ãã®èšäºãèªãããšã§åããã¡ãªãããšçµè«
å
šèº«è±æ¯ã§ãã©ããªéº»é
ãããã®ïŒã©ããå¹ãã®ïŒããšæ©ãã§ããŸãããïŒãã®èšäºãèªãã°ã衚é¢éº»é
ïŒéº»é
ã¯ãªãŒã ïŒãç¬æ°éº»é
ïŒäºé
žåçªçŽ ïŒãå±ææ³šå°ããããŠå
šèº«éº»é
ã®çŸå®çãªæ±ããæ¹ãŸã§ãããããã®ã¡ãªããã»ãã¡ãªãããå¹æã®æãæ¹ãè²»çšã®ç®å®ãäž»èŠã¯ãªããã¯ã»ãµãã³ã®å¯Ÿå¿éããããããŸããVIOãé¡ãªã©çã¿ã匷ãéšäœã§ã©ã®éº»é
ãéžã¶ã¹ãããæœè¡ååŸã®æ³šæç¹ãå¯äœçšã®å¯ŸåŠæ³ã麻é
ãæããããšãã®ä»£æ¿æ¡ãŸã§å
·äœçã«è§£èª¬ããŸããçµè«ãšããŠã¯ãå»çè±æ¯ãªã麻é
ã®éžæè¢ãè±å¯ã§ãçã¿ã匷ãéšäœã¯éº»é
ã䜿ã䟡å€ãé«ãããµãã³ã¯å»çè¡çºå¶éã§éº»é
éžæè¢ãéãããããäžå®ãªãå»çæ©é¢ãæ€èšããã®ãå®å¿ãã§ãã
å
šèº«è±æ¯ã§éº»é
ã¯äœ¿ããïŒçã¿ãäžå®ãªäººã«ããããã®ã¯ãªããã¯ã»ãµãã³
å
šèº«è±æ¯ãèãããšãããŸãæ°ã«ãªãã®ããçã¿ãã§ãã
ç¹ã«ã¯ããVIOãé¡ãŸãããªã©ã¯åºæ¿ãæãããããã麻é
ã䜿ããã®ãããã§ããã ãçã¿ãæããŠéããã®ããã¯ãå€ãã®äººãç¥ããããã€ã³ãã§ãã
çµè«ãããããšã
å»çè±æ¯ã§éº»é
ã䜿ããããªããªãŒã¯ãªããã¯ãšæ¹åçŸå®¹ã¯ãªããã¯ãçã¿ãã§ããã ããããããããµãã³è±æ¯æŽŸãªãã¹ãã©ãã·ã¥ãåè£ã«ãªããŸãã
ãã®èšäºã§ã¯ãå
šèº«è±æ¯ãšéº»é
ã®é¢ä¿ãããããããæŽçããªããã
ãã©ããéžã¹ã°ãããããè¿·ããªãããã«æ¯èŒããŠãããŸãã
ãŸãç¥ã£ãŠããããïŒå
šèº«è±æ¯ã§éº»é
ã¯å¿
èŠïŒ
å
šèº«è±æ¯ã§éº»é
ãå¿
èŠãã©ããã¯ã
è±æ¯ã®çš®é¡ãš
çã¿ãžã®æãæ¹ã§å€ãããŸãã
å»çè±æ¯ã¯å¹æãé«ãåãçã¿ãæããããããšããã
å»çè±æ¯ã¯ãæ¯æ ¹ãæ¯ãçããçµç¹ã«åŒ·ãç±ãäžããŠæžæ¯ã»è±æ¯ãç®æããŸãã
ãã®ããããµãã³è±æ¯ã«æ¯ã¹ããšåºæ¿ãæããããåŸåããããŸãã
ç¹ã«çã¿ãæããããéšäœã¯æ¬¡ã®ãããªãšããã§ãã
- VIO
- ã¯ã
- é¡
- 骚ã«è¿ãéšå
- æ¯ã倪ãå¯éããŠããéšå
çã¿ã«äžå®ããã人ã¯ã
麻é
ã®æç¡ã
çã¿å¯Ÿçã確èªããŠãããšå®å¿ã§ãã
ãµãã³è±æ¯ã¯çã¿ãæ¯èŒçããããã
ãµãã³è±æ¯ã¯ãå»çè±æ¯ãããåºåãæããããŠãããããçã¿ããã€ã«ããªåŸåããããŸãã
ãã®ã¶ãã1åããšã®å¹æã¯å»çè±æ¯ããç©ããã§ããããçã¿ãèŠæãããŸãã¯éããããéèŠããšãã人ã«ã¯çžæ§ãããéžæè¢ã§ãã
麻é
ã䜿ããã人ããã§ãã¯ããã¹ããã€ã³ã
å
šèº«è±æ¯ãéžã¶ãšãã麻é
ã®æç¡ã ãã§ãªããæ¬¡ã®ç¹ã倧åã§ãã
1. 麻é
ã¯ã©ã®éšäœã«äœ¿ããã
ã¯ãªããã¯ã«ãã£ãŠã麻é
ã䜿ããéšäœãæ¡ä»¶ãç°ãªããŸãã
VIOã«ã¯äœ¿ããŠããå
šèº«ã®ãã¹ãŠã«äœ¿ãããšã¯éããŸããã
2. 麻é
ã¯ç¡æãææã
麻é
ã䜿ããŠãã远å è²»çšããããå ŽåããããŸãã
æ¯å䜿ãå¯èœæ§ããããªããç·é¡ã«å€§ãã圱é¿ããŸãã
3. äºçŽã®åãããã
çã¿ã«äžå®ããã人ã»ã©ãäºçŽãåãããããèªåã®ããŒã¹ã§éããããšãéèŠã§ãã
4. éäžã§éãã®ãããã«ããä»çµã¿ã
å
šèº«è±æ¯ã¯1åã§çµãããã®ã§ã¯ãªããããéããããããµããŒãäœå¶ãéèŠã§ãã
å»çè±æ¯ã§éº»é
ã䜿ããã人ã«ãããã
ãªãŒã¯ãªããã¯
ãªãŒã¯ãªããã¯ã¯ã
çã¿ãäžå®ãªäººãå»çè±æ¯ãå§ããããã¯ãªããã¯ãšããŠéžã³ãããååšã§ãã
ãªãŒã¯ãªããã¯ãåããŠãã人
- å»çè±æ¯ãéžã³ãã
- 麻é
ã䜿ããã¯ãªããã¯ããã
- çã¿å¯ŸçãéèŠããã
- 远å è²»çšãã§ããã ãããããããããã
éžã°ããçç±
ãªãŒã¯ãªããã¯ã¯ãå»çè±æ¯ã®äžã§ã
ãµããŒãé¢ãäžå¯§ãªå°è±¡ã匷ããçã¿ãäžå®ãçžè«ããªããé²ããããã®ãé
åã§ãã
å
šèº«è±æ¯ãæ€èšãã人ã«ãšã£ãŠã麻é
ã ãã§ãªããæœè¡æã®å¯Ÿå¿ãçžè«ã®ããããã¯å€§ããªå®å¿ææã«ãªããŸãã
ãããªäººã«ç¹ã«ãããã
- åããŠã®å»çè±æ¯ã§ç·åŒµãã
- VIOãªã©çã¿ãå¿é
ãªéšäœããã
- éäžã§äžå®ãåºããšãã«çžè«ãããããšããããã
å»çè±æ¯ã§ã³ã¹ããéèŠããã人ã«ãããã
æ¹åçŸå®¹ã¯ãªããã¯
æ¹åçŸå®¹ã¯ãªããã¯ã¯ã
å»çè±æ¯ãã§ããã ã身è¿ã«å§ããã人ã«äººæ°ã§ãã
å
šåœã«å±éããŠãããããéãããããéèŠãã人ãšãçžæ§ãããã§ãã
æ¹åçŸå®¹ã¯ãªããã¯ãåããŠãã人
- å»çè±æ¯ãã§ããã ãéããããå§ããã
- 倧æã®å®å¿æãéèŠããã
- äŸ¡æ Œããã©ã³ã®ãããããããéèŠããã
- 麻é
ã®éžæè¢ãããã¯ãªããã¯ããã
éžã°ããçç±
æ¹åçŸå®¹ã¯ãªããã¯ã®åŒ·ã¿ã¯ã
éãããããšéžã³ãããã®ãã©ã³ã¹ã§ãã
å
šåœå±éã®å€§æãªã®ã§ãåŒã£è¶ãã転å€ããã£ãŠãéãããããç¶ç¶ããããã®ã倧ããªã¡ãªããã§ãã
ãŸããå»çè±æ¯ãæ€èšãã人ã®äžã«ã¯ããŸãã¯å€§æã§å§ãããããäºçŽãçžè«ã®ãããããéèŠãããããšãã人ãå€ããããããããŒãºã«åããããã§ãã
