{"id":9928,"date":"2024-06-03T09:00:57","date_gmt":"2024-06-03T00:00:57","guid":{"rendered":"https:\/\/wp.meccari.jp\/?p=9928"},"modified":"2024-05-23T10:07:09","modified_gmt":"2024-05-23T01:07:09","slug":"menu_63","status":"publish","type":"post","link":"https:\/\/wp.meccari.jp\/eigocafe\/menu_63\/","title":{"rendered":"Menu 63\u3000\u6708\u7d4c\u7570\u5e38\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\u6708\u7d4c\u7570\u5e38\u306b\u95a2\u3059\u308b\u82f1\u8a9e\u8868\u73fe<\/strong><\/span>\u300d\u3067\u3059\u3002<\/span><\/p>\r\n

\u533b\u7642\u9762\u63a5\u306b\u304a\u3044\u3066\u300c\u6708\u7d4c<\/strong>\u300dmenstruation<\/strong> \u306f\u6975\u3081\u3066\u91cd\u8981\u306a\u8cea\u554f\u9805\u76ee\u3067\u3059\u304c\u3001\u305d\u306e\u82f1\u8a9e\u8868\u73fe\u306b\u306f\u65e5\u672c\u306e\u533b\u7642\u8005\u306b\u306f\u99b4\u67d3\u307f\u306e\u306a\u3044\u3082\u306e\u3082\u6570\u591a\u304f\u5b58\u5728\u3057\u307e\u3059\u3002\u533b\u5b66\u6559\u80b2\u30e2\u30c7\u30eb\u30fb\u30b3\u30a2\u30fb\u30ab\u30ea\u30ad\u30e5\u30e9\u30e0\u3067\u3082\u300c\u6708\u7d4c\u7570\u5e38<\/strong>\u300d\u304c\u300c\u8a3a\u7642\u306e\u57fa\u672c\u300d\u306b\u304a\u3051\u308b\u75c7\u72b6\u3068\u3057\u3066\u6319\u3052\u3089\u308c\u3066\u304a\u308a\u3001\u305d\u306e\u9451\u5225\u75be\u60a3\u3092\u8003\u3048\u308b\u4e0a\u3067 PALM-COEIN<\/strong> \u3068\u3044\u3046\u5206\u985e\u304c\u6975\u3081\u3066\u91cd\u8981\u306b\u306a\u308a\u307e\u3059\u304c\u3001\u3053\u306e PALM-COEIN \u3068\u3044\u3046\u82f1\u8a9e\u8868\u73fe\u3092\u7406\u89e3\u3057\u3066\u3044\u308b\u65e5\u672c\u306e\u533b\u7642\u8005\u306f\u6975\u3081\u3066\u5c11\u306a\u3044\u5370\u8c61\u304c\u3042\u308a\u307e\u3059\u3002<\/span><\/p>\r\n

\u305d\u3053\u3067\u4eca\u6708\u306f\u3001\u3053\u306e\u300c\u6708\u7d4c\u7570\u5e38<\/strong>\u300d\u306b\u95a2\u3059\u308b\u82f1\u8a9e\u8868\u73fe\u3092\u3054\u7d39\u4ecb\u3057\u307e\u3059\u3002<\/span><\/p>\r\n

\u300c\u751f\u7406\u7528\u30ca\u30d7\u30ad\u30f3\u300d\u3063\u3066\u82f1\u8a9e\u3067\u4f55\u3068\u8a00\u3046\u306e\uff1f<\/strong><\/span><\/span>
\r\n\u300c\u6708\u7d4c<\/strong>\u300d\u306f\u82f1\u8a9e\u3067\u306f menstruation<\/strong><\/span> \u3068\u306a\u308a\u307e\u3059\u3002\u3053\u306e menstruation \u3092\u77ed\u304f\u3057\u305f menses<\/strong><\/span> \u3068\u3044\u3046\u8868\u73fe\u3082\u3042\u308a\u307e\u3059\u304c\u3001\u3069\u3061\u3089\u3082\u65e5\u672c\u8a9e\u306e\u300c\u6708\u7d4c<\/strong>\u300d\u306e\u3088\u3046\u306b\u5c11\u3057\u5c02\u9580\u7684\u306a\u8868\u73fe\u3068\u306a\u308a\u307e\u3059\u3002<\/span><\/p>\r\n

\u65e5\u672c\u8a9e\u3067\u306f\u300c\u751f\u7406<\/strong>\u300d\u3068\u3044\u3046\u8868\u73fe\u304c\u300c\u6708\u7d4c\u300d\u3088\u308a\u3082\u4e00\u822c\u7684\u306b\u4f7f\u308f\u308c\u307e\u3059\u304c\u3001\u82f1\u8a9e\u3067\u3082\u540c\u69d8\u306b period<\/strong><\/span> \u3068\u3044\u3046\u8868\u73fe\u306e\u65b9\u304c\u4e00\u822c\u7684\u306b\u4f7f\u308f\u308c\u307e\u3059\u3002\u3053\u306e period \u306f menstrual period<\/strong> \u3084 monthly period<\/strong> \u306e\u7701\u7565\u5f62\u306a\u306e\u3067\u3059\u304c\u3001\u524d\u8005\u306e\u65b9\u304c\u3088\u308a\u5c02\u9580\u7684\u3001\u5f8c\u8005\u306e\u65b9\u304c\u4e00\u822c\u7684\u306a\u5370\u8c61\u3092\u4e0e\u3048\u307e\u3059\u3002\u305f\u3060\u60a3\u8005\u3055\u3093\u304c\u8a71\u3059\u969b\u306b\u306f\u3001 \u201cI\u2019m on my period<\/strong>.\u201d \u3084 \u201cI skipped a period<\/strong>.\u201d \u306e\u3088\u3046\u306b period \u5358\u4f53\u3067\u4f7f\u3046<\/strong>\u3068\u3044\u3046\u3053\u3068\u304c\u4e00\u822c\u7684\u3067\u3059\u3002<\/span><\/p>\r\n

