{"id":629,"date":"2024-11-02T09:46:20","date_gmt":"2024-11-02T00:46:20","guid":{"rendered":"http:\/\/www.tokyo-breast-clinic.jp\/seminar\/?p=629"},"modified":"2024-11-02T09:46:20","modified_gmt":"2024-11-02T00:46:20","slug":"%e8%85%8b%e7%aa%a9%e7%b4%a2%e7%8a%b6%e7%97%87%e5%80%99%e7%be%a4%e3%80%81%e4%b9%b3%e6%88%bf%e5%88%87%e9%99%a4%e5%be%8c%e7%97%87%e5%80%99%e7%be%a4%e3%81%ab%e3%81%a4%e3%81%84%e3%81%a6","status":"publish","type":"post","link":"http:\/\/www.tokyo-breast-clinic.jp\/seminar\/life\/%e8%85%8b%e7%aa%a9%e7%b4%a2%e7%8a%b6%e7%97%87%e5%80%99%e7%be%a4%e3%80%81%e4%b9%b3%e6%88%bf%e5%88%87%e9%99%a4%e5%be%8c%e7%97%87%e5%80%99%e7%be%a4%e3%81%ab%e3%81%a4%e3%81%84%e3%81%a6\/","title":{"rendered":"\u814b\u7aa9\u7d22\u72b6\u75c7\u5019\u7fa4\u3001\u4e73\u623f\u5207\u9664\u5f8c\u75c7\u5019\u7fa4\u306b\u3064\u3044\u3066"},"content":{"rendered":"<div class=\"flex-shrink-0 flex flex-col relative items-end\">\n<div>\n<div class=\"pt-0\">\n<div class=\"gizmo-bot-avatar flex h-8 w-8 items-center justify-center overflow-hidden rounded-full\">\n<div class=\"relative p-1 rounded-sm flex items-center justify-center bg-token-main-surface-primary text-token-text-primary h-8 w-8\">\u814b\u7aa9\u7d22\u72b6\u75c7\u5019\u7fa4\uff08axillary web syndrome\u3001AWS\uff09\u304a\u3088\u3073\u4e73\u623f\u5207\u9664\u5f8c\u75c7\u5019\u7fa4\uff08postmastectomy pain syndrome\u3001PMPS\uff09\u306f\u3001\u4e73\u304c\u3093\u6cbb\u7642\u5f8c\u306b\u767a\u751f\u3057\u3084\u3059\u3044\u4ee3\u8868\u7684\u306a\u5408\u4f75\u75c7\u3067\u3059\u3002\u4ee5\u4e0b\u306b\u305d\u308c\u305e\u308c\u306e\u6982\u8981\u3001\u539f\u56e0\u3001\u75c7\u72b6\u3001\u8a3a\u65ad\u3001\u6cbb\u7642\u6cd5\u3092\u542b\u3081\u305f\u307e\u3068\u3081\u3066\u7d39\u4ecb\u3057\u307e\u3059\u3002<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<div class=\"group\/conversation-turn relative flex w-full min-w-0 flex-col agent-turn\">\n<div class=\"flex-col gap-1 md:gap-3\">\n<div class=\"flex max-w-full flex-col flex-grow\">\n<div class=\"min-h-8 text-message flex w-full flex-col items-end gap-2 whitespace-normal break-words [.text-message+&amp;]:mt-5\" dir=\"auto\" data-message-author-role=\"assistant\" data-message-id=\"a964e5a1-da9a-4d4b-a937-98c6f1441034\" data-message-model-slug=\"gpt-4o\">\n<div class=\"flex w-full flex-col gap-1 empty:hidden first:pt-[3px]\">\n<div class=\"markdown prose w-full break-words dark:prose-invert