{"id":2654,"date":"2017-12-09T23:42:54","date_gmt":"2017-12-09T14:42:54","guid":{"rendered":"https:\/\/www.sakudaira-angel-clinic.jp\/?p=2654"},"modified":"2017-12-09T23:42:54","modified_gmt":"2017-12-09T14:42:54","slug":"%e5%ad%b5%e5%8c%96%e8%a3%9c%e5%8a%a9%ef%bc%88assisted-hatching%ef%bc%89%e3%81%ab%e3%81%a4%e3%81%84%e3%81%a6","status":"publish","type":"post","link":"https:\/\/www.sakudaira-angel-clinic.jp\/contents\/infertility\/2654\/","title":{"rendered":"\u5b75\u5316\u88dc\u52a9\uff08Assisted Hatching\uff09\u306b\u3064\u3044\u3066"},"content":{"rendered":"<h2>\u30a2\u30b7\u30b9\u30c6\u30c3\u30c9\u30cf\u30c3\u30c1\u30f3\u30b0\u3068\u306f\uff1f<\/h2>\n<p>\u30a2\u30b7\u30b9\u30c6\u30c3\u30c9\u30cf\u30c3\u30c1\u30f3\u30b0\uff08Assisted Hatching\uff1dAHA\uff09\u3068\u306f\u3001\u53d7\u7cbe\u5375\u306e\u5468\u308a\u3092\u56f2\u3080\u900f\u660e\u5e2f\u3068\u3044\u3046\u6bbb\u306e\u4e00\u90e8\u307e\u305f\u306f\u5168\u4f53\u3092\u5207\u9664\u3059\u308b\u3053\u3068\u3067\u80da\u3092\u5b75\u5316\uff08hatching\uff09\u3057\u3084\u3059\u304f\u3057\u3066\u3042\u3052\u308b\u51e6\u7406\u306e\u3053\u3068\u3092\u3044\u3044\u307e\u3059\uff08\u65e5\u672c\u8a9e\u3067\u306f\u5b75\u5316\u88dc\u52a9\u3068\u8a33\u3057\u307e\u3059\uff09\u3002\u73fe\u5728\u591a\u304f\u306e\u65bd\u8a2d\u306e\u751f\u6b96\u88dc\u52a9\u533b\u7642\u306e\u73fe\u5834\u3067\u65e5\u5e38\u7684\u306b\u884c\u308f\u308c\u3066\u3044\u307e\u3059\u3002\u5b75\u5316\u3068\u306f\u3001\u52d5\u7269\u306e\u5375\u304c\u5b75\u308b\u3053\u3068\u3067\u3042\u308a\u3001\u5375\u304b\u3089\u65b0\u3057\u3044\u500b\u4f53\u304c\u8131\u51fa\u3057\u3066\u304f\u308b\u3053\u3068\u3092\u8a00\u3044\u307e\u3059\u3002<\/p>\n<p>\u901a\u5e38\u3001\u598a\u5a20\u304c\u6210\u7acb\u3059\u308b\u305f\u3081\u306b\u306f\u3001\u53d7\u7cbe\u5375\u304c\u80da\u76e4\u80de\u307e\u3067\u767a\u80b2\u3057\u305f\u5f8c\u3001\u5b50\u5bae\u5185\u819c\u4e0a\u3067\u3001\u53d7\u7cbe\u5375\u3092\u5305\u3080\u900f\u660e\u5e2f\u3068\u3044\u3046\u6bbb\u3092\u7834\u3063\u3066\u5375\u306e\u4e2d\u8eab\u304c\u98db\u3073\u51fa\u3057\uff08\u3053\u306e\u904e\u7a0b\u3092\u30cf\u30c3\u30c1\u30f3\u30b0\u3068\u3044\u3044\u307e\u3059\uff09\u3001\u7740\u5e8a\u3059\u308b\u5fc5\u8981\u304c\u3042\u308a\u307e\u3059\u3002\u5e74\u9f62\u306b\u3088\u308b\u5f71\u97ff\uff08\u4e00\u822c\u306b\u9ad8\u9f62\u60a3\u8005\u306e\u5375\u3067\u306f\u900f\u660e\u4f53\u304c\u786c\u304f\u306a\u308a\u