äžçã®äŒçµ±ãšç§åŠçç¥èŠã«åºã¥ãããå®å šã§å¹æçãªå®¶åºçæ³ãæ¢æ±ãæ¥åžžã®å¥åº·åé¡ã«å¯Ÿããèªç¶ãªè§£æ±ºçã§ãèªå·±ç®¡çèœåãé«ããŸãããã
èªç¶ã®çãïŒäžçäžã®äžè¬çãªç æ°ã®ããã®å®¶åºçæ³
仿¥ã®äžçã§ã¯ãå€ãã®äººã ãäžè¬çãªç æ°ã管çããããã«ãåŸæ¥ã®å»çã«ä»£ãããã®ãæ±ããŠããŸãããã®ããã°èšäºã§ã¯ãäžçäžã®æ§ã ãªå®¶åºçæ³ããå©çšå¯èœãªç§åŠçç¥èŠã亀ããŠæ¢æ±ããå¥åº·ãšãŠã§ã«ããŒã€ã³ã°ãžã®èªç¶ãªã¢ãããŒããæäŸããŸãããããã®çæ³ã¯è»œåŸ®ãªç æ°ã®ããã®ãã®ã§ãããæ·±å»ãªç¶æ ã«å¯Ÿããå°éçãªå»çã¢ããã€ã¹ã«ä»£ãããã®ã§ã¯ãªãããšãèŠããŠããããšãéèŠã§ããç¹ã«åºç€çŸæ£ãããå Žåãè¬ãæçšããŠããå Žåã¯ãæ°ããæ²»çãå§ããåã«å¿ ãå»åž«ã«çžè«ããŠãã ããã
å®¶åºçæ³ãçè§£ãã
å®¶åºçæ³ãšã¯ãçç¶ãç·©åãæ²»çãä¿é²ããããã«ãæè»œã«å ¥æã§ããææãå®è·µæ¹æ³ãå©çšããäŒçµ±çãªæ²»çæ³ã§ãããããã¯ãã°ãã°æåçäŒçµ±ããåŒãç¶ãããäžä»£ããäžä»£ãžãšåãç¶ãããŠããŸãããç§åŠçã«åŒ·åãªè£ä»ããããçæ³ãããã°ãéžè©±çãªèšŒæ ã«åºã¥ããŠãããã®ããããŸãããã®èšäºã§ã¯ãåçæ³ã®æœåšçãªå©ç¹ãšéçã®äž¡æ¹ã«çŠç¹ãåœãŠããã©ã³ã¹ã®åããèŠç¹ãæäŸããããšãç®æããŸãã
颚éªãšã€ã³ãã«ãšã³ã¶ã®ããã®çæ³
1. æ°Žåè£çµŠãéµ
颚éªãã€ã³ãã«ãšã³ã¶ãšéãéã«ã¯ãæ°Žåè£çµŠãç¶ããããšãéåžžã«éèŠã§ããæ°ŽãããŒããã£ãŒãéæãªã¹ãŒãã¯ãç²æ¶²ãèãã錻ã¥ãŸããåãããè±æ°Žçç¶ãé²ãã®ã«åœ¹ç«ã¡ãŸããäžç¢ãååãããå Žåã¯ãé»è§£è³ªæº¶æ¶²ãç¹ã«åœ¹ç«ã¡ãŸããå€ãã®ã¢ãžã¢æååã§ã¯ãæž©ãããç²¥ïŒç±³ã®ç²¥ã®äžçš®ïŒã颚éªãæ¶åäžè¯ã®å®çªã®æ²»çæ³ã§ãã
2. èžæ°åžå ¥
èžæ°åžå ¥ã¯ã錻ã¥ãŸããåããã錻è ãæ¥œã«ããã®ã«åœ¹ç«ã¡ãŸãããæ¹¯ãå ¥ããããŠã«ã«ãŠãŒã«ãªããããŒãã³ãã®ãšãã»ã³ã·ã£ã«ãªã€ã«ãæ°æ»Žå ããé ãã¿ãªã«ã§èŠãã5ã10åéæ·±ãåžã蟌ã¿ãŸããæ³šæïŒç±æ¹¯ã§ç«å·ããªãããã«æ³šæããŠãã ããã
3. ã¯ã¡ã¿ã€ãšã¬ã¢ã³
