{"id":7197,"date":"2022-07-01T09:00:35","date_gmt":"2022-07-01T00:00:35","guid":{"rendered":"https:\/\/wp.meccari.jp\/?p=7197"},"modified":"2024-02-26T11:17:47","modified_gmt":"2024-02-26T02:17:47","slug":"menu_40","status":"publish","type":"post","link":"https:\/\/wp.meccari.jp\/eigocafe\/menu_40\/","title":{"rendered":"Menu 40\u3000\u6d6e\u816b\u306b\u95a2\u3059\u308b\u82f1\u8a9e\u8868\u73fe"},"content":{"rendered":"\"\"\r\n

\u3053\u3093\u306b\u3061\u306f\u3002\u300c\u533b\u5b66\u82f1\u8a9e\u30ab\u30d5\u30a7<\/strong><\/span>\u300d\u306b\u3088\u3046\u3053\u305d\uff01<\/span><\/p>\r\n

\u3053\u3053\u306f\u300c\u30b3\u30fc\u30d2\u30fc1\u676f\u5206\u300d\u306e\u6642\u9593\u3067\u3001\u533b\u5b66\u82f1\u8a9e\u306b\u307e\u3064\u308f\u308b\u8a71\u3092\u6c17\u8efd\u306b\u697d\u3057\u3093\u3067\u3044\u305f\u3060\u304f\u30b3\u30fc\u30ca\u30fc\u3067\u3059\u3002<\/span><\/p>\r\n

\u672c\u65e5\u306e\u30c6\u30fc\u30de\u306f\u300c\u6d6e\u816b\u306b\u95a2\u3059\u308b\u82f1\u8a9e\u8868\u73fe<\/strong><\/span>\u300d\u3002<\/span><\/p>\r\n

\u4e00\u822c\u7684\u306b\u300c\u3080\u304f\u307f<\/strong>\u300d\u3068\u547c\u3070\u308c\u308b\u300c\u6d6e\u816b<\/strong>\u300d\u3067\u3059\u304c\u3001\u3053\u308c\u3082\u533b\u5b66\u6559\u80b2\u30e2\u30c7\u30eb\u30fb\u30b3\u30a2\u30fb\u30ab\u30ea\u30ad\u30e5\u30e9\u30e0\u306b\u3042\u308b\u7fd2\u5f97\u3059\u3079\u304d37\u306e\u75c7\u5019\u306e\u4e00\u3064\u3067\u3059\u3002\u3057\u304b\u3057\u3053\u306e\u6d6e\u816b\u306b\u95a2\u3059\u308b\u533b\u7642\u9762\u63a5\u3092\u5b9f\u969b\u306b\u82f1\u8a9e\u3067\u3084\u3063\u3066\u307f\u3088\u3046\u3068\u3059\u308b\u3068\u3001\u305d\u306e\u75c5\u614b\u751f\u7406\u3084\u9451\u5225\u75be\u60a3\u304c\u8907\u96d1\u306a\u305f\u3081\u3001\u533b\u7642\u9762\u63a5\u3067\u306f\u610f\u5916\u3068\u96e3\u3057\u3044\u75c7\u72b6\u3068\u3082\u8a00\u3048\u307e\u3059\u3002<\/span><\/p>\r\n

\u305d\u3053\u3067\u4eca\u6708\u306f\u5916\u6765\u3067\u300c\u6d6e\u816b<\/strong>\u300d\u3092\u4e3b\u8a34\u3068\u3059\u308b\u60a3\u8005\u3055\u3093\u304c\u6765\u9662\u3057\u305f\u5834\u9762\u3092\u60f3\u5b9a\u3057\u3066\u3001\u300c\u6d6e\u816b\u306b\u95a2\u3059\u308b\u82f1\u8a9e\u8868\u73fe<\/strong>\u300d\u3092\u3067\u304d\u308b\u3060\u3051\u308f\u304b\u308a\u3084\u3059\u304f\u3054\u7d39\u4ecb\u3057\u305f\u3044\u3068\u601d\u3044\u307e\u3059\u3002<\/span><\/p>\r\n

\u300c\u307e\u3076\u305f\u304c\u3080\u304f\u3093\u3067\u3044\u308b<\/strong>\u300d\u306f\u82f1\u8a9e\u3067\u4f55\u3068\u8a00\u3046\uff1f<\/strong><\/span><\/span>
\r\n\u307e\u305a\u306f\u300c\u6d6e\u816b<\/strong>\u300d\u306e\u82f1\u8a9e\u8868\u73fe\u3092\u78ba\u8a8d\u3057\u307e\u3057\u3087\u3046\u3002<\/span><\/p>\r\n

\u7686\u3055\u3093\u3054\u5b58\u77e5\u306e\u901a\u308a\u3001\u300c\u6d6e\u816b<\/strong>\u300d\u306e\u82f1\u8a9e\u8868\u73fe\u306f edema<\/strong><\/span> \u3067\u3059\u3002\u65e5\u672c\u8a9e\u306e\u6587\u8108\u3067\u306f\u300c\u30a8\u30c7\u30de\u300d\u306e\u3088\u3046\u306b\u767a\u97f3\u3055\u308c\u307e\u3059\u304c\u3001\u82f1\u8a9e\u3067\u306e\u767a\u97f3\u306f\u300c\u30a4\u30c7\u30a3<\/strong>\u30fc\u30de\u300d\u306e\u3088\u3046\u306b\u306a\u308a\u307e\u3059\u3002\u65e5\u672c\u3067\u306f\u7c73\u56fd\u5f0f\u306e\u30b9\u30da\u30eb\u304c\u4e00\u822c\u7684\u3067\u3059\u306e\u3067\u3001edema \u3068\u8868\u8a18\u3055\u308c\u308b\u306e\u304c\u4e00\u822c\u7684\u3067\u3059\u304c\u3001\u82f1\u56fd\u5f0f\u306e\u30b9\u30da\u30eb\u3067\u306f oedema<\/strong><\/span> \u3068\u306a\u308a\u307e\u3059\u3002\u3069\u3061\u3089\u306e\u30b9\u30da\u30eb\u3067\u3042\u3063\u3066\u3082\u767a\u97f3\u306f\u540c\u3058\u3088\u3046\u306b\u300c\u30a4\u30c7\u30a3<\/strong>\u30fc\u30de\u300d\u3068\u306a\u308a\u307e\u3059\u3002<\/span><\/p>\r\n