5b75\u5316\u304c\u8d77\u3053\u308a\u306b\u304f\u3044\u3068\u8a00\u308f\u308c\u3066\u3044\u307e\u3059\uff09\u3084\u3001\u51cd\u7d50\u64cd\u4f5c\uff08\u51cd\u7d50\u64cd\u4f5c\u306b\u3088\u3063\u3066\u900f\u660e\u4f53\u304c\u786c\u304f\u306a\u308b\u3068\u3044\u3046\u610f\u898b\u304c\u3042\u308a\u307e\u3059\uff09\u306b\u3088\u3063\u3066\u3001\u900f\u660e\u5e2f\u304c\u786c\u304f\u306a\u308b\u3053\u3068\u3067\u3001\u30cf\u30c3\u30c1\u30f3\u30b0\u304c\u3046\u307e\u304f\u3044\u304b\u306a\u304f\u306a\u308b\uff1d\u7740\u5e8a\u4e0d\u5168\u3092\u8d77\u3053\u3059\u53ef\u80fd\u6027\u304c\u6307\u6458\u3055\u308c\u3066\u3044\u307e\u3059\u3002<\/p>\n<p><a href=\"https:\/\/www.sakudaira-angel-clinic.jp\/wp-content\/uploads\/2017\/12\/IVF_Laser-Assisted-Hatching.png\" rel=\"attachment wp-att-2650\"><img loading=\"lazy\" class=\"alignnone wp-image-2650\" src=\"https:\/\/www.sakudaira-angel-clinic.jp\/wp-content\/uploads\/2017\/12\/IVF_Laser-Assisted-Hatching.png\" alt=\"IVF_Laser-Assisted-Hatching\" width=\"218\" height=\"218\" \/><\/a><\/p>\n<p>2014\u5e74\u306eASRM(\u7c73\u56fd\u751f\u6b96\u533b\u5b66\u4f1a\uff09\u30ac\u30a4\u30c9\u30e9\u30a4\u30f3\u306b\u3088\u308a\u307e\u3059\u3068\u3001AHA\u306e\u9069\u5fdc\u3068\u3057\u3066\u3001\u4ee5\u4e0b\u306e\u3088\u3046\u306a\u9805\u76ee\u304c\u6319\u3052\u3089\u308c\u3066\u3044\u307e\u3059\u3002<\/p>\n<p>\u30fbadvanced maternal age (older than 38)\u3000\u2192\u3000\u6982\u306d38\u6b73\u4ee5\u4e0a\u306e\u9ad8\u9f62\u60a3\u8005<\/p>\n<p>\u30fbtwo or more failed IVF cycles\u2192\u3000\u4f53\u5916\u53d7\u7cbe\u306e\u53cd\u5fa9\u4e0d\u6210\u529f\u4f8b<\/p>\n<p>\u30fbpoor embryo quality\u2192\u3000\u80da\u306e\u8cea\u304c\u4e0d\u826f\u306a\u65b9<\/p>\n<p><a href=\"http:\/\/www.asrm.org\/globalassets\/asrm\/asrm-content\/news-and-publications\/practice-guidelines\/for-non-members\/role_of_assisted_hatching_in_in_vitro_fertilization-noprint.pdf\" target=\"_blank\" rel=\"noopener\">ASRM\u30ac\u30a4\u30c9\u30e9\u30a4\u30f32014<\/a><\/p>\n<p>\u307e\u305f\u3001\u7dcf\u62ec\u3068\u3057\u307e\u3057\u3066\u3001\u3059\u3079\u3066\u306e\u60a3\u8005\u3067AHA\u306f\u76f2\u76ee\u7684\u306b\u52e7\u3081\u3089\u308c\u308b\u3082\u306e\u3067\u306f\u306a\u3044\u304c\u3001live birth