u8ca7\u8840\u3092\u9632\u304e\u3001\u80ce\u5150\u306e\u5065\u5eb7\u7684\u306a\u6210\u9577\u3092\u652f\u63f4\u3057\u307e\u3059\u3002<br \/>3.\u598a\u5a20\u5408\u4f75\u75c7\u306e\u30ea\u30b9\u30af\u4f4e\u4e0b<br \/>\u00a0\u598a\u5a20\u9ad8\u8840\u5727\u75c7\u5019\u7fa4\u3084\u65e9\u7523\u306e\u30ea\u30b9\u30af\u3092\u4f4e\u6e1b\u3059\u308b\u53ef\u80fd\u6027\u304c\u3042\u308a\u307e\u3059\u3002<br \/>4.\u51fa\u7523\u5f8c\u306e\u56de\u5fa9\u4fc3\u9032<br \/>\u51fa\u7523\u5f8c\u306e\u6bcd\u4f53\u306e\u56de\u5fa9\u3092\u52a9\u3051\u307e\u3059\u3002<\/p>\n<p><strong>\u8449\u9178\u6442\u53d6\u306e\u6ce8\u610f\u70b9<\/strong><br \/>\u904e\u5270\u6442\u53d6\u306e\u30ea\u30b9\u30af<br \/>\u8449\u9178\u306e\u63a8\u5968\u6442\u53d6\u91cf\u306f\u30011\u65e5400\uff5e800\u03bcg\u3067\u3059\u304c\u3001\u904e\u5270\u6442\u53d6\uff081\u65e51,000\u03bcg\u4ee5\u4e0a\uff09\u306f\u4ee5\u4e0b\u306e\u554f\u984c\u3092\u5f15\u304d\u8d77\u3053\u3059\u53ef\u80fd\u6027\u304c\u3042\u308a\u307e\u3059\uff1a\u30d3\u30bf\u30df\u30f3B12\u6b20\u4e4f\u75c7\u306e\u8a3a\u65ad\u3092\u9045\u3089\u305b\u308b\u3002\u80ce\u5150\u3084\u6bcd\u4f53\u306b\u671b\u307e\u3057\u304f\u306a\u3044\u5f71\u97ff\u304c\u51fa\u308b\u53ef\u80fd\u6027\uff08\u7a00\uff09\u3002<\/p>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"cc-m-header-10431495021\"><span class=\"ez-toc-section\" id=\"%E3%83%89%E3%82%AF%E3%82%BF%E3%83%BC%E3%82%BA%E8%91%89%E9%85%B8\"><\/span>\u30c9\u30af\u30bf\u30fc\u30ba\u8449\u9178<span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<div class=\"wp-block-columns is-layout-flex wp-container-core-columns-is-layout-1 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\">\n<figure class=\"wp-block-image size-full is-resized\"><img loading=\"lazy\" decoding=\"async\" width=\"293\" height=\"294\" src=\"https:\/\/okawa-obgyn.com\/hosp\/images\/2024\/12\/1537405529.jpg\" alt=\"\" class=\"wp-image-3517\" style=\"width:401px;height:auto\" srcset=\"https:\/\/okawa-obgyn.com\/hosp\/images\/2024\/12\/1537405529.jpg 293w, https:\/\/okawa-obgyn.com\/hosp\/images\/2024\/12\/1537405529-150x150.jpg 150w\" sizes=\"(max-width: 293px) 100vw, 293px\" \/><\/figure>\n<\/div>\n\n\n\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\">\n<p><strong>\u30fb\u8449\u9178400\u03bcg\u914d\u5408<\/strong><\/p>\n\n\n\n<p>\u30001\u65e5\u306e\u8449\u9178\u6442\u53d6\u76ee\u5b89\u91cf\u306b\u3064\u3044\u3066\u3001\u4e00\u822c\u6210\u4eba\u306e\u6442\u53d6\u76ee\u5b89\u91cf\u304c200\u03bcg\u306a\u306e\u306b\u5bfe\u3057\u3001\u598a\u5a20\u4e2d\u306e\u65b9\u306b\u5fc5\u8981\u306a\u6442\u53d6\u76ee\u5b89\u91cf\u306f400\u03bcg\u3067\u3059\u3002<\/p>\n\n\n\n<p>\u3000\u30c9\u30af\u30bf\u30fc\u30ba\u8449\u9178\u306f\u4e00\u7c92\u3067\u598a\u5a20\u4e2d\u306