è ±æ¿æå·ãšåŸéºé害

ç£ä¿®çŠå²¡æ³åŸäºåæ æé· åŒè·å£« è°·å· èæ²»åŒè·å£«æ³äººALG&Associates
è
±æ¿ãšã¯ãæ¥é ãã䜿ãè©ä»è¿ã®éšäœã ãã«ãæå·ãããšæ¥åžžç掻ã«å€§ããªæ¯éãçããŸãã
亀éäºæ
åãšåãããã«ç掻ã§ããªããªã£ãŠã驿£ãªè³ åãåããããšæãã®ã¯ããèªç¶ã®ããšã ãšæããŸãã
ãã®èšäºã§ã¯ãè
±æ¿æå·ããã被害è
ã®æ¹ã«åããŠãåŸéºé害ççŽèªå®ã®ãã€ã³ãçã«ã€ããŠè§£èª¬ããŠãããŸãã
亀éäºæ 被害è å°çš çžè«çªå£ãŸãã¯äº€éäºæ ã®åä»ã¹ã¿ãããäžå¯§ã«ã察å¿ããããŸã
24æéäºçŽåä»ã»å¹Žäžç¡äŒã»éè©±ç¡æ
â»æ³åŸçžè«ã¯ãåä»äºçŽåŸãšãªããŸãã®ã§ãçŽæ¥åŒè·å£«ã«ã¯ãç¹ãã§ããŸããã
â»åœéæ¡ä»¶ã®çžè«ã«é¢ããŸããŠã¯å¥éãã¡ããã芧ãã ããã
亀éäºæ ã«éããå°ãã®æ¹ãž
ç®æ¬¡
è ±æ¿æå·ãšã¯ïŒäº€éäºæ ã§è ±æ¿æå·ã«ãªã£ããïŒ
è ±æ¿æå·ãšã¯ããè ±æ¿ããšåŒã°ããè©é¢ç¯ãæ§æããçè ±é¡ã®äžéšãŸãã¯å šéšãæè£ããããšããããŸãã è ±æ¿ã¯ãæ£äžç(ãããããããã)ãæ£äžç(ããã£ããã)ãå°åçãè©ç²äžçã®4æ¬ã®çèãããªãè ±ã§ãè©é¢ç¯ãå®å®ãããè ã®å転ãè£å©ãã圹å²ãæ ã£ãŠããŸãã 亀éäºæ ã«ããã転åããŠåŒ·ãæãã€ãããè©ã«è¡æãå ãã£ããããããšã«ãã£ãŠãè ±æ¿ãæè£ããŸãã è ±æ¿æå·ãæŸã£ãŠãããšãæªåããŠéªšã®å€åœ¢ãªã©æãã¬çµæãåŒãèµ·ãããŠããŸããããããããããè ±æ¿æå·ã®èšºæãåããããç é¢ã§é©åãªæ²»çãåããŸãããã
è ±æ¿æå·ã®çç¶
è ±æ¿æå·ã®çç¶ã¯ãè ±æ¿ã®äžã«ããæãããéšåïŒæ»æ¶²å ïŒã匷ãççãèµ·ãããããå è¡ããããæ°ŽãæºãŸã£ããããããšã§æè£éšåã«çãã匷ãçã¿ïŒãŸãã«åå éšäœãšãŸã£ããããé¢ããéšäœã«çŸããçã¿ã§ããæŸæ£çããããŸãïŒããè©é¢ç¯ã®å¯ååå¶éã§ãã è©é¢ç¯åšå²çïŒäºåè©ïŒãšééããããããšãå€ãã§ãããè©é¢ç¯åšå²çãšæ¯ã¹ãè ±æ¿æå·ã®æ¹ãé¢ç¯ã®æçž®ããªããåãã硬ããªããŸããã è ±æ¿ãæè£ãããŸãŸæ¿ããéåãç¹°ãè¿ããšãæè£éšåã§éªšå士ãè¡çªã骚ãå€åœ¢ããŠããŸãããšããããããæ³šæãå¿ èŠã§ãã
æ€æ»ãšæ²»çæ¹æ³
è
±æ¿æå·ãçãããå Žåã