\u65e5\u672c\u8a9e\u306e\u300c\u6d6e\u816b\u300d\u304c\u533b\u5b66\u7528\u8a9e\u3067\u3042\u308b\u306e\u3068\u540c\u69d8\u306b\u3001\u82f1\u8a9e\u306e edema\/oedema \u3082\u533b\u5b66\u7528\u8a9e\u3067\u3059\u3002\u65e5\u672c\u8a9e\u306e\u300c\u3080\u304f\u307f<\/strong>\u300d\u306b\u5bfe\u5fdc\u3059\u308b\u4e00\u822c\u7528\u8a9e\u3068\u3057\u3066\u306f swelling<\/strong><\/span> \u304c\u3042\u308a\u307e\u3059\u3002\u3053\u306e swelling \u306f\u540d\u8a5e<\/strong>\u3067\u3059\u306e\u3067\u3001 \u201cWhen did the swelling<\/strong> start?\u201d \u306e\u3088\u3046\u306b\u4f7f\u308f\u308c\u307e\u3059\u3002\u5f62\u5bb9\u8a5e<\/strong>\u306e\u300c\u3080\u304f\u3093\u3067\u3044\u308b<\/strong>\u30fb\u816b\u308c\u3066\u3044\u308b<\/strong>\u300d\u306f swollen<\/strong><\/span> \u3068\u306a\u308a\u307e\u3059\u306e\u3067\u3001\u300c\u3080\u304f\u3093\u3060<\/strong>\u9854\u300d\u306f swollen<\/strong> face \u3068\u8868\u73fe\u3055\u308c\u307e\u3059\u3002\u3067\u3059\u304b\u3089\u300c\u4e21\u811a\u304c\u3080\u304f\u3093\u3067<\/strong>\u3044\u307e\u3059\u304b\uff1f\u300d\u306f\u201cAre your legs swelling?\u201d \u3067\u306f\u306a\u304f\u3001\u201cAre your legs swollen<\/strong>?\u201d \u3068\u306a\u308a\u307e\u3059\u3002\u3053\u306e swelling \u3068 swollen \u3092\u6df7\u540c\u3057\u3066\u4f7f\u308f\u308c\u308b\u65b9\u304c\u591a\u3044\u306e\u3067\u3001\u610f\u8b58\u3057\u3066\u6b63\u3057\u304f\u4f7f\u3046\u3088\u3046\u306b\u3057\u3066\u304f\u3060\u3055\u3044\u3002<\/span><\/p>\r\n

\u6d6e\u816b\u304c\u5c40\u6240\u7684\u306b\u51fa\u73fe\u3059\u308b\u300c\u5c40\u6240\u6027\u6d6e\u816b<\/strong>\u300d\u306f local \u3084 regional \u3092\u4f7f\u308f\u305a\u306b peripheral edema<\/strong><\/span> \u3068\u547c\u3070\u308c\u3001\u5168\u8eab\u306b\u51fa\u73fe\u3059\u308b\u300c\u5168\u8eab\u6027\u6d6e\u816b<\/strong>\u300d\u306f generalized edema<\/strong><\/span> \u3084 anasarca<\/strong><\/span>\uff08\u300c\u30a2\u30ca\u30b5<\/strong>\u30a1\u30ab\u300d\u306e\u3088\u3046\u306a\u767a\u97f3\uff09\u3068\u547c\u3070\u308c\u307e\u3059\u3002\u3053\u306e anasarca \u304c\u6700\u521d\u306b\u51fa\u73fe\u3059\u308b\u90e8\u4f4d\u3068\u3057\u3066\u306f\u300c\u4e0a\u773c\u77bc<\/strong>\u300d upper eyelids<\/strong> \u304c\u3042\u308a\u307e\u3059\u304c\u3001\u300c\u307e\u3076\u305f\u304c\u3080\u304f\u3093\u3067\u3044\u308b<\/strong>\u300d\u3068\u3044\u3046\u5834\u5408\u3001\u82f1\u8a9e\u3067\u306f puffy eyes<\/strong><\/span> \u3068\u3044\u3046\u8868\u73fe\u304c\u4f7f\u308f\u308c\u307e\u3059\u3002\u3082\u3061\u308d\u3093\u5148\u307b\u3069\u7d39\u4ecb\u3057\u305f swollen \u3092\u4f7f\u3063\u3066 swollen eyelids<\/strong> \u3068\u8868\u73fe\u3057\u3066\u3082\u826f\u3044\u306e\u3067\u3059\u304c\u3001\u305d\u306e\u5834\u5408\u306b\u306f\u300c\u3082\u306e\u3082\u3089\u3044<\/strong>\u300dstye<\/strong> \u3084\u300c\u7d50\u819c\u708e<\/strong>\u300dconjunctivitis<\/strong>\/pink eye<\/strong> \u306a\u3069\u708e\u75c7<\/strong>\u306b\u3088\u308b peripheral edema \u304c\u60f3\u8d77\u3055\u308c\u308b\u306e\u3067\u3001anasarca \u306b\u3088\u3063\u3066\u307e\u3076\u305f\u304c\u300c\u3080\u304f\u3093\u3067\u3044\u308b<\/strong>\u300d\u3068\u3044\u3046\u30cb\u30e5\u30a2\u30f3\u30b9\u3092\u8868\u73fe\u3057\u305f\u3044\u5834\u5408\u306b\u306f puffy eyes<\/strong> \u306e\u65b9\u304c\u9069\u5207\u306a\u8868\u73fe\u3068\u8a00\u3048\u307e\u3059\u3002\u307e\u305f\u300c\u76ee\u306e\u4e0b\u306e\u305f\u308b\u307f<\/strong>\u300d\u306f\u82f1\u8a9e\u3067\u306f bags under eyes<\/strong><\/span> \u3084 under-eye bags<\/strong><\/span> \u306a\u3069\u3068\u8868\u73fe\u3055\u308c\u307e\u3059\u3002<\/span><\/p>\r\n

