{"id":6556,"date":"2025-09-01T15:42:25","date_gmt":"2025-09-01T06:42:25","guid":{"rendered":"https:\/\/www.hiro-clinic.or.jp\/medicine\/?p=6556"},"modified":"2025-09-01T15:42:27","modified_gmt":"2025-09-01T06:42:27","slug":"shoka-furyo-genin-naika-kaizen","status":"publish","type":"post","link":"https:\/\/www.hiro-clinic.or.jp\/medicine\/2025\/09\/01\/shoka-furyo-genin-naika-kaizen\/","title":{"rendered":"\u6d88\u5316\u4e0d\u826f\u306e\u539f\u56e0\u3092\u5185\u79d1\u3067\u63a2\u308b\uff1a\u6539\u5584\u306e\u7b2c\u4e00\u6b69"},"content":{"rendered":"\n<p>\u300c\u6d88\u5316\u304c\u60aa\u3044\u300d\u300c\u304a\u8179\u304c\u91cd\u3044\u300d\u300c\u30ac\u30b9\u304c\u305f\u307e\u308b\u300d\u2015\u2015\u3053\u3046\u3057\u305f\u75c7\u72b6\u306f\u8efd\u304f\u898b\u3089\u308c\u304c\u3061\u3067\u3059\u304c\u3001\u65e5\u5e38\u751f\u6d3b\u306e\u8cea\u306b\u5927\u304d\u304f\u5f71\u97ff\u3059\u308b\u3053\u3068\u3082\u3042\u308a\u307e\u3059\u3002\u6d88\u5316\u4e0d\u826f\u306b\u306f\u80c3\u9178\u904e\u591a\u3001\u904e\u654f\u6027\u8178\u75c7\u5019\u7fa4\uff08IBS\uff09\u3001\u80c3\u904b\u52d5\u306e\u4f4e\u4e0b\u3001\u98df\u7fd2\u6163\u306e\u4e71\u308c\u306a\u3069\u591a\u69d8\u306a\u539f\u56e0\u304c\u95a2\u308f\u308a\u307e\u3059\u3002\u5185\u79d1\u533b\u3068\u3057\u3066\u306f\u3001\u307e\u305a\u4f55\u3092\u8abf\u3079\u3001\u3069\u306e\u30bf\u30a4\u30df\u30f3\u30b0\u3067\u691c\u67fb\u3059\u3079\u304d\u304b\u3068\u3044\u3046\u521d\u52d5\u5bfe\u5fdc\u304c\u9375\u3067\u3059\u3002\u672c\u8a18\u4e8b\u3067\u306f\u3001\u6d88\u5316\u4e0d\u826f\u306e\u539f\u56e0\u3092\u6574\u7406\u3057\u3001\u751f\u6d3b\u306b\u53d6\u308a\u5165\u308c\u3084\u3059\u3044\u6539\u5584\u7b56\u3068\u691c\u67fb\u306e\u9032\u3081\u65b9\u3092\u5177\u4f53\u7684\u306b\u89e3\u8aac\u3057\u307e\u3059\u3002<\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>1. \u6d88\u5316\u4e0d\u826f\u3068\u306f\uff1f\u75c7\u72b6\u3068\u5185\u79d1\u3067\u898b\u308b\u3079\u304d\u30dd\u30a4\u30f3\u30c8<\/strong><\/h2>\n\n\n\n<p>\u300c\u6d88\u5316\u4e0d\u826f\u300d\u306f\u3001\u98df\u5f8c\u306e<strong>\u3082\u305f\u308c\u30fb\u81a8\u6e80\u611f\u30fb\u65e9\u671f\u6e80\u8179\u611f\u30fb\u3052\u3063\u3077\u30fb\u4e0a\u8179\u90e8\u306e\u4e0d\u5feb\u611f\u3084\u75db\u307f<\/strong>\u3001\u30ac\u30b9\u304c\u305f\u307e\u308b\u611f\u3058\u306a\u3069\u306e\u7dcf\u79f0\u3067\u3059\u3002\u539f\u56e0\u306f\u5927\u304d\u304f\u3001\u2460\u80c3\u9178\u3084\u80c3\u904b\u52d5\u306a\u3069<strong>\u4e0a\u90e8\u6d88\u5316\u7ba1\u306e\u6a5f\u80fd\u7570\u5e38<\/strong>\uff08\u80c3\u98df\u9053\u9006\u6d41\u75c7\u3008GERD\u3009\u3001\u6a5f\u80fd\u6027\u30c7\u30a3\u30b9\u30da\u30d7\u30b7\u30a2\u3001\u80c3\u6392\u51fa\u9045\u5ef6\uff0f\u904e\u901f\u306a\u3069\uff09\u3001\u2461<strong>\u8178\u306e\u6a5f\u80fd\u6027\u969c\u5bb3<\/strong>\uff08\u904e\u654f\u6027\u8178\u75c7\u5019\u7fa4\uff1aIBS\uff09\u3001\u2462<strong>\u5668\u8cea\u7684\u75be\u60a3<\/strong>\uff08\u80c3\u30fb\u5341\u4e8c\u6307\u8178\u6f70\u760d\u3001