éåãšå¿ã®å¥åº·ã®æ·±ãã€ãªãããæ¢æ±ããŸããããã¡ã³ã¿ã«ãã«ã¹ãæ¹åããããã«ãèº«äœæŽ»åãçæŽ»ã«åãå ¥ããããã®ã°ããŒãã«ãªèŠç¹ãå®è·µçãªæŠç¥ãè¡åå¯èœãªã¹ããããã玹ä»ããŸãã
éåã«ããã¡ã³ã¿ã«ãã«ã¹æ¹åïŒã°ããŒãã«ã¬ã€ã
çŸä»£ç€ŸäŒã®ãã¬ãã·ã£ãŒãå¢å€§ããäžã§ãå¿ã®å¥åº·ãåªå ããããšããããŸã§ä»¥äžã«éèŠã«ãªã£ãŠããŸããã¡ã³ã¿ã«ãã«ã¹ãåäžãããããã®åŒ·åã§ãèŠéããããã¡ãªããŒã«ã®äžã€ãéåã§ãããã®ã¬ã€ãã§ã¯ãèº«äœæŽ»åãšå¿ã®å¥åº·ã®æ·±ãã€ãªãããæ¢æ±ããããªãã®å Žæãèæ¯ã«é¢ä¿ãªããéåãçæŽ»ã«åãå ¥ããããã®ã°ããŒãã«ãªèŠç¹ãšå®è·µçãªæŠç¥ãæäŸããŸãã
ã€ãªããã®èåŸã«ããç§åŠ
éåãšã¡ã³ã¿ã«ãã«ã¹ã®é¢ä¿ã¯ãç§åŠç蚌æ ã«ãã£ãããšæ ¹ãããŠããŸããèº«äœæŽ»åãè¡ããšãäœå ã§æçãªååŠç©è³ªãšãã«ã¢ã³ã次ã ãšæŸåºãããŸããããã«ã¯ä»¥äžãå«ãŸããŸãïŒ
- ãšã³ãã«ãã£ã³ïŒ ãã°ãã°ã幞ããã«ã¢ã³ããšåŒã°ããæ°åã髿ãããçã¿ã軜æžãã广ããããŸããããã«ãããå¹žçŠæã«ã€ãªãããäžå®ãæãã€æã軜æžã§ããŸãã
- ã»ãããã³ïŒ æ°åãç¡ç ã飿¬²ã調ç¯ããç¥çµäŒéç©è³ªãéåã¯ã»ãããã³ã¬ãã«ãäžæããããã€ç ã®çç¶ãç·©åããå šäœçãªæ°åã®å®å®æ§ãåäžãããã®ã«åœ¹ç«ã¡ãŸãã
- ããŒããã³ïŒ å¿«æãšå ±é ¬ã«é¢é£ããéåäžã«æŸåºãããã¢ãããŒã·ã§ã³ãšéææã«è²¢ç®ããŸãã
- è³ç±æ¥ç¥çµæ é€å åïŒBDNFïŒïŒ BDNFã¯è³çްèã®æé·ãšçåããµããŒãããèªç¥æ©èœãæ¹åããç¥çµå€æ§çŸæ£ããä¿è·ããå¯èœæ§ããããŸãã
宿çãªéåã¯ãŸãã以äžã«ã圹ç«ã¡ãŸãïŒ
- ã¹ãã¬ã¹ãã«ã¢ã³ã®è»œæžïŒ éåã¯ãäž»èŠãªã¹ãã¬ã¹ãã«ã¢ã³ã§ããã³ã«ããŸãŒã«ã®ã¬ãã«ãäžããäœã®ã¹ãã¬ã¹åå¿ã調ç¯ããã®ã«åœ¹ç«ã¡ãŸãã
- ç¡ç ã®è³ªã®åäžïŒ èº«äœæŽ»åã¯ããè¯ãç¡ç ãä¿é²ããããšãã§ããããã¯ã¡ã³ã¿ã«ãã«ã¹ã«ãšã£ãŠéåžžã«éèŠã§ãã
