?????ι??蝹??ղ??Υ??⡼?????Ťκݡ??ʤ??餫?Υȥ??֥??к??Ȥ??ơ??ղ???????3?ͤ?蝹??ع??γ???????2?ͤ???????Ȥ????Ե????????äƤޤ?????

?µ??Υӥǥ??ե????뤬?ͥåȱۤ??ˤ??ޤ??????????ʤ??ä??ݤˡ??ꥢ???ۿ????????褦?ˤ??Ƥ??????Ǥ?????

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?ֽ???????

?????Ρ??Ϥ꤭?夦?ܹ?????Ʋ??????Ī???????????ϡ??ѡ???????¤ʤɤǤ褯?Ȥ??ĥܤ????ĺ???ޤ?????

???ȥѥ˥å??㳲?ʤɤǤ褯?Ȥ??????ĥܤ?΢????????

???ǥ??ϡ????ܱ??????????????????Ļ??Ϥꡦ???夦???ޥå??????ܹ????ιⶶ???λ???????

?ߥ??ٶ???????Ʋ???ϲ?????ͼ????٤˹Ԥ??ޤ?????

????Ʀ???????ӡ??롣???Ż????????ȤΥӡ????ϳ??̤Ǥ??͡?

?????Ϥޤ??ޤ??ٶ?????³???ޤ???

24????蝹??ղ??ιֽ?????31?????????????γ??ȽΤǤ???

 

?????????ȻפäƤ??????蝹??ղ??ͤιֽ????⺣?????Ȥʤ??ޤ?????

???֤??????Х??饤?ɤ??ɤ?ľ????Ƥ??ޤ?????????3???֤Ǵ?λ?Ǥ??뤫????

???Ĥ⥻?ߥʡ????ä??????˶?Ĵ?????Τϡ???ǥ???ŤǤΡ????????Ǥμ??Ť??????ʤ?蝹䱡?μ??Ť??礭?ʰ㤤?Ǥ???

̾???̤ä?ͭ̾?ʥ????˥å??Ǥ⡢???Ԥ??????μ??????Ť??뤳?ȤϤ????ޤ???????Ƥ??ϼ??????Ȥ˴??뤹?뼣?ŤȤʤ??ޤ???

???ո????ˤ????ۥ??????????å???????Ͷȯ?????????Ƥޤ???????äƤ????顢??????롦????뢪?????????뢪?徲????????

?????????Ϥ???ή???ˤʤ??ޤ????????ˤ??????㵡ǽ?????ǤϿ??????ˤ錄?ä?DHEA-S?ʤɤΥ??ץ??????Ȥ??Ȥä??ꤷ?????㵡ǽ?β??????ܻؤ????Ť⤢???ˤϤ????ޤ?????????Ū?ǤϤ????ޤ?????

蝹伣?Ťξ????ϡ?ľ?????????Ƥ뼣?Ť⤢???ޤ???????ä?????ä???36???ָ???????????褦?ʼ??Ť⤢???ޤ?????
?⤷???????餽?줬?Ǥ???ã?ͤ??????Τ??⤷???ޤ????

蝹伣?ŤϿ??????ˤ錄?äƤ??μ??????Ǥ??ꡢ?????ˤ??äƤΥۥ??????Ķ??β??????ҵܡ??????η?ή?β??????ܻؤ??Ƥ????ޤ???

?㤨?С?蝹伣?ŤΤߤ??Ԥä??μ????????ԤäƤ????֤˼???ǥ???Ǥ??ʤ??Ȥ⡢???θ??????????μ??Ť??Ԥ??ȡ??????ޤǥ????ߥå?1??????餿????2???????ͤʤɹԤäƤ??????Ǥ⡢?????ߥå?1???Ǥ褤????ä??ꤹ???褦?ˤʤ??ޤ???

?ޤ??γ????????ԤäƤ??ơ??????Ǥ??????????ʤ??ä??ꥰ?졼?٤??㤤???Ҥˤ????餿?ʤ??ä????Τ????ɤ????졼?ɤ????˰??Ĥ??Ȥ??????ޤ???

?????????μ??????ϡ??¤????ڤʤΤ??Ȼפ??ޤ???

?????ǤϺ????μ??????٤?1????1?????Ԥ??ޤ???

???줬2????1??餤???ȡ????ޤ????????̤??ʤ??褦?Ǥ???

7???????˿??Ťϡ?3????10????31???θ??????ΤߤȤʤ??ޤ???
???????ϽѼԤ?1̾?Τ??ῷ?????б??ϤǤ??ޤ?????

 

???蝹??ղ??Ǥιֱ??Υ??饤?ɤǤ???

