[{"@context":"http:\/\/schema.org\/","@type":"BlogPosting","@id":"https:\/\/wiki.edu.vn\/jp\/wiki7\/2019\/10\/03\/%e8%83%b8%e3%82%84%e3%81%91-wikipedia\/#BlogPosting","mainEntityOfPage":"https:\/\/wiki.edu.vn\/jp\/wiki7\/2019\/10\/03\/%e8%83%b8%e3%82%84%e3%81%91-wikipedia\/","headline":"\u80f8\u3084\u3051 – Wikipedia","name":"\u80f8\u3084\u3051 – Wikipedia","description":"\u80f8\u3084\u3051 (Heartburn) \u306f\u3001\u80f8\u90e8\u4e2d\u592e\u307e\u305f\u306f\u8179\u90e8\u4e2d\u592e\u4e0a\u90e8\uff08\u307f\u305e\u304a\u3061\uff09\u304c\u713c\u3051\u308b\u3088\u3046\u306a\u611f\u899a\u3067\u3042\u308b[2][3][4]\u3002\u82f1\u8a9e\u3067\u306f\u3001pyrosis\u3001cardialgia\u3001acid indigestion\u7b49\u3068\u3082\u8a00\u3046[5]\u3002\u4e0d\u5feb\u611f\u306f\u3057\u3070\u3057\u3070\u80f8\u3067\u767a\u751f\u3057\u3001\u9996\u3001\u5589\u3001\u4e0b\u984e\u89d2\u7b49\u306b\u5e83\u304c\u3063\u3066\u3044\u304f\u3002 \u901a\u5e38\u306f\u80c3\u9178\u304c\u98df\u9053\u306b\u9006\u6d41\u3059\u308b\u306e\u304c\u539f\u56e0\u3067\u3001\u80c3\u98df\u9053\u9006\u6d41\u75c7(GERD)\u306e\u4e3b\u8981\u306a\u75c7\u72b6\u3067\u3042\u308b[6]\u3002\u7d040.6%\u306f\u3001\u865a\u8840\u6027\u5fc3\u75be\u60a3\u306e\u75c7\u72b6\u3067\u3042\u308b[7]\u3002 \u6d88\u5316\u4e0d\u826f(indigestion)\u3068\u3044\u3046\u7528\u8a9e\u306f\u3001\u4ed6\u306e\u591a\u304f\u306e\u75c7\u72b6\u3068\u3068\u3082\u306b\u3001\u80f8\u3084\u3051\u3082\u542b\u3080[8]\u3002\u6d88\u5316\u4e0d\u826f\u306f\u3001\u8179\u75db\u3068\u80f8\u3084\u3051\u306e\u7d44\u307f\u5408\u308f\u305b\u3068\u3057\u3066\u5b9a\u7fa9\u3055\u308c\u308b\u3053\u3068\u3082\u3042\u308b\u3002\u80f8\u90e8\u306e\u706b\u50b7\u3068\u3044\u3046\u610f\u5473\u3067\u306f\u306a\u304f\u3001GERD\u3068\u540c\u3058\u3088\u3046\u306a\u610f\u5473\u3067\u7528\u3044\u3089\u308c\u308b[9]\u3002 Table of Contents \u9451\u5225\u8a3a\u65ad[\u7de8\u96c6]\u5fc3\u81d3[\u7de8\u96c6]\u98df\u9053[\u7de8\u96c6]\u80c3[\u7de8\u96c6]\u539f\u56e0\u4e0d\u660e[\u7de8\u96c6]\u8a3a\u65ad\u65b9\u6cd5[\u7de8\u96c6]GI\u30ab\u30af\u30c6\u30eb[\u7de8\u96c6]\u751f\u5316\u5b66\u7684[\u7de8\u96c6]\u6a5f\u68b0\u7684[\u7de8\u96c6]\u884c\u52d5\u7ba1\u7406[\u7de8\u96c6]\u80c3\u9178\u5206\u6ccc\u6291\u5236\u5264[\u7de8\u96c6]\u6d88\u5316\u7ba1\u904b\u52d5\u6539\u5584\u5264\u00a0[\u7de8\u96c6]\u30d4\u30ed\u30ea\u83cc\u306e\u9664\u83cc\u00a0[\u7de8\u96c6]\u624b\u8853\u6cbb\u7642\u00a0[\u7de8\u96c6]\u95a2\u9023\u9805\u76ee[\u7de8\u96c6]\u5916\u90e8\u30ea\u30f3\u30af[\u7de8\u96c6] \u9451\u5225\u8a3a\u65ad[\u7de8\u96c6] 