ãŠã§ã¢ã©ãã«ããã¹ããŒãããããŸã§ãç¡ç ãã¯ãããžãŒã®äžçãæ¢æ±ããäžçäžã®å¥åº·ãšå¹žçŠã®ããã«ç¡ç ã®è³ªã广çã«ã¢ãã¿ãªã³ã°ããæ¹åããæ¹æ³ãåŠã³ãŸãããã
ç¡ç ãã¯ãããžãŒã®è§£èªïŒäžççãªè³ªã®ã¢ãã¿ãªã³ã°ã¬ã€ã
ç¡ç ã¯å¥åº·ã®åºæ¬çãªæ±ã§ãããèªç¥æ©èœãææ çãªå¹žçŠãã身äœçãªããã©ãŒãã³ã¹ãå ç«ã·ã¹ãã ã®åŒ·ããŸã§ããããããã®ã«åœ±é¿ãäžããŸãã仿¥ã®ããŒã¹ã®éãã°ããŒãã«ãªç¶æ³ã§ã¯ãèŠæ±ã®å³ããä»äºã¹ã±ãžã¥ãŒã«ãçµ¶ãéãªãæ¥ç¶æ§ã倿§ãªã©ã€ãã¹ã¿ã€ã«ãç¹åŸŽã§ãããæé©ãªç¡ç ãåŸãããšã¯å€§ããªèª²é¡ãšãªãå¯èœæ§ããããŸãã幞ããªããšã«ãç¡ç ãã¯ãããžãŒã®é²æ©ã¯ãäžçäžã®å人ã«ãç¡ç ãã¿ãŒã³ãçè§£ããæ¹åããããã®ãããŸã§ã«ãªãæ©äŒãæäŸããŠããŸãã
ç¡ç ãã¯ãããžãŒã®å°é ïŒã°ããŒãã«çŸè±¡
ç¡ç ãã¯ãããžãŒåžå Žã¯ãç¡ç ã®éèŠæ§ã«å¯Ÿããæèã®é«ãŸããšãããŒãœãã©ã€ãºãããå¥åº·ãœãªã¥ãŒã·ã§ã³ãžã®æ¬²æ±ã«åŸæŒããããè¿å¹Žãççºçãªæé·ãéããŠããŸãããŠã§ã¢ã©ãã«ããã€ã¹ããæŽç·Žãããã©ãã§ã®ç¡ç ç ç©¶ãŸã§ãç¡ç ãã¢ãã¿ãªã³ã°ãåæããããã®éžæè¢ã¯ããããŸã§ä»¥äžã«å€æ§ã§ã¢ã¯ã»ã¹ãããããªã£ãŠããŸãããã®ã¬ã€ãã§ã¯ãç¡ç ãã¯ãããžãŒã®å æ¬çãªæŠèŠãæäŸãã質ã®ã¢ãã¿ãªã³ã°ãšãå°ççãªå Žæãæåçãªèæ¯ã«é¢ä¿ãªããç¡ç ããŒã¿ã掻çšããŠå šäœçãªå¥åº·ãåäžãããããã®å®çšçãªæŠç¥ã«çŠç¹ãåœãŠãŠããŸãã
ç¡ç ã®ç§åŠã®çè§£ïŒã°ããŒãã«ãªèŠç¹
ç¡ç ãã¯ãããžãŒã®è©³çްã«å ¥ãåã«ãç¡ç ã®åºæ¬çãªç§åŠãçè§£ããããšãéèŠã§ããç¡ç ã¯äžæå²©ã®ç¶æ ã§ã¯ãªãã身äœçããã³ç²Ÿç¥çãªå埩ã«ãããŠããããéèŠãªåœ¹å²ãæãããæç¢ºãªæ®µéã®è€éãªãµã€ã¯ã«ã§ãããããã®æ®µéã«ã¯ä»¥äžãå«ãŸããŸãã
- ã¹ããŒãž1 (NREM 1)ïŒèŠéãšç¡ç ã®éã®ç§»è¡æã§ãæµ ãç¡ç ãšç·©ãããªçŒçéåãç¹åŸŽã§ãã
- ã¹ããŒãž2 (NREM 2)ïŒããæ·±ãç¡ç 段éã§ãããé ãè³æ³¢ããããç¡ç çŽ¡éæ³¢ãšKè€åäœãšåŒã°ããæ¥éãªè³æŽ»åã®ããŒã¹ããæ£åšããŠããŸãã
- ã¹ããŒãž3 (NREM 3)ïŒæ·±ãç¡ç 段éã§ãåŸæ³¢ç¡ç ãŸãã¯ãã«ã¿ç¡ç ãšãåŒã°ããŸãããã®æ®µéã¯ã身äœçå埩ãå ç«æ©èœãããã³èšæ¶ã®çµ±åã«äžå¯æ¬ ã§ãã
- REMç¡ç ïŒæ¥éãªçŒçéåãè³æŽ»åã®å¢å ãçèã®éº»çºãç¹åŸŽã§ãããã®æ®µéã¯å€¢ãšé¢é£ããŠãããèªç¥æ©èœãšææ åŠçã«éèŠã§ãã