?????????ʽ???????ǥ?????ɤΥԥå????å׾㳲???????Ȥ??ƿ??ꤵ???Ƥ??ޤ???

?ԥå????å׾㳲?Ȥϡ?????????????˦?????ɤ?õ?????ơ?????????Ҥ????ɤ???ü?ˤ??????ɺӡʤ??????ˤȸƤФ?????ʬ?ǥ????å????????????˵ۤ?????Ư?????????ޤ???

???ε?ǽ???????????ˡ??????????ҵ??⤫????????ü???ԤäƤ????????Ҥˡ?????????Ҥ??в?ʤ???ǥ???Ǥ??ʤ??ΤǤ???

?ҵ??????ɤ?ʢ?????ˤϡ??ҵ??????ɤΤ????˰ʾ????ȱ֤γ?????????ʢ?夬?????ޤ???

????ʢ?????ˤ??͡??ʥ????ȥ???????????졢?㤨?????ɤΥԥå????åפ??˳??????ꡢ̤???????β???˦(LUF: lutenized unruptured follicle)??????????ꤷ?ޤ???

LUF?ϰ????ΰ?????˦?ΰ??Ĥǡ?¿?????????и????????ΤǤ???

???Ȥ??лҵ??????ɤ??ʹԤ??????Τ˻ҵ?????????ǹ˦?ʤ??????????祳?졼??ǹ˦?ˤȤ??????Τ??????ޤ????????ϻҵ??????ɤ?ʬ???ǤϤ褯?Ȥ?????r-ASRMʬ?ࡧ?ʽ????ƹ???ǥ?ز?ʬ???ˤΣ???4???οʹԤ??????Τˤʤꡢ????????ǥ?θ????ˤʤꤦ???櫓?Ǥ???????????

????ǥ?????͹???????ǥ??Ψ?????˳????????ɤΥԥå????å׾㳲?????????????Τϡ?r-SARMʬ???Ǥ?1??2???ηڤ??´??Τ??Τ?¿???????Ǥ???

?ҵ??????ɤΰ????ι??Ϥʱ??ɾ??֤ǥ????ȥ????????????ޤ????顢???Ȥ??С?蝹??Τ褦?˷????ˤ????????뼣?ŤϤ????????????ȥ?????˽???ξ??֤??????????ΤǤϤʤ????ȹͤ??ޤ???

?????ˤ??????????顢???????֤????????????ä???
?????ǤϤ褯?????äǤ??????????????װ????????Τ??⤷???ޤ?????

 

7??10???????ˤϡ????????????˿??Ť??????ޤ???

???????????ڤ??夲?ơ????夫???ϥ??⡼?????Ťǹ??蝹??ղ??ͤιֽ????ιֻդ?̳???ޤ???

???äȡ??ֵ??˻Ȥ????饤?ɤ??????夲?ޤ?????

???ä????饤?ɤ?90?硣
???????ä??ʤ??ȥ????Ǥ??硢?????⤳???⡣????
90???ˤʤä??櫓?Ǥ?????

??????ʤ??????Τϡ??????ζȤǤ???

??????3???֤ιֵ????֤ǡ????饤?ɤǤ??ä??????Τ?2???֡?
?Ĥ?1???֤ϥӥǥ????ꤷ?Ƥ??????ե????????ȤäƤμµ???Ϫ?Ǥ???

?פ??֤??˥??饤?ɤ??????ޤ????????????????Ť??⤿????????ޤ?????

???Ϥ??Ȥ?????????????????ǥ?ˤĤ??ƻפ??Τϡ????٤λҵ??????ɤ??????ˤʤäƤ????ΤǤϤʤ?????

?????פ??ޤ???

???Υ??饤?ɤϹֵ??˻Ȥ????ΤǤ??????ϥ?????С????Ȥ????衼???å????????ز???ESHRE?ˤβ?Ĺ??̳?᤿?ؼԤ????θ????ǡ???????ǥ???Ԥˤ????????λҵ????????���?????٤??????ޤ????Ȥ????ǡ????Ǥ???

 

???Ȼ????±???Ĺ??̳?᤿?????????ػ??ؿͲʸ??????Ρ??鼣?????Υǡ????????????ŤΤ??٤ơ???????P122??

??Ĭ????20ǯ?Ȥ?????30????Ⱦ?Фǡ???ǥ??蝹䱡???ɤ??象????ǯ???Ǥ??????л???????0??????75???᤯???ҵ??????ɤˤʤ????���?Ȥ??????ΤǤ???

???äȤ??ҵ??????ɤδ??Ԥ?????Ĵ?٤??ǡ????ǡ????٤Ƥν??????????ʤ??櫓?ǤϤ????ޤ?????