e\u65b9\u304c\u5fc5\u8981\u3068\u3059\u308b1\u65e5\u5206\u306e\u8449\u9178\u3068\u3001\u305d\u306e\u50cd\u304d\u3092\u52a9\u3051\u308b\u30d3\u30bf\u30df\u30f3B\u7fa4\u3001\u30d3\u30bf\u30df\u30f3C\u914d\u5408\u306e\u30ab\u30d7\u30bb\u30eb\u3067\u3059\u3002<\/p>\n\n\n\n<p><strong>\u30fb\u539a\u751f\u52b4\u50cd\u7701\u3082\u63a8\u5968<\/strong><\/p>\n\n\n\n<p>\u3000\u598a\u5a20\u4e2d\u306e\u30b5\u30d7\u30ea\u30e1\u30f3\u30c8\u6442\u53d6\u306f\u4e0d\u5b89\u306b\u306a\u3089\u308c\u308b\u65b9\u3082\u591a\u3044\u3067\u3059\u304c\u30012000\u5e74\u306b\u539a\u751f\u52b4\u50cd\u7701\u304c\u6804\u990a\u88dc\u52a9\u98df\u54c1\u304b\u3089\u306e\u8449\u9178\u6442\u53d6\u3092\u63a8\u5968\u3057\u3066\u304a\u308a\u307e\u3059\u3002\u8d64\u3061\u3083\u3093\u306e\u305f\u3081\u306e\u30d3\u30bf\u30df\u30f3\u3067\u3059\u3002<\/p>\n\n\n\n<p><strong><a href=\"https:\/\/www.doctors-care.jp\/\" target=\"_blank\" rel=\"noopener\" title=\"\">\u30c9\u30af\u30bf\u30fc\u30ba\u30fb\u30b1\u30a2\u7814\u7a76\u6240<\/a><\/strong><\/p>\n<\/div>\n<\/div>\n\n\n\n<table style=\"font-weight: 300; width: 99.7622%; height: 503px;\" width=\"100%\">\n<tbody>\n<tr style=\"height: 17px;\">\n<td style=\"width: 21.4285%; height: 17px;\">\n<p>\u540d&nbsp; &nbsp; &nbsp; &nbsp; \u79f0<\/p>\n<\/td>\n<td style=\"width: 78.2498%; height: 17px;\">\n<p>\u8449\u9178\u542b\u6709\u52a0\u5de5\u98df\u54c1<\/p>\n<\/td>\n<\/tr>\n<tr style=\"height: 95px;\">\n<td style=\"width: 21.4285%; height: 95px;\">\n<p>\u539f\u3000\u6750\u3000\u6599\u3000<\/p>\n<\/td>\n<td style=\"width: 78.2498%; height: 95px;\">\u3067\u3093\u7c89\uff08\u3068\u3046\u3082\u308d\u3053\u3057\uff08\u4e0d\u5206\u5225\uff09\uff09\uff08\u56fd\u5185\u88fd\u9020\uff09\u3001\u9175\u6bcd\u203b\uff0f \u30d3\u30bf\u30df\u30f3\uff23\u3001\u30d7\u30eb\u30e9\u30f3\u3001\u30cb\u30b3\u30c1\u30f3\u9178\u30a2\u30df\u30c9\u3001\u30b9\u30c6\u30a2\u30ea\u30f3\u9178\u30ab\u30eb\u30b7\u30a6\u30e0\u3001\u30d1\u30f3\u30c8\u30c6\u30f3\u9178\u30ab\u30eb\u30b7\u30a6\u30e0\u3001\u30d3\u30bf\u30df\u30f3\uff22\uff16\u3001\u30d3\u30bf\u30df\u30f3\uff22\uff11\u3001\u30d3\u30bf\u30df\u30f3\uff22\uff12\u3001\u30d3\u30bf\u30df\u30f3\uff22\uff11\uff12\u3000\u203b\u9175\u6bcd\u306b\u8449\u9178\u3092\u542b\u307f\u307e\u3059\u3002<\/td>\n<\/tr>\n<tr style=\"height: 80px;\">\n<td style=\"width: 21.4285%; height: 80px;\">\n<p>\u5185\u3000\u5bb9\u3000\u91cf<\/p>\n<\/td>\n<td style=\"width: 78.2498%; height: 80px;\">30.18g(\u4e00\u7c92\u5185\u5bb9\u91cf440mg\u3001\u4e00\u7c92\u7dcf\u91cd\u91cf503mg x 60\u7c92)&nbsp;<\/td>\n<\/tr>\n<tr style=\"height: 176px;\">\n<td style=\"width: 21.4285%; height: 176px;\">\n<p>\u6804 \u990a \u6210 \u5206<\/p>\n<p>\u8868\u3000\u3000\u3000\u793a<\/p>\n<p>(1\u7c92\u3042\u305f\u308a)<\/p>\n<\/td>\n<td