{"id":145,"date":"2021-09-21T12:48:00","date_gmt":"2021-09-21T03:48:00","guid":{"rendered":"https:\/\/ueda.com\/blog\/?p=145"},"modified":"2022-07-03T12:56:09","modified_gmt":"2022-07-03T03:56:09","slug":"%e9%ab%98%e9%bd%a2%e7%99%ba%e7%97%87%e9%96%a2%e7%af%80%e3%83%aa%e3%82%a6%e3%83%9e%e3%83%81%e3%80%80eora-2","status":"publish","type":"post","link":"https:\/\/ueda.com\/blog\/rheumatism\/145\/","title":{"rendered":"\u9ad8\u9f62\u767a\u75c7\u95a2\u7bc0\u30ea\u30a6\u30de\u30c1\u3000EORA"},"content":{"rendered":"\n<p class=\"has-vivid-purple-color has-text-color has-large-font-size\"><strong>\u9ad8\u9f62\u767a\u75c7\u95a2\u7bc0\u30ea\u30a6\u30de\u30c1<\/strong><\/p>\n\n\n\n<p>\u4eca\u56de\u306f\u9806\u5929\u5802\u5927\u5b66\u81a0\u539f\u75c5\u5185\u79d1\u6559\u6388\u306e\u7530\u6751\u5148\u751f\u306e\u8a71\u3092\u53c2\u8003\u306b\u3057\u3066\u307f\u307e\u3059\u3002<\/p>\n\n\n\n<figure class=\"wp-block-image size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"768\" src=\"https:\/\/ueda.com\/blog\/images\/d0295144_23325491-1024x768.jpg\" alt=\"\" class=\"wp-image-146\" srcset=\"https:\/\/ueda.com\/blog\/images\/d0295144_23325491-1024x768.jpg 1024w, https:\/\/ueda.com\/blog\/images\/d0295144_23325491-300x225.jpg 300w, https:\/\/ueda.com\/blog\/images\/d0295144_23325491-768x576.jpg 768w, https:\/\/ueda.com\/blog\/images\/d0295144_23325491-1536x1152.jpg 1536w, https:\/\/ueda.com\/blog\/images\/d0295144_23325491.jpg 1600w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\" \/><\/figure>\n\n\n\n<p class=\"has-vivid-purple-color has-text-color has-large-font-size\"><strong>\u4eba\u53e3\u306e\u9ad8\u9f62\u5316\u306b\u4f34\u3044\u3001\u9ad8\u9f62\u767a\u75c7\u306eRA\u304c\u5897\u3048\u3066\u3044\u307e\u3059\u3002<\/strong><\/p>\n\n\n\n<p>\u9ad8\u9f62\u8005\u306eRA\u306f\u6291\u3046\u3064\u3001\u30b5\u30eb\u30b3\u30da\u30cb\u30a2\u3001\u30d5\u30ec\u30a4\u30eb\u306b\u306a\u308a\u3084\u3059\u3044\u306e\u3067\u65e9\u671f\u8a3a\u65ad\u3001\u65e9\u671f\u6cbb\u7642\u304c\u91cd\u8981\u3067\u3059\u3002<\/p>\n\n\n\n<p>\u5143\u6765RA\u306f30\uff0d50\u6b73\u4ee3\u304c\u5f8c\u767a\u5e74\u9f62\u3067\u3057\u305f\u304c\u3001\u9ad8\u9f62\u8005\u304c\u591a\u304f\u306a\u3063\u305f\u305f\u3081\u306b\u9ad8\u9f62\u767a\u75c7RA\u3082\u5897\u52a0\u3057\u3066\u304d\u3066\u3044\u307e\u3059\u3002<br>\u4e00\u822c\u306eRA\u3068