rate\uff08\u751f\u7523\u7387\uff09\u306e\u5411\u4e0a\u304c\u50c5\u304b\u306a\u304c\u3089\u898b\u3089\u308c\u308b\u3068\u3057\u3066\u3044\u307e\u3059\u3002\u4e00\u65b9\u3067\u3001\u4e00\u5375\u6027\u53cc\u80ce\uff08MZT\uff09\u304c\u5897\u3048\u308b\u306e\u3067\u306f\u306a\u3044\u304b\u3068\u3044\u3046\u610f\u898b\u3082\u3042\u308a\u307e\u3059\u3002MZT\u304c\u5897\u3048\u308b\u7406\u7531\u3068\u3057\u3066\u3001\u4eba\u5de5\u7684\u306ahatching\u64cd\u4f5c\u306b\u3088\u3063\u3066\u5375\u306e\u4e2d\u8eab\u306e\u90e8\u5206\u304c\u9014\u4e2d\u3067\u5206\u304b\u308c\u3084\u3059\u304f\u306a\u3063\u3066\u53cc\u5b50\u306b\u306a\u3063\u3066\u3057\u307e\u3046\u306a\u3069\u306e\u7406\u7531\u304c\u8003\u3048\u3089\u308c\u3066\u3044\u307e\u3059\u3002<\/p>\n<p>AHA\u306e\u65b9\u6cd5\u306f\u3044\u304f\u3064\u304b\u3042\u308a\u307e\u3059\u304c\u3001\u73fe\u5728\u30ec\u30fc\u30b6\u30fc\u6cd5\uff08\u30ec\u30fc\u30b6\u30fcAHA\uff09\u3068\u547c\u3070\u308c\u308b\u65b9\u6cd5\u304c\u4e00\u822c\u7684\u306b\u884c\u308f\u308c\u3066\u3044\u307e\u3059\u3002\u3053\u308c\u306f\u7279\u6b8a\u306a\u30ec\u30fc\u30b6\u30fc\u3092\u7167\u5c04\u3057\u3066\u900f\u660e\u5e2f\u3092\u5207\u958b\u3059\u308b\u65b9\u6cd5\u3067\u3059\u3002\u80da\u3078\u306e\u30c0\u30e1\u30fc\u30b8\u304c\u5c11\u306a\u304f\u5b89\u5168\u6027\u304c\u9ad8\u3044\u3068\u3055\u308c\u3066\u3044\u307e\u3059\u3002\u5f53\u9662\u3067\u3082\u3053\u306e\u30ec\u30fc\u30b6\u30fcAHA\u3092\u63a1\u7528\u3057\u3066\u304a\u308a\u3001\u51cd\u7d50\u80da\u79fb\u690d\u306e\u969b\u306b\u306f\u7a4d\u6975\u7684\u306b\u6d3b\u7528\u3057\u3066\u3044\u307e\u3059\u3002\u5f53\u9662\u3067\u306f\u539f\u5247\u51cd\u7d50\u30b9\u30c6\u30fc\u30b8\u3092\u80da\u76e4\u80de\u3068\u3057\u3066\u3044\u307e\u3059\u3002\u80da\u76e4\u80de\u878d\u89e3\u6642\u306b\u51cd\u7d50\u64cd\u4f5c\u306b\u3088\u308b\u900f\u660e\u4f53\u306e\u786c\u5316\u306e\u5f71\u97ff\u3092\u8003\u616e\u3057\u3066\u30ec\u30fc\u30b6\u30fcAHA\u3092\u5b9f\u65bd\u3057\u3066\u3044\u307e\u3059\u3002\u305f\u3060\u3057\u3001\u5375\u306e\u72b6\u614b\u306b\u3088\u3063\u3066\u306fAHA\u304c\u3067\u304d\u306a\u3044\u5834\u5408\u3082\u3042\u308a\u307e\u3059\u3002\u5177\u4f53\u7684\u306b\u306f\u3001\u878d\u89e3\u76f4\u5f8c\u306e\u80da\u306e\u62e1\u5f35\u304c\u65e9\u304f\u3001\u900f\u660e\u5e2f\u3068\u5375\u306e\u4e2d\u8eab\u306e\u9593\u306b\u9699\u9593\u304c\u307b\u3068\u3093\u3069\u306a\u3044\u30b1\u30fc\u30b9\u3084\u3001\u51cd\u7d50\u878d\u89e3\u306e\u6642\u70b9\u3067\u65e2\u306b\u81ea\u7136\u306e\u30cf\u30c3\u30c1\u30f3\u30b0\u304c\u59cb\u307e\u3063\u3066\u3044\u308b\u30b1\u30fc\u30b9\uff