?ҵ??????ɤ?蝹??Ǻ????Ǥ??????ΤǤϤ????ޤ?????????ˤߤʤɤζ??ˤ??Ф????б?????ǥ???Ť??̤??????Τ??????ޤ???

???7??10???ϻ͹???蝹??ղ??ͤιֽ????ǤΡ????⡼?ȹֻդ????ꤵ?줿???Ȥϡ??????Υ֥���?˽?ޤ?????

11????????????û?????ؤ?????蝹??????ع??ζ????γ??ͤǺ??????Ƥ??????????????ŴǸ?Ϣ?ȳز??ͤ??ꥷ???ݥ????Ȥȥߥ˥??ߥʡ??ιֻդ????ꤤ???????ޤ?????

?????ݥ??????ϡ????Ű??ť?????Ȥθ?ή?ˤĤ??Ƥ??ä??Ƥۤ????Ȥ??????ȤǤ?????

????4???ˤϲ??Ű??ť??????°???????????ڲ?ͺ?????ζ?????Ǥ????ǰ???ơ???̱?????ֺ¤?Ť????Ƥ??????????Ȥ????Ǥ???

???Ť???ʡ?礫?顢???ܤ???蝹????Ѥ??Ƥ????Ȥ????꿮ɽ???ξ????郎ʡ?縩蝹??ղ??ǽ????????Ƥ????????????Ȥϡ????Ѥʸ??ɤǤ???

?ߥ˥??ߥʡ??Ǥϡ???ǥ???ŤˤĤ??Ƽµ??????ߤǤ??ä??Ƥۤ????Ȥ??????ȤǤ?????

?Ǹ??????????????⤢???ع?????Ϣ?????ز??Ǥ?????ȯɽ???????Ƥ???Ҥͤäƹͤ??????Ȼפ??ޤ???

 

???郎???ꡢ7??10???????????ϸ??夫?????蝹??ղ??ͤ???ǥ?ɤˤĤ??Ƥ?3???֤ιֵ??????ĺ?????ˤʤ??ޤ???????ǯ???????ˤĤ??ǥ??⡼?Ȥˤ????ֵ????Ԥ??ޤ???

??ǯ????????蝹??ղ??ͤʤɤ?1????2??餤?ֻդ?̳?ᤵ???Ƥ????????Ƥ??ޤ???

??ǯ????????蝹??ޥå??????ղ??ͤΡ?蝹??դΤ????μ??????????ֺ¡٤ȡ????ȼ?ʬ?ν?°????ʡ?縩蝹??ղ????ߵ??ؽѹֽ????Ǥ?????

??ǯ??7???Τ??ιֺ¤Τۤ???11??27?????????dz??Ť??????????????Ǹ?Ϣ?ȳز??˥????ݥ????ȤȤ??????Ť?????ĺ?????ˤʤ??ޤ?????

???Ťι??֡??ѥ?ݥ????Ȥ??Ȥäƥ??饤?ɤ????????ޤ?(^^)

4???ο??Ű??⡡??

4????ǯ?ٽ????ȡ??䤬??Ĺ??̳???Ƥ???ʡ?縩蝹??ղ??Ǥ?????????????????˥Х??Х????Ƥ????ޤ?????

??ǯ??????Ƥ?????????????????????蝹??ع??γ??????????оݤ????????Ťλ??Τ??Ϥ??ޤ?????

?ֹ⤯???ϰ??˰???????蝹??դˤʤäƤ????????????Ȥ????ꤤ???????ơس??ȽΡ٤?̾?դ??ޤ?????

???üԤˤϡ??????αﵯ???ΤǤ????ظ?˷??ī???μ??٤??ۤ??ޤ?????

?ᥤ??????ǥ???Ť??ֵ????Ƥ????ޤ??????ޤ??ǽ??ˡ?蝹?ƻ?٤ˤĤ??Ƥ??ä??????????????Ȳ????Ťͤ뤴?Ȥ???ǥ???Ť????äƤ????????Ȼפ??ޤ???

?µ??Ǥϼ?ζŤ??δ??¡????ȥ쥹?к??????????뼣?Ťδ??ܤˤʤ??ޤ???

????????????蝹??굻???θ????Ƥ???????????λ???ޤ?????

??????5??10???????˸????˳??Ť??ޤ???

3???ο??Ű??⡡??

3???ϡ??ܶȤ???????Ĺ??̳???Ƥ???ʡ?縩蝹??ղ??Ǥλ??Ѥ???˻???Ǥ???

????????????????ǽ??????????Ǥ??????¼????????????????˼??ż???Ǥ???Ʒ????Ԥ?ʡ???????????ع??????عԤäƤ??ޤ?????