\u7570\u306a\u308b\u70b9\u306f<br>\u30fb\u7537\u6027\u306b\u591a\u3044<br>\u30fb\u6025\u6027\u767a\u75c7\u3067\u3042\u308b<br>\u30fb\u5927\u95a2\u7bc0\u304c\u4fb5\u3055\u308c\u308b<br>\u30fb\u80a9\u95a2\u7bc0\u708e\u304c\u521d\u767a\u304c\u591a\u3044<br>\u30fb\u30ea\u30a6\u30de\u30c1\u56e0\u5b50\u3001\u6297CCP\u6297\u4f53\u9670\u6027<br>\u30fb\u708e\u75c7\u53cd\u5fdc\u9ad8\u5024<br>\u30fb\u6ed1\u819c\u708e\u306e\u691c\u51fa\u306f\u65e9\u671f\u8a3a\u65ad\u306b\u6709\u52b9<br>\u3000\u3000\u7b49\u304c\u591a\u3044\u3067\u3059\u3002<\/p>\n\n\n\n<p>\u3053\u308c\u306b\u4f3c\u305f\u75c5\u6c17\u3067\u30ea\u30a6\u30de\u30c1\u6027\u591a\u767a\u7b4b\u75db\u75c7\uff08PMR)\u3068\u3044\u3046\u75c5\u6c17\u304c\u3042\u308a\u307e\u3059\u3002<br>\u30fb50\u6b73\u4ee5\u4e0a\u300170\uff5e80\u6b73\u3067\u767a\u75c7<br>\u30fb\u6025\u901f\u306a\u4e21\u80a9\u95a2\u7bc0\u5468\u56f2\u306e\u75bc\u75db<br>\u30fb\u4e0a\u80a2\u3084\u81c0\u90e8\u3001\u5927\u817f\u306e\u7b4b\u75db<br>\u30fb\u671d\u306e\u3053\u308f\u3070\u308a<br>\u30fb\u30ea\u30a6\u30de\u30c1\u56e0\u5b50\u3001\u6297CCP\u6297\u4f53\u9670\u6027<br>\u30fb\u7d0410\uff05\u306b\u6ed1\u819c\u708e\u3092\u4f34\u3046<br>\u30fb\u30d7\u30ec\u30c9\u30cb\u30f3\u304c\u8457\u52b9\u3059\u308b\uff0810\uff5e20\u338e\uff09<\/p>\n\n\n\n<p>\u3069\u3046\u3067\u3057\u3087\u3046\uff1f\u3000<br>\u3068\u3066\u3082\u4f3c\u3066\u3044\u307e\u305b\u3093\u304b\uff1f<br>PMR\u306e\u8a71\u306f\u307e\u305f\u5f8c\u65e5\u3057\u3088\u3046\u3068\u601d\u3044\u307e\u3059\u3002<br>\u4eca\u56de\u306f\u9ad8\u9f62\u767a\u75c7\u95a2\u7bc0\u30ea\u30a6\u30de\u30c1\u306e\u8a71\u3092\u3055\u305b\u3066\u4e0b\u3055\u3044\u3002<\/p>\n\n\n\n<p class=\"has-vivid-purple-color has-text-color has-large-font-size\"><strong>\u9ad8\u9f62\u767a\u75c7RA\u306e\u6cbb\u7642<\/strong><\/p>\n\n\n\n<p>\u76ee\u6a19\u3092\u7acb\u3066\u3066\u6cbb\u7642\u3092\u3059\u308b\u3002\u3059\u306a\u308f\u3061<br>\u3042\u308b\u4e00\u5b9a\u306e\u671f\u9593\u306b\u4e00\u5b9a\u306e\u72b6\u614b\u306b\u306a\u3089\u306a\u3051\u308c\u3070\u3001\u6b21\u306e\u85ac\u3092\u4f7f\u3063\u3066\u6cbb\u7642\u3092\u9032\u3081\u308b\u3002<br>\u3068\u3044\u3046\u3053\u3068\u3067\u3059\u3002<\/p>\n\n\n\n<p>\u3053\u308c\u306f<br>3\u304b\u6708\uff5e6\u304b\u6708\u306e\u9593\u3067\u81e8\u5e8a\u7684\u5bdb\u89e3\u3092\u76ee\u6a19\u306b\u3059\u308b\u3001\u3068\u3046\