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\u80f8\u3084\u3051\u306e\u75c7\u72b6\u306f\u3001\u6025\u6027\u5fc3\u7b4b\u6897\u585e\u3084\u72ed\u5fc3\u75c7\u306b\u3088\u308b\u75db\u307f\u3068\u6df7\u540c\u3055\u308c\u3046\u308b[10]\u3002\u6d88\u5316\u4e0d\u826f\u306b\u4f3c\u305f\u75db\u307f\u306f\u3001\u6025\u6027\u51a0\u75c7\u5019\u7fa4\u306e\u30ea\u30b9\u30af\u3092\u5897\u52a0\u3055\u305b\u308b\u304c\u3001\u7d71\u8a08\u7684\u306b\u6709\u610f\u306a\u30ec\u30d9\u30eb\u306b\u306f\u5897\u52a0\u3057\u306a\u3044[11]\u3002GERD\u306e\u75c7\u72b6\u3092\u8a34\u3048\u3066\u75c5\u9662\u306b\u6765\u305f\u60a3\u8005\u306e0.6%\u306f\u3001\u865a\u8840\u6027\u5fc3\u75be\u60a3\u304c\u539f\u56e0\u3067\u3042\u308b[7]\u3002 \u5fc3\u81d3\u30ab\u30c6\u30fc\u30c6\u30eb\u3092\u88c5\u7740\u3057\u3066\u3044\u308b\u80f8\u75db\u60a3\u8005\u306e30%\u306b\u306f\u80f8\u90e8\u4e0d\u5feb\u611f\u3092\u8aac\u660e\u3059\u308b\u6240\u898b\u304c\u306a\u304f\u3001\u3057\u3070\u3057\u3070\u300c\u975e\u5b9a\u578b\u80f8\u75db\u300d\u307e\u305f\u306f\u8d77\u6e90\u4e0d\u660e\u306e\u80f8\u75db\u3068\u5b9a\u7fa9\u3055\u308c\u3066\u3044\u308b[12]\u3002\u5916\u6765\u306epH\u3068\u8840\u5727\u306e\u89b3\u5bdf\u306b\u57fa\u3065\u304f\u3044\u304f\u3064\u304b\u306e\u7814\u7a76\u3067\u8a18\u9332\u3055\u308c\u305f\u30c7\u30fc\u30bf\u306b\u3088\u308b\u3068\u3001\u3053\u308c\u3089\u306e\u60a3\u8005\u306e25-50%\u306f\u7570\u5e38GERD\u3067\u3042\u308b\u3068\u3044\u3046\u8a3c\u62e0\u304c\u3042\u308b\u3002 \u98df\u9053[\u7de8\u96c6] \u98df\u9053\u708e[14] \u80c3[\u7de8\u96c6] \u539f\u56e0\u4e0d\u660e[\u7de8\u96c6] \u6a5f\u80fd\u6027\u80f8\u3084\u3051\uff08Functional","datePublished":"2019-10-03","dateModified":"2019-10-03","author":{"@type":"Person","@id":"https:\/\/wiki.edu.vn\/jp\/wiki7\/author\/lordneo\/#Person","name":"lordneo","url":"https:\/\/wiki.edu.vn\/jp\/wiki7\/author\/lordneo\/","image":{"@type":"ImageObject","@id":"https:\/\/secure.gravatar.com\/avatar\/c9645c498c9701c88b89b8537773dd7c?s=96&d=mm&r=g","url":"https:\/\/secure.gravatar.com\/avatar\/c9645c498c9701c88b89b8537773dd7c?s=96&d=mm&r=g","height":96,"width":96}},"publisher":{"@type":"Organization","name":"Enzyklop\u00e4die","logo":{"@type":"ImageObject","@id":"https:\/\/wiki.edu.vn\/wiki4\/wp-content\/uploads\/2023\/08\/download.jpg","url":"https:\/\/wiki.edu.vn\/wiki4\/wp-content\/uploads\/2023\/08\/download.jpg","width":600,"height":60}},"image":{"@type":"ImageObject","@id":"https:\/\/ja.wikipedia.org\/wiki\/Special:CentralAutoLogin\/start?type=1x1","url":"https:\/\/ja.wikipedia.org\/wiki\/Special:CentralAutoLogin\/start?type=1x1","height":"1","width":"1"},"url":"https:\/\/wiki.edu.vn\/jp\/wiki7\/2019\/10\/03\/%e8%83%b8%e3%82%84%e3%81%91-wikipedia\/","about":["Wiki"],"wordCount":4032,"articleBody":"\u80f8\u3084\u3051 (Heartburn) \u306f\u3001\u80f8\u90e8\u4e2d\u592e\u307e\u305f\u306f\u8179\u90e8\u4e2d\u592e\u4e0a\u90e8\uff08\u307f\u305e\u304a\u3061\uff09\u304c\u713c\u3051\u308b\u3088\u3046\u306a\u611f\u899a\u3067\u3042\u308b[2][3][4]\u3002\u82f1\u8a9e\u3067\u306f\u3001pyrosis\u3001cardialgia\u3001acid indigestion\u7b49\u3068\u3082\u8a00\u3046[5]\u3002\u4e0d\u5feb\u611f\u306f\u3057\u3070\u3057\u3070\u80f8\u3067\u767a\u751f\u3057\u3001\u9996\u3001\u5589\u3001\u4e0b\u984e\u89d2\u7b49\u306b\u5e83\u304c\u3063\u3066\u3044\u304f\u3002  \u901a\u5e38\u306f\u80c3\u9178\u304c\u98df\u9053\u306b\u9006\u6d41\u3059\u308b\u306e\u304c\u539f\u56e0\u3067\u3001\u80c3\u98df\u9053\u9006\u6d41\u75c7(GERD)\u306e\u4e3b\u8981\u306a\u75c7\u72b6\u3067\u3042\u308b[6]\u3002\u7d040.6%\u306f\u3001\u865a\u8840\u6027\u5fc3\u75be\u60a3\u306e\u75c7\u72b6\u3067\u3042\u308b[7]\u3002\u6d88\u5316\u4e0d\u826f(indigestion)\u3068\u3044\u3046\u7528\u8a9e\u306f\u3001\u4ed6\u306e\u591a\u304f\u306e\u75c7\u72b6\u3068\u3068\u3082\u306b\u3001\u80f8\u3084\u3051\u3082\u542b\u3080[8]\u3002\u6d88\u5316\u4e0d\u826f\u306f\u3001\u8179\u75db\u3068\u80f8\u3084\u3051\u306e\u7d44\u307f\u5408\u308f\u305b\u3068\u3057\u3066\u5b9a\u7fa9\u3055\u308c\u308b\u3053\u3068\u3082\u3042\u308b\u3002\u80f8\u90e8\u306e\u706b\u50b7\u3068\u3044\u3046\u610f\u5473\u3067\u306f\u306a\u304f\u3001GERD\u3068\u540c\u3058\u3088\u3046\u306a\u610f\u5473\u3067\u7528\u3044\u3089\u308c\u308b[9]\u3002Table of Contents  \u9451\u5225\u8a3a\u65ad[\u7de8\u96c6]\u5fc3\u81d3[\u7de8\u96c6]\u98df\u9053[\u7de8\u96c6]\u80c3[\u7de8\u96c6]\u539f\u56e0\u4e0d\u660e[\u7de8\u96c6]\u8a3a\u65ad\u65b9\u6cd5[\u7de8\u96c6]GI\u30ab\u30af\u30c6\u30eb[\u7de8\u96c6]\u751f\u5316\u5b66\u7684[\u7de8\u96c6]\u6a5f\u68b0\u7684[\u7de8\u96c6]\u884c\u52d5\u7ba1\u7406[\u7de8\u96c6]\u80c3\u9178\u5206\u6ccc\u6291\u5236\u5264[\u7de8\u96c6]\u6d88\u5316\u7ba1\u904b\u52d5\u6539\u5584\u5264\u00a0[\u7de8\u96c6]\u30d4\u30ed\u30ea\u83cc\u306e\u9664\u83cc\u00a0[\u7de8\u96c6]\u624b\u8853\u6cbb\u7642\u00a0[\u7de8\u96c6]\u95a2\u9023\u9805\u76ee[\u7de8\u96c6]\u5916\u90e8\u30ea\u30f3\u30af[\u7de8\u96c6]\u9451\u5225\u8a3a\u65ad[\u7de8\u96c6]\u5fc3\u81d3\u3068\u98df\u9053\u306f\u540c\u3058\u795e\u7d4c\u3092\u4f7f\u3063\u3066\u3044\u308b\u305f\