{"id":3264,"date":"2025-10-06T08:10:47","date_gmt":"2025-10-06T08:10:47","guid":{"rendered":"https:\/\/www.hiro-clinic.or.jp\/gynecology\/?p=3264"},"modified":"2025-10-06T08:10:49","modified_gmt":"2025-10-06T08:10:49","slug":"migraine-women-hormones-treatment","status":"publish","type":"post","link":"https:\/\/www.hiro-clinic.or.jp\/gynecology\/migraine-women-hormones-treatment\/","title":{"rendered":"\u7247\u982d\u75db\u6cbb\u7642\u85ac\u3068\u5a66\u4eba\u79d1\u7684\u526f\u4f5c\u7528"},"content":{"rendered":"\n<p>\u7247\u982d\u75db\u306f\u7537\u6027\u3088\u308a\u3082\u5973\u6027\u306b\u591a\u304f\u767a\u75c7\u3059\u308b\u75be\u60a3\u3067\u3042\u308a\u3001\u305d\u306e\u80cc\u666f\u306b\u306f\u30db\u30eb\u30e2\u30f3\u306e\u5f71\u97ff\u304c\u6df1\u304f\u95a2\u4e0e\u3057\u3066\u3044\u307e\u3059\u3002\u5b9f\u969b\u3001\u6708\u7d4c\u5468\u671f\u3084\u598a\u5a20\u3001\u66f4\u5e74\u671f\u306a\u3069\u5973\u6027\u7279\u6709\u306e\u30e9\u30a4\u30d5\u30a4\u30d9\u30f3\u30c8\u3068\u7247\u982d\u75db\u306e\u75c7\u72b6\u60aa\u5316\u306f\u5bc6\u63a5\u306b\u95a2\u9023\u3057\u3066\u3044\u307e\u3059\u3002\u4e00\u65b9\u3067\u3001\u7247\u982d\u75db\u306e\u6cbb\u7642\u306b\u7528\u3044\u3089\u308c\u308b\u85ac\u5264\u306b\u306f\u3001\u5973\u6027\u306e\u4f53\u306b\u7279\u6709\u306e\u526f\u4f5c\u7528\u3084\u6ce8\u610f\u70b9\u304c\u5b58\u5728\u3057\u307e\u3059\u3002\u7279\u306b\u5a66\u4eba\u79d1\u7684\u306a\u9818\u57df\u306b\u304a\u3044\u3066\u306f\u3001\u6708\u7d4c\u7570\u5e38\u3001\u30db\u30eb\u30e2\u30f3\u30d0\u30e9\u30f3\u30b9\u306e\u5909\u5316\u3001\u598a\u5a20\u4e2d\u306e\u4f7f\u7528\u53ef\u5426\u3068\u3044\u3063\u305f\u8ab2\u984c\u304c\u91cd\u8981\u3067\u3059\u3002\u672c\u8a18\u4e8b\u3067\u306f\u3001\u7247\u982d\u75db\u6cbb\u7642\u85ac\u3068\u5a66\u4eba\u79d1\u7684\u526f\u4f5c\u7528\u306b\u3064\u3044\u3066\u3001\u6700\u65b0\u306e\u533b\u5b66\u7684\u77e5\u898b\u3092\u3082\u3068\u306b\u308f\u304b\u308a\u3084\u3059\u304f\u89e3\u8aac\u3057\u307e\u3059\u3002<\/p>\n\n\n\n<p><\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>1. \u7247\u982d\u75db\u3068\u5973\u6027\u30db\u30eb\u30e2\u30f3\u306e\u95a2\u4fc2<\/strong><\/h2>\n\n\n\n<p>\u7247\u982d\u75db\u306f\u4e16\u754c\u7684\u306b\u5973\u6027\u306b\u591a\u3044\u75be\u60a3\u3067\u3001\u7537\u6027\u3068\u6bd4\u3079\u308b\u3068\u7d042\u301c3\u500d\u306e\u7f79\u60a3\u7387\u304c\u5831\u544a\u3055\u308c\u3066\u3044\u307e\u3059\u3002\u305d\u306e\u80cc\u666f\u306b\u306f\u3001\u5973\u6027\u30db\u30eb\u30e2\u30f3\u3001\u3068\u304f\u306b<strong>\u30a8\u30b9\u30c8\u30ed\u30b2\u30f3<\/strong>\u306e\u5909\u52d5\u304c\u6df1\u304f\u95a2\u308f\u3063\u3066\u3044\u308b\u3053\u3068\u304c\u5206\u304b\u3063\u3066\u3044\u307e\u3059\u3002<\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><strong>1-1. \u30a8\u30b9\u30c8\u30ed\u30b2\u30f3\u3068\u7247\u982d\u75db\u306e\u95a2\u9023<\/strong><\/h3>\n\n\n\n<p>\u30a8\u30b9\u30c8\u30ed\u30b2\u30f3\u306f\u8133\u306e\u795e\u7d4c\u4f1d\u9054\u7269\u8cea\u3067\u3042\u308b\u30bb\u30ed\u30c8\u30cb\u30f3\u306b\u5f71\u97ff\u3092\u4e0e\u3048\u3001\u8840\u7ba1\u53ce\u7e2e\u30fb\u62e1\u5f35\u306e\u30d0\u30e9\u30f3\u30b9\u3084\u75db\u307f\u306e\u611f\u3058\u65b9\u306b\u95a2\u4e0e\u3057\u3066\u3044\u307e\u3059\u3002<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>\u30a8\u30b9\u30c8\u30ed\u30b2\u30f3\u304c\u4f4e\u4e0b\u3059\u308b\u3068<\/strong>\uff1a\u30bb\u30ed\u30c8\u30cb\u30f3\u304c\u6e1b\u5c11\u3057\u3001\u8133\u8840\u7ba1\u304c\u62e1\u5f35\u3057\u3084\u3059\u304f\u306a\u308b\u305f\u3081\u3001\u7247\u982d\u75db\u304c\u8d77\u3053\u308a\u3084\u3059\u3044\u3002<br><\/li>\n\n\n\n<li><strong>\u30a8\u30b9\u30c8\u30ed\u30b2\u30f3\u304c\u5b89\u5b9a\u3057\u3066\u3044\u308b\u3068<\/strong>\uff1a\u8133\u306e\u795e\u7d4c\u4f1d\u9054\u304c\u5b89\u5b9a\u3057\u3001\u7247\u982d\u75db\u306e\u983b\u5ea6\u304c\u6e1b\u5c11\u3059\u308b\u50be\u5411\u304c\u3042\u308b\u3002<br><\/li>\n<\/ul>\n\n\n\n<p>\u7279\u306b\u6708\u7d4c\u524d\u306e\u30db\u30eb\u30e2\u30f3\u4f4e\u4e0b\u304c\u7247\u982d\u75db\u767a\u4f5c\u306e\u5927\u304d\u306a\u8a98\u56e0\u3068\u3055\u308c\u3001\u300c\u6708\u7d4c\u95a2\u9023\u7247\u982d\u75db\uff08menstrual migraine\uff09\u300d\u3068\u3057\u3066\u5206\u985e\u3055\u308c\u3066\u3044\u307e\u3059\u3002<\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><strong>1-2. \u6708\u7d4c\u5468\u671f\u3068\u7247\u982d\u75db<\/strong><\/h3>\n\n\n\n<p>\u7247\u982d\u75db\u306f\u6708\u7d4c\u5468\u671f\u306e\u7279\u5b9a\u306e\u6642\u671f\u306b\u96c6\u4e2d\u3057\u3066\u51fa\u73fe\u3059\u308b\u3053\u3068\u304c\u591a\u304f\u3001\u5973\u6027\u306e\u751f\u6d3b\u306e\u8cea\u3092\u5927\u304d\u304f\u640d\u306a\u3044\u307e\u3059\u3002<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>\u5375\u80de\u671f\uff08\u6392\u5375\u524d\uff09<\/strong>\uff1a\u6bd4\u8f03\u7684\u5b89\u5b9a\u3057\u3066\u3044\u308b\u304c\u3001\u6392\u5375\u671f\u306b\u4e00\u6642\u7684\u306a\u30a8\u30b9\u30c8\u30ed\u30b2\u30f3\u4f4e\u4e0b\u3067\u982d\u75db\u304c\u51fa\u308b\u4eba\u3082\u3044\u308b\u3002<br><\/li>\n\n\n\n<li><strong>\u9ec4\u4f53\u671f\u5f8c\u534a\uff08\u6708\u7d4c\u524d\u671f\uff09<\/strong>\uff1a\u30a8\u30b9\u30c