- èªå°å¿ã®åäžïŒ ãã£ãããã¹ã®ç®æšãéæããå€èŠãæ¹åããããšã¯ãèªä¿¡ã®åäžã«ã€ãªããå¯èœæ§ããããŸãã
- èªç¥æ©èœã®åŒ·åïŒ éåã¯è³ãžã®è¡æµãæ¹åããèšæ¶ãéäžåãèªç¥åŠçé床ãé«ããŸãã
ã°ããŒãã«ãªèŠç¹ïŒæåãè¶ ããéåãšã¡ã³ã¿ã«ãã«ã¹
éåãã¡ã³ã¿ã«ãã«ã¹ã«ããããã¡ãªããã¯æ®éçã§ããã人ã ãèº«äœæŽ»åãçæŽ»ã«åãå ¥ããæ¹æ³ã¯æåã«ãã£ãŠå€§ããç°ãªããŸããããã€ãã®äŸã以äžã«ç€ºããŸãïŒ
- æ¥æ¬ïŒ 鳿¥œã«åãããŠè¡ãéå£éåã®äžçš®ã§ããã©ãžãªäœæã¯ãåŠæ ¡ãè·å Žãå°å瀟äŒã§äžè¬çãªç¿æ £ã§ããããã¯èº«äœã®å¥åº·ãä¿é²ããã ãã§ãªããå¿ã®å¥åº·ã«äžå¯æ¬ ãªã³ãã¥ããã£ãšç€ŸäŒçã€ãªããã®æèŠãè²ã¿ãŸãã
- ã€ã³ãïŒ ã€ã³ãçºç¥¥ã®ãšã¬ã¯ãåºãå®è·µãããŠããéåãšãã€ã³ããã«ãã¹ã®äžåœ¢æ ã§ããã身äœãšå¿ã®å¥åº·ã®äž¡æ¹ã«ãã©ã¹ã®åœ±é¿ãäžããããšã§ç¥ãããŠããŸãããšã¬ã¯ã身äœã®å§¿å¢ïŒã¢ãŒãµãïŒãåŒåžæ³ïŒãã©ãŒãã€ãïŒãçæ³ãçµã¿åãããã¹ãã¬ã¹ã軜æžããæè»æ§ãé«ããå¿ã®å¹³å®ãä¿é²ããŸãã
- ã¹ã«ã³ãžããã¢ïŒ 忬§è«žåœã¯ã倩åã«é¢ä¿ãªãããã€ãã³ã°ãã¹ããŒããµã€ã¯ãªã³ã°ãªã©ã®ã¢ãŠããã¢ã¢ã¯ãã£ããã£ã楜ããããšããããããŸããèªç¶ãšã®ã€ãªãããç·å°ãžã®ã¢ã¯ã»ã¹ã¯ãã¡ã³ã¿ã«ãã«ã¹ã«ãã©ã¹ã®åœ±é¿ãäžããããšãç¥ãããŠããŸããããªã«ãããªããšããæŠå¿µã¯ããå±å€ç掻ããæå³ãã幞çŠã®ããã«å±å€ã§æéãéããããšã®éèŠæ§ã匷調ããŠããŸãã
- åã¢ããªã«ïŒ ã³ãã¥ããã£ããŒã¹ã®ã©ã³ãã³ã°ã¯ã©ãã人æ°ãããã瀟äŒç亀æµãèº«äœæŽ»åãããã³ã¡ã³ã¿ã«ãã«ã¹ã®èª²é¡ã«èŠããã§ãã人ã ãžã®ãµããŒãã®æ©äŒãæäŸããŠããŸãã
- ã©ãã³ã¢ã¡ãªã«ïŒ ãµã«ãµããºã³ããªã©ã®ãã³ã¹ã¯ã©ã¹ã¯ãéåãšç€ŸäŒçã€ãªããã®äžåœ¢æ ãšããŠåºã楜ããŸããŠããŸãããã³ã¹ã¯åµé çãªçºæ£ã®å ŽãæäŸããäœååäžãšã¹ãã¬ã¹è»œæžãä¿é²ããŸãã