\u307e\u305f\u65e5\u672c\u8a9e\u306e\u300c\u6708\u7d4c<\/strong>\u300d\u3068\u3044\u3046\u8868\u73fe\u304c\u4e00\u822c\u306e\u4eba\u306b\u3082\u7406\u89e3\u3055\u308c\u308b\u3088\u3046\u306b\u3001\u82f1\u8a9e\u306e menstruation<\/strong> \u3082\u4e00\u822c\u306e\u4eba\u306b\u7406\u89e3\u3055\u308c\u307e\u3059\u306e\u3067\u3001\u6700\u7d42\u6708\u7d4c\u65e5\u306b\u3064\u3044\u3066\u60a3\u8005\u3055\u3093\u306b\u5c0b\u306d\u308b\u969b\u306b\u306f \u201cWhen was your last menstruation<\/strong><\/span>?\u201d \u3084 \u201cWhen was your last menstrual period<\/strong><\/span>?\u201d \u306e\u3088\u3046\u306b\u3001 menstruation \u3084 menstrual period \u3068\u3044\u3046\u8868\u73fe\u3092\u4f7f\u3044\u307e\u3059\u3002<\/span><\/p>\r\n

\u3053\u306e period \u306e\u3042\u308b\u9031\u306f\u3001\u65e5\u5e38\u4f1a\u8a71\u3067\u306f time of the month<\/strong><\/span> \u306e\u3088\u3046\u306b\u5a49\u66f2\u7684\u306b\u8868\u73fe\u3055\u308c\u308b\u5834\u5408\u3082\u3042\u308a\u307e\u3059\u3057\u3001\u300c\u8840\u307e\u307f\u308c\u306e\u9031<\/strong>\u300d\u3068\u3044\u3046\u30a4\u30e1\u30fc\u30b8\u3067 shark week<\/strong><\/span> \u306e\u3088\u3046\u306b\u30e6\u30fc\u30e2\u30a2\u3092\u4f7f\u3063\u3066\u8868\u73fe\u3055\u308c\u308b\u5834\u5408\u3082\u3042\u308a\u307e\u3059\u3002<\/span><\/p>\r\n

\u305d\u3057\u3066\u3053\u306e menstruation \u306e\u76f4\u524d\u306b\u306f\u3001 estrogen<\/strong>\uff08\u300c\u30a8<\/strong>\u30b9\u30c8\u30ed\u30b8\u30a7\u30f3\u300d\u306e\u3088\u3046\u306b\u767a\u97f3\uff09\u306e\u6fc3\u5ea6\u304c\u4f4e\u4e0b\u3057\u3066\u4f53\u8abf\u304c\u60aa\u304f\u306a\u308b\u300c\u6708\u7d4c\u524d\u75c7\u5019\u7fa4<\/strong>\u300dpremenstrual syndrome<\/strong><\/span> \u304c\u751f\u3058\u307e\u3059\u304c\u3001\u3053\u306e\u7565\u8a9e\u3067\u3042\u308b PMS<\/strong><\/span> \u306f\u52d5\u8a5e\u3068\u3057\u3066\u3082 \u201cI always break out when I\u2019m PMSing<\/strong>.\u201d\u306e\u3088\u3046\u306b\u4f7f\u308f\u308c\u307e\u3059\u3002\u305d\u3057\u3066\u3053\u306e\u5834\u5408\u306e PMSing<\/strong><\/span> \u306f\u300c\u30d4\u30fc\u30fb\u30a8\u30e0\u30fb\u30a8\u30b9<\/strong>\u30a3\u30f3\u30b0\u300d\u306e\u3088\u3046\u306b\u767a\u97f3\u3055\u308c\u307e\u3059\u3002\u3061\u306a\u307f\u306b\u3053\u306e\u5834\u5408\u306e break out<\/strong> \u3068\u306f\u3001\u300c\u5439\u304d\u51fa\u7269\u304c\u51fa\u308b<\/strong> = \u808c\u8352\u308c\u3059\u308b<\/strong>\u300d\u306e\u3088\u3046\u306a\u610f\u5473\u306b\u306a\u308a\u307e\u3059\u3002<\/span><\/p>\r\n

\u300c\u751f\u7406\u75db<\/strong>\u300d\u306e\u82f1\u8a9e\u306f\u300c\u30ad\u30e5\u30fc\u3063\u3068\u7de0\u3081\u4ed8\u3051\u3089\u308c\u308b\u75db\u307f\u300d\u3092\u8868\u3059 cramp \u3092\u8907\u6570\u5f62\u306b\u3057\u305f cramps<\/strong><\/span> \u3067\u8868\u73fe\u3055\u308c\u307e\u3059\u3002\u307e\u305f\u3001\u6392\u5375\u306b\u4f34\u3046\u75db\u307f\u3067\u3042\u308b\u300c\u6392\u5375\u75db<\/strong>\u300d ovulation pain<\/strong><\/span> \u306f mid-cycle pain<\/strong><\/span> \u3068\u547c\u3070\u308c\u3001\u30c9\u30a4\u30c4\u8a9e\u3067\u3053\u306e mid-cycle pain \u306b\u76f8\u5f53\u3059\u308b mittelschmerz<\/strong><\/span> \u3068\u3044\u3046\u8868\u73fe\u3082\u82f1\u8a9e\u570f\u306e\u533b\u7642\u73fe\u5834\u3067\u306f\u4f7f\u308f\u308c\u3066\u3044\u307e\u3059\u3002<\/span><\/p>\r\n

