{"id":7820,"date":"2025-03-13T07:00:28","date_gmt":"2025-03-13T07:00:28","guid":{"rendered":"https:\/\/neuropediatoolkit.org\/?p=7820"},"modified":"2025-03-31T09:09:53","modified_gmt":"2025-03-31T09:09:53","slug":"protocolo-del-sindrome-de-west","status":"publish","type":"post","link":"https:\/\/neuropediatoolkit.org\/ja\/protocolo-del-sindrome-de-west\/","title":{"rendered":"\u30a6\u30a7\u30b9\u30c8\u75c7\u5019\u7fa4\u306e\u30d7\u30ed\u30c8\u30b3\u30eb\u3002"},"content":{"rendered":"<div id=\"wp-block-themeisle-blocks-accordion-db79c64f\" class=\"wp-block-themeisle-blocks-accordion exclusive\">\n<details class=\"wp-block-themeisle-blocks-accordion-item\"><summary class=\"wp-block-themeisle-blocks-accordion-item__title\"><div>1. \u7591\u308f\u3057\u3044\u75c7\u4f8b\u306e\u7279\u5b9a\u3002 <\/div><\/summary><div class=\"wp-block-themeisle-blocks-accordion-item__content\">\n<p class=\"wp-block-paragraph\">\u4e73\u5150\u3051\u3044\u308c\u3093\u306f\u307e\u308c\u306a\u5b58\u5728\u3067\u3042\u308a\u3001\u8a3a\u65ad\u4e0a\u306e\u6700\u521d\u306e\u8ab2\u984c\u306f\u3001\u4e73\u5150\u3051\u3044\u308c\u3093\u3092\u4e73\u5150\u306e\u975e\u3066\u3093\u304b\u3093\u6027\u767a\u4f5c\u6027\u969c\u5bb3\u3068\u533a\u5225\u3059\u308b\u3053\u3068\u3067\u3059\u3002\u3053\u308c\u306b\u5229\u7528\u3067\u304d\u308b\u4e3b\u306a\u30c4\u30fc\u30eb\u306f\u30db\u30fc\u30e0\u30d3\u30c7\u30aa\u9332\u753b\u3067\u3042\u308a\u3001\u8a13\u7df4\u3092\u53d7\u3051\u305f\u62c5\u5f53\u8005\u304c\u52d5\u4f5c\u30a8\u30d4\u30bd\u30fc\u30c9\u3092\u4e8b\u5f8c\u7684\u306b\u8a55\u4fa1\u3067\u304d\u308b\u3088\u3046\u306b\u306a\u308a\u307e\u3059\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">PNET \u304c\u7591\u308f\u308c\u308b\u5834\u5408\u306f\u3001\u5f8c\u3067\u78ba\u8a8d\u3059\u308b\u305f\u3081\u306b\u5bb6\u65cf\u306b\u30d3\u30c7\u30aa\u9332\u753b\u3092\u6307\u793a\u3059\u308b\u3053\u3068\u304c\u512a\u5148\u3055\u308c\u307e\u3059\u3002<\/p>\n\n\n\n<ol class=\"wp-block-list\">\n<li> \u9ad8\u5ea6\u306a\u7591\u3044\u304c\u3042\u308b\u5834\u5408\u306e\u30d7\u30ed\u30bb\u30b9\u3002\u7591\u3044\u306e\u5ea6\u5408\u3044\u304c\u9ad8\u3044\u75c7\u4f8b\u306b\u65e9\u671f\u306b\u5bfe\u5fdc\u3059\u308b\u306b\u306f\u3001\u8ffd\u52a0\u306e\u691c\u67fb\u3092\u884c\u3046\u305f\u3081\u306b\u5165\u9662\u3059\u308b\u5fc5\u8981\u304c\u3042\u308a\u307e\u3059\u3002<\/li>\n\n\n\n<li> \u7591\u3044\u30ec\u30d9\u30eb\u304c\u4f4e\u3044\u5834\u5408\u306e\u8a3a\u65ad\u30d7\u30ed\u30bb\u30b9\u3002\u7591\u3044\u306e\u7a0b\u5ea6\u304c\u4f4e\u3044\u5834\u5408\u306b\u306f\u3001\u5f53\u793e\u306e\u7d39\u4ecb\u57fa\u6e96\u306b\u5f93\u3063\u3066\u3001\u9ad8\u89e3\u50cf\u5ea6\u306e\u76f8\u8ac7\u3067\u30c6\u30ec\u30de\u30c6\u30a3\u30c3\u30af\/\u5bfe\u9762\u76f8\u8ac7\u3092\u30ea\u30af\u30a8\u30b9\u30c8\u3059\u308b\u3053\u3068\u304c\u3067\u304d\u3001\u7d04 1 \u9031\u9593\u4ee5\u5185\u306b\u8a55\u4fa1\u3055\u308c\u307e\u3059\u3002\u307e\u305f\u3001\u8a2a\u554f\u5f53\u65e5\u306b\u30d3\u30c7\u30aa\u30af\u30ea\u30c3\u30d7\u3092\u63d0\u4f9b\u3067\u304d\u308b\u3088\u3046\u3001\u3053\u306e\u671f\u9593\u4e2d\u306e\u30db\u30fc\u30e0\u30d3\u30c7\u30aa\u9332\u753b\u306e\u6307\u793a\u3082\u4f34\u3044\u307e\u3059\u3002<\/li>\n<\/ol>\n<\/div><\/details>\n\n\n\n<details class=\"wp-block-themeisle-blocks-accordion-item\"><summary class=\"wp-block-themeisle-blocks-accordion-item__title\"><div>2. \u8a3a\u65ad: <\/div><\/summary><div class=\"wp-block-themeisle-blocks-accordion-item__content\">\n<p class=\"wp-block-paragraph\">\u79d1\u5b66\u754c\u3067\u306f\u3001ACTH \u3068\u30b3\u30eb\u30c1\u30b3\u30b9\u30c6\u30ed\u30a4\u30c9\u306b\u3088\u308b\u6cbb\u7642\u306e\u6709\u52b9\u6027\u306e\u9055\u3044\u306b\u3064\u3044\u3066\u8b70\u8ad6\u3055\u308c\u3066\u3044\u307e\u3059\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u8a3a\u65ad\u78ba\u8a8d\u306e\u305f\u3081\u306e\u88dc\u5b8c\u7814\u7a76\u306e\u30b4\u30fc\u30eb\u30c9\u30b9\u30bf\u30f3\u30c0\u30fc\u30c9\u306f\u30ec\u30b8\u30b9\u30c8\u30ea\u3067\u3059 <strong>\u767a\u4f5c\u6642\u8133\u6ce2\u691c\u67fb<\/strong>.