{"id":259,"date":"2018-08-07T08:00:18","date_gmt":"2018-08-06T23:00:18","guid":{"rendered":"https:\/\/www.sj-shibuya-bc.jp\/staff-blog\/?p=259"},"modified":"2024-08-30T17:02:43","modified_gmt":"2024-08-30T08:02:43","slug":"%e5%8d%b5%e8%83%9e%e3%81%ae%e7%99%ba%e8%82%b2%e3%82%b9%e3%83%86%e3%83%bc%e3%82%b8%e3%81%ab%e5%90%88%e3%82%8f%e3%81%9b%e3%81%9fivm","status":"publish","type":"post","link":"https:\/\/www.sj-shibuya-bc.jp\/staff-blog\/?p=259","title":{"rendered":"\u5375\u80de\u306e\u767a\u80b2\u30b9\u30c6\u30fc\u30b8\u306b\u5408\u308f\u305b\u305fIVM"},"content":{"rendered":"<p>\u685c\u5341\u5b57\u30a6\u30a3\u30e1\u30f3\u30ba\u30af\u30ea\u30cb\u30c3\u30af\u6e0b\u8c37\u57f9\u990a\u90e8\u3067\u3059\u3002<\/p>\n<p>7\u670826\u65e5(\u6728)\u300127\u65e5(\u91d1)\u306b\u5343\u8449\u770c\u5e55\u5f35\u30e1\u30c3\u30bb\u3067\u958b\u50ac\u3055\u308c\u305f\u7b2c36\u56de 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Maturation\uff09\u201d\u306b\u95a2\u3059\u308b\u65b0\u3057\u3044\u77e5\u898b\u3092\u304a\u4f1d\u3048\u3057\u307e\u3059\u3002<\/p>\n<p>&nbsp;<\/p>\n<p>IVM\u306f\u3001\u4e3b\u306bPCOS\u60a3\u8005\uff08\u591a\u56a2\u80de\u6027\u5375\u5de3\u75c7\u5019\u7fa4\uff1a\u6392\u5375\u304c\u963b\u5bb3\u3055\u308c\u3066\u5375\u5b50\u304c\u6392\u5375\u3067\u304d\u306a\u304f\u306a\u308b\u75c7\u72b6\uff09\u306a\u3069\u306bOHSS\uff08\u5375\u5de3\u904e\u5270\u523a\u6fc0\u75c7\u5019\u7fa4\uff1a\u5375\u5de3\u523a\u6fc0\u306b\u3088\u308a\u5375\u80de\u304c\u6570\u591a\u304f\u80b2\u3064\u3053\u3068\u3067\u8179\u90e8\u306a\u3069\u306b\u6c34\u304c\u305f\u307e\u308b\u75c7\u72b6)\u306e\u30ea\u30b9\u30af\u3092\u9632\u3050\u305f\u3081\u306b\u884c\u308f\u308c\u308b\u4e8b\u304c\u591a\u3044\u624b\u6cd5\u3067\u3059\u3002\u5375\u5de3\u523a\u6fc0\u88fd\u5264\u306e\u6295\u4e0e\u3092\u5c11\u91cf\u306b\u3059\u308b\u304b\u6295\u4e0e\u81ea\u4f53\u3092\u7121\u304f\u3057\u3066\u3001\u767a\u80b2\u3057\u3066\u3044\u306a\u3044\u5c0f\u3055\u3044\u5375\u80de\u304b\u3089\u5375\u5b50\u3092\u63a1\u53d6\u3057\u307e\u3059\u3002\u5c0f\u3055\u3044\u5375\u80de\u304b\u3089\u306f\u672a\u6210\u719f\u5375\u306e\u5375\u5b50\u304c\u63a1\u53d6\u3055\u308c\u308b\u3053\u3068\u304c\u591a\u3044\u305f\u3081\u3001IVM\u3092\u65bd\u3057\u3066\u304b\u3089\u9855\u5fae\u6388\u7cbe\u307e\u305f\u306f\u4f53\u5916\u53d7\u7cbe\u3078\u3068\u9032\u3081\u307e\u3059\u3002\u3082\u3061\u308d\u3093\u3001\u901a\u5e38\u306e\u63a1\u5375\u306e\u969b\u306b\u3001\u4e3b\u5e2d\u5375\u80de\u4ee5\u5916\u306e\u5c0f\u5375\u80de\u304b\u3089\u672a\u6210\u719f\u306e\u5375\u5b50\u304c\u63a1\u53d6\u3