å žåçãªç¡ç ãµã€ã¯ã«ã¯çŽ90ã120åç¶ããå人ã¯äžæ©ãéããŠãããã®æ®µéãè€æ°åç¹°ãè¿ããŸããé »ç¹ãªèŠéãæ·±ãç¡ç ã®æéã®äžè¶³ãªã©ããããã®ãµã€ã¯ã«ãäžæããããšãããŸããŸãªå¥åº·åé¡ã«ã€ãªããå¯èœæ§ããããŸãããããã®æ®µéãçè§£ããããšã¯ãç¡ç ãã¯ãããžãŒãæäŸããããŒã¿ãè§£éããããã®æåã®ã¹ãããã§ãã
ç¡ç ãã¯ãããžãŒã®çš®é¡ïŒã°ããŒãã«ãªæŠèŠ
ç¡ç ãã¯ãããžãŒã¯ãããããã«ç¬èªã®åŒ·ã¿ãšéçãæã€å¹ åºãããã€ã¹ãšããŒã«ãç¶²çŸ ããŠããŸããäžçäžã§äœ¿çšãããŠããæãäžè¬çãªã¿ã€ãã®ç¡ç ãã¯ãããžãŒã®æŠèŠã以äžã«ç€ºããŸãã
1. ãŠã§ã¢ã©ãã«ç¡ç ãã©ãã«ãŒ
ã¹ããŒããŠã©ããããã£ãããã¹ãã³ããå°çšã®ç¡ç ã¢ãã¿ãŒãªã©ã®ãŠã§ã¢ã©ãã«ç¡ç ãã©ãã«ãŒã¯ãæã人æ°ã®ããã¿ã€ãã®ç¡ç ãã¯ãããžãŒã§ãããããã®ããã€ã¹ã¯ãç¡ç æéãç¡ç 段éãããã³ç¡ç ã®è³ªãæšå®ããããã«åããæž¬å®ããã¢ã¯ãã£ã°ã©ããšããæè¡ã䜿çšããŠããŸããéåžžãåããæ€åºããå é床èšãšãåãã®ããŒã¿ãç¡ç ææšã«å€æããæŽç·Žãããã¢ã«ãŽãªãºã ãå«ãŸããŠããŸãã
äŸïŒ
- FitbitïŒç¡ç 段éãç¡ç ã¹ã³ã¢ãªã©ãç¡ç ã¢ãã¿ãªã³ã°æ©èœãåããããŸããŸãªãã©ãã«ãŒãæäŸããŠããŸããäžççã«äººæ°ããããããŸããŸãªå°ååãã®ããŒã«ã©ã€ãºãããæ©èœãšèšèªãµããŒãããããŸãã
- Apple WatchïŒç¡ç 远跡ãå šäœçãªå¥åº·ãšãã£ãããã¹ã®ãšã³ã·ã¹ãã ã«ã·ãŒã ã¬ã¹ã«çµ±åããŸããäžçäžã§å©çšå¯èœã§ãããŸããŸãªåœã§äžè²«ããæ©èœãæäŸããŠããŸãã
- GarminïŒç¡ç ã¹ã³ã¢ãã¹ãã¬ã¹è¿œè·¡ãããã£ããããªãŒã¢ãã¿ãªã³ã°ãªã©ãé«åºŠãªç¡ç 远跡æ©èœãæäŸããŠããŸããäžçäžã®ã¢ã¹ãªãŒãããã£ãããã¹æå¥œå®¶ã«äººæ°ããããŸãã
- Oura RingïŒç¡ç 段éãå¿æå€åïŒHRVïŒãäœæž©ãªã©ã詳现ãªç¡ç ããŒã¿ãæäŸãããªã³ã°åã®ãã©ãã«ãŒããã®æ§ãããªãã¶ã€ã³ãšå æ¬çãªããŒã¿åæã§äººæ°ãé«ãŸã£ãŠããŸãã
é·æïŒ
- å©äŸ¿æ§ïŒäœ¿ãããããççšããããã
- ã¢ã¯ã»ã¹å¯èœæ§ïŒä»ã®ç¡ç ãã¯ãããžãŒã«æ¯ã¹ãŠæ¯èŒçå®äŸ¡ã
- ããŒã¿ïŒç¡ç ãã¿ãŒã³ãšåŸåã«é¢ãã貎éãªæŽå¯ãæäŸããŸãã
çæïŒ
- 粟床ïŒã¢ã¯ãã£ã°ã©ãããŒã¹ã®ãã©ãã«ãŒã¯ãç¡ç ã¢ãã¿ãªã³ã°ã®ãŽãŒã«ãã¹ã¿ã³ããŒãã§ããããªãœã ãã°ã©ãã£ãŒïŒPSGïŒã»ã©æ£ç¢ºã§ã¯ãããŸããã
- ããŒã¿å¶éïŒç¡ç æ§é ãšåºç€ãšãªãç¡ç é害ã«é¢ããæ å ±ã¯éãããŠããŸãã