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u304c\u5b58\u5728\u3059\u308b\u5834\u5408 <strong>\u4e0d\u6574\u8108<\/strong>\u3001\u8a3a\u65ad\u306f\u3059\u3050\u306b\u884c\u308f\u308c\u307e\u3059\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u305f\u3060\u3057\u3001\u4e0d\u6574\u8108\u304c\u8a18\u9332\u3055\u308c\u3066\u3044\u306a\u3044\u5834\u5408\u306f\u3001\u8a3a\u65ad\u3092\u9664\u5916\u3059\u308b\u305f\u3081\u306b\u5c11\u306a\u304f\u3068\u3082 1 \u3064\u306e\u81e8\u5e8a\u4e8b\u8c61\u3092\u8a18\u9332\u3059\u308b\u5fc5\u8981\u304c\u3042\u308a\u307e\u3059\u3002\u30a8\u30d4\u30bd\u30fc\u30c9\u304c\u975e\u5e38\u306b\u983b\u7e41\u306b\u767a\u751f\u3059\u308b\u5834\u5408\u3001\u8a3a\u65ad\u306f\u96e3\u3057\u304f\u3042\u308a\u307e\u305b\u3093\u304c\u3001\u983b\u5ea6\u304c\u4f4e\u3044\u5834\u5408\u306f\u3001\u8a18\u9332\u3092\u7e70\u308a\u8fd4\u3059\u304b\u3001\u9577\u6642\u9593\u306e\u8133\u6ce2\u8a18\u9332\u3092\u8981\u6c42\u3059\u308b\u5fc5\u8981\u304c\u3042\u308b\u5834\u5408\u3082\u3042\u308a\u307e\u3059\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u7b4b\u8089\u30a2\u30fc\u30c1\u30d5\u30a1\u30af\u30c8\u3092\u751f\u6210\u3059\u308b\u30b8\u30e3\u30fc\u30af\u306e\u30a8\u30d4\u30bd\u30fc\u30c9\u306e\u5b58\u5728\u306f\u3001\u91cd\u8981\u306a\u6280\u8853\u7684\u554f\u984c\u3067\u3059\u3002\u3066\u3093\u304b\u3093\u6027\u3051\u3044\u308c\u3093\u3092\u3001\u7a4d\u6975\u7684\u306a\u6cbb\u7642\u3092\u5fc5\u8981\u3068\u3057\u306a\u3044\u30a8\u30d4\u30bd\u30fc\u30c9\u3068\u533a\u5225\u3059\u308b\u306b\u306f\u3001\u6b21\u306e\u3088\u3046\u306a\u75c7\u72b6\u306e\u6709\u7121\u3092\u63a2\u3059\u5fc5\u8981\u304c\u3042\u308a\u307e\u3059\u3002 <strong>\u96fb\u6975\u5897\u52a0<\/strong>.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u79c1\u305f\u3061\u306e\u74b0\u5883\u3067\u306f\u3001\u4f9b\u7d66\u306b\u554f\u984c\u304c\u306a\u3044\u9650\u308a\u3001ACTH \u306e\u6709\u75c5\u7387\u304c\u4f4e\u304f\u533b\u7642\u30b7\u30b9\u30c6\u30e0\u306b\u91cd\u5927\u306a\u7d4c\u6e08\u7684\u8ca0\u62c5\u3092\u8ab2\u3055\u306a\u3044\u305f\u3081\u3001ACTH \u306e\u4f7f\u7528\u306f\u5408\u7406\u7684\u3067\u3042\u308b\u3068\u601d\u308f\u308c\u307e\u3059\u3002<\/p>\n\n\n\n<ol class=\"wp-block-list\">\n<li><strong>\u795e\u7d4c\u753b\u50cf\u691c\u67fb:<\/strong> \u3053\u308c\u3089\u304c\u4e73\u5150\u3051\u3044\u308c\u3093\u3067\u3042\u308b\u3053\u3068\u304c\u78ba\u8a8d\u3055\u308c\u305f\u3089\u3001\u795e\u7d4c\u753b\u50cf\u691c\u67fb\u304c\u5fc5\u9808\u3068\u306a\u308a\u307e\u3059\u3002\u795e\u7d4c\u753b\u50cf\u7814\u7a76\u306b\u3088\u308a\u3001\uff08\u69cb\u9020\u7684\u306a\u5834\u5408\uff09\u75c5\u56e0\u3092\u5c0e\u304d\u3001\uff08\u7d50\u7bc0\u6027\u786c\u5316\u75c7\u306b\u7d9a\u767a\u3059\u308b\u5834\u5408\uff09\u6cbb\u7642\u6cd5\u3092\u9078\u629e\u3059\u308b\u3053\u3068\u304c\u3067\u304d\u307e\u3059\u3002<\/li>\n\n\n\n<li><strong>E<\/strong><strong>\u81e8\u5e8a\u691c\u67fb\u3068\u6307\u793a\u3055\u308c\u305f\u65e2\u5f80\u6b74:<\/strong> \u7279\u306b\u4ee5\u4e0b\u306b\u95a2\u3057\u3066\u4f53\u7cfb\u7684\u306a\u30c7\u30fc\u30bf\u53ce\u96c6\u3092\u5b9f\u884c\u3057\u3001\u81e8\u5e8a\u75c5\u6b74\u3092\u5f37\u8abf\u3059\u308b\u5fc5\u8981\u304c\u3042\u308a\u307e\u3059\u3002\n<ul class=\"wp-block-list\">\n<li>\u5bb6\u65cf\u306e\u6b74\u53f2\u3002<\/li>\n\n\n\n<li>\u8840\u65cf\u95a2\u4fc2\u3002<\/li>\n\n\n\n<li>\u3051\u3044\u308c\u3093\u306e\u767a\u75c7\u524d\u306e\u795e\u7d4c\u767a\u9054\u306e\u75c5\u6b74\u3002<\/li>\n\n\n\n<li>\u5b8c\u5168\u306a\u5468\u7523\u671f\u75c5\u6b74\u3002<\/li>\n\n\n\n<li>\u81e8\u5e8a\u691c\u67fb\u306b\u95a2\u3057\u3066\u306f\u3001\u6b21\u306e\u3053\u3068\u304c\u7279\u306b\u91cd\u8981\u3067\u3059\u3002\n<ul