{"id":1725,"date":"2025-02-16T10:50:51","date_gmt":"2025-02-16T01:50:51","guid":{"rendered":"https:\/\/www.m.ehime-u.ac.jp\/school\/neurosurgery\/?p=1725"},"modified":"2025-02-16T10:55:01","modified_gmt":"2025-02-16T01:55:01","slug":"%e8%87%a8%e5%ba%8a%e7%a0%94%e7%a9%b6%e3%80%8c%e5%88%9d%e7%99%ba%e8%86%a0%e8%8a%bd%e8%85%ab%e6%82%a3%e8%80%85%e3%81%ab%e3%81%8a%e3%81%91%e3%82%8b%e8%a1%93%e5%be%8c%e6%8a%97%e3%81%a6%e3%82%93%e3%81%8b","status":"publish","type":"post","link":"https:\/\/www.m.ehime-u.ac.jp\/school\/neurosurgery\/1725","title":{"rendered":"\u81e8\u5e8a\u7814\u7a76\u300c\u521d\u767a\u81a0\u82bd\u816b\u60a3\u8005\u306b\u304a\u3051\u308b\u8853\u5f8c\u6297\u3066\u3093\u304b\u3093\u767a\u4f5c\u85ac\u306e\u4f7f\u7528\u5b9f\u614b\u3068\u52b9\u679c\u3001\u4e88\u5f8c\u306b\u95a2\u3059\u308b\u591a\u6a5f\u95a2\u5171\u540c\u5f8c\u65b9\u8996\u7684\u7814\u7a76\u300d\u306b\u3064\u3044\u3066"},"content":{"rendered":"<p><strong>\u304a\u77e5\u3089\u305b<\/strong><\/p>\n<p>&nbsp;<\/p>\n<p>\u611b\u5a9b\u5927\u5b66\u533b\u5b66\u90e8\u9644\u5c5e\u75c5\u9662\u3067\u306f\u3001\u533b\u5b66\u30fb\u533b\u7642\u306e\u767a\u5c55\u306e\u305f\u3081\u306b\u69d8\u3005\u306a\u7814\u7a76\u3092\u884c\u3063\u3066\u3044\u307e\u3059\u3002\u305d\u306e\u4e2d\u3067\u4eca\u56de\u793a\u3057\u307e\u3059\u4ee5\u4e0b\u306e\u7814\u7a76\u3067\u306f\u3001\u60a3\u8005\u3055\u3093\u306e\u30ab\u30eb\u30c6\u306e\u8a18\u9332\u3084\u753b\u50cf\u60c5\u5831\u306b\u52a0\u3048\u3001\u624b\u8853\u3067\u6458\u51fa\u3057\u305f\u816b\u760d\u7d44\u7e54\u3092\u4f7f\u7528\u3057\u307e\u3059\u3002\u3053\u306e\u7814\u7a76\u306e\u5185\u5bb9\u3092\u8a73\u3057\u304f\u77e5\u308a\u305f\u3044\u65b9\u3084\u3001\u30ab\u30eb\u30c6\u3084\u4fdd\u7ba1\u3055\u308c\u3066\u3044\u308b\u753b\u50cf\u60c5\u5831\u304a\u3088\u3073\u6458\u51fa\u816b\u760d\u7d44\u7e54\u3092\u5229\u7528\u3059\u308b\u3053\u3068\u3092\u3054\u4e86\u89e3\u3044\u305f\u3060\u3051\u306a\u3044\u65b9\u306f\u3001\u4e0b\u8a18\u3010\u304a\u554f\u3044\u5408\u308f\u305b\u5148\u3011\u307e\u3067\u3054\u9023\u7d61\u4e0b\u3055\u3044\u3002<\/p>\n<p>&nbsp;<\/p>\n<p>\u3010\u7814\u7a76\u8ab2\u984c\u540d\u3011<\/p>\n<p>\u521d\u767a\u81a0\u82bd\u816b\u60a3\u8005\u306b\u304a\u3051\u308b\u8853\u5f8c\u6297\u3066\u3093\u304b\u3093\u767a\u4f5c\u85ac\u306e\u4f7f\u7528\u5b9f\u614b\u3068\u52b9\u679c\u3001\u4e88\u5f8c\u306b\u95a2\u3059\u308b\u591a\u65bd\u8a2d\u5171\u540c\u5f8c\u65b9\