u3053\u3068\u304c\u8a00\u308f\u308c\u3066\u3044\u307e\u3059\u3002<br>\u3053\u308c\u306f\u9ad8\u9f62\u8005\u306b\u9650\u3063\u3066\u306e\u8a71\u3067\u306f\u3042\u308a\u307e\u305b\u3093\u3002<br>\u300c\u81e8\u5e8a\u7684\u5bdb\u89e3\u300d\u3063\u3066\u4f55\uff1f\u3067\u3059\u306d\u3002<br>\u3053\u308c\u306f<br>\u75c5\u6c17\u306e\u6d3b\u52d5\u6027\u306e\u6307\u6a19\u3068\u3044\u3046\u8a08\u7b97\u5f0f\u304c\u3042\u3063\u3066\u3001\u305d\u308c\u306b\u691c\u67fb\u30c7\u30fc\u30bf\u3084\u75c7\u72b6\u3092\u5f53\u3066\u306f\u3081\u3066\u8a08\u7b97\u3092\u3057\u305f\u7d50\u679c\u3092\u4f7f\u3063\u3066\u5224\u65ad\u3057\u3088\u3046\u3001\u3068\u3044\u3046\u3082\u306e\u3067\u3059\u3002<br>\u3053\u308c\u306b\u306f DAS28 \u3068\u304bSDAI\u3001CDAI\u3001HAQ\u7b49\u304c\u3042\u308a\u307e\u3059\u3002<\/p>\n\n\n\n<p>RA\u306e\u8a3a\u65ad\u304c\u78ba\u5b9a\u3057\u305f\u3089\u3001\u5f93\u6765\u578b\u5408\u6210\u6297\u30ea\u30a6\u30de\u30c1\u85ac(conventional synthetic disease-modified anti-rheumatic drugs: csDMARDs)\u3092\u4f7f\u3063\u3066\u901f\u3084\u304b\u306b\u6cbb\u7642\u306b\u5165\u308b\uff08methotrexate: MTX \u3092\u4e2d\u5fc3\u306b\uff09\u3002<br>\u81e8\u5e8a\u7684\u5bdb\u89e3\u306b\u306a\u3089\u306a\u304b\u3063\u305f\u3089\u3001<br>\u751f\u7269\u5b66\u7684\u6297\u30ea\u30a6\u30de\u30c1\u85ac(biological DMARDs: bDMARDs)\u3000<br>\u3042\u308b\u3044\u306f<br>\u5206\u5b50\u6a19\u7684\u6297\u30ea\u30a6\u30de\u30c1\u85ac\u306eJAK\u963b\u5bb3\u85ac\u3092\u4f7f\u3063\u3066\u307f\u308b\u3053\u3068\u304c\u63a8\u5968\u3055\u308c\u3066\u3044\u307e\u3059\u3002<\/p>\n\n\n\n<p>\u9ad8\u9f62\u8005\u306f\u5408\u4f75\u75c7\u3001\u611f\u67d3\u3057\u3084\u3059\u3044\u7b49\u304c\u3042\u308b\u305f\u3081\u85ac\u306e\u91cf\u3092\u5c11\u306a\u76ee\u306b\u4f7f\u308f\u3056\u308b\u5f97\u306a\u3044\u3053\u3068\u304c\u591a\u3044\u3067\u3059\u3002<br>\u305d\u306e\u305f\u3081\u306b\u5341\u5206\u91cf\u306eDMARDs\u304c\u4f7f\u3048\u306a\u304f\u3066\u30b9\u30c6\u30ed\u30a4\u30c9\u3092\u9577\u671f\u4f7f\u7528\u3059\u308b\u983b\u5ea6\u304c\u9ad8\u304f\u306a\u308a\u3084\u3059\u3044\u3067\u3059\u3002\u3053\u306e\u3088\u3046\u306a\u5834\u5408\u306b\u306f\u611f\u67d3\u75c7\u3084\u9aa8\u7c97\u9b06\u75c7\u306b\u5341\u5206\u6ce8\u610f\u3059\u308b\u3053\u3068\u304c\u5fc5\u8981\u3067\u3059\u3002\u611f\u67d3\u75c7\u306e\u30ea\u30b9\u30af\u306fbDMARDs\u3088\u308a\u3082\u9ad8\u3044\u3068\u3044\u3046\u5831\u544a\u3082\u3042\u308a\u307e\u3059\u3002<\/p>\n\n\n\n<p><\/p>\n\n\n\n<p