\u80c6\u306e\u3046\u30fb\u81b5\u75be\u60a3\u3001\u7532\u72b6\u817a\u6a5f\u80fd\u7570\u5e38\u306a\u3069\uff09\u3001\u2463<strong>\u98df\u7fd2\u6163\u30fb\u751f\u6d3b\u8981\u56e0\u3084\u85ac\u5264<\/strong>\uff08\u65e9\u98df\u3044\u30fb\u9ad8\u8102\u80aa\u98df\u30fb\u30a2\u30eb\u30b3\u30fc\u30eb\u30fb\u30ab\u30d5\u30a7\u30a4\u30f3\u3001NSAIDs\u3084\u9244\u5264\u306a\u3069\uff09\u306b\u5206\u3051\u3066\u8003\u3048\u307e\u3059\u3002\u5185\u79d1\u3067\u306f\u300c\u4e00\u904e\u6027\u306e\u98df\u3079\u904e\u304e\u300d\u304b\u300c\u7cbe\u67fb\u304c\u5fc5\u8981\u306a\u30b5\u30a4\u30f3\u304b\u300d\u3092\u307e\u305a\u898b\u6975\u3081\u307e\u3059\u3002<\/p>\n\n\n\n<p>\u8a3a\u5bdf\u3067\u306f\u3001<strong>\u767a\u75c7\u6642\u671f\u30fb\u6301\u7d9a\u671f\u9593\u30fb\u983b\u5ea6<\/strong>\u3001<strong>\u98df\u4e8b\u3068\u306e\u95a2\u4fc2\uff08\u4f55\u3092\u30fb\u3069\u306e\u304f\u3089\u3044\u30fb\u98df\u5f8c\u4f55\u5206\u3067\u60aa\u5316\u304b\uff09<\/strong>\u3001<strong>\u4f53\u4f4d\uff08\u524d\u304b\u304c\u307f\u30fb\u5c31\u5bdd\u3067\u60aa\u5316\u3059\u308b\u80f8\u3084\u3051\u306fGERD\u3092\u793a\u5506\uff09<\/strong>\u3001<strong>\u8a98\u56e0\uff0f\u5bdb\u89e3\u56e0\u5b50\uff08\u8102\u3063\u3053\u3044\u7269\u30fb\u70ad\u9178\u30fb\u30b9\u30c8\u30ec\u30b9\u30fb\u904b\u52d5\uff09<\/strong>\u3001<strong>\u4fbf\u901a\u5909\u5316\uff08\u4fbf\u79d8\uff0f\u4e0b\u75e2\u30fb\u9ed2\u8272\u4fbf\u3084\u8840\u4fbf\uff09<\/strong>\u3001<strong>\u4f53\u91cd\u5909\u52d5\u30fb\u98df\u6b32\u4f4e\u4e0b<\/strong>\u3001<strong>\u85ac\u5264\u6b74\uff08\u93ae\u75db\u85ac\u30fb\u6297\u751f\u7269\u8cea\u30fb\u9244\u5264\uff09<\/strong>\u3001<strong>\u98f2\u9152\u30fb\u55ab\u7159\u30fb\u30ab\u30d5\u30a7\u30a4\u30f3<\/strong>\u3001<strong>\u65e2\u5f80\u6b74\uff08\u6f70\u760d\u30fb\u30d4\u30ed\u30ea\u611f\u67d3\u30fb\u7cd6\u5c3f\u75c5\u30fb\u7532\u72b6\u817a\u75be\u60a3\uff09<\/strong>\u3001\u5bb6\u65cf\u6b74\uff08\u80c3\u8178\u304c\u3093\u30fbIBD\uff09\u307e\u3067\u4e01\u5be7\u306b\u78ba\u8a8d\u3057\u307e\u3059\u3002\u3053\u308c\u3089\u306f\u3001\u6a5f\u80fd\u6027\u30c8\u30e9\u30d6\u30eb\u304b\u5668\u8cea\u7684\u75be\u60a3\u304b\u306e\u7d5e\u308a\u8fbc\u307f\u306b\u76f4\u7d50\u3057\u307e\u3059\u3002<\/p>\n\n\n\n<p>\u540c\u6642\u306b\u3001\u65e9\u671f\u306b\u691c\u67fb\u304c\u5fc5\u8981\u306a\u300c\u30ec\u30c3\u30c9\u30d5\u30e9\u30c3\u30b0\u300d\u3092\u5fc5\u305a\u30c1\u30a7\u30c3\u30af\u3057\u307e\u3059\u3002\u4f8b\u3048\u3070\u3001<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>\u5410\u8840\u30fb\u9ed2\u8272\u4fbf\uff0f\u8840\u4fbf\u3001\u539f\u56e0\u4e0d\u660e\u306e\u8ca7\u8840<\/strong><\/li>\n\n\n\n<li><strong>\u6025\u901f\u306a\u4f53\u91cd\u6e1b\u5c11\u3001\u6301\u7d9a\u3059\u308b\u5614\u5410\u3001\u56a5\u4e0b\u56f0\u96e3<\/strong><\/li>\n\n\n\n<li><strong>\u767a\u71b1\u3092\u4f34\u3046\u5f37\u3044\u8179\u75db\u3001\u9ec4\u75b8\u3001\u591c\u9593\u306b\u76ee\u304c\u899a\u3081\u308b\u75db\u307f<\/strong><\/li>\n\n\n\n<li><strong>50\u6b