ã»è©ãäžäžã«åããããã©ãã
ã»è©ãäžäžããéã«è©å³°ïŒé骚ãšäžè
ã®éªšãã€ãªãéšäœïŒã®äžã§è»èœ¢é³ããããã©ãã
ã»å¥åŽïŒå¥åº·ãªæ¹ïŒãšæ¯ã¹ãŠå€è»¢ã倿çåã®äœäžããªãã
ãšãã£ãç¹çã調ã¹ãŸãã
ãããã«å ããŠãXç·åçãMRIç»åæ€æ»ãè¶ é³æ³¢æ€æ»ã§ãè©å³°äžè ã®çãŸãæ¹ãè ±æ¿ã®æå·ã®åºŠåãã確èªããŸãã è ±æ¿æå·ã®æ²»çãšããŠã¯ãäžè¬çã«ãè ±æ¿ãéšåçã«æè£ããŠããå Žåã«ã¯ä¿åçæ³ããå®å šã«æè£ããŠãããŸãã¯åŒ·ãçã¿ã6ã¶æä»¥äžç¶ããŠããå Žåã«ã¯èгè¡ççæ³ïŒæè¡ïŒãéžæãããŸãã ä¿åçæ³ãšããŠã¯ãäžè§åžçã®åºå®çšè£ å ·ãè£ çããŠå®éã«ãããšãšãã«ãæè¬ã氎溶æ§å¯è ç®è³ªãã«ã¢ã³ã»ãã¢ã«ãã³é žã®é¢ç¯å æ³šå ¥ãå¯ååèšç·Žã»çå匷åçã§çŒçã®æ¹åãå³ããŸãããã ããæè£éšäœãèªç¶ã«å埩ããããšã¯ãªããããèäœåŽåãã¹ããŒãããããæ¹ã«ã¯äžåãã§ãã 芳è¡ççæ³ãšããŠã¯ãé¢ç¯é¡èŠäžæè¡ãŸãã¯çŽèŠäžæè¡ãè¡ãããŸããæè¡åŸãçŽ1ã¶æéã®åºå®ãš2ïœ3ã¶æéã®æ©èœèšç·Žãå¿ èŠãšãããŸãã
è ±æ¿æå·ãšé¢ä¿ã®ããåŸéºéå®³ãšæ °è¬æ
è ±æ¿æå·ã®çç¶ã¯ãè©é¢ç¯ã®éåé害ïŒè©é¢ç¯ã®å¯ååå¶éïŒãšãæè£éšäœã®çã¿ãæŸæ£çãšãã£ãç¥çµçç¶ãæããããŸãã è ±æ¿æå·ã®ååŸéºé害ã®èªå®åºæºã«ã€ããŠã以äžã«ãŸãšããŸããã®ã§ã芧ãã ããã
å¯ååå¶é
è
±æ¿æå·ã«ãããçã¿ã®çç¶ãããŸãé¢ç¯ã®ç¡¬çŽã«ããè©é¢ç¯ã®å¯ååå¶éãçºçããåãããç¯å²ãçãŸã£ãŠããŸããããããããŸãã
以äžã®ãšãããå¯ååãå¶éãããçšåºŠã«å¿ããŠåŸéºé害ççŽã¯ç°ãªããŸãã
ççŽ | èªå®åºæº | 説æ |
---|---|---|
8çŽ6å· | é¢ç¯ã®çšãå»ãããã® | (a)é¢ç¯ã匷çŽãããã® (b)人工é¢ç¯ã»äººå·¥éªšé ãæ¿å ¥çœ®æããé¢ç¯ã®ãã¡ããã®å¯ååãå¥åŽã®å¯ååè§åºŠã®1/2以äžã«å¶éãããŠãããã® |
10çŽ10å· | é¢ç¯ã®æ©èœã«èããéå®³ãæ®ããã® | (a)é¢ç¯ã®å¯ååãå¥åŽã®å¯ååè§åºŠã®1/2以äžã«å¶éãããŠãããã® (b)人工é¢ç¯ã»äººå·¥éªšé ãæ¿å ¥çœ®æããé¢ç¯ã®ãã¡ãäžèš(b)以å€ã®ãã® |