u3081\u3001\u5fc3\u81d3\u767a\u4f5c\u306e\u75c7\u72b6\u3068GERD\u306e\u5146\u5019\u3084\u75c7\u72b6\u306f\u975e\u5e38\u306b\u4f3c\u3066\u304a\u308a\u3001\u533a\u5225\u306f\u96e3\u3057\u3044[7]\u3002\u533a\u5225\u306e\u305f\u3081\u306b\u306f\u753b\u50cf\u8a3a\u65ad\u7b49\u304c\u5fc5\u8981\u3067\u3042\u308b\u3002\u5fc3\u81d3\u767a\u4f5c\u306e\u898b\u843d\u3068\u3057\u306f\u5371\u967a\u3067\u3042\u308b\u305f\u3081\u3001\u539f\u56e0\u4e0d\u660e\u306e\u80f8\u75db\u306b\u5bfe\u3057\u3066\u306f\u3001\u6700\u521d\u306b\u5fc3\u81d3\u75c5\u3092\u8003\u3048\u308b\u3079\u304d\u3067\u3042\u308b\u3002\u5fc3\u81d3[\u7de8\u96c6]\u80f8\u3084\u3051\u306e\u75c7\u72b6\u306f\u3001\u6025\u6027\u5fc3\u7b4b\u6897\u585e\u3084\u72ed\u5fc3\u75c7\u306b\u3088\u308b\u75db\u307f\u3068\u6df7\u540c\u3055\u308c\u3046\u308b[10]\u3002\u6d88\u5316\u4e0d\u826f\u306b\u4f3c\u305f\u75db\u307f\u306f\u3001\u6025\u6027\u51a0\u75c7\u5019\u7fa4\u306e\u30ea\u30b9\u30af\u3092\u5897\u52a0\u3055\u305b\u308b\u304c\u3001\u7d71\u8a08\u7684\u306b\u6709\u610f\u306a\u30ec\u30d9\u30eb\u306b\u306f\u5897\u52a0\u3057\u306a\u3044[11]\u3002GERD\u306e\u75c7\u72b6\u3092\u8a34\u3048\u3066\u75c5\u9662\u306b\u6765\u305f\u60a3\u8005\u306e0.6%\u306f\u3001\u865a\u8840\u6027\u5fc3\u75be\u60a3\u304c\u539f\u56e0\u3067\u3042\u308b[7]\u3002\u5fc3\u81d3\u30ab\u30c6\u30fc\u30c6\u30eb\u3092\u88c5\u7740\u3057\u3066\u3044\u308b\u80f8\u75db\u60a3\u8005\u306e30%\u306b\u306f\u80f8\u90e8\u4e0d\u5feb\u611f\u3092\u8aac\u660e\u3059\u308b\u6240\u898b\u304c\u306a\u304f\u3001\u3057\u3070\u3057\u3070\u300c\u975e\u5b9a\u578b\u80f8\u75db\u300d\u307e\u305f\u306f\u8d77\u6e90\u4e0d\u660e\u306e\u80f8\u75db\u3068\u5b9a\u7fa9\u3055\u308c\u3066\u3044\u308b[12]\u3002\u5916\u6765\u306epH\u3068\u8840\u5727\u306e\u89b3\u5bdf\u306b\u57fa\u3065\u304f\u3044\u304f\u3064\u304b\u306e\u7814\u7a76\u3067\u8a18\u9332\u3055\u308c\u305f\u30c7\u30fc\u30bf\u306b\u3088\u308b\u3068\u3001\u3053\u308c\u3089\u306e\u60a3\u8005\u306e25-50%\u306f\u7570\u5e38GERD\u3067\u3042\u308b\u3068\u3044\u3046\u8a3c\u62e0\u304c\u3042\u308b\u3002\u98df\u9053[\u7de8\u96c6]\u98df\u9053\u708e[14]  \u80c3[\u7de8\u96c6]\u539f\u56e0\u4e0d\u660e[\u7de8\u96c6]\u6a5f\u80fd\u6027\u80f8\u3084\u3051\uff08Functional heartburn\uff09\u306f\u3001\u539f\u56e0\u4e0d\u660e\u306e\u80f8\u3084\u3051\u3067\u3042\u308b[16]\u3002\u904e\u654f\u6027\u8178\u75c7\u5019\u7fa4\u7b49\u306e\u6a5f\u80fd\u6027\u80c3\u8178\u75c7\u3068\u95a2\u9023\u3057\u3001\u30d7\u30ed\u30c8\u30f3\u30dd\u30f3\u30d7\u963b\u5bb3\u85ac(PPI)\u306b\u3088\u308b\u6cbb\u7642\u5f8c\u306e\u6539\u5584\u306e\u6b20\u5982\u306e\u4e3b\u306a\u539f\u56e0\u3067\u3042\u308b[16] 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\u201cPyrosis definition – MedicineNet – Health and Medical Information Produced by Doctors\u201d. MedicineNet. 