ãããã®å€æ§ãªäŸã¯ãéåãããŸããŸãªæåçèŠç¯ãå人çãªå¥œã¿ãå©çšå¯èœãªãªãœãŒã¹ã«åãããŠã©ã®ããã«é©å¿ã§ãããã匷調ããŠããŸããéèŠãªã®ã¯ãããªããæ¥œããã§ãããªãã®ã©ã€ãã¹ã¿ã€ã«ã«åã£ã掻åãèŠã€ããããšã§ãã
éåãçæŽ»ã«åãå ¥ããããã®å®è¡å¯èœãªã¹ããã
éåãããªãã®ã«ãŒãã³ã«åãå ¥ããããšã¯æ°ãé ããªãããã«æãããããããŸããããå°ããªããšããå§ããŠãåŸã ã«æŽ»åã¬ãã«ãäžããŠããããšãéèŠã§ããããã«ããã€ãã®å®çšçãªã¹ãããããããŸãïŒ
1. çŸå®çãªç®æšãèšå®ãã
管çå¯èœãªç®æšããå§ããŸããããšãã°ãé±ã®ã»ãšãã©ã®æ¥ã«10ã15åã®éåãç®æãããšããå§ããŸãããã£ãããã¹ãæ§ç¯ããã«ã€ããŠãåŸã ã«æéãšåŒ·åºŠãå¢ãããŸãã
2. 楜ãããæŽ»åãèŠã€ãã
éåã¯é¢åãªãã®ã®ããã«æããã¹ãã§ã¯ãããŸãããããŸããŸãªã¢ã¯ãã£ããã£ã詊ããŠãäœã楜ããããèŠã€ããŠãã ãããããã«ã¯ä»¥äžãå«ãŸããŸãïŒ
- ãŠã©ãŒãã³ã°ãã©ã³ãã³ã°ããžã§ã®ã³ã°
- æ°Žæ³³
- ãµã€ã¯ãªã³ã°
- ãã³ã¹
- ãšã¬ãŸãã¯ãã©ãã£ã¹
- ããŒã ã¹ããŒãïŒäŸïŒãµãã«ãŒããã¹ã±ããããŒã«ãã¯ãªã±ããïŒ
- ãã€ãã³ã°
- çåãã¬ãŒãã³ã°ïŒãŠã§ã€ããã¬ãžã¹ã¿ã³ã¹ãã³ãããŸãã¯èªéãšã¯ãµãµã€ãºã䜿çšïŒ
ããªãã®èå³ã身äœèœåãå©çšå¯èœãªãªãœãŒã¹ãèæ ®ããŠãã ãããå±å€ã«ããã®ã奜ããªå Žåã¯ããã€ãã³ã°ããµã€ã¯ãªã³ã°ãè¯ããããããŸãããå±å ã¢ã¯ãã£ããã£ã奜ãå Žåã¯ããžã ã«åå ãããããã³ã¹ã¯ã©ã¹ãåè¬ããããšãæ€èšããŠãã ããã
3. éåãããªãã®é±ã«ã¹ã±ãžã¥ãŒã«ãã
éåãéèŠãªäºå®ãšããŠæ±ããŸããä»äºã®äŒè°ã瀟亀çãªçŽæãšåãããã«ãã«ã¬ã³ããŒã«ã¹ã±ãžã¥ãŒã«ããŸããäžè²«æ§ãéèŠã§ãã
4. éåã瀟äŒçã«ãã
å人ãå®¶æããŸãã¯ååãšäžç·ã«éåããŸããããã¯ç€ŸäŒçãµããŒãã説æè²¬ä»»ãæäŸããéåãããæ¥œããããããšãã§ããŸãããã£ãããã¹ã¯ã©ã¹ããŠã©ãŒãã³ã°ã°ã«ãŒãããŸãã¯ã¹ããŒãããŒã ã«åå ããŸãã
5. éåãããªãã®æ¯æ¥ã®ã«ãŒãã³ã«åãå ¥ãã