8\u30ed\u30b2\u30f3\u304c\u6025\u6fc0\u306b\u4f4e\u4e0b\u3059\u308b\u305f\u3081\u3001\u6700\u3082\u7247\u982d\u75db\u304c\u8d77\u3053\u308a\u3084\u3059\u3044\u3002<br><\/li>\n\n\n\n<li><strong>\u6708\u7d4c\u4e2d<\/strong>\uff1a\u982d\u75db\u306b\u52a0\u3048\u3001\u8ca7\u8840\u3084PMS\u75c7\u72b6\u304c\u91cd\u306a\u308a\u3001\u5f37\u3044\u4e0d\u8abf\u3092\u8a34\u3048\u308b\u30b1\u30fc\u30b9\u3082\u5c11\u306a\u304f\u306a\u3044\u3002<br><\/li>\n<\/ul>\n\n\n\n<p>\u3053\u306e\u305f\u3081\u300c\u6bce\u6708\u6c7a\u307e\u3063\u305f\u6642\u671f\u306b\u5f37\u3044\u982d\u75db\u304c\u8d77\u304d\u308b\u300d\u3068\u3044\u3046\u7279\u5fb4\u304c\u3042\u308b\u5834\u5408\u3001\u7247\u982d\u75db\u3068\u6708\u7d4c\u5468\u671f\u306e\u95a2\u4fc2\u3092\u7591\u3046\u3053\u3068\u304c\u91cd\u8981\u3067\u3059\u3002<\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><strong>1-3. \u598a\u5a20\u30fb\u66f4\u5e74\u671f\u306b\u304a\u3051\u308b\u5909\u5316<\/strong><\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>\u598a\u5a20\u4e2d<\/strong>\uff1a\u598a\u5a20\u306b\u3088\u308a\u30a8\u30b9\u30c8\u30ed\u30b2\u30f3\u304c\u9ad8\u5024\u3067\u5b89\u5b9a\u3059\u308b\u305f\u3081\u3001\u7247\u982d\u75db\u304c\u8efd\u6e1b\u3059\u308b\u4eba\u304c\u591a\u3044\u3002\u305f\u3060\u3057\u598a\u5a20\u521d\u671f\u306f\u9006\u306b\u60aa\u5316\u3059\u308b\u3053\u3068\u3082\u3042\u308a\u3001\u85ac\u306e\u4f7f\u7528\u5236\u9650\u304c\u5927\u304d\u306a\u8ab2\u984c\u3068\u306a\u308b\u3002<br><\/li>\n\n\n\n<li><strong>\u66f4\u5e74\u671f<\/strong>\uff1a\u30db\u30eb\u30e2\u30f3\u304c\u4e0d\u898f\u5247\u306b\u5909\u52d5\u3059\u308b\u305f\u3081\u3001\u7247\u982d\u75db\u304c\u60aa\u5316\u3059\u308b\u4eba\u3068\u6539\u5584\u3059\u308b\u4eba\u304c\u3044\u308b\u3002\u30db\u30eb\u30e2\u30f3\u88dc\u5145\u7642\u6cd5\uff08HRT\uff09\u304c\u7247\u982d\u75db\u306b\u5f71\u97ff\u3092\u4e0e\u3048\u308b\u3053\u3068\u3082\u3042\u308a\u3001\u5a66\u4eba\u79d1\u3067\u306e\u7ba1\u7406\u304c\u4e0d\u53ef\u6b20\u3068\u306a\u308b\u3002<br><\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\"><strong>1-4. \u751f\u6d3b\u7fd2\u6163\u3068\u30db\u30eb\u30e2\u30f3\u306e\u76f8\u4e92\u4f5c\u7528<\/strong><\/h3>\n\n\n\n<p>\u30db\u30eb\u30e2\u30f3\u5909\u52d5\u305d\u306e\u3082\u306e\u306b\u52a0\u3048\u3066\u3001<strong>\u7761\u7720\u4e0d\u8db3\u30fb\u30b9\u30c8\u30ec\u30b9\u30fb\u98df\u4e8b\u30fb\u4f53\u8abf\u5909\u5316<\/strong>\u304c\u7247\u982d\u75db\u3092\u8a98\u767a\u3059\u308b\u8981\u56e0\u3068\u3057\u3066\u91cd\u306a\u308a\u307e\u3059\u3002\u7279\u306b\u5973\u6027\u306f\u598a\u5a20\u30fb\u51fa\u7523\u30fb\u66f4\u5e74\u671f\u3068\u3044\u3063\u305f\u30e9\u30a4\u30d5\u30a4\u30d9\u30f3\u30c8\u3067\u751f\u6d3b\u7fd2\u6163\u304c\u5927\u304d\u304f\u5909\u5316\u3059\u308b\u305f\u3081\u3001\u30db\u30eb\u30e2\u30f3\u306e\u5f71\u97ff\u304c\u3088\u308a\u9855\u8457\u306b\u73fe\u308c\u3084\u3059\u3044\u3068\u8003\u3048\u3089\u308c\u3066\u3044\u307e\u3059\u3002<\/p>\n\n\n\n<p><\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>2. \u7247\u982d\u75db\u6cbb\u7642\u85ac\u306e\u7a2e\u985e\u3068\u5a66\u4eba\u79d1\u7684\u306a\u5f71\u97ff<\/strong><\/h2>\n\n\n\n<p>\u7247\u982d\u75db\u306e\u6cbb\u7642\u85ac\u306f\u5927\u304d\u304f <strong>\u300c\u6025\u6027\u671f\u6cbb\u7642\u85ac\u300d<\/strong> \u3068 <strong>\u300c\u4e88\u9632\u85ac\u300d<\/strong> \u306b\u5206\u3051\u3089\u308c\u307e\u3059\u3002\u5973\u6027\u7279\u6709\u306e\u751f\u7406\u6a5f\u80fd\u3084\u30e9\u30a4\u30d5\u30a4\u30d9\u30f3\u30c8\uff08\u598a\u5a20\u30fb\u6388\u4e73\u30fb\u66f4\u5e74\u671f\uff09\u306b\u5f71\u97ff\u3092\u53ca\u307c\u3059\u53ef\u80fd\u6027\u304c\u3042\u308b\u305f\u3081\u3001\u85ac\u5264\u306e\u7279\u6027\u3092\u7406\u89e3\u3057\u3001\u5a66\u4eba\u79d1\u7684\u30ea\u30b9\u30af\u3092\u5ff5\u982d\u306b\u7f6e\u3044\u305f\u4f7f\u7528\u304c\u5fc5\u8981\u3067\u3059\u3002<\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><strong>2-1. \u6025\u6027\u671f\u6cbb\u7642\u85ac<\/strong><\/h3>\n\n\n\n<h4 class=\"wp-block-heading\"><strong>(1) \u30c8\u30ea\u30d7\u30bf\u30f3\u88fd\u5264<\/strong><\/h4>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>\u7279\u5fb4<\/strong>\uff1a\u30bb\u30ed\u30c8\u30cb\u30f3\u53d7\u5bb9\u4f53\u306b\u4f5c\u7528\u3057\u3001\u7247\u982d\u75db\u767a\u4f5c\u6642\u306e\u62e1\u5f35\u3057\u305f\u8133\u8840\u7ba1\u3092\u53ce\u7e2e\u3055\u305b\u3001\u708e\u75c7\u7269\u8cea\u306e\u653e\u51fa\u3092\u6291\u5236\u3059\u308b\u3002\u767a\u4f5c\u6291\u5236\u52b9\u679c\u304c\u9ad8\u3044\u3002<br><\/li>\n\n\n\n<li><strong>\u5a66\u4eba\u79d1\u7684\u5f71\u97ff<\/strong>\uff1a<br>\n<ul class=\"wp-block-list\">\n<li>\u598a\u5a20\u4e2d\u306e\u5b89\u5168\u6027\u306f\u5341\u5206\u306b\u78ba\u7acb\u3057\u3066\u3044\u306a\u3044\u3002\u52d5\u7269\u5b9f\u9a13\u3067\u306f\u50ac\u5947\u5f62\u6027\u306f\u5c11\u306a\u3044\u304c\u3001\u4eba\u3067\u306e\u5927\u898f\u6a21\u30c7\u30fc\u30bf\u306f\u4e0d\u8db3\u3002<br><\/li>\n\n\n\n<li>\u6388\u4e73\u4e2d\u306f\u6bcd\u4e73\u306b\u79fb\u884c\u3059\u308b\u305f\u3081\u3001\u6388\u4e73\u76f4\u5f8c\u306b\u670d\u7528\u3057\u3001\u4e00\u5b9a\u6642\u9593\u6388\u4e73\u3092\u63a7\u3048\u308b\u306a\u3069\u306e\u5de5\u592b\u304c\u63a8\u5968\u3055\u308c\u308b\u3002<br><\/li>\n\n\n\n<li>\u6708\u7d4c\u95a2\u9023\u7247\u982d\u75db\u306b\u6709\u52b9\u3068\u3055\u308c\u308b\u304c\u3001\u9023\u7d9a\u4f7f\u7528\u306b\u3088\u308a\u8840\u7ba1\u7cfb\u526f\u4f5c\u7528\uff08\u8840\u6813\u75c7\u30ea\u30b9\u30af\uff09\u304c\u61f8\u5ff5\u3055\u308c\u308b\u3002<br><\/li>\n<\/ul>\n<\/li>\n<\/ul>\n\n\n\n<h4 class=\"wp-block-heading\"><strong>(2) NSAIDs\uff08\u975e\u30b9\u30c6\u30ed\u30a4\u30c9\u6027\u6297\u708e\u75c7\u85ac\uff09<\/strong><\/h4>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>\u7279\u5fb4<\/strong>\uff1a\u982d\u75db\u3084\u708e\u75c7\u3092\u6291\u3048\u308b\u7b2c\u4e00\u9078\u629e\u85ac\u3002\u30a4\u30d6\u30d7\u30ed\u30d5\u30a7\u30f3\u3001\u30ed\u30ad\u30bd\u30d7\u30ed\u30d5\u30a7\u30f3\u306a\u3069\u304c\u4ee3\u8868\u7684\u3002<br><\/li>\n\n\n\n<li><strong>\u5a66\u4eba\u79d1\u7684\u5f71\u97ff<\/strong>\uff1a<br>\n<ul class=\"wp-block-list\">\n<li>\u9577\u671f\u4f7f\u7528\u3067\u80c3\u8178\u969c\u5bb3\u30fb\u814e\u6a5f\u80fd\u4f4e\u4e0b\u306e\u307b\u304b\u3001\u6392\u5375\u6291\u5236\u4f5c\u7528\u306b\u3088\u308a\u4e0d\u598a\u30ea\u30b9\u30af\u306b\u5f71\u97ff\u3059\u308b\u53ef\u80fd\u6027\u304c\u3042\u308b\u3002<br><\/li>\n\n\n\n<li>\u598a\u5a20\u5f8c\u671f\u306b\u4f7f\u7528\u3059\u308b\u3068\u80ce\u5150\u306e\u52d5\u8108\u7ba1\u9589\u9396\u3092\u5f15\u304d\u8d77\u3053\u3059\u30ea\u30b9\u30af\u304c\u3042\u308b\u305f\u3081\u7981\u5fcc\u3002<br><\/li>\n\n\n\n<li>\u6708\u7d4c\u56f0\u96e3\u75c7\u306e\u75db\u307f\u306b\u3082\u6709\u52b9\u3060\u304c\u3001\u904e\u5270\u306a\u4f7f\u7528\u306f\u6708\u7d4c\u4e0d\u9806\u3092\u5f15\u304d\u8d77\u3053\u3059\u6050\u308c\u304c\u3042\u308b\u3002<br><\/li>\n<\/ul>\n<\/li>\n<\/ul>\n\n\n\n<h4 class=\"wp-block-heading\"><strong>(3) \u30a8\u30eb\u30b4\u30bf\u30df\u30f3\u88fd\u5264<\/strong><\/h4>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>\u7279\u5fb4<\/strong>\uff1a\u53e4\u304f\u304b\u3089\u4f7f\u308f\u308c\u308b\u85ac\u3067\u8840\u7ba1\u53ce\u7e2e\u4f5c\u7528\u304c\u5f37\u3044\u3002\u73fe\u5728\u306f\u30c8\u30ea\u30d7\u30bf\u30f3\u306b\u53d6\u3063\u3066\u4ee3\u308f\u3089\u308c\u4f7f\u7528\u983b\u5ea6\u306f\u6e1b\u5c11\u3002<br><\/li>\n\n\n\n<li><strong>\u5a66\u4eba\u79d1\u7684\u5f71\u97ff<\/strong>\uff1a<br>\n<ul class=\"wp-block-list\">\n<li>\u5f37\u3044\u8840\u7ba1\u53ce\u7e2e\u4f5c\u7528\u306b\u3088\u308a\u3001\u598a\u5a20\u4e2d\u306f\u80ce\u76e4\u8840\u6d41\u3092\u4f4e\u4e0b\u3055\u305b\u3001\u80ce\u5150\u3078\u306e\u5f71\u97ff\u304c\u5927\u304d\u3044\u305f\u3081\u7981\u5fcc\u3002<br><\/li>\n\n\n\n<li>\u6388\u4e73\u4e2d\u3082\u4e73\u6c41\u79fb\u884c\u304c\u3042\u308b\u305f\u3081\u4f7f\u7528\u306f\u63a8\u5968\u3055\u308c\u306a\u3044\u3002<br><\/li>\n<\/ul>\n<\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\"><strong>2-2. \u4e88\u9632\u85ac<\/strong><\/h3>\n\n\n\n<h4 class=\"wp-block-heading\"><strong>(1) \u03b2\u906e\u65ad\u85ac\uff08\u30d7\u30ed\u30d7\u30e9\u30ce\u30ed\u30fc\u30eb\u306a\u3069\uff09<\/strong><\/h4>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>\u7279\u5fb4<\/strong>\uff1a\u7247\u982d\u75db\u306e\u767a\u4f5c\u983b\u5ea6\u3092\u6e1b\u3089\u3059\u76ee\u7684\u3067\u7528\u3044\u3089\u308c\u308b\u3002<br><\/li>\n\n\n\n<li><strong>\u5a66\u4eba\u79d1\u7684\u5f71\u97ff<\/strong>\uff1a<br>\n<ul class=\"wp-block-list\">\n<li>\u598a\u5a20\u4e2d\u306b\u4f7f\u7528\u3059\u308b\u3068\u80ce\u5150\u767a\u80b2\u9045\u5ef6\u3084\u65b0\u751f\u5150\u4f4e\u8840\u7cd6\u306e\u5831\u544a\u304c\u3042\u308b\u3002<br><\/li>\n\n\n\n<li>\u6388\u4e73\u4e2d\u306f\u5c11\u91cf\u79fb\u884c\u3059\u308b\u305f\u3081\u3001\u4f7f\u7528\u306f\u4e3b\u6cbb\u533b\u3068\u8981\u76f8\u8ac7\u3002<br><\/li>\n<\/ul>\n<\/li>\n<\/ul>\n\n\n\n<h4 class=\"wp-block-heading\"><strong>(2) \u6297\u3066\u3093\u304b\u3093\u85ac\uff08\u30d0\u30eb\u30d7\u30ed\u9178\u3001\u30c8\u30d4\u30e9\u30de\u30fc\u30c8\u306a\u3069\uff09<\/strong><\/h4>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>\u7279\u5fb4<\/strong>\uff1a\u795e\u7d4c\u306e\u8208\u596e\u3092\u6291\u3048\u3001\u7247\u982d\u75db\u767a\u4f5c\u306e\u95be\u5024\u3092\u4e0b\u3052\u308b\u3002<br><\/li>\n\n\n\n<li><strong>\u5a66\u4eba\u79d1\u7684\u5f71\u97ff<\/strong>\uff1a<br>\n<ul class=\"wp-block-list\">\n<li>\u30d0\u30eb\u30d7\u30ed\u9178\u306f\u9ad8\u3044\u50ac\u5947\u5f62\u6027\u304c\u3042\u308a\u3001\u598a\u5a20\u53ef\u80fd\u5e74\u9f62\u306e\u5973\u6027\u3067\u306f\u539f\u5247\u7981\u5fcc\u3002\u7279\u306b\u795e\u7d4c\u7ba1\u9589\u9396\u969c\u5bb3\u3084\u767a\u9054\u969c\u5bb3\u306e\u30ea\u30b9\u30af\u304c\u77e5\u3089\u308c\u3066\u3044\u308b\u3002<br><\/li>\n\n\n\n<li>\u30c8\u30d4\u30e9\u30de\u30fc\u30c8\u3082\u53e3\u5507\u88c2\u306a\u3069\u306e\u5947\u5f62\u30ea\u30b9\u30af\u304c\u6307\u6458\u3055\u308c\u3001\u598a\u5a20\u4e2d\u306e\u4f7f\u7528\u306f\u907f\u3051\u308b\u3079\u304d\u3002<br><\/li>\n\n\n\n<li>\u6708\u7d4c\u5468\u671f\u306b\u5f71\u97ff\u3092\u4e0e\u3048\u308b\u3068\u306e\u5831\u544a\u3082\u3042\u308a\u3001\u5a66\u4eba\u79d1\u7684\u30e2\u30cb\u30bf\u30ea\u30f3\u30b0\u304c\u671b\u307e\u3057\u3044\u3002<br><\/li>\n<\/ul>\n<\/li>\n<\/ul>\n\n\n\n<h4 