73\u4ee5\u964d\u306e\u65b0\u898f\u767a\u75c7\u3001\u5bb6\u65cf\u306b\u6d88\u5316\u7ba1\u304c\u3093<\/strong><br>\u3053\u3046\u3057\u305f\u6240\u898b\u304c\u3042\u308c\u3070\u3001<strong>\u4e0a\u90e8\u6d88\u5316\u7ba1\u5185\u8996\u93e1\u3084\u8840\u6db2\u30fb\u8179\u90e8\u30a8\u30b3\u30fc<\/strong>\u306a\u3069\u3092\u6025\u304e\u691c\u8a0e\u3057\u307e\u3059\u3002<\/li>\n<\/ul>\n\n\n\n<p>\u76ee\u5b89\u3068\u3057\u3066\u3001<strong>\u80f8\u3084\u3051\u30fb\u9178\u3063\u3071\u3044\u9006\u6d41\u611f<\/strong>\u304c\u524d\u666f\u306a\u3089GERD\u3001<strong>\u98df\u5f8c\u3059\u3050\u6e80\u8179\u3067\u4e0a\u8179\u90e8\u304c\u5f35\u308b<\/strong>\u306a\u3089\u6a5f\u80fd\u6027\u30c7\u30a3\u30b9\u30da\u30d7\u30b7\u30a2\u3001<strong>\u8102\u3063\u3053\u3044\u98df\u4e8b\u3067\u60aa\u5316\u30fb\u80cc\u90e8\u306b\u629c\u3051\u308b\u75db\u307f<\/strong>\u306f\u80c6\u306e\u3046\u30fb\u81b5\u306e\u95a2\u4e0e\u3001<strong>\u30ac\u30b9\u30fb\u8179\u75db\uff0b\u4fbf\u901a\u306e\u63fa\u308c<\/strong>\u306fIBS\u3092\u7591\u3044\u307e\u3059\u3002\u3044\u305a\u308c\u3082<strong>\u751f\u6d3b\u306e\u898b\u76f4\u3057\uff08\u98df\u4e8b\u306e\u8cea\u3068\u91cf\u30fb\u98df\u3079\u308b\u901f\u3055\u30fb\u5c31\u5bdd\u524d\u306e\u98f2\u98df\u56de\u907f\u30fb\u30b9\u30c8\u30ec\u30b9\u5bfe\u7b56\uff09\u3068\u5fc5\u8981\u306a\u691c\u67fb<\/strong>\u3092\u7d44\u307f\u5408\u308f\u305b\u3066\u8a55\u4fa1\u30fb\u6539\u5584\u3057\u3066\u3044\u304f\u306e\u304c\u5185\u79d1\u3067\u306e\u57fa\u672c\u65b9\u91dd\u3067\u3059\u3002<\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>2. \u4e3b\u306a\u539f\u56e0\u3092\u5185\u79d1\u7684\u8996\u70b9\u3067\u5206\u985e<\/strong><\/h2>\n\n\n\n<h3 class=\"wp-block-heading\"><strong>A. \u80c3\u30fb\u4e0a\u90e8\u6d88\u5316\u7ba1\u306e\u7570\u5e38<\/strong><\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>\u80c3\u98df\u9053\u9006\u6d41\u75c7\uff08GERD\uff09<\/strong>\uff1a\u80f8\u3084\u3051\u3001\u5451\u9178\u304c\u4e3b\u75c7\u72b6\u3002\u9006\u6d41\u3057\u305f\u80c3\u9178\u306b\u3088\u308b\u98df\u9053\u7c98\u819c\u306e\u523a\u6fc0\u304c\u539f\u56e0\u3067\u3059\u3002<br><\/li>\n\n\n\n<li><strong>\u6a5f\u80fd\u6027\u30c7\u30a3\u30b9\u30da\u30d7\u30b7\u30a2<\/strong>\uff1a\u80c3\u306e\u904b\u52d5\u304c\u6b63\u5e38\u3067\u3082\u6d88\u5316\u4e0d\u826f\u3092\u611f\u3058\u308b\u30bf\u30a4\u30d7\u3002\u30b9\u30c8\u30ec\u30b9\u30fb\u795e\u7d4c\u6027\u8981\u7d20\u304c\u95a2\u4fc2\u3059\u308b\u3053\u3068\u3082\u3042\u308a\u307e\u3059\u3002<br><\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\"><strong>B. \u8178\u306e\u6a5f\u80fd\u6027\u554f\u984c\uff08IBS\u306a\u3069\uff09<\/strong><\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>\u904e\u654f\u6027\u8178\u75c7\u5019\u7fa4\uff08IBS\uff09<\/strong>\uff1a\u8178\u306e\u75d9\u6523\u3084\u904e\u654f\u6027\u306b\u3088\u308a\u8179\u75db\u30fb\u30ac\u30b9\u30fb\u6392\u4fbf\u7fd2\u6163\u306e\u4e71\u308c\uff08\u4fbf\u79d8\u30fb\u4e0b\u75e2\uff09\u304c\u8d77\u304d\u307e\u