ãæ¹¯ã«ã¯ã¡ã¿ã€ãšã¬ã¢ã³ãæ··ãããã®ã¯ãåã®çã¿ãå³ãåãããçæ³ã§ããã¯ã¡ã¿ã€ã«ã¯æèäœçšããããççãèµ·ãããçµç¹ãé®ããã®ã«åœ¹ç«ã¡ãŸããã¬ã¢ã³ã¯å ç«ç³»ããµããŒããããã¿ãã³CãæäŸããŸãããArchives of Pediatrics & Adolescent Medicineãèªã«æ²èŒãããç ç©¶ã§ã¯ãäžæ°éææçã«ããå€éã®å³ãæã€åäŸã«ãããŠãã¯ã¡ã¿ã€ã峿¢ãè¬ããã广çã§ããããšã瀺ãããŸãããïŒãããªãã¹çã®ãªã¹ã¯ãããããã1æ³æªæºã®åäŸã«ã¯ã¡ã¿ã€ãäžããåã«ã¯å¿ ãå°å ç§å»ã«çžè«ããŠãã ãããïŒã©ãã³ã¢ã¡ãªã«ã®å€ãã®å°åã§ã¯ã*ãã³ãã§*ãšåŒã°ããåæ§ã®é£²ã¿ç©ãã·ãã¢ã³ãã¯ããŒããªã©ã®ã¹ãã€ã¹ãå ããŠäœãããŸãã
4. çå§ïŒãžã³ãžã£ãŒïŒ
çå§ã«ã¯æççäœçšãšæé žåäœçšãããã颚éªãã€ã³ãã«ãšã³ã¶ã®çç¶ãåãããã®ã«åœ¹ç«ã¡ãŸãããžã³ãžã£ãŒãã£ãŒã¯åã®çã¿ãåãããåãæ°ãæãã錻ã¥ãŸããç·©åããŸããæ°é®®ãªçå§ã®ã¹ã©ã€ã¹ããæ¹¯ã«æµžããŠãžã³ãžã£ãŒãã£ãŒãäœãããšãã§ããŸããç ç³æŒ¬ãã®çå§ãå€ãã®æåã§äººæ°ã®ããçæ³ã§ããã€ã³ãã®äžéšã§ã¯ãçå§ã¯ãã°ãã°ã¯ã¡ã¿ã€ãšé»è¡æ€ãšçµã¿åãããã匷åãªé¢šéªè¬ãšããŠäœ¿ãããŸãã
5. ãã³ãã¯
ãã³ãã¯ã«ã¯æãŠã€ã«ã¹äœçšãšæèäœçšãæã€ååç©ãã¢ãªã·ã³ãå«ãŸããŠããŸãããã³ãã¯ãæåããããšã¯ã颚éªã®æéãççž®ããã®ã«åœ¹ç«ã€å¯èœæ§ããããŸããé£äºã«ãã³ãã¯ãå ãããããã³ãã¯ãµããªã¡ã³ããæåãããã§ããŸããäŒçµ±çãªçæ³ã«ã¯çã®ãã³ãã¯ãé£ã¹ããšãããã®ããããŸãããããã¯ããªã匷çã§ããããŒã¹ããããã³ãã¯ã¯ãããã€ã«ãã§æ¶åããããã§ãããšãŒãããå šåã§ããã³ãã¯ã¹ãŒãã¯é¢šéªãã€ã³ãã«ãšã³ã¶ã«å¯Ÿãã人æ°ã®çæ³ã§ãã
æ¶ååšç³»ã®åé¡ã®ããã®çæ³
1. ãããŒãã³ããã£ãŒ
ãããŒãã³ããã£ãŒã¯ãæ¶åäžè¯ãèšæºæãã¬ã¹ã®ç·©åã«åœ¹ç«ã¡ãŸãããããŒãã³ãã«ã¯é®çäœçšããããæ¶å管ã®çèããªã©ãã¯ã¹ãããããšãã§ããŸããäžè¬çã«å®å šãšãããŠããŸãããGERDïŒèé£ééæµçïŒã®äººã¯çç¶ãæªåãããããšããããããæ³šæãå¿ èŠã§ããäžæ±ãåã¢ããªã«ã§ã¯ããããŒãã³ããã£ãŒã¯é£åŸã®æ¶åãå©ããäžè¬çãªé£²ã¿ç©ã§ãã
2. åãæ°ã«å¯Ÿããçå§