class=\"wp-block-heading\"><strong>(3) \u6297\u3046\u3064\u85ac\uff08\u30a2\u30df\u30c8\u30ea\u30d7\u30c1\u30ea\u30f3\u306a\u3069\uff09<\/strong><\/h4>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>\u7279\u5fb4<\/strong>\uff1a\u7247\u982d\u75db\u3068\u3068\u3082\u306b\u4e0d\u7720\u30fb\u3046\u3064\u75c7\u72b6\u3092\u4f34\u3046\u60a3\u8005\u306b\u6709\u52b9\u3002<br><\/li>\n\n\n\n<li><strong>\u5a66\u4eba\u79d1\u7684\u5f71\u97ff<\/strong>\uff1a<br>\n<ul class=\"wp-block-list\">\n<li>\u6708\u7d4c\u4e0d\u9806\u3084\u4e73\u6c41\u5206\u6ccc\u7570\u5e38\uff08\u9ad8\u30d7\u30ed\u30e9\u30af\u30c1\u30f3\u8840\u75c7\uff09\u3092\u8d77\u3053\u3059\u53ef\u80fd\u6027\u304c\u3042\u308b\u3002<br><\/li>\n\n\n\n<li>\u4f53\u91cd\u5897\u52a0\u304c\u8d77\u3053\u308a\u3084\u3059\u304f\u3001PMS\u3084\u66f4\u5e74\u671f\u306e\u5973\u6027\u306b\u3068\u3063\u3066\u306fQOL\u4f4e\u4e0b\u306e\u8981\u56e0\u3068\u306a\u308b\u5834\u5408\u304c\u3042\u308b\u3002<br><\/li>\n<\/ul>\n<\/li>\n<\/ul>\n\n\n\n<h4 class=\"wp-block-heading\"><strong>(4) CGRP\u95a2\u9023\u85ac\uff08\u65b0\u898f\u6cbb\u7642\u85ac\uff09<\/strong><\/h4>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>\u7279\u5fb4<\/strong>\uff1a\u8fd1\u5e74\u767b\u5834\u3057\u305f\u6297CGRP\u6297\u4f53\u85ac\u3084CGRP\u53d7\u5bb9\u4f53\u62ee\u6297\u85ac\u306f\u7247\u982d\u75db\u4e88\u9632\u306e\u65b0\u3057\u3044\u9078\u629e\u80a2\u3002<br><\/li>\n\n\n\n<li><strong>\u5a66\u4eba\u79d1\u7684\u5f71\u97ff<\/strong>\uff1a<br>\n<ul class=\"wp-block-list\">\n<li>\u598a\u5a20\u30fb\u6388\u4e73\u4e2d\u306e\u5b89\u5168\u6027\u30c7\u30fc\u30bf\u304c\u4e0d\u8db3\u3057\u3066\u304a\u308a\u3001\u614e\u91cd\u6295\u4e0e\u304c\u5fc5\u8981\u3002<br><\/li>\n\n\n\n<li>\u6708\u7d4c\u5468\u671f\u3078\u306e\u5f71\u97ff\u306f\u307e\u3060\u5341\u5206\u306b\u691c\u8a3c\u3055\u308c\u3066\u3044\u306a\u3044\u3002<br><\/li>\n<\/ul>\n<\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\"><strong>2-3. \u7247\u982d\u75db\u6cbb\u7642\u85ac\u3068\u5a66\u4eba\u79d1\u7684\u526f\u4f5c\u7528\u306e\u307e\u3068\u3081<\/strong><\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>\u598a\u5a20\u4e2d\u30fb\u6388\u4e73\u4e2d<\/strong>\u306f\u4f7f\u7528\u5236\u9650\u304c\u591a\u304f\u3001\u7279\u306b\u6297\u3066\u3093\u304b\u3093\u85ac\u30fb\u30a8\u30eb\u30b4\u30bf\u30df\u30f3\u88fd\u5264\u306f\u7981\u5fcc\u3002<br><\/li>\n\n\n\n<li><strong>NSAIDs\u3084\u30c8\u30ea\u30d7\u30bf\u30f3<\/strong>\u306f\u6bd4\u8f03\u7684\u5b89\u5168\u3060\u304c\u3001\u4f7f\u7528\u30bf\u30a4\u30df\u30f3\u30b0\u3068\u91cf\u306b\u6ce8\u610f\u304c\u5fc5\u8981\u3002<br><\/li>\n\n\n\n<li><strong>\u30db\u30eb\u30e2\u30f3\u907f\u598a\u85ac\u3084HRT\u3068\u306e\u76f8\u4e92\u4f5c\u7528<\/strong>\u3092\u8003\u616e\u3059\u308b\u5fc5\u8981\u304c\u3042\u308a\u3001\u5a66\u4eba\u79d1\u533b\u3068\u795e\u7d4c\u5185\u79d1\u533b\u306e\u9023\u643a\u304c\u91cd\u8981\u3002<\/li>\n<\/ul>\n\n\n<div class=\"wp-block-image\">\n<figure class=\"aligncenter size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"640\" height=\"426\" src=\"\/gynecology\/wp-content\/uploads\/2025\/09\/4795601_s.webp\" alt=\"\u85ac\" class=\"wp-image-3152\" srcset=\"https:\/\/www.hiro-clinic.or.jp\/gynecology\/wp-content\/uploads\/2025\/09\/4795601_s.webp 640w, https:\/\/www.hiro-clinic.or.jp\/gynecology\/wp-content\/uploads\/2025\/09\/4795601_s-300x200.webp 300w\" sizes=\"auto, (max-width: 640px) 100vw, 640px\" \/><\/figure><\/div>\n\n\n<p><\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>3. \u6708\u7d4c\u95a2\u9023\u7247\u982d\u75db\u3068\u6cbb\u7642\u9078\u629e<\/strong><\/h2>\n\n\n\n<h3 class=\"wp-block-heading\"><strong>3-1. \u6708\u7d4c\u95a2\u9023\u7247\u982d\u75db\u3068\u306f\uff1f<\/strong><\/h3>\n\n\n\n<p>\u6708\u7d4c\u306b\u4f34\u3063\u3066\u51fa\u73fe\u30fb\u60aa\u5316\u3059\u308b\u7247\u982d\u75db\u306f**\u300c\u6708\u7d4c\u95a2\u9023\u7247\u982d\u75db\uff08menstrual migraine\uff09\u300d**\u3068\u547c\u3070\u308c\u307e\u3059\u3002\u767a\u75c7\u306e\u80cc\u666f\u306b\u306f\u3001<strong>\u6708\u7d4c\u524d\u306e\u6025\u6fc0\u306a\u30a8\u30b9\u30c8\u30ed\u30b2\u30f3\u4f4e\u4e0b<\/strong>\u304c\u95a2\u4e0e\u3057\u3066\u304a\u308a\u3001\u5973\u6027\u306e\u7247\u982d\u75db\u60a3\u8005\u306e\u3046\u3061\u7d0460\u301c70\uff05\u304c\u6708\u7d4c\u306b\u95a2\u9023\u3059\u308b\u75c7\u72b6\u3092\u7d4c\u9a13\u3059\u308b\u3068\u3055\u308c\u3066\u3044\u307e\u3059\u3002<\/p>\n\n\n\n<p>\u7279\u5fb4\u3068\u3057\u3066\u306f\uff1a<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\u767a\u75c7\u6642\u671f\u304c\u6708\u7d4c\u524d3\u65e5\u304b\u3089\u6708\u7d4c\u958b\u59cb\u5f8c2\u65e5\u4ee5\u5185\u306b\u96c6\u4e2d\u3059\u308b<br><\/li>\n\n\n\n<li>\u767a\u4f5c\u304c\u91cd\u304f\u3001\u901a\u5e38\u306e\u7247\u982d\u75db\u3088\u308a\u6301\u7d9a\u6642\u9593\u304c\u9577\u3044\u3053\u3068\u304c\u591a\u3044<br><\/li>\n\n\n\n<li>\u5e02\u8ca9\u85ac\u3067\u306f\u52b9\u679c\u4e0d\u5341\u5206\u306a\u30b1\u30fc\u30b9\u304c\u591a\u304f\u3001\u751f\u6d3b\u306e\u8cea\uff08QOL\uff09\u3092\u5927\u304d\u304f\u640d\u306a\u3046<br><\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\"><strong>3-2. \u6cbb\u7642\u306e\u57fa\u672c\u6226\u7565<\/strong><\/h3>\n\n\n\n<p>\u6708\u7d4c\u95a2\u9023\u7247\u982d\u75db\u3067\u306f\u3001**\u300c\u6025\u6027\u671f\u6cbb\u7642\u300d\u3068\u300c\u4e88\u9632\u7684\u6cbb\u7642\u300d**\u3092\u7d44\u307f\u5408\u308f\u305b\u308b\u3053\u3068\u304c\u52b9\u679c\u7684\u3067\u3059\u3002<\/p>\n\n\n\n<h4 