- å·çã®å¯èœæ§ïŒç¡ç ããŒã¿ãžã®é床ã®äŸåã¯ãäžå®ãéçç£çãªè¡åã«ã€ãªããå¯èœæ§ããããŸãã
2. ã¹ããŒãããããšå¯å ·
ã¹ããŒãããããšå¯å ·ã«ã¯ãç¡ç ææšã远跡ããå¿«é©ããšãµããŒããæé©åããããã«ãããã®èšå®ã調æŽããã»ã³ãµãŒãçµã¿èŸŒãŸããŠããŸãããããã®ã·ã¹ãã ã¯ãå¿ææ°ãåŒåžæ°ãåããæž©åºŠãã¢ãã¿ãŒããç¡ç ã®è³ªãããå æ¬çã«ææ¡ã§ããŸããäžéšã®ã¹ããŒããããã¯ãèªå枩床å¶åŸ¡ã調æŽå¯èœãªç¡¬ãããã³ãæ€åºãªã©ã®æ©èœãæäŸããŠããŸãã
äŸïŒ
- Sleep NumberïŒç¡ç 远跡ãšããŒãœãã©ã€ãºãããå¿«é©ãã®èšå®ãçµ±åããã調æŽå¯èœãªãšã¢ããããæäŸããŠããŸããäž»ã«åç±³ã§å©çšå¯èœã§ãããããŒãããŒã·ãããšãªã³ã©ã€ã³è²©å£²ãéããŠåœéçã«æ¡å€§ããŠããŸãã
- Eight SleepïŒæž©åºŠèª¿ç¯ãšç¡ç 远跡æ©èœãåããã¹ããŒããããã¬ã¹ãšãããã¬ã¹ã«ããŒãæäŸããŠããŸãããªã³ã©ã€ã³è²©å£²ãšåœéé éã«ãããã°ããŒãã«ãªãªãŒããæ¡å€§ããŠããŸãã
é·æïŒ
- å æ¬çãªããŒã¿ïŒãŠã§ã¢ã©ãã«ãã©ãã«ãŒããã詳现ãªç¡ç ããŒã¿ãæäŸããŸãã
- ããŒãœãã©ã€ãºãããå¿«é©ãïŒèª¿æŽå¯èœãªèšå®ã«ãããç¡ç ã®å¿«é©ããšãµããŒããæé©åã§ããŸãã
- ååçãªã¢ãã¿ãªã³ã°ïŒãŠã§ã¢ã©ãã«ããã€ã¹ã¯å¿ èŠãããŸããã
çæïŒ
- ã³ã¹ãïŒã¹ããŒãããããšå¯å ·ã¯é«äŸ¡ã«ãªãå¯èœæ§ããããŸãã
- å©çšã®å¶éïŒãŠã§ã¢ã©ãã«ãã©ãã«ãŒã»ã©åºãå©çšã§ããŸããã
- ãã©ã€ãã·ãŒã«é¢ããæžå¿µïŒæ©å¯æ§ã®é«ãç¡ç ããŒã¿ã«é¢é£ããããŒã¿ã®ãã©ã€ãã·ãŒã«é¢ããæžå¿µã
3. ç¡ç 远跡ã¢ããª
ç¡ç 远跡ã¢ããªã¯ãã¹ããŒããã©ã³ã®ã»ã³ãµãŒãå©çšããŠãç¡ç äžã®åããšé³ã远跡ããŸãããããã®ã¢ããªã¯ãç¡ç æéãç¡ç 段éããã³ããã¿ãŒã³ãæšå®ã§ããŸããäžéšã®ã¢ããªã¯ãç¡ç ãµãŠã³ãã¹ã±ãŒããã¬ã€ãä»ãçæ³ãããŒãœãã©ã€ãºãããç¡ç ã®æšå¥šäºé ãªã©ã®æ©èœãæäŸããŠããŸãã
äŸïŒ
- Sleep CycleïŒãµãŠã³ãåæã䜿çšããŠç¡ç ã远跡ããæãæµ ãç¡ç 段éã§èµ·ãããŸããäžçäžã§å©çšå¯èœã§ããã®ç²ŸåºŠãšäœ¿ããããã§é«ãè©äŸ¡ãããŠããŸãã
- PillowïŒå¿ææ°ã¢ãã¿ãªã³ã°ïŒApple Watchãšã®çµ±åïŒãç¡ç æç¡åŒåžæ€åºãªã©ãé«åºŠãªç¡ç 远跡æ©èœãæäŸããŠããŸããiOSã§å©çšã§ããApple Watchãšäºææ§ããããŸãã
- Sleep as AndroidïŒã¹ããŒãã¢ã©ãŒã ãç¡ç èšé²ããŠã§ã¢ã©ãã«ããã€ã¹ãšã®çµ±åãªã©ã®æ©èœãåãã人æ°ã®Androidã¢ããªãã«ã¹ã¿ãã€ãºãªãã·ã§ã³ãšé«åºŠãªããŒã¿åæã§ç¥ãããŠããŸãã