class=\"wp-block-list\">\n<li>\u5f62\u614b\u7570\u5e38\u306e\u8a55\u4fa1\u3002<\/li>\n\n\n\n<li>\u30a6\u30c3\u30c9\u30e9\u30a4\u30c8\u3092\u542b\u3080\u795e\u7d4c\u76ae\u819a\u75be\u60a3\u306e\u8056\u75d5\u3092\u63a2\u3059\u305f\u3081\u306e\u76ae\u819a\u8a55\u4fa1\u3002<\/li>\n\n\n\n<li>\u5148\u5929\u6027\u4ee3\u8b1d\u7570\u5e38\uff08\u767a\u80b2\u4e0d\u5168\u3001\u8584\u6bdb\u3001\u9b5a\u9c57\u766c\u3001\u809d\u813e\u816b\u306a\u3069\uff09\u306e\u5b58\u5728\u3092\u793a\u5506\u3059\u308b\u53ef\u80fd\u6027\u306e\u3042\u308b\u4e00\u822c\u7684\u306a\u5c0f\u5150\u306e\u8a55\u4fa1\u3002<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<\/li>\n\n\n\n<li><strong>\u907a\u4f1d\u5b50\u7814\u7a76\u3002<\/strong> \u7279\u5b9a\u306e\u75c5\u614b\uff08\u30c0\u30a6\u30f3\u75c7\u5019\u7fa4\u3001NF-1\u3001\u7d50\u7bc0\u6027\u786c\u5316\u75c7\uff09\u306b\u95a2\u3059\u308b\u6307\u91dd\u3068\u306a\u308b\u30c7\u30fc\u30bf\u304c\u306a\u3044\u5834\u5408\u3001aCGH \u304c\u6700\u521d\u306e\u8a3a\u65ad\u30b9\u30c6\u30c3\u30d7\u3068\u3057\u3066\u793a\u3055\u308c\u307e\u3059\u3002<\/li>\n\n\n\n<li><strong>\u305d\u306e\u4ed6\u306e\u88dc\u8db3\u691c\u67fb:<\/strong> \u4ee3\u8b1d\u7814\u7a76\u3067\u306f\u3001\u4e73\u5150\u3051\u3044\u308c\u3093\u306e\u8a3a\u65ad\u7387\u306f\u4f4e\u3044\u3067\u3059\u3002\u3057\u304b\u3057\u3001\u6cbb\u7642\u53ef\u80fd\u306a\u75be\u60a3\u306e\u4e2d\u306b\u306f\u3001\u7279\u306b\u5e38\u67d3\u8272\u4f53\u52a3\u6027\u907a\u4f1d\uff08\u8840\u65cf\u3001\u4ed6\u306e\u7f79\u60a3\u5144\u5f1f\uff09\u3092\u793a\u5506\u3059\u308b\u30c7\u30fc\u30bf\u3084\u81e8\u5e8a\u75c5\u6b74\u3092\u793a\u3059\u30c7\u30fc\u30bf\u304c\u3042\u308b\u5834\u5408\u306b\u306f\u3001\u305d\u308c\u3089\u306e\u75be\u60a3\u3092\u8003\u616e\u3059\u308b\u5fc5\u8981\u304c\u3042\u308b\u3082\u306e\u3082\u3042\u308a\u307e\u3059\u3002\u8a3a\u65ad\u3059\u308b\u306b\u306f\u3001\u5c11\u306a\u304f\u3068\u3082 24 \u6642\u9593\u5c3f\u3092\u63a1\u53d6\u3059\u308b\u3053\u3068\u304c\u63a8\u5968\u3055\u308c\u307e\u3059\u3002 <strong>\u30a2\u30df\u30ce\u30a2\u30b8\u30d4\u30f3\u9178<\/strong>\u3001 \u540c\u69d8\u306b <strong>\u6709\u6a5f\u9178<\/strong>\u30b5\u30f3\u30d7\u30eb\u3078\u306e\u30a2\u30af\u30bb\u30b9\u304c\u5bb9\u6613\u3067\u3042\u308b\u3053\u3068\u3092\u8003\u616e\u3059\u308b\u3068\u3001\u5b9f\u884c\u3059\u308b\u306e\u306f\u7406\u306b\u304b\u306a\u3063\u3066\u3044\u308b\u304b\u3082\u3057\u308c\u306a\u3044 <strong>\u30a2\u30b7\u30eb\u30ab\u30eb\u30cb\u30c1\u30f3<\/strong>\u3001\u7279\u306b\u5f8c\u306e\u30d0\u30eb\u30d7\u30ed\u9178\u306e\u4f7f\u7528\u3092\u8003\u616e\u3057\u305f\u3001\u30df\u30c8\u30b3\u30f3\u30c9\u30ea\u30a2\u4ee3\u8b1d\u306e\u5148\u5929\u7570\u5e38\u306e\u30b9\u30af\u30ea\u30fc\u30cb\u30f3\u30b0\u3068\u3057\u3066\u3002<\/li>\n<\/ol>\n<\/div><\/details>\n\n\n\n<details class=\"wp-block-themeisle-blocks-accordion-item\"><summary class=\"wp-block-themeisle-blocks-accordion-item__title\"><div>\u51e6\u7406\u3002<\/div><\/summary><div class=\"wp-block-themeisle-blocks-accordion-item__content\">\n<p class=\"wp-block-paragraph\"><strong>ACTH \u3068\u30b3\u30eb\u30c1\u30b3\u30b9\u30c6\u30ed\u30a4\u30c9\u3002<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u30b3\u30eb\u30c1\u30b3\u30b9\u30c6\u30ed\u30a4\u30c9\u306f\u4f4e\u6240\u5f97\u56fd\u3067\u9078\u629e\u3055\u308c\u308b\u6cbb\u7642\u6cd5\u3067\u3042\u308a\u3001\u305d\u306e\u4e3b\u306a\u5229\u70b9\u306f\u7d4c\u6e08\u30b3\u30b9\u30c8\u304c\u4f4e\u3044\u3053\u3068\u3067\u3059\u3002 ACTH\u3068\u540c\u7b49\u306e\u52b9\u679c\u3092\u5f97\u308b\u306b\u306f\u3001\u9ad8\u7528\u91cf\u3067\u306e\u4f7f\u7528\u304c\u5fc5\u8981\u3067\u3059\u3002\u4e00\u65b9\u3067\u3001\u9ad8\u7528\u91cf\u3068\u4f4e\u7528\u91cf\u306e ACTH \u30ec\u30b8\u30e1\u30f3\u306f\u540c\u7b49\u3067\u3042\u308b\u3053\u3068\u304c\u793a\u3055\u308c\u3066\u3044\u308b\u305f\u3081\u3001\u305d\u306e\u4f7f\u7528\u306f\u4f4e\u7528\u91cf\u3067\u6a19\u6e96\u5316\u3055\u308c\u3066\u3044\u307e\u3059\u3002\u4e21\u65b9\u306e\u6cbb\u7642\u9593\u306e\u526f\u4f5c\u7528\u306e\u6709\u75c5\u7387\u3084\u518d\u767a\u7387\u306b\u95a2\u3059\u308b\u60c5\u5831\u3092\u63d0\u4f9b\u3059\u308b\u7814\u7a76\u306f\u3042\u308a\u307e\u305b\u3093\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u30e8\u30fc\u30ed\u30c3\u30d1\u3067\u5165\u624b\u53ef\u80fd\u306a ACTH \u306f\u5408\u6210\u54c1\u3067\u3059\u3002\u6700\u9069\u306a\u30d7\u30ec\u30bc\u30f3\u30c6\u30fc\u30b7\u30e7\u30f3\u306f\u30c7\u30dd\u30fc\u88fd\u5264\u306e\u30c6\u30c8\u30e9\u30b3\u30b5\u30af\u30c1\u30c9\u3067\u3042\u308a\u30012 \u3064\u306e\u30d6\u30e9\u30f3\u30c9\u304c\u3042\u308a\u307e\u3059\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u2013 <strong>Nuvachten \u30c7\u30dd 1mg\/ml (100 IU)<\/strong> \uff08\u56fd\u5185\u88fd\u9020\u3001\u4f9b\u7d66\u554f\u984c\u3042\u308a\uff09\u3002\u6cb9\u72b6\u306e\u6eb6\u6db2\u306a\u306e\u3067\u9759\u8108\u5185\u6295\u4e0e\u306f\u3067\u304d\u307e\u305b\u3093\u3002 <strong>IM \u7ba1\u7406\u306e\u307f\u3002<\/strong><\/p>\n\n\n\n<figure class=\"wp-block-image size-large\"><img fetchpriority=\"high\" decoding=\"async\" width=\"1024\" height=\"768\" src=\"https:\/\/neuropediatoolkit.org\/wp-content\/uploads\/2025\/03\/image-3-1024x768.png\" alt=\"\" class=\"wp-image-7821\" srcset=\"https:\/\/neuropediatoolkit.org\/wp-content\/uploads\/2025\/03\/image-3-1024x768.png 1024w, https:\/\/neuropediatoolkit.org\/wp-content\/uploads\/2025\/03\/image-3-300x225.png 300w, https:\/\/neuropediatoolkit.org\/wp-content\/uploads\/2025\/03\/image-3-768x576.png 768w, https:\/\/neuropediatoolkit.org\/wp-content\/uploads\/2025\/03\/image-3-16x12.png 16w, https:\/\/neuropediatoolkit.org\/wp-content\/uploads\/2025\/03\/image-3.png 1200w\" sizes=\"(max-width: 1024px) 100vw, 1024px\" \/><\/figure>\n\n\n\n<p class=\"wp-block-paragraph\"> \u2013 <strong>\u30b7\u30ca\u30cf\u30c6\u30f3 \u30c7\u30dd <\/strong><strong>1mg\/ml <\/strong><strong>(100IU)<\/strong> \uff08\u6d77\u5916\u533b\u85ac\u54c1\u8f38\u5165\u54c1\uff09\u306f\u767b\u9332\u30d5\u30a9\u30fc\u30e0\u3088\u308a\u7533\u8acb\u304c\u5fc5\u8981\u3067\u3059 <strong>\u7279\u5225\u306a\u72b6\u6cc1\u3067\u306e\u85ac\u3002 <\/strong>\u6cb9\u72b6\u306e\u6eb6\u6db2\u306a\u306e\u3067\u9759\u8108\u5185\u6295\u4e0e\u306f\u3067\u304d\u307e\u305b\u3093\u3002 <strong>IM \u7ba1\u7406\u306e\u307f\u3002<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u2013 Synachten 0.25 mg\/ml \u306f\u3001\u5185\u5206\u6ccc\u6a5f\u80fd\u691c\u67fb\u3067\u306e\u4f7f\u7528\u3092\u76ee\u7684\u3068\u3057\u305f\u5373\u6642\u653e\u51fa\u578b\u3067\u3059\u3002\u70b9\u6ef4\u6295\u4e0e\u3067\u3059\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u78ba\u7acb\u3055\u308c\u305f\u7528\u91cf\u306f\u30011 \u65e5\u3042\u305f\u308a 0.05 mg\/kg\/\u65e5 (\u901a\u5e38 0.25 mg = \u30d0\u30a4\u30a2\u30eb\u306e 1\/4)\u300124 \u6642\u9593\u3054\u3068\u3001IM \u6295\u4e0e\u30012 \u9031\u9593\u3001\u305d\u306e\u5f8c\u6d88\u5931\u3057\u307e\u3059\u3002<\/p>\n\n\n\n<ol class=\"wp-block-list\">\n<li><strong>\u30d3\u30ac\u30d0\u30c8\u30ea\u30f3\u3002<\/strong><\/li>\n<\/ol>\n\n\n\n<p class=\"wp-block-paragraph\">\u30d3\u30ac\u30d0\u30c8\u30ea\u30f3\u306f\u3001GABA \u30c8\u30e9\u30f3\u30b9\u30a2\u30df\u30ca\u30fc\u30bc\u306e\u4e0d\u53ef\u9006\u7684\u963b\u5bb3\u5264\u3067\u3042\u308a\u3001\u30a6\u30a7\u30b9\u30c8\u75c7\u5019\u7fa4\u306e\u5834\u5408\u306b\u307b\u307c\u72ec\u5360\u7684\u306b\u4f7f\u7528\u3055\u308c\u308b\u6297\u3066\u3093\u304b\u3093\u85ac\u3067\u3042\u308a\u3001500 mg \u306e\u5c0f\u888b\u3067\u30d6\u30e9\u30f3\u30c9\u540d Sabrilex \u3067\u8ca9\u58f2\u3055\u308c\u3066\u3044\u307e\u3059\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u305d\u306e\u6295\u4e0e\u306e\u305f\u3081\u306b\u306f\u3001\u4f53\u91cd\u306b\u57fa\u3065\u3044\u3066\u6f38\u5897\u30ec\u30b8\u30e1\u30f3\u3067\u305d\u306e\u5f8c\u6295\u4e0e\u3059\u308b\u305f\u3081\u306b\u3001\u5404\u5c0f\u888b\u309210 