class=\"has-vivid-purple-color has-text-color has-medium-font-size\"><strong>MTX<\/strong><\/p>\n\n\n\n<p>csDMARDs\u306e\u4e2d\u5fc3\u7684\u306a\u85ac\u306eMTX\u306f\u814e\u6a5f\u80fd\u304c\u3042\u308b\u4e00\u5b9a\u4ee5\u4e0b(eGFR&lt;30)\u306e\u5834\u5408\u306f\u4f7f\u3044\u306b\u304f\u3044\u3067\u3059\u3002<br>\u7528\u91cf\u4f9d\u5b58\u6027\u306e\u526f\u4f5c\u7528\uff08\u4f7f\u3046\u91cf\u304c\u591a\u304f\u306a\u308c\u3070\u306a\u308b\u307b\u3069\u51fa\u3066\u304f\u308b\u526f\u4f5c\u7528\uff09\u306f\u3001\u53e3\u5185\u708e\u3001\u5614\u6c17\u3001\u809d\u969c\u5bb3\u3001\u9aa8\u9ac4\u6291\u5236\u7b49\u3067\u3059\u3002\u526f\u4f5c\u7528\u3092\u8efd\u304f\u3059\u308b\u305f\u3081\u306b\u8449\u9178\u3092\u4f7f\u7528\u3059\u308b\u3053\u3068\u304c\u3042\u308a\u307e\u3059\u3002<br>\u7528\u91cf\u975e\u4f9d\u5b58\u6027\u306e\u526f\u4f5c\u7528\u3068\u3057\u3066\u306f\u3001\u6025\u6027\u9593\u8cea\u6027\u80ba\u708e(MTX\u80ba\u708e\uff09\u304c\u3042\u308a\u307e\u3059\u3002<br>\u611f\u67d3\u75c7\u3001MTX\u95a2\u9023\u6027\u30ea\u30f3\u30d1\u5897\u6b96\u6027\u75be\u60a3\uff08\u30ea\u30f3\u30d1\u304c\u816b\u308c\u308b\uff09\u306a\u3069\u306b\u3082\u6ce8\u610f\u304c\u5fc5\u8981\u3067\u3059\u3002<\/p>\n\n\n\n<p><\/p>\n\n\n\n<p class=\"has-vivid-purple-color has-text-color has-medium-font-size\">MTX\u4ee5\u5916\u306ecsDMARDs<\/p>\n\n\n\n<p>\u30b5\u30e9\u30be\u30b9\u30eb\u30d5\u30a1\u30d4\u30ea\u30b8\u30f3\u3001\u30d6\u30b7\u30e9\u30df\u30f3\u306f\u611f\u67d3\u75c7\u306e\u30ea\u30b9\u30af\u304c\u4f4e\u304f\u4f7f\u7528\u3057\u3084\u3059\u304f\u3001\u307e\u305f\u30bf\u30af\u30ed\u30ea\u30e0\u30b9\u3001\u30a4\u30b0\u30e9\u30c1\u30e2\u30c9\u3082\u4f7f\u7528\u3055\u308c\u308b\u3053\u3068\u304c\u591a\u3044\u3067\u3059\u304c\u3001\u9ad8\u9f62\u8005\u3067\u526f\u4f5c\u7528\u306e\u983b\u5ea6\u304c\u9ad8\u3044\u5831\u544a\u304c\u3042\u308a\u307e\u3059\u3002<\/p>\n\n\n\n<p><\/p>\n\n\n\n<p class=\"has-vivid-purple-color has-text-color