\u811a\u304c\u3080\u304f\u3093\u3067\u300c\u3075\u304f\u3089\u306f\u304e<\/strong>\u300dcalf<\/strong> \u3068\u300c\u8db3\u9996<\/strong>\u300dankle<\/strong> \u306e\u5883\u754c\u304c\u306a\u304f\u306a\u3063\u3066\u898b\u3048\u308b\u72b6\u614b\u3092 cankle<\/strong><\/span> (= ca<\/strong>lf + ankle<\/strong>) \u3068\u3044\u3046\u6163\u7528\u8868\u73fe\u3067\u8868\u3059\u5834\u5408\u3082\u3042\u308a\u307e\u3059\u3002\u305d\u3057\u3066\u4e0b\u80a2\u306e\u6d6e\u816b\u3092\u6539\u5584\u3059\u308b\u305f\u3081\u306b\u300c\u5f3e\u6027\u30b9\u30c8\u30c3\u30ad\u30f3\u30b0<\/strong>\u300d\u304c\u4f7f\u308f\u308c\u307e\u3059\u304c\u3001\u3053\u306e\u82f1\u8a9e\u306f elastic stockings \u3067\u306f\u306a\u304f\u3001\u300c\u5727\u8feb\u3059\u308b<\/strong>\u30b9\u30c8\u30c3\u30ad\u30f3\u30b0\u300d\u3068\u3044\u3046\u30a4\u30e1\u30fc\u30b8\u306e compression stockings<\/strong><\/span> \u3068\u306a\u308b\u306e\u3067\u3054\u6ce8\u610f\u3092\u3002<\/span><\/p>\r\n

\u30d9\u30c3\u30c9\u30b5\u30a4\u30c9\u3067\u3082\u601d\u3044\u51fa\u305d\u3046\uff01\u6d6e\u816b\u306e\u75c5\u614b\u751f\u7406<\/strong><\/span>
\r\n\u3067\u306f\u6b21\u306b\u6d6e\u816b<\/strong>\u306e\u300c\u75c5\u614b\u751f\u7406<\/strong>\u300dpathophysiology<\/strong> \u3092\u898b\u3066\u3044\u304d\u307e\u3057\u3087\u3046\u3002<\/span><\/p>\r\n

\u7686\u3055\u3093\u3082\u751f\u7406\u5b66 physiology \u306e\u6388\u696d\u3067\u300c\u30b9\u30bf\u30fc\u30ea\u30f3\u30b0\u306e\u6cd5\u5247<\/strong>\u300dStarling\u2019s Law<\/strong><\/span> \u3092\u5b66\u3093\u3060\u3053\u3068\u3068\u601d\u3044\u307e\u3059\u3002\u3053\u308c\u3092\u6d6e\u816b\u306b\u95a2\u9023\u3055\u305b\u3066\u79c1\u306a\u308a\u306b\u7c21\u5358\u306b\u8aac\u660e\u3055\u305b\u3066\u3044\u305f\u3060\u304f\u3068\u4e0b\u8a18\u306e\u3088\u3046\u306b\u306a\u308a\u307e\u3059\u3002<\/span><\/p>\r\n

\u300c\u6d6e\u816b<\/strong>\u300dedema<\/strong><\/span> \u306e\u5b9a\u7fa9\u306f\u300c\u9593\u8cea\u306b\u6db2\u4f53\u304c\u8caf\u7559\u3059\u308b\u3053\u3068<\/strong>\u300daccumulation of fluid in the interstitial space<\/strong><\/span> \u3067\u3059\u3002\u305d\u3057\u3066\u3053\u306e\u9593\u8cea\u306e\u6db2\u4f53\u306e\u91cf\u306f\u4e0b\u8a18\u306e4\u3064\u306e\u8981\u7d20\u3067\u6c7a\u307e\u308a\u307e\u3059\u3002<\/span>
\r\n
\r\n\u2022<\/strong> \u6bdb\u7d30\u8840\u7ba1\u5185\u5727\u3067\u3042\u308b\u300c\u9759\u6c34\u5727<\/strong>\u300dhydrostatic pressure<\/strong><\/span>
\r\n\u2022<\/strong> \u8840\u6db2\u306e\u300c\u81a0\u8cea\u6d78\u900f\u5727<\/strong>\u300dosmotic pressure<\/strong><\/span>
\r\n\u2022<\/strong> \u300c\u6bdb\u7d30\u8840\u7ba1\u306e\u900f\u904e\u6027<\/strong>\u300dcapillary permeability<\/strong><\/span>
\r\n\u2022<\/strong> \u300c\u30ea\u30f3\u30d1\u7ba1\u5185\u306e\u5727\u529b<\/strong>\u300dlymph capillary pressure<\/strong><\/span>
\r\n<\/span>
\r\n\u3064\u307e\u308a edema \u306e\u75c5\u614b\u751f\u7406\u3068\u3057\u3066\u306f\u4e0b\u8a18\u306e4\u3064\u3092\u8003\u3048\u308c\u3070\u826f\u3044\u306e\u3067\u3059\u3002<\/span>
\r\n
\r\n\u2022<\/strong> \u300c\u9759\u6c34\u5727\u306e\u4e0a\u6607<\/strong>\u300dincreased hydrostatic pressure<\/strong><\/span> \u306b\u3088\u308b\u6d6e\u816b
\r\n\u2022<\/strong> \u300c\u81a0\u8cea\u6d78\u900f\u5727\u306e\u4f4e\u4e0b<\/strong>\u300ddecreased osmotic pressure<\/strong><\/span> \u306b\u3088\u308b\u6d6e\u816b
\r\n\u2022<\/strong> \u300c\u6bdb\u7d30\u8840\u7ba1\u900f\u904e\u6027\u306e\u4ea2\u9032<\/strong>\u300dincreased capillary permeability<\/strong><\/span> \u306b\u3088\u308b\u6d6e\u816b
\r\n\u2022<\/strong> \u300c\u30ea\u30f3\u30d1\u7ba1\u306e\u9589\u585e<\/strong>\u300dlymphatic obstruction<\/strong><\/span> \u306b\u3088\u308b\u6d6e\u816b
\r\n<\/span>
\r\n\u3053\u306e4\u3064\u3092\u3068\u308a\u3042\u3048\u305a\u62bc\u3055\u3048\u3066\u304a\u3051\u3070\u3001Starling\u2019s Law \u306e\u8907\u96d1\u306a\u8a08\u7b97\u5f0f\u3092\u899a\u3048\u3066\u3044\u306a\u304f\u3066\u3082\u3001\u30d9\u30c3\u30c9\u30b5\u30a4\u30c9\u3067\u60a3\u8005\u3055\u3093\u306e\u6d6e\u816b\u3092\u898b\u306a\u304c\u3089\u305d\u308c\u304c\u3069\u3093\u306a\u75c5\u614b\u751f\u7406\u3067\u8d77\u3053\u3063\u3066\u3044\u308b\u306e\u304b\u3092\u8003\u3048\u308b\u3053\u3068\u304c\u53ef\u80fd\u3067\u3059\u3002<\/span><\/p>\r\n