u8996\u7684\u7814\u7a76<\/p>\n<p>&nbsp;<\/p>\n<p>\u3010\u7814\u7a76\u6a5f\u95a2\u3011\u611b\u5a9b\u5927\u5b66\u533b\u5b66\u90e8\u9644\u5c5e\u75c5\u9662\u3000\u8133\u795e\u7d4c\u5916\u79d1<\/p>\n<p>&nbsp;<\/p>\n<p>\u3010\u7814\u7a76\u8cac\u4efb\u8005\u3011\u4e95\u4e0a\u660e\u5b8f\uff08\u611b\u5a9b\u5927\u5b66\u533b\u5b66\u90e8\u9644\u5c5e\u75c5\u9662\u3000\u8133\u795e\u7d4c\u5916\u79d1\u3000\u8b1b\u5e2b\uff09<\/p>\n<p>&nbsp;<\/p>\n<p>\u3010\u7814\u7a76\u306e\u76ee\u7684\u3011<\/p>\n<p>\u3000\u81a0\u82bd\u816b\u60a3\u8005\u3055\u3093\u306e\u751f\u6d3b\u306e\u8cea\uff08Quality of life\uff1aQOL\uff09\u306b\u95a2\u308f\u308b\u91cd\u8981\u306a\u3053\u3068\u306e\uff11\u3064\u306b\u3066\u3093\u304b\u3093\u767a\u4f5c\u304c\u6319\u3052\u3089\u308c\u3066\u304a\u308a\u3001\u305d\u306e\u30b3\u30f3\u30c8\u30ed\u30fc\u30eb\u306f\u81a0\u82bd\u816b\u60a3\u8005\u3055\u3093\u306e\u6cbb\u7642\u306b\u304a\u3044\u3066\u91cd\u8981\u306a\u8ab2\u984c\u306b\u306a\u3063\u3066\u3044\u307e\u3059\u3002\u305d\u3053\u3067\u3001\u672c\u7814\u7a76\u306b\u3066\u4ee5\u4e0b\u306e\u4e8b\u67c4\u3092\u660e\u3089\u304b\u306b\u3057\u3001\u81a0\u82bd\u816b\u60a3\u8005\u3055\u3093\u306eQOL\u306e\u6539\u5584\u3092\u56f3\u308b\u3053\u3068\u3092\u76ee\u7684\u3068\u3057\u307e\u3059\u3002<\/p>\n<p>&nbsp;<\/p>\n<p>\u2460\u81a0\u82bd\u816b\u306e\u8853\u5f8c\u60a3\u8005\u3055\u3093\u306b\u5bfe\u3059\u308b\u6297\u3066\u3093\u304b\u3093\u767a\u4f5c\u85ac\uff08Anti-seizure medication\uff1aASM\uff09\u306e\u4f7f\u7528\u72b6\u6cc1\u304a\u3088\u3073\u767a\u4f5c\u4e88\u9632\u52b9\u679c\u30fb\u751f\u5b58\u671f\u9593\u306a\u3069\u306e\u6cbb\u7642\u52b9\u679c\u3092\u691c\u8a0e\u3059\u308b\u3053\u3068\u3067\u3001\u308f\u304c\u56fd\u306b\u304a\u3051\u308b\u81a0\u82bd\u816b\u306e\u8853\u5f8c\u60a3\u8005\u3055\u3093\u306b\u304a\u3051\u308bASM\u4f7f\u7528\u306e\u73fe\u72b6\u3068\u305d\u306e\u610f\u7fa9\u3092\u660e\u3089\u304b\u306b\u3057\u307e\u3059\u3002<\/p>\n<p>\u2461ASM\u306e\uff11\u3064\u3067\u3042\u308b\u30da\u30e9\u30f3\u30d1\u30cd\u30eb\uff08Perampanel\uff1aPER\uff09\u304c\u6295\u4e0e\u3055\u308c\u305f\u60a3\u8005\u3055\u3093\u306e\u6cbb\u7642\u6210\u7e3e\u3092\u691c\u8a0e\u3057\u3066\u3001PER\u306e\u6297\u816b\u760d\u52b9\u679c\u3092\u691c\u8a0e\u3059\u308b\u6bd4\u8f03\u8a66\u9a13\u3092\u884c\u3046\u305f\u3081\u306e\u57fa\u790e\u30c7\u30fc\u30bf\u3092\u5f97\u307e\u3059\u3002<\/p>\n<p>&nbsp;<\/p>\n<p>\u3010\u7