{"id":6290,"date":"2025-03-23T23:52:57","date_gmt":"2025-03-23T14:52:57","guid":{"rendered":"https:\/\/www.takeuchi-iin.jp\/blog\/?p=6290"},"modified":"2025-03-23T23:52:58","modified_gmt":"2025-03-23T14:52:58","slug":"%e8%8a%b1%e7%b2%89%e7%97%87%e3%81%ab%e3%81%a4%e3%81%84%e3%81%a6%e5%8f%96%e6%9d%90%e3%82%92%e5%8f%97%e3%81%91%e3%80%81%e5%8c%bb%e7%99%82%e7%9b%a3%e4%bf%ae%e3%81%84%e3%81%9f%e3%81%97%e3%81%be%e3%81%97","status":"publish","type":"post","link":"https:\/\/www.takeuchi-iin.jp\/blog\/%e8%8a%b1%e7%b2%89%e7%97%87%e3%81%ab%e3%81%a4%e3%81%84%e3%81%a6%e5%8f%96%e6%9d%90%e3%82%92%e5%8f%97%e3%81%91%e3%80%81%e5%8c%bb%e7%99%82%e7%9b%a3%e4%bf%ae%e3%81%84%e3%81%9f%e3%81%97%e3%81%be%e3%81%97\/","title":{"rendered":"\u82b1\u7c89\u75c7\u306b\u3064\u3044\u3066\u53d6\u6750\u3092\u53d7\u3051\u3001\u533b\u7642\u76e3\u4fee\u3044\u305f\u3057\u307e\u3057\u305f\uff08I Provided Medical Supervision on a Feature Article about Hay Fever\uff09"},"content":{"rendered":"\n

\u6625\u306b\u306a\u308b\u3068\u6bce\u5e74\u591a\u304f\u306e\u65b9\u304c\u60a9\u307e\u3055\u308c\u308b\u300c\u82b1\u7c89\u75c7\u300d\u3002
This time of year, many people suffer from hay fever (seasonal allergic rhinitis).<\/p>\n\n\n\n

\u3053\u306e\u305f\u3073\u3001\u79c1\u30fb\u4e94\u85e4\u826f\u5c06\uff08\u7af9\u5185\u5185\u79d1\u5c0f\u5150\u79d1\u533b\u9662\u30fb\u9662\u9577\u3000\u533b\u7642\u6cd5\u4eba\u793e\u56e3\u4e94\u826f\u4f1a\u30fb\u7406\u4e8b\u9577\uff09\u304c\u3001\u5c0f\u4e2d\u5b66\u751f\u3068\u305d\u306e\u4fdd\u8b77\u8005\u306e\u65b9\u3005\u306b\u5411\u3051\u305f\u82b1\u7c89\u75c7\u306e\u5553\u767a\u8a18\u4e8b\u306e\u533b\u7642\u76e3\u4fee<\/strong>\u3092\u62c5\u5f53\u3057\u307e\u3057\u305f\u3002
I, Dr. Yoshimasa Goto (Director of Takeuchi Internal Medicine and Pediatrics Clinic and Chairman of Medical Corporation Goryokai), have provided medical supervision for an educational article on hay fever, aimed at elementary and junior high school students and their parents.<\/p>\n\n\n\n

Adecc\uff08\u30a2\u30c7\u30c3\u30af\uff09\u69d8\u306e\u30b3\u30e9\u30e0\u3068\u3057\u3066\u3001\u4ee5\u4e0b\u3088\u308a\u3054\u89a7\u3044\u305f\u3060\u3051\u307e\u3059\uff1a

👉\u00a0\u8a18\u4e8b\u306f\u3053\u3061\u3089 \/ Click here for the article (Adecc Column)<\/a><\/p>\n\n\n\n

\"\"<\/figure>\n\n\n\n
\n\n\n\n

\u5b50\u3069\u3082\u306e\u82b1\u7c89\u75c7\u304c\u5897\u3048\u3066\u3044\u307e\u3059
More Children Are Developing Hay Fever<\/strong><\/h3>\n\n\n\n