ãããªäººã«ç¹ã«ãããã
- ã§ããã ãéããããå Žæã§åããã
- 倧æã®å®å¿æãã»ãã
- å»çè±æ¯ã®äžã§ãå§ãããããéèŠããã
çã¿ãäžå®ã§ããŸãã¯ããããå§ããã人ã«ãããã
ã¹ãã©ãã·ã¥
ã¹ãã©ãã·ã¥ã¯ã
è±æ¯ãµãã³æŽŸã§çã¿ã®å°ãªããéèŠããã人ã«åããŠããŸãã
ã¹ãã©ãã·ã¥ãåããŠãã人
- çãè±æ¯ã¯ã§ããã ãé¿ããã
- å»çè±æ¯ã»ã©ã®åºæ¿ãäžå®
- ãŸãã¯æ°è»œã«è±æ¯ãå§ããã
- å
šèº«è±æ¯ãç¶ãããããµãã³ãæ¢ããŠãã
éžã°ããçç±
ãµãã³è±æ¯ã¯ãå»çè±æ¯ã«æ¯ã¹ãŠåºæ¿ããããããã®ãç¹åŸŽã§ãã
ãã®ããããè±æ¯ãããããã©ãçã¿ãæããŠèžã¿åºããªãããšãã人ã«ãšã£ãŠãããªãå§ããããéžæè¢ã«ãªããŸãã
ã¹ãã©ãã·ã¥ã¯ãå
šèº«è±æ¯ãæ€èšãã人ã®äžã§ãã
çã¿ã®å°ãªããæåªå
ããã人ã«åããŠããŸãã
ãšãã«è±æ¯ãåããŠã®äººããVIOã®çã¿ãäžå®ãªäººã«ã¯æ€èšããããã§ãããã
ãããªäººã«ç¹ã«ãããã
- çã¿ãèŠæ
- ãŸãã¯è±æ¯ã«æ
£ããã
- ãµãã³è±æ¯ã®ããããæœè¡ãéèŠããã
è¿·ã£ããããéžã¶
1. ã§ããã ãæ©ããã£ããæžãããã
â
ãªãŒã¯ãªããã¯
å»çè±æ¯ã§ãçã¿å¯Ÿçãããªããé²ããã人ã«åããŠããŸãã
2. éãããããšå€§æã®å®å¿æãéèŠããã
â
æ¹åçŸå®¹ã¯ãªããã¯
å
šåœå±éã®åŒ·ã¿ããããç¶ç¶ãããããéèŠãã人ã«ããããã§ãã
3. çã¿ã®å°ãªããæåªå
ããã
â
ã¹ãã©ãã·ã¥
ãµãã³è±æ¯æŽŸã§ãããããæœè¡ãæ±ãã人ã«åã£ãŠããŸãã
å
šèº«è±æ¯ãšéº»é
ã§å€±æããªãéžã³æ¹
å
šèº«è±æ¯ã¯ãå®ãã ãã§éžã¶ãšåŸæããããã§ãã
ç¹ã«éº»é
ã䜿ããã人ã¯ã次ã®é çªã§èãããšå€±æãã«ãããªããŸãã
1. ãŸãã¯ãå»çè±æ¯ããµãã³è±æ¯ãããæ±ºãã
- æ©ã广ã宿ããããªãå»çè±æ¯
- çã¿ã®å°ãªããåªå
ãããªããµãã³è±æ¯
2. çã¿ã«äžå®ããããªã麻é
æ¡ä»¶ã確èªãã
- ã©ã®éšäœã«äœ¿ããã
- 远å è²»çšãããã
- çžè«ããããã
3. éãç¶ããããããèŠã
å
šèº«è±æ¯ã¯è€æ°åéãå¿
èŠããããŸãã
äºçŽã®åããããããéããããç«å°ã倧åã§ãã
ãããªäººã¯ãã®3ã€ããéžã¹ã°OK
-
å»çè±æ¯ã§éº»é
ã䜿ããªããé²ããã
â ãªãŒã¯ãªããã¯
-
å»çè±æ¯ãéããããå§ããã
â æ¹åçŸå®¹ã¯ãªããã¯
-
ãšã«ããçã¿ãæãããããµãã³è±æ¯æŽŸ
â ã¹ãã©ãã·ã¥
ãŸãšãïŒå
šèº«è±æ¯ã§éº»é
ãæ°ã«ãªããªããçã¿ãšéããããã§éžãŒã
å
šèº«è±æ¯ã¯ãã©ãã§åããŠãåãã§ã¯ãããŸããã
ç¹ã«éº»é
ã䜿ããã人ã¯ã
çã¿ã®åŒ·ãã麻é
ã®æ¡ä»¶ãéãããããŸã§å«ããŠéžã¶ã®ã倧åã§ãã
-
ãªãŒã¯ãªããã¯ïŒå»çè±æ¯ã§éº»é
ã䜿ããã人åã
-
æ¹åçŸå®¹ã¯ãªããã¯ïŒéããããã倧æã®å®å¿æãéèŠãã人åã
-
ã¹ãã©ãã·ã¥ïŒçã¿ã®å°ãªããåªå
ããããµãã³è±æ¯æŽŸåã
ãçãã®ãå¿é
ã ããå§ããããªãããšæããŠãããªãããŸãã¯èªåãã©ã®ã¿ã€ãããæ±ºããã ãã§ãäžæ©åé²ã§ãã
ç¡çãªãç¶ãããããšãããéžãã§ãçŽåŸã§ããå
šèº«è±æ¯ãå§ããŸãããã
1. 麻é
ã®åºæ¬ç¥è â å
šèº«è±æ¯ã§éžã¹ãã麻é
ã®çš®é¡ããšå¹æãããçè§£ãã
è±æ¯ã§äœ¿ããã麻é
ã¯äž»ã«ã衚é¢éº»é
ïŒéº»é
ã¯ãªãŒã ïŒããç¬æ°éº»é
ïŒäºé
žåçªçŽ ã¬ã¹ïŒããå±æéº»é
ïŒæ³šå°ïŒãã®3ã€ãããã§ã¯ããããã®ä»çµã¿ãäœçšæéã广ã®åŒ·ããå¯äœçšãªã¹ã¯ãããããããæŽçããŸãã
1-1. 衚é¢éº»é
ïŒéº»é
ã¯ãªãŒã ïŒãšã¯ïŒæåãšäœçšæé
- äœã䜿ããããïŒäž»ã«ãªãã«ã€ã³ïŒlidocaineïŒãªã©ã®å±æéº»é
è¬ãå«ãã¯ãªãŒã ãã²ã«ãåžè²©ã§ããªãã«ã€ã³å«æè£œåã¯ããããå»çæ©é¢ã§åŠæ¹ã»äœ¿çšãããã®ã¯æ¿åºŠãå¡åžæ¹æ³ã管çãããŠããŸãã
- äœçšã¡ã«ããºã ïŒç®è衚é¢ã®ç¥çµçµæ«ã«äœçšããŠçã¿ã®äŒéãæãããæ¯ç©Žå¥¥ãŸã§å®å
šã«æµžéããããã§ã¯ãªãããã衚局ã®çã¿ãåããããã€ã¡ãŒãžã
- äœçšéå§ã»æç¶æéïŒå¡åžåŸãããã20ïœ60åã§å¹æãåºãŠãæ°æéæç¶ããããšãå€ããæœè¡åã«ååãªå¡åžæéïŒäŸïŒ30ïœ60åïŒãå¿
èŠãªå Žåãããã
- ãªã¹ã¯ïŒæ¥è§Šç®èçã屿ã®ãã¶ããéå°äœ¿çšã§ã®å±æéº»é
è¬äžæ¯ïŒçšïŒã䜿çšéãç¯å²ã®ç®¡çãéèŠã
1-2. ç¬æ°éº»é
ïŒäºé
žåçªçŽ ã¬ã¹ïŒãšã¯ïŒå¹æã®æãæ¹ãšäœ¿ããæ¹
- äœã䜿ããããïŒäºé
žåçªçŽ ïŒN2OïŒãšé
žçŽ ã®æ··åã¬ã¹ãåžå
¥ããŠçæéã§é®éã»é®ç广ãåŸãã
- å¹æã®æãæ¹ïŒææå¿ãçã¿ã®æèŠãåããããªã©ãã¯ã¹ã»ãµãã£ãšããæèŠãå®å
šã«æèã倱ãããã§ã¯ãªããäŒè©±ãã§ããã
- å©ç¹ïŒå³å¹æ§ã»æç¶æéã®èª¿æŽããããããåŒåžã§èª¿æŽã§ããããçæéåŠçœ®ã«åãã
- çŠå¿ã»æ³šæç¹ïŒåŠåš äžãé床ã®åŒåžåšçŸæ£ãæªæ²»çã®ãã¿ãã³B12æ¬ ä¹ãªã©ã«ã¯æ³šæãå¿