\u300c\u9759\u6c34\u5727\u306e\u4e0a\u6607<\/strong>\u300dincreased hydrostatic pressure<\/strong><\/span> \u306e\u539f\u56e0\u3068\u3057\u3066\u306f\u3001\u307e\u305a\u306f volume expansion<\/strong><\/span> \u3068\u3057\u3066\u4e0b\u8a18\u306e\u3088\u3046\u306a\u3082\u306e\u3092\u8003\u3048\u307e\u3057\u3087\u3046\u3002<\/span><\/p>\r\n

Increased Hydrostatic Pressure: Volume Expansion<\/strong><\/span><\/span>
\r\n\u3000\u3000<\/em>o \u814e\u4e0d\u5168<\/strong>\uff1akidney failure<\/strong>
\r\n\u3000\u3000<\/em>o \u598a\u5a20<\/strong>\uff1apregnancy<\/strong>
\r\n\u3000\u3000<\/em>o non-steroidal anti-inflammatory drugs<\/strong> (NSAIDs<\/strong>)
\r\nibuprofen \u306b\u4ee3\u8868\u3055\u308c\u308bNSAIDs \u306f\u4f53\u6db2\u8caf\u7559\u50be\u5411\u304c\u3042\u308b\u306e\u3067 volume expansion \u306b\u3088\u308b increased hydrostatic pressure \u3068\u306a\u308a\u307e\u3059\u304c\u3001\u964d\u5727\u5264\u3067\u3042\u308b calcium-channel blockers<\/strong><\/span> (\u7279\u306b dihydropyridine calcium-channel blockers) \u306f\u52d5\u8108\u3092\u62e1\u5f35\u3059\u308b artery vasodilation<\/strong><\/span> \u306b\u3088\u3063\u3066\u751f\u3058\u308b increased hydrostatic pressure \u3068\u306a\u308a\u307e\u3059\u3002<\/span><\/p>\r\n

\u307e\u305f\u9759\u8108\u3067\u8840\u6db2\u304c\u9b31\u6ede\u3059\u308b\u3053\u3068\u306b\u3088\u3063\u3066 increased hydrostatic pressure \u3068\u306a\u308b venous obstruction<\/strong><\/span> \u3068\u3057\u3066\u306f\u4e0b\u8a18\u306e\u3088\u3046\u306a\u3082\u306e\u304c\u3042\u308a\u307e\u3059\u3002\u305d\u3057\u3066\u3053\u308c\u3089\u306e\u6d6e\u816b\u306f anasarca \u3067\u306f\u306a\u304f\u3001 peripheral edema \u3068\u306a\u308b\u3053\u3068\u304c\u4e00\u822c\u7684\u3067\u3059\u3002<\/span><\/p>\r\n

Increased Hydrostatic Pressure: Venous Obstruction<\/strong><\/span>
\r\n\u3000\u3000<\/em>o \u5fc3\u4e0d\u5168<\/strong>\uff1aheart failure<\/strong>
\r\n\u3000\u3000<\/em>o \u6df1\u90e8\u9759\u8108\u8840\u6813\u75c7<\/strong>\uff1adeep vein thrombosis<\/strong>
\r\n\u3000\u3000<\/em>o \u6162\u6027\u9759\u8108\u4e0d\u5168<\/strong>\uff1achronic venous insufficiency<\/strong>
\r\n\u3000\u3000<\/em>o \u4e0a\u5927\u9759\u8108\u75c7\u5019\u7fa4<\/strong>\uff1asuperior vena cava syndrome<\/strong>
\r\n<\/span>
\r\n\u6b21\u306b\u300c\u81a0\u8cea\u6d78\u900f\u5727\u306e\u4f4e\u4e0b<\/strong>\u300ddecreased osmotic pressure<\/strong><\/span> \u306e\u539f\u56e0\u3092\u898b\u3066\u3044\u304d\u307e\u3057\u3087\u3046\u3002\u3053\u308c\u306f\u81a0\u8cea\u6d78\u900f\u5727\u3092\u7dad\u6301\u3059\u308b\u300c\u30a2\u30eb\u30d6\u30df\u30f3<\/strong>\u300dalbumin<\/strong> \u306e\u6e1b\u5c11\u304c\u4e3b\u306a\u8981\u56e0\u3067\u3059\u306e\u3067\u3001\u305d\u306e\u539f\u56e0\u306b\u306f\u4e0b\u8a18\u306e\u3088\u3046\u306a\u3082\u306e\u304c\u3042\u308a\u307e\u3059\u3002<\/span><\/p>\r\n