12çŽ6å· | é¢ç¯ã®æ©èœã«éå®³ãæ®ããã® | é¢ç¯ã®å¯ååãå¥åŽã®å¯ååè§åºŠã®3/4以äžã«å¶éãããŠãããã® |
è«æ±ã§ããåŸéºéå®³æ °è¬æ
è
±æ¿æå·ã«ããå¯ååå¶éã®åŸéºé害ãèªããããå Žåãã©ãã ãã®æ
°è¬æãæã«å
¥ãã®ãã以äžãã芧ãã ããã
åŒè·å£«åºæºãçšããããšã§ã倧å¹
ãªæ
°è¬æã®å¢é¡ãèŠèŸŒããããšãããããŸãã
ççŽ | èªè³ è²¬åºæºâ»1 | åŒè·å£«åºæº |
---|---|---|
8çŽ6å· | 331äžå | 830äžå |
10çŽ10å· | 190äžå | 550äžå |
12çŽ6å· | 94äžå | 290äžå |
â»1ïŒèªè³ è²¬åºæºã¯æ°åºæºãåæ ããŠããŸãã什å2幎4æ1æ¥ããåã«çºçããäºæ ã®å Žåã¯ãæ§åºæºãé©çšãããŸãã
ç¥çµçç¶
è
±æ¿æå·ã«ãã£ãŠãæè£ããè©é¢ç¯ã®çã¿ãæŸæ£çã®ãããªç¥çµçç¶ãæ®ãå ŽåããåŸéºé害ã«è©²åœããå¯èœæ§ããããŸãã
åŸéºé害ççŽãšããŠ12çŽ13å·ãèªãããããã14çŽ9å·ãèªãããããã¯ãçç¶ãå»åŠçã«ã蚌æãã§ãããã«ãã倿ãããŸãã
è
±æ¿æå·ã®èšºæã¯éåžžMRIçã«ãã蚺æããããããå€ãã®ã±ãŒã¹ã§ã¯12çŽ13å·ã«è©²åœããŸãããã ããè
±æ¿æå·ãšäº€éäºæ
ã®å æé¢ä¿ãäžæãªå Žåããæå·éšäœã®ç»åã®æ ãæ¹ãæå·ã®çšåºŠã«ãã£ãŠã¯ãççŽã¯14çŽ9å·ãããã¯é該åœã«ããªãåŸãŸãã
è«æ±ã§ããåŸéºéå®³æ °è¬æ
è
±æ¿æå·ã«äŒŽãç¥çµçç¶ããåŸéºé害ãšããŠèªããããå Žåã®æ
°è¬æé¡ã«ã€ããŠã¯ã以äžãã確èªãã ããã
ç®å®åºæºããšã®éé¡å·®ãããããšãªãããççŽã®å€§ããã«ãã£ãŠãéé¡ã«å·®ããããŸãã
é©åãªæ€æ»ã®å®æœãšãå»åž«ã«ããçç¶ã®ç«èšŒã®éèŠæ§ã窺ããã§ãããã
ççŽ | èªè³ è²¬åºæºâ»2 | åŒè·å£«åºæº |
---|---|---|
12çŽ6å· | 94äžå | 290äžå |
14çŽ9å· | 32äžå | 110äžå |
â»2ïŒæ°åºæºã§ç®åºããŠããŸãã什å2幎4æ1æ¥ããåã«çºçããäºæ ã®å Žåã¯ãæ§åºæºãé©çšãããŸãã
å»çã«åŒ·ãåŒè·å£«ã«ãçžè«ãã ãã