has-medium-font-size\"><strong>bDMARDs<\/strong><\/p>\n\n\n\n<p>bDMARDs\u306f\u5927\u304d\u304f\u5206\u3051\u308b\u30683\u7a2e\u985e\uff08TNF\u963b\u5bb3\u85ac\u3001IL-6\u963b\u5bb3\u85ac\u3001T\u7d30\u80de\u5171\u523a\u6fc0\u5206\u5b50\u8abf\u7bc0\u85ac\uff09\u304c\u3042\u308a\u307e\u3059\u304c,\u9ad8\u9f62\u8005\u306b\u306f\u3044\u304f\u3064\u304b\u5229\u70b9\u304c\u3042\u308b\u3088\u3046\u3067\u3059\u3002<br>\u3053\u308c\u3089bDMARDs\u306f\u526f\u4f5c\u7528\u3068\u3057\u3066\u91cd\u7be4\u306a\u611f\u67d3\u75c7\u304c\u554f\u984c\u3068\u306a\u308a\u307e\u3059\u304c\u3001\u4e00\u65b9\u3067\u306f\u4ee3\u8b1d\u306e\u5f71\u97ff\u3092\u53d7\u3051\u306b\u304f\u3044\u305f\u3081\u305d\u308c\u4ee5\u5916\u306e\u526f\u4f5c\u7528\u304c\u5c11\u306a\u3044\u3053\u3068\u3001\u4ed6\u306e\u30ea\u30a6\u30de\u30c1\u6cbb\u7642\u85ac\u3092\u6e1b\u91cf\u3067\u304d\u308b\u53ef\u80fd\u6027\u304c\u3042\u308b\u3053\u3068\u3001\u708e\u75c7\u306e\u6c88\u9759\u5316\u306b\u3088\u308a\u5168\u8eab\u72b6\u614b\u304c\u6539\u5584\u3057\u514d\u75ab\u80fd\u304c\u5411\u4e0a\u3059\u308b\u3053\u3068\u3001\u306a\u3069\u306e\u53ef\u80fd\u6027\u304c\u3042\u308a\u307e\u3059\u3002<\/p>\n\n\n\n<p><\/p>\n\n\n\n<p class=\"has-vivid-purple-color has-text-color has-medium-font-size\">JAK\u963b\u5bb3\u85ac<\/p>\n\n\n\n<p>\u73fe\u5728\u30015\u7a2e\u985e\u304c\u8a8d\u53ef\u3055\u308c\u3066\u3044\u307e\u3059\u3002\u5185\u670d\u306e\u305f\u3081\u9ad8\u9f62\u8005\u306b\u306f\u4f7f\u7528\u3057\u3084\u3059\u3044\u53cd\u9762\u3001\u5e2f\u72b6\u75b1\u75b9\u3092\u767a\u75c7\u3059\u308b\u983b\u5ea6\u304c\u3084\u3084\u9ad8\u3044\u7b49\u304c\u3042\u308a\u3001\u9ad8\u9f62\u306f\u30ea\u30b9\u30af\u56e0\u5b50\u304b\u3082\u3057\u308c\u307e\u305b\u3093\u3002<\/p>\n\n\n\n<p><\/p>\n\n\n\n<p class=\"has-vivid-purple-color has-text-color has-medium-font-size\"><strong>\u9ad8\u9f62\u8005\u306e\u65b9\u304c\u6ce8\u610f\u3059\u3079\u304d\u3053\u3068<\/strong><\/p>\n\n\n\n<p>\u5e74\u9f62\u3068\u5171\u306b\u514d\u75ab\u80fd\u304c\u4f4e\u4e0b\u3059\u308b\u305f\u3081\u306b\u611f\u67d3\u75c7\u3084\u60aa\u6027\u816b\u760d\u306e\u30ea\u30b9\u30af\u304c\u9ad8\u304f\u306a\u308a\u307e\u3059\u3002<br>\u5f93\u3063\u3066\u3001\u4e0a\u8a18\u306e\u85ac\u3092\u4f7f\u7528\u3059\u308b\u969b\u306b\u306f\u3001\u5341\u5206\u306a\u691c\u67fb\u3001\u4e88\u9632\uff08\u5404\u7a2e\u30ef\u30af\u30c1\u30f3\u3001\u80ba\u708e\u4e88\u9632\u306e\u85ac\u7b49\uff09\u304c\u91cd\u8981\u3067\u3059\u3002<br>\u307e\u305f\u3001\u9aa8\u7c97\u9b06\u75c7\u306b\u3088\u308b\u9aa8\u6298\u306a\u3069\u306b\u3082\u6ce8\u610f\u3057\u3001\u5bdd\u305f\u304d\u308a\u306a\u3069\u306b\u3088