èŠãããŸããåãæ°ãåºãããšããããé·æéãããã¯é »åã®äœ¿çšã¯å¥åº·ãªã¹ã¯ã«ãªãå¯èœæ§ããããããå»åž«ã®ç®¡çäžã§è¡ãã
1-3. å±æéº»é
ïŒæ³šå°ïŒãšã¯ïŒã©ã®éšäœã«äœ¿ãããããšå¹æã®åŒ·ã
- äœã䜿ããããïŒå±ææµžæœ€éº»é
ãšããŠãªãã«ã€ã³ãªã©ãç®äžã«æ³šå°ãçæéã§éšäœå
šäœã®æèŠã鮿ããã
- 广ã®åŒ·ãïŒè¡šé¢éº»é
ããã匷åã§ãæ·±éšã®çã¿ãŸã§æãããããVIOãæ¥µç«¯ã«çã¿ãæããç®æã§çšããããããšãå€ãã
- ãã¡ãªããïŒæ³šå°èªäœã®çã¿ãããã»æ³šå°éšäœã®è
«ããè¡è
«ãèµ·ããããšãããã䜿çšé管çãéèŠã
- 宿œã¯å»åž«ãŸãã¯è³æ Œããã€å»çè
ã®å€æã§è¡ãããã
1-4. å
šèº«éº»é
ã¯è±æ¯ã§äœ¿ãããïŒçŸå®çãªäºæ
ãšãªã¹ã¯
- åºæ¬æ¹éïŒçŸå®¹ç®çã®è±æ¯ã§å
šèº«éº»é
ã䜿ãã®ã¯äžè¬çã«éæšå¥šãå
šèº«éº»é
ã¯å
¥é¢ç®¡çã麻é
ç§å»ã®ç®¡çãå¿
èŠã§ããªã¹ã¯ã»ã³ã¹ããšãã«é«ãã
- äŸå€ã±ãŒã¹ïŒæ¥µç«¯ãªçã¿ã®ææã§ç²Ÿç¥ç管çãå¿
èŠããããã¯ä»ã®å»ççé©å¿ãããå Žåã«ã¯æ€èšããåŸãããéåžžã®è±æ¯ã¯å¯Ÿè±¡å€ã
- ãªã¹ã¯ïŒåŒåžæå¶ãè¡å§å€åãè¡åŸå䜵çãªã©ãçæéåŠçœ®ã§ã®æ¡çšã¯çšã
1-5. 麻é
ã®å¹ææç¶æéãšæœè¡äžã®å麻é
ã®å¯åŠ
- åå¡åžã»ååžå
¥ã®å¯Ÿå¿ïŒè¡šé¢éº»é
ã¯æœè¡äžã®å¹ææ¶å€±æã«è¿œå å¡åžã§ãããã䜿çšéã«äžéãããããã¯ãªããã¯ã§ã®ç®¡çãå¿
èŠãç¬æ°ã¯åžå
¥ãæ¢ããã°å¹æã¯æ¶å€±ããã®ã§ãå¿
èŠã«å¿ããŠç¶ç¶å¯èœãå±ææ³šå°ã¯å¹æãåãããŸã§å泚å°ãå¿
èŠãªå Žåããã
- æœè¡æéãšã®å
ŒãåãïŒå
šèº«è±æ¯ã¯1åã®æœè¡ã§åºç¯å²ãè¡ããããéšäœããšã«éº»é
æ¹æ³ãçµã¿åãããããšãå€ãïŒäŸïŒVIOã¯å±ææ³šå°ãŸãã¯ç¬æ°ïŒã¯ãªãŒã ãè
ãèã¯è¡šé¢éº»é
ïŒã
1-6. ãŸãšãïŒãã©ããªéº»é
ãã©ã®ãããçã¿ãæžãããã
- ç°¡æœã«èšããšïŒæ³šå°ïŒå±æïŒïŒç¬æ°ïŒåžå
¥ïŒïŒè¡šé¢éº»é
ïŒã¯ãªãŒã ïŒã®é ã§åŒ·ãçã¿ãæããåŸåããã ãå人差倧ãå»çæ©é¢ã§çžè«ããŠéšäœãæœè¡æéã«åãããçµåããæ±ºããã®ãäžçªç¢ºå®ã§ãã
2. ãã©ã®éº»é
ãéžã¶ã¹ãããéšäœå¥ã»è±æ¯æ¹æ³å¥ã®ãããã
éšäœãã¬ãŒã¶ãŒæ©åšãå人ã®çã¿èæ§ã§æé©ãªéº»é
ã¯å€ãããŸããããã§ã¯éšäœå¥ã»è±æ¯æ¹æ³å¥ã«å
·äœçãªçµã¿åãããææ¡ããŸãã
2-1. VIOã»é¡ãªã©ææéšäœïŒç¬æ°éº»é
ïŒè¡šé¢éº»é
ã®çµã¿åããããããããªçç±
- çã¿ã®ç¹åŸŽïŒVIOãé¡ã¯ç¥çµãå¯ã§çã¿ã匷ãæãããããç²èè¿ãã¯è¡šé¢éº»é
ã®æµžéãæµ
ãããåç¬ã§ã¯äžååãªããšãå€ãã
- çµåãã®ã¡ãªããïŒç¬æ°ã§ã®äžå®è»œæžïŒè¡šé¢éº»é
ã®å±æé®çã§çã¿ãšææã®äž¡æ¹ãåããããå¿
èŠã«å¿ããŠå±ææ³šå°ã䜵çšããããšãå¯èœã
- å®éã®éžã³æ¹äŸïŒååã¯ç¬æ°ïŒã¯ãªãŒã ã§è©Šããå¹ããªããã°å±ææ³šå°ãæ€èšããã¹ããããç¡é£ã
2-2. èžã»èäžã»è
ãªã©åºç¯å²ïŒè¡šé¢éº»é
ã§ååãªå Žåãšæ³šå°ãèããã±ãŒã¹
- åºç¯å²ã®å©ç¹ãšé£ç¹ïŒé¢ç©ãåºãããæ³šå°ã¯çŸå®çã§ãªãå Žåãå€ãã衚é¢éº»é
ã§åååããã±ãŒã¹ãå€ãããæ¯ã倪ãå¯ãªç®æã¯çã¿ã匷ããªãã
- å±ææ³šå°ãæ€èšããã±ãŒã¹ïŒå±æçã«éåžžã«åŒ·ãçã¿ãæããç®æãããã»ç¹ã«æ·±ãç±æã匷ãã¬ãŒã¶ãŒäœ¿çšæãªã©ã
- å®åçãªå¯Ÿå¿ïŒæœè¡ãæ°ããŒãã«åãããäŒæ©ãã¯ããã远å ã®è¡šé¢éº»é
ã䜿ããªã©ã®ããæ¹ã§å¯Ÿå¿ããããšãäžè¬çã
2-3. å»çè±æ¯ïŒæ¹åçŸå®¹ã¯ãªããã¯ããªãŒã¯ãªããã¯çïŒãšãµãã³è±æ¯ïŒãã¬ã€ã¢ããã¥ãŒïŒã®éãïŒéº»é
察å¿ã®å®æ
- å»çè±æ¯ïŒå»åž«ãåžžé§ããå»çæ©é¢ã®ãããç¬æ°ãå±ææ³šå°ãªã©å»çç麻é
ãæäŸå¯èœã衚é¢éº»é
ãå«ãé©åãªç®¡çã®ããšã§å®æœã
- ãµãã³è±æ¯ïŒçŸå®¹æ¥åã«éå®ãããããå»çè¡çºã¯äžå¯ã麻é
ã®æäŸã¯ååã§ããªãïŒäŸå€çã«å·åŽã衚é¢ã®é®éãžã§ã«ãªã©ã®éè¬å€ç察çïŒãçã¿å¯Ÿçã¯æ©åšã®éžå®ãç
§å°ãã¿ãŒã³ã§èª¿æŽã
- éžã³æ¹ïŒçã¿ãå¿é
ã§å»ç麻é
ãåžæãããªãå»çè±æ¯ãçŸå®çãªéžæã
2-4. ã¬ãŒã¶ãŒã®çš®é¡ã§çã¿ã¯å€ããïŒïŒãã€ãªãŒãã»ã¢ã¬ããµã³ãã©ã€ãã»ã¡ãã£ãªã¹ã¿ãŒå¥ïŒ
- ã¢ã¬ããµã³ãã©ã€ãã¬ãŒã¶ãŒïŒæ¯èŒç匷ãç±æã»çã¿ã䌎ããããããçæéã®å¹æãé«ãã±ãŒã¹ããã
- ãã€ãªãŒãã¬ãŒã¶ãŒïŒæ©çš®ã«ãã£ãŠçã¿ã®å·®ã¯ããããäžè¬çã«ã¯äžçšåºŠãå·åŽæ©èœãããæ©çš®ãå€ãçã¿è»œæžã«ã€ãªããã
- ã¡ãã£ãªã¹ã¿ãŒïŒèç±åŒãã€ãªãŒãïŒïŒçæéã§ããããç±ãäžããæ¹åŒã§ãçã¿ã匱ãããšæãã人ãå€ããç¹ã«çã¿ã«åŒ±ã人ã«äººæ°ã