ml\u306eSF\u3067\u5e0c\u91c8\u3059\u308b\u5fc5\u8981\u304c\u3042\u308b\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u901a\u5e38\u306f50 mg\/kg\/\u65e5\u304b\u3089\u958b\u59cb\u3057\u307e\u3059\u3002\u6cbb\u7642\u76ee\u6a19\u306f\u901a\u5e38\u3001100\uff5e150 mg\/kg\/\u65e5\u3092 2 \u56de\u306b\u5206\u3051\u3066\u6295\u4e0e\u3057\u307e\u3059\u3002 1 \u65e5\u306e\u6700\u5927\u6295\u4e0e\u91cf\u306f 200 mg\/kg\/\u65e5\u3067\u3059\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u85ac\u7269\u306f\u84c4\u7a4d\u306b\u3088\u308a\u6bd2\u6027\u3092\u793a\u3059\u305f\u3081\u3001\u6cbb\u7642\u306f6\u304b\u6708\u9593\u7d99\u7d9a\u3055\u308c\u3001\u305d\u306e\u5f8c\u4e2d\u6b62\u3055\u308c\u307e\u3059\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u3053\u308c\u306f\u975e\u5e38\u306b\u5f37\u529b\u306a GABA \u4f5c\u52d5\u6027\u85ac\u5264\u3067\u3042\u308a\u3001\u4e0d\u53ef\u9006\u7684\u306a\u52b9\u679c\u304c\u3042\u308b\u305f\u3081\u3001\u4ed6\u306e CNS \u6291\u5236\u85ac\u3068\u306e\u4f75\u7528\u306b\u306f\u6ce8\u610f\u304c\u5fc5\u8981\u3067\u3059\u3002<\/p>\n\n\n\n<figure class=\"wp-block-image size-large\"><img decoding=\"async\" width=\"1024\" height=\"577\" src=\"https:\/\/neuropediatoolkit.org\/wp-content\/uploads\/2025\/03\/image-4-1024x577.png\" alt=\"\" class=\"wp-image-7822\" srcset=\"https:\/\/neuropediatoolkit.org\/wp-content\/uploads\/2025\/03\/image-4-1024x577.png 1024w, https:\/\/neuropediatoolkit.org\/wp-content\/uploads\/2025\/03\/image-4-300x169.png 300w, https:\/\/neuropediatoolkit.org\/wp-content\/uploads\/2025\/03\/image-4-768x433.png 768w, https:\/\/neuropediatoolkit.org\/wp-content\/uploads\/2025\/03\/image-4-18x10.png 18w, https:\/\/neuropediatoolkit.org\/wp-content\/uploads\/2025\/03\/image-4.png 1110w\" sizes=\"(max-width: 1024px) 100vw, 1024px\" \/><\/figure>\n\n\n\n<ol class=\"wp-block-list\">\n<li><strong>\u30d0\u30eb\u30d7\u30ed\u9178\u3002<\/strong><\/li>\n<\/ol>\n\n\n\n<p class=\"wp-block-paragraph\">\u30d0\u30eb\u30d7\u30ed\u9178\u306b\u3088\u308b\u6cbb\u7642\u306f\u3001\u81e8\u5e8a\u7684\u5bdb\u89e3\u3092\u7dad\u6301\u3059\u308b\u305f\u3081\u306b\u9078\u629e\u3055\u308c\u308b\u6cbb\u7642\u6cd5\u3067\u3059\u3002\u5c0e\u5165\u6642\u671f\u306b\u3064\u3044\u3066\u306f\u7d71\u4e00\u898b\u89e3\u304c\u3042\u308a\u307e\u305b\u3093\u3002 ACTH\u3067\u6cbb\u7642\u3057\u305f\u5834\u5408\u306f\u5c0e\u5165\u304c\u65e9\u304f\u306a\u308a\u3001\u30d3\u30ac\u30d0\u30c8\u30ea\u30f3\u3067\u6cbb\u7642\u3057\u305f\u5834\u5408\u306f\u5c0e\u5165\u307e\u3067\u306e\u6642\u9593\u7684\u4f59\u88d5\u304c\u591a\u304f\u306a\u308a\u307e\u3059\u3002\u3053\u306e\u6cbb\u7642\u306e\u76ee\u7684\u306f\u3001\u4e00\u5ea6 ACTH \u307e\u305f\u306f\u30d3\u30ac\u30d0\u30c8\u30ea\u30f3\u306b\u3088\u308b\u6cbb\u7642\u3092\u4e2d\u6b62\u3057\u306a\u3051\u308c\u3070\u306a\u3089\u306a\u3044\u5834\u5408\u3067\u3082\u3001\u518d\u767a\u307e\u305f\u306f\u4ed6\u306e\u30bf\u30a4\u30d7\u306e\u3066\u3093\u304b\u3093\u767a\u4f5c\u304c\u73fe\u308c\u306a\u3044\u5834\u5408\u3001\u5bdb\u89e3\u5f8c 1 \uff5e 2 \u5e74\u9593\u306e\u6cbb\u7642\u3092\u7dad\u6301\u3059\u308b\u3053\u3068\u3067\u3059\u3002<\/p>\n\n\n\n<ol start=\"2\" class=\"wp-block-list\">\n<li>\u60aa\u5f71\u97ff\u306e\u30e2\u30cb\u30bf\u30ea\u30f3\u30b0:<\/li>\n<\/ol>\n\n\n\n<p class=\"wp-block-paragraph\">ACTH \u306b\u3088\u308b\u6cbb\u7642\u306b\u306f\u8907\u6570\u306e\u526f\u4f5c\u7528\u304c\u3042\u308a\u307e\u3059\u3002\u305d\u306e\u3046\u3061\u306e 1 \u3064\u306f\u6b21\u306e\u3068\u304a\u308a\u3067\u3059\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u2013 \u52d5\u8108\u6027\u9ad8\u8840\u5727\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u2013 \u4ee3\u8b1d\u6027\u30a2\u30eb\u30ab\u30ed\u30fc\u30b7\u30b9\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u2013 \u91cd\u7be4\u306a\u611f\u67d3\u75c7\u306b\u304b\u304b\u308a\u3084\u3059\u3044\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u2013 \u30aa\u30b9\u30c6\u30aa\u30da\u30cb\u30a2\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u2013 \u30af\u30c3\u30b7\u30f3\u30b0\u75c7\u5019\u7fa4\uff08\u6e80\u6708\u9854\u3001\u591a\u6bdb\u75c7\u3001\u30cb\u30ad\u30d3\u306a\u3069\uff09\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u2013 \u4e0d\u7720\u75c7\u3068\u30a4\u30e9\u30a4\u30e9\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">ACTH\u306b\u3088\u308b\u6cbb\u7642\u306b\u306f\u3001\u6bce\u65e5\u5348\u524d\u4e2d\u306e\u7b4b\u8089\u5185\u6295\u4e0e\u307e\u305f\u306f\u5165\u9662\u306b\u3088\u308b\u6295\u4e0e\u304c\u5fc5\u8981\u3067\u3059\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">H. de Dia \u3078\u306e\u8a2a\u554f\u3092\u5229\u7528\u3057\u3066\u3001\u6b21\u306e\u60aa\u5f71\u97ff\u304c\u76e3\u8996\u3055\u308c\u3066\u3044\u307e\u3059\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u2013 1\u65e5\u76ee:<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u2013 \u8840\u7cd6\u3001EAB\u3001\u30a4\u30aa\u30f3\u3001\u8840\u7403\u6570\u3001GOT\/GPT\u3001CRP\u3001Ca\/P\u3001TSH\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u2013 \u8840\u5727\u3001\u5fc3\u62cd\u6570\u3001\u4f53\u6e29\u6e2c\u5b9a<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u2013 \u30ab\u30eb\u30b7\u30a6\u30e0\/\u30d3\u30bf\u30df\u30f3 D (500 mg\/400 IU) \u304a\u3088\u3073\u30bb\u30d7\u30c8\u30ea\u30f3 (8\/40 mg) \u306b\u3088\u308b\u4e88\u9632\u3092\u958b\u59cb\u3057\u307e\u3059: \u9031 3 \u65e5\u300112 \u6642\u9593\u3054\u3068\u306b 2.5 ml\u3002\u30b3\u30eb\u30c1\u30b3\u30b9\u30c6\u30ed\u30a4\u30c9\u6cbb\u7642\u4e2d\u306f\u305d\u308c\u3092\u7dad\u6301\u3057\u3066\u304f\u3060\u3055\u3044\u3002 \u2013 \u4e88\u9632\u63a5\u7a2e\u30b9\u30b1\u30b8\u30e5\u30fc\u30eb\u3068\u7d50\u6838\u30ea\u30b9\u30af\uff08TBC\uff09\u3092\u78ba\u8a8d*<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u2013 ACTH 0.25 mg (0.05 mg\/kg\/\u65e5) IM \u3092 24 \u6642\u9593\u3054\u3068\u3001\u5348\u524d\u4e2d\u306b\u958b\u59cb\u3057\u307e\u3059 (\u4e00\u5b9a\u91cf\u3092\u670d\u7528\u3057\u305f\u5f8c)\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u2013 2\u65e5\u76ee\u304b\u30897\u65e5\u76ee:<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u2013 Labstix \u306e\u5c3f (x \u8840\u7cd6\u5024)\u3001\u4f53\u6e29\u3001\u6bce\u65e5\u306e\u8840\u5727\u3068\u5fc3\u62cd\u6570\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u2013 3 \u65e5\u3054\u3068\u306e EAB\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u2013 \u6bce\u65e5\u306e ACTH \u3092\u7d99\u7d9a\u3057\u307e\u3059\u3002\u611f\u67d3\u306e\u5146\u5019\u304c\u306a\u3044\u304b\u76e3\u8996\u3057\u307e\u3059\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u2013 7\u65e5\u76ee: \u57fa\u790e\u8133\u6ce2\u691c\u67fb\u3092\u884c\u3044\u307e\u3059\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u2013 \u81e8\u5e8a\u53cd\u5fdc\u307e\u305f\u306f\u8133\u6ce2\u53cd\u5fdc\u306a\u3057: 7 \u65e5\u76ee\u304b\u3089 14 \u65e5\u76ee\u307e\u3067\u540c\u3058 ACTH \u7528\u91cf\u3092\u7dad\u6301\u3057\u307e\u3059\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u2013 \u81e8\u5e8a\u7684\u307e\u305f\u306f\u8133\u6ce2\u691c\u67fb\u3067\u53cd\u5fdc\u304c\u898b\u3089\u308c\u305f\u5834\u5408: 7 \u65e5\u76ee\u304b\u3089 14 \u65e5\u76ee\u307e\u3067\u540c\u3058\u7528\u91cf\u3092 1 \u65e5\u304a\u304d\u306b\u7dad\u6301\u3057\u307e\u3059\u3002\u30d0\u30eb\u30d7\u30ed\u9178\u3068\u4f75\u7528\u3057\u3001\u6bb5\u968e\u7684\u306b 25 mg\/kg\/\u65e5\u307e\u3067\u6295\u4e0e\u3057\u307e\u3059\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u2013 8\u65e5\u76ee\u304b\u308914\u65e5\u76ee:<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u2013 Labstix \u306e\u5c3f\u3001\u4f53\u6e29\u3001\u8840\u5727\u3001\u5fc3\u62cd\u6570\u3092\u6bce\u65e5\u6e2c\u5b9a\u3057\u307e\u3059\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u2013 