\u65e5\u672c\u8a9e\u3067\u306f\u300c\u751f\u7406\u7528\u30ca\u30d7\u30ad\u30f3<\/strong>\u300d\u306e\u3053\u3068\u3092\u5358\u306b\u300c\u30ca\u30d7\u30ad\u30f3<\/strong>\u300d\u3068\u7701\u7565\u3059\u308b\u3053\u3068\u304c\u4e00\u822c\u7684\u3067\u3059\u304c\u3001\u82f1\u8a9e\u3067\u306f\u300c\u751f\u7406\u7528\u30ca\u30d7\u30ad\u30f3<\/strong>\u300d\u3067\u3042\u308b sanitary napkins<\/strong><\/span> \u3092 napkins \u3068\u7701\u7565\u3059\u308b\u3053\u3068\u306f\u3067\u304d\u307e\u305b\u3093\u3002\u82f1\u8a9e\u3067 sanitary \u7701\u7565\u3057\u3066 napkins \u3068\u8a00\u3046\u3068\u98df\u4e8b\u306e\u969b\u306b\u4f7f\u3046\u300c\u30ca\u30d7\u30ad\u30f3\u300d\u306e\u610f\u5473\u306b\u306a\u3063\u3066\u3057\u307e\u3046\u304b\u3089\u3067\u3059\u3002\u82f1\u8a9e\u3067\u306f sanitary pads<\/strong> \u3092\u7701\u7565\u3057\u305f pads<\/strong><\/span> \u3068\u3044\u3046\u8868\u73fe\u304c\u65e5\u672c\u8a9e\u306e\u300c\uff08\u751f\u7406\u7528\uff09\u30ca\u30d7\u30ad\u30f3<\/strong>\u300d\u306b\u76f8\u5f53\u3059\u308b\u8868\u73fe\u3068\u3057\u3066\u4f7f\u308f\u308c\u307e\u3059\u3002\u3053\u306e\u4ed6\u306b\u3082\u8584\u578b\u306e panty liners<\/strong><\/span> \u3084\u3001\u81a3\u306b\u633f\u5165\u3059\u308b tampons<\/strong><\/span>\u3001\u305d\u3057\u3066\u6d17\u6d44\u3057\u3066\u7e70\u308a\u8fd4\u3057\u4f7f\u3048\u308b menstrual cups<\/strong><\/span> \u306a\u3069\u3082\u3042\u308a\u307e\u3059\u304c\u3001\u751f\u7406\u7528\u54c1\u3068\u3057\u3066\u306f\u3053\u306e pads<\/strong> \u3068\u3044\u3046\u8868\u73fe\u304c\u6700\u3082\u3088\u304f\u4f7f\u308f\u308c\u308b\u306e\u3067\u3001\u307e\u305a\u306f\u3053\u3061\u3089\u3092\u899a\u3048\u3066\u304f\u3060\u3055\u3044\u3002<\/span><\/p>\r\n

\u300c\u6708\u7d4c\u7570\u5e38\u300d\u306f\u82f1\u8a9e\u3067\u4f55\u3068\u8a00\u3046\uff1f<\/strong><\/span><\/span>
\r\n\u3067\u306f\u3053\u3053\u304b\u3089\u3001\u300c\u6708\u7d4c\u7570\u5e38<\/strong>\u300d\u3092\u8003\u3048\u3066\u3044\u304d\u307e\u3057\u3087\u3046\u3002<\/span><\/p>\r\n

\u300c\u7570\u5e38<\/strong>\u300d\u3092\u8003\u3048\u308b\u305f\u3081\u306b\u306f\u3001\u307e\u305a\u300c\u6b63\u5e38<\/strong>\u300d\u306a\u6708\u7d4c\u3092\u7406\u89e3\u3059\u308b\u5fc5\u8981\u304c\u3042\u308a\u307e\u3059\u3002\u300c\u6b63\u5e38<\/strong>\u300d\u3068\u3055\u308c\u308b\u6708\u7d4c\u306b\u306f\u4e0b\u8a18\u306e\u3088\u3046\u306a\u7279\u5fb4\u304c\u3042\u308a\u307e\u3059\u3002<\/span><\/p>\r\n

Normal Menstruation<\/strong><\/span>
\r\n\u3000<\/em>\u2022\u3000<\/em>Organ<\/strong>: Bleeding from the uterus<\/strong><\/span>
\r\n\u3000<\/em>\u2022\u3000<\/em>Onset (Menarche)<\/strong>: Ages 10-15<\/strong> years<\/span>
\r\n\u3000<\/em>\u2022\u3000<\/em>Cessation (Menopause)<\/strong>: Ages 45-55<\/strong> years<\/span>
\r\n\u3000<\/em>\u2022\u3000<\/em>Duration<\/strong>: 3-7 days<\/strong> per cycle<\/span>
\r\n\u3000<\/em>\u2022\u3000<\/em>Interval<\/strong>: Every 3-5 weeks<\/strong><\/span>
\r\n\u3000<\/em>\u2022\u3000<\/em>Regularity<\/strong>: Consistent frequency<\/strong><\/span>
\r\n\u3000<\/em>\u2022\u3000<\/em>Volume<\/strong>: 30-80 mL<\/strong> of blood per cycle<\/span><\/p>\r\n