é·æïŒ
- ã¢ã¯ã»ã¹å¯èœæ§ïŒã»ãšãã©ã®äººã¯ãã§ã«ã¹ããŒããã©ã³ãææããŠããŸãã
- è²»çšå¯Ÿå¹æïŒå€ãã®ç¡ç 远跡ã¢ããªã¯ç¡æãŸãã¯äœã³ã¹ãã§ãã
- 䜿ããããïŒã·ã³ãã«ã§çŽæçãªã€ã³ã¿ãŒãã§ãŒã¹ã
çæïŒ
- 粟床ïŒãŠã§ã¢ã©ãã«ãã©ãã«ãŒãšã¹ããŒããããã»ã©æ£ç¢ºã§ã¯ãããŸããã
- ã¹ããŒããã©ã³ãžã®äŸåïŒãããã«é»è©±ã眮ãå¿ èŠããããéªéã«ãªãå¯èœæ§ããããŸãã
- ããããªãŒã®æ¶èïŒç¡ç 远跡ã¢ããªã¯ãã¹ããŒããã©ã³ã®ããããªãŒãæ¶èããå¯èœæ§ããããŸãã
4. å°éçãªç¡ç ã¢ãã¿ãªã³ã°ïŒããªãœã ãã°ã©ãã£ãŒïŒPSGïŒ
ããªãœã ãã°ã©ãã£ãŒïŒPSGïŒã¯ãç¡ç ã¢ãã¿ãªã³ã°ã®ãŽãŒã«ãã¹ã¿ã³ããŒãã§ããããã¯ãéåžžãç¡ç å°éå»ã®ç£ç£ã®äžãç¡ç æ€æ»å®€ã§å®æœãããå æ¬çãªç¡ç ç ç©¶ã§ããPSGã«ã¯ãè³æ³¢ïŒEEGïŒãçŒçéåïŒEOGïŒãçèæŽ»åïŒEMGïŒãå¿ææ°ïŒECGïŒãåŒåžæ°ãããã³è¡äžé žçŽ ã¬ãã«ãªã©ãããŸããŸãªççåŠçãã©ã¡ãŒã¿ã®ã¢ãã¿ãªã³ã°ãå«ãŸããŸãã
å©çšå¯èœæ§ïŒPSGã¯ãã»ãšãã©ã®å é²åœã§å©çšå¯èœã§ãããç¡ç é害ã«å¯Ÿããèªèãé«ãŸãã«ã€ããŠãçºå±éäžåœã§ããŸããŸãå©çšã§ããããã«ãªã£ãŠããŸããã¢ã¯ã»ã¹ã¯ãå°å ã®ãã«ã¹ã±ã¢ã·ã¹ãã ãšä¿éºé©çšç¯å²ã«ãã£ãŠç°ãªãå ŽåããããŸãã
é·æïŒ
- 粟床ïŒç¡ç é害ã蚺æããããã®æãæ£ç¢ºãªæ¹æ³ã
- å æ¬çãªããŒã¿ïŒç¡ç æ§é ãç¡ç 段éãããã³ç¡ç äžã®çççæ©èœã«é¢ããè©³çŽ°ãªæ å ±ãæäŸããŸãã
- 蚺æèœåïŒç¡ç æç¡åŒåžãäžç çããã«ã³ã¬ãã·ãŒãããããèçå矀ãªã©ãå¹ åºãç¡ç é害ã蚺æã§ããŸãã
çæïŒ
- ã³ã¹ãïŒPSGã¯é«äŸ¡ã«ãªãå¯èœæ§ããããŸãã
- äžäŸ¿ãïŒç¡ç æ€æ»å®€ã§ã®äžæ©ã®æ»åšãå¿ èŠã§ãã
- 人工çãªç°å¢ïŒæ€æ»å®€ã®ç°å¢ã¯ãå žåçãªç¡ç æ¡ä»¶ãåæ ããŠããªãå¯èœæ§ããããŸãã
5. åšå® ç¡ç æç¡åŒåžæ€æ»ïŒHSATïŒ
åšå® ç¡ç æç¡åŒåžæ€æ»ïŒHSATïŒã¯ãèªå® ã§å¿«é©ã«è¡ãããšãã§ããPSGã®ç°¡ç¥åãããããŒãžã§ã³ã§ããHSATã«ã¯ãéåžžãåŒåžæ°ãè¡äžé žçŽ ã¬ãã«ãå¿ææ°ã®ã¢ãã¿ãªã³ã°ãå«ãŸããŸããäž»ã«ç¡ç æç¡åŒåžã®èšºæã«äœ¿çšãããŸãã
å©çšå¯èœæ§ïŒHSATã¯ãPSGã®ãã䟿å©ã§æé ãªäŸ¡æ Œã®ä»£æ¿ææ®µãšããŠãŸããŸã人æ°ãé«ãŸã£ãŠããŸããå€ãã®åœã§å©çšå¯èœã§ãããåæã¹ã¯ãªãŒãã³ã°ã®åŸãå»åž«ã«ãã£ãŠåŠæ¹ãããããšããããããŸãã