light\">\n<h3>1. \u814b\u7aa9\u7d22\u72b6\u75c7\u5019\u7fa4\uff08AWS\uff09<\/h3>\n<h4>1.1 \u6982\u8981<\/h4>\n<p>\u814b\u7aa9\u7d22\u72b6\u75c7\u5019\u7fa4\uff08AWS\uff09\u306f\u3001\u4e73\u304c\u3093\u624b\u8853\u5f8c\u3001\u7279\u306b\u30ea\u30f3\u30d1\u7bc0\u90ed\u6e05\uff08\u30ea\u30f3\u30d1\u7bc0\u306e\u9664\u53bb\u624b\u8853\uff09\u3092\u53d7\u3051\u305f\u60a3\u8005\u306b\u898b\u3089\u308c\u308b\u5408\u4f75\u75c7\u3067\u3059\u3002\u5225\u540d\u300c\u30ea\u30f3\u30d1\u7d22\u300d\u3084\u300c\u30b3\u30fc\u30c9\u75c7\u5019\u7fa4\u300d\u3068\u3082\u547c\u3070\u308c\u3001\u624b\u8853\u5f8c\u6570\u65e5\u304b\u3089\u6570\u9031\u9593\u4ee5\u5185\u306b\u767a\u75c7\u3059\u308b\u3053\u3068\u304c\u591a\u3044\u3067\u3059\u3002\u814b\u7aa9\u304b\u3089\u8155\u306e\u5185\u5074\u306b\u304b\u3051\u3066\u786c\u3044\u300c\u7d22\u72b6\u300d\u306e\u69cb\u9020\u7269\u304c\u73fe\u308c\u3001\u75db\u307f\u3084\u53ef\u52d5\u57df\u5236\u9650\u306e\u539f\u56e0\u3068\u306a\u308a\u307e\u3059\u3002<\/p>\n<h4>1.2 \u539f\u56e0<\/h4>\n<p>AWS\u306e\u539f\u56e0\u306f\u5b8c\u5168\u306b\u306f\u89e3\u660e\u3055\u308c\u3066\u3044\u307e\u305b\u3093\u304c\u3001\u30ea\u30f3\u30d1\u7bc0\u90ed\u6e05\u306b\u3088\u3063\u3066\u30ea\u30f3\u30d1\u7ba1\u3084\u8840\u7ba1\u3001\u795e\u7d4c\u304c\u50b7\u3064\u3051\u3089\u308c\u305f\u308a\u3001\u30ea\u30f3\u30d1\u6db2\u306e\u6d41\u308c\u304c\u6ede\u3063\u305f\u308a\u3059\u308b\u3053\u3068\u3067\u3001\u814b\u7aa9\u3084\u8155\u306b\u7e4a\u7dad\u6027\u306e\u30b3\u30fc\u30c9\u72b6\u306e\u7d44\u7e54\u304c\u5f62\u6210\u3055\u308c\u308b\u3068\u8003\u3048\u3089\u308c\u3066\u3044\u307e\u3059\u3002\u3053\u306e\u30b3\u30fc\u30c9\u72b6\u7d44\u7e54\u306f\u30ea\u30f3\u30d1\u6db2\u306e\u6d41\u308c\u3092\u59a8\u3052\u308b\u305f\u3081\u3001\u75db\u307f\u3084\u8155\u306e\u816b\u308c\u306a\u3069\u306e\u75c7\u72b6\u3092\u5f15\u304d\u8d77\u3053\u3059\u3053\u3068\u304c\u591a\u3044\u3067\u3059\u3002<\/p>\n<h4>1.3 \u75c7\u72b6<\/h4>\n<p>AWS\u306e\u4e3b\u306a\u75c7\u72b6\u306b\u306f\u4ee5\u4e0b\u306e\u3088\u3046\u306a\u3082\u306e\u304c\u3042\u308a\u307e\u3059\uff1a<\/p>\n<ul>\n<li>\u8155\u3084\u814b\u7aa9\u306b\u5f35\u308a\u611f\u3084\u75db\u307f\u3092\u611f\u3058\u308b<\/li>\n<li>\u814b\u7aa9\u304b\u3089\u8155\u306b\u304b\u3051\u3066\u7d22\u72b6\u306e\u786c\u3044\u69cb\u9020\u304c\u73fe\u308c\u308b<\/li>\n<li>\u80a9\u3084\u8155\u306e\u53ef\u52d5\u57df\u304c\u5236\u9650\u3055\u308c\u308