\u308b\u514d\u75ab\u80fd\u4f4e\u4e0b\u3084\u5168\u8eab\u72b6\u614b\u60aa\u5316\u3092\u9632\u3050\u3079\u304d\u3067\u3059\u3002<br>\u9ad8\u9f62\u767a\u75c7\u306e\u95a2\u7bc0\u30ea\u30a6\u30de\u30c1\u3067\u306f\u65e9\u671f\u8a3a\u65ad\u3001\u65e9\u671f\u6cbb\u7642\u3092\u884c\u3044\u3001\u30d5\u30ec\u30a4\u30eb\u306b\u306a\u3089\u306a\u3044\u6ce8\u610f\u304c\u5fc5\u8981\u3067\u3059\u3002<\/p>\n\n\n\n<p><\/p>\n\n\n\n<p><\/p>\n","protected":false},"excerpt":{"rendered":"<p>\u9ad8\u9f62\u767a\u75c7\u95a2\u7bc0\u30ea\u30a6\u30de\u30c1 \u4eca\u56de\u306f\u9806\u5929\u5802\u5927\u5b66\u81a0\u539f\u75c5\u5185\u79d1\u6559\u6388\u306e\u7530\u6751\u5148\u751f\u306e\u8a71\u3092\u53c2\u8003\u306b\u3057\u3066\u307f\u307e\u3059\u3002 \u4eba\u53e3\u306e\u9ad8\u9f62\u5316\u306b\u4f34\u3044\u3001\u9ad8\u9f62\u767a\u75c7\u306eRA\u304c\u5897\u3048\u3066\u3044\u307e\u3059\u3002 \u9ad8\u9f62\u8005\u306eRA\u306f\u6291\u3046\u3064\u3001\u30b5\u30eb\u30b3\u30da\u30cb\u30a2\u3001\u30d5\u30ec\u30a4\u30eb\u306b\u306a\u308a\u3084\u3059\u3044\u306e\u3067\u65e9\u671f\u8a3a\u65ad\u3001\u65e9\u671f\u6cbb\u7642\u304c [&hellip;]<\/p>\n","protected":false},"author":6,"featured_media":0,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[32],"tags":[],"class_list":["post-145","post","type-post","status-publish","format-standard","hentry","category-rheumatism"],"acf":[],"_links":{"self":[{"href":"https:\/\/ueda.com\/blog\/wp-json\/wp\/v2\/posts\/145","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/ueda.com\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/ueda.com\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/ueda.com\/blog\/wp-json\/wp\/v2\/users\/6"}],"replies":[{"embeddable":true,"href":"https:\/\/ueda.com\/blog\/wp-json\/wp\/v2\/comments?post=145"}],"version-history":[{"count":1,"href":"https:\/\/ueda.com\/blog\/wp-json\/wp\/v2\/posts\/145\/revisions"}],"predecessor-version":[{"id":147,"href":"https:\/\/ueda.com\/blog\/wp-json\/wp\/v2\/posts\/145\/revisions\/147"}],"wp:attachment":[{"href":"https:\/\/ueda.com\/blog\/wp-json\/wp\/v2\/media?parent=145"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/ueda.com\/blog\/wp-json\/wp\/v2\/categories?post=145"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/ueda.com\/blog\/wp-json\/wp\/v2\/tags?post=145"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}