{"id":6321,"date":"2025-07-25T15:50:44","date_gmt":"2025-07-25T06:50:44","guid":{"rendered":"https:\/\/www.hiro-clinic.or.jp\/medicine\/?p=6321"},"modified":"2025-08-04T12:10:26","modified_gmt":"2025-08-04T03:10:26","slug":"menopause-internal-care-guide","status":"publish","type":"post","link":"https:\/\/www.hiro-clinic.or.jp\/medicine\/2025\/07\/25\/menopause-internal-care-guide\/","title":{"rendered":"\u66f4\u5e74\u671f\u969c\u5bb3\u3068\u5185\u79d1\u7684\u30b1\u30a2\uff1a\u75c7\u72b6\u3092\u548c\u3089\u3052\u308b\u30d2\u30f3\u30c8"},"content":{"rendered":"\n<p><\/p>\n\n\n\n<p>\u300c\u6700\u8fd1\u3001\u6c57\u304c\u6025\u306b\u5439\u304d\u51fa\u3059\u3088\u3046\u306b\u306a\u3063\u305f\u300d\u300c\u591c\u4e2d\u306b\u76ee\u304c\u899a\u3081\u308b\u300d\u300c\u6c17\u6301\u3061\u304c\u843d\u3061\u8fbc\u307f\u3084\u3059\u3044\u300d\u2015\u2015\u3053\u308c\u3089\u306f\u5178\u578b\u7684\u306a\u66f4\u5e74\u671f\u969c\u5bb3\u306e\u30b5\u30a4\u30f3\u3067\u3059\u3002\u5973\u6027\u306e\u4eba\u751f\u306b\u304a\u3051\u308b\u8ee2\u6a5f\u3001\u66f4\u5e74\u671f\uff0845\u301c55\u6b73\uff09\u306f\u3001\u30db\u30eb\u30e2\u30f3\u30d0\u30e9\u30f3\u30b9\u306e\u6025\u6fc0\u306a\u5909\u5316\u306b\u3088\u308a\u5fc3\u8eab\u4e21\u9762\u306b\u5f71\u97ff\u304c\u51fa\u308b\u6642\u671f\u3067\u3059\u3002\u5185\u79d1\u30af\u30ea\u30cb\u30c3\u30af\u3067\u306f\u3001\u75c7\u72b6\u306e\u7de9\u548c\u306e\u305f\u3081\u306b\u751f\u6d3b\u7fd2\u6163\u6307\u5c0e\u3084\u30db\u30eb\u30e2\u30f3\u88dc\u5145\u7642\u6cd5\u3001\u4ee3\u66ff\u7642\u6cd5\u3092\u30d0\u30e9\u30f3\u30b9\u3088\u304f\u7d44\u307f\u5408\u308f\u305b\u305f\u30b1\u30a2\u3092\u63d0\u4f9b\u3057\u3066\u3044\u307e\u3059\u3002\u672c\u8a18\u4e8b\u3067\u306f\u3001\u66f4\u5e74\u671f\u969c\u5bb3\u306e\u4e3b\u306a\u75c7\u72b6\u3001\u5185\u79d1\u7684\u30b1\u30a2\u6cd5\u3001\u30bb\u30eb\u30d5\u30b1\u30a2\u306e\u5b9f\u8df5\u4f8b\u3092\u5c02\u9580\u7684\u306b\u89e3\u8aac\u3057\u3001\u5b89\u5fc3\u3057\u3066\u4e57\u308a\u8d8a\u3048\u308b\u305f\u3081\u306e\u30d2\u30f3\u30c8\u3092\u3054\u7d39\u4ecb\u3057\u307e\u3059\u3002<\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>1. \u66f4\u5e74\u671f\u969c\u5bb3\u3068\u306f\uff1f\u30db\u30eb\u30e2\u30f3\u5909\u52d5\u3068\u4f53\u306e\u5909\u5316<\/strong><\/h2>\n\n\n\n<h3 class=\"wp-block-heading\"><strong>\u25cf \u30db\u30eb\u30e2\u30f3\u30d0\u30e9\u30f3\u30b9\u306e\u5909\u5316<\/strong><\/h3>\n\n\n\n<p>\u66f4\u5e74\u671f\u306f\u5375\u5de3\u6a5f\u80fd\u306e\u4f4e\u4e0b\u306b\u4f34\u3044\u3001<strong>\u30a8\u30b9\u30c8\u30ed\u30b2\u30f3\u306e\u5206\u6ccc\u304c\u6025\u6fc0\u306b\u6e1b\u5c11<\/strong>\u3059\u308b\u6642\u671f\u3067\u3059\u3002\u3053\u308c\u306b\u3088\u308a\u81ea\u5f8b\u795e\u7d4c\u3084\u8133\u5185\u30db\u30eb\u30e2\u30f3\u304c\u4e0d\u5b89\u5b9a\u306b\u306a\u308a\u3001\u4ee5\u4e0b\u306e\u3088\u3046\u306a\u75c7\u72b6\u304c\u591a\u304f\u751f\u3058\u307e\u3059\u3002<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\u30db\u30c3\u30c8\u30d5\u30e9\u30c3\u30b7\u30e5\uff08\u6025\u306a\u6c57\u30fb\u307b\u3066\u308a\uff09<br><\/li>\n\n\n\n<li>\u4e0d\u7720\u3084\u5bdd\u4ed8\u304d\u306e\u60aa\u5316<br><\/li>\n\n\n\n<li>\u6c17\u5206\u5909\u52d5\u3001\u6291\u3046\u3064\u3001\u4e0d\u5b89<br><\/li>\n\n\n\n<li>\u982d\u75db\u3001\u3081\u307e\u3044\u3001\u624b\u8db3\u306e\u51b7\u3048\u306a\u3069\u306e\u8eab\u4f53\u75c7\u72b6<br><\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\"><strong>\u25cf \u81ea\u5f8b\u795e\u7d4c\u30fb\u514d\u75ab\u3078\u306e\u5f71\u97ff<\/strong><\/h3>\n\n\n\n<p>\u30a8\u30b9\u30c8\u30ed\u30b2\u30f3\u306f\u8840\u7ba1\u62e1\u5f35\u3001\u9aa8\u91cf\u7dad\u6301\u3001\u514d\u75ab\u5b89\u5b9a\u306a\u3069\u306b\u3082\u95a2\u4e0e\u3057\u3066\u3044\u307e\u3059\u3002\u6e1b\u5c11\u3059\u308b\u3068<strong>\u52d5\u8108\u786c\u5316\u3084\u9aa8\u7c97\u3057\u3087\u3046\u75c7\u3001\u514d\u75ab\u6a5f\u80fd\u306e\u4f4e\u4e0b<\/strong>\u304c\u52a0\u901f\u3059\u308b\u3053\u3068\u3082\u3042\u308a\u307e\u3059\u3002\u3053\u308c\u306f\u5185\u79d1\u3068\u3057\u3066\u3082\u91cd\u8981\u306a\u4e88\u9632\u5bfe\u7b56\u30dd\u30a4\u30f3\u30c8\u3067\u3059\u3002<\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>2. \u5185\u79d1\u7684\u8a55\u4fa1\u3068\u53d7\u8a3a\u306e\u76ee\u5b89<\/strong><\/h2>\n\n\n\n<h3 class=\"wp-block-heading\"><strong>\u25cf \u554f\u8a3a\u3068\u8eab\u4f53\u8a3a\u5bdf<\/strong><\/h3>\n\n\n\n<p>\u5185\u79d1\u3067\u306f\u307e\u305a\u3001\u75c7\u72b6\u306e\u51fa\u73fe\u72b6\u6cc1\uff08\u983b\u5ea6\u30fb\u5f37\u5ea6\u30fb\u751f\u6d3b\u3078\u306e\u5f71\u97ff\uff09\u3092\u4e01\u5be7\u306b\u805e\u304d\u53d6\u308a\u3001<strong>\u8840\u5727\u30fb\u8108\u62cd\u30fb\u4f53\u6e29\u30fb\u8179\u90e8\u30fb\u5faa\u74b0\u5668\u8a55\u4fa1<\/strong>\u3092\u5b9f\u65bd\u3057\u307e\u3059\u3002\u8ca7\u8840\u3084\u7532\u72b6\u817a\u75be\u60a3\u3001\u4ed6\u306e\u5185\u79d1\u75be\u60a3\u306e\u53ef\u80fd\u6027\u3092\u6392\u9664\u3057\u307e\u3059\u3002<\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><strong>\u25cf \u5fc5\u8981\u306b\u5fdc\u3058\u305f\u691c\u67fb<\/strong><\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>\u30db\u30eb\u30e2\u30f3\u691c\u67fb<\/strong>\uff1aFSH\uff08\u5375\u80de\u523a\u6fc0\u30db\u30eb\u30e2\u30f3\uff09\u3001\u30a8\u30b9\u30c8\u30e9\u30b8\u30aa\u30fc\u30eb\u306a\u3069\u3092\u6e2c\u5b9a<br><\/li>\n\n\n\n<li><strong>\u8840\u6db2\u691c\u67fb<\/strong>\uff1a\u8ca7\u8840\u3001\u7532\u72b6\u817a\u3001\u809d\u30fb\u814e\u6a5f\u80fd\u3001\u8102\u8cea\u3001\u8840\u7cd6\u5024<br><\/li>\n\n\n\n<li><strong>\u9aa8\u5bc6\u5ea6\u691c\u67fb<\/strong>\uff1a\u9aa8\u7c97\u3057\u3087\u3046\u75c7\u306e\u65e9\u671f\u767a\u898b\u306b\u6709\u7528<br><\/li>\n\n\n\n<li><strong>\u5c3f\u691c\u67fb<\/strong>\uff1a\u4ee3\u8b1d\u30fb\u814e\u6a5f\u80fd\u306e\u30c1\u30a7\u30c3\u30af<br><\/li>\n<\/ul>\n\n\n\n<p>\u3053\u308c\u3089\u306e\u691c\u67fb\u7d50\u679c\u306b\u57fa\u3065\u304d\u3001\u5185\u79d1\u533b\u304c\u66f4\u5e74\u671f\u969c\u5bb3\u304b\u3001\u4ed6\u306e\u5185\u79d1\u75be\u60a3\u304b\u3092\u9451\u5225\u3057\u307e\u3059\u3002<\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>3. \u5185\u79d1\u3067\u3067\u304d\u308b\u6cbb\u7642\u306e\u9078\u629e\u80a2<\/strong><\/h2>\n\n\n\n<h3 class=\"wp-block-heading\"><strong>\u25cf \u30db\u30eb\u30e2\u30f3\u88dc\u5145\u7642\u6cd5\uff08HRT\uff09<\/strong><\/h3>\n\n\n\n<p>\u66f4\u5e74\u671f\u75c7\u72b6\u306e\u4e2d\u3067\u3082\u5f37\u3044\u30db\u30c3\u30c8\u30d5\u30e9\u30c3\u30b7\u30e5\u3084\u7720\u308c\u306a\u3044\u591c\u306b\u5bfe\u3057\u3066\u3001HRT\uff08\u30db\u30eb\u30e2\u30f3\u88dc\u5145\u7642\u6cd5\uff09\u306f\u6700\u3082\u52b9\u679c\u7684\u3067\u3059\u3002\u30a8\u30b9\u30c8\u30ed\u30b2\u30f3\u5358\u72ec\u307e\u305f\u306f\u30d7\u30ed\u30b2\u30b9\u30c6\u30ed\u30f3\u4f75\u7528\u6cbb\u7642\u304c\u3042\u308a\u3001\u5185\u79d1\u3067\u9069\u5fdc\u3092\u5224\u65ad\u3057\u3064\u3064\u5b9f\u65bd\u3057\u307e\u3059\u3002<\/p>\n\n\n\n<p><strong>\u6ce8\u610f\u70b9\uff1a<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\u8840\u6813\u30fb\u4e73\u304c\u3093\u30fb\u5b50\u5bae\u4f53\u304c\u3093\u306e\u30ea\u30b9\u30af\u8a55\u4fa1\u304c\u5fc5\u8981<br><\/li>\n\n\n\n<li>\u5b9a\u671f\u7684\u306a\u691c\u67fb\u3068\u5185\u79d1\u30d5\u30a9\u30ed\u30fc\u304c\u6b20\u304b\u305b\u307e\u305b\u3093<br><\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\"><strong>\u25cf \u6f22\u65b9\u6cbb\u7642\u30fb\u4ee3\u66ff\u7642\u6cd5<\/strong><\/h3>\n\n\n\n<p>\u30db\u30eb\u30e2\u30f3\u3092\u4f7f\u3044\u305f\u304f\u306a\u3044\u65b9\u306b\u306f\u3001\u6f22\u65b9\u7642\u6cd5\uff08\u52a0\u5473\u900d\u9065\u6563\u3001\u6842\u679d\u832f\u82d3\u4e38\u306a\u3069\uff09\u3084\u30b5\u30d7\u30ea\u30e1\u30f3\u30c8\uff08\u30a4\u30bd\u30d5\u30e9\u30dc\u30f3\u3001\u30d6\u30e9\u30c3\u30af\u30b3\u30db\u30b7\u30e5\uff09\u3082\u9078\u629e\u80a2\u3068\u306a\u308a\u307e\u3059\u3002\u533b\u5e2b\u306e\u8a3a\u5bdf\u3092\u8e0f\u307e\u3048\u3001\u751f\u6d3b\u80cc\u666f\u306b\u5408\u308f\u305b\u305f\u51e6\u65b9\u3092\u884c\u3044\u307e\u3059\u3002<\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><strong>\u25cf \u75c7\u72b6\u306b\u5fdc\u3058\u305f\u5bfe\u75c7\u7642\u6cd5<\/strong><\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>SSRI\/SNRI<\/strong>\uff1a\u6c17\u5206\u5909\u52d5\u3084\u6291\u3046\u3064\u306b\u5bfe\u5fdc<br><\/li>\n\n\n\n<li><strong>\u7761\u7720\u85ac\u30fb\u6297\u4e0d\u5b89\u85ac<\/strong>\uff1a\u77ed\u671f\u9593\u306e\u75c7\u72b6\u7de9\u548c\u3092\u76ee\u7684<br><\/li>\n\n\n\n<li><strong>\u8840\u7ba1\u62e1\u5f35\u85ac<\/strong>\uff1a\u624b\u8db3\u306e\u51b7\u3048\u3084\u982d\u75db\u306b\u5bfe\u3057\u3066\u51e6\u65b9\u3059\u308b\u3053\u3068\u3082\u3042\u308a\u307e\u3059<br><\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>4. \u30bb\u30eb\u30d5\u30b1\u30a2\u3067\u66f4\u5e74\u671f\u75c7\u72b6\u3092\u548c\u3089\u3052\u308b\u65b9\u6cd5<\/strong><\/h2>\n\n\n\n<h3 class=\"wp-block-heading\"><strong>\u25cf \u98df\u4e8b\u306e\u5de5\u592b<\/strong><\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>\u5927\u8c46\u30a4\u30bd\u30d5\u30e9\u30dc\u30f3\u30fb\u30de\u30b0\u30cd\u30b7\u30a6\u30e0<\/strong>\u306e\u6442\u53d6\uff08\u7d0d\u8c46\u3001\u8c46\u8150\u3001\u30ca\u30c3\u30c4\u3001\u7dd1\u9ec4\u8272\u91ce\u83dc\u306a\u3069\uff09<br><\/li>\n\n\n\n<li><strong>\u767a\u9175\u98df\u54c1<\/strong>\uff08\u30e8\u30fc\u30b0\u30eb\u30c8\u30fb\u5473\u564c\uff09\u3067\u6574\u8178\u30fb\u514d\u75ab\u7dad\u6301<br><\/li>\n\n\n\n<li><strong>\u7518\u3044\u3082\u306e\u30fb\u30ab\u30d5\u30a7\u30a4\u30f3\u30fb\u30a2\u30eb\u30b3\u30fc\u30eb<\/strong>\u306f\u3001\u30db\u30c3\u30c8\u30d5\u30e9\u30c3\u30b7\u30e5\u3084\u52d5\u63fa\u611f\u3092\u60aa\u5316\u3055\u305b\u308b\u6050\u308c\u304c\u3042\u308b\u305f\u3081\u63a7\u3048\u3081\u306b<br><\/li>\n<\/ul>\n\n\n<div