- çµè«ïŒã¬ãŒã¶ãŒæ©çš®ã®ç¹æ§ãã«ãŠã³ã»ãªã³ã°ã§ç¢ºèªããçã¿å¯Ÿçãçžè«ããã®ã倧åã
2-5. çã¿ã®æãæ¹ã¯å人差ã倧ããïŒèè³ªã»æ¯è³ªã»äœèª¿ã§å€ããçç±
- è質ïŒä¹Ÿç¥èãç®èã®åãã§çã¿ã®äŒããæ¹ã¯å€ãããã¢ãããŒãªã©ç®èçŸæ£ãããå Žåã¯ç¹å¥ãªé
æ
®ãå¿
èŠã
- æ¯è³ªïŒå€ªãå¯ãªæ¯ã¯ç±ãå€ãåžåããçã¿ã匷ãæãããããæ¯åšæïŒæé·æã»äŒæ¢æïŒãçã¿ã®å·®ã«åœ±é¿ã
- äœèª¿ã»ç²Ÿç¥ç¶æ
ïŒå¯äžè¶³ã»ççåšæã»ã¹ãã¬ã¹ããããšçã¿ã®éŸå€ãäžããããšããããäºåã«æœè¡æ¥ãéžã¶ã®ããã€ã³ãã
- è¬ã®åœ±é¿ïŒäžéšã®è¬å€ïŒäŸïŒæååºè¬ïŒããµããªã®åœ±é¿ã§åºè¡ãå
åºè¡ã®ãªã¹ã¯ãå€ãããããå¿
ãäºåç³åãã
2-6. ã±ãŒã¹å¥ããããã®éº»é
ãã©ã³ïŒå
·äœäŸïŒ
- VIOååïŒç¬æ°ïŒè¡šé¢éº»é
ã§æ§åèŠã次åå±ææ³šå°ãæ€èšã
- é¡ïŒæ¿ãéšäœïŒïŒè¡šé¢éº»é
ãååã«å¡åžãç¬æ°äœµçšã§äžå®ã軜æžã
- èžã»èäžïŒè¡šé¢éº»é
ã§å¯Ÿå¿ãæ¯ãæ¿ãçã¿ã匷ãå Žåã¯æœè¡ãæ°åã«åããã
- å
šèº«1åã§çµãããããå ŽåïŒç¬æ°ãã¡ã€ã³ã«ãç¹ã«çãç®æã¯ã¯ãªããã¯ãšçžè«ããŠå±æåŠçœ®ã远å ã
3. äž»èŠã¯ãªããã¯ã»ãµãã³ã®éº»é
å¯Ÿå¿æ¯èŒïŒæéã»æ¹æ³ã»äºçŽæ¹æ³ïŒ
äž»èŠãªã¯ãªããã¯ããµãã³ã§ã®éº»é
察å¿ã¯å·®ããããŸããããã§ã¯ä»£è¡šçãªæœèšãšå¯Ÿå¿ã®åŸåã玹ä»ããŸãïŒæéã¯ç®å®ãææ°ã¯åå
¬åŒãµã€ãã§ç¢ºèªããŠãã ããïŒã
3-1. æ¹åçŸå®¹ã¯ãªããã¯ïŒSBCïŒïŒéº»é
ã¯ãªãŒã ã»ç¬æ°éº»é
ã»å¯Ÿå¿ç¯å²ã»è²»çšç®å®
- 麻é
察å¿ïŒè¡šé¢éº»é
ã¯ãªãŒã ã®åãæ±ããç¬æ°éº»é
ãå°å
¥ããŠããå»é¢ããããå±ææ³šå°ã¯å»åž«å€æã§å¯Ÿå¿ã
- äºçŽæ¹æ³ïŒå
¬åŒãµã€ããé»è©±ã§ã®ç¡æã«ãŠã³ã»ãªã³ã°äºçŽãåºæ¬ã麻é
åžæã¯ã«ãŠã³ã»ãªã³ã°ã§äŒããã
- è²»çšç®å®ïŒã¯ãªããã¯ã»ãã©ã³ã»éšäœã«ãã£ãŠå·®ããããããããã±ãŒãžã«å«ãŸããã奿éã確èªãå¿
èŠãäŸïŒè¡šé¢éº»é
ã¯ææã§1åãããæ°ååïœã®å®äŸãå€ãããå€åããã
3-2. ãªãŒã¯ãªããã¯ïŒéº»é
ã®çš®é¡ã»ç¬æ°ã¯ææ/ç¡æãã»æ¯ææ¹æ³
- 麻é
察å¿ïŒè¡šé¢éº»é
ãç¬æ°éº»é
ïŒå°å
¥ã¯ãªããã¯ããïŒãå±ææ³šå°ã¯å»åž«å€æããªãŒã¯éº»é
察å¿ã®æ¡å
ãæ¯èŒçæç¢ºãªããšãå€ãã
- æéã»æ¯æãïŒç¬æ°ãã¯ãªãŒã ãææãªãã·ã§ã³ã®æ±ãã®å Žåãããããã©ã³ã«å«ãŸããå Žåãšå¥éè«æ±ã®å Žåãããã®ã§å¥çŽåã®ç¢ºèªãéèŠã
- äºçŽïŒç¡æã«ãŠã³ã»ãªã³ã°ã§éº»é
ã®å¯åŠã»æéã確èªããã®ã確å®ã
3-3. ã¬ãžãŒãã¯ãªããã¯ïŒè¡šé¢éº»é
ã®æ±ãã»ç¬æ°å°å
¥ã®æç¡ã»åºèå·®
- 麻é
察å¿ïŒè¡šé¢éº»é
ã¯å°å
¥ããŠããã¯ãªããã¯ãå€ãããç¬æ°éº»é
ã¯äžéšå»é¢ã®ã¿ã®åãæ±ããšããã±ãŒã¹ããããå±ææ³šå°ã¯å»åž«å€æã
- åºèå·®ïŒéº»é
ã®å¯åŠãæéã¯é¢ã«ãã£ãŠå€ããããšããããããæ¥é¢äºå®ã®é¢ã§ç¢ºèªããã
3-4. ãã¬ã€ã¢ã¯ãªããã¯ããã®ä»ã®ç¹åŸŽïŒéº»é
é¢é£ïŒ
- ãã¬ã€ã¢ã¯ãªããã¯ïŒçã¿ã®å°ãªãæ©çš®ã売ãã«ããŠããã¯ãªããã¯ãå€ãã衚é¢éº»é
ã®æ±ããããå Žåãå€ããç¬æ°ã¯éå®çã
- ã¯ãªããã¯éã®å·®ïŒéº»é
ã®æç¡ãæéäœç³»ãå»åž«å€æã®æè»ãã«å·®ããããããç¡æã«ãŠã³ã»ãªã³ã°ã§ã®ç¢ºèªãå¿
é ã
3-5. ãµãã³ïŒãã¬ã€ã¢ããã¥ãŒãã©ããã ãé座ã«ã©ãŒïŒïŒå»çè¡çºå¶éã®ãã麻é
察å¿ã¯éå®ç
- ãµãã³ã®çŸç¶ïŒå»çè¡çºã§ããè¬å€æäžã泚å°ãç¬æ°ã®æäŸã¯ååäžå¯ãå·åŽã»é®éãžã§ã«ãç
§å°æ³ã®å·¥å€«ã§çã¿ãæããã®ãäž»æµã
- 代æ¿çïŒéº»é
ãå¿
èŠãªã±ãŒã¹ã¯å»çæ©é¢ãšã®äœµçšïŒäŸïŒå
ã«å»çæ©é¢ã§éº»é
åŠçœ®ãåããïŒãæ€èšããããçã¿ã®å°ãªãæ©åšãæ±ããµãã³ãéžã¶ã
3-6. äºçŽæã«ç¢ºèªãã¹ããã€ã³ãäžèЧïŒéº»é
ã®çš®é¡ãè¿œå æéãå»åž«ã®æç¡ïŒ
- 麻é
ã®çš®é¡ïŒã¯ãªãŒã /ç¬æ°/泚å°ïŒãæèšããŠãããã
- è¿œå æéã®æç¡ãšéé¡ïŒ1åãããã»æéå¶ãåæ°å¶ãïŒã
- å»åž«ã®åžžé§æç¡ã»ç·æ¥æå¯Ÿå¿äœå¶ã
- 麻é
ã«äŒŽãåææžã説æã®æç¡ã
- æœè¡æéãé·ããªãå Žåã®å¯Ÿå¿ïŒäŒæ©ã»å岿œè¡ïŒã
4. 麻é
ã®è²»çšã»ä¿éºã»è¿œå æéã®å®äŸãšç¯çŽæ¹æ³
麻é
ã¯åºæ¬çã«çŸå®¹ç®çã®ããä¿éºé©çšå€ãã»ãšãã©ãããã§ã¯å
·äœçãªè²»çšæãæ¯æãæã®æ³šæç¹ãç¯çŽãã¯ããã¯ã玹ä»ããŸãã
4-1. 衚é¢éº»é
ã¯ãªãŒã ã®çžå ŽïŒ1åãããã®ç®å®ïŒãšã¯ãªããã¯å¥å®äŸ
- çžå ŽæïŒ1åãããæ°ååïŒããšãã°1,000åïœ5,000åçšåºŠïŒãäžè¬çãªäŸããã ãã¯ãªããã¯ã«ãããŸã¡ãŸã¡ãããã±ãŒãžã«å«ãŸããå Žåãããã®ã§ç¢ºèªãã