class=\"wp-block-heading\"><strong>(1) \u6025\u6027\u671f\u6cbb\u7642<\/strong><\/h4>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>\u30c8\u30ea\u30d7\u30bf\u30f3\u88fd\u5264<\/strong>\uff1a\u6700\u3082\u6709\u52b9\u6027\u304c\u9ad8\u304f\u3001\u767a\u4f5c\u958b\u59cb\u76f4\u5f8c\u306e\u670d\u7528\u304c\u63a8\u5968\u3055\u308c\u308b\u3002<br><\/li>\n\n\n\n<li><strong>NSAIDs<\/strong>\uff1a\u982d\u75db\u3060\u3051\u3067\u306a\u304f\u3001\u6708\u7d4c\u56f0\u96e3\u75c7\uff08\u751f\u7406\u75db\uff09\u3092\u540c\u6642\u306b\u548c\u3089\u3052\u308b\u52b9\u679c\u3082\u671f\u5f85\u3067\u304d\u308b\u3002<br><\/li>\n\n\n\n<li><strong>\u4f75\u7528\u7642\u6cd5<\/strong>\uff1a\u30c8\u30ea\u30d7\u30bf\u30f3\u3068NSAIDs\u3092\u4f75\u7528\u3059\u308b\u3053\u3068\u3067\u3001\u518d\u767a\u3092\u9632\u304e\u3084\u3059\u3044\u3002<br><\/li>\n<\/ul>\n\n\n\n<h4 class=\"wp-block-heading\"><strong>(2) \u77ed\u671f\u4e88\u9632\u7642\u6cd5<\/strong><\/h4>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\u6708\u7d4c\u5468\u671f\u304c\u4e88\u6e2c\u3067\u304d\u308b\u5973\u6027\u3067\u306f\u3001<strong>\u6708\u7d4c\u958b\u59cb2\u301c3\u65e5\u524d\u304b\u3089\u30c8\u30ea\u30d7\u30bf\u30f3\u3084NSAIDs\u3092\u6570\u65e5\u9593\u5185\u670d<\/strong>\u3059\u308b\u3053\u3068\u3067\u767a\u4f5c\u3092\u6291\u3048\u308b\u65b9\u6cd5\u304c\u6709\u52b9\u3002<br><\/li>\n\n\n\n<li>\u300c\u30df\u30cb\u4e88\u9632\u7642\u6cd5\u300d\u3068\u3082\u547c\u3070\u308c\u3001\u7279\u306b\u6bce\u6708\u540c\u3058\u30bf\u30a4\u30df\u30f3\u30b0\u3067\u5f37\u3044\u767a\u4f5c\u304c\u51fa\u308b\u4eba\u306b\u9069\u3057\u3066\u3044\u308b\u3002<br><\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\"><strong>3-3. \u30db\u30eb\u30e2\u30f3\u7642\u6cd5\u306e\u6d3b\u7528<\/strong><\/h3>\n\n\n\n<p>\u6708\u7d4c\u95a2\u9023\u7247\u982d\u75db\u3067\u306f\u3001<strong>\u30db\u30eb\u30e2\u30f3\u5909\u52d5\u3092\u5b89\u5b9a\u3055\u305b\u308b\u3053\u3068<\/strong>\u3082\u6cbb\u7642\u306e\u4e00\u74b0\u3068\u306a\u308a\u307e\u3059\u3002<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>\u4f4e\u7528\u91cf\u30d4\u30eb\uff08\u7d4c\u53e3\u907f\u598a\u85ac\uff09<\/strong>\uff1a\u6392\u5375\u6291\u5236\u306b\u3088\u308a\u30db\u30eb\u30e2\u30f3\u306e\u5909\u52d5\u3092\u7de9\u548c\u3057\u3001\u982d\u75db\u3092\u6e1b\u3089\u3059\u52b9\u679c\u304c\u671f\u5f85\u3067\u304d\u308b\u3002\u305f\u3060\u3057\u3001\u7247\u982d\u75db\uff08\u7279\u306b\u524d\u5146\u3092\u4f34\u3046\u5834\u5408\uff09\u306f\u8840\u6813\u75c7\u30ea\u30b9\u30af\u304c\u9ad8\u307e\u308b\u305f\u3081\u614e\u91cd\u306b\u4f7f\u7528\u3059\u308b\u5fc5\u8981\u304c\u3042\u308b\u3002<br><\/li>\n\n\n\n<li><strong>\u9ec4\u4f53\u30db\u30eb\u30e2\u30f3\u5358\u5264<\/strong>\uff1a\u8840\u6813\u75c7\u30ea\u30b9\u30af\u3092\u6291\u3048\u3064\u3064\u3001\u30db\u30eb\u30e2\u30f3\u306e\u5909\u52d5\u3092\u3042\u308b\u7a0b\u5ea6\u30b3\u30f3\u30c8\u30ed\u30fc\u30eb\u53ef\u80fd\u3002<br><\/li>\n\n\n\n<li><strong>\u30db\u30eb\u30e2\u30f3\u88dc\u5145\u7642\u6cd5\uff08HRT\uff09<\/strong>\uff1a\u66f4\u5e74\u671f\u5973\u6027\u3067\u306e\u7247\u982d\u75db\u6539\u5584\u76ee\u7684\u306b\u7528\u3044\u3089\u308c\u308b\u3053\u3068\u304c\u3042\u308b\u304c\u3001\u6295\u4e0e\u6cd5\u3084\u7528\u91cf\u306b\u3088\u3063\u3066\u306f\u9006\u306b\u7247\u982d\u75db\u3092\u60aa\u5316\u3055\u305b\u308b\u3053\u3068\u3082\u3042\u308b\u3002<br><\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\"><strong>3-4. \u30e9\u30a4\u30d5\u30b9\u30bf\u30a4\u30eb\u6539\u5584\u3068\u306e\u4f75\u7528<\/strong><\/h3>\n\n\n\n<p>\u85ac\u7269\u7642\u6cd5\u3060\u3051\u3067\u306a\u304f\u3001\u65e5\u5e38\u751f\u6d3b\u306e\u5de5\u592b\u3082\u767a\u4f5c\u4e88\u9632\u306b\u6709\u52b9\u3067\u3059\u3002<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>\u898f\u5247\u6b63\u3057\u3044\u7761\u7720<\/strong>\uff1a\u30db\u30eb\u30e2\u30f3\u5909\u52d5\u306b\u52a0\u3048\u3001\u7761\u7720\u4e0d\u8db3\u3084\u30ea\u30ba\u30e0\u306e\u4e71\u308c\u304c\u7247\u982d\u75db\u3092\u8a98\u767a\u3059\u308b\u3002<br><\/li>\n\n\n\n<li><strong>\u6804\u990a\u7ba1\u7406<\/strong>\uff1a\u9244\u6b20\u4e4f\u3084\u4f4e\u8840\u7cd6\u304c\u7247\u982d\u75db\u3092\u60aa\u5316\u3055\u305b\u308b\u3053\u3068\u304c\u3042\u308a\u3001\u7279\u306b\u6708\u7d4c\u306b\u3088\u308b\u8ca7\u8840\u50be\u5411\u304c\u3042\u308b\u5973\u6027\u306f\u6ce8\u610f\u304c\u5fc5\u8981\u3002<br><\/li>\n\n\n\n<li><strong>\u30b9\u30c8\u30ec\u30b9\u30de\u30cd\u30b8\u30e1\u30f3\u30c8<\/strong>\uff1a\u81ea\u5f8b\u795e\u7d4c\u306e\u4e71\u308c\u3092\u6291\u3048\u308b\u3053\u3068\u3067\u767a\u4f5c\u306e\u983b\u5ea6\u3092\u6e1b\u3089\u305b\u308b\u3002<br><\/li>\n\n\n\n<li><strong>\u904b\u52d5\u7fd2\u6163<\/strong>\uff1a\u8efd\u5ea6\u306e\u6709\u9178\u7d20\u904b\u52d5\u306f\u30db\u30eb\u30e2\u30f3\u30d0\u30e9\u30f3\u30b9\u3092\u6574\u3048\u3001\