äžæ¥ãéããŠããæŽ»çºã«ãªãæ©äŒãæ¢ããŠãã ããïŒ
- ãšã¬ããŒã¿ãŒã®ä»£ããã«é段ã䜿çšããŠãã ããã
- å¯èœã§ããã°ãè·å ŽãåŠæ ¡ãŸã§æ©ããèªè»¢è»ã«ä¹ã£ãŠãã ããã
- å€åæéäžã«ãŠã©ãŒãã³ã°äŒæ©ãåã£ãŠãã ããã
- ç®çå°ããé ãã«é§è»ããŠãã ããã
- ããç±å¿ã«å®¶äºãããŠãã ããã
6. å¿«é©ãªéåç°å¢ãäœã
é©åãªè¡£é¡ãéŽãããã³æ©åšãæã£ãŠããããšã確èªããŠãã ãããå®å šã§å¿«é©ã«æããããç°å¢ãéžæããŠãã ãããããã¯ããžã ãå ¬åãèªå® ããŸãã¯å°å ã®ã³ãã¥ããã£ã»ã³ã¿ãŒã§ããå¯èœæ§ããããŸãã
7. ããªãã®äœã«è³ãåŸãã
ããªãã®äœã®ä¿¡å·ã«æ³šæãæã£ãŠãã ãããå¿ èŠãªãšãã«äŒæ¯ããŠãã ãããç¹ã«å§ããã°ããã®ãšãã¯ãç¡çãããªãã§ãã ãããåŸã ã«ã¯ãŒã¯ã¢ãŠãã®åŒ·åºŠãšæéãå¢ãããŠãã ããã
8. å°éå®¶ã®æå°ãæ±ãã
æ ¹æ¬çãªå¥åº·ç¶æ ãŸãã¯æžå¿µäºé ãããå Žåã¯ãæ°ããéåããã°ã©ã ãéå§ããåã«ãå»åž«ãŸãã¯è³æ Œã®ããå»çå°éå®¶ã«çžè«ããŠãã ãããããŒãœãã«ãã¬ãŒããŒãŸãã¯ãã£ãããã¹ã€ã³ã¹ãã©ã¯ã¿ãŒãšååããŠãããŒãœãã©ã€ãºãããéåèšç»ãç«ãŠãããšãæ€èšããŠãã ããã
9. ããªãã®é²æç¶æ³ãç£èŠãã
ããªãã®ã¯ãŒã¯ã¢ãŠããšããªãã®æ°æã¡ã远跡ããŸããããã¯ãã¢ãããŒã·ã§ã³ãç¶æããå¿ èŠã«å¿ããŠããã°ã©ã ã調æŽããã®ã«åœ¹ç«ã¡ãŸãããã£ãããã¹ãã©ãã«ãŒããžã£ãŒãã«ããŸãã¯ã¢ãã€ã«ã¢ããªã䜿çšããŠãé²æç¶æ³ãç£èŠããŸãã
10. èŸæ±åŒ·ããç²ã匷ããã
éåã«ãŒãã³ã確ç«ããçµæãèŠãã«ã¯æéãããããŸããã¯ãŒã¯ã¢ãŠããéããããããã«å€åãèŠãããªããŠããèœèããªãã§ãã ãããäžè²«æ§ãšæ°žç¶æ§ãäžå¯æ¬ ã§ãã
éåãžã®äžè¬çãªéå£ã«å¯ŸåŠãã
å€ãã®äººã ã¯ãéåãçæŽ»ã«åãå ¥ããããšãããšãã«èª²é¡ã«çŽé¢ããŸããããã«ããã€ãã®äžè¬çãªéå£ãšããããå æããããã®æŠç¥ããããŸãïŒ
1. æéã®äžè¶³