class=\"wp-block-image\">\n<figure class=\"aligncenter size-full\"><img decoding=\"async\" width=\"640\" height=\"360\" src=\"https:\/\/www.hiro-clinic.or.jp\/medicine\/wp-content\/uploads\/2025\/07\/24341147_s.jpg\" alt=\"\u7dd1\u9ec4\u8272\u91ce\u83dc\" class=\"wp-image-6322\" srcset=\"https:\/\/www.hiro-clinic.or.jp\/medicine\/wp-content\/uploads\/2025\/07\/24341147_s.jpg 640w, https:\/\/www.hiro-clinic.or.jp\/medicine\/wp-content\/uploads\/2025\/07\/24341147_s-600x338.jpg 600w, https:\/\/www.hiro-clinic.or.jp\/medicine\/wp-content\/uploads\/2025\/07\/24341147_s-300x169.jpg 300w\" sizes=\"(max-width: 640px) 100vw, 640px\" \/><\/figure><\/div>\n\n\n<h3 class=\"wp-block-heading\"><strong>\u25cf \u904b\u52d5\u3068\u30ea\u30e9\u30af\u30bc\u30fc\u30b7\u30e7\u30f3<\/strong><\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\u6709\u9178\u7d20\u904b\u52d5\uff08\u30a6\u30a9\u30fc\u30ad\u30f3\u30b0\u30fb\u30b9\u30a4\u30df\u30f3\u30b0\u306a\u3069\uff09\u3092\u9031150\u5206\u7a0b\u5ea6<br><\/li>\n\n\n\n<li><strong>\u30e8\u30ac\u30fb\u30b9\u30c8\u30ec\u30c3\u30c1\u30fb\u6df1\u547c\u5438\u6cd5<\/strong>\u3067\u81ea\u5f8b\u795e\u7d4c\u3092\u6574\u3048\u308b<br><\/li>\n\n\n\n<li><strong>\u30de\u30a4\u30f3\u30c9\u30d5\u30eb\u30cd\u30b9\u7791\u60f3<\/strong>\u306f\u30b9\u30c8\u30ec\u30b9\u3092\u8efd\u6e1b\u3057\u3001\u8133\u5185\u30db\u30eb\u30e2\u30f3\u8abf\u6574\u306b\u5bc4\u4e0e<br><\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\"><strong>\u25cf \u7761\u7720\u6539\u5584\u306e\u30dd\u30a4\u30f3\u30c8<\/strong><\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\u5c31\u5bdd\u524d1\u6642\u9593\u306f\u30b9\u30de\u30db\u30fbPC\u304b\u3089\u96e2\u308c\u308b<br><\/li>\n\n\n\n<li>\u5bdd\u5ba4\u74b0\u5883\uff08\u906e\u5149\u30ab\u30fc\u30c6\u30f3\u30fb\u5ba4\u6e29\u30fb\u6e7f\u5ea6\uff09\u3092\u6574\u3048\u308b<br><\/li>\n\n\n\n<li>\u30db\u30c3\u30c8\u30d5\u30e9\u30c3\u30b7\u30e5\u306e\u305f\u3081\u306b\u8584\u7740\u3067\u5feb\u9069\u6e29\u5ea6\u3092\u7dad\u6301<br><\/li>\n\n\n\n<li>\u5c31\u5bdd\u524d\u306b\u767d\u6e6f\u3084\u30b9\u30ed\u30fc\u547c\u5438\u3001\u8efd\u3044\u30b9\u30c8\u30ec\u30c3\u30c1\u3067\u30ea\u30bb\u30c3\u30c8<br><\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>5. \u5fc3\u306e\u30b1\u30a2\u3068\u66f4\u5e74\u671f\u5f8c\u3082\u7d9a\u304f\u30b5\u30dd\u30fc\u30c8<\/strong><\/h2>\n\n\n\n<h3 class=\"wp-block-heading\"><strong>\u25cf 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