u767a\u4f5c\u4e88\u9632\u306b\u5f79\u7acb\u3064\u3002<br><\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\"><strong>3-5. \u5a66\u4eba\u79d1\u7684\u914d\u616e\u304c\u5fc5\u8981\u306a\u30dd\u30a4\u30f3\u30c8<\/strong><\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>\u4e0d\u598a\u6cbb\u7642\u4e2d\u306e\u5973\u6027<\/strong>\uff1aNSAIDs\u306e\u6392\u5375\u6291\u5236\u4f5c\u7528\u306b\u3088\u308a\u598a\u5a20\u7387\u304c\u4e0b\u304c\u308b\u53ef\u80fd\u6027\u304c\u3042\u308b\u305f\u3081\u3001\u4f7f\u7528\u5236\u9650\u304c\u5fc5\u8981\u3002<br><\/li>\n\n\n\n<li><strong>\u598a\u5a20\u5e0c\u671b\u304c\u3042\u308b\u5834\u5408<\/strong>\uff1a\u30db\u30eb\u30e2\u30f3\u85ac\u306e\u9078\u629e\u306b\u306f\u7d30\u5fc3\u306e\u6ce8\u610f\u3092\u6255\u3044\u3001\u5a66\u4eba\u79d1\u3068\u795e\u7d4c\u5185\u79d1\u304c\u9023\u643a\u3057\u3066\u6cbb\u7642\u65b9\u91dd\u3092\u6c7a\u5b9a\u3059\u308b\u3002<br><\/li>\n\n\n\n<li><strong>\u601d\u6625\u671f\u30fb\u66f4\u5e74\u671f<\/strong>\uff1a\u30e9\u30a4\u30d5\u30b9\u30c6\u30fc\u30b8\u3054\u3068\u306b\u30db\u30eb\u30e2\u30f3\u306e\u5909\u52d5\u5e45\u304c\u7570\u306a\u308a\u3001\u7247\u982d\u75db\u306e\u75c7\u72b6\u3082\u5909\u5316\u3059\u308b\u305f\u3081\u3001\u6cbb\u7642\u65b9\u91dd\u306f\u67d4\u8edf\u306b\u8abf\u6574\u3059\u308b\u5fc5\u8981\u304c\u3042\u308b\u3002<\/li>\n<\/ul>\n\n\n\n<p><\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>4. \u598a\u5a20\u30fb\u6388\u4e73\u671f\u306e\u7247\u982d\u75db\u6cbb\u7642\u3068\u526f\u4f5c\u7528<\/strong><\/h2>\n\n\n\n<p>\u598a\u5a20\u4e2d\u306f\u30db\u30eb\u30e2\u30f3\u306e\u5f71\u97ff\u3067\u7247\u982d\u75db\u304c\u6539\u5584\u3059\u308b\u30b1\u30fc\u30b9\u3082\u3042\u308a\u307e\u3059\u304c\u3001\u60aa\u5316\u3059\u308b\u4eba\u3082\u3044\u307e\u3059\u3002<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>\u598a\u5a20\u521d\u671f<\/strong>\uff1a\u85ac\u5264\u306f\u80ce\u5150\u306b\u5f71\u97ff\u3092\u53ca\u307c\u3059\u53ef\u80fd\u6027\u304c\u3042\u308b\u305f\u3081\u3001\u539f\u5247\u3068\u3057\u3066\u85ac\u306e\u4f7f\u7528\u306f\u6700\u5c0f\u9650\u306b\u3002\u30a2\u30bb\u30c8\u30a2\u30df\u30ce\u30d5\u30a7\u30f3\u304c\u6bd4\u8f03\u7684\u5b89\u5168\u3068\u3055\u308c\u307e\u3059\u3002<br><\/li>\n\n\n\n<li><strong>\u598a\u5a20\u4e2d\u671f\u30fb\u5f8c\u671f<\/strong>\uff1aNSAIDs\u306f\u80ce\u5150\u306e\u52d5\u8108\u7ba1\u9589\u9396\u30ea\u30b9\u30af\u304c\u3042\u308b\u305f\u3081\u907f\u3051\u308b\u3079\u304d\u3067\u3059\u3002<br><\/li>\n\n\n\n<li><strong>\u6388\u4e73\u671f<\/strong>\uff1a\u30c8\u30ea\u30d7\u30bf\u30f3\u306f\u6bcd\u4e73\u79fb\u884c\u306e\u5831\u544a\u304c\u3042\u308b\u305f\u3081\u3001\u6388\u4e73\u30bf\u30a4\u30df\u30f3\u30b0\u306b\u6ce8\u610f\u304c\u5fc5\u8981\u3067\u3059\u3002<br><\/li>\n<\/ul>\n\n\n\n<p>\u598a\u5a20\u30fb\u6388\u4e73\u671f\u306b\u7247\u982d\u75db\u304c\u7d9a\u304f\u5834\u5408\u306f\u3001\u5a66\u4eba\u79d1\u3068\u795e\u7d4c\u5185\u79d1\u304c\u9023\u643a\u3057\u3066\u85ac\u5264\u9078\u629e\u3092\u614e\u91cd\u306b\u884c\u3046\u5fc5\u8981\u304c\u3042\u308a\u307e\u3059\u3002<\/p>\n\n\n\n<p><\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>5. \u66f4\u5e74\u671f\u5973\u6027\u306b\u304a\u3051\u308b\u7247\u982d\u75db\u6cbb\u7642\u306e\u8ab2\u984c<\/strong><\/h2>\n\n\n\n<p>\u66f4\u5e74\u671f\u306f\u30db\u30eb\u30e2\u30f3\u30d0\u30e9\u30f3\u30b9\u304c\u5927\u304d\u304f\u5909\u5316\u3059\u308b\u6642\u671f\u3067\u3042\u308a\u3001\u7247\u982d\u75db\u75c7\u72b6\u304c\u5f37\u304f\u306a\u308b\u3053\u3068\u3082\u3042\u308a\u307e\u3059\u3002<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>\u30db\u30eb\u30e2\u30f3\u88dc\u5145\u7642\u6cd5\uff08HRT\uff09<\/strong>\uff1a\u7247\u982d\u75db\u304c\u60aa\u5316\u3059\u308b\u30b1\u30fc\u30b9\u3068\u6539\u5584\u3059\u308b\u30b1\u30fc\u30b9\u304c\u3042\u308a\u3001\u614e\u91cd\u306a\u6295\u4e0e\u304c\u5fc5\u8981\u3067\u3059\u3002<br><\/li>\n\n\n\n<li><strong>\u9ad8\u8840\u5727\u30fb\u8102\u8cea\u7570\u5e38\u75c7<\/strong>\u306a\u3069\u751f\u6d3b\u7fd2\u6163\u75c5\u3092\u5408\u4f75\u3059\u308b\u30b1\u30fc\u30b9\u304c\u591a\u304f\u3001\u85ac\u306e\u76f8\u4e92\u4f5c\u7528\u3084\u526f\u4f5c\u7528\u306b\u6ce8\u610f\u304c\u6c42\u3081\u3089\u308c\u307e\u3059\u3002<br><\/li>\n<\/ul>\n\n\n\n<p><\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>6. \u5a66\u4eba\u79d1\u3068\u795e\u7d4c\u5185\u79d1\u306e\u9023\u643a\u306e\u91cd\u8981\u6027<\/strong><\/h2>\n\n\n\n<p>\u7247\u982d\u75db\u6cbb\u7642\u85ac\u306e\u9078\u629e\u306f\u3001\u5358\u306b\u982d\u75db\u3092\u6291\u3048\u308b\u3060\u3051\u3067\u306f\u306a\u304f\u3001\u5973\u6027\u306e\u30e9\u30a4\u30d5\u30b9\u30c6\u30fc\u30b8\u306b\u5fdc\u3058\u305f\u526f\u4f5c\u7528\u7ba1\u7406\u304c\u5fc5\u8981\u3067\u3059\u3002<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\u598a\u5a20\u5e0c\u671b\u304c\u3042\u308b\u5834\u5408\uff1a\u5b89\u5168\u6027\u306e\u9ad8\u3044\u85ac\u5264\u3092\u512a\u5148<br><\/li>\n\n\n\n<li>\u6708\u7d4c\u5468\u671f\u306b\u5f71\u97ff\u304c\u3042\u308b\u5834\u5408\uff1a\u30db\u30eb\u30e2\u30f3\u7642\u6cd5\u306e\u691c\u8a0e<br><\/li>\n\n\n\n<li>\u66f4\u5e74\u671f\uff1a\u751f\u6d3b\u7fd2\u6163\u75c5\u3068\u306e\u