08Gardner\u5206\u985e\u3067\u80da\u76e4\u80de\u306e\u30b9\u30c6\u30fc\u30b8\uff15\u4ee5\u4e0a\u306e\u30b1\u30fc\u30b9\uff09\u3067\u306f\u3001AHA\u3092\u884c\u308f\u306a\u3044\u5834\u5408\u3082\u3042\u308a\u307e\u3059\u3002AHA\u3092\u884c\u3046\u3001\u884c\u308f\u306a\u3044\u306f\u30b1\u30fc\u30b9\u30d0\u30a4\u30b1\u30fc\u30b9\u3067\u3059\u306e\u3067\u3001\u79fb\u690d\u524d\u306e\u6bb5\u968e\u3067\u60a3\u8005\u69d8\u306b\u500b\u3005\u306b\u304a\u4f1d\u3048\u3059\u308b\u65b9\u91dd\u3068\u3057\u3066\u3044\u307e\u3059\u3002<\/p>\n","protected":false},"excerpt":{"rendered":"<p>\u30a2\u30b7\u30b9\u30c6\u30c3\u30c9\u30cf\u30c3\u30c1\u30f3\u30b0\u3068\u306f\uff1f \u30a2\u30b7\u30b9\u30c6\u30c3\u30c9\u30cf\u30c3\u30c1\u30f3\u30b0\uff08Assisted Hatching\uff1dAHA\uff09\u3068\u306f\u3001\u53d7\u7cbe\u5375\u306e\u5468\u308a\u3092\u56f2\u3080\u900f\u660e\u5e2f\u3068\u3044\u3046\u6bbb\u306e\u4e00\u90e8\u307e\u305f\u306f\u5168\u4f53\u3092\u5207\u9664\u3059\u308b\u3053\u3068\u3067\u80da\u3092\u5b75\u5316\uff08hatching\uff09\u3057\u3084\u3059\u304f\u3057\u3066\u3042\u3052\u308b\u51e6\u7406\u306e [&hellip;]<\/p>\n","protected":false},"author":2,"featured_media":2653,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[4,5,6,7],"tags":[],"acf":[],"views":5643,"_links":{"self":[{"href":"https:\/\/www.sakudaira-angel-clinic.jp\/contents\/wp-json\/wp\/v2\/posts\/2654"}],"collection":[{"href":"https:\/\/www.sakudaira-angel-clinic.jp\/contents\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.sakudaira-angel-clinic.jp\/contents\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.sakudaira-angel-clinic.jp\/contents\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/www.sakudaira-angel-clinic.jp\/contents\/wp-json\/wp\/v2\/comments?post=2654"}],"version-history":[{"count":0,"href":"https:\/\/www.sakudaira-angel-clinic.jp\/contents\/wp-json\/wp\/v2\/posts\/2654\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.sakudaira-angel-clinic.jp\/contents\/wp-json\/"}],"wp:attachment":[{"href":"https:\/\/www.sakudaira-angel-clinic.jp\/contents\/wp-json\/wp\/v2\/media?parent=2654"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.sakudaira-angel-clinic.jp\/contents\/wp-json\/wp\/v2\/categories?post=2654"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.sakudaira-angel-clinic.jp\/contents\/wp-json\/wp\/v2\/tags?post=2654"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}