æè¿ã®ç«åŠèª¿æ»ã«ãããšãè©ãžã®å€å·ããªããŠããé«éœ¢ã®æ¹ãè©ãé ·äœ¿ããŠããçµéšã®ããæ¹ã«ã¯ãè ±æ¿æå·ãã¿ãããå ŽåããããŸãããŸãããã®äžã«ã¯ãèªèŠçç¶ããªãã亀éäºæ åŸæ€æ»ãåããŠåããŠè ±æ¿ãæå·ããŠããããšãããã£ãæ¹ãããã£ããããŸãã ãã®ãããäºæ åŸã«è ±æ¿æå·ã®èšºæãåããå Žåãäºæ åããååšããŠããæå·ãªã®ããäºæ ã«ãã£ãŠçããæå·ãªã®ããåé¡ã«ãªãããšãå€ãã§ãã äºæ åããååšãæ ¢æ§åããè ±æ¿æå·ã§ã¯ãé·æéã®è ±æ¿ã®å€æ§ã«äŒŽãã骚ãçèã«å€åãã¿ãããŸããããããå€åããªãããšã蚌æã§ããã°ã亀éäºæ ãšè ±æ¿æå·ãšã®å æé¢ä¿ãèªãããããããåŸéºé害ççŽãèªå®ãããå¯èœæ§ãé«ãŸããŸãããããã被害è ã®æ¹ããèªèº«ã§ãã©ã®ãããªå€åããªãããšã蚌æããã°è¯ãããã蚌æã«ã¯ã©ã®ãããªèšŒæ ãå¿ èŠããçã倿ããå®éã«ä¿éºäŒç€Ÿã«äž»åŒµããããšã¯é£ããã§ãããã ããã§ãåŸéºé害ççŽèªå®ã®ãã€ã³ããçç¥ãããå»çã«åŒ·ãåŒè·å£«ã®åºçªãšãããŸããç¹ã«å»çã«åŒ·ãåŒè·å£«ã§ããã°ã被害è ã®æ¹ãçåã«æãããã§ãããã亀éäºæ ãšè ±æ¿æå·ãšã®å æé¢ä¿ã®èšŒæã®ä»æ¹ãç¥ã£ãŠãããããä¿éºäŒç€Ÿã«å æé¢ä¿ãèªããããããšãã§ããŸãã é©åãªåŸéºé害ã®èªå®ãåãã驿£ãªè³ åãåããããã«ããåŸéºé害ççŽèªå®ç³è«ã®çµéšããããå»çåé¡ã«åŒ·ãåŒè·å£«ãéãŸãALGã«ãçžè«ããäŸé Œãã ããã
亀éäºæ 被害è å°çš çžè«çªå£ãŸãã¯äº€éäºæ ã®åä»ã¹ã¿ãããäžå¯§ã«ã察å¿ããããŸã
24æéäºçŽåä»ã»å¹Žäžç¡äŒã»éè©±ç¡æ
â»æ³åŸçžè«ã¯ãåä»äºçŽåŸãšãªããŸãã®ã§ãçŽæ¥åŒè·å£«ã«ã¯ãç¹ãã§ããŸããã
â»åœéæ¡ä»¶ã®çžè«ã«é¢ããŸããŠã¯å¥éãã¡ããã芧ãã ããã
亀éäºæ ã«éããå°ãã®æ¹ãž
è ±æ¿æå·ã«ããå¯ååå¶éãèªããããè£å€äŸ
ã倧éªå°æ¹è£å€æãå¹³æ30幎3æ7æ¥ã
ïŒäºæ¡ã®æŠèŠïŒ
æ¬äºæ¡ã¯ãéä¿¡å·ã§äº€å·®ç¹ã«é²å ¥ããååã®é転ãããã¬ãŒã©ãŒãã亀差éè·¯ãã赀信å·ãç¡èŠããŠäº€å·®ç¹ã«é²å ¥ããŠãã被åè»é転ã®ãã¬ãŒã©ãŒãšåºåãé ã«è¡çªããããšã«ããååãåå·ãããšããŠã被åã«å¯ŸããŠæå®³è³ åãè«æ±ããäºæ¡ã§ãã ååããå·Šè©è ±æ¿æå·çã¯æ¬ä»¶äºæ ã«ããåå·ãããã®ã§ãããšäž»åŒµããã®ã«å¯Ÿãã被åã¯ãå·Šè©è ±æ¿æå·ã«æ¬ä»¶äºæ ãšã®çžåœå æé¢ä¿ã¯ãªãããã®ä»åå·å 容ã軜埮ã§ãããšåè«ãããããååã®åå·ã®å 容åã³åŸéºéå®³ã®æç¡ãäž»ãªäºç¹ã«ãªããŸããã