解決çïŒ äžæ¥ãéããŠçãããŒã¹ãã§ã¯ãŒã¯ã¢ãŠããåå²ããŸããäžåºŠã«10ã15åã®éåã§ãéããçãããšãã§ããŸããã«ã¬ã³ããŒã«éåãã¹ã±ãžã¥ãŒã«ãããããåªå ããŸããæŒäŒã¿äžã«ãŠã©ãŒãã³ã°ããããèªå® ã§ã¯ãŒã¯ã¢ãŠããããªãèŠãããããªã©ãéåãä»ã®ã¢ã¯ãã£ããã£ãšçµã¿åãããŸãã
2. ã¢ãããŒã·ã§ã³ã®äžè¶³
解決çïŒ éæå¯èœãªç®æšãèšå®ããç®æšãéæãããèªåã«ãè€çŸããããŠãã ãããã¢ãããŒã·ã§ã³ãç¶æããããã«ãéå仲éãèŠã€ããããã°ã«ãŒãã«åå ããŠãã ãããæ¥œãããæŽ»åãèŠã€ããããã«ãããŸããŸãªçš®é¡ã®éåã詊ããŠãã ãããéåäžã«é³æ¥œãããããã£ã¹ããèŽããŠãã ããã
3. ãªãœãŒã¹ã®äžè¶³
解決çïŒ éåã¯é«äŸ¡ã§ããå¿ èŠã¯ãããŸãããç¡æã§å±å€ã§ãŠã©ãŒãã³ã°ãã©ã³ãã³ã°ããŸãã¯ãµã€ã¯ãªã³ã°ãããŠãã ãããç¡æã®ã¯ãŒã¯ã¢ãŠããããªããã£ãããã¹ã¢ããªãªã©ã®ãªã³ã©ã€ã³ãªãœãŒã¹ã䜿çšããŠãã ãããå°å ã®å ¬åãã¬ã¯ãªãšãŒã·ã§ã³ã»ã³ã¿ãŒãªã©ã®ã³ãã¥ããã£ãªãœãŒã¹ãå©çšããŠãã ãããæ©åšãå¿ èŠãšããªãèªéãšã¯ãµãµã€ãºãæ€èšããŠãã ããã
4. 身äœçå¶é
解決çïŒ ããªãã®èœåã«åãããŠéåãä¿®æ£ããŠãã ããã身äœçå¶éãããå Žåã¯ãå®å šã§å¹æçãªéåèšç»ãç«ãŠãããã«ãå»åž«ãŸãã¯çåŠçæ³å£«ã«çžè«ããŠãã ãããæ°Žæ³³ããŠã©ãŒãã³ã°ãªã©ã®äœè¡æã¢ã¯ãã£ããã£ãæ€èšããŠãã ããã
5. 粟ç¥çãªéå£
解決çïŒ ãã¬ãã£ããªã»ã«ãããŒã¯ã«å¯ŸåŠããŸããéåã®ã¡ãªãããèªåã«æãåºããããããããªããã©ã®ããã«æãããããã«çŠç¹ãåœãŠãŠãã ãããå°ããªããšããå§ããŠãåŸã ã«èªä¿¡ãç¯ããŠãã ãããå人ãå®¶æããŸãã¯ã»ã©ãã¹ãããã®ãµããŒããæ±ããŠãã ããã
éåãšç¹å®ã®ã¡ã³ã¿ã«ãã«ã¹ç¶æ
éåã¯ãç¹å®ã®ã¡ã³ã¿ã«ãã«ã¹ç¶æ ãçµéšããŠãã人ã ã«ãšã£ãŠç¹ã«æçã§ãïŒ
1. ãã€ç
宿çãªéåã¯ã軜床ããäžç床ã®ãã€ç ã®æ²»çã«ãããŠãè¬ç©çæ³ãã»ã©ããŒãšåãããã广çã§ããæ°åã®èª¿ç¯ãèªå°å¿ã®åäžãç¡ç ã®è³ªã®æ¹åã«åœ¹ç«ã¡ãŸããé±ã®ã»ãšãã©ã®æ¥ã«å°ãªããšã30åã®äžåŒ·åºŠã®éåãç®æããŠãã ããã