- å®äŸïŒããã¯ãªããã¯ã§ã¯é¡ãVIOã®éº»é
ã¯ãªãŒã ã1å3,000åçšåºŠã§æäŸããŠããã±ãŒã¹ããïŒé¢ããšã«å·®ããïŒãææ°æ
å ±ã¯åé¢ã«ç¢ºèªãã
4-2. ç¬æ°éº»é
ã®æéäœç³»ïŒæéå¶ãåæ°å¶ãïŒãšå®éã®éé¡äŸ
- æéäœç³»ïŒæéå¶ïŒååäœïŒã1åã®æœè¡ããšã«äžåŸã§è«æ±ãããå ŽåããããäŸãã°10ïœ30ååäœã§æéèšå®ãããããšãäžè¬çã
- éé¡äŸïŒ1åã«ã€ãæ°ååïœ1äžåååŸã®ã¬ã³ãžãå€ãããã¯ãªããã¯ã«ããç°ãªããé£ç¶ããŠé·æé䜿ããšè²»çšãäžãããããæœè¡æéãçããã工倫ã§è²»çšèª¿æŽãå¯èœã
4-3. å±ææ³šå°ã®è²»çšãšä¿éºé©çšã®å¯èœæ§
- ä¿éºé©çšïŒçŸå®¹ç®çã®å±æéº»é
ã¯ååèªè²»ã麻é
è¬èªäœã¯å»ççšè¬å€ã ããæœè¡ç®çãçŸå®¹ã§ããã°ä¿éºãé©çšãããªãã®ãéåžžã
- è²»çšäŸïŒå±ææ³šå°èªäœã®è²»çšã¯éº»é
è¬ä»£ãšåŠçœ®æã§æ°ååïœã®ã±ãŒã¹ãå€ããå
·äœçãªéé¡ã¯é¢ã«ããå·®ãåºãã
4-4. 麻é
ãç¯çŽããæ¹æ³ïŒæœè¡åæ°ãç¯å²ã®èª¿æŽãã»ãããã©ã³ã®æŽ»çš
- ç¯çŽãã¯ïŒ
- 麻é
ãããã±ãŒãžã«å«ãŸãããã©ã³ãéžã¶ã
- 麻é
ãå¿
èŠãªéšäœã ããæåã«ãŸãšããŠæœè¡ããä»ã¯éº»é
ãªãã§åå²ããã
- æœè¡ãè€æ°åã«åããããšã§1åãããã®éº»é
æéãççž®ã
- ãã£ã³ããŒã³ãååå²åŒã掻çšããã
- 泚æïŒç¯çŽéèŠã§å®å
šæ§ãæãªããªãããšãçã¿ãææ
¢ããŠèãã©ãã«ãåºããšçµå±è²»çšãšæéãäœèšã«ãããããšããããŸãã
4-5. æ¯æãæã«ç¢ºèªãã¹ãé
ç®ïŒéº»é
ãããã±ãŒãžã«å«ãŸãããåŠãããã£ã³ã»ã«èŠå®ïŒ
- å¿
ã確èªããããšïŒ
- 麻é
ã®è²»çšãã³ãŒã¹ã«å«ãŸããŠãããã©ããã
- æœè¡æéãå»¶é·ããå Žåã®è¿œå æéã®æç¡ã
- ãã£ã³ã»ã«ã倿޿ã®èŠå®ïŒéº»é
ãäºçŽæã«ç¢ºä¿ãããŠããå Žåã®ãã£ã³ã»ã«æãªã©ïŒã
- è¿éããªã·ãŒãšè¿œå ãªãã·ã§ã³ã®æç€ºã
4-6. å®äŸïŒç§ããªãŒã¯ãªããã¯ã§éº»é
ã䜿ã£ããšãã®è²»çšå
èš³ïŒäœéšè«ïŒ
- ç§ã®å ŽåïŒå人äœéšïŒïŒVIOæœè¡ã§ç¬æ°ïŒè¡šé¢éº»é
ã䜿çšãã«ãŠã³ã»ãªã³ã°ã§æéã確èªãããšãããç¬æ°ã¯æéåäœã§å¥æéã衚é¢éº»é
ã¯1åãããã®ææãªãã·ã§ã³ã§ãããç·é¡ã¯åœæã§ãããã1åãããæ°ååãã©ã¹ã§ãæœè¡èªäœã®è²»çšã«äžä¹ãããã圢ãäºåã«åèšèŠç©ãããåºããŠããã£ãã®ãå®å¿ã«ã€ãªãã£ãçµéšããããŸãã
5. 麻é
ã®å¯äœçšã»ãªã¹ã¯ãšãã©ãã«æã®å¯ŸåŠæ³
麻é
ã¯å®å
šã«äœ¿ããéå
·ã§ããããªã¹ã¯ããŒãã§ã¯ãããŸãããããã§ã¯èµ·ããåŸãå¯äœçšãšãã®åå察å¿ããã©ãã«åé¿ã®ããã®äºåãã§ãã¯ã解説ããŸãã
5-1. 衚é¢éº»é
ã§èµ·ããå¯èœæ§ã®ããå¯äœçšïŒãã¶ãã»ããã¿ã»æ¥è§Šç®èçïŒ
- äž»ãªçç¶ïŒå¡åžéšäœã®çºèµ€ãããã¿ãè
«ããæ¥è§Šæ§ç®èçããŸãã«ã³ãŸãæ§ã®ç®èåå¿ãåºãããšãã
- åå察å¿ïŒç°åžžãæãããããã«æœè¡äžæ¢ãã¯ãªããã¯ã§ã®èšºå¯ãå¿
èŠã«å¿ããŠã¹ããã€ãå€çšè¬ãæãã¹ã¿ãã³è¬ã®åŠæ¹ãè¡ãããã
- äºåãã§ãã¯ïŒæ¢åŸæŽã«éº»é
è¬ã¢ã¬ã«ã®ãŒãè¬å€ã¢ã¬ã«ã®ãŒããªãã確èªã
5-2. ç¬æ°éº»é
ã®æ³šæç¹ïŒããŸãã»åãæ°ã»åŠå©ŠãåŒåžåšçŸæ£ã®çŠå¿ïŒ
- å¯äœçšïŒåžå
¥åŸã®ããŸããåãæ°ãé çããµãã€ããæœè¡åŸã«äžæçã«é転ãé¿ããããæç€ºãããããšãããã
- çŠå¿ïŒåŠå©Šãæªæ²»çã®éãåŒåžåšçŸæ£ãç¹å®ã®ãã¿ãã³æ¬ ä¹ïŒé·æå€é䜿çšã§åé¡ïŒãªã©ã¯ãªã¹ã¯ãããããå»åž«ã«çžè«ã
- å¯ŸåŠæ³ïŒçç¶ã匷ããã°åžå
¥ãäžæ¢ãé
žçŽ ã§å埩ãé節ãªçç¶ã®å Žåã¯å»çæ©é¢ã§ã®å¯Ÿå¿ãå¿
èŠã
5-3. å±ææ³šå°ã®ãªã¹ã¯ïŒæ³šå°éšäœã®è
«ãã»è¡è
«ã»äžæçãªéº»çºïŒ
- èµ·ããåŸãçç¶ïŒæ³šå°åºå
¥éšã®çã¿ãè
«ããå
åºè¡ïŒè¡è
«ïŒãç¥çµè¿åã§ã®äžæçãªçºããããçšã«èŒæ£çãªéº»çºãææã
- äºé²ïŒé©åãªæ³šå°æè¡ã»ç¡èæäœãè¡åŸã®å·åŽã§ããçšåºŠè»œæžå¯èœã
- å¯ŸåŠæ³ïŒè
«ããè¡è
«ã¯å·åŽãšå®éã§å埩ããããšãå€ãããçç¶ãé·æåããå Žåã¯å»çå蚺ã
5-4. ã¢ã¬ã«ã®ãŒåå¿ãé節ãªçç¶ãåºããšãã®ååïŒã¯ãªããã¯ã«é£çµ¡ã»ææ¥å¯Ÿå¿ã®åºæºïŒ
- ã¢ããã£ã©ãã·ãŒçãïŒåŒåžå°é£ãå¥äžå°é£ãæ¥æ¿ãªè¡å§äœäžãå
šèº«æ§ã®è麻ç¹ãåºãå Žåã¯çŽã¡ã«ææ¥è»åŒåºãã
- ãŸãããããšïŒçç¶ã軜床ã§ãéããã«æœè¡ã¯ãªããã¯ã«é£çµ¡ããæç€ºã«åŸããæœè¡äžãªãå³åº§ã«å»åž«ã察å¿ã
- èšé²ã®éèŠæ§ïŒäœ¿çšè¬å€ã®æ
å ±ãã¢ã¬ã«ã®ãŒæ¢åŸãæ®ããŠããããšã§é©åãªå¯ŸåŠãæ©ãŸãã