055\u308c\u305f\u5834\u5408\u306b\u3082IVM\u3092\u884c\u3044\u307e\u3059\u3002<\/p>\n<p>&nbsp;<\/p>\n<p>IVM\u306e\u5229\u70b9\u306fOHSS\u306e\u5371\u967a\u6027\u304c\u306a\u3044\u3068\u3044\u3046\u70b9\u306b\u52a0\u3048\u3001\u6ce8\u5c04\u306b\u4f34\u3046\u8089\u4f53\u7684\u3001\u7cbe\u795e\u7684\u3001\u7d4c\u6e08\u7684\u8ca0\u62c5\u3001\u901a\u9662\u306e\u8ca0\u62c5\u3082\u8efd\u6e1b\u3055\u308c\u307e\u3059\u3002\u4e00\u65b9\u3067\u3001\u5375\u80de\u304c\u5c0f\u3055\u3044\u4e8b\u306b\u3088\u308b\u63a1\u5375\u624b\u6280\u306e\u56f0\u96e3\u3055\u3001\u57f9\u990a\u6761\u4ef6\u304c\u5341\u5206\u691c\u8a0e\u3055\u308c\u3066\u3044\u306a\u3044\u3053\u3068\u3001\u305d\u308c\u3089\u306b\u8d77\u56e0\u3057\u305f\u6210\u719f\u7387\u306e\u4f4e\u3055\u306a\u3069\u304b\u3089\u3001\u81e8\u5e8a\u6210\u7e3e\u306f\u6210\u719f\u5375\u3068\u6bd4\u8f03\u3059\u308b\u3068\u5927\u304d\u304f\u9045\u308c\u3092\u3068\u3063\u3066\u3044\u308b\u306e\u304c\u73fe\u72b6\u3067\u3059\u3002<\/p>\n<p>&nbsp;<\/p>\n<p>\u4eca\u56de\u306e\u8b1b\u6f14\u3067\u306f\u3001\u300e\u5375\u80de\u767a\u80b2\u30b9\u30c6\u30fc\u30b8\u306b\u5408\u308f\u305b\u305f IVM\u300f\u3068\u3044\u3046\u767a\u8868\u304c\u3042\u308a\u307e\u3057\u305f\u3002\u3053\u308c\u306f\u3001\u5c0f\u5375\u80de\u304b\u3089\u53d6\u308c\u305f\u5375\u306e\u30b9\u30c6\u30fc\u30b8\u306b\u3088\u308a\u57f9\u990a\u6761\u4ef6\u3092\u5909\u3048\u308b\u3053\u3068\u3067IVM\u306e\u6210\u7e3e\u304c\u5411\u4e0a\u3059\u308b\u3068\u3044\u3046\u3082\u306e\u3067\u3059\u3002<\/p>\n<p>PCOS\u306e\u75c7\u4f8b\u3067\u306f\u3001\u5375\u80de\u306e\u5927\u304d\u3055\u304c10mm\u4ee5\u4e0a\u306e\u3082\u306e\u306810mm\u4ee5\u4e0b\u306e\u3082\u306e\u3068\u3067\u5206\u985e\u3057\u307e\u3059\u300210mm\u4ee5\u4e0a\u306e\u3082\u306e\u306fEGF-like factor(\u4e0a\u76ae\u6210\u9577\u56e0\u5b50\u69d8\u56e0\u5b50) \u3084 PGE2(\u30d7\u30ed\u30b9\u30bf\u30b0\u30e9\u30f3\u30b8\u30f3E2)\u306a\u3069\u306e\u6dfb\u52a0\u7269\u3092\u52a0\u3048\u3066IVM\u3092\u884c\u3044\u307e\u3059\u3002<\/p>\n<p>10mm\u4ee5\u4e0b\u306e\u3082\u306e\u306fFSH (\u5375\u80de\u523a\u6fc0\u30db\u30eb\u30e2\u30f3)+\u30a8\u30b9\u30c8\u30ed\u30b2\u30f3+PDE \u6291\u5236\u5264(\u5375\u6210\u719f\u307e\u3067\u6e1b\u6570\u5206\u88c2\u3092\u505c\u6b62\u3055\u305b\u3066\u304a\u304f\u5f79\u5272\u3092\u6301\u3064)\u3092\u6dfb\u52a0\u3057\u3066IVM\u3092\u304a\u3053\u306a\u3044\u3001\u3055\u3089\u306b\u305d\u306e\u5f8cEGF-like factor\u3084 