3059\u3002\u6d88\u5316\u4e0d\u826f\u3068\u4f75\u767a\u3057\u3084\u3059\u3044\u3067\u3059\u3002<br><\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\"><strong>C. \u98df\u7fd2\u6163\u30fb\u751f\u6d3b\u30ea\u30ba\u30e0\u306e\u4e71\u308c<\/strong><\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\u98df\u4e8b\u306e\u65e9\u98df\u3044\u3084\u6cb9\u8102\u3084\u70ad\u6c34\u5316\u7269\u504f\u91cd\u306b\u3088\u308b\u6d88\u5316\u8ca0\u8377<br><\/li>\n\n\n\n<li>\u30b9\u30c8\u30ec\u30b9\u30fb\u7761\u7720\u4e0d\u8db3\u30fb\u30a2\u30eb\u30b3\u30fc\u30eb\u30fb\u55ab\u7159\u306a\u3069\u306e\u5f71\u97ff<br><\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\"><strong>D. \u85ac\u5264\u306e\u5f71\u97ff\u30fb\u4ed6\u75be\u60a3<\/strong><\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>NSAIDs\uff08\u975e\u30b9\u30c6\u30ed\u30a4\u30c9\u6027\u6297\u708e\u75c7\u85ac\uff09\u3084\u4e00\u90e8\u306e\u6297\u751f\u7269\u8cea\u3001\u9244\u5264\u306a\u3069\u306f\u80c3\u8178\u75c7\u72b6\u3092\u5f15\u304d\u8d77\u3053\u3057\u5f97\u308b<br><\/li>\n\n\n\n<li>\u81b5\u708e\u3084\u9ad8\u30ab\u30eb\u30b7\u30a6\u30e0\u8840\u75c7\u3001\u7532\u72b6\u817a\u75be\u60a3\u306a\u3069\u3082\u6d88\u5316\u6a5f\u80fd\u306b\u5f71\u97ff\u3057\u307e\u3059<br><\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>3. \u65e5\u5e38\u3067\u3067\u304d\u308b\u30bb\u30eb\u30d5\u30c1\u30a7\u30c3\u30af\u3068\u6539\u5584\u6cd5<\/strong><\/h2>\n\n\n\n<h3 class=\"wp-block-heading\">\u30bb\u30eb\u30d5\u30c1\u30a7\u30c3\u30af\u6cd5<\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>\u98df\u4e8b\u65e5\u8a8c\uff083\u301c7\u65e5\uff09<\/strong>\uff1a\u300c\u4f55\u3092\uff0f\u3044\u3064\uff0f\u3069\u306e\u304f\u3089\u3044\uff0f\u3069\u306e\u30b9\u30d4\u30fc\u30c9\u3067\uff0f\u3069\u3046\u611f\u3058\u305f\u304b\u300d\u3092\u4e00\u884c\u305a\u3064\u3002\u75c7\u72b6\u304c\u51fa\u305f\u6642\u523b\u3068\u5f37\u3055\uff080\u301c10\uff09\u3001\u4ed5\u4e8b\u3084\u7761\u7720\u6642\u9593\u3001\u30b9\u30c8\u30ec\u30b9\u5ea6\u3082\u6a2a\u306b\u30e1\u30e2\u3059\u308b\u3068\u56e0\u679c\u304c\u898b\u3048\u3084\u3059\u304f\u306a\u308a\u307e\u3059\u3002<\/li>\n\n\n\n<li><strong>\u75c7\u72b6\u306e\u201c\u30bf\u30a4\u30df\u30f3\u30b0\u201d\u3092\u8a18\u9332<\/strong>\uff1a\u98df\u5f8c\u3059\u3050\u304b\u30012\u301c3\u6642\u9593\u5f8c\u304b\u3001\u591c\u9593\u306b\u60aa\u5316\u3059\u308b\u304b\u3067\u539f\u56e0\u306e\u5f53\u305f\u308a\u304c\u3064\u304d\u307e\u3059\uff08\u4f8b\uff1a\u98df\u5f8c\u3059\u3050\u2192\u80c3\u9178\u9006\u6d41\u3084\u80c3\u5185\u5bb9\u91cf\u3001\u591c\u9593\u2192\u5c31\u5bdd\u76f4\u524d\u306e\u98f2\u98df\uff09\u3002<\/li>\n\n\n\n<li><strong>\u4fbf\u306e\u6027\u72b6\u30fb\u983b\u5ea6<\/strong>\uff1a\u8272\u30fb\u306b\u304a\u3044\u30fb\u5f62\u72b6\uff08\u786c\u3044\uff0f\u8edf\u3089\u304b\u3044\uff09\u3092\u7c21\u5358\u306b\u8a18\u9332\u3002\u30ac\u30b9\u91cf\u3084\u8179\u9cf4\u3082\u201c\u3042\u308a\uff0f\u306a\u3057\u201d\u3067\u5341\u5206\u3002<\/li>\n\n\n