{"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":"2026-05-22T21:10:22","modified_gmt":"2026-05-22T12:10:22","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<p>\u6625\u306b\u306a\u308b\u3068\u6bce\u5e74\u591a\u304f\u306e\u65b9\u304c\u60a9\u307e\u3055\u308c\u308b\u300c\u82b1\u7c89\u75c7\u300d\u3002<br>This time of year, many people suffer from hay fever (seasonal allergic rhinitis).<\/p>\n\n\n\n<p>\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<strong>\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<br>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<p>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<br><br>&#x1f449;\u00a0<a href=\"https:\/\/adecc.jp\/columns\/250321\">\u8a18\u4e8b\u306f\u3053\u3061\u3089 \/ Click here for the article (Adecc Column)<\/a><\/p>\n\n\n\n<figure class=\"wp-block-image\"><img decoding=\"async\" src=\"https:\/\/goryokai-shirokanetakanawa.jp\/wp\/wp-content\/uploads\/2025\/03\/0c96f5ed81a1f23d2cb61e90a4f23cb3.png\" alt=\"\" class=\"wp-image-3592\"\/><\/figure>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h3 class=\"wp-block-heading\">\u5b50\u3069\u3082\u306e\u82b1\u7c89\u75c7\u304c\u5897\u3048\u3066\u3044\u307e\u3059<br><strong>More Children Are Developing Hay Fever<\/strong><\/h3>\n\n\n\n<p>\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<br>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<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<p>&#x1f4d8;&nbsp;<strong>The prevalence of allergic diseases in school children in Tokyo<br><\/strong><strong>\u8457\u8005 \/ Authors\uff1a<\/strong>&nbsp;Iikura M, Hojo M, Koketsu R, et al.<br><strong>\u63b2\u8f09\u8a8c \/ Journal\uff1a<\/strong>&nbsp;<em>Allergology International<br><\/em><strong>\u767a\u884c \/ Year\uff1a<\/strong>&nbsp;2011 Jun;60(2):225\u201322<\/p>\n\n\n\n<p>\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<strong>\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<br>This large-scale study of school children in Tokyo found that&nbsp;<strong>approximately 38% had seasonal allergic rhinitis (hay fever)<\/strong>.<\/p>\n\n\n\n<p>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<br>Some cases showed initial symptoms under the age of 3, indicating that onset is becoming earlier.<\/p>\n\n\n\n<p>\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<br>Family history and urban environmental factors (e.g., air pollution) also increase the risk.<\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h3 class=\"wp-block-heading\">\u82b1\u7c89\u75c7\u306f\u5b66\u696d\u3084\u7761\u7720\u306b\u3082\u5f71\u97ff\u3057\u307e\u3059<br><strong>Hay Fever Can Affect Sleep and Academic Performance<\/strong><\/h3>\n\n\n\n<p>\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<br>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<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<p>&#x1f4d8;&nbsp;<strong>Sleep and allergic disease: A summary of the literature and future directions for research<br><\/strong><strong>\u8457\u8005 \/ Authors\uff1a<\/strong>&nbsp;Koinis-Mitchell D, Craig T, Esteban CA, Klein RB<br><strong>\u63b2\u8f09\u8a8c \/ Journal\uff1a<\/strong>&nbsp;<em>Journal of Clinical Sleep Medicine<br><\/em><strong>\u767a\u884c \/ Year\uff1a<\/strong>&nbsp;2015 Feb 15;11(2):141\u2013150<\/p>\n\n\n\n<p>\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<br><br>This review article outlines how allergic conditions impact sleep, especially in children:<\/p>\n\n\n\n<ol