é·æïŒ
- å©äŸ¿æ§ïŒèªå® ã§å®è¡ã§ããŸãã
- è²»çšå¯Ÿå¹æïŒPSGãããå®äŸ¡ã§ãã
- ããèªç¶ãªç°å¢ïŒå žåçãªç¡ç æ¡ä»¶ãåæ ããŠããŸãã
çæïŒ
- ããŒã¿å¶éïŒPSGãããè©³çŽ°ãªæ å ±ãæäŸãããŸãã
- ãã¹ãŠã®ç¡ç é害ã«ã¯é©ããŠããŸããïŒäž»ã«ç¡ç æç¡åŒåžã®èšºæã«äœ¿çšãããŸãã
- å»åž«ã®ç£ç£ãå¿ èŠïŒå»åž«ã«ãã£ãŠåŠæ¹ããã³è§£éãããªããã°ãªããŸããã
ç¡ç ããŒã¿ã®è§£éïŒã°ããŒãã«ã¬ã€ã
ç¡ç ãã¯ãããžãŒãéžæããããŒã¿ã®åéãéå§ããããæ¬¡ã®ã¹ãããã¯çµæãè§£éããããšã§ããç¡ç ããŒã¿ã®äž»èŠãªææšãšåŸåãçè§£ããããšã¯ãæ¹åã®äœå°ãç¹å®ããã®ã«åœ¹ç«ã¡ãŸããæãäžè¬çãªç¡ç ææšã®ã¬ã€ãã以äžã«ç€ºããŸãã
- ç¡ç æéïŒç¡ç ã«è²»ããããåèšæéãæäººã¯éåžžãäžæ©ããã7ã9æéã®ç¡ç ãå¿ èŠã§ããæåçèŠç¯ãšå€åã¹ã±ãžã¥ãŒã«ã¯ãããŸããŸãªå°åã§ã®ç¡ç æéã«å€§ããªåœ±é¿ãäžããå¯èœæ§ããããŸããããšãã°ãã·ãšã¹ã¿æåã§ã¯ãå€ãã®å ŽåãååŸã®ä»®ç ãçµã¿èŸŒãŸããŠãããå€éã®ç¡ç æéãçããªããŸãã
- å ¥ç æœæïŒå°±å¯ããŠããå¯ä»ããŸã§ã®æéãçæ³çã«ã¯ãããã¯30åæªæºã§ããå¿ èŠããããŸããã¹ãã¬ã¹ãã«ãã§ã€ã³æåãå°±å¯åã®ç»é¢æéãªã©ã®èŠå ããå ¥ç æœæã«åœ±é¿ãäžããå¯èœæ§ããããŸãã
- ç¡ç äžã®èŠéïŒWASOïŒïŒæåã«å¯ä»ããŠããèµ·ããŠããæéãé »ç¹ãŸãã¯é·æéã«ãããèŠéã¯ãåºç€ãšãªãç¡ç ã®åé¡ã瀺ãå¯èœæ§ããããŸãã
- ç¡ç å¹çïŒãããã§ç¡ç ã«è²»ããããæéã®å²åãç¡ç å¹çã85ïŒ ä»¥äžã§ããã°ãäžè¬çã«è¯å¥œãšèŠãªãããŸãã
- ç¡ç 段éïŒåç¡ç 段éïŒNREM 1ãNREM 2ãNREM 3ãããã³REMïŒã«è²»ããããæéãåæ®µéã¯ã身äœçããã³ç²Ÿç¥çãªå埩ã«ãããŠç°ãªã圹å²ãæãããŸãã
- å¿æå€åïŒHRVïŒïŒå¿æéã®æéã®å€åã®å°ºåºŠãHRVã¯ãã¹ãã¬ã¹ãå埩ãããã³å šäœçãªå¥åº·ã®ææšã«ãªãå¯èœæ§ããããŸããHRVãäœããšãå€ãã®å Žåãã¹ãã¬ã¹ãšç¡ç ã®è³ªã®äœäžã«é¢é£ããŠããŸãã
- åŒåžæ°ïŒç¡ç äžã«1åéã«åŒåžããåæ°ãç°åžžãªåŒåžãã¿ãŒã³ã¯ãç¡ç æç¡åŒåžã瀺ãå¯èœæ§ããããŸãã
- ãã³ãïŒãã³ãã®é »åºŠãšåŒ·åºŠããã³ãã¯ãç¡ç æç¡åŒåžã®çç¶ã§ããå¯èœæ§ããããŸãã
ãããã®ææšã¯åãªãã¬ã€ãã©ã€ã³ã§ããããšã«æ³šæããããšãéèŠã§ããåã ã®ç¡ç ã®ããŒãºã¯ã幎霢ãéºäŒãã©ã€ãã¹ã¿ã€ã«ãããã³æåçèŠå ã«ãã£ãŠç°ãªãå ŽåããããŸããããŒãœãã©ã€ãºãããã¢ããã€ã¹ã«ã€ããŠã¯ãå»çå°éå®¶ãŸãã¯ç¡ç å°éå»ã«ãçžè«ãã ããã