2015\u5e7411\u670819\u65e5\u95b2\u89a7\u3002^ “heartburn” – \u30c9\u30fc\u30e9\u30f3\u30c9\u533b\u5b66\u8f9e\u5178^ a b  Differential diagnosis in primary care. Philadelphia: Wolters Kluwer Health\/Lippincott Williams & Wilkins. (2008). pp.\u00a0211. ISBN\u00a0978-0-7817-6812-2\u00a0^ \u201cPyrosis Medical Definition – Merriam-Webster Medical Dictionary\u201d. merriam-webster.com. 2015\u5e747\u670825\u65e5\u6642\u70b9\u306e\u30aa\u30ea\u30b8\u30ca\u30eb\u3088\u308a\u30a2\u30fc\u30ab\u30a4\u30d6\u30022015\u5e747\u670824\u65e5\u95b2\u89a7\u3002^ \u201cGastroesophageal Reflux (GER) and Gastroesophageal Reflux Disease (GERD) in Adults\u201d. The National Institute of Diabetes and Digestive and Kidney Diseases. 2015\u5e747\u670825\u65e5\u6642\u70b9\u306e\u30aa\u30ea\u30b8\u30ca\u30eb\u3088\u308a\u30a2\u30fc\u30ab\u30a4\u30d6\u30022015\u5e747\u670824\u65e5\u95b2\u89a7\u3002^ \u201cHeartburn\u201d. National Library of Medicine. 2016\u5e743\u670812\u65e5\u6642\u70b9\u306e\u30aa\u30ea\u30b8\u30ca\u30eb\u3088\u308a\u30a2\u30fc\u30ab\u30a4\u30d6\u30022015\u5e747\u670824\u65e5\u95b2\u89a7\u3002^ a b c \u201cPrevalence of linked angina and gastroesophageal reflux disease in general practice\u201d. World J. Gastroenterol. 15 (14):  1764\u20138. (April 2009). doi:10.3748\/wjg.15.1764. PMC\u00a02668783. PMID\u00a019360921. https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC2668783\/.\u00a0^ Duvnjak, edited by Marko (2011). Dyspepsia in clinical practice (1. Aufl. ed.). New York: Springer. p.\u00a02. ISBN\u00a09781441917300.  \u30aa\u30ea\u30b8\u30ca\u30eb\u306e2015-06-21\u6642\u70b9\u306b\u304a\u3051\u308b\u30a2\u30fc\u30ab\u30a4\u30d6\u3002. https:\/\/web.archive.org\/web\/20150621133125\/https:\/\/books.google.ca\/books?id=UGpATfS5-T8C&pg=PA2\u00a0^ Sajatovic, Martha; Loue, Sana; Koroukian, Siran M. (2008). Encyclopedia of aging and public health. Berlin: Springer. pp.\u00a0419. ISBN\u00a0978-0-387-33753-1\u00a0^ Waller CG (December 2006). \u201cUnderstanding prehospital delay behavior in acute myocardial infarction in women\u201d. Crit Pathw Cardiol 5 (4):  228\u201334. doi:10.1097\/01.hpc.0000249621.40659.cf. PMID\u00a018340239.