814\u7a76\u306e\u65b9\u6cd5\u3011<\/p>\n<p>\uff08\u5bfe\u8c61\u3068\u306a\u308b\u60a3\u8005\u3055\u3093\uff092021\u5e741\u6708\u304b\u30892023\u5e743\u6708\u306b\u5f53\u9662\u3092\u53d7\u8a3a\u3055\u308c\u305f\u65b9\u306e\u3046\u3061\u81a0\u82bd\u816b\u3068\u8a3a\u65ad\u3055\u308c\u624b\u8853\u304c\u65bd\u884c\u3055\u308c\u305f\u60a3\u8005\u3055\u3093<\/p>\n<p>\uff08\u5229\u7528\u3059\u308b\u30ab\u30eb\u30c6\u60c5\u5831\uff09\u6027\u5225\u3001\u5e74\u9f62\u3001\u767a\u75c7\u6642\u671f\u3001\u5408\u4f75\u75c7\u3001\u65e2\u5f80\u6b74\u3001\u8eab\u4f53\u6240\u898b\u3001\u8840\u6db2\u691c\u67fb\u30c7\u30fc\u30bf\u3001\u753b\u50cf\u691c\u67fb\u30c7\u30fc\u30bf\u3001\u6cbb\u7642\u72b6\u6cc1\u3000\u7b49<\/p>\n<p>\uff08\u5229\u7528\u3059\u308b\u624b\u8853\u6458\u51fa\u7d44\u7e54\u60c5\u5831\uff09\u306a\u3057<\/p>\n<p>&nbsp;<\/p>\n<p>\u3010\u500b\u4eba\u60c5\u5831\u306e\u53d6\u308a\u6271\u3044\u3011<\/p>\n<p>\u3000\u3053\u306e\u7814\u7a76\u3067\u53ce\u96c6\u3055\u308c\u308b\u60c5\u5831\u7b49\u306f\u6c0f\u540d\u3001\u4f4f\u6240\u3001\u751f\u5e74\u6708\u65e5\u306a\u3069\u60a3\u8005\u3055\u3093\u3092\u76f4\u63a5\u7279\u5b9a\u3067\u304d\u308b\u60c5\u5831\u3092\u524a\u9664\u3057\u3066\u8ab0\u306e\u3082\u306e\u304b\u308f\u304b\u3089\u306a\u3044\u3088\u3046\u306b\u3057\u305f\u4e0a\u3067\u5229\u7528\u3044\u305f\u3057\u307e\u3059\u3002\u60a3\u8005\u3055\u3093\u3092\u7279\u5b9a\u3059\u308b\u305f\u3081\u306e\u60c5\u5831\uff08\u5bfe\u5fdc\u8868\uff09\u306f\u3001\u9662\u5185\u3067\u500b\u4eba\u60c5\u5831\u7ba1\u7406\u8005\u304c\u53b3\u91cd\u306b\u4fdd\u7ba1\u3057\u5916\u90e8\u3078\u306e\u63d0\u4f9b\u306f\u884c\u3044\u307e\u305b\u3093\u3002\u307e\u305f\u3001\u4fdd\u7ba1\u3055\u308c\u308b\u60c5\u5831\u7b49\u3092\u65b0\u305f\u306a\u7814\u7a76\u306b\u5229\u7528\u3059\u308b\u5834\u5408\u306f\u3001\u65b0\u305f\u306a\u7814\u7a76\u3068\u3057\u3066\u502b\u7406\u5be9\u67fb\u59d4\u54e1\u4f1a\u306b\u7533\u8acb\u3057\u3001\u627f\u8a8d\u3055\u308c\u3066\u304b\u3089\u5229\u7528\u3044\u305f\u3057\u307e\u3059\u3002\u306a\u304a\u3001\u7814\u7a76\u7d50\u679c\u306f\u5b66\u8853\u96d1\u8a8c\u3084\u5b66\u4f1a\u7b49\u3067\u767a\u8868\u3055\u308c\u308b\u4e88\u5b9a\u3067\u3059\u304c\u3001\u767a\u8868\u5185\u5bb9\u306b\u500b\u4eba\u3092\u7279\u5b9a\u3067\u304d\u308b\u60c5\u5831\u306f\u4e00\u5207\u542b\u307e\u308c\u307e\u305b\u3093\u3002<\/p>\n<p>&nbsp;<\/p>\n<p>\uff1c\u8a66\u6599\u30fb\u60c5\u5831\u306