\u3064\u307e\u308a\u300c\u6b63\u5e38<\/strong>\u300d\u306a\u6708\u7d4c\u3068\u306f uterus<\/strong>\/uterine<\/strong>\/womb<\/strong>\u300c\u5b50\u5bae<\/strong>\u300d\u304b\u3089\u306e\u51fa\u8840\u3067\u3042\u308a\u3001\u958b\u59cb\u6642\u671f\u3067\u3042\u308b menarche<\/strong><\/span>\u300c\u521d\u7d4c\u30fb\u521d\u6f6e<\/strong>\u300d\u306f10-15\u6b73\u6642\u3001\u7d42\u4e86\u6642\u671f\u3067\u3042\u308b menopause<\/strong><\/span>\u300c\u9589\u7d4c<\/strong>\u300d\u306f45-55\u6b73\u6642\u3001\u6708\u7d4c\u306e\u671f\u9593\u306f3-7\u65e5\u9593\u3067\u3042\u308a\u3001\u305d\u306e\u5468\u671f\u306f3-5\u9031\u9593\u3067\u5b9a\u671f\u7684\u3001\u305d\u3057\u3066\u51fa\u8840\u91cf\u306f1\u56de\u306b\u3064\u304d30-80 mL \u3068\u3044\u3046\u3082\u306e\u3067\u3042\u308a\u3001\u3053\u308c\u306b\u8a72\u5f53\u3057\u306a\u3044\u3082\u306e\u304c\u300c\u6708\u7d4c\u7570\u5e38<\/strong>\u300d\u3068\u306a\u308b\u306e\u3067\u3059\u3002<\/span><\/p>\r\n

\u300c\u6708\u7d4c\u6642\u306e\u51fa\u8840<\/strong>\u300d\u306e\u3053\u3068\u3092\u4e00\u822c\u7684\u306b menstrual flow<\/strong>\u3001\u3082\u3057\u304f\u306f\u5358\u306b flow<\/strong><\/span> \u3068\u8868\u73fe\u3057\u307e\u3059\u3002\u305d\u3057\u3066\u51fa\u8840\u91cf\u304c\u591a\u3044<\/strong>\u5834\u5408\u306b\u306f heavy<\/strong><\/span>\/heavier<\/strong><\/span> flow \u3068\u3001\u5c11\u306a\u3044<\/strong>\u5834\u5408\u306b\u306f light<\/strong><\/span>\/lighter<\/strong><\/span> flow \u3068\u8868\u73fe\u3057\u307e\u3059\u3002\u300c\u6708\u7d4c<\/strong>\u300d\u3092\u610f\u5473\u3059\u308b\u533b\u5b66\u82f1\u8a9e\u3068\u3057\u3066 menorrhea<\/strong><\/span> \u3068\u3044\u3046\u3082\u306e\u304c\u3042\u308a\u307e\u3059\u304c\u3001\u53b3\u5bc6\u306b\u306f\u3053\u308c\u306f menstrual flow<\/strong>\u300c\u6708\u7d4c\u6642\u306e\u51fa\u8840<\/strong>\u300d\u3068\u3044\u3046\u610f\u5473\u306b\u306a\u308a\u3001menstruation \u3068\u306f\u5fae\u5999\u306b\u610f\u5473\u304c\u7570\u306a\u308b\u306e\u3067\u6ce8\u610f\u3057\u3066\u304f\u3060\u3055\u3044\u3002\u3053\u306e menorrhea \u306b\u300c\u7121\u300d\u3092\u610f\u5473\u3059\u308b a- \u304c\u3064\u3044\u305f amenorrhea<\/strong><\/span> \u306f\u300c\u7121\u6708\u7d4c<\/strong>\u300d\u3068\u306a\u308a\u307e\u3059\u304c\u3001dysmenorrhea<\/strong><\/span>\u300c\u6708\u7d4c\u56f0\u96e3\u75c7<\/strong>\u300d \u306e\u5834\u5408\u306e dys- \u306f difficult \u3067\u306f\u306a\u304fpainful \u3068\u3044\u3046\u610f\u5473\u306b\u306a\u308a\u307e\u3059\u306e\u3067\u3001\u300c\u751f\u7406\u75db\u304c\u3072\u3069\u3044\u6708\u7d4c<\/strong>\u300d\u3068\u3044\u3046\u610f\u5473\u306b\u306a\u308a\u307e\u3059\u3002<\/span><\/p>\r\n

\u3053\u306e flow \u306b\u3088\u304f\u4f3c\u305f\u4e00\u822c\u7684\u306a\u8868\u73fe\u3068\u3057\u3066 spotting<\/strong><\/span> \u3068\u3044\u3046\u3082\u306e\u304c\u3042\u308a\u307e\u3059\u304c\u3001\u3053\u308c\u306f light bleeding between periods<\/strong>\u300c\u6708\u7d4c\u9593\u306e\u8efd\u5ea6\u306e\u51fa\u8840<\/strong>\u300d\u3068\u3044\u3046\u610f\u5473\u3067\u3059\u306e\u3067\u3001\u533b\u5b66\u7684\u306b\u306f intermenstrual bleeding<\/strong><\/span> \u3068\u8868\u73fe\u3055\u308c\u307e\u3059\u3002\u305d\u3057\u3066\u60a3\u8005\u3055\u3093\u304c oral contraceptive pills<\/strong> (OCP<\/strong>)\u300c\u7d4c\u53e3\u907f\u598a\u85ac<\/strong>\u300d\u3092\u670d\u7528\u3057\u3066\u3044\u308b\u5834\u5408\u306b\u8d77\u3053\u308b intermenstrual bleeding \u306f\u3001 breakthrough bleeding<\/strong><\/span> \u3068\u533a\u5225\u3057\u3066\u8868\u73fe\u3055\u308c\u3066\u3044\u307e\u3059\u3002<\/span><\/p>\r\n