2. äžå®
éåã¯ãã¹ãã¬ã¹ãã«ã¢ã³ãäžããç¡ç ãæ¹åããå¥åº·çãªã³ãŒãã³ã°ã¡ã«ããºã ãæäŸããããšã«ãããäžå®çç¶ã軜æžããã®ã«åœ¹ç«ã¡ãŸãããšã¬ã倪極æ³ãªã©ãéäžããæ³šæãå¿ èŠãšããæŽ»åã¯ç¹ã«åœ¹ç«ã¡ãŸããéåäžãŸãã¯éååŸã«æ·±åŒåžãšã¯ãµãµã€ãºãç·Žç¿ããŠãã ããã
3. ã¹ãã¬ã¹
éåã¯åªããã¹ãã¬ã¹è§£æ¶æ³ã§ããæ°åã髿ããã广ã®ãããšã³ãã«ãã£ã³ãæŸåºããç·åŒµã欲æ±äžæºã®ããã®å¥åº·çãªçºæ£ã®å ŽãæäŸããŸããããããçš®é¡ã®éåãæçã§ããããšã¬ãçæ³ã®ãããªæŽ»åã¯ãã¹ãã¬ã¹ã®ç®¡çã«ç¹ã«åœ¹ç«ã¡ãŸãã
4. æ³šææ¬ é¥/å€åæ§é害ïŒADHDïŒ
éåã¯ãADHDãæã€å人ã®éäžåãéäžåãããã³è¡åå¶åŸ¡ãæ¹åããããšãã§ããŸããæ°åã®èª¿ç¯ãå€åæ§ã®è»œæžã«ã圹ç«ã¡ãŸãã宿çãªèº«äœæŽ»åã¯ã泚æã«ãã©ã¹ã®åœ±é¿ãäžããçæ¶¯ã«ããã£ãŠADHDã®çç¶ã軜æžããããšãã§ããŸãã
5. 忥µæ§é害
éåã¯ã忥µæ§é害ãæã€äººã ã®æ°åãå®å®ãããå šäœçãªå¹žçŠãåäžãããã®ã«åœ¹ç«ã¡ãŸããããªãã®åã ã®ããŒãºãšç æ°ã®æ®µéãèæ ®ããé©åãªéåèšç»ãç«ãŠãããã«ãå»çå°éå®¶ãšååããããšãéèŠã§ãã
6. å€å·åŸã¹ãã¬ã¹é害ïŒPTSDïŒ
éåã¯ãäžå®ãäžç çããã©ãã·ã¥ããã¯ãªã©ã®PTSDã®çç¶ã軜æžããã®ã«åœ¹ç«ã¡ãŸããæ°åãšèªå°å¿ãåäžãããããšãã§ããŸãããšã¬ã倪極æ³ãªã©ããã€ã³ããã«ãã¹ãå«ã掻åãæ€èšããåŒåžæ³ãç·Žç¿ããŠãã ããã
éèŠãªæ³šæïŒ éåã¯ãå°éçãªã¡ã³ã¿ã«ãã«ã¹ã®æ²»çã®ä»£ããã«ã¯ãªããŸãããã¡ã³ã¿ã«ãã«ã¹ã®ç¶æ ã«èŠããã§ããå Žåã¯ãè³æ Œã®ããå»çå°éå®¶ããã®å©ããæ±ããŠãã ãããéåã¯ããªãã®æ²»çèšç»ã®è²ŽéãªäžéšãšãªãåŸãŸãããå¯äžã®æ²»çæ³ãšããŠäœ¿çšãããã¹ãã§ã¯ãããŸããã
å¿ãšäœã®ã€ãªããïŒéåãšãã€ã³ããã«ãã¹
éåãšãã€ã³ããã«ãã¹ã®å®è·µãçµã¿åãããããšã§ãã¡ã³ã¿ã«ãã«ã¹ã«å¯Ÿããã¡ãªãããé«ããããšãã§ããŸãããã€ã³ããã«ãã¹ã¯ã倿ããããšãªãçŸåšã®ç¬éã«æ³šæãæãããšãå«ã¿ãŸããããã«ã¯ä»¥äžãå«ãŸããŸãïŒ