3 \u65e5\u3054\u3068\u306e EAB\u3002 \u2013 ACTH\u3092\u7d9a\u884c\u3057\u307e\u3059\u3002\u611f\u67d3\u306e\u5146\u5019\u304c\u306a\u3044\u304b\u76e3\u8996\u3057\u307e\u3059\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u2013 14 \u65e5\u76ee: \u57fa\u790e\u8133\u6ce2\u691c\u67fb\u3092\u884c\u3044\u307e\u3059\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u2013 \u81e8\u5e8a\u53cd\u5fdc\u307e\u305f\u306f\u8133\u6ce2\u53cd\u5fdc\u304c\u306a\u3044\u5834\u5408: \u30d3\u30ac\u30d0\u30c8\u30ea\u30f3\u3092\u5c0e\u5165\u3057\u30012 \uff5e 3 \u9031\u9593\u3067 ACTH \u3092\u3086\u3063\u304f\u308a\u3068\u6e1b\u5c11\u3055\u305b\u307e\u3059\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u2013 \u81e8\u5e8a\u7684\u307e\u305f\u306fEEG\u53cd\u5fdc\u304c\u3042\u308b\u5834\u5408\uff1a\u30d0\u30eb\u30d7\u30ed\u9178\u3092\u958b\u59cb\u307e\u305f\u306f\u7dad\u6301\u3057\u30012\u301c3\u9031\u9593\u304b\u3051\u3066ACTH\u3092\u3086\u3063\u304f\u308a\u3068\u6e1b\u5c11\u3055\u305b\u307e\u3059\uff082\u9031\u9593\u6bce\u65e5\u6cbb\u7642\u3059\u308b\u5834\u5408\u30011\u9031\u9593\u306f\u9694\u65e5\u3067\u6e1b\u5c11\u3055\u305b\u3001\u3055\u3089\u306b2\u9031\u9593\u306f\u9031\u306b1\u56de\u306e\u6295\u4e0e\u91cf\u3067\u6e1b\u5c11\u3055\u305b\u307e\u3059\uff09\u3002\u9000\u9662\u3068\u5916\u6765\u6cbb\u7642\u3092\u691c\u8a0e\u3057\u3066\u304f\u3060\u3055\u3044\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u2013 15 \uff5e 21 \u65e5\u76ee: ACTH \u6295\u4e0e\u5f53\u65e5\u306e labstix\u3001\u4f53\u6e29\u3001\u8840\u5727\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u2013 28\u65e5\u76ee: \u9032\u5316\u306b\u5fdc\u3058\u305f\u795e\u7d4c\u5c0f\u5150\u79d1\u8a3a\u5bdf\u306b\u304a\u3051\u308b\u8133\u6ce2\u306e\u7ba1\u7406\u3068\u30d5\u30a9\u30ed\u30fc\u30a2\u30c3\u30d7<\/p>\n\n\n\n<ol class=\"wp-block-list\">\n<li><strong>\u5408\u4f75\u75c7 <\/strong><strong>\u91cd\u5ea6\u306e\u795e\u7d4c\u5b66\u7684\u75c7\u72b6:<\/strong>\n<ol class=\"wp-block-list\">\n<li><strong>\u30d0\u30eb\u30d7\u30ed\u9178\u306b\u3088\u308b\u9ad8\u30a2\u30f3\u30e2\u30cb\u30a2\u8840\u75c7\u8133\u75c7\u3002<\/strong><\/li>\n<\/ol>\n<\/li>\n<\/ol>\n\n\n\n<p class=\"wp-block-paragraph\">\u30d0\u30eb\u30d7\u30ed\u9178\u306f 2 \u6b73\u672a\u6e80\u306e\u5c0f\u5150\u3067\u306f\u809d\u81d3\u3078\u306e\u526f\u4f5c\u7528\u304c\u3088\u308a\u591a\u304f\u306a\u308b\u53ef\u80fd\u6027\u304c\u3042\u308b\u3053\u3068\u3092\u8003\u616e\u3059\u308b\u5fc5\u8981\u304c\u3042\u308a\u307e\u3059\u3002\u3055\u3089\u306b\u3001\u30d0\u30eb\u30d7\u30ed\u9178\u306f\u3001\u6700\u7d42\u7684\u306b\u30a6\u30a7\u30b9\u30c8\u75c7\u5019\u7fa4\u3092\u5f15\u304d\u8d77\u3053\u3059\u53ef\u80fd\u6027\u304c\u3042\u308b\u30df\u30c8\u30b3\u30f3\u30c9\u30ea\u30a2\u75be\u60a3\u306b\u306f\u7981\u5fcc\u3067\u3042\u308a\u3001\u767a\u75c7\u6642\u306b\u75c5\u56e0\u8a3a\u65ad\u304c\u884c\u308f\u308c\u308b\u3053\u3068\u306f\u3042\u308a\u307e\u305b\u3093\u3002\u6cbb\u7642\u958b\u59cb\u5f8c\u306e\u81e8\u5e8a\u75c7\u72b6\u306e\u60aa\u5316\uff08\u3066\u3093\u304b\u3093\u306e\u60aa\u5316\u3001\u6025\u6027\u8133\u75c7\u3001\u5614\u5410\u3001\u6557\u8840\u75c7\u69d8\u306a\u3069\uff09\u306e\u5834\u5408\u306f\u3001\u30d0\u30eb\u30d7\u30ed\u9178\u306b\u3088\u308b\u9ad8\u30a2\u30f3\u30e2\u30cb\u30a2\u8840\u75c7\u8133\u75c7\u3092\u9664\u5916\u3059\u308b\u305f\u3081\u306b\u30a2\u30f3\u30e2\u30cb\u30a2\u306e\u6295\u4e0e\u3092\u691c\u8a0e\u3057\u3066\u304f\u3060\u3055\u3044\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u4e00\u90e8\u306e\u30bb\u30f3\u30bf\u30fc\u3067\u306f\u3001\u30ab\u30eb\u30cb\u30c1\u30f3\u30b5\u30d7\u30ea\u30e1\u30f3\u30c8\u306b\u3088\u308b\u6cbb\u7642\u304c\u884c\u308f\u308c\u3066\u3044\u307e\u3059\u3002\u3053\u308c\u306b\u95a2\u3057\u3066\u306f\u78ba\u56fa\u305f\u308b\u79d1\u5b66\u7684\u8a3c\u62e0\u306f\u3042\u308a\u307e\u305b\u3093\