5-5. 麻é
ãå¹ããªãïŒèæ§ãå¡åžäžè¶³ïŒã®å Žåã®è¿œå 察å¿ãšèª¬æçŸ©å
- åå äŸïŒå¡åžæéäžè¶³ãç®èè§è³ªãåãéšäœãè¬å€ã®éäžè¶³ãå人差ïŒè¬å€ã«å¯Ÿããæåæ§ïŒãªã©ã
- 察å¿ïŒè¿œå å¡åžãç¬æ°ã»å±ææ³šå°ãžã®åæ¿ãæœè¡ã®åå²ãªã©ãå»çæ©é¢ã¯æ£è
ã«èª¬æãåæãåŸã矩åãããã
- æ£è
ã®æš©å©ïŒéº»é
ãå¹ããªãå Žåã¯ç¡çã«æœè¡ãç¶ããããªãã奿¥çšã§å調æŽãŸãã¯ä»ã®éº»é
æ³ãææ¡ããã®ã驿£ã
5-6. ãã©ãã«ãé¿ããããã®äºåãã§ãã¯ãªã¹ãïŒè¬å€ã¢ã¬ã«ã®ãŒãæç
ãæè¬ç¶æ³ïŒ
- ãã§ãã¯é
ç®ïŒ
- çŸåšã®æè¬ãªã¹ãïŒæååºå€ãäžéšã®å粟ç¥è¬ãªã©ïŒ
- åŠåš ã»åŠåš ã®å¯èœæ§ã®æç¡
- éå»ã®éº»é
è¬ã¢ã¬ã«ã®ãŒãè¬å€ã¢ã¬ã«ã®ãŒã®æç¡
- åŒåžåšãå¿çŸæ£ããã¿ãã³B12é¢é£ã®æ¢åŸ
- èãã©ãã«ïŒã¢ãããŒãææçãªã©ïŒã®æç¡
- ãããã¯å¿
ãã«ãŠã³ã»ãªã³ã°æã«ç³åããå¿
èŠãªãå»åž«ãšçžè«ã®ããã§éº»é
æ³ã決å®ããŸãã
6. æœè¡åã®æºåã»åœæ¥ã®æµããšéº»é
ãåããéã®æ³šæç¹
å®å¿ããŠéº»é
ãåããããã®å
·äœçãªæºåãšãåœæ¥ã®åãæ¹ãã¹ãããããšã«è§£èª¬ããŸãã
6-1. æœè¡åã«äŒããã¹ãããšïŒæè¬ã»åŠåš ã®å¯èœæ§ã»ã¢ã¬ã«ã®ãŒæ
å ±ïŒ
- äŒããå
å®¹ïŒæçšäžã®è¬ïŒç¹ã«æååºè¬ãäžéšã®ç²Ÿç¥ç§è¬ïŒãåŠåš ãæä¹³ã®å¯èœæ§ãéå»ã®ã¢ã¬ã«ã®ãŒæŽãã¯ãªããã¯ã§ã®æ¢åŸèšé²ã
- ãªãéèŠãïŒå®å
šã«éº»é
ã䜿ãããããŸãäžãäžã®å䜵çãªã¹ã¯ãäžããããã«äžå¯æ¬ ã§ãã
6-2. 衚é¢éº»é
ã®å¡åžã¿ã€ãã³ã°ãšã»ã«ãã±ã¢ã®æ³šæïŒèªå·±ã§å¡ããªãæ¹ãè¯ãã±ãŒã¹ïŒ
- å¡åžã¿ã€ãã³ã°ïŒã¯ãªããã¯ã§èŠå®ã®æéïŒäŸïŒ30ïœ60åïŒå¡åžããŠåŸ
ã€ã®ãäžè¬çãèªå·±å¡åžã¯éã»ç¯å²ã®èª€ããå¡åžæéäžè¶³ã®ãªã¹ã¯ãããããæšå¥šãããŸããã
- ã»ã«ãã±ã¢æ³šæïŒå¡ã£ããŸãŸé·æéå€åºã¯é¿ãããå¡åžéšäœãè§ŠããªããèŠåžãããå Žåã¯ç Žããªãããæ³šæã
6-3. ç¬æ°éº»é
å©çšæã®åœæ¥ã®éããæ¹ïŒæ¥é¢ããåž°å®
ãŸã§ã®æµãïŒ
- åœæ¥ã®æµãïŒæ¥é¢âå蚺ã»åææžâç¬æ°ã®èª¬æâåžå
¥ïŒå¿
èŠæéïŒâæœè¡âå埩ïŒçæéïŒâåž°å®
ã
- åž°å®
æã®æ³šæïŒããŸããªã©ãããå Žåã¯é転ãé¿ãããå
Œ
±äº€éæ©é¢ã®å©çšã§åž°å®
ãããå䌎è
ã®ç¢ºä¿ãããããããã±ãŒã¹ãã
6-4. æœè¡åŸããã«æ°ãã€ããããšïŒé£²é
ã»é転ã»å
¥æµŽã»éåïŒ
- çŽåŸã®æ³šæïŒéº»é
åŸã¯é£²é
ãæ¿ããéåãé·æéã®å
¥æµŽãé¿ããïŒåºè¡ãææãªã¹ã¯ãå¯äœçšå¢å ã®å¯èœæ§ïŒãç¬æ°äœ¿çšåŸã¯éè»¢ã¯æ§ããã®ãäžè¬çã
- èã±ã¢ïŒèµ€ã¿ãããªã€ããããå Žåã¯åºæ¿ãé¿ããå»åž«ã®æç€ºã«åŸã£ãä¿æ¹¿ãå·åŽãè¡ãã
6-5. çã¿ãåããªãã»å¯äœçšãç¶ãå Žåã®é£çµ¡å
ãšå蚺ç®å®
- é£çµ¡ã®ã«ãŒã«ïŒæœè¡ããã¯ãªããã¯ã®ç·æ¥é£çµ¡å
ãå¿
ãããããç°åžžãç¶ãå Žåã¯éããã«é£çµ¡ã»å蚺ãã
- å蚺ç®å®ïŒçºç±ãåºç¯å²ã®è
«ããé åºãªçã¿ãæç¶ãããã³ããåºè¡ãæ¢ãŸããªãå Žåã¯å蚺ãŸãã¯ææ¥å¯Ÿå¿ãæ€èšã
6-6. å®éã®äºçŽæãã§ãã¯ã·ãŒãïŒéº»é
ã®åžææ¬ã»èª¬ææžåãåãã®ç¢ºèªïŒ
- äºçŽæãã§ãã¯ãªã¹ãïŒæåã»ç¢ºèªãã¹ããã®ïŒïŒ
- 麻é
ã®åžæãäºåã«äŒãããã©ããïŒåžææç¡ãèšå
¥ïŒ
- 麻é
ã®çš®é¡ãšè²»çšã«ã€ããŠã®æžé¢ïŒèŠç©æžïŒãåãåã
- å¯äœçšèª¬ææžã»åææžãåé ããã確èª
- åž°å®
æ¹æ³ïŒé転äžå¯ã®å¯èœæ§ïŒãèããŠå䌎è
ããããã®ç¢ºèª
7. çã¿å¯Ÿçã®è£å©ãã¯ããã¯ïŒéº»é
以å€ã§å¹æçãªæ¹æ³ïŒ
麻é
以å€ã§ãçã¿ãããªã軜æžã§ããæ¹æ³ããããŸããç¥ã£ãŠãããšåœæ¥ã®äžå®ãæžããŸããã
7-1. å·åŽïŒã¢ã€ã¹ããã¯çïŒãšæž©ãã®äœ¿ãåãïŒçã¿ç·©åã®åºæ¬
- å·åŽã®å¹æïŒæœè¡çŽåŸã®ç±æãè
«ããæããã®ã«æå¹ãã¢ã€ã¹ããã¯ãèæã®åžã§å
ãã§çæéåœãŠãã
- æž©ãã®å¹æïŒæœè¡åã«è¡è¡ãè¯ãããŠããããšã§çã¿ã®æãæ¹ãå€ããå Žåãããã ãæœè¡çŽåŸã®åŒ·ãç±æããããšãã¯é¿ããã
- å®è·µæ³ïŒæœè¡åã¯ã¯ãªããã¯ã®æç€ºã«åŸããè¡åŸã¯å·åŽäžå¿ã§ã±ã¢ããã
7-2. æ·±åŒåžã»ãªã©ãã¯ã¹æ³ã»ç¬æ°ãšäœµçšããåŒåžãã¯ããã¯
- åŒåžæ³ïŒãã£ããæ·±åŒåžãããããšã§çã¿ã®äž»èгçãªåŒ·ããäžããããšãç¥ãããŠãããç¬æ°äœ¿çšæã¯åŒåžã«åãããŠãªã©ãã¯ã¹ããã®ã广çã
- ãã€ã³ãã»ããïŒé³æ¥œãã¬ã€ãä»ã®åŒåžæ³ã¢ããªã䜵çšãã人ãå€ããç·åŒµã匷ããšçã¿ãå¢å¹
ããããã®ã§ãªã©ãã¯ã¹ã¯éèŠã
7-3. çã¿è©äŸ¡ã®ç®å®ãšã»ã«ãã±ã¢ïŒçã¿ã¹ã±ãŒã«ã®äœ¿ãæ¹ïŒ