\u3053\u306e\u4ed6\u306b\u3082\u3053\u3061\u3089<\/strong><\/span><\/a>\u3067\u3082\u7d39\u4ecb\u3057\u305f\u3088\u3046\u306b\u3001\u6708\u7d4c\u7570\u5e38\u306b\u95a2\u3057\u3066\u306f\u3053\u308c\u307e\u3067\u306b\u4e0b\u8a18\u306e\u3088\u3046\u306a\u533b\u5b66\u82f1\u8a9e\u304c\u7528\u3044\u3089\u308c\u3066\u304d\u307e\u3057\u305f\u3002<\/span><\/p>\r\n

Menorrhagia<\/strong>: Heavy menstrual bleeding (> 80 mL of blood loss per cycle)<\/span>
\r\nMetrorrhagia<\/strong>: Intermenstrual bleeding<\/span>
\r\nMenometrorrhagia<\/strong>: Menorrhagia + Metrorrhagia<\/span>
\r\nPolymenorrhea<\/strong>: Bleeding that occurs more often than every 21 days<\/span>
\r\nOligomenorrhea<\/strong>: Bleeding that occurs less often than every 35 days<\/span><\/p>\r\n

\u305f\u3060\u73fe\u5728\u3001International Federation of Gynecology and Obstetrics<\/strong><\/span><\/a> (FIGO<\/strong><\/span>) \u306f\u3053\u308c\u3089\u306e\u6708\u7d4c\u7570\u5e38\u3092\u5305\u62ec\u3057\u3066 abnormal uterine bleeding (AUB)<\/strong><\/span>\u300c\u7570\u5e38\u5b50\u5bae\u51fa\u8840<\/strong>\u300d\u3068\u547c\u3073\u3001menorrhagia \u3092 AUB heavy intermenstrual bleeding (AUB\/HMB<\/strong><\/span>) \u3068\u3001metrorrhagia \u3092 AUB intermenstrual bleeding (AUB\/IMB<\/strong><\/span>) \u3068\u547c\u3093\u3067\u3044\u307e\u3059\u3002<\/span><\/p>\r\n

\u533b\u5b66\u6559\u80b2\u30e2\u30c7\u30eb\u30fb\u30b3\u30a2\u30fb\u30ab\u30ea\u30ad\u30e5\u30e9\u30e0\u306b\u3042\u308b\u300c\u6708\u7d4c\u7570\u5e38<\/strong>\u300d\u3092\u305d\u306e\u307e\u307e\u82f1\u8a9e\u306b\u3059\u308c\u3070 menstrual abnormalities \u3068\u306a\u308b\u306e\u3067\u3059\u304c\u3001\u5b9f\u969b\u306b\u7523\u5a66\u4eba\u79d1\u9818\u57df\u3067\u4f7f\u308f\u308c\u3066\u3044\u308b\u306e\u306f abnormal uterine bleeding (AUB)<\/strong><\/span>\u300c\u7570\u5e38\u5b50\u5bae\u51fa\u8840<\/strong>\u300d\u3067\u3042\u308b\u3068\u3044\u3046\u3053\u3068\u3092\u899a\u3048\u3066\u304a\u3044\u3066\u304f\u3060\u3055\u3044\u3002<\/span><\/p>\r\n

PALM-COEIN \u3063\u3066\u4f55\uff1f<\/strong><\/span><\/span>
\r\n\u3067\u306f\u3053\u306e\u300c\u7570\u5e38\u5b50\u5bae\u51fa\u8840\u300d\u3067\u3042\u308b AUB \u306e\u539f\u56e0\u306b\u306f\u3001\u3069\u306e\u3088\u3046\u306a\u3082\u306e\u304c\u3042\u308b\u306e\u3067\u3057\u3087\u3046\u304b\uff1f<\/span><\/p>\r\n

FIGO \u3067\u306f\u3053\u306e AUB \u306e\u539f\u56e0\u75be\u60a3\u3092\u5206\u985e\u3059\u308b\u305f\u3081\u306b\u3001 PALM-COEIN<\/strong><\/span> \u3068\u547c\u3070\u308c\u308b\u4e0b\u8a18\u306e\u3088\u3046\u306a\u30b7\u30b9\u30c6\u30e0\u3092\u63d0\u5531\u3057\u3066\u3044\u307e\u3059\u3002<\/span><\/p>\r\n

PALM<\/strong><\/span>: Structural causes<\/span>
\r\n\u2022\u3000<\/em>P<\/span><\/strong>olyp (AUB-P)<\/span>
\r\n\u2022\u3000<\/em>A<\/span><\/strong>denomyosis (AUB-A)<\/span>
\r\n\u2022\u3000<\/em>L<\/span><\/strong>eiomyoma (AUB-L)<\/span>
\r\n\u2022\u3000<\/em>M<\/span><\/strong>alignancy and hyperplasia (AUB-M)<\/span><\/p>\r\n

COEIN<\/strong><\/span>: Non-structural causes<\/span>
\r\n\u2022\u3000<\/em>C<\/span><\/strong>oagulopathy (AUB-C)<\/span>
\r\n\u2022\u3000<\/em>O<\/span><\/strong>vulatory dysfunction (AUB-O)<\/span>
\r\n\u2022\u3000<\/em>E<\/span><\/strong>ndometrial (AUB-E)<\/span>
\r\n\u2022\u3000<\/em>I<\/span><\/strong>atrogenic (AUB-I)<\/span>
\r\n\u2022\u3000<\/em>N<\/span><\/strong>ot yet classified (AUB-N)<\/span><\/p>\r\n