Decreased Osmotic Pressure<\/strong><\/span>
\r\n\u3000\u3000<\/em>o \u809d\u786c\u5909<\/strong>\uff1aliver cirrhosis<\/strong>
\r\n\u3000\u3000<\/em>o \u30cd\u30d5\u30ed\u30fc\u30bc\u75c7\u5019\u7fa4<\/strong>\uff1anephrotic syndrome<\/strong>
\r\n\u3000\u3000<\/em>o \u4f4e\u6804\u990a<\/strong>\uff1amalnutrition<\/strong>
\r\n<\/span>
\r\n\u300c\u6bdb\u7d30\u8840\u7ba1\u900f\u904e\u6027\u306e\u4ea2\u9032<\/strong>\u300dincreased capillary permeability<\/strong><\/span> \u3067\u306f\u3001\u708e\u75c7\u306a\u3069\u304c\u539f\u56e0\u3067\u30bf\u30f3\u30d1\u30af\u8cea\u3092\u591a\u304f\u542b\u3080\u300c\u6ef2\u51fa\u6db2<\/strong>\u300dexudate<\/strong><\/span> \u304c\u9593\u8cea\u306b\u8caf\u7559\u3057\u307e\u3059\u3002\u3053\u308c\u304c\u300c\u6f0f\u51fa\u6db2<\/strong>\u300dtransudate<\/strong><\/span> \u304c\u9593\u8cea\u306b\u8caf\u7559\u3059\u308b\u4ed6\u306e\u75c5\u614b\u751f\u7406\u3068\u306e\u9055\u3044\u3068\u306a\u308a\u307e\u3059\u3002<\/span>
\r\n
\r\nIncreased Capillary Permeability<\/strong><\/span>
\r\n\u3000\u3000<\/em>o \u8702\u7aa9\u7e54\u708e<\/strong>\u30fb\u8702\u5de3\u708e<\/strong>\uff1acellulitis<\/strong>
\r\n\u3000\u3000<\/em>o \u6557\u8840\u75c7<\/strong>\uff1asepsis<\/strong>
\r\n\u3000\u3000<\/em>o \u8840\u7ba1\u6027\u6d6e\u816b<\/strong>\uff1aangioedema<\/strong>\/Quincke\u2019s edema<\/strong>
\r\n<\/span>
\r\n\u6700\u5f8c\u304c\u300c\u30ea\u30f3\u30d1\u7ba1\u306e\u9589\u585e<\/strong>\u300dlymphatic obstruction<\/strong><\/span> \u3067\u3059\u304c\u3001\u3053\u308c\u306b\u3088\u308b\u6d6e\u816b\u306f\u300c\u30ea\u30f3\u30d1\u6d6e\u816b<\/strong>\u300dlymphedema<\/strong><\/span> \u3068\u547c\u3070\u308c\u307e\u3059\u3002\u3053\u308c\u306f\u300c\u30ea\u30e0\u30d5\u30a4\u30c7\u30a3<\/strong>\u30fc\u30de\u300d\u306e\u3088\u3046\u306a\u767a\u97f3\u306b\u306a\u308a\u307e\u3059\u3002lymphedema \u306e m \u306e\u767a\u97f3\u306f\u65e5\u672c\u8a9e\u306e\u300c\u30f3\u300d\u306e\u3088\u3046\u306b\u306f\u306a\u3089\u306a\u3044\u306e\u3067\u6ce8\u610f\u3057\u3066\u304f\u3060\u3055\u3044\u3002\u305d\u3057\u3066\u3053\u306e lymphedema\u306e\u6700\u3082\u591a\u3044\u539f\u56e0\u304c\u60aa\u6027\u816b\u760d malignancy \u306b\u4f34\u3046\u300c\u30ea\u30f3\u30d1\u7bc0\u90ed\u6e05<\/strong>\u300dlymphadenectomy<\/strong><\/span> \u3067\u3059\u3002<\/span>
\r\n
\r\nLymphatic Obstruction<\/strong>\/Lymphedema<\/strong><\/span>
\r\n\u3000\u3000<\/em>o \u60aa\u6027\u816b\u760d &\u30ea\u30f3\u30d1\u7bc0\u90ed\u6e05<\/strong>\uff1amalignancy & lymphadenectomy<\/strong>
\r\n\u3000\u3000<\/em>o \u30d5\u30a3\u30e9\u30ea\u30a2\u75c7<\/strong>\uff1afilariasis<\/strong>
\r\n
\r\n\u4ee5\u4e0a\u304c\u6d6e\u816b\u306e\u75c5\u614b\u751f\u7406\u306e\u6982\u8981\u3067\u3059\u3002
\r\n<\/span>
\r\n\u3053\u306e\u3088\u3046\u306b\u3080\u304f\u307f\u3092\u898b\u305f\u3089\u300c\u6c34\u5206\u304c\u591a\u3044\u306e\u304b\u306a\uff1f<\/strong>\u300d\u300c\u9759\u8108\u306e\u6d41\u308c\u304c\u60aa\u3044\u306e\u304b\u306a\uff1f<\/strong>\u300d\u300c\u30a2\u30eb\u30d6\u30df\u30f3\u304c\u5c11\u306a\u3044\u306e\u304b\u306a\uff1f<\/strong>\u300d\u300c\u708e\u75c7\u306a\u306e\u304b\u306a\uff1f<\/strong>\u300d\u305d\u308c\u3068\u3082\u300c\u30ea\u30f3\u30d1\u7ba1\u304c\u8a70\u307e\u3063\u3066\u3044\u308b\u306e\u304b\u306a\uff1f<\/strong>\u300d\u3068\u3044\u3046\u3053\u3068\u3092\u30d9\u30c3\u30c9\u30b5\u30a4\u30c9\u3067\u8003\u3048\u308b\u3088\u3046\u306b\u3057\u307e\u3057\u3087\u3046\u3002<\/span><\/span><\/p>\r\n