- çã¿ã¹ã±ãŒã«ïŒ0ïŒå
šãçããªãïŒïœ10ïŒææ
¢ã§ããªãçã¿ïŒã§èªå·±è©äŸ¡ãããšãå»åž«ãã¹ã¿ãããšå
±æãããããç®æšå€ïŒäŸïŒ6以äžã§ææ
¢å¯èœïŒãäºåã«æ±ºããŠãããšå¯Ÿå¿ãã¹ã ãŒãºã
- ã»ã«ãã±ã¢ïŒè¡åŸã«çã¿ãæ®ãå Žåã¯å·åŽã»é®çè¬ïŒå»åž«ãšçžè«ã®ããïŒãå©çšã
7-4. æè£
ã»ã¹ã±ãžã¥ãŒã«èª¿æŽã§æœè¡ã¹ãã¬ã¹ãæžããæ¹æ³
- æè£
ïŒè±ãçãããããã£ããããæããã¹ããæœè¡åŸã«ããã«çæ¿ããããããã«æºåããŠããã
- ã¹ã±ãžã¥ãŒã«ïŒåœæ¥äºå®ãè©°ãããäŒé€æéã確ä¿ããããšã§äœèšãªã¹ãã¬ã¹ãæžãããŸãã
7-5. çã¿ã«åŒ·ãã¬ãŒã¶ãŒæ©çš®ãéžã¶ã¡ãªããïŒãœãã©ãã¢ã€ã¹ãã¡ãã£ãªã¹ã¿ãŒçïŒ
- æ©çš®éžã³ïŒãœãã©ãç³»ïŒèç±æ¹åŒïŒãã¡ãã£ãªã¹ã¿ãŒãªã©ã¯çã¿ãæ¯èŒçå°ãªãåŸåãçã¿éèŠãªãæ©çš®ãšã¯ãªããã¯ã®å°å
¥æ©ã確èªãããšè¯ãã
- ãã¬ãŒããªãïŒçã¿ãå°ãªãæ©çš®ã¯ç
§å°åæ°ã广ã®åºæ¹ã«å·®ãããããšãããããã广ãšçã¿ã®ãã©ã³ã¹ã§éžã¶ã
7-6. åžè²©ã®é®çè¬ã¯äœ¿ã£ãŠããïŒïŒå»åž«ã«èŠçžè«ã»NSAIDsã®æ³šæç¹ïŒ
- åºæ¬æ¹éïŒæœè¡ååŸã®é®çè¬äœ¿çšã¯å»åž«ã«çžè«ãNSAIDsïŒã€ããããã§ã³çïŒãã¢ã»ãã¢ãããã§ã³ïŒã«ãããŒã«çïŒã¯äžè¬çã ããåºè¡åŸåãæè¬çžäºäœçšãããè¬ã飲ãã§ããå Žåã¯æ³šæãå¿
èŠã
- å®äŸïŒçã¿ã匷ãå Žåã«æœè¡åŸã®é®çè¬ãæ¡å
ãããããšãããã®ã§ãäºåã«çžè«ããŠãããšå®å¿ã
8. ãããã質åïŒFAQïŒ â å®éã®æ€çŽ¢ã¯ãŒãã«çãã
èªè
ãæ€çŽ¢ããã¡ãªçåãQ&A圢åŒã§çãæå¿«ã«çããŸãã
8-1. ãå
šèº«è±æ¯ã«éº»é
ã¯ãªãŒã ã¯æ¯åå¿
èŠïŒã
- åçïŒæ¯åå¿
èŠãªããã§ã¯ãããŸãããååã¯æ§åèŠã§1åã ã䜿ã£ãŠä»¥éã¯çã¿ã®å€åãèŠãªãã倿ãã人ãå€ãã§ããVIOãé¡ã®ããã«çã¿ã匷ãç®æã¯æ¯å䜿ãã±ãŒã¹ããããŸãã
8-2. ãç¬æ°éº»é
ã¯å®å
šïŒå¯äœçšã¯ïŒã
- åçïŒçæéã®äœ¿çšã§ããã°æ¯èŒçå®å
šã§ãããããŸããåãæ°ãªã©ã®è»œåºŠå¯äœçšãåºãããšããããŸããåŠå©Šãç¹å®ã®æç
ããã人ã¯çŠå¿ã®ããšãããããå»åž«ã«çžè«ãã
8-3. ã麻é
ã§æ¯æ ¹ã«åœ±é¿ã¯åºãïŒã
- åçïŒåºæ¬çã«éº»é
èªäœãè±æ¯å¹æã«æªåœ±é¿ãäžããããšã¯ãããŸããã麻é
ã¯çã¿ã®ç·©åãç®çã§ãã¬ãŒã¶ãŒç
§å°ã®å¹æã«çŽæ¥åœ±é¿ããæåã§ã¯ãªãããå¿é
ã¯å°ãªãã§ãã
8-4. ãã¯ãªããã¯ã§éº»é
ãæããããïŒã
- åçïŒæãããçç±ã¯å®å
šãªã¹ã¯ïŒæ¢åŸãæè¬ïŒã䜿çšäžã®å¶éãèããããŸããä»£æ¿æ¡ãšããŠã¯ç¬æ°ã§ã¯ãªã衚é¢éº»é
ã«ãããæœè¡ãåå²ãããå¥ã®ã¯ãªããã¯ã§ã»ã«ã³ããªãããªã³ãæ±ãããªã©ããããŸãã
8-5. ããµãã³ã§éº»é
ã䜿ããããšãã®çŸå®çãªéžæè¢ã¯ïŒã
- åçïŒãµãã³ã§è¬å€éº»é
ã¯æäŸã§ããªãããšãå€ãã®ã§ãçã¿ãå¿é
ãªãå»çè±æ¯ã¯ãªããã¯ã®å©çšãæ€èšãããããµãã³ã®å°å
¥æ©çš®ïŒçã¿ãå°ãªããã®ïŒãç
§å°èšå®ã§ã®å¯Ÿå¿ãçžè«ããã®ãçŸå®çã§ãã
9. ç§ã®äœéšè«ïŒå°éå®¶ã³ã¡ã³ãïŒä¿¡é Œæ§ã¢ããã®ããïŒ
ããã§ã¯äœéšã«åºã¥ãå®äŸãšãå»åž«ããèããäžè¬çãªå©èšã玹ä»ããŸãïŒå»åž«ã³ã¡ã³ãã¯äžè¬çãªå©èšã®èŠçŽãšããŠèšèŒïŒã
9-1. ç§ãæ¹åçŸå®¹ã¯ãªããã¯ã§VIOã«ç¬æ°ã䜿ã£ãäœéšïŒçã¿ã»å¹ãæ¹ã»è²»çšïŒ
- äœéšå
容ïŒåããŠã®VIOæœè¡ã§ç¬æ°éº»é
ãåžæããŠæ¹åçŸå®¹ã¯ãªããã¯ãžãåžå
¥ãå§ãããš5åã»ã©ã§ç·åŒµãåãããã¬ãŒã¶ãŒã®ããªããšããçã¿ã粟ç¥çã«å°ããæããããŸãããæèŠã¯ããµãã£ãšæ¥œã«ãªããæãã§ãçã¿èªäœã¯å®å
šã«æ¶ããããã§ã¯ãªããã©èããããã£ãã§ããè²»çšã¯åœæã§éº»é
åãå¥éè«æ±ãããŸããããç·é¡ã¯èŠç©ããã§æç€ºããŠãããçŽåŸã§ããŸããã
9-2. ãµãã³ïŒãã¬ã€ã¢ïŒã§è¡šé¢éº»é
ã䜿ããªãã£ããšãã«åã£ã察çãšææ³
- 察çïŒãµãã³ã§ã¯è¬å€éº»é
ã䜿ããªãã£ããããæœè¡åã«ååãªç¡ç ããšããæœè¡æ¥ã¯äºå®ã空ããŠãªã©ãã¯ã¹ã§ããç¶æ
ã§èšã¿ãŸãããæ·±åŒåžãšè»œãçåŒç·©æ³ã§çã¿ãåãããæ©åšã®å·åŽå¹æãå©ãã«ãªããŸãããå人çã«ã¯ãµãã³ã§ãå¯ŸåŠæ³æ¬¡ç¬¬ã§èããããã±ãŒã¹ãå€ãã£ãã§ãã
9-3. å»åž«ããèããã麻é
éžã³ã®ã³ããèŠç¹ïŒèŠçŽïŒ
- å»åž«ã®å©èšïŒèŠçŽïŒïŒéº»é
ã¯ãå®å
šç¬¬äžããæ¢åŸãæè¬ãæ£çŽã«äŒããçã¿ã®çšåºŠãšãªã¹ã¯ã倩秀ã«ããããVIOãé¡ãªã©ã¯æåãã匷ãã®éº»é
ãæ€èšããŠãè¯ãã麻é
ãå¿
èŠãã©ããã¯ãã®å Žã§å€æã§ããããã«ã«ãŠã³ã»ãªã³ã°ã§éžæè¢ã確ä¿ããŠãããšå®å¿ããšããç¹ããã€ã³ãã§ããã
9-4. äœéšããåŠãã ã麻é