\u3053\u306e PALM-COEIN \u306f\u300c\u624b\u306e\u3072\u3089 = palm<\/strong>\u300d\u306e\u4e0a\u306b\u300c\u30b3\u30a4\u30f3 = coin<\/strong>\u300d\u3092\u7f6e\u3044\u305f\u72b6\u614b\u3092\u30a4\u30e1\u30fc\u30b8\u3059\u308b mnemonics<\/strong>\u300c\u6697\u8a18\u6cd5<\/strong>\u300d\u306a\u306e\u3067\u3059\u304c\u3001COEIN \u3068\u3044\u3046\u5358\u8a9e\u3092 COIN \u3068\u540c\u3058\u3088\u3046\u306b\u300c\u30b3<\/strong>\u30a3\u30f3\u300d\u3068\u3057\u3066\u767a\u97f3\u3057\u3066\u3044\u307e\u3059\u3002<\/span><\/p>\r\n

\u6700\u521d\u306e PALM<\/strong> \u306f structural causes<\/strong>\u300c\u5668\u8cea\u7684\u539f\u56e0<\/strong>\u300d\u3067\u3042\u308b4\u3064\u306e\u75be\u60a3\u7fa4\u3067\u3059\u3002<\/span><\/p>\r\n

Polyp<\/strong><\/span> \u306f endometrial polyps<\/strong><\/span>\u300c\uff08\u5b50\u5bae<\/strong>\uff09\u5185\u819c\u30dd\u30ea\u30fc\u30d7<\/strong>\u300d\u3067\u3042\u308a\u3001\u4e00\u822c\u7684\u306b\u306f polyps<\/strong><\/span> \u306e\u3088\u3046\u306b\u8907\u6570\u5f62\u3067\u8868\u73fe\u3055\u308c\u307e\u3059\u3002<\/span><\/p>\r\n

Adenomyosis<\/strong><\/span>\u300c\u5b50\u5bae\u817a\u7b4b\u75c7<\/strong>\u300d\u306f\u5b50\u5bae\u5185\u819c\u7d44\u7e54\u304c\u5b50\u5bae\u306e\u7b4b\u5c64\u306b\u6df7\u5165\u3057\u305f\u72b6\u614b\u3067\u3042\u308a\u3001\u5b50\u5bae\u5185\u819c\u7d44\u7e54\u304c\u5b50\u5bae\u306e\u5916\u3067\u5897\u6b96\u3059\u308b endometriosis<\/strong>\u300c\u5b50\u5bae\u5185\u819c\u75c7<\/strong>\u300d\u306e\u7528\u8a9e\u3092\u7528\u3044\u3066 endometriosis interna<\/strong> \u3068\u3082\u547c\u3070\u308c\u3066\u3044\u307e\u3057\u305f\u3002<\/span><\/p>\r\n

Leiomyoma<\/strong><\/span>\uff08\u300c\u30e9\u30a4<\/strong>\u30aa\u30de\u30a3\u30aa\u30fc\u30de\u300d\u3082\u3057\u304f\u306f\u300c\u30ec\u30a3<\/strong>\u30aa\u30de\u30a3\u30aa\u30fc\u30de\u300d\u306e\u3088\u3046\u306b\u767a\u97f3\uff09\u306f uterine leiomyoma<\/strong><\/span>\u300c\u5b50\u5bae\u7b4b\u816b<\/strong>\u300d\u3067\u3042\u308a\u3001\u4e00\u822c\u7684\u306b\u306f fibroids<\/strong><\/span> \u3068\u8868\u73fe\u3055\u308c\u307e\u3059\u3002\u307e\u305f\u3053\u306e\u767a\u97f3\u306f\u300c\u30d5\u30a3<\/strong>\u30d6\u30ed\u30a4\u30ba\u300d\u3067\u306f\u306a\u304f\u3001\u300c\u30d5\u30a1<\/strong>\u30a3\u30d6\u30ed\u30a4\u30ba\u300d\u306e\u3088\u3046\u306b\u306a\u308a\u307e\u3059\u306e\u3067\u3054\u6ce8\u610f\u304f\u3060\u3055\u3044\u3002<\/span><\/p>\r\n

Malignancy and hyperplasia<\/strong><\/span>\u300c\u5b50\u5bae\u60aa\u6027\u816b\u760d\u3068\u5185\u819c\u5897\u6b96\u75c7<\/strong>\u300d \u3068\u3057\u3066\u306f\u3001 endometrial cancer<\/strong><\/span>\u300c\u5b50\u5bae\u4f53\u764c\u30fb\u5b50\u5bae\u5185\u819c\u764c<\/strong>\u300d\u3084 cervical cancer<\/strong><\/span>\u300c\u5b50\u5bae\u9838\u764c<\/strong>\u300d\u306a\u3069\u304c\u542b\u307e\u308c\u307e\u3059\u3002<\/span><\/p>\r\n

\u305d\u3057\u3066 COEIN<\/strong> \u306f\u3001\u5b50\u5bae\u306e\u69cb\u9020\u7570\u5e38\u3092\u542b\u307e\u306a\u3044\u300c\u975e\uff08\u5b50\u5bae\uff09\u5668\u8cea\u7684\u75be\u60a3<\/strong>\u300d\u3067\u3042\u308b5\u3064\u306e\u75be\u60a3\u7fa4\u3092\u8868\u3057\u307e\u3059\u3002<\/span><\/p>\r\n