b<\/li>\n<li>\u8155\u306e\u52d5\u304b\u3057\u306b\u304f\u3055\u3084\u7b4b\u8089\u306e\u3053\u308f\u3070\u308a\u611f<\/li>\n<li>\u30ea\u30f3\u30d1\u6d6e\u816b\u306e\u767a\u751f\uff08\u307e\u308c\u306b\uff09<\/li>\n<\/ul>\n<p>\u3053\u308c\u3089\u306e\u75c7\u72b6\u306f\u3001\u65e5\u5e38\u751f\u6d3b\u306b\u304a\u3051\u308b\u52d5\u4f5c\u306b\u652f\u969c\u3092\u304d\u305f\u3059\u3053\u3068\u304c\u3042\u308a\u3001\u65e9\u671f\u306e\u8a3a\u65ad\u3068\u6cbb\u7642\u304c\u91cd\u8981\u3067\u3059\u3002<\/p>\n<h4>1.4 \u8a3a\u65ad<\/h4>\n<p>AWS\u306e\u8a3a\u65ad\u306f\u3001\u81e8\u5e8a\u75c7\u72b6\u3068\u89e6\u8a3a\u3092\u901a\u3058\u3066\u884c\u308f\u308c\u307e\u3059\u3002\u89e6\u8a3a\u306b\u3088\u3063\u3066\u7d22\u72b6\u306e\u786c\u3044\u7d44\u7e54\u3092\u78ba\u8a8d\u3059\u308b\u3053\u3068\u3067\u3001AWS\u3068\u5224\u65ad\u3055\u308c\u307e\u3059\u3002\u753b\u50cf\u8a3a\u65ad\uff08\u8d85\u97f3\u6ce2\u691c\u67fb\u3084MRI\uff09\u304c\u88dc\u52a9\u7684\u306b\u7528\u3044\u3089\u308c\u308b\u3053\u3068\u3082\u3042\u308a\u307e\u3059\u304c\u3001\u4e00\u822c\u7684\u306b\u306f\u89e6\u8a3a\u304c\u4e2d\u5fc3\u3067\u3059\u3002<\/p>\n<h4>1.5 \u6cbb\u7642\u6cd5<\/h4>\n<p>AWS\u306e\u6cbb\u7642\u6cd5\u306b\u306f\u4ee5\u4e0b\u306e\u3088\u3046\u306a\u3082\u306e\u304c\u3042\u308a\u307e\u3059\uff1a<\/p>\n<ul>\n<li><strong>\u7269\u7406\u7642\u6cd5<\/strong>\uff1a\u30ea\u30cf\u30d3\u30ea\u30c6\u30fc\u30b7\u30e7\u30f3\u3084\u7406\u5b66\u7642\u6cd5\u58eb\u306b\u3088\u308b\u30de\u30c3\u30b5\u30fc\u30b8\u3001\u30b9\u30c8\u30ec\u30c3\u30c1\u904b\u52d5\u304c\u52b9\u679c\u7684\u3067\u3059\u3002\u67d4\u8edf\u6027\u3092\u9ad8\u3081\u3001\u75db\u307f\u3084\u53ef\u52d5\u57df\u5236\u9650\u3092\u7de9\u548c\u3059\u308b\u3053\u3068\u3092\u76ee\u7684\u3068\u3057\u307e\u3059\u3002<\/li>\n<li><strong>\u30ea\u30f3\u30d1\u30c9\u30ec\u30ca\u30fc\u30b8<\/strong>\uff1a\u30ea\u30f3\u30d1\u6db2\u306e\u6d41\u308c\u3092\u4fc3\u9032\u3057\u3001\u6d6e\u816b\u3084\u7d22\u72b6\u306e\u7d44\u7e54\u3092\u7de9\u548c\u3059\u308b\u305f\u3081\u306e\u624b\u6280\u7642\u6cd5\u3067\u3059\u3002<\/li>\n<li><strong>\u93ae\u75db\u5264\u306e\u4f7f\u7528<\/strong>\uff1a\u75db\u307f\u304c\u5f37\u3044\u5834\u5408\u306b\u306f\u3001\u975e\u30b9\u30c6\u30ed\u30a4\u30c9\u6027\u6297\u708e\u75c7\u85ac\uff08NSAIDs\uff09\u3084\u4ed6\u306e\u93ae\u75db\u5264\u304c\u51e6\u65b9\u3055\u308c\u308b\u3053\u3068\u304c\u3042\u308a\u307e\u3059\u3002<\/li>\n<li><strong>\u7b4b\u5f1b\u7de9\u5264\u3084\u30dc\u30c4\u30ea\u30cc\u30b9\u6bd2\u7d20<\/strong>\uff1a\u4e00\u90e8\u306e\u75c7\u4f8b\u3067\u306f\u3001\u7b4b\u5f1b\u7de9\u5264\u3084\u30dc\u30c4\u30ea\u30cc\u30b9\u6bd2\u7d20\u6ce8\u5c04\u304c\u7b4b\u8089\u306e\u7dca\u5f35\u7de9\u548c\u306b\u7528\u3044\u3089\u308c\u308b\u3053\u3068\u3082\u3042\u308a\u307e\u3059\u3002<\/li>\n<\/ul>\n<p>\u591a\u304f\u306e\u5834\u5408\u3001\u30ea\u30cf\u30d3\u30ea\u30c6\u30fc\u30b7\u30e7\u30f3\u3068\u6642\u9593\u306e\u7d4c\u904e\u306b\u3088\u3063\u3066\u75c7\u72b6\u306f\u81ea\u7136\u306b\u6539\u5584\u3057\u307e\u3059\u304c\u3001\u518d\u767a\u3059\u308b\u53ef\u80fd\u6027\u3082\u3042\u308b\u305f\u3081\u3001\u7d99\u7d9a\u7684\u306a\u30ea\u30cf\u30d3\u30ea\u304c\u63a8\u5968\u3055\u308c\u307e\u3059\u3002<\/p>\n<h3>2. \u4e73\u623f\u5207\u9664\u5f8c\u75c7\u5019\u7fa4\uff08PMPS\uff09<\/h3>\n<h4>2.1 \u6982\u8981<\/h4>\n<p>\u4e73\u623f\u5207\u9664\u5f8c\u75c7\u5019\u7fa4\uff08PMPS\uff09\u306f\u3001\u4e73\u623f\u5207\u9664\u8853\u3084\u30ea\u30f3\u30d1\u7bc0\u90ed\u6e05\u3092\u53d7\u3051\u305f\u60a3\u8005\u304c\u624b\u8853\u5f8c\u306b\u7d4c\u9a13\u3059\u308b\u6162\u6027\u306e\u75db\u307f\u75c7\u5019\u7fa4\u3067\u3059\u3002\u624b\u8853\u5f8c3\u304b\u6708\u4ee5\u4e0a\u7d9a\u304f\u75db\u307f\u3092PMPS\u3068\u5b9a\u7fa9\u3057\u3001\u60a3\u8005\u306eQOL\uff08\u751f\u6d3b\u306e\u8cea\uff09\u306b\u5927\u304d\u306a\u5f71\u97ff\u3092\u4e0e\u3048\u308b\u305f\u3081\u3001\u91cd\u8981\u306a\u554f\u984c\u3068\u3055\u308c\u3066\u3044\u307e\u3059\u3002\u7279\u306b\u814b\u7aa9\u795e\u7d4c\u3001\u808b\u9593\u8155\u795e\u7d4c\u3001\u307e\u305f\u306f\u9577\u80f8\u795e\u7d4c\u306a\u3069\u306e\u795e\u7d4c\u304c\u640d\u50b7\u3055\u308c\u308b\u3053\u3068\u304c\u539f\u56e0\u3067\u767a\u75c7\u3059\u308b\u3053\u3068\u304c\u591a\u3044\u3067\u3059\u3002<\/p>\n<h4>2.2 \u539f\u56e0<\/h4>\n<p>PMPS\u306e\u539f\u56e0\u3068\u3057\u3066\u306f\u3001\u795e\u7d4c\u640d\u50b7\u3084\u30ea\u30f3\u30d1\u6d6e\u816b\u3001\u7d44\u7e54\u306e\u708e\u75c7\u3001\u7622\u75d5\u7d44\u7e54\u306e\u5f62\u6210\u306a\u3069\u304c\u8003\u3048\u3089\u308c\u3066\u3044\u307e\u3059\u3002\u4e73\u623f\u3084\u30ea\u30f3\u30d1\u7bc0\u306e\u9664\u53bb\u306b\u4f34\u3044\u3001\u795e\u7d4c\u304c\u640d\u50b7\u3055\u308c\u308b\u3053\u3068\u306b\u3088\u3063\u3066\u6162\u6027\u7684\u306a\u75db\u307f\u304c\u767a\u751f\u3059\u308b\u3053\u3068\u304c\u591a\u304f\u3001\u7279\u306b\u814b\u7aa9\u795e\u7d4c\u3084\u808b\u9593\u795e\u7d4c\u304c\u640d\u50b7\u3055\u308c\u3084\u3059\u3044\u3067\u3059\u3002<\/p>\n<h4>2.3 \u75c7\u72b6<\/h4>\n<p>PMPS\u306e\u75c7\u72b6\u306b\u306f\u4ee5\u4e0b\u306e\u3088\u3046\u306a\u3082\u306e\u304c\u542b\u307e\u308c\u307e\u3059\uff1a<\/p>\n<ul>\n<li>\u4e73\u623f\u5207\u9664\u90e8\u3084\u814b\u7aa9\u3001\u4e0a\u8155\u306b\u304b\u3051\u3066\u306e\u6301\u7d9a\u7684\u306a\u75db\u307f\u3084\u523a\u3059\u3088\u3046\u306a\u75db\u307f<\/li>\n<li>\u89e6\u899a\u904e\u654f\uff08\u8efd\u304f\u89e6\u308c\u305f\u3060\u3051\u3067\u3082\u75db\u307f\u3092\u611f\u3058\u308b\uff09<\/li>\n<li>\u3057\u3073\u308c\u3084\u707c\u71b1\u611f\u3001\u7b4b\u8089\u306e\u3072\u304d\u3064\u308a\u611f<\/li>\n<li>\u8155\u306e\u904b\u52d5\u3084\u65e5\u5e38\u52d5\u4f5c\u306b\u304a\u3051\u308b\u56f0\u96e3<\/li>\n<\/ul>\n<p>\u3053\u308c\u3089\u306e\u75c7\u72b6\u306f\u3001\u60a3\u8005\u306e\u7cbe\u795e\u7684\u306a\u8ca0\u62c5\u306b\u3082\u3064\u306a\u304c\u308b\u305f\u3081\u3001\u65e9\u671f\u306e\u6cbb\u7642\u304c\u671b\u307e\u308c\u307e\u3059\u3002<\/p>\n<h4>2.4 \u8a3a\u65ad<\/h4>\n<p>PMPS\u306e\u8a3a\u65ad\u306f\u3001\u60a3\u8005\u306e\u75c7\u72b6\u3084\u65e2\u5f80\u6b74\u3001\u89e6\u8a3a\u306b\u3088\u3063\u3066\u884c\u308f\u308c\u307e\u3059\u3002\u795e\u7d4c\u306e\u640d\u50b7\u306e\u6709\u7121\u3092\u78ba\u8a8d\u3059\u308b\u305f\u3081\u3001\u795e\u7d4c\u5b66\u7684\u691c\u67fb\u3084\u753b\u50cf\u8a3a\u65ad\uff08MRI\u3001\u8d85\u97f3\u6ce2\u306a\u3069\uff09\u304c\u884c\u308f\u308c\u308b\u3053\u3068\u3082\u3042\u308a\u307e\u3059\u3002<\/p>\n<h4>2.5 \u6cbb\u7642\u6cd5<\/h4>\n<p>PMPS\u306e\u6cbb\u7642\u306b\u306f\u3001\u4ee5\u4e0b\u306e\u3088\u3046\u306a\u65b9\u6cd5\u304c\u53d6\u3089\u308c\u307e\u3059\uff1a<\/p>\n<ul>\n<li><strong>\u85ac\u7269\u7642\u6cd5<\/strong>\uff1a\u795e\u7d4c\u75db\u3092\u8efd\u6e1b\u3059\u308b\u305f\u3081\u306b\u3001\u6297\u3046\u3064\u85ac\u3084\u6297\u3051\u3044\u308c\u3093\u85ac\u304c\u51e6\u65b9\u3055\u308c\u308b\u3053\u3068\u304c\u3042\u308a\u307e\u3059\u3002\u307e\u305f\u3001\u93ae\u75db\u5264\uff08NSAIDs\u3001\u30aa\u30d4\u30aa\u30a4\u30c9\u306a\u3069\uff09\u3082\u75db\u307f\u306e\u7ba1\u7406\u306b\u5f79\u7acb\u3064\u5834\u5408\u304c\u3042\u308a\u307e\u3059\u3002<\/li>\n<li><strong>\u7406\u5b66\u7642\u6cd5<\/strong>\uff1a\u30ea\u30cf\u30d3\u30ea\u30c6\u30fc\u30b7\u30e7\u30f3\u3084\u30b9\u30c8\u30ec\u30c3\u30c1\u3001\u30de\u30