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u4e00\u90e8\u306e\u30bb\u30f3\u30bf\u30fc\u3067\u306f\u3001\u30b3\u30a8\u30f3\u30b6\u30a4\u30e0Q10\u30b5\u30d7\u30ea\u30e1\u30f3\u30c8\u306b\u3088\u308b\u6cbb\u7642\u304c\u884c\u308f\u308c\u3066\u3044\u307e\u3059\u3002\u3053\u308c\u306b\u95a2\u3057\u3066\u306f\u78ba\u56fa\u305f\u308b\u79d1\u5b66\u7684\u8a3c\u62e0\u306f\u3042\u308a\u307e\u305b\u3093\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u3053\u306e\u5408\u4f75\u75c7\u304c\u5b58\u5728\u3059\u308b\u5834\u5408\u306f\u3001\u6cbb\u7642\u3092\u4e2d\u65ad\u3059\u308b\u5fc5\u8981\u304c\u3042\u308a\u307e\u3059\u3002<\/p>\n\n\n\n<ol class=\"wp-block-list\">\n<li><strong>\u30d3\u30ac\u30d0\u30c8\u30ea\u30f3\u8133\u75c7\u3002<\/strong><\/li>\n<\/ol>\n\n\n\n<p class=\"wp-block-paragraph\">\u9ad8\u7528\u91cf\u306e\u30d3\u30ac\u30d0\u30c8\u30ea\u30f3\u306b\u3088\u308b\u6cbb\u7642\u3001\u307e\u305f\u306f ACTH \u3068\u30d3\u30ac\u30d0\u30c8\u30ea\u30f3\u306b\u3088\u308b\u540c\u6642\u6cbb\u7642\u306f\u3001\u30b8\u30b9\u30ad\u30cd\u30b8\u30a2 (\u9310\u4f53\u5916\u8def\u904b\u52d5\u969c\u5bb3) \u306e\u5b58\u5728\u306b\u95a2\u9023\u3057\u3066\u3001\u9032\u884c\u6027\u306e\u55dc\u7720\u3068\u7720\u6c17\u3092\u5f15\u304d\u8d77\u3053\u3059\u53ef\u80fd\u6027\u304c\u3042\u308a\u3001\u751f\u547d\u6a5f\u80fd\u306b\u5f71\u97ff\u3092\u53ca\u307c\u3057\u3001\u751f\u547d\u3092\u8105\u304b\u3059\u53ef\u80fd\u6027\u304c\u3042\u308a\u307e\u3059\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u610f\u8b58\u30ec\u30d9\u30eb\u3092\u6ce8\u610f\u6df1\u304f\u76e3\u8996\u3059\u308b\u5fc5\u8981\u304c\u3042\u308a\u3001\u9032\u884c\u6027\u306e\u60aa\u5316\u304c\u89b3\u5bdf\u3055\u308c\u305f\u5834\u5408\u306f\u3001MRI\u691c\u67fb\u3092\u5b9f\u884c\u3057\u307e\u3059\u3002VABAM\u306b\u7279\u5fb4\u7684\u306a\u75c5\u5909\uff08MRI\u4e0a\u306e\u30d3\u30ac\u30d0\u30c8\u30ea\u30f3\u95a2\u9023\u8133\u7570\u5e38\uff09\u304c\u89b3\u5bdf\u3055\u308c\u308b\u53ef\u80fd\u6027\u304c\u3042\u308a\u307e\u3059\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u3053\u306e\u5408\u4f75\u75c7\u304c\u5b58\u5728\u3059\u308b\u5834\u5408\u306f\u3001\u6cbb\u7642\u3092\u4e2d\u65ad\u3059\u308b\u5fc5\u8981\u304c\u3042\u308a\u307e\u3059\u3002<\/p>\n<\/div><\/details>\n<\/div>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>","protected":false},"excerpt":{"rendered":"","protected":false},"author":1,"featured_media":7831,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_themeisle_gutenberg_block_has_review":false,"footnotes":""},"categories":[1],"tags":[],"class_list":["post-7820","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-uncategorized","entry"],"_links":{"self":[{"href":"https:\/\/neuropediatoolkit.org\/ja\/wp-json\/wp\/v2\/posts\/7820","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/neuropediatoolkit.org\/ja\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/neuropediatoolkit.org\/ja\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/neuropediatoolkit.org\/ja\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/neuropediatoolkit.org\/ja\/wp-json\/wp\/v2\/comments?post=7820"}],"version-history":[{"count":2,"href":"https:\/\/neuropediatoolkit.org\/ja\/wp-json\/wp\/v2\/posts\/7820\/revisions"}],"predecessor-version":[{"id":7833,"href":"https:\/\/neuropediatoolkit.org\/ja\/wp-json\/wp\/v2\/posts\/7820\/revisions\/7833"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/neuropediatoolkit.org\/ja\/wp-json\/wp\/v2\/media\/7831"}],"wp:attachment":[{"href":"https:\/\/neuropediatoolkit.org\/ja\/wp-json\/wp\/v2\/media?parent=7820"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/neuropediatoolkit.org\/ja\/wp-json\/wp\/v2\/categories?post=7820"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/neuropediatoolkit.org\/ja\/wp-json\/wp\/v2\/tags?post=7820"}],"curies":[{"name":"\u3046\u30fc\u3093","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}