\u8fd1\u5e74\u3001\u82b1\u7c89\u75c7\u306e\u767a\u75c7\u5e74\u9f62\u306f\u4f4e\u5e74\u9f62\u5316\u304c\u9032\u3093\u3067\u304a\u308a\u3001\u300c\u307e\u3060\u5c0f\u3055\u3044\u304b\u3089\u5927\u4e08\u592b\u300d\u3068\u601d\u3063\u3066\u3044\u305f\u3089\u5b9f\u306f\u2026\u3068\u3044\u3046\u30b1\u30fc\u30b9\u3082\u5c11\u306a\u304f\u3042\u308a\u307e\u305b\u3093\u3002
In recent years, the age of onset for hay fever has been decreasing, and even very young children can develop symptoms before parents realize it.<\/p>\n\n\n\n

\n\n\n\n

📘 The prevalence of allergic diseases in school children in Tokyo
<\/strong>\u8457\u8005 \/ Authors\uff1a<\/strong> Iikura M, Hojo M, Koketsu R, et al.
\u63b2\u8f09\u8a8c \/ Journal\uff1a<\/strong> Allergology International
<\/em>\u767a\u884c \/ Year\uff1a<\/strong> 2011 Jun;60(2):225\u201322<\/p>\n\n\n\n

\u3053\u306e\u8ad6\u6587\u3067\u306f\u3001\u6771\u4eac\u90fd\u306e\u5c0f\u4e2d\u5b66\u751f\u3092\u5bfe\u8c61\u3068\u3057\u305f\u5927\u898f\u6a21\u8abf\u67fb\u306b\u3088\u308a\u3001\u7d0438\uff05\u306e\u5150\u7ae5\u304c\u82b1\u7c89\u75c7\u3092\u6709\u3057\u3066\u3044\u305f<\/strong>\u3053\u3068\u304c\u793a\u3055\u308c\u307e\u3057\u305f\u3002
This large-scale study of school children in Tokyo found that approximately 38% had seasonal allergic rhinitis (hay fever)<\/strong>.<\/p>\n\n\n\n

3\u6b73\u672a\u6e80\u3067\u521d\u671f\u75c7\u72b6\u304c\u51fa\u308b\u30b1\u30fc\u30b9\u3082\u3042\u308a\u3001\u767a\u75c7\u5e74\u9f62\u304c\u5e74\u3005\u4f4e\u4e0b\u3057\u3066\u3044\u308b\u3053\u3068\u304c\u660e\u3089\u304b\u3068\u306a\u3063\u3066\u3044\u307e\u3059\u3002
Some cases showed initial symptoms under the age of 3, indicating that onset is becoming earlier.<\/p>\n\n\n\n

\u5bb6\u65cf\u6b74\u3084\u90fd\u5e02\u90e8\u3067\u306e\u751f\u6d3b\u74b0\u5883\uff08\u5927\u6c17\u6c5a\u67d3\u306a\u3069\uff09\u3082\u767a\u75c7\u30ea\u30b9\u30af\u3092\u9ad8\u3081\u308b\u8981\u56e0\u3067\u3059\u3002
Family history and urban environmental factors (e.g., air pollution) also increase the risk.<\/p>\n\n\n\n

\n\n\n\n

\u82b1\u7c89\u75c7\u306f\u5b66\u696d\u3084\u7761\u7720\u306b\u3082\u5f71\u97ff\u3057\u307e\u3059
Hay Fever Can Affect Sleep and Academic Performance<\/strong><\/h3>\n\n\n\n