c3\u30b5\u30fc\u30b8\u304c\u52b9\u679c\u7684\u3067\u3059\u3002\u7b4b\u8089\u306e\u7dca\u5f35\u3092\u548c\u3089\u3052\u3001\u53ef\u52d5\u57df\u3092\u7dad\u6301\u3059\u308b\u3053\u3068\u304c\u91cd\u8981\u3067\u3059\u3002<\/li>\n<li><strong>\u795e\u7d4c\u30d6\u30ed\u30c3\u30af\u7642\u6cd5<\/strong>\uff1a\u75db\u307f\u304c\u5f37\u3044\u5834\u5408\u306b\u306f\u3001\u795e\u7d4c\u30d6\u30ed\u30c3\u30af\u6ce8\u5c04\uff08\u5c40\u6240\u9ebb\u9154\u85ac\u3092\u6ce8\u5165\u3059\u308b\u65b9\u6cd5\uff09\u304c\u884c\u308f\u308c\u308b\u3053\u3068\u304c\u3042\u308a\u307e\u3059\u3002\u3053\u308c\u306b\u3088\u308a\u3001\u4e00\u6642\u7684\u306b\u75db\u307f\u3092\u7de9\u548c\u3059\u308b\u52b9\u679c\u304c\u671f\u5f85\u3055\u308c\u307e\u3059\u3002<\/li>\n<li><strong>\u5fc3\u7406\u7684\u652f\u63f4<\/strong>\uff1aPMPS\u306b\u3088\u3063\u3066\u751f\u6d3b\u306e\u8cea\u304c\u4f4e\u4e0b\u3059\u308b\u3053\u3068\u304c\u3042\u308b\u305f\u3081\u3001\u5fc3\u7406\u7684\u306a\u30b5\u30dd\u30fc\u30c8\u3084\u75db\u307f\u306e\u81ea\u5df1\u7ba1\u7406\u6559\u80b2\u304c\u63a8\u5968\u3055\u308c\u307e\u3059\u3002\u75bc\u75db\u7ba1\u7406\u306e\u4e00\u74b0\u3068\u3057\u3066\u3001\u5fc3\u7406\u7642\u6cd5\u3084\u8a8d\u77e5\u884c\u52d5\u7642\u6cd5\u304c\u884c\u308f\u308c\u308b\u3053\u3068\u3082\u3042\u308a\u307e\u3059\u3002<\/li>\n<li><strong>\u5916\u79d1\u7684\u6cbb\u7642<\/strong>\uff1a\u75db\u307f\u304c\u6301\u7d9a\u3057\u3001\u4ed6\u306e\u6cbb\u7642\u6cd5\u304c\u52b9\u679c\u3092\u793a\u3055\u306a\u3044\u5834\u5408\u306b\u306f\u3001\u795e\u7d4c\u306e\u5727\u8feb\u3092\u9664\u53bb\u3059\u308b\u5916\u79d1\u7684\u624b\u8853\u304c\u8003\u616e\u3055\u308c\u308b\u3053\u3068\u3082\u3042\u308a\u307e\u3059\u304c\u3001\u3053\u308c\u306f\u614e\u91cd\u306b\u691c\u8a0e\u3055\u308c\u308b\u3079\u304d\u3067\u3059\u3002<\/li>\n<\/ul>\n<h3>\u307e\u3068\u3081<\/h3>\n<p>\u814b\u7aa9\u7d22\u72b6\u75c7\u5019\u7fa4\u3068\u4e73\u623f\u5207\u9664\u5f8c\u75c7\u5019\u7fa4\u306f\u3069\u3061\u3089\u3082\u4e73\u304c\u3093\u6cbb\u7642\u5f8c\u306e\u5408\u4f75\u75c7\u3067\u3001\u60a3\u8005\u306e\u751f\u6d3b\u306b\u5927\u304d\u306a\u5f71\u97ff\u3092\u4e0e\u3048\u308b\u53ef\u80fd\u6027\u304c\u3042\u308a\u307e\u3059\u3002AWS\u306f\u30ea\u30cf\u30d3\u30ea\u3084\u30ea\u30f3\u30d1\u30c9\u30ec\u30ca\u30fc\u30b8\u306a\u3069\u306e\u7269\u7406\u7642\u6cd5\u3067\u6539\u5584\u3059\u308b\u3053\u3068\u304c\u591a\u304f\u3001PMPS\u3067\u306f\u85ac\u7269\