ïŒè£å€æã®å€æïŒ
è£å€æã¯ãæ¬ä»¶äºæ ã«ãããè¡çªæã®ç¶æ³ãšååã®äºæ æã®äŸè¿°å 容ããã¿ãŠãå·Šè©è ±æ¿æå·ã®åå·æ©è»¢ãšããŠç¹æ®µäžèªç¶ãšã¯ãããªããšå€æããŸããã ãŸããååã«å·Šè©ã®çã¿ã®æ¢åŸçããã£ãç¹ã«ã€ããŠã①å»åž«ã®èšºæã¯è ±æ¿æå·ã§ã¯ãªããå·Šè©é¢ç¯åšå²çãã§ãã£ãããšã②æ²»çã«ãã£ãŠå¿«çãããšè¿°ã¹ãã®åŸå»çæ©é¢ãå蚺ããªãã£ãããšã③ä»®ã«æ¬ä»¶äºæ åã«è ±æ¿æå·ããã£ããšããŠãã1åºŠã®æ³šå°æ²»çã«ãã£ãŠãè ±æ¿æå·ã®çç¶ãæ¶å€±ãããšã¯èãé£ãããšãããäºæ åã®ååã®å蚺æŽããã£ãŠãå·Šè©è ±æ¿æå·çãæ¬ä»¶äºæ åãããã£ããšããããšã¯ã§ããªããšå€æããŸããã å ããŠãååããæ¬ä»¶äºæ ã®ç¿æ¥ã«å·Šè©çãäºæ ã®3æ¥åŸã«ã¯å·Šè©ãäžãããªããšããçç¶ã蚎ãããã®åŸãç¶ç¶ããŠå·Šè©ã®çç¶ã蚎ããŠããããšãMRIç»åæ€æ»ã§æ£äžçè ±ã®éšåæè£çãèŠãããããšãšãã£ãäºæ ãç·åããååããæ¬ä»¶äºæ ã«ããå·Šè©è ±æ¿æå·çã®å·å®³ãè² ã£ããšèªããã®ãçžåœã§ãããšå€æããŸããã ãããŠãååã®åŸéºé害ã®å 容ã«ã€ããŠã¯ãå·å®³ãè² ã£ãå·Šè©é¢ç¯ã®å¯åè§åºŠã3/4以äžã«å¶éãããŠããããšãå·Šè©è ±æ¿æå·çã®ä»èŠçæèŠãããããšãããåŸéºé害ççŽ12çŽ6å·ãèªããŸããã
亀éäºæ 被害è å°çš çžè«çªå£ãŸãã¯äº€éäºæ ã®åä»ã¹ã¿ãããäžå¯§ã«ã察å¿ããããŸã
24æéäºçŽåä»ã»å¹Žäžç¡äŒã»éè©±ç¡æ
â»æ³åŸçžè«ã¯ãåä»äºçŽåŸãšãªããŸãã®ã§ãçŽæ¥åŒè·å£«ã«ã¯ãç¹ãã§ããŸããã
â»åœéæ¡ä»¶ã®çžè«ã«é¢ããŸããŠã¯å¥éãã¡ããã芧ãã ããã
亀éäºæ ã«éããå°ãã®æ¹ãž


亀éäºæ
äºä»¶ã®çµéšè±å¯ãª
åŒè·å£«ãå
šé¢ãµããŒã
åŒè·å£«è²»çšç¹çŽã䜿ãå Žå
æ¬äººååè² æ
ãªãâ»ä¿éºäŒç€Ÿã®æ¡ä»¶ã«ãã£ãŠã¯
æ¬äººè² æ
ãçããããšããããŸãã
åŒè·å£«å ±é ¬ïŒæåå ±é ¬å¶
â»æ»äº¡ã»åŸéºé害ççŽèªå®æžã¿ãŸãã¯èªå®ãèŠèŸŒãŸããå Žå
â»äºæ¡ã«ãã£ãŠã¯å¯Ÿå¿ã§ããªãããšããããŸãã
â»åŒè·å£«è²»çšç¹çŽãå©çšããå Žåãå¥éã®æéäœç³»ãšãªããŸãã