\u82b1\u7c89\u75c7\u306f\u5358\u306a\u308b\u9f3b\u6c34\u30fb\u304f\u3057\u3083\u307f\u306b\u3068\u3069\u307e\u3089\u305a\u3001\u304a\u5b50\u3055\u3093\u306e\u751f\u6d3b\u306e\u8cea\u306b\u3082\u5927\u304d\u304f\u5f71\u97ff\u3057\u307e\u3059\u3002
Hay fever is not just about sneezing and a runny nose\u2014it can significantly affect a child\u2019s quality of life (QOL).<\/p>\n\n\n\n

\n\n\n\n

📘 Sleep and allergic disease: A summary of the literature and future directions for research
<\/strong>\u8457\u8005 \/ Authors\uff1a<\/strong> Koinis-Mitchell D, Craig T, Esteban CA, Klein RB
\u63b2\u8f09\u8a8c \/ Journal\uff1a<\/strong> Journal of Clinical Sleep Medicine
<\/em>\u767a\u884c \/ Year\uff1a<\/strong> 2015 Feb 15;11(2):141\u2013150<\/p>\n\n\n\n

\u3053\u306e\u8ad6\u6587\u3067\u306f\u3001\u30a2\u30ec\u30eb\u30ae\u30fc\u6027\u75be\u60a3\u3068\u7761\u7720\u969c\u5bb3\u306e\u95a2\u9023\u304c\u4ee5\u4e0b\u306e\u3088\u3046\u306b\u307e\u3068\u3081\u3089\u308c\u3066\u3044\u307e\u3059\uff1a

This review article outlines how allergic conditions impact sleep, especially in children:<\/p>\n\n\n\n

    \n
  1. \u9f3b\u9589\u3001\u54b3\u3001\u304b\u3086\u307f\u306a\u3069\u306e\u75c7\u72b6\u304c\u7761\u7720\u306e\u8cea\u3092\u4e0b\u3052\u308b\u8981\u56e0<\/strong>\u3068\u306a\u308b
    \u3000\u2192 Nasal congestion, coughing, and itching lower sleep quality<\/li>\n\n\n\n
  2. \u7761\u7720\u4e0d\u8db3\u304c\u5b66\u696d\u30fb\u884c\u52d5\u30fbQOL\u306b\u60aa\u5f71\u97ff<\/strong>\u3092\u53ca\u307c\u3059
    \u3000\u2192 Poor sleep affects academic performance, behavior, and QOL<\/li>\n\n\n\n
  3. \u85ac\u7269\u30fb\u514d\u75ab\u7642\u6cd5\u30fb\u74b0\u5883\u6574\u5099<\/strong>\u3067\u6539\u5584\u53ef\u80fd
    \u3000\u2192 Medical and environmental interventions can improve symptoms<\/li>\n\n\n\n
  4. \u5ba2\u89b3\u7684\u306a\u7761\u7720\u8a55\u4fa1\u3068\u9577\u671f\u7684\u306a\u5f71\u97ff\u306e\u7814\u7a76\u304c\u5fc5\u8981
    <\/strong>\u3000\u2192 Further studies are needed to evaluate long-term effects and sleep metrics objectively<\/li>\n<\/ol>\n\n\n\n
    \n\n\n\n

    \u820c\u4e0b\u514d\u75ab\u7642\u6cd5\uff08SLIT\uff09\u3067\u4f53\u8cea\u6539\u5584\u3082\u53ef\u80fd
    Sublingual Immunotherapy (SLIT) Can Help Modify the Immune System<\/strong><\/h3>\n\n\n\n

    \u5f53\u9662\u3067\u306f\u3001\u30b9\u30ae\u82b1\u7c89\u75c7\u306b\u5bfe\u3059\u308b\u300c\u820c\u4e0b\u514d\u75ab\u7642\u6cd5\uff08\u30b7\u30c0\u30ad\u30e5\u30a2\uff09\u300d\u3082\u884c\u3063\u3066\u304a\u308a\u307e\u3059\u3002
    We also offer sublingual immunotherapy (SLIT) using Cedar pollen tablets (Cedarcure\u00ae)<\/em> for cedar hay fever.<\/p>\n\n\n\n