u7642\u6cd5\u3084\u795e\u7d4c\u30d6\u30ed\u30c3\u30af\u3001\u5fc3\u7406\u7684\u652f\u63f4\u306a\u3069\u3001\u8907\u5408\u7684\u306a\u30a2\u30d7\u30ed\u30fc\u30c1\u304c\u5fc5\u8981\u3068\u3055\u308c\u307e\u3059\u3002\u3069\u3061\u3089\u306e\u75c7\u5019\u7fa4\u3082\u65e9\u671f\u306e\u8a3a\u65ad\u3068\u9069\u5207\u306a\u6cbb\u7642\u304c\u3001\u75c7\u72b6\u306e\u6539\u5584\u3084\u751f\u6d3b\u306e\u8cea\u306e\u5411\u4e0a\u306b\u5bc4\u4e0e\u3059\u308b\u305f\u3081\u3001\u60a3\u8005\u3068\u533b\u7642\u5f93\u4e8b\u8005\u304c\u5354\u529b\u3057\u3066\u7ba1\u7406\u3057\u3066\u3044\u304f\u3053\u3068\u304c\u5927\u5207\u3067\u3059\u3002<\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>\u814b\u7aa9\u7d22\u72b6\u75c7\u5019\u7fa4\uff08axillary web syndrome\u3001AWS\uff09\u304a\u3088\u3073\u4e73\u623f\u5207\u9664\u5f8c\u75c7\u5019\u7fa4\uff08postmastectomy pain syndrome\u3001PMPS\uff09\u306f\u3001\u4e73\u304c\u3093\u6cbb\u7642\u5f8c\u306b\u767a\u751f\u3057\u3084\u3059\u3044\u4ee3\u8868\u7684\u306a\u5408\u4f75\u75c7\u3067\u3059\u3002\u4ee5\u4e0b\u306b\u305d\u308c\u305e\u308c\u306e\u6982\u8981\u3001\u539f\u56e0\u3001\u75c7\u72b6\u3001\u8a3a\u65ad\u3001\u6cbb\u7642\u6cd5\u3092\u542b\u3081\u305f\u307e\u3068\u3081\u3066\u7d39\u4ecb\u3057\u307e\u3059\u3002 1. \u814b\u7aa9\u7d22\u72b6\u75c7\u5019\u7fa4\uff08AWS\uff09 1.1 \u6982\u8981 \u814b\u7aa9\u7d22\u72b6\u75c7\u5019\u7fa4\uff08AWS\uff09\u306f\u3001\u4e73\u304c\u3093\u624b\u8853\u5f8c\u3001\u7279\u306b\u30ea\u30f3\u30d1\u7bc0\u90ed\u6e05\uff08\u30ea\u30f3\u30d1\u7bc0\u306e\u9664\u53bb\u624b\u8853\uff09\u3092\u53d7\u3051\u305f\u60a3\u8005\u306b\u898b\u3089\u308c\u308b\u5408\u4f75\u75c7\u3067\u3059\u3002\u5225\u540d\u300c\u30ea\u30f3\u30d1\u7d22\u300d\u3084\u300c\u30b3\u30fc\u30c9\u75c7\u5019\u7fa4\u300d\u3068\u3082\u547c\u3070\u308c\u3001\u624b\u8853\u5f8c\u6570\u65e5\u304b\u3089\u6570\u9031\u9593\u4ee5\u5185\u306b\u767a\u75c7\u3059\u308b\u3053\u3068\u304c\u591a\u3044\u3067\u3059\u3002\u814b\u7aa9\u304b\u3089\u8155\u306e\u5185\u5074\u306b\u304b\u3051\u3066\u786c\u3044\u300c\u7d22\u72b6\u300d\u306e\u69cb\u9020\u7269\u304c\u73fe\u308c\u3001\u75db\u307f\u3084\u53ef\u52d5\u57df\u5236\u9650\u306e\u539f\u56e0\u3068\u306a\u308a\u307e\u3059\u3002 1.2 \u539f\u56e0 