\u899a\u3048\u3066\u304a\u304d\u305f\u3044 non-pitting edema \u306e\u539f\u56e0<\/strong><\/span>
\r\n\u7686\u3055\u3093\u3082\u6388\u696d\u3067\u5b66\u3093\u3060\u3088\u3046\u306b\u3001\u6d6e\u816b\u306e\u9451\u5225\u3067\u91cd\u8981\u306b\u306a\u308b\u306e\u304c\u300c\u5727\u75d5\u6027\u6d6e\u816b<\/strong>\u300dpitting edema<\/strong><\/span> \u3068\u300c\u975e\u5727\u75d5\u6027\u6d6e\u816b<\/strong>\u300dnon-pitting edema<\/strong><\/span> \u306e\u533a\u5225\u3067\u3059\u3002\u3053\u306e pit<\/strong> \u3068\u3044\u3046\u306e\u306f\u300c\u51f9\u307f<\/strong>\u300d\u3068\u3044\u3046\u30a4\u30e1\u30fc\u30b8\u306e\u5358\u8a9e\u3067\u3001\u30ab\u30fc\u30ec\u30fc\u30b9\u306e\u969b\u306b\u8eca\u304c\u7d66\u6cb9\u3084\u4fee\u7406\u3092\u3067\u304d\u308b\u300c\u4f4e\u3044\u5834\u6240<\/strong>\u300d\u306f pit<\/strong> \u3068\u547c\u3070\u308c\u307e\u3059\u3057\u3001\u8155\u306e\u4e0b\u3067\u51f9\u307f\u3068\u306a\u3063\u3066\u3044\u308b\u300c\u8107\u306e\u4e0b<\/strong>\u300d\u306f armpit<\/strong> \u3068\u547c\u3070\u308c\u307e\u3059\u3002\u3053\u3053\u304b\u3089 pit \u306f\u52d5\u8a5e\u3068\u3057\u3066\u306f\u300c\u51f9\u307f\u3092\u4f5c\u308b<\/strong>\u300d\u3068\u3044\u3046\u30a4\u30e1\u30fc\u30b8\u306b\u306a\u308b\u306e\u3067\u3059\u3002<\/span>
\r\n
\r\n\u6307\u3092\u6570\u79d2\u9593\u62bc\u3057\u3064\u3051\u305f\u5f8c\u306b\u300c\u51f9\u307f\u300d\u304c\u6b8b\u308b\u6d6e\u816b\u3092\u300c\u5727\u75d5\u6027\u6d6e\u816b<\/strong>\u300dpitting edema<\/strong> \u3068\u547c\u3073\u307e\u3059\u304c\u3001edema \u306e\u307b\u3068\u3093\u3069\u304c\u3053\u306e pitting edema<\/strong> \u3067\u3059\u3002\u300c\u51f9\u307f\u300d\u304c\u6b8b\u3089\u305a\u3001\u6307\u306e\u5727\u8feb\u3092\u8df3\u306d\u8fd4\u3059\u6d6e\u816b\u3092\u300c\u975e\u5727\u75d5\u6027\u6d6e\u816b<\/strong>\u300dnon-pitting edema<\/strong> \u3068\u547c\u3073\u307e\u3059\u304c\u3001\u3053\u306e\u539f\u56e0\u306f\u4e0b\u8a18\u306e3\u3064\u3067\u3059\u3002<\/span>
\r\n
\r\nNon-Pitting Edema<\/strong><\/span>
\r\n\u3000\u3000<\/em>o \u7c98\u6db2\u6c34\u816b<\/strong>\uff1amyxedema<\/strong><\/span> (caused by hypothyroidism<\/strong>)
\r\n\u3000\u3000<\/em>o \u524d\u811b\u90e8\u7c98\u6db2\u6c34\u816b<\/strong>\uff1apretibial myxedema<\/strong><\/span> (caused by Graves\u2019 disease<\/strong>)
\r\n\u3000\u3000<\/em>o \u30ea\u30f3\u30d1\u6d6e\u816b<\/strong>\uff1alymphedema<\/strong><\/span> (caused by lymphadenectomy<\/strong>)
\r\n<\/span>
\r\n\u300c\u7c98\u6db2\u6c34\u816b<\/strong>\u300dmyxedema<\/strong><\/span> \u306f\u3001\u6c34\u5206\u3092\u591a\u304f\u542b\u3080\u300c\u30e0\u30b3\u591a\u7cd6\u985e<\/strong>\u300dmucopolysaccharides<\/strong> \u304c\u76ae\u4e0b\u306b\u8caf\u7559\u3057\u305f\u72b6\u614b\u3067\u3059\u3002\u9593\u8cea\u306b\u6db2\u4f53\u304c\u8caf\u7559\u3059\u308b pitting edema \u3068\u306f\u7570\u306a\u308a\u3001\u3053\u306e mucopolysaccharides \u304c\u62bc\u3057\u3064\u3051\u305f\u6307\u3092\u8df3\u306d\u8fd4\u3059\u305f\u3081\u306b non-pitting edema<\/strong> \u3068\u306a\u308a\u307e\u3059\u3002\u5168\u8eab\u306e\u4ee3\u8b1d\u304c\u4f4e\u4e0b\u3059\u308b\u300c\u7532\u72b6\u817a\u6a5f\u80fd\u4f4e\u4e0b\u75c7<\/strong>\u300dhypothyroidism<\/strong><\/span> \u3067\u306f\u3001\u91cd\u75c7\u5316\u3059\u308b\u3068\u5168\u8eab\u306b\u3053\u306e myxedema<\/strong> \u304c\u73fe\u308c\u307e\u3059\u3002<\/span><\/p>\r\n