    5\u6b73\u4ee5\u4e0a\u304b\u3089\u958b\u59cb\u3067\u304d\u3001\u9577\u671f\u9593\u306e\u7d99\u7d9a\u306b\u3088\u308a\u4f53\u8cea\u306e\u6839\u672c\u7684\u6539\u5584\u304c\u671f\u5f85\u3067\u304d\u307e\u3059\u3002
    It can be started from age 5 and may lead to long-term improvement of allergic responses.<\/p>\n\n\n\n

    \n\n\n\n

    📘 Mechanisms of allergen-specific immunotherapy
    <\/strong>\u8457\u8005 \/ Authors\uff1a<\/strong> Akdis CA, Akdis M
    \u63b2\u8f09\u8a8c \/ Journal\uff1a<\/strong> The Journal of Allergy and Clinical Immunology
    <\/em>\u767a\u884c \/ Year\uff1a<\/strong> 2011 Jan;127(1):18\u201327
    \u3010\u4e3b\u306a\u514d\u75ab\u30e1\u30ab\u30cb\u30ba\u30e0 \/ Key Immunologic Mechanisms\u3011:<\/p>\n\n\n\n

      \n
    1. \u5236\u5fa1\u6027T\u7d30\u80de\uff08Treg\uff09\u8a98\u5c0e\u306b\u3088\u308b\u514d\u75ab\u5bdb\u5bb9\u306e\u4fc3\u9032
      <\/strong>\u3000\u2192 Treg cells such as FOXP3+CD4+CD25+ and Tr1 promote immune tolerance<\/li>\n\n\n\n
    2. IgE\u7523\u751f\u306e\u6291\u5236\u3001IgG4\uff08blocking antibody\uff09\u8a98\u5c0e
      <\/strong>\u3000\u2192 IgE is suppressed and IgG4 antibodies block allergen-IgE binding<\/li>\n\n\n\n
    3. \u597d\u9178\u7403\u30fb\u30de\u30b9\u30c8\u7d30\u80de\u30fb\u597d\u5869\u57fa\u7403\u306e\u6d3b\u6027\u6291\u5236
      <\/strong>\u3000\u2192 Eosinophils, mast cells, and basophils are less activated<\/li>\n\n\n\n
    4. \u7d50\u679c\u3068\u3057\u3066\u4f53\u8cea\u6539\u5584\u3068\u75c7\u72b6\u8efd\u6e1b\u304c\u671f\u5f85\u3055\u308c\u308b
      <\/strong>\u3000\u2192 These mechanisms contribute to long-term improvement and symptom relief<\/li>\n<\/ol>\n\n\n\n
      \n\n\n\n

      \u4e94\u826f\u4f1a\u30af\u30ea\u30cb\u30c3\u30af\u767d\u91d1\u9ad8\u8f2a\u3067\u306f\u65e5\u795d\u3082\u8a3a\u7642\u3057\u3066\u3044\u307e\u3059\uff08\u7406\u4e8b\u9577\u5916\u6765\uff09
      We Are Open on Weekends and Holidays<\/strong><\/h3>\n\n\n\n
      \"\"<\/figure>\n\n\n\n

      \u4e94\u826f\u4f1a\u30af\u30ea\u30cb\u30c3\u30af\u767d\u91d1\u9ad8\u8f2a\u3067\u306f\u3001\u65e5\u66dc\u30fb\u795d\u65e5\u3082\u8a3a\u7642<\/strong>\u3092\u884c\u3063\u3066\u304a\u308a\u307e\u3059\u3002
      Goryokai Clinic Shirokanetakanawa is open on Sundays, and public holidays.<\/p>\n\n\n\n