\n<li><strong>\u8a98\u56e0\u306e\u4eee\u8aac\u3065\u304f\u308a<\/strong>\uff1a\u8102\u3063\u3053\u3044\u6599\u7406\u30fb\u7518\u5473\u30fb\u70ad\u9178\u30fb\u30ab\u30d5\u30a7\u30a4\u30f3\u30fb\u30a2\u30eb\u30b3\u30fc\u30eb\u30fb\u9999\u8f9b\u6599\u30fb\u5927\u91cf\u306e\u4e73\u88fd\u54c1\uff08\u4e73\u7cd6\uff09\u30fb\u5c0f\u9ea6\uff08\u30b0\u30eb\u30c6\u30f3\uff09\u306a\u3069\u3001\u601d\u3044\u5f53\u305f\u308b\u98df\u6750\u306b\u2605\u5370\u3092\u4ed8\u3051\u3001\u518d\u73fe\u6027\u3092\u78ba\u8a8d\u3057\u307e\u3059\u3002<\/li>\n\n\n\n<li><strong>\u5185\u670d\u85ac\u306e\u78ba\u8a8d<\/strong>\uff1a\u93ae\u75db\u85ac\uff08NSAIDs\uff09\u3001\u9244\u5264\u3001\u6297\u751f\u5264\u3001\u30b5\u30d7\u30ea\uff08\u30de\u30b0\u30cd\u30b7\u30a6\u30e0\u30fb\u7cd6\u30a2\u30eb\u30b3\u30fc\u30eb\u306a\u3069\uff09\u3067\u60aa\u5316\u3057\u306a\u3044\u304b\u3082\u8981\u30c1\u30a7\u30c3\u30af\u3002<\/li>\n\n\n\n<li><strong>\uff08\u5973\u6027\uff09\u751f\u7406\u5468\u671f\u3068\u306e\u95a2\u4fc2<\/strong>\uff1a\u6392\u5375\u524d\u5f8c\u3084\u6708\u7d4c\u524d\u306b\u81a8\u6e80\u3084\u9006\u6d41\u304c\u5f37\u304f\u306a\u308b\u3053\u3068\u304c\u3042\u308a\u307e\u3059\u3002\u5468\u671f\u30e1\u30e2\u304c\u5f79\u7acb\u3061\u307e\u3059\u3002<\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\">\u6539\u5584\u306e\u305f\u3081\u306e\u5177\u4f53\u7684\u306a\u5de5\u592b<\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>\u3088\u304f\u565b\u3093\u3067\u3086\u3063\u304f\u308a<\/strong>\uff1a\u4e00\u53e320\u301c30\u56de\u3092\u76ee\u5b89\u306b\u3002\u65e9\u98df\u3044\u306f\u80c3\u306e\u4f38\u5c55\u523a\u6fc0\u3068\u7a7a\u6c17\u56a5\u4e0b\u3092\u5897\u3084\u3057\u3001\u81a8\u6e80\u30fb\u3052\u3063\u3077\u30fb\u9006\u6d41\u3092\u60aa\u5316\u3055\u305b\u307e\u3059\u3002\u98df\u4e8b\u4e2d\u306f\u201c\u306a\u304c\u3089\u30b9\u30de\u30db\u201d\u3092\u907f\u3051\u3001\u565b\u3080\u3053\u3068\u306b\u610f\u8b58\u3092\u5411\u3051\u308b\u3060\u3051\u3067\u3082\u52b9\u679c\u7684\u3002<\/li>\n\n\n\n<li><strong>\u91cf\u3068\u5185\u5bb9\u306e\u6700\u9069\u5316<\/strong>\uff1a\n<ul class=\"wp-block-list\">\n<li><strong>\u5c11\u91cf\u983b\u56de<\/strong>\uff081\u65e54\u301c5\u56de\uff09\u3067\u7dcf\u91cf\u306f\u540c\u3058\u3067\u3082\u4e00\u56de\u306e\u8ca0\u62c5\u3092\u8efd\u6e1b\u3002<\/li>\n\n\n\n<li><strong>\u9ad8\u8102\u80aa\u30fb\u9ad8\u7cd6\u8cea\u30fb\u70ad\u9178\u306e\u6574\u7406<\/strong>\uff1a\u63da\u3052\u7269\u30fb\u3053\u3063\u3066\u308a\u30bd\u30fc\u30b9\u30fb\u751f\u30af\u30ea\u30fc\u30e0\u30fb\u7518\u3044\u70ad\u9178\u306f\u63a7\u3048\u3081\u306b\u3002\u8102\u8cea\u306f\u80c3\u6392\u51fa\u3092\u9045\u3089\u305b\u3001\u7cd6\u5206\uff0b\u70ad\u9178\u306f\u30ac\u30b9\u3068\u81a8\u6e80\u3092\u52a9\u9577\u3057\u307e\u3059\u3002<\/li>\n\n\n\n<li><strong>\u30ab\u30d5\u30a7\u30a4\u30f3\u30fb\u30a2\u30eb\u30b3\u30fc\u30eb<\/strong>\uff1a\u9006\u6d41\u3084\u80c3\u7c98\u819c\u523a\u6fc0\u306e\u8a98\u56e0\u306b\u306a\u308a\u5f97\u308b\u305f\u3081\u