\u3053\u308c\u306b\u5bfe\u3057\u3066\u811b\uff08\u3059\u306d\uff09\u306b\u9650\u5c40\u3057\u305f\u300c\u524d\u811b\u90e8\u7c98\u6db2\u6c34\u816b<\/strong>\u300dpretibial myxedema<\/strong><\/span> \u306f\u3001\u300c\u7532\u72b6\u817a\u6a5f\u80fd\u4ea2\u9032\u75c7<\/strong>\u300dhyperthyroidism<\/strong> \u306e\u4ee3\u8868\u75be\u60a3\u3067\u3042\u308b\u300c\u30d0\u30bb\u30c9\u30a6\u75c5<\/strong>\u300d\u306b\u7279\u6709\u3068\u306a\u308a\u307e\u3059\u3002\u8aad\u8005\u306e\u7686\u3055\u3093\u3082\u3054\u5b58\u77e5\u3068\u601d\u3044\u307e\u3059\u304c\u3001\u82f1\u8a9e\u570f\u3067\u306f\u30c9\u30a4\u30c4\u4eba\u533b\u5e2b\u306b\u7531\u6765\u3059\u308b Basedow\u2019s disease \u3068\u3044\u3046\u8868\u73fe\u306f\u4f7f\u308f\u308c\u305a\u3001\u82f1\u56fd\u4eba\u533b\u5e2b\u306e\u540d\u524d\u306b\u7531\u6765\u3059\u308b Graves\u2019 disease<\/strong><\/span> \u3068\u3044\u3046\u8868\u73fe\uff08Graves \u304c\u540d\u524d\u3067\u3059\u306e\u3067\u3001Grave\u2019s \u3067\u306f\u306a\u304f Graves\u2019 \u3068\u306a\u308a\u307e\u3059\uff09\u304c\u4f7f\u308f\u308c\u307e\u3059\u3002<\/span>
\r\n
\r\n\u3061\u306a\u307f\u306b\u3053\u306e Graves\u2019 disease \u306b\u7279\u6709\u306e\u75c7\u72b6\u3068\u3057\u3066\u3001\u3053\u306e pretibial myxedema \u4ee5\u5916\u306b\u3082\u300c\u773c\u7403\u7a81\u51fa<\/strong>\u300dexophthalmos<\/strong>\/proptosis<\/strong> \u304c\u3042\u308a\u307e\u3059\u3002\u305d\u3057\u3066\u3053\u306e\u3042\u308b\u5834\u5408\u306b\u967d\u6027\u3068\u306a\u308b von Graefe sign<\/strong> \u306f\u3001\u82f1\u8a9e\u570f\u306e\u82e5\u3044\u533b\u5e2b\u3084\u533b\u5b66\u751f\u305f\u3061\u304b\u3089\u306f\u5358\u7d14\u306b lid lag<\/strong> \uff08\u4e0b\u65b9\u3092\u898b\u305f\u6642\u306b\u773c\u7403\u306e\u52d5\u304d\u3068\u773c\u77bc\uff08lid<\/strong>\uff09\u306e\u52d5\u304d\u306b\u5dee\uff08lag<\/strong>\uff09\u304c\u51fa\u3066\u3001\u4e00\u77ac\u767d\u76ee\u304c\u898b\u3048\u308b\u3053\u3068\uff09\u3068\u547c\u3070\u308c\u307e\u3059\u3002von Graefe sign\u306e\u3088\u3046\u306b\u4eba\u306e\u540d\u524d\u304c\u3064\u3044\u305f\u8868\u73fe\u3092\u82f1\u8a9e\u3067\u306f eponym<\/strong> \u3068\u8a00\u3044\u307e\u3059\u3002\u533b\u5b66\u306b\u3082\u6570\u591a\u304f\u306e medical eponyms \u304c\u5b58\u5728\u3057\u307e\u3059\u304c\u3001\u767a\u898b\u3057\u305f\u4eba\u7269\u306e\u80cc\u666f\u77e5\u8b58\u304c\u306a\u3044\u3068\u4f1d\u308f\u3089\u306a\u3044\u3053\u3068\u304c\u591a\u3044\u306e\u3067\u3001\u6700\u8fd1\u306f lid lag \u306e\u3088\u3046\u306a\u3088\u308a\u76f4\u63a5\u7684\u306a\u8868\u73fe\u306e\u65b9\u304c\u597d\u307e\u308c\u3066\u3044\u308b\u50be\u5411\u306b\u3042\u308a\u307e\u3059\u3002<\/span>
\r\n
\r\n\u305d\u3057\u3066 non-pitting edema \u306e\u3082\u3046\u4e00\u3064\u306e\u539f\u56e0\u304c\u300c\u30ea\u30f3\u30d1\u6d6e\u816b<\/strong>\u300dlymphedema<\/strong><\/span> \u306a\u306e\u3067\u3059\u3002\u6d6e\u816b\u3092\u6307\u3067\u62bc\u3057\u3064\u3051\u308b\u3068\u3001pitting edema \u3067\u306f\u6db2\u4f53\u304c\u30ea\u30f3\u30d1\u7ba1\u306b\u9003\u3052\u3066\u3044\u304f\u306e\u3067\u3059\u304c\u3001\u3053\u306e\u30ea\u30f3\u30d1\u7ba1\u304c\u9589\u585e\u3057\u3066\u3044\u308b lymphedema \u3067\u306f\u6db2\u4f53\u304c\u30ea\u30f3\u30d1\u7ba1\u306b\u9003\u3052\u3066\u3044\u304f\u3053\u3068\u304c\u3067\u304d\u305a\u3001\u5727\u75d5\u304c\u6b8b\u3089\u306a\u3044\u306e\u3067\u3059\u3002\u3067\u3059\u304b\u3089\u300c\u30ea\u30f3\u30d1\u7bc0\u90ed\u6e05<\/strong>\u300dlymphadenectomy<\/strong><\/span> \u306b\u4f34\u3046\u6d6e\u816b\u306f non-pitting edema \u3068\u306a\u308b\u306e\u3067\u3059\u3002<\/span>
\r\n