e\u7ba1\u7406\u8cac\u4efb\u8005\uff1e<\/p>\n<p>\u3000\u3000\u611b\u5a9b\u5927\u5b66\u533b\u5b66\u90e8\u9644\u5c5e\u75c5\u9662\u3000\u3000\u8133\u795e\u7d4c\u5916\u79d1\u3000\u3000\u8b1b\u5e2b\u3000\u3000\u6c0f\u540d\u3000\u4e95\u4e0a\u3000\u660e\u5b8f<\/p>\n<p>&nbsp;<\/p>\n<p>\u3010\u5171\u540c\u7814\u7a76\u306b\u3064\u3044\u3066\u3011<\/p>\n<p>\u3000\u3053\u306e\u7814\u7a76\u306f\u3001\u4ee5\u4e0b\u306b\u8a18\u8f09\u306e\u4ed6\u306e\u75c5\u9662\u3084\u7814\u7a76\u65bd\u8a2d\u3068\u5171\u540c\u3067\u884c\u3063\u3066\u3044\u307e\u3059\u3002\u5bfe\u8c61\u3068\u306a\u308b\u60a3\u8005\u3055\u3093\u306e\u8a66\u6599\u30fb\u60c5\u5831\u7b49\u306f\u3001\u6c0f\u540d\u3084\u4f4f\u6240\u3001\u751f\u5e74\u6708\u65e5\u306a\u3069\u60a3\u8005\u3055\u3093\u3092\u76f4\u63a5\u7279\u5b9a\u3067\u304d\u308b\u60c5\u5831\u3092\u9664\u3044\u305f\u4e0a\u3067\u3001\u8a18\u9332\u5a92\u4f53\u3092\u4e3b\u7ba1\u6a5f\u95a2\u3067\u3042\u308b\u611b\u5a9b\u5927\u5b66\u533b\u5b66\u90e8\u9644\u5c5e\u75c5\u9662\u306b\u63d0\u4f9b\u3057\u307e\u3059\u3002\u591a\u304f\u306e\u60c5\u5831\u3092\u89e3\u6790\u3059\u308b\u3053\u3068\u3067\u3001\u533b\u5b66\u30fb\u533b\u7642\u306e\u767a\u5c55\u306b\u5f79\u7acb\u3064\u6210\u679c\u304c\u5f97\u3089\u308c\u308b\u3053\u3068\u304c\u671f\u5f85\u3055\u308c\u307e\u3059\u3002<\/p>\n<p>&nbsp;<\/p>\n<p><strong>\uff08\u5171\u540c\u7814\u7a76\u671f\u9593\uff09<\/strong><\/p>\n<p>\u30fb \u56fd\u7acb\u7814\u7a76\u958b\u767a\u6cd5\u4eba \u56fd\u7acb\u304c\u3093\u7814\u7a76\u30bb\u30f3\u30bf\u30fc\u4e2d\u592e\u75c5\u9662 \u8133\u810a\u9ac4\u816b\u760d\u79d1<\/p>\n<p>\u30fb \u5343\u8449\u5927\u5b66\u3000\u5927\u5b66\u9662\u3000\u533b\u5b66\u7814\u7a76\u9662 \u8133\u795e\u7d4c\u5916\u79d1\u5b66<\/p>\n<p>\u30fb \u5c71\u68a8\u5927\u5b66\u3000\u5927\u5b66\u9662\u3000\u7dcf\u5408\u7814\u7a76\u90e8 \u533b\u5b66\u57df\u81e8\u5e8a\u533b\u5b66\u7cfb\uff08\u8133\u795e\u7d4c\u5916\u79d1\u5b66\uff09<\/p>\n<p>\u30fb \u6771\u5317\u5927\u5b66\u75c5\u9662 \u8133\u795e\u7d4c\u5916\u79d1<\/p>\n<p>\u30fb \u85e4\u7530\u533b\u79d1\u5927\u5b66\u3000\u533b\u5b66\u90e8\u3000\u8133\u795e\u7d4c\u5916\u79d1<\/p>\n<p>\u30fb \u5317\u6d77\u9053\u5927\u5b66\u75c5\u9662\u3000\u8133\u795e\u7d4c\u5916\u79d1<\/p>\n<p>\u30fb \u65ed\u5ddd\u533b\u79d1\u5927\u5b66\u3000\u8133\u795e\u7d4c\u5916\u79d1\u5b66\u8b1b\u5ea7\u00a0\u00a0\u00a0<\/p>\n<p>\u30fb 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