3001\u307e\u305a\u306f<strong>2\u9031\u9593\u534a\u6e1b\u2192\u7121\u75c7\u72b6\u65e5\u304c\u5897\u3048\u308b\u304b\u78ba\u8a8d<\/strong>\u3002<\/li>\n\n\n\n<li><strong>\u4e73\u7cd6\u30fbFODMAP\u3092\u610f\u8b58<\/strong>\uff1a\u4e73\u88fd\u54c1\u3084\u7389\u306d\u304e\u3001\u8c46\u985e\u3001\u308a\u3093\u3054\u3001\u306f\u3061\u307f\u3064\u306a\u3069\u3067\u30ac\u30b9\u30fb\u5f35\u308a\u304c\u5f37\u307e\u308b\u4eba\u306f\u3001<strong>\u307e\u305a1\u301c2\u98df\u54c1\u3060\u3051<\/strong>\u63a7\u3048\u3066\u53cd\u5fdc\u3092\u898b\u308b\uff08\u3084\u308a\u904e\u304e\u306e\u4e00\u6589\u9664\u53bb\u306fNG\uff09\u3002<\/li>\n<\/ul>\n<\/li>\n\n\n\n<li><strong>\u98df\u5f8c\u306e\u4f53\u4f4d<\/strong>\uff1a\u98df\u5f8c2\u301c3\u6642\u9593\u306f\u6a2a\u306b\u306a\u3089\u306a\u3044\u30fb\u524d\u5c48\u3057\u306a\u3044\u3002\u5ea7\u308b\u306a\u3089\u80cc\u7b4b\u3092\u4f38\u3070\u3057\u3001\u5c31\u5bdd\u306f<strong>\u982d\u5074\u309210\u301c15cm\u9ad8\u304f<\/strong>\u3002\u30d9\u30eb\u30c8\u3084\u7de0\u3081\u4ed8\u3051\u308b\u670d\u3082\u9006\u6d41\u3092\u52a9\u9577\u3057\u307e\u3059\u3002<\/li>\n\n\n\n<li><strong>\u6c34\u5206\u3068\u6e29\u5ea6<\/strong>\uff1a\u51b7\u305f\u3044\u98f2\u6599\u306e\u4e00\u6c17\u98f2\u307f\u306f\u8815\u52d5\u3092\u4e71\u3059\u3053\u3068\u304c\u3042\u308a\u307e\u3059\u3002<strong>\u5e38\u6e29\u306e\u6c34\u3092\u3053\u307e\u3081\u306b<\/strong>\u3002\u30b9\u30fc\u30d7\u306f\u8102\u5c11\u306a\u3081\u3067\u3002<\/li>\n\n\n\n<li><strong>\u30b9\u30c8\u30ec\u30b9\u8efd\u6e1b\u30fb\u4f11\u606f<\/strong>\uff1a\u6df1\u547c\u5438\uff084\u79d2\u5438\u3046\u21926\u79d2\u5410\u304f\u00d75\u30bb\u30c3\u30c8\uff09\u308410\u301c15\u5206\u306e\u6563\u6b69\u3001\u5c31\u5bdd\u30fb\u8d77\u5e8a\u6642\u523b\u306e\u56fa\u5b9a\u3002\u81ea\u5f8b\u795e\u7d4c\u304c\u6574\u3046\u3068\u80c3\u306e\u904b\u52d5\u3082\u5b89\u5b9a\u3057\u307e\u3059\u3002<\/li>\n\n\n\n<li><strong>\u88dc\u52a9\u7684\u306a\u5de5\u592b<\/strong>\uff1a\u751f\u59dc\u306f\u4e00\u90e8\u306e\u4eba\u3067\u80c3\u306e\u52d5\u304d\u3092\u52a9\u3051\u307e\u3059\uff08\u7d05\u8336\u3084\u30b9\u30fc\u30d7\u306b\u5c11\u91cf\uff09\u3002\u4e00\u65b9\u3001<strong>\u30da\u30d1\u30fc\u30df\u30f3\u30c8\u306f\u9006\u6d41\u3092\u60aa\u5316<\/strong>\u3055\u305b\u308b\u4eba\u3082\u3044\u308b\u305f\u3081\u3001\u80f8\u3084\u3051\u4e3b\u4f53\u306e\u65b9\u306f\u907f\u3051\u308b\u306e\u304c\u7121\u96e3\u3002\u30d7\u30ed\u30d0\u30a4\u30aa\u30c6\u30a3\u30af\u30b9\u306f<strong>2\u301c4\u9031\u9593\u306e\u5358\u5264\u8a66\u884c<\/strong>\u3067\u53cd\u5fdc\u3092\u898b\u308b\uff08\u5408\u308f\u306a\u3051\u308c\u3070\u4e2d\u6b62\uff09\u3002<\/li>\n<\/ul>\n\n\n<div class=\"wp-block-image\">\n<figure class=\"aligncenter size-full\"><img decoding=\"async\" width=\"640\" height=\"427\" src=\"https:\/\/www.hiro-clinic.or.jp\/medicine\/wp-content\/uploads\/2025\/09\/31518591_s-1.jpg\" alt=\"\u6c34\u5206\u88dc\u7d66\u3000\u5973\u6027\" class=\"wp-image-6558\" srcset=\"https:\/\/www.hiro-clinic.or.jp\/medicine\/wp-content\/uploads\/2025\/09\/31518591_s-1.jpg 