5408\u4f75\u75c7\u3092\u8e0f\u307e\u3048\u305f\u85ac\u5264\u9078\u629e<br><\/li>\n<\/ul>\n\n\n\n<p>\u5a66\u4eba\u79d1\u3068\u795e\u7d4c\u5185\u79d1\u306e\u9023\u643a\u306f\u3001\u5973\u6027\u306e\u751f\u6d3b\u306e\u8cea\u3092\u5b88\u308b\u305f\u3081\u306b\u4e0d\u53ef\u6b20\u3067\u3059\u3002<\/p>\n\n\n\n<p><\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>\u307e\u3068\u3081<\/strong><\/h2>\n\n\n\n<p>\u7247\u982d\u75db\u6cbb\u7642\u85ac\u306f\u5973\u6027\u306b\u3068\u3063\u3066\u4e0d\u53ef\u6b20\u306a\u5b58\u5728\u3067\u3059\u304c\u3001\u540c\u6642\u306b\u5a66\u4eba\u79d1\u7684\u306a\u526f\u4f5c\u7528\u3092\u5f15\u304d\u8d77\u3053\u3059\u53ef\u80fd\u6027\u304c\u3042\u308b\u3053\u3068\u3092\u7406\u89e3\u3059\u308b\u5fc5\u8981\u304c\u3042\u308a\u307e\u3059\u3002\u6708\u7d4c\u5468\u671f\u3001\u4e0d\u598a\u3001\u598a\u5a20\u30fb\u6388\u4e73\u3001\u66f4\u5e74\u671f\u3068\u3044\u3063\u305f\u30e9\u30a4\u30d5\u30a4\u30d9\u30f3\u30c8\u3054\u3068\u306b\u85ac\u5264\u306e\u5f71\u97ff\u306f\u7570\u306a\u308b\u305f\u3081\u3001\u81ea\u5df1\u5224\u65ad\u3067\u306e\u670d\u85ac\u306f\u907f\u3051\u3001\u5fc5\u305a\u5c02\u9580\u533b\u306b\u76f8\u8ac7\u3059\u308b\u3053\u3068\u304c\u5927\u5207\u3067\u3059\u3002<\/p>\n\n\n\n<p>\u5973\u6027\u306e\u5065\u5eb7\u3092\u7dcf\u5408\u7684\u306b\u5b88\u308b\u305f\u3081\u306b\u306f\u3001\u7247\u982d\u75db\u6cbb\u7642\u3068\u5a66\u4eba\u79d1\u7684\u8996\u70b9\u3092\u7d44\u307f\u5408\u308f\u305b\u305f\u7dcf\u5408\u7684\u306a\u30a2\u30d7\u30ed\u30fc\u30c1\u304c\u6b20\u304b\u305b\u307e\u305b\u3093\u3002<\/p>\n","protected":false},"excerpt":{"rendered":"<p>\u7247\u982d\u75db\u306f\u7537\u6027\u3088\u308a\u3082\u5973\u6027\u306b\u591a\u304f\u767a\u75c7\u3059\u308b\u75be\u60a3\u3067\u3042\u308a\u3001\u305d\u306e\u80cc\u666f\u306b\u306f\u30db\u30eb\u30e2\u30f3\u306e\u5f71\u97ff\u304c\u6df1\u304f\u95a2\u4e0e\u3057\u3066\u3044\u307e\u3059\u3002\u5b9f\u969b\u3001\u6708\u7d4c\u5468\u671f\u3084\u598a\u5a20\u3001\u66f4\u5e74\u671f\u306a\u3069\u5973\u6027\u7279\u6709\u306e\u30e9\u30a4\u30d5\u30a4\u30d9\u30f3\u30c8\u3068\u7247\u982d\u75db\u306e\u75c7\u72b6\u60aa\u5316\u306f\u5bc6\u63a5\u306b\u95a2\u9023\u3057\u3066\u3044\u307e\u3059\u3002\u4e00\u65b9\u3067\u3001\u7247\u982d\u75db\u306e\u6cbb\u7642\u306b\u7528\u3044\u3089\u308c\u308b\u85ac\u5264\u306b\u306f\u3001\u5973\u6027\u306e\u4f53\u306b\u7279\u6709\u306e\u526f\u4f5c\u7528\u3084\u6ce8\u610f\u70b9\u304c\u5b58\u5728\u3057\u307e\u3059\u3002\u7279\u306b\u5a66\u4eba\u79d1\u7684\u306a\u9818\u57df\u306b\u304a\u3044\u3066\u306f\u3001\u6708\u7d4c\u7570\u5e38\u3001\u30db\u30eb\u30e2\u30f3\u30d0\u30e9\u30f3\u30b9\u306e\u5909\u5316\u3001\u598a\u5a20\u4e2d\u306e\u4f7f\u7528\u53ef\u5426\u3068\u3044\u3063\u305f\u8ab2\u984c\u304c\u91cd\u8981\u3067\u3059\u3002\u672c\u8a18\u4e8b\u3067\u306f\u3001\u7247\u982d\u75db\u6cbb\u7642\u85ac\u3068\u5a66\u4eba\u79d1\u7684\u526f\u4f5c\u7528\u306b\u3064\u3044\u3066\u3001\u6700\u65b0\u306e\u533b\u5b66\u7684\u77e5\u898b\u3092\u3082\u3068\u306b\u308f\u304b\u308a\u3084\u3059\u304f\u89e3\u8aac\u3057\u307e\u3059\u3002 1. \u7247\u982d\u75db\u3068\u5973\u6027\u30db\u30eb\u30e2\u30f3\u306e\u95a2\u4fc2 \u7247\u982d\u75db\u306f\u4e16\u754c\u7684\u306b\u5973\u6027\u306b\u591a\u3044\u75be\u60a3\u3067\u3001\u7537\u6027\u3068\u6bd4\u3079\u308b\u3068\u7d042\u301c3\u500d\u306e\u7f79\u60a3\u7387\u304c\u5831\u544a\u3055\u308c\u3066\u3044\u307e\u3059\u3002\u305d\u306e\u80cc\u666f\u306b\u306f\u3001\u5973\u6027\u30db\u30eb\u30e2\u30f3\u3001\u3068\u304f\u306b\u30a8\u30b9\u30c8\u30ed\u30b2\u30f3\u306e\u5909\u52d5\u304c\u6df1\u304f\u95a2\u308f\u3063\u3066\u3044\u308b\u3053\u3068\u304c\u5206\u304b\u3063\u3066\u3044\u307e\u3059\u3002 1-1. \u30a8\u30b9\u30c8\u30ed\u30b2\u30f3\u3068\u7247\u982d\u75db\u306e\u95a2\u9023 \u30a8\u30b9\u30c8\u30ed\u30b2\u30f3\u306f\u8133\u306e\u795e\u7d4c\u4f1d\u9054\u7269\u8cea\u3067\u3042\u308b\u30bb\u30ed\u30c8\u30cb\u30f3\u306b\u5f71\u97ff\u3092\u4e0e\u3048\u3001\u8840\u7ba1\u53ce\u7e2e\u30fb\u62e1\u5f35\u306e\u30d0\u30e9\u30f3\u30b9\u3084\u75db\u307f\u306e\u611f\u3058\u65b9\u306b\u95a2\u4e0e\u3057\u3066\u3044\u307e\u3059\u3002 \u7279\u306b\u6708\u7d4c\u524d\u306e\u30db\u30eb\u30e2\u30f3\u4f4e\u4e0b\u304c\u7247\u982d\u75db\u767a\u4f5c\u306e\u5927\u304d\u306a\u8a98\u56e0\u3068\u3055\u308c\u3001\u300c\u6708\u7d4c\u95a2\u9023\u7247\u982d\u75db\uff08menstrual migraine\uff09\u300d\u3068\u3057\u3066\u5206\u985e\u3055\u308c\u3066\u3044\u307e\u3059\u3002 1-2. \u6708\u7d4c\u5468\u671f\u3068\u7247\u982d\u75db \u7247\u982d\u75db\u306f\u6708\u7d4c\u5468\u671f\u306e\u7279\u5b9a\u306e\u6642\u671f\u306b\u96c6\u4e2d\u3057\u3066\u51fa\u73fe\u3059\u308b\u3053\u3068\u304c\u591a\u304f\u3001\u5973\u6027\u306e\u751f\u6d3b\u306e\u8cea\u3092\u5927\u304d\u304f\u640d\u306a\u3044\u307e\u3059\u3002 \u3053\u306e\u305f\u3081\u300c\u6bce\u6708\u6c7a\u307e\u3063\u305f\u6642\u671f\u306b\u5f37\u3044\u982d\u75db\u304c\u8d77\u304d\u308b\u300d\u3068\u3044\u3046\u7279\u5fb4\u304c\u3042\u308b\u5834\u5408\u3001\u7247\u982d\u75db\u3068\u6708\u7d4c\u5468\u671f\u306e\u95a2\u4fc2\u3092\u7591\u3046\u3053\u3068\u304c\u91cd\u8981\u3067\u3059\u3002 