ç¡ç ããŒã¿ã®æŽ»çšã«ããæ¹åïŒã°ããŒãã«è¡åèšç»
ç¡ç ããŒã¿ãçè§£ããããç¡ç ã®è³ªãåäžãããããã®æŠç¥ã®å®è£ ãéå§ã§ããŸããå®çšçãªè¡åèšç»ã以äžã«ç€ºããŸãã
1. äžè²«ããç¡ç ã¹ã±ãžã¥ãŒã«ã確ç«ãã
鱿«ã§ããæ¯æ¥åãæéã«å°±å¯ããèµ·åºããŸããããã¯ãæŠæ¥ãªãºã ãšããŠãç¥ãããäœã®èªç¶ãªç¡ç èŠéãµã€ã¯ã«ã調æŽããã®ã«åœ¹ç«ã¡ãŸããããã¯ãé »ç¹ã«æå·®ãè¶ããŠç§»åããå人ã«ãšã£ãŠç¹ã«éèŠã§ããæå·®ãŒããæå°éã«æããããã«ãæ è¡åã«ç¡ç ã¹ã±ãžã¥ãŒã«ãåŸã ã«å€æŽãããªã©ã®æŠç¥ãå®è£ ããŸããããšãã°ããã¥ãŒãšãŒã¯ãããã³ãã³ã«æ è¡ããå Žåãæ è¡ã®æ°æ¥åããå°±å¯ãšèµ·åºãæ©ãå§ããŸãã
2. ãªã©ãã¯ã¹ã§ããå°±å¯åã®ã«ãŒãã³ãäœæãã
å°±å¯ã®åå³ãšããŠãäœãèœã¡çãããããã®ååŒãè¡ããŸããããã«ã¯ãæž©ããã颚åã«å ¥ããæ¬ãèªãããªã©ãã¯ã¹ã§ãã鳿¥œãèŽããçæ³ãå®è·µããããšãªã©ãå«ãŸããŸããå¯ãåã«ç»é¢ãèŠãã®ã¯é¿ããŠãã ãããé»åããã€ã¹ããçºãããããã«ãŒã©ã€ãã¯ãç¡ç ã劚ããå¯èœæ§ããããŸããããã€ã¹ã§ãã«ãŒã©ã€ããã£ã«ã¿ãŒã䜿çšãããããã«ãŒã©ã€ãã«ããã¡ã¬ããççšããããšãæ€èšããŠãã ããã
3. ç¡ç ç°å¢ãæé©åãã
å¯å®€ãæããéãã§ãæ¶Œããããšã確èªããŠãã ãããé®å ã«ãŒãã³ãè³æ ããŸãã¯ãã¯ã€ããã€ãºãã·ã³ã䜿çšããŠãæ°ãæ£ããã®ãæå°éã«æããŸããå¿«é©ãªå®€æž©ïŒéåžžã¯ææ°15ã19床ã®éïŒãç¶æããŸããç¡ç ç°å¢ã®æåçèæ¯ãèæ ®ããŠãã ãããããšãã°ãäžéšã®æåã§ã¯ãåºã«ç¡¬ããããã¬ã¹ã§å¯ãããšãäžè¬çã§ãããä»ã®æåã§ã¯ãæããããããã¬ã¹ãšæã奜ãŸããŸããæåçãªå¥œã¿ãšåã ã®ããŒãºã«åãããŠç¡ç ç°å¢ã調æŽããŸãã
4. ã«ãã§ã€ã³ãšã¢ã«ã³ãŒã«ã®æåãå¶éãã
ç¹ã«å€æ¹ã«ã¯ãã«ãã§ã€ã³ãšã¢ã«ã³ãŒã«ãé¿ããŠãã ãããã«ãã§ã€ã³ã¯ç¡ç ã劚ããå¯èœæ§ãããåºæ¿ç©ã§ãããã¢ã«ã³ãŒã«ã¯ç¡ç æ§é ãæ··ä¹±ãããç¡ç ãæçåããå¯èœæ§ããããŸããã«ãã§ã€ã³ãšã¢ã«ã³ãŒã«ã®åœ±é¿ã¯ãæ¶è²»ãã¿ãŒã³ãšä»£è¬çã®éãã«ãããæåã«ãã£ãŠç°ãªãå ŽåããããŸããããšãã°ãã³ãŒããŒæ¶è²»éãå€ãåœã®å人ã¯ãã«ãã§ã€ã³ã«å¯Ÿããèæ§ãé«ããªãå¯èœæ§ããããŸãã
5. 宿çãªéå