640w, https:\/\/www.hiro-clinic.or.jp\/medicine\/wp-content\/uploads\/2025\/09\/31518591_s-1-600x400.jpg 600w, https:\/\/www.hiro-clinic.or.jp\/medicine\/wp-content\/uploads\/2025\/09\/31518591_s-1-300x200.jpg 300w\" sizes=\"(max-width: 640px) 100vw, 640px\" \/><\/figure><\/div>\n\n\n<h3 class=\"wp-block-heading\">2\u9031\u9593\u30df\u30cb\u30d7\u30e9\u30f3\u3068\u898b\u76f4\u3057<\/h3>\n\n\n\n<p>1\u9031\u76ee\u306f\u300c<strong>\u98df\u4e8b\u30b9\u30d4\u30fc\u30c9\u30fb\u5c31\u5bdd3\u6642\u9593\u524d\u306e\u65ad\u98df\u30fb\u9ad8\u8102\u80aa\uff06\u70ad\u9178\u306e\u534a\u6e1b<\/strong>\u300d\u306b\u96c6\u4e2d\u30022\u9031\u76ee\u306f\u53cd\u5fdc\u3092\u898b\u306a\u304c\u3089\u3001\u4e73\u7cd6\u307e\u305f\u306f\u30ab\u30d5\u30a7\u30a4\u30f3\u306e<strong>\u3069\u3061\u3089\u304b\u4e00\u65b9<\/strong>\u3092\u8ffd\u52a0\u3067\u8abf\u6574\u3002\u6bce\u65e5\u3001\u75c7\u72b6\u30b9\u30b3\u30a2\uff080\u301c10\uff09\u3092\u30e1\u30e2\u3057\u3001\u6539\u5584\u226530\uff05\u306a\u3089\u7d99\u7d9a\u3001\u5909\u5316\u304c\u4e4f\u3057\u3051\u308c\u3070\u5225\u306e\u8a98\u56e0\u4eee\u8aac\u3078\u3002<br>\u8d64\u65d7\uff08\u5410\u8840\u30fb\u9ed2\u8272\u4fbf\u30fb\u4f53\u91cd\u6e1b\u5c11\u30fb\u56a5\u4e0b\u56f0\u96e3\u30fb\u6301\u7d9a\u3059\u308b\u5f37\u3044\u75db\u307f\u30fb\u767a\u71b1\uff09\u304c\u3042\u308c\u3070\u81ea\u5df1\u8abf\u6574\u306b\u56fa\u57f7\u305b\u305a\u3001\u901f\u3084\u304b\u306b\u53d7\u8a3a\u3057\u3066\u304f\u3060\u3055\u3044\u3002<\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>4. \u691c\u67fb\u306e\u9078\u3073\u65b9\u3068\u5185\u79d1\u3067\u306e\u8a55\u4fa1\u30d5\u30ed\u30fc<\/strong><\/h2>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>\u554f\u8a3a\u30fb\u89e6\u8a3a<\/strong>\uff1a\u98df\u4e8b\u8a18\u9332\u3068\u75c7\u72b6\u306e\u8a73\u7d30\u306a\u805e\u304d\u53d6\u308a\u3001\u8179\u90e8\u306e\u89e6\u8a3a\u3067\u3057\u3053\u308a\u3084\u75db\u307f\u306e\u6709\u7121\u3092\u78ba\u8a8d<br><\/li>\n\n\n\n<li><strong>\u8840\u6db2\u691c\u67fb\u30fb\u5c3f\u691c\u67fb<\/strong>\uff1a\u708e\u75c7\u53cd\u5fdc\u30fb\u81b5\u9175\u7d20\u30fb\u809d\u6a5f\u80fd\u30fb\u7532\u72b6\u817a\u30db\u30eb\u30e2\u30f3\u30fb\u8ca7\u8840\u306a\u3069\u591a\u65b9\u9762\u304b\u3089\u30c1\u30a7\u30c3\u30af<br><\/li>\n\n\n\n<li><strong>\u8179\u90e8\u30a8\u30b3\u30fc\u691c\u67fb<\/strong>\uff1a\u81b5\u81d3\u30fb\u809d\u81d3\u30fb\u80c6\u56a2\u30fb\u8178\u7ba1\u306e\u69cb\u9020\u7684\u306a\u7570\u5e38\u306e\u6709\u7121\u3092\u78ba\u8a8d<br><\/li>\n\n\n\n<li><strong>\u4e0a\u90e8\u6d88\u5316\u7ba1\u5185\u8996\u93e1<\/strong>\uff1a\u80c3\u708e\u30fb\u6f70\u760d\u30fb\u9006\u6d41\u6027\u98df\u9053\u708e\u306a\u3069\u304c\u7591\u308f\u308c\u308b\u5834\u5408\u306b<br><\/li>\n\n\n\n<li><strong>\u547c\u5438\u8a66\u9a13\uff0f\u4fbf\u691c\u67fb<\/strong>\uff1a\u904e\u654f\u6027\u8178\u75c7\u5019\u7fa4\u306b\u4f34\u3046\u7d30\u83cc\u306e\u904e\u5897\u6b96\u3084\u98df\u6750\u306b\u5bfe\u3059\u308b\u4e0d\u8010\u6027\u306e\u8a55\u4fa1\u3068\u3057\u3066<br><\/li>\n\n\n\n<li><strong>\u751f\u6d3b\u7fd2\u6163\u898b\u76f4\u3057\u306e\u5f8c\u306e\u518d\u8a55\u4fa1<\/strong>\uff1a\u6539\u5584\u50be\u5411\u3092\u78ba\u8a8d\u3057\u306a\u304c\u3089\u3001\u5fc5\u8981\u306b\u5fdc\u3058\u3066\u7cbe\u67fb\u3092\u9032\u3081\u307e\u3059<br><\/li>\n<\/ul>\n\n\n\n<h2 