Coagulopathy<\/strong><\/span>\u300c\u8840\u6db2\u51dd\u56fa\u969c\u5bb3<\/strong>\u300d\u306e\u4ee3\u8868\u7684\u306a\u3082\u306e\u3068\u3057\u3066\u306f\u3001 von Willebrand disease<\/strong> \u304c\u3042\u308a\u307e\u3059\u3002<\/span><\/p>\r\n

Ovulatory dysfunction<\/strong><\/span>\u300c\u6392\u5375\u969c\u5bb3<\/strong>\u300d\u306b\u306f amenorrhea<\/strong>\u300c\u7121\u6708\u7d4c<\/strong>\u300d\u304c\u542b\u307e\u308c\u307e\u3059\u3002\u305d\u3057\u3066\u3053\u306e amenorrhea \u306e\u539f\u56e0\u3068\u3057\u3066\u91cd\u8981\u306a\u3082\u306e\u3068\u3057\u3066\u306f\u3001 polycystic ovarian syndrome (PCOS)<\/strong><\/span>\u300c\u591a\u56a2\u80de\u6027\u5375\u5de3\u75c7\u5019\u7fa4<\/strong>\u300d\u304c\u3042\u308a\u307e\u3059\u3002\u3053\u306e\u7565\u8a9e\u306e PCOS \u306f\u300c\u30d4\u30fc<\/strong>\u30b3\u30b9\u300d\u306e\u3088\u3046\u306b\u767a\u97f3\u3057\u307e\u3059\u306e\u3067\u3054\u6ce8\u610f\u3092\u3002\u307e\u305f\u3001\u4ee5\u524d\u307e\u3067\u4f7f\u308f\u308c\u3066\u3044\u305f dysfunctional uterine bleeding (DUB)<\/strong> \u300c\u6a5f\u80fd\u6027\u5b50\u5bae\u51fa\u8840<\/strong>\u300d\u3082\u3001\u4eca\u3067\u306f\u3053\u306e AUB-O \u3068\u3057\u3066\u6271\u308f\u308c\u3066\u3044\u307e\u3059\u3002<\/span><\/p>\r\n

Endometrial<\/strong><\/span> \u3068\u306f endometrial dysfunction<\/strong><\/span>\u300c\u5b50\u5bae\u5185\u819c\u6a5f\u80fd\u7570\u5e38<\/strong>\u300d\u306e\u3053\u3068\u3067\u3059\u3002\u3053\u306e AUB-E \u3068\u3057\u3066 endometriosis<\/strong>\u300c\u5b50\u5bae\u5185\u819c\u75c7<\/strong>\u300d\u3092\u8003\u3048\u3066\u3057\u307e\u3046\u65b9\u304c\u3044\u3089\u3063\u3057\u3083\u308b\u306e\u3067\u3059\u304c\u3001\u5b50\u5bae\u5185\u819c\u7d44\u7e54\u304c\u5b50\u5bae\u306e\u5916\u3067\u5897\u6b96\u3059\u308b endometriosis \u306f\u5b9a\u7fa9\u4e0a\u3001 abnormal uterine bleeding (AUB) \u306b\u306f\u542b\u307e\u308c\u307e\u305b\u3093\u306e\u3067\u6ce8\u610f\u3057\u3066\u304f\u3060\u3055\u3044\u3002<\/span><\/p>\r\n

Iatrogenic<\/strong><\/span>\u300c\u533b\u539f\u6027<\/strong>\u300d\u3067\u306f\u3001 \u201cthe T<\/strong>\u201d \u3068\u3082\u547c\u3070\u308c\u308b intrauterine device (IUD)<\/strong> \u300c\u5b50\u5bae\u5185\u907f\u598a\u5177<\/strong>\u300d\u306e\u4f7f\u7528\u3084\u3001 anticoagulants<\/strong>\/blood thinner<\/strong>\u300c\u6297\u51dd\u56fa\u5264\u30fb\u8840\u6db2\u3092\u30b5\u30e9\u30b5\u30e9\u306b\u3059\u308b\u85ac<\/strong>\u300d\u306a\u3069\u306e\u670d\u7528\u306a\u3069\u304c\u542b\u307e\u308c\u307e\u3059\u3002\u3061\u306a\u307f\u306b\u3053\u306e iatrogenic<\/strong> \u306e\u767a\u97f3\u306f\u300c\u30a2\u30a3<\/strong>\u30a2\u30c8\u30ed\u30b8\u30a7\u30cb\u30c3\u30af\u300d\u306e\u3088\u3046\u306b\u306a\u308a\u307e\u3059\u306e\u3067\u6ce8\u610f\u3057\u3066\u304f\u3060\u3055\u3044\u3002<\/span><\/p>\r\n

Not-yet classified<\/strong><\/span> \u306f Not otherwise classified<\/strong> \u3068\u3082\u8868\u73fe\u3055\u308c\u3001\u4ed6\u306e AUB \u306b\u306f\u8a72\u5f53\u3057\u306a\u3044\u300c\u5206\u985e\u4e0d\u80fd<\/strong>\u300d\u306eAUB \u3068\u306a\u308a\u307e\u3059\u3002\u610f\u5916\u306b\u601d\u308f\u308c\u308b\u304b\u3082\u3057\u308c\u307e\u305b\u3093\u304c\u3001endometritis<\/strong><\/span>\u300c\u5b50\u5bae\u5185\u819c\u708e<\/strong>\u300d\u306f structural causes \u3068\u3057\u3066\u306f\u5206\u985e\u3055\u308c\u305a\u3001\u3053\u306e AUB-N \u3068\u3057\u3066\u5206\u985e\u3055\u308c\u307e\u3059\u306e\u3067\u6ce8\u610f\u3057\u3066\u304f\u3060\u3055\u3044\u3002<\/span><\/p>\r\n