1-3. \u598a\u5a20\u30fb\u66f4\u5e74\u671f\u306b\u304a\u3051\u308b\u5909\u5316 1-4. \u751f\u6d3b\u7fd2\u6163\u3068\u30db\u30eb\u30e2\u30f3\u306e\u76f8\u4e92\u4f5c\u7528 \u30db\u30eb\u30e2\u30f3\u5909\u52d5\u305d\u306e\u3082\u306e\u306b\u52a0\u3048\u3066\u3001\u7761\u7720\u4e0d\u8db3\u30fb\u30b9\u30c8\u30ec\u30b9\u30fb\u98df\u4e8b\u30fb\u4f53\u8abf\u5909\u5316\u304c\u7247\u982d\u75db\u3092\u8a98\u767a\u3059\u308b\u8981\u56e0\u3068\u3057\u3066\u91cd\u306a\u308a\u307e\u3059\u3002\u7279\u306b\u5973\u6027\u306f\u598a\u5a20\u30fb\u51fa\u7523\u30fb\u66f4\u5e74\u671f\u3068\u3044\u3063\u305f\u30e9\u30a4\u30d5\u30a4\u30d9\u30f3\u30c8\u3067\u751f\u6d3b\u7fd2\u6163\u304c\u5927\u304d\u304f\u5909\u5316\u3059\u308b\u305f\u3081\u3001\u30db\u30eb\u30e2\u30f3\u306e\u5f71\u97ff\u304c\u3088\u308a\u9855\u8457\u306b\u73fe\u308c\u3084\u3059\u3044\u3068\u8003\u3048\u3089\u308c\u3066\u3044\u307e\u3059\u3002 2. \u7247\u982d\u75db\u6cbb\u7642\u85ac\u306e\u7a2e\u985e\u3068\u5a66\u4eba\u79d1\u7684\u306a\u5f71\u97ff \u7247\u982d\u75db\u306e\u6cbb\u7642\u85ac\u306f\u5927\u304d\u304f \u300c\u6025\u6027\u671f\u6cbb\u7642\u85ac\u300d \u3068 \u300c\u4e88\u9632\u85ac\u300d \u306b\u5206\u3051\u3089\u308c\u307e\u3059\u3002\u5973\u6027\u7279\u6709\u306e\u751f\u7406\u6a5f\u80fd\u3084\u30e9\u30a4\u30d5\u30a4\u30d9\u30f3\u30c8\uff08\u598a\u5a20\u30fb\u6388\u4e73\u30fb\u66f4\u5e74\u671f\uff09\u306b\u5f71\u97ff\u3092\u53ca\u307c\u3059\u53ef\u80fd\u6027\u304c\u3042\u308b\u305f\u3081\u3001\u85ac\u5264\u306e\u7279\u6027\u3092\u7406\u89e3\u3057\u3001\u5a66\u4eba\u79d1\u7684\u30ea\u30b9\u30af\u3092\u5ff5\u982d\u306b\u7f6e\u3044\u305f\u4f7f\u7528\u304c\u5fc5\u8981\u3067\u3059\u3002 2-1. \u6025\u6027\u671f\u6cbb\u7642\u85ac (1) \u30c8\u30ea\u30d7\u30bf\u30f3\u88fd\u5264 (2) NSAIDs\uff08\u975e\u30b9\u30c6\u30ed\u30a4\u30c9\u6027\u6297\u708e\u75c7\u85ac\uff09 (3) \u30a8\u30eb\u30b4\u30bf\u30df\u30f3\u88fd\u5264 2-2. \u4e88\u9632\u85ac (1) \u03b2\u906e\u65ad\u85ac\uff08\u30d7\u30ed\u30d7\u30e9\u30ce\u30ed\u30fc\u30eb\u306a\u3069\uff09 (2) \u6297\u3066\u3093\u304b\u3093\u85ac\uff08\u30d0\u30eb\u30d7\u30ed\u9178\u3001\u30c8\u30d4\u30e9\u30de\u30fc\u30c8\u306a\u3069\uff09 (3) \u6297\u3046\u3064\u85ac\uff08\u30a2\u30df\u30c8\u30ea\u30d7\u30c1\u30ea\u30f3\u306a\u3069\uff09 (4) CGRP\u95a2\u9023\u85ac\uff08\u65b0\u898f\u6cbb\u7642\u85ac\uff09 2-3. \u7247\u982d\u75db\u6cbb\u7642\u85ac\u3068\u5a66\u4eba\u79d1\u7684\u526f\u4f5c\u7528\u306e\u307e\u3068\u3081 3. \u6708\u7d4c\u95a2\u9023\u7247\u982d\u75db\u3068\u6cbb\u7642\u9078\u629e 3-1. \u6708\u7d4c\u95a2\u9023\u7247\u982d\u75db\u3068\u306f\uff1f \u6708\u7d4c\u306b\u4f34\u3063\u3066\u51fa\u73fe\u30fb\u60aa\u5316\u3059\u308b\u7247\u982d\u75db\u306f**\u300c\u6708\u7d4c\u95a2\u9023\u7247\u982d\u75db\uff08menstrual migraine\uff09\u300d**\u3068\u547c\u3070\u308c\u307e\u3059\u3002\u767a\u75c7\u306e\u80cc\u666f\u306b\u306f\u3001\u6708\u7d4c\u524d\u306e\u6025\u6fc0\u306a\u30a8\u30b9\u30c8\u30ed\u30b2\u30f3\u4f4e\u4e0b\u304c\u95a2\u4e0e\u3057\u3066\u304a\u308a\u3001\u5973\u6027\u306e\u7247\u982d\u75db\u60a3\u8005\u306e\u3046\u3061\u7d0460\u301c70\uff05\u304c\u6708\u7d4c\u306b\u95a2\u9023\u3059\u308b\u75c7\u72b6\u3092\u7d4c\u9a13\u3059\u308b\u3068\u3055\u308c\u3066\u3044\u307e\u3059\u3002 \u7279\u5fb4\u3068\u3057\u3066\u306f\uff1a 3-2. \u6cbb\u7642\u306e\u57fa\u672c\u6226\u7565 \u6708\u7d4c\u95a2\u9023\u7247\u982d\u75db\u3067\u306f\u3001**\u300c\u6025\u6027\u671f\u6cbb\u7642\u300d\u3068\u300c\u4e88\u9632\u7684\u6cbb\u7642\u300d**\u3092\u7d44\u307f\u5408\u308f\u305b\u308b\u3053\u3068\u304c\u52b9\u679c\u7684\u3067\u3059\u3002 [&hellip;]<\/p>\n","protected":false},"author":46,"featured_media":3265,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[54],"tags":[31,74,142,157],"class_list":["post-3264","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-54","tag-hormonal-imbalance","tag-74","tag-142","tag-157"],"acf":[],"_links":{"self":[{"href":"https:\/\/www.hiro-clinic.or.jp\/gynecology\/wp-json\/wp\/v2\/posts\/3264","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.hiro-clinic.or.jp\/gynecology\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.hiro-clinic.or.jp\/gynecology\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.hiro-clinic.or.jp\/gynecology\/wp-json\/wp\/v2\/users\/46"}],"replies":[{"embeddable":true,"href":"https:\/\/www.hiro-clinic.or.jp\/gynecology\/wp-json\/wp\/v2\/comments?post=3264"}],"version-history":[{"count":1,"href":"https:\/\/www.hiro-clinic.or.jp\/gynecology\/wp-json\/wp\/v2\/posts\/3264\/revisions"}],"predecessor-version":[{"id":3266,"href":"https:\/\/www.hiro-clinic.or.jp\/gynecology\/wp-json\/wp\/v2\/posts\/3264\/revisions\/3266"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.hiro-clinic.or.jp\/gynecology\/wp-json\/wp\/v2\/media\/3265"}],"wp:attachment":[{"href":"https:\/\/www.hiro-clinic.or.jp\/gynecology\/wp-json\/wp\/v2\/media?parent=3264"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.hiro-clinic.or.jp\/gynecology\/wp-json\/wp\/v2\/categories?post=3264"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.hiro-clinic.or.jp\/gynecology\/wp-json\/wp\/v2\/tags?post=3264"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}