宿çãªèº«äœæŽ»åã¯ç¡ç ã®è³ªãæ¹åã§ããŸãããå°±å¯çŽåã®éåã¯é¿ããŠãã ãããé±ã®ã»ãšãã©ã®æ¥ãå°ãªããšã30åã®äžçšåºŠã®åŒ·åºŠã®éåãç®æšãšããŸããåã ã®å¥œã¿ãšæåçèŠç¯ã«åºã¥ããŠãéåã«æé©ãªæéãæ€èšããŠãã ãããããšãã°ãäžéšã®æåã§ã¯æã«éåããããšã奜ã¿ãä»ã®æåã§ã¯å€æ¹ã«éåããããšã奜ã¿ãŸãã
6. ã¹ãã¬ã¹ã管çãã
ã¹ãã¬ã¹ã¯ç¡ç ã®è³ªã«å€§ããªåœ±é¿ãäžããå¯èœæ§ããããŸãããšã¬ãçæ³ãæ·±åŒåžãªã©ã®ã¹ãã¬ã¹ç®¡çãã¯ããã¯ãå®è·µããŠãã ãããèªåã§ã¹ãã¬ã¹ã管çããã®ã«èŠåŽããŠããå Žåã¯ãå°éå®¶ã®å©ããæ±ããããšãæ€èšããŠãã ãããã¡ã³ã¿ã«ãã«ã¹ãªãœãŒã¹ãšã¹ãã¬ã¹ç®¡çãã¯ããã¯ãžã®ã¢ã¯ã»ã¹ã¯ãæåã«ãã£ãŠç°ãªãå ŽåããããŸããæåçã«é¢é£æ§ã®é«ãã¹ãã¬ã¹è»œæžæŠç¥ãæ€èšããŠãã ããã
7. å»çå°éå®¶ã«ãçžè«ãã ãã
ç¶ç¶çãªç¡ç ã®åé¡ãçµéšããŠããå Žåã¯ãå»çå°éå®¶ãŸãã¯ç¡ç å°éå»ã«ãçžè«ãã ããã圌ãã¯ãåºç€ãšãªãç¡ç é害ãç¹å®ããé©åãªæ²»çãªãã·ã§ã³ãæšå¥šããã®ã«åœ¹ç«ã¡ãŸãããã«ã¹ã±ã¢ãµãŒãã¹ã®å©çšå¯èœæ§ãšã¢ã¯ã»ã¹å¯èœæ§ã¯ãåœã«ãã£ãŠå€§ããç°ãªãå¯èœæ§ããããŸãããäœãŸãã®å°åã®ãã«ã¹ã±ã¢ã·ã¹ãã ã調æ»ããè³æ Œã®ããå°éå®¶ãæ¢ãããã«ããŠãã ããã
äžè¬çãªç¡ç é害ãžã®å¯ŸåŠïŒã°ããŒãã«ãªèŠç¹
ç¡ç ãã¯ãããžãŒã¯ãäžè¬çãªç¡ç é害ãç¹å®ãã管çããäžã§éèŠãªåœ¹å²ãæããå¯èœæ§ããããŸãã以äžã«äŸã瀺ããŸãã
- äžç çïŒå¯ä»ãããšããŸãã¯å¯ç¶ããããšãé£ãããç¡ç ãã©ãã«ãŒã¯ãç¡ç æéãšå ¥ç æœæãã¢ãã¿ãªã³ã°ããäžç çã®éç床ã«é¢ããæŽå¯ãæäŸã§ããŸããäžç çã«å¯Ÿããèªç¥è¡åçæ³ïŒCBT-IïŒã¯å¹æçãªæ²»çæ³ã§ãããé éå»çãã©ãããã©ãŒã ã«ãããäžçäžã§ã¢ã¯ã»ã¹ãããããªã£ãŠããŸãã
- ç¡ç æç¡åŒåžïŒç¡ç äžã«åŒåžãäžæçã«åæ¢ããããšãç¹åŸŽãšããç ç¶ãåšå® ç¡ç æç¡åŒåžæ€æ»ïŒHSATïŒã䜿çšããŠãç¡ç æç¡åŒåžã蚺æã§ããŸããæç¶éœå§åŒåžçæ³ïŒCPAPïŒã¯æãäžè¬çãªæ²»çæ³ã§ããã䜿çšç¶æ³ã远跡ãããã£ãŒãããã¯ãæäŸããã¹ããŒãCPAPãã·ã³ã䜿çšããããšã§ãã³ã³ãã©ã€ã¢ã³ã¹ãåäžãããããšãã§ããŸãã
- ããããèçå矀ïŒRLSïŒïŒè¶³ã®ãããããåãããããšããæããããªãè¡åã§ãäžå¿«ãªæèŠã䌎ãããšããããããŸããç¡ç ãã©ãã«ãŒã¯ãç¡ç äžã®åããã¢ãã¿ãªã³ã°ããRLSã瀺åãããã¿ãŒã³ãç¹å®ã§ããŸããæ²»çæ³ã«ã¯ãè¬ç©çæ³ãšã©ã€ãã¹ã¿ã€ã«ã®å€æŽãå«ãŸããŸãã