\r\n\u4ee5\u4e0a\u3092\u307e\u3068\u3081\u308b\u3068\u300c\u307b\u3068\u3093\u3069\u306e\u6d6e\u816b\u306f pitting edema \u3067\u3042\u308b\u3002non-pitting edema \u306e\u539f\u56e0\u3068\u3057\u3066\u306f\u30e0\u30b3\u591a\u7cd6\u985e\u304c\u5168\u8eab\u306b\u6e9c\u307e\u308b hypothyroidism\u3001\u30e0\u30b3\u591a\u7cd6\u985e\u304c\u811b\u306b\u6e9c\u307e\u308b Graves\u2019 disease\u3001\u305d\u3057\u3066\u30ea\u30f3\u30d1\u7ba1\u304c\u585e\u304c\u308b lymphadenectomy \u304c\u3042\u308b\u3002<\/strong>\u300d\u3068\u3044\u3046\u3053\u3068\u306b\u306a\u308a\u307e\u3059\u3002<\/span>
\r\n
\r\n\u3055\u3066\u3001\u305d\u308d\u305d\u308d\u30ab\u30c3\u30d7\u306e\u30b3\u30fc\u30d2\u30fc\u3082\u6b8b\u308a\u308f\u305a\u304b\u3067\u3059\u3002
\r\n\u6700\u5f8c\u306b\u4eca\u56de\u7d39\u4ecb\u3057\u305f\u300c\u983b\u5ea6\u306e\u9ad8\u3044\u6d6e\u816b\u306e\u9451\u5225\u75be\u60a3<\/strong>\u300d\u3092\u3082\u3046\u4e00\u5ea6\u307e\u3068\u3081\u3066\u304a\u304d\u307e\u3059\u3002<\/span>
\r\n
\r\nCommon Causes of Edema\/Oedema<\/strong><\/span>
\r\n\u2022<\/strong> Increased Hydrostatic Pressure<\/strong><\/span>
\r\n\u3000\u3000<\/em>o Volume Expansion<\/strong>\uff08\u6c34\u5206\u304c\u591a\u3044\u6d6e\u816b<\/strong>\uff09<\/span>
\r\n\u3000\u3000<\/em>\u3000<\/em>▪ Kidney Failure<\/strong>
\r\n\u3000\u3000<\/em>\u3000<\/em>▪ Pregnancy<\/strong>
\r\n\u3000\u3000<\/em>\u3000<\/em>▪ Non-Steroidal Anti-Inflammatory Drugs<\/strong> (NSAIDs<\/strong>)
\r\n\u3000\u3000<\/em>o Venous Obstruction<\/strong>\uff08\u9759\u8108\u306e\u6d41\u308c\u304c\u60aa\u3044\u6d6e\u816b<\/strong>\uff09<\/span>
\r\n\u3000\u3000<\/em>\u3000<\/em>▪ Heart Failure<\/strong> (HF<\/strong>)
\r\n\u3000\u3000<\/em>\u3000<\/em>▪ Deep Vein Thrombosis<\/strong> (DVT<\/strong>)
\r\n\u3000\u3000<\/em>\u3000<\/em>▪ Chronic Venous Insufficiency<\/strong> (CVI<\/strong>)
\r\n\u3000\u3000<\/em>\u3000<\/em>▪ Superior Vena Cava<\/strong> (SVC<\/strong>) Syndrome<\/strong>
\r\n\u2022<\/strong> Decreased Osmotic Pressure<\/strong>\uff08\u30a2\u30eb\u30d6\u30df\u30f3\u304c\u5c11\u306a\u3044\u6d6e\u816b<\/strong>\uff09<\/span>
\r\n\u3000\u3000<\/em>\u3000<\/em>▪ Liver Cirrhosis<\/strong>
\r\n\u3000\u3000<\/em>\u3000<\/em>▪ Nephrotic Syndrome<\/strong>
\r\n\u3000\u3000<\/em>\u3000<\/em>▪ Malnutrition<\/strong>
\r\n\u2022<\/strong> Increased Capillary Permeability<\/strong>\uff08\u708e\u75c7\u306b\u3088\u308b\u6d6e\u816b<\/strong>\uff09<\/span>
\r\n\u3000\u3000<\/em>\u3000<\/em>▪ Cellulitis<\/strong>
\r\n\u3000\u3000<\/em>\u3000<\/em>▪ Sepsis<\/strong>
\r\n\u3000\u3000<\/em>\u3000<\/em>▪ Angioedema<\/strong>\/Quincke\u2019s edema<\/strong>
\r\n\u2022<\/strong> Lymphatic Obstruction<\/strong>\/Lymphedema<\/strong>\uff08\u30ea\u30f3\u30d1\u7ba1\u304c\u8a70\u307e\u3063\u3066\u3044\u308b\u6d6e\u816b<\/strong>\uff09<\/span>
\r\n\u3000\u3000<\/em>\u3000<\/em>▪ Malignancy & Lymphadenectomy<\/strong>
\r\n\u3000\u3000<\/em>\u3000<\/em>▪ Filariasis<\/strong>
\r\n
\r\nNon-Pitting Edema<\/strong>\uff08\u975e\u5727\u75d5\u6027\u6d6e\u816b<\/strong>\uff09<\/span>
\r\n\u2022<\/strong> Myxedema<\/strong>: Hypothyroidism<\/strong>
\r\n\u2022<\/strong> Pretibial Myxedema<\/strong>: Graves\u2019 Disease<\/strong>
\r\n\u2022<\/strong> Lymphedema<\/strong>: Lymphadenectomy<\/strong>
\r\n<\/span><\/p>\r\n

\u3067\u306f\u3001\u307e\u305f\u306e\u3054\u6765\u5e97\u3092\u304a\u5f85\u3061\u3057\u3066\u304a\u308a\u307e\u3059\u3002<\/span><\/p>\r\n

\u300cDr. \u62bc\u5473\u306e\u533b\u5b66\u82f1\u8a9e\u30ab\u30d5\u30a7\u300d\u3067\u306f\u7686\u3055\u3093\u304b\u3089\u6271\u3063\u3066\u6b32\u3057\u3044\u30c8\u30d4\u30c3\u30af\u3092\u52df\u96c6\u3044\u305f\u3057\u307e\u3059\u3002\u3053\u3061\u3089\u306e\u30ea\u30f3\u30af<\/strong><\/span><\/a>\u304b\u3089\u3053\u306e\u30ab\u30d5\u30a7\u3067\u6271\u3063\u3066\u6b32\u3057\u3044\u3068\u601d\u3046\u533b\u5b66\u82f1\u8a9e\u306e\u30c8\u30d4\u30c3\u30af\u3092\u3054\u81ea\u7531\u306b\u8a18\u8f09\u304f\u3060\u3055\u3044\u3002<\/span><\/p>\r\n

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