- ãã€ã³ããã«ãŠã©ãŒãã³ã°ïŒ æ©ããšãã«ãåŒåžãšè¶³ã®æèŠã«æ³šæãæã£ãŠãã ãããããªãã®åšãã®ç°å¢ã«æ³šæããŠãã ããã
- ãã€ã³ããã«ã©ã³ãã³ã°ïŒ åŒåžãäœã®åããåšå²ã®ç°å¢ã«çŠç¹ãåœãŠãŠãã ããã
- ãšã¬ãšå€ªæ¥µæ³ïŒ ãããã®å®è·µã¯ã身äœã®å§¿å¢ãšåŒåžæ³ãçæ³ãçµã¿åããã身äœãšå¿ã®äž¡æ¹ã®å¹žçŠãä¿é²ããŸãã
- çæ³ïŒ 1æ¥ã«æ°åã®çæ³ã§ããã¹ãã¬ã¹ã軜æžããéäžåãæ¹åããå šäœçãªèœã¡çãã®æèŠãé«ããããšãã§ããŸãã
ãã€ã³ããã«ãã¹ãããªãã®éåã«ãŒãã³ã«åãå ¥ããããšã§ãããªãã¯ããªãã®äœãšããªãã®æèãããæèããããã«ãªããã¹ãã¬ã¹ã軜æžããææ ã®èª¿ç¯ãæ¹åããã®ã«åœ¹ç«ã¡ãŸãããããã®å®è·µãæ€èšããŠãã ããïŒ
- æ·±åŒåžãç·Žç¿ããïŒéåã®åãæäžããŸãã¯åŸã«ã
- ããªãã®äœã®æèŠã«çŠç¹ãåœãŠãïŒããªããåãã«ã€ããŠãããªãã®äœãã©ã®ããã«æãããã«æ³šæãæã£ãŠãã ããã
- ããªãã®æèãšææ ã倿ããã«åãå ¥ããïŒå€¢äžã«ãªãããšãªããããã芳å¯ããŠãã ããã
ãµããŒããšãªãœãŒã¹ãèŠã€ãã
æ å ±ãšãµããŒããžã®ã¢ã¯ã»ã¹ã¯ãã¡ã³ã¿ã«ãã«ã¹ãä¿é²ããéåãããªãã®ç掻ã«åãå ¥ããããã«äžå¯æ¬ ã§ããã°ããŒãã«ã§å©çšå¯èœãªãªãœãŒã¹ã以äžã«ç€ºããŸãïŒ
- ã¡ã³ã¿ã«ãã«ã¹çµç¹ïŒ äžçä¿å¥æ©é¢ïŒWHOïŒãå šç±³ç²Ÿç¥çŸæ£åçïŒNAMIïŒãããã³ã¡ã³ã¿ã«ãã«ã¹ã¢ã¡ãªã«ïŒMHAïŒã®ãããªçµç¹ã¯ã貎éãªæ å ±ããªãœãŒã¹ãããã³ãµããŒããããã¯ãŒã¯ãæäŸããŠããŸãããããã®çµç¹ã¯ãã¡ã³ã¿ã«ãã«ã¹ãµãŒãã¹ãžã®ã¢ã¯ã»ã¹ããµããŒãã°ã«ãŒãã®æ€çŽ¢ãããã³ã¡ã³ã¿ã«ãã«ã¹ã®ç¶æ ã«ã€ããŠåŠã¶ããã®ã¬ã€ãã³ã¹ãæäŸããããšãã§ããŸãã
- å°å ã®ã³ãã¥ããã£ã»ã³ã¿ãŒïŒ å€ãã®ã³ãã¥ããã£ã»ã³ã¿ãŒã¯ããã£ãããã¹ã¯ã©ã¹ããµããŒãã°ã«ãŒããããã³å¹žçŠãä¿é²ããããã®ãã®ä»ã®ãªãœãŒã¹ãæäŸããŠããŸãã