      \u300c\u4e94\u826f\u4f1a\u30af\u30ea\u30cb\u30c3\u30af\u767d\u91d1\u9ad8\u8f2a\u306f\u9060\u3044\u300d\u3068\u611f\u3058\u3089\u308c\u308b\u65b9\u306b\u306f\u3001\u5bfe\u9762\u8a3a\u7642\u3060\u3051\u3067\u306a\u304f\u30aa\u30f3\u30e9\u30a4\u30f3\u8a3a\u7642\u3067\u3082\u5bfe\u5fdc\u3057\u3066\u304a\u308a\u307e\u3059\u3002\u3054\u90fd\u5408\u306b\u5408\u308f\u305b\u3066\u3054\u5229\u7528\u304f\u3060\u3055\u3044\u3002\u3010\u4e94\u826f\u4f1a\u30af\u30ea\u30cb\u30c3\u30af\u767d\u91d1\u9ad8\u8f2a\u306e\u5bfe\u9762\u30fb\u30aa\u30f3\u30e9\u30a4\u30f3\u8a3a\u7642\u306e\u4e88\u7d04\u306f\u3053\u3061\u3089\u304b\u3089\u3011<\/a><\/p>\n\n\n

      \n
      \"\"<\/figure>\n<\/div>\n\n\n

      \u79c1\u306f\u73fe\u5728\u3001\u6708\u66dc\u5348\u5f8c\u30fb\u6c34\u66dc\u5348\u5f8c\u30fb\u91d1\u66dc\u5348\u5f8c\u30fb\u65e5\u66dc\u30fb\u795d\u65e5<\/strong>\u306b\u4e94\u826f\u4f1a\u30af\u30ea\u30cb\u30c3\u30af\u767d\u91d1\u9ad8\u8f2a\u3067\u300c\u7406\u4e8b\u9577\u5916\u6765\u300d\u3092\u62c5\u5f53\u3057\u3066\u3044\u307e\u3059\u3002
      I currently see patients during the Director\u2019s outpatient hours: Monday, Wednesday, and Friday afternoons, plus Sundays and holidays.<\/p>\n\n\n\n

      \u203b\u4e94\u826f\u4f1a\u30af\u30ea\u30cb\u30c3\u30af\u767d\u91d1\u9ad8\u8f2a\u3067\u3082\u5b66\u4f1a\u3084\u30de\u30e9\u30bd\u30f3\u5927\u4f1a\u7b49\u3067\u307e\u308c\u306b\u4f11\u8a3a\u3068\u306a\u308b\u3053\u3068\u304c\u3054\u3056\u3044\u307e\u3059\u3002
      Note: Occasional absences due to academic conferences or marathons.<\/em><\/p>\n\n\n\n

      \u3061\u306a\u307f\u306b\u3001\u6771\u4eac\u30de\u30e9\u30bd\u30f32025<\/strong>\u3067\u306f\u30cd\u30c3\u30c8\u30bf\u30a4\u30e04\u6642\u959310\u5206\u3068\u81ea\u5df1\u30ef\u30fc\u30b9\u30c8\u306b\u8fd1\u3044\u8a18\u9332\u3067\u3057\u305f\u304c\u3001\u7121\u4e8b\u306b\u5b8c\u8d70\u3057\u307e\u3057\u305f\uff01
      By the way, I completed the Tokyo Marathon 2025<\/strong> with a net time of 4 hours and 10 minutes\u2014one of my slower races, but I finished thanks to everyone\u2019s support!<\/p>\n\n\n\n

      <\/p>\n\n\n\n

      <\/p>\n\n\n\n

      <\/p>\n\n\n\n

      \n\n\n\n

      \u82b1\u7c89\u75c7\u304b\u3082\uff1f\u3068\u601d\u3063\u305f\u3089\u3001\u305c\u3072\u3054\u76f8\u8ac7\u304f\u3060\u3055\u3044
      If You Suspect Hay Fever, Please Feel Free to Consult Us<\/strong><\/h3>\n\n\n\n