class=\"wp-block-list\">\n<li>\u9f3b\u9589\u3001\u54b3\u3001\u304b\u3086\u307f\u306a\u3069\u306e\u75c7\u72b6\u304c<strong>\u7761\u7720\u306e\u8cea\u3092\u4e0b\u3052\u308b\u8981\u56e0<\/strong>\u3068\u306a\u308b<br>\u3000\u2192 Nasal congestion, coughing, and itching lower sleep quality<\/li>\n\n\n\n<li>\u7761\u7720\u4e0d\u8db3\u304c<strong>\u5b66\u696d\u30fb\u884c\u52d5\u30fbQOL\u306b\u60aa\u5f71\u97ff<\/strong>\u3092\u53ca\u307c\u3059<br>\u3000\u2192 Poor sleep affects academic performance, behavior, and QOL<\/li>\n\n\n\n<li><strong>\u85ac\u7269\u30fb\u514d\u75ab\u7642\u6cd5\u30fb\u74b0\u5883\u6574\u5099<\/strong>\u3067\u6539\u5584\u53ef\u80fd<br>\u3000\u2192 Medical and environmental interventions can improve symptoms<\/li>\n\n\n\n<li><strong>\u5ba2\u89b3\u7684\u306a\u7761\u7720\u8a55\u4fa1\u3068\u9577\u671f\u7684\u306a\u5f71\u97ff\u306e\u7814\u7a76\u304c\u5fc5\u8981<br><\/strong>\u3000\u2192 Further studies are needed to evaluate long-term effects and sleep metrics objectively<\/li>\n<\/ol>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h3 class=\"wp-block-heading\">\u820c\u4e0b\u514d\u75ab\u7642\u6cd5\uff08SLIT\uff09\u3067\u4f53\u8cea\u6539\u5584\u3082\u53ef\u80fd<br><strong>Sublingual Immunotherapy (SLIT) Can Help Modify the Immune System<\/strong><\/h3>\n\n\n\n<p>\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<br>We also offer sublingual immunotherapy (SLIT) using&nbsp;<em>Cedar pollen tablets (Cedarcure\u00ae)<\/em>&nbsp;for cedar hay fever.<\/p>\n\n\n\n<p>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<br>It can be started from age 5 and may lead to long-term improvement of allergic responses.<\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<p>&#x1f4d8;&nbsp;<strong>Mechanisms of allergen-specific immunotherapy<br><\/strong><strong>\u8457\u8005 \/ Authors\uff1a<\/strong>&nbsp;Akdis CA, Akdis M<br><strong>\u63b2\u8f09\u8a8c \/ Journal\uff1a<\/strong>&nbsp;<em>The Journal of Allergy and Clinical Immunology<br><\/em><strong>\u767a\u884c \/ Year\uff1a<\/strong>&nbsp;2011 Jan;127(1):18\u201327<br>\u3010\u4e3b\u306a\u514d\u75ab\u30e1\u30ab\u30cb\u30ba\u30e0 \/ Key Immunologic Mechanisms\u3011:<\/p>\n\n\n\n<ol class=\"wp-block-list\">\n<li><strong>\u5236\u5fa1\u6027T\u7d30\u80de\uff08Treg\uff09\u8a98\u5c0e\u306b\u3088\u308b\u514d\u75ab\u5bdb\u5bb9\u306e\u4fc3\u9032<br><\/strong>\u3000\u2192 Treg cells such as FOXP3+CD4+CD25+ and Tr1 promote immune tolerance<\/li>\n\n\n\n<li><strong>IgE\u7523\u751f\u306e\u6291\u5236\u3001IgG4\uff08blocking antibody\uff09\u8a98\u5c0e<br><\/strong>\u3000\u2192 IgE is suppressed and IgG4 antibodies block allergen-IgE binding<\/li>\n\n\n\n<li><strong>\u597d\u9178\u7403\u30fb\u30de\u30b9\u30c8\u7d30\u80de\u30fb\u597d\u5869\u57fa\u7403\u306e\u6d3b\u6027\u6291\u5236<br><\/strong>\u3000\u2192 Eosinophils, mast cells, and basophils are less activated<\/li>\n\n\n\n<li><strong>\u7d50\u679c\u3068\u3057\u3066\u4f53\u8cea\u6539\u5584\u3068\u75c7\u72b6\u8efd\u6e1b\u304c\u671f\u5f85\u3055\u308c\u308b<br><\/strong>\u3000\u2192 These mechanisms contribute to long-term improvement and symptom relief<\/li>\n<\/ol>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h3 class=\"wp-block-heading\">\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<br><strong>We Are Open on Weekends and Holidays<\/strong><\/h3>\n\n\n\n<figure class=\"wp-block-image\"><img decoding=\"async\" src=\"https:\/\/goryokai-shirokanetakanawa.jp\/wp\/wp-content\/uploads\/2025\/01\/efd6bdd46062d304c1478cc86e2dc95a.jpg\" alt=\"\" class=\"wp-image-3453\"\/><\/figure>\n\n\n\n<p>\u4e94\u826f\u4f1a\u30af\u30ea\u30cb\u30c3\u30af\u767d\u91d1\u9ad8\u8f2a\u3067\u306f\u3001<strong>\u65e5\u66dc\u30fb\u795d\u65e5\u3082\u8a3a\u7642<\/strong>\u3092\u884c\u3063\u3066\u304a\u308a\u307e\u3059\u3002<br>Goryokai Clinic Shirokanetakanawa is open on Sundays, and public holidays.