\u00a0^ \u201cHigh-risk chief complaints I: chest pain–the big three\u201d. Emerg. Med. Clin. North Am. 27 (4):  685\u2013712, x. (November 2009). doi:10.1016\/j.emc.2009.07.007. PMID\u00a019932401.\u00a0^ \u201cHeartburn and Regurgitation\u201d. 2011\u5e741\u670816\u65e5\u6642\u70b9\u306e\u30aa\u30ea\u30b8\u30ca\u30eb\u3088\u308a\u30a2\u30fc\u30ab\u30a4\u30d6\u30022010\u5e746\u670821\u65e5\u95b2\u89a7\u3002^ MedlinePlus: Esophageal spasms Archived 2010-05-17 at the Wayback Machine. Accessed April 18, 2010.^  Robbins basic pathology. Vinay Kumar, Abul K. Abbas, Jon C. Aster, James A. Perkins (Tenth ed.). Philadelphia, Pennsylvania. (2018). ISBN\u00a0978-0-323-35317-5. OCLC\u00a0960844656. https:\/\/www.worldcat.org\/oclc\/960844656\u00a0^ Oustamanolakis, Pantelis; Tack, Jan (March 2012). \u201cDyspepsia: organic versus functional\u201d. Journal of Clinical Gastroenterology 46 (3):  175\u2013190. doi:10.1097\/MCG.0b013e318241b335. ISSN\u00a01539-2031. PMID\u00a022327302. https:\/\/pubmed.ncbi.nlm.nih.gov\/22327302.\u00a0^ a b c d e Fass R (January 2009). \u201cFunctional heartburn: what it is and how to treat it\u201d. Gastrointest. Endosc. Clin. N. Am. 19 (1):  23\u201333, v. doi:10.1016\/j.giec.2008.12.002. PMID\u00a019232278.\u00a0^ a b The Mayo Clinic Heartburn page Archived 2010-05-23 at the Wayback Machine..Accessed May 18, 2010.^ a b The MedlinePlus Heartburn page Archived 2016-04-25 at the Wayback Machine. Accessed May 18, 2010.^ National Digestive Diseases Information Clearinghouse (NDDIC): Upper GI Series Archived 2010-05-27 at the Wayback Machine. Accessed May 18, 2010.^ MedlinePlus: Esophageal spasms Archived 2010-05-17 at the Wayback Machine. Accessed April 18, 2010.^  Differential diagnosis in primary care. Philadelphia: Wolters Kluwer Health\/Lippincott Williams & Wilkins. (2008). pp.\u00a0213. ISBN\u00a0978-0-7817-6812-2\u00a0^ \u201cValue and limitations of chest pain history in the evaluation of patients with suspected acute coronary syndromes\u201d. JAMA 294 (20):  2623\u20139. (November 2005). doi:10.1001\/jama.294.20.2623. PMID\u00a016304077.\u00a0^ Hanke, Barbara K.; Schwartz, George Robert (1999). Principles and practice of emergency medicine. Baltimore: Williams & Wilkins. pp.\u00a0656. ISBN\u00a0978-0-683-07646-2. https:\/\/archive.org\/details\/principlespracti00geor\u00a0^ Kushner PR (April 2010). \u201cRole of the primary care provider in the diagnosis and management of heartburn\u201d. Curr Med Res Opin 26 (4):  759\u201365. doi:10.1185\/03007990903553812. 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