ãé Œããšãã®äŒãæ¹ããã¬ãŒãºéïŒåä»ã»ã«ãŠã³ã»ãªã³ã°ã§äœ¿ããïŒ
- äŒãæ¹äŸïŒ
- ãVIOã¯ç¹ã«çã¿ã«åŒ±ãã®ã§ãç¬æ°ã衚é¢éº»é
ã®äœµçšã¯å¯èœã§ããïŒã
- ã麻é
ã¯ãªãŒã ã䜿ã£ãå Žåã®å¡åžæéãšè¿œå æéãæããŠãã ããã
- ãäžãäžéº»é
ãå¹ããªãã£ãå Žåã®å¯Ÿå¿ã¯ã©ããªããŸããïŒã
- ãåž°å®
æã«é転ããããªãã®ã§ç¬æ°äœ¿çšã®å¯åŠãšæ³šæç¹ãæããŠãã ããã
- ãããã®ãã¬ãŒãºã§å
·äœçãªæ
å ±ãåŒãåºãããããªããŸãã
9-5. å人çç·è©ïŒçã¿å¯ŸçãšããŠã®éº»é
ã¯ã³ã¹ãã«èŠåããïŒç§ã®çµè«
- çµè«ïŒçã¿ã«ææãªéšäœïŒVIOã»é¡ïŒã¯éº»é
ã䜿ã䟡å€ãé«ããè²»çšã¯å¿ççãªå®å¿ãšæœè¡ç¶ç¶æ§ã«ã€ãªããããååã«èŠåããšæããŸããåºç¯å²ã®æœè¡ã§ã¯éšåçã«éº»é
ã䜿ãåããããšã§ã³ã¹ããæãã€ã€å¿«é©ãã確ä¿ã§ããŸãã
10. ãŸãšãïŒå€±æããªã麻é
ã®éžã³æ¹ãšã¯ãªããã¯éžå®ãã§ãã¯ãªã¹ã
æåŸã«ãããã ãã¯æŒãããŠããããšããèŠç¹ãšããã䜿ãããã§ãã¯ãªã¹ãããŸãšããŸãã
10-1. æéèŠãã€ã³ã3ã€ïŒå®å
šæ§ã»éº»é
ã®éžæè¢ã»è¿œå æéã®æçãïŒ
- å®å
šæ§ïŒæ¢åŸã»æè¬ã»åŠåš ã®æç¡ã¯å¿
ãç³åãå»åž«ã倿ããå®å
šã©ã€ã³ãå°éã
- 麻é
ã®éžæè¢ïŒVIOãé¡ã«ã¯ç¬æ°ïŒè¡šé¢éº»é
ãå±ææ³šå°ã¯å»åž«ãšçžè«ã®ããéžæã
- è¿œå æéã®æçãïŒèŠç©æžã§éº»é
ã®è²»çšãå«ãŸãããã確èªããäžæçãªè¿œå è²»çšãé¿ããã
10-2. ã¯ãªããã¯æ¯èŒæã®ãã§ãã¯ãªã¹ãïŒé»è©±ã»ã«ãŠã³ã»ãªã³ã°ã§ç¢ºèªããé
ç®ïŒ
- 麻é
ã®çš®é¡ïŒã¯ãªãŒã ãç¬æ°ã泚å°ïŒãæ±ã£ãŠãããã
- 麻é
ãã³ãŒã¹ã«å«ãŸããã奿éãã
- å»åž«åžžé§ã®æç¡ãšç·æ¥å¯Ÿå¿äœå¶ã
- 麻é
äœ¿çšæã®åææžãäºåæ€æ»ã®æç¡ã
- å
·äœçãªè²»çšèŠç©ãããæç€ºããŠããããã
10-3. äºç®å¥ãããããã©ã³ïŒè²»çšéèŠïŒå®å
šéèŠïŒçã¿æåªå
ïŒ
- è²»çšéèŠïŒè¡šé¢éº»é
ãå¿
èŠéšäœã®ã¿ã«éå®ãæœè¡ãåå²ããŠéº»é
æéãççž®ããµãã³å©çšã§æ©åšã®çã¿å¯ŸçãéèŠã
- å®å
šéèŠïŒå»åž«åžžé§ã®å»çè±æ¯ã§ç¬æ°ãå±ææ³šå°ã®éžæè¢ãããã¯ãªããã¯ãéžã¶ã
- çã¿æåªå
ïŒç¬æ°ïŒå±ææ³šå°ã®äœµçšãå¯èœãªå»çã¯ãªããã¯ãæ€èšãããã±ãŒãžã«éº»é
ãå«ãŸãããã©ã³ãæ¢ãã
10-4. ä»ããã§ããã¢ã¯ã·ã§ã³ãã©ã³ïŒäºçŽæã®äžèšã»åœæ¥ã®æºåïŒ
- äºçŽæã®äžèšïŒã麻é
ã䜿ãããã®ã§ãããã«ãŠã³ã»ãªã³ã°ã§è©³ãã䌺ããŸããïŒã
- åœæ¥ã®æºåïŒæè¬ãªã¹ããæåãåž°å®
ææ®µã®ç¢ºä¿ããã£ããããæã§æ¥é¢ã
10-5. æåŸã«äžèšïŒèªè
ãžå¯ãæ·»ãã¡ãã»ãŒãžãšå®å
šæåªå
ã®æ³šæåèµ·ïŒ
- çã¿ã®æãæ¹ã¯äººããããã§ãã麻é
ã®éžæã¯ãããªããå®å¿ããŠç¶ç¶ã§ãããããäžçªå€§äºãããããªãããšã¯é æ
®ãªãã«ãŠã³ã»ãªã³ã°ã§ç¢ºèªããå®å
šãæåªå
ã«éžãã§ãã ãããå®å¿ããŠè±æ¯ãé²ããããããããŸãã¯ç¡æã«ãŠã³ã»ãªã³ã°ã§éº»é
ã®å¯åŠãšè²»çšã確èªããã®ãã¹ã¿ãŒãã©ã€ã³ã§ãã
ããèãã«ãŠã³ã»ãªã³ã°ã§å¿
ãèãã¹ã5ã€ã®è³ªåïŒãã®ãŸãŸäœ¿ããŸãïŒ
1. ã麻é
ã®çš®é¡ãšããããã®æéãæããŠãã ããã
2. ã麻é
ã¯ã³ãŒã¹ã«å«ãŸããŸããïŒå¥æéã®å Žåãããã§ããïŒã
å»çè±æ¯ã¯äœæ³ããå§ããã¹ãïŒæªæå¹Žã®åæã»å¹Žéœ¢å¥ã¡ãªãããšããããã¯ãªããã¯å®å
šã¬ã€ãïŒæ¹åã»ãªãŒã»ã¬ãžãŒãä»ïŒ
3. ã麻é
ã§èµ·ããåŸãå¯äœçšãšå¯Ÿå¿ã¯ã©ããªããŸããïŒã
4. ã麻é
ã䜿ã£ãŠãæœè¡æéã¯ã©ããããå€ãããŸããïŒã
5. ãäžãäžéº»é
ã§ç°åžžãåºãå Žåã®é£çµ¡å
ã»ç·æ¥å¯Ÿå¿ã¯ïŒã
ãã®èšäºã®ãŸãšã
- å»çè±æ¯ãªã衚é¢éº»é
ã»ç¬æ°éº»é
ã»å±ææ³šå°ãªã©å€åœ©ãªéžæè¢ããããVIOãé¡ã¯éº»é
ãæ€èšãã䟡å€ãé«ãã
- ãµãã³ã¯è¬å€éº»é
ã®æäŸãååã§ããªããããçã¿ãå¿é
ãªãå»çã¯ãªããã¯ãéžã¶ã®ã確å®ã
- 麻é
ã¯å®å
šç®¡çãæåªå
ãæ¢åŸãæè¬ã¯å¿
ãç³åããè²»çšã»å¯äœçšã»ç·æ¥å¯Ÿå¿ãäºåã«ç¢ºèªããŠããããšã
- ãŸãã¯ç¡æã«ãŠã³ã»ãªã³ã°ã§ã麻é
ã®çš®é¡ã»æéã»å¯äœçšèª¬ææžããåãåããèŠç©ããããããã®ãæçã§å®å
šãªã¹ã¿ãŒãã§ãã
åºå
žã»åè
ã»åçåŽåçé¢é£è³æïŒå»ç麻é
ã»å»çæ©é¢æéïŒ
ã»æ¥æ¬ç®èç§åŠäŒïŒç®èç§èšºçã¬ã€ãã©ã€ã³é¢é£ïŒ
ã»æ¹åçŸå®¹ã¯ãªããã¯å
Œξ
å ±
ã»ãªãŒã¯ãªããã¯å
Œξ
å ±
ã»ã¬ãžãŒãã¯ãªããã¯å
Œξ
å ±
ã»ãã¬ã€ã¢ã¯ãªããã¯ããã¬ã€ã¢ããã¥ãŒãã©ããã å
Œξ
å ±
ã»äžè¬çãªéº»é
åŠã»ç®èç§ããã¹ãïŒèšåºåºç€ç¥èïŒ
```