<\/p>\n\n\n\n<p>\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<a href=\"https:\/\/clinics-app.com\/clinic\/63d739c9f629be05d45376f1\/reservation\" target=\"_blank\" rel=\"noopener\" title=\"\">\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<div class=\"wp-block-image\">\n<figure class=\"alignleft\"><img decoding=\"async\" src=\"https:\/\/goryokai-shirokanetakanawa.jp\/wp\/wp-content\/uploads\/2025\/03\/f07d3df1993a6e9508318c9230ba060a.png\" alt=\"\" class=\"wp-image-3593\"\/><\/figure>\n<\/div>\n\n\n<p>\u79c1\u306f\u73fe\u5728\u3001<strong>\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<br>I currently see patients during the Director\u2019s outpatient hours: Monday, Wednesday, and Friday afternoons, plus Sundays and holidays.<\/p>\n\n\n\n<p>\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<br><em>Note: Occasional absences due to academic conferences or marathons.<\/em><\/p>\n\n\n\n<p>\u3061\u306a\u307f\u306b\u3001<strong>\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<br>By the way, I completed the&nbsp;<strong>Tokyo Marathon 2025<\/strong>&nbsp;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><\/p>\n\n\n\n<p><\/p>\n\n\n\n<p><\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h3 class=\"wp-block-heading\">\u82b1\u7c89\u75c7\u304b\u3082\uff1f\u3068\u601d\u3063\u305f\u3089\u3001\u305c\u3072\u3054\u76f8\u8ac7\u304f\u3060\u3055\u3044<br><strong>If You Suspect Hay Fever, Please Feel Free to Consult Us<\/strong><\/h3>\n\n\n\n<p>\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<br>If left untreated, hay fever can impact daily life and child development.<\/p>\n\n\n\n<p>\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<br>Even symptoms that seem like a cold may be hay fever\u2014early detection and treatment make a big difference.<\/p>\n\n\n\n<p>\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<br>Whether for a child or adult, we welcome your visit anytime.<\/p>\n\n\n\n<p>\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<br>We will continue to provide trustworthy and compassionate care to our community.<\/p>\n\n\n\n<figure class=\"wp-block-image size-large\"><img decoding=\"async\" width=\"1024\" height=\"797\" src=\"https:\/\/www.takeuchi-iin.jp\/blog\/wp-content\/uploads\/2025\/03\/image-2-1024x797.jpg\" alt=\"\" class=\"wp-image-6291\" srcset=\"https:\/\/www.takeuchi-iin.jp\/blog\/wp-content\/uploads\/2025\/03\/image-2-1024x797.jpg 1024w, https:\/\/www.takeuchi-iin.jp\/blog\/wp-content\/uploads\/2025\/03\/image-2-300x234.jpg 300w, https:\/\/www.takeuchi-iin.jp\/blog\/wp-content\/uploads\/2025\/03\/image-2-768x598.jpg 768w, https:\/\/www.takeuchi-iin.jp\/blog\/wp-content\/uploads\/2025\/03\/image-2-850x662.jpg 850w, https:\/\/www.takeuchi-iin.jp\/blog\/wp-content\/uploads\/2025\/03\/image-2-480x374.jpg 480w, https:\/\/www.takeuchi-iin.jp\/blog\/wp-content\/uploads\/2025\/03\/image-2.jpg 1030w\" sizes=\"(max-width: 1024px) 100vw, 1024px\" \/><\/figure>\n","protected":false},"excerpt":{"rendered":"<p>\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). 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