style=\"width: 78.2498%; height: 176px;\">\n<p>\u71b1\u91cf\uff0f1.75kcal\u3001\u305f\u3093\u3071\u304f\u8cea\uff0f0.04g\u3001\u8102\u8cea\uff0f0.01g\u3001\u70ad\u6c34\u5316\u7269\uff0f0.37g\u3001\u98df\u5869\u76f8\u5f53\u91cf\uff0f0.05g<\/p>\n<p>\u3001\u8449\u9178\uff0f400\u03bcg<\/p>\n<\/td>\n<\/tr>\n<tr style=\"height: 80px;\">\n<td style=\"width: 21.4285%; height: 80px;\">\n<p>\u767a &nbsp; \u58f2 &nbsp; \u5143<\/p>\n<\/td>\n<td style=\"width: 78.2498%; height: 80px;\">\u682a\u5f0f\u4f1a\u793e\u30c9\u30af\u30bf\u30fc\u30ba\u30fb\u30b1\u30a2\u7814\u7a76\u6240<\/td>\n<\/tr>\n<tr style=\"height: 55px;\">\n<td style=\"width: 21.4285%; height: 55px;\">\n<p>\u533a &nbsp; &nbsp; &nbsp; &nbsp; \u5206<\/p>\n<\/td>\n<td style=\"width: 78.2498%; height: 55px;\">\u65e5\u672c\u88fd\uff0f\u5065\u5eb7\u98df\u54c1&nbsp;<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n\n\n\n<h2 class=\"wp-block-heading\"><\/h2>\n\n\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"%E6%96%B0%E5%9E%8B%E5%87%BA%E7%94%9F%E5%89%8D%E8%A8%BA%E6%96%AD%EF%BC%88NIPT%EF%BC%89%E9%96%8B%E5%A7%8B%E3%81%AE%E3%81%94%E6%A1%88%E5%86%85\"><\/span><a href=\"https:\/\/okawa-obgyn.com\/hosp\/whats-new\/3247\/\" target=\"_blank\" rel=\"noopener\" title=\"\">\u65b0\u578b\u51fa\u751f\u524d\u8a3a\u65ad\uff08NIPT\uff09\u958b\u59cb\u306e\u3054\u6848\u5185<\/a><span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p><strong>For further information,&nbsp;<a title=\"\" href=\"https:\/\/okawa-obgyn.com\/hosp\/mame\/mame4\/\" target=\"_blank\" rel=\"noopener\">please click here to access the Q&amp;A<\/a><a title=\"\" href=\"http:\/\/for%20more%20information,%20please%20click%20here%20to%20access%20the%20q&amp;a.\/\" target=\"_blank\" rel=\"noopener\">???<\/a><\/strong><\/p>\n<p><a title=\"\" href=\"https:\/\/okawa-obgyn.com\/hosp\/mame\/mame4\/\" target=\"_blank\" rel=\"noopener\"><strong>\u51fa\u751f\u524d\u691c\u67fb\u3067\u5bfe\u8c61\u3068\u306a\u308b\u75be\u60a3\uff1a21\u300118\u300113\u30c8\u30ea\u30bd\u30df\u30fc\u306b\u3064\u3044\u3066\u8aac\u660e\u2192Click!<\/strong><\/a><\/p>\n<ul class=\"linkDown-list\">\n<li class=\"linkDown-list_item\"><a href=\"https:\/\/jams-prenatal.jp\/file\/nipt_setsumei_a4.pdf?20240425\" target=\"_blank\" rel=\"noopener\"><span class=\"txt\">NIPT\u8aac\u660e\u66f8\uff08A4\u7248\uff09(2023\u5e7411\u6708\u6539\u8a02\u7248)\uff08\u65e5\u672c\u8a9e\u7248\uff09<\/span>&nbsp;&nbsp;<span class=\"size\">(730KB)<\/span><\/a><\/li>\n<li class=\"linkDown-list_item\"><a href=\"https:\/\/jams-prenatal.jp\/file\/nipt_setsumei_a4_en.pdf\" target=\"_blank\" rel=\"noopener\"><span class=\"txt\">NIPT\u8aac\u660e\u66f8\uff08A4\u7248\uff09(2023\u5e7411\u6708\u6539\u8a02\u7248)\uff08\u82f1\u8a9e\u7248\uff09<\/span>&nbsp;&nbsp;<span