      \u82b1\u7c89\u75c7\u306f\u653e\u7f6e\u3059\u308b\u3068\u751f\u6d3b\u3084\u6210\u9577\u306b\u5f71\u97ff\u3092\u4e0e\u3048\u308b\u75c5\u6c17\u3067\u3059\u3002
      If left untreated, hay fever can impact daily life and child development.<\/p>\n\n\n\n

      \u300c\u305f\u3060\u306e\u98a8\u90aa\u304b\u306a\u300d\u3068\u601d\u3046\u75c7\u72b6\u3067\u3082\u3001\u65e9\u671f\u767a\u898b\u3068\u9069\u5207\u306a\u6cbb\u7642\u304c\u91cd\u8981\u3067\u3059\u3002
      Even symptoms that seem like a cold may be hay fever\u2014early detection and treatment make a big difference.<\/p>\n\n\n\n

      \u304a\u5b50\u3055\u3093\u3082\u5927\u4eba\u306e\u65b9\u3082\u3001\u3044\u3064\u3067\u3082\u304a\u6c17\u8efd\u306b\u3054\u76f8\u8ac7\u304f\u3060\u3055\u3044\u3002
      Whether for a child or adult, we welcome your visit anytime.<\/p>\n\n\n\n

      \u3053\u308c\u304b\u3089\u3082\u3001\u5730\u57df\u306e\u7686\u3055\u307e\u306b\u4fe1\u983c\u3055\u308c\u308b\u533b\u7642\u3092\u63d0\u4f9b\u3057\u3066\u307e\u3044\u308a\u307e\u3059\u3002
      We will continue to provide trustworthy and compassionate care to our community.<\/p>\n\n\n\n

      \"\"<\/figure>\n","protected":false},"excerpt":{"rendered":"

      \u6625\u306b\u306a\u308b\u3068\u6bce\u5e74\u591a\u304f\u306e\u65b9\u304c\u60a9\u307e\u3055\u308c\u308b\u300c\u82b1\u7c89\u75c7\u300d\u3002This time of year, many people suffer from hay fever (seasonal allergic rhinitis). \u3053\u306e\u305f\u3073…<\/p>\n","protected":false},"author":2,"featured_media":6291,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[787,798,11,459,182,566,22,4,20,721,346,848,9,344,341],"tags":[],"class_list":["post-6290","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-787","category-798","category-11","category-459","category-182","category-566","category-22","category-4","category-20","category-721","category-346","category-848","category-9","category-344","category-341","wpcat-787-id","wpcat-798-id","wpcat-11-id","wpcat-459-id","wpcat-182-id","wpcat-566-id","wpcat-22-id","wpcat-4-id","wpcat-20-id","wpcat-721-id","wpcat-346-id","wpcat-848-id","wpcat-9-id","wpcat-344-id","wpcat-341-id"],"aioseo_notices":[],"_links":{"self":[{"href":"https:\/\/www.takeuchi-iin.jp\/blog\/wp-json\/wp\/v2\/posts\/6290","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.takeuchi-iin.jp\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.takeuchi-iin.jp\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.takeuchi-iin.jp\/blog\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/www.takeuchi-iin.jp\/blog\/wp-json\/wp\/v2\/comments?post=6290"}],"version-history":[{"count":1,"href":"https:\/\/www.takeuchi-iin.jp\/blog\/wp-json\/wp\/v2\/posts\/6290\/revisions"}],"predecessor-version":[{"id":6292,"href":"https:\/\/www.takeuchi-iin.jp\/blog\/wp-json\/wp\/v2\/posts\/6290\/revisions\/6292"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.takeuchi-iin.jp\/blog\/wp-json\/wp\/v2\/media\/6291"}],"wp:attachment":[{"href":"https:\/\/www.takeuchi-iin.jp\/blog\/wp-json\/wp\/v2\/media?parent=6290"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.takeuchi-iin.jp\/blog\/wp-json\/wp\/v2\/categories?post=6290"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.takeuchi-iin.jp\/blog\/wp-json\/wp\/v2\/tags?post=6290"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}