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class=\"wp-block-list\">\n<li>\u4e3b\u8a34\uff1a\u98df\u5f8c\u306e\u80c3\u3082\u305f\u308c\u3001\u3052\u3063\u3077\u3001\u30ac\u30b9\u306e\u305f\u307e\u308a\u3084\u3059\u3055\u3001\u7dca\u5f35\u6027\u306e\u8179\u75db<br><\/li>\n\n\n\n<li>\u554f\u8a3a\u3067\u306f\u300c\u7acb\u3061\u98df\u3044\u30e9\u30f3\u30c1\u300d\u300c\u8102\u80aa\u3068\u70ad\u6c34\u5316\u7269\u504f\u91cd\u300d\u300c\u591c\u9045\u3044\u98df\u4e8b\u300d\u300c\u4ed5\u4e8b\u306e\u30b9\u30c8\u30ec\u30b9\u300d\u304c\u5224\u660e<br><\/li>\n\n\n\n<li>\u5bfe\u7b56\uff1a\u98df\u4e8b\u5185\u5bb9\u3068\u30bf\u30a4\u30df\u30f3\u30b0\u306e\u6539\u5584\uff08\u8102\u80aa\u63a7\u3048\u3081\u30fb\u3088\u304f\u565b\u3080\u30fb\u5c11\u91cf\u983b\u56de\u98df\uff09\u3001\u30b9\u30c8\u30ec\u30b9\u7ba1\u7406\uff08\u5e30\u5b85\u5f8c\u306e\u6563\u6b69\u3068\u6df1\u547c\u5438\uff09\u3092\u5b9f\u8df5<br><\/li>\n\n\n\n<li>\u7d50\u679c\uff1a3\u9031\u9593\u5f8c\u306b\u306f\u75c7\u72b6\u306e80\uff05\u4ee5\u4e0a\u304c\u6539\u5584\u3002\u5185\u8996\u93e1\u30fb\u8840\u6db2\u691c\u67fb\u3082\u6b63\u5e38\u3002\u518d\u73fe\u50be\u5411\u306a\u3057\u3002<br><\/li>\n<\/ul>\n\n\n\n<h2 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class=\"wp-block-list\">\n<li><strong>\u98df\u7fd2\u6163\u306e\u7d99\u7d9a\u6539\u5584<\/strong>\uff1a\u4e00\u6642\u306e\u5bfe\u7b56\u3067\u306f\u306a\u304f\u3001\u3044\u3064\u3082\u306e\u751f\u6d3b\u3068\u3057\u3066\u5b9a\u7740\u3055\u305b\u308b\u3053\u3068\u304c\u5927\u5207\u3067\u3059\u3002<br><\/li>\n\n\n\n<li><strong>\u30b9\u30c8\u30ec\u30b9\u30b3\u30f3\u30c8\u30ed\u30fc\u30eb<\/strong>\uff1a\u9069\u5ea6\u306a\u904b\u52d5\u3001\u7791\u60f3\u3001\u8da3\u5473\u306e\u6642\u9593\u3092\u7fd2\u6163\u5316\u3057\u3001\u5fc3\u7406\u7684\u306a\u8ca0\u62c5\u3092\u8efd\u6e1b\u3057\u307e\u3057\u3087\u3046\u3002<br><\/li>\n\n\n\n<li><strong>\u5b9a\u671f\u7684\u306a\u81ea\u5df1\u30c1\u30a7\u30c3\u30af<\/strong>\uff1a\u518d\u767a\u50be\u5411\u304c\u3042\u308c\u3070\u65e9\u3081\u306b\u5bfe\u5fdc\u3067\u304d\u308b\u3088\u3046\u3001\u98df\u4e8b\u65e5\u8a8c\u3084\u75c7\u72b6\u306e\u8a18\u9332\u306f\u7d9a\u3051\u3066\u304f\u3060\u3055\u3044\u3002<br><\/li>\n\n\n\n<li><strong>\u5185\u79d1\u7684\u30d5\u30a9\u30ed\u30fc<\/strong>\uff1a\u75c7\u72b6\u304c\u6301\u7d9a\u3059\u308b\u5834\u5408\u306f\u533b\u5e2b\u306b\u76f8\u8ac7\u3057\u3001\u5fc5\u8981\u306a\u691c\u67fb\u3084\u6cbb\u7642\u3092\u9032\u3081\u308b\u3053\u3068\u304c\u5b89\u5fc3\u3067\u3059\u3002<br><\/li>\n<\/ul>\n\n\n\n<h2 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