- ãžã ãšãã£ãããã¹ã¹ã¿ãžãªïŒ ãžã ãšãã£ãããã¹ã¹ã¿ãžãªã¯ããšã¬ããã©ãã£ã¹ãã°ã«ãŒããã£ãããã¹ã¯ã©ã¹ãªã©ãããŸããŸãªã¯ã©ã¹ãšããã°ã©ã ãæäŸããããšããããããŸãããããã®èšå®ã¯ã瀟äŒçãµããŒããå°éå®¶ã®ã¬ã€ãã³ã¹ãããã³éåã®ããã®æ§é åãããç°å¢ãæäŸããããšãã§ããŸãã
- ãªã³ã©ã€ã³ãªãœãŒã¹ïŒ ã€ã³ã¿ãŒãããã¯ãã¯ãŒã¯ã¢ãŠããããªããã£ãããã¹ã¢ããªãããã³ã¡ã³ã¿ã«ãã«ã¹ãªãœãŒã¹ãå«ããè±å¯ãªæ å ±ãžã®ã¢ã¯ã»ã¹ãæäŸããŸãããã ããåžžã«è©å€ã®è¯ããœãŒã¹ã䜿çšããŠããããšã確èªããŠãã ããã
- å»çå°éå®¶ïŒ ããªãã®å»åž«ãã»ã©ãã¹ãããŸãã¯ä»ã®å»çæäŸè ã¯ãéåãšã¡ã³ã¿ã«ãã«ã¹ã«é¢ããã¬ã€ãã³ã¹ãæäŸããããŒãœãã©ã€ãºãããèšç»ãç«ãŠãã®ã«åœ¹ç«ã¡ãŸãã
- åŸæ¥å¡æ¯æŽããã°ã©ã ïŒEAPïŒïŒ ããªããéçšãããŠããå Žåãããªãã®äŒç€Ÿã¯ã¡ã³ã¿ã«ãã«ã¹ãµãŒãã¹ãšãªãœãŒã¹ãžã®ã¢ã¯ã»ã¹ãæäŸããEAPãæäŸããŠããå¯èœæ§ããããŸãã
çµè«ïŒããå¥åº·ã§å¹žããªç掻ã®ããã«éåãåãå ¥ããŸããã
éåãããªãã®ç掻ã«åãå ¥ããããšã¯ãããªãã®ã¡ã³ã¿ã«ãã«ã¹ãæ¹åããããã®åŒ·åãªäžæ©ã§ããç§åŠãçè§£ããã°ããŒãã«ãªèŠç¹ãåãå ¥ããå®è¡å¯èœãªã¹ããããèžãããšã§ãèº«äœæŽ»åã®ã¡ãªãããæŽ»çšããŠãã¹ãã¬ã¹ã軜æžããæ°åãæ¹åããå šäœçãªç掻ã®è³ªãé«ããããšãã§ããŸãã
å°ããªããšããå§ããæ¥œãããæŽ»åãèŠã€ããèªåèªèº«ã«èŸæ±åŒ·ãããããšãå¿ããªãã§ãã ãããéåãéããŠã¡ã³ã¿ã«ãã«ã¹ãæ¹åããããã®æ ã¯ãçè·é¢èµ°ã§ã¯ãªããã©ãœã³ã§ããããã»ã¹ãåãå ¥ããæåãç¥ããå¿ èŠãªãšãã«ãµããŒããæ±ããŠãã ãããéåãåªå ããããšã§ãããªãã¯ããªãã®é·æçãªå¹žçŠã«æè³ããããå¥åº·ã§å¹žããªããªããäœãåºããŠããŸããäžçãåŸ ã£ãŠããŸã - åãå§ããŠãéåãããªãã®ã¡ã³ã¿ã«ãã«ã¹ã«äžããæ·±é ãªåœ±é¿ã仿¥äœéšããŠãã ããïŒ