- ãã«ã³ã¬ãã·ãŒïŒç¡ç èŠéãµã€ã¯ã«ã調æŽããè³ã®èœåã«åœ±é¿ãäžããç¥çµåŠçé害ãããªãœã ãã°ã©ãã£ãŒïŒPSGïŒã䜿çšããŠããã«ã³ã¬ãã·ãŒã蚺æããŸããæ²»çæ³ã«ã¯ãè¬ç©çæ³ãšè¡åæŠç¥ãå«ãŸããŸãã
ç¡ç ãã¯ãããžãŒã®æªæ¥ïŒã°ããŒãã«ãªå±æ
ç¡ç ãã¯ãããžãŒã®æªæ¥ã¯ææã§ããã粟床ãããŒãœãã©ã€ãºãã¢ã¯ã»ã¹å¯èœæ§ã®åäžã«çŠç¹ãåœãŠãç ç©¶éçºãç¶ç¶çã«è¡ãããŠããŸããæ³šç®ãã¹ãäž»ãªåŸåã以äžã«ç€ºããŸãã
- é«åºŠãªã»ã³ãµãŒïŒããæ£ç¢ºã§é䟵襲çãªã»ã³ãµãŒã®éçºã«ãããããå¹ åºãççåŠçãã©ã¡ãŒã¿ã枬å®ã§ããŸãã
- 人工ç¥èœïŒAIïŒïŒAIã䜿çšããŠç¡ç ããŒã¿ãåæããããŒãœãã©ã€ãºãããæŽå¯ãšæšå¥šäºé ãæäŸããŸãã
- é éå»çïŒç¡ç ã®èšºæãšæ²»çã®ããã®é éå»çãµãŒãã¹ã®æ¡å€§ã«ãããé éå°ããµãŒãã¹ã®è¡ãå±ããªãå°åã®äººã ãããå©çšãããããªããŸãã
- ã¹ããŒãããŒã ã·ã¹ãã ãšã®çµ±åïŒç¡ç ãã¯ãããžãŒãã¹ããŒãããŒã ã·ã¹ãã ãšçµ±åããŠãããæé©åãããããŒãœãã©ã€ãºãããç¡ç ç°å¢ãäœæããŸãã
- ã¡ã³ã¿ã«ãã«ã¹ãžã®æ³šåïŒç¡ç ãšã¡ã³ã¿ã«ãã«ã¹ã®é¢é£æ§ã®èªèãé«ãŸããäž¡æ¹ã«å¯ŸåŠããç¡ç ãã¯ãããžãŒã®éçºã«ã€ãªãããŸãã
å«ççèå¯ãšããŒã¿ã®ãã©ã€ãã·ãŒïŒã°ããŒãã«ãªå¿ é äºé
ç¡ç ãã¯ãããžãŒããŸããŸãæŽç·Žãããã«ã€ããŠãå«ççèå¯ãšããŒã¿ã®ãã©ã€ãã·ãŒã«é¢ããæžå¿µã«å¯ŸåŠããããšãäžå¯æ¬ ã§ãããŠãŒã¶ãŒã¯ãç¡ç ããŒã¿ãã©ã®ããã«åéã䜿çšãå ±æãããŠããããèªèããå¿ èŠããããŸããäŒæ¥ã¯ãããŒã¿ãã©ã€ãã·ãŒããªã·ãŒã«ã€ããŠéææ§ã確ä¿ãããŠãŒã¶ãŒã«ããŒã¿ã®ç®¡çæš©éãäžããå¿ èŠããããŸãããšãŒãããã®GDPRïŒäžè¬ããŒã¿ä¿è·èŠåïŒãªã©ãã°ããŒãã«ãªããŒã¿ãã©ã€ãã·ãŒèŠå¶ãžã®æºæ ãäžå¯æ¬ ã§ãã
çµè«ïŒäžçã®ãŠã§ã«ããŒã€ã³ã°ã®ããã«ç¡ç ãã¯ãããžãŒãåãå ¥ãã
ç¡ç ãã¯ãããžãŒã¯ãç¡ç ã®è³ªãçè§£ããæ¹åããããã®è²ŽéãªããŒã«ãæäŸããŸãããããã®ããŒã«ã掻çšããå¥åº·çãªç¡ç ç¿æ £ãæ¡çšããããšã«ãããäžçäžã®äººã ã¯ã仿¥ã®èŠæ±ã®å³ããç°å¢ã§ãå šäœçãªå¹žçŠãåäžãããç¹æ ããããšãã§ããŸããåã ã®ããŒãºãšå¥œã¿ã«åã£ãç¡ç ãã¯ãããžãŒãéžæããç¡ç ããŒã¿ã泚æããŠè§£éããããŒãœãã©ã€ãºãããã¢ããã€ã¹ã«ã€ããŠã¯å»çå°éå®¶ã«ãçžè«ãã ãããç¡ç è¡çãžã®åãçµã¿ãšçžãŸã£ãŠãç¡ç ãã¯ãããžãŒãåãå ¥ããããšã¯ãäžçã®ã©ãã«ããŠããããå¥åº·çã§ãããçç£çã§ãããå å®ãã人çãžã®éãéãããšãã§ããŸãã