\u3044\u304b\u304c\u3067\u3059\u304b\uff1f\u3053\u306ePALM-COEIN \u306f\u7523\u5a66\u4eba\u79d1\u9818\u57df\u3067\u306f\u5358\u306a\u308b mnemonics \u4ee5\u4e0a\u306e\u91cd\u8981\u6027\u3092\u6301\u3064\u5206\u985e\u6982\u5ff5\u3067\u3042\u308a\u3001\u7686\u3055\u3093\u306e Post-CC OSCE \u306b\u304a\u3044\u3066\u3082\u9451\u5225\u75be\u60a3\u306e\u6574\u7406\u3068\u3057\u3066\u304d\u3063\u3068\u5f79\u306b\u7acb\u3064\u3068\u601d\u3044\u307e\u3059\u306e\u3067\u3001\u3053\u308c\u3092\u6a5f\u4f1a\u306b\u662f\u975e\u899a\u3048\u3066\u304f\u3060\u3055\u3044\u306d\u3002<\/span><\/p>\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\u6700\u5f8c\u306b\u4eca\u56de\u3054\u7d39\u4ecb\u3057\u305f AUB \u306e\u539f\u56e0\u75be\u60a3\u306e\u5206\u985e\u3067\u3042\u308b PALM-COEIN \u3092\u3082\u3046\u4e00\u5ea6\u307e\u3068\u3081\u3066\u304a\u304d\u307e\u3059\u3002<\/span><\/p>\r\n

Causes of Abnormal Uterine Bleeding (AUB)<\/strong><\/span>
\r\nPALM-COEIN<\/strong><\/span><\/span>
\r\nPALM<\/strong><\/span>: Structural causes<\/span>
\r\n\u2022\u3000<\/em>P<\/span><\/strong>olyp (AUB-P)<\/span>
\r\n\u2022\u3000<\/em>A<\/span><\/strong>denomyosis (AUB-A)<\/span>
\r\n\u2022\u3000<\/em>L<\/span><\/strong>eiomyoma (AUB-L)<\/span>
\r\n\u2022\u3000<\/em>M<\/span><\/strong>alignancy and hyperplasia (AUB-M)<\/span><\/p>\r\n

COEIN<\/strong><\/span>: Non-structural causes<\/span>
\r\n\u2022\u3000<\/em>C<\/span><\/strong>oagulopathy (AUB-C)<\/span>
\r\n\u2022\u3000<\/em>O<\/span><\/strong>vulatory dysfunction (AUB-O)<\/span>
\r\n\u2022\u3000<\/em>E<\/span><\/strong>ndometrial (AUB-E)<\/span>
\r\n\u2022\u3000<\/em>I<\/span><\/strong>atrogenic (AUB-I)<\/span>
\r\n\u2022\u3000<\/em>N<\/span><\/strong>ot yet classified (AUB-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

\u56fd\u969b\u533b\u7642\u798f\u7949\u5927\u5b66\u533b\u5b66\u90e8 \u533b\u5b66\u6559\u80b2\u7d71\u62ec\u30bb\u30f3\u30bf\u30fc \u6559\u6388\u3000\u62bc\u5473 \u8cb4\u4e4b<\/p>","protected":false},"excerpt":{"rendered":"\u3053\u3093\u306b\u3061\u306f\u3002\u300c\u533b\u5b66\u82f1\u8a9e\u30ab\u30d5\u30a7\u300d\u306b\u3088\u3046\u3053\u305d\uff01 \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 \u672c\u65e5\u306e\u30c6\u30fc\u30de\u306f\u300c\u6708\u7d4c\u7570\u5e38\u306b\u95a2\u3059\u308b\u82f1\u8a9e\u8868\u73fe\u300d\u3067\u3059\u3002 \u533b\u7642\u9762\u63a5\u306b\u304a\u3044\u3066\u300c\u6708\u7d4c\u300dmens","protected":false},"author":14,"featured_media":9929,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"onecolumn-960.php","format":"standard","meta":{"_acf_changed":false,"_jin_ogp_image_url":"","_jin_last_featured_id":0,"footnotes":""},"categories":[63],"tags":[],"class_list":["post-9928","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-eigocafe"],"acf":[],"_links":{"self":[{"href":"https:\/\/wp.meccari.jp\/api\/wp\/v2\/posts\/9928","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/wp.meccari.jp\/api\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/wp.meccari.jp\/api\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/wp.meccari.jp\/api\/wp\/v2\/users\/14"}],"replies":[{"embeddable":true,"href":"https:\/\/wp.meccari.jp\/api\/wp\/v2\/comments?post=9928"}],"version-history":[{"count":3,"href":"https:\/\/wp.meccari.jp\/api\/wp\/v2\/posts\/9928\/revisions"}],"predecessor-version":[{"id":9941,"href":"https:\/\/wp.meccari.jp\/api\/wp\/v2\/posts\/9928\/revisions\/9941"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/wp.meccari.jp\/api\/wp\/v2\/media\/9929"}],"wp:attachment":[{"href":"https:\/\/wp.meccari.jp\/api\/wp\/v2\/media?parent=9928"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/wp.meccari.jp\/api\/wp\/v2\/categories?post=9928"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/wp.meccari.jp\/api\/wp\/v2\/tags?post=9928"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}