class=\"size\">(754KB)<\/span><\/a><\/li>\n<li class=\"linkDown-list_item\"><a href=\"https:\/\/jams-prenatal.jp\/file\/nipt_setsumei_a4_ch.pdf\" target=\"_blank\" rel=\"noopener\"><span class=\"txt\">NIPT\u8aac\u660e\u66f8\uff08A4\u7248\uff09(2023\u5e7411\u6708\u6539\u8a02\u7248)\uff08\u4e2d\u56fd\u8a9e\u7248\uff09<\/span>&nbsp;&nbsp;<span class=\"size\">(746KB)<\/span><\/a><\/li>\n<li class=\"linkDown-list_item\"><a href=\"https:\/\/jams-prenatal.jp\/file\/nipt_setsumei_sasshi.pdf?20240425\" target=\"_blank\" rel=\"noopener\"><span class=\"txt\">NIPT\u8aac\u660e\u66f8\uff08\u518a\u5b50\u7248\uff09\uff082022\u5e749\u6708\u6539\u8a02\u7248\uff09<\/span>&nbsp;&nbsp;<span class=\"size\">(1.1MB)<\/span><\/a><\/li>\n<\/ul>\n\n\n<!-- PDF Embedder: Please provide an \"URL\" attribute in your shortcode. -->\n\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"%E3%81%9D%E3%81%AE%E4%BB%96\"><\/span>\u305d\u306e\u4ed6<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p><\/p>\n","protected":false},"excerpt":{"rendered":"<p>\u79c1\u306e\u598a\u5a20\u30ab\u30ec\u30f3\u30c0\u30fc \u598a\u5a20\u4e2d\u306e\u304a\u98df\u4e8b\u3000\u30de\u30de\u6559\u5ba4\u7528 \u598a\u5a20\u60aa\u963b \u7dcf\u8ad6 \u598a\u5a20\u60aa\u963b\u306f\uff0c\u5236\u5fa1\u4e0d\u80fd\u306e\u5614\u5410\u3088\u308a\u8131\u6c34\uff0c\u4f53\u91cd\u6e1b\u5c11\uff08 &gt; 5\uff5e10\uff05\uff09\u3001\u5c3f\u4e2d\u30b1\u30c8\u30f3\u4f53\uff08\u30b1\u30c8\u30fc\u30b7\u30b9\uff09\u3001\u96fb\u89e3\u8cea\u7570\u5e38\u3001\u8efd\u5ea6\u306e\u4e00\u904e\u6027\u7532\u72b6\u817a\u6a5f\u80fd\u4ea2\u9032\u75c7*\u3092\u5f15\u304d\u8d77\u3053\u3059\u3053 [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":140,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-328","page","type-page","status-publish","hentry"],"aioseo_notices":[],"_links":{"self":[{"href":"https:\/\/okawa-obgyn.com\/hosp\/wp-json\/wp\/v2\/pages\/328"}],"collection":[{"href":"https:\/\/okawa-obgyn.com\/hosp\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/okawa-obgyn.com\/hosp\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/okawa-obgyn.com\/hosp\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/okawa-obgyn.com\/hosp\/wp-json\/wp\/v2\/comments?post=328"}],"version-history":[{"count":23,"href":"https:\/\/okawa-obgyn.com\/hosp\/wp-json\/wp\/v2\/pages\/328\/revisions"}],"predecessor-version":[{"id":3523,"href":"https:\/\/okawa-obgyn.com\/hosp\/wp-json\/wp\/v2\/pages\/328\/revisions\/3523"}],"up":[{"embeddable":true,"href":"https:\/\/okawa-obgyn.com\/hosp\/wp-json\/wp\/v2\/pages\/140"}],"wp:attachment":[{"href":"https:\/\/okawa-obgyn.com\/hosp\/wp-json\/wp\/v2\/media?parent=328"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}