PGE2\u3092\u6dfb\u52a0\u3057\u3066IVM\u3092\u7d99\u7d9a\u3057\u3066\u6210\u719f\u3055\u305b\u307e\u3059\u3002<\/p>\n<p>&nbsp;<\/p>\n<p>\u5375\u5de3\u523a\u6fc0\u3092\u884c\u3063\u305f\u4e0a\u3067\u6210\u719f\u5375\u304c\u5f97\u3089\u308c\u306a\u304b\u3063\u305f\u75c7\u4f8b\u3067\u306f\u3001\u63a1\u5375\u5f8c\u5375\u5b50\u306e\u5468\u56f2\u306b\u4ed8\u7740\u3057\u3066\u3044\u308b\u5375\u4e18\u7d30\u80de\u304c\u81a8\u5316\u3057\u3066\u308b\u3082\u306e\u3068\u3057\u3066\u306a\u3044\u3082\u306e\u306b\u5206\u985e\u3057\u307e\u3059\u3002\u5375\u4e18\u7d30\u80de\u306e\u81a8\u5316\u306f\u5375\u5b50\u304c\u6210\u719f\u3057\u3066\u3044\u308b\u304b\u3069\u3046\u304b\u306e\u76ee\u5b89\u306e\u3072\u3068\u3064\u3067\u3042\u308a\u3001\u5927\u62b5\u306e\u5834\u5408\u306f\u6210\u719f\u3057\u3066\u3044\u308b\u306e\u3067\u3059\u304c\u3001\u5375\u4e18\u7d30\u80de\u304c\u81a8\u5316\u3057\u3066\u3044\u3066\u3082\u6210\u719f\u3057\u3066\u3044\u306a\u3044\u5375\u5b50\u304c\u5b58\u5728\u3057\u307e\u3059\u3002<\/p>\n<p>\u5375\u4e18\u7d30\u80de\u304c\u81a8\u5316\u3057\u3066\u306a\u3044\u3082\u306e\u306f\u3001EGF-like factor\u3084 PGE2\u3092\u6dfb\u52a0\u3057\u3066IVM\u3092\u884c\u3044\u307e\u3059\u3002\u81a8\u5316\u3057\u3066\u3044\u308b\u3082\u306e\u306f\u88f8\u5316\uff08\u5375\u4e18\u7d30\u80de\u3092\u53d6\u308a\u9664\u304f\u4f5c\u696d\uff09\u3092\u3057\u3066\u304b\u3089\u672a\u6210\u719f\u304c\u767a\u899a\u3059\u308b\u4e8b\u304c\u3042\u308b\u305f\u3081\uff08\u203b\u7a00\u306b\u3001\u6210\u719f\u3057\u3066\u3044\u308b\u3068\u601d\u3063\u3066\u88f8\u5316\u3092\u65bd\u3057\u305f\u3089\u6210\u719f\u3057\u3066\u3044\u306a\u304b\u3063\u305f\u3068\u3044\u3046\u3053\u3068\u304c\u3042\u308a\u307e\u3059\uff09\u3001\u5375\u4e18\u7d30\u80de\u304b\u3089\u5f97\u3089\u308c\u308b\u5375\u5b50\u306b\u5fc5\u8981\u306a\u6804\u990a\u57fa\u8cea\u3068\u306a\u308b\u30d4\u30eb\u30d3\u30f3\u9178\u3084\u4e73\u9178\u3001\u6297\u9178\u5316\u56e0\u5b50\u306e\u5408\u6210\u306b\u5fc5\u8981\u306a\u30a2\u30df\u30ce\u9178\u985e\u3001\u5375\u306e\u7d30\u80de\u9aa8\u683c\u3092\u4fdd\u6301\u3059\u308b\u7d30\u80de\u5916\u30de\u30c8\u30ea\u30c3\u30af\u30b9(\u30d5\u30a1\u30a4\u30d6\u30ed\u30cd\u30af\u30c1\u30f3)\u3092\u6dfb\u52a0\u3057\u3066IVM\u3059\u308b\u3053\u3068\u3067\u3001\u6b63\u5e38\u306a\u5375\u6210\u719f\u3092\u8a98\u5c0e\u3059\u308b\u3053\u3068\u304c\u3067\u304d\u307e\u3059\u3002<\/p>\n<p>&nbsp;<\/p>\n<p>\u3053\u306e\u307e\u307e\u306e\u6587\u7ae0\u3060\u3068\u308f\u304b\u308a\u3065\u3089\u3044\u306e\u3067\u3001\u4ee5\u4e0a\u306e\u3053\u3068\u3092\u307e\u3068\u3081\u305f\u8868\u3092\u4f5c\u308a\u307e\u3057\u305f\u3002<\/p>\n<p><img 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