AWS\u306e\u539f\u56e0\u306f\u5b8c\u5168\u306b\u306f\u89e3\u660e\u3055\u308c\u3066\u3044\u307e\u305b\u3093\u304c\u3001\u30ea\u30f3\u30d1\u7bc0\u90ed\u6e05\u306b\u3088\u3063\u3066\u30ea\u30f3\u30d1\u7ba1\u3084\u8840\u7ba1\u3001\u795e\u7d4c\u304c\u50b7\u3064\u3051\u3089\u308c\u305f\u308a\u3001\u30ea\u30f3\u30d1\u6db2\u306e\u6d41\u308c\u304c\u6ede\u3063\u305f\u308a\u3059\u308b\u3053\u3068\u3067\u3001\u814b\u7aa9\u3084\u8155\u306b\u7e4a\u7dad\u6027\u306e\u30b3\u30fc\u30c9\u72b6\u306e\u7d44\u7e54\u304c\u5f62\u6210\u3055\u308c\u308b\u3068\u8003\u3048\u3089\u308c\u3066\u3044\u307e\u3059\u3002\u3053\u306e\u30b3\u30fc\u30c9\u72b6\u7d44\u7e54\u306f\u30ea\u30f3\u30d1\u6db2\u306e\u6d41\u308c\u3092\u59a8\u3052\u308b\u305f\u3081\u3001\u75db\u307f\u3084\u8155\u306e\u816b\u308c\u306a\u3069\u306e\u75c7\u72b6\u3092\u5f15\u304d\u8d77\u3053\u3059\u3053\u3068\u304c\u591a\u3044\u3067\u3059\u3002 1.3 \u75c7\u72b6 AWS\u306e\u4e3b\u306a\u75c7\u72b6\u306b\u306f\u4ee5\u4e0b\u306e\u3088\u3046\u306a\u3082\u306e\u304c\u3042\u308a\u307e\u3059\uff1a \u8155\u3084\u814b\u7aa9\u306b\u5f35\u308a\u611f\u3084\u75db\u307f\u3092\u611f\u3058\u308b \u814b\u7aa9\u304b\u3089\u8155\u306b\u304b\u3051\u3066\u7d22\u72b6\u306e\u786c\u3044\u69cb\u9020\u304c\u73fe\u308c\u308b \u80a9\u3084\u8155\u306e\u53ef\u52d5\u57df\u304c\u5236\u9650\u3055\u308c\u308b \u8155\u306e\u52d5\u304b\u3057\u306b\u304f\u3055\u3084\u7b4b\u8089\u306e\u3053\u308f\u3070\u308a\u611f \u30ea\u30f3\u30d1\u6d6e\u816b\u306e\u767a\u751f\uff08\u307e\u308c\u306b\uff09 \u3053\u308c\u3089\u306e\u75c7\u72b6\u306f\u3001\u65e5\u5e38\u751f\u6d3b\u306b\u304a\u3051\u308b\u52d5\u4f5c\u306b\u652f\u969c\u3092\u304d\u305f\u3059\u3053\u3068\u304c\u3042\u308a\u3001\u65e9\u671f\u306e\u8a3a\u65ad\u3068\u6cbb\u7642\u304c\u91cd\u8981\u3067\u3059\u3002 1.4 \u8a3a\u65ad AWS\u306e\u8a3a\u65ad\u306f\u3001\u81e8\u5e8a\u75c7\u72b6\u3068\u89e6\u8a3a\u3092\u901a\u3058\u3066\u884c\u308f\u308c\u307e\u3059\u3002\u89e6\u8a3a\u306b\u3088\u3063\u3066\u7d22\u72b6\u306e\u786c\u3044\u7d44\u7e54\u3092\u78ba\u8a8d\u3059\u308b\u3053\u3068\u3067\u3001AWS\u3068\u5224\u65ad\u3055\u308c\u307e\u3059\u3002\u753b\u50cf\u8a3a\u65ad\uff08\u8d85\u97f3\u6ce2\u691c\u67fb\u3084MRI\uff09\u304c\u88dc\u52a9\u7684\u306b\u7528\u3044\u3089\u308c\u308b\u3053\u3068\u3082\u3042\u308a\u307e\u3059\u304c\u3001\u4e00\u822c\u7684\u306b\u306f\u89e6\u8a3a\u304c\u4e2d\u5fc3\u3067\u3059\u3002 1.5 \u6cbb\u7642\u6cd5 AWS\u306e\u6cbb\u7642\u6cd5\u306b\u306f\u4ee5\u4e0b\u306e\u3088\u3046\u306a\u3082\u306e\u304c\u3042\u308a\u307e\u3059\uff1a 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