?ع????ɤˤϡ???ǯ?֤γ????????????ä??ڤǤ????̿????Ǻܤ????Ƥ??ޤ?????

??ǯ???λ????????Ȼ?????´?ȴֶ??Σ?ǯ?????оݤˡض??????????٤??ԤäƤ??ޤ???

´?带???????դΤ褦?˳?Ω???Ƥ??ʤ?蝹??ȳ??ˤ????ơ????եޡ????ο?´蝹??դ??Ф??Ƥ郎ʡ?縩蝹??ղ??ϡ??ǿ??ΰ??Ŷ??ܡ????ŵ??Ѥ??????????ſͤȤ??Ƥοͳʷ????ʤɡ?????????蝹??դ?ɬ?פʸ???????ǯ??³???ƹԤäƤ??ޤ???

?ޤ?????????蝹??դˤʤ뤿?????ΤäƤ????ʤ??Ȥ????ʤ????Ȥ??????ޤ???

WHO?Ǥ????ݼ???ʬ???κǿ??ǡ?ICD-11?ˤˡ?蝹????ޤ????ذ??Ťμ???ʬ???Υ????ǥ?????????????????ޤ?????

?Ĥޤ?蝹??????????ζ?ͭ?⻺?Ȥʤä??櫓?Ǥ???

?????????룱???ˤ??ꡢ????ɸ?ಽ??????ISO?ˤ??Ȥä????ꤵ???褦?Ȥ??Ƥ????ΤǤ???

?к??Ƹ??Ǥϰ??Ӱ?ϩ???????Ƹ??????ڳ?ĥ?ˤʤɤ???˿ʤ??????????蝹?????????ȯ?ͤǤ??뤫?顢蝹??ˤ??????붵?????׾????٤Ƥ??????ؼ???????ɸ???ˤ??٤????Ȥ????褦?Ȥ??Ƥ????ΤǤ???

????????????蝹??ϡ????̤??⤤???????????⤤???????Ѥ⾯?ʤ??????Ѥ⾯?ʤ??ƺѤ??Ȥ??????Ȥǹ????Ԥ????Ƥ??ޤ???
??????WHO?????ݼ???ʬ????蝹??Ǥ??¾ɤ?ʬ???Υ????ǥ???????????줿?ΤǤ???

?????Ǥϼ?????????ڹ?????ܼ??Ȥ???蝹???ʬ?ब?????ޤ????????????ɤ??Ȥ??���???뼣?Ť??ͼ??Ǥ?????ISO?????ꤵ???Ƥϡ????ܼ???蝹??????????ɤ????䤨?Ƥ??ޤ??ޤ???

????????蝹??Ȥ??????????ζ?ͭ?⻺?????뱿ư?ϡ???ɤϵ?γ???蝹??դǤϤǤ??ޤ?????

蝹??ղ??Ȥ????ȿ??˽?°??????Ǽ?᤿º??????顢?????ˤ??äƤ??????Ȥ??Ȥäƹ??ݥ??ӡ???ư???Ԥ?ɬ?פ??????ޤ???

?䤬??°????ʡ?縩蝹??ղ?????????ȡ????β????Ͼ?????????蝹??ղ??ˤ???Ǽ???졢????蝹??ղ??°???Ƥ???JLOM(???????ΰ??إ??ߥåȲ??ġ??????β????ǹ??ݥ??ӡ???ư??Ÿ?????ޤ???

JLOM?ι??ݥ??ӡ???ư?ˤĤ??ơ???

??ʬ?????٤????Ф褤???Ȥ????Τϰ??֥?????蝹??դǤ???

̵???˹??Ȼ???ѥ??????顢??????蝹??դˤʤ??ޤ???
?ݸ????Ȥ??ʤ???ͳ???Ť?蝹䱡?ˤϡ???ˤ??ä˰ռ??ι⤤???????δ??Ԥ?????¿???Ȥ?????ħ???????ޤ???

?????ˤ????դ????ʰ??դʤɤ???Ϣ?Ȥ????象???ޤ???

???Τ褦???ϥ????٥??ʴ??Ԥ???????????٤ȸƤФ????ΤǤ????顢???ܤ????ᡢ????Ū?ʻ????????äƴ??Ԥ????˸????礨??蝹??դ??ܻؤ????Ȥ??????????ڤǤ???

?䤬??Ĺ??̳????ʡ?縩蝹??ղ??Ǥϡ????????????ߤ?Ƴ????蝹???Ȥ??????Ǥ褫?ä????Ȼפ????褦??蝹??դ˰??ƤƤ????ޤ???

???Τ褦???ä?Ƥ??ޤ?????