çå§ã¯ãä¹ãç©é ããåŠåš ãååŠçæ³ã«ããåãæ°ã軜æžããã®ã«å¹æçã§ããçå§ã«å«ãŸããååç©ã§ãããžã³ã²ããŒã«ãããã®å¶åå¹æãæ ã£ãŠãããšèããããŠããŸããçå§ã«ãã»ã«ãæåããããïŒæ¬ç©ã®çå§ãå«ãïŒãžã³ãžã£ãŒãšãŒã«ã飲ãã ãããžã³ãžã£ãŒãã£ã³ãã£ãŒãåãã ãããããšãã§ããŸããå€ãã®ã¢ãžã¢æåã§ã¯ã寿åžã«æ·»ããããã¬ãªããçå§é¢šå³ã®ã¹ãŒããŸã§ãæ§ã ãªåœ¢ã§çå§ãåãæ°å¯Ÿçã«å©çšãããŠããŸãã
3. ã«ã¢ããŒã«ãã£ãŒ
ã«ã¢ããŒã«ãã£ãŒã«ã¯æççäœçšãšé®çäœçšããããèã®äžèª¿ãåãããã¬ã¹ãç·©åããã®ã«åœ¹ç«ã¡ãŸãããŸããæ¶ååšç³»ã®åé¡ã®åå ãšãªãããã¹ãã¬ã¹ã軜æžããé®é广ããããŸããã«ã¢ããŒã«ãã£ãŒã¯å€ãã®ãšãŒããã諞åœã§ãå°±å¯åã®èœã¡çãããã®é£²ã¿ç©ãšããŠåºã飲ãŸããŠããŸãã
4. ãããã€ãªãã£ã¯ã¹å ¥ããšãŒã°ã«ã
çãããŸãŸã®å¹é€èïŒãããã€ãªãã£ã¯ã¹ïŒãå«ããšãŒã°ã«ãã¯ãæçç©è³ªãã¹ãã¬ã¹ããŸãã¯äžé©åãªé£äºã«ãã£ãŠä¹±ããã¡ãªè žå 现èã®ãã©ã³ã¹ãå埩ãããã®ã«åœ¹ç«ã¡ãŸãããããã€ãªãã£ã¯ã¹ã¯æ¶åãæ¹åããå ç«ç³»ã匷åããäžç¢ãé²ãããšãã§ããŸããã©ã¯ãããã«ã¹å±ãããã£ããã¯ããªãŠã å±ã®ãããªèæ ªãå«ããšãŒã°ã«ããæ¢ããŠãã ããããã ããã¶ã¯ãŒã¯ã©ãŠãã®ãããªçºé µé£åããããã€ãªãã£ã¯ã¹ã®åªããäŸçµŠæºã§ãããããããéåœæçãšãã€ãæçã®å®çªã§ãã
5. BRATãã€ãšãã
BRATãã€ãšããïŒããããç±³ãã¢ããã«ãœãŒã¹ãããŒã¹ãïŒã¯ãèã®äžèª¿ãåãããäžç¢ãé²ãã®ã«åœ¹ç«ã€ç¡åºæ¿é£ã§ãããããã®é£åã¯æ¶åããããã䟿ãåºããã®ã«åœ¹ç«ã¡ãŸããæ°åãè¯ããªã£ãŠããããåŸã ã«ä»ã®é£åãåå°å ¥ããããšãéèŠã§ãããã®é£äºæ³ã¯äžçäžã§æšå¥šãããŠããŸãããäžç¢ãååã§å€±ãããé»è§£è³ªãè£çµŠããããã«é»è§£è³ªã远å ããããšãäžå¯æ¬ ã§ãã
ç®èã®ççã®ããã®çæ³
1. ã¢ããšãã©
ã¢ããšãã©ãžã§ã«ã«ã¯ãæ¥çŒãã軜床ã®ç«å·ãç®èã®ççãæ²»çããã®ã«åœ¹ç«ã€é®éäœçšãšæççäœçšããããŸããã¢ããšãã©ãžã§ã«ãæ£éšã«çŽæ¥å¡åžããŸããã¢ããšãã©ã®æ€ç©ã¯äžçäžãç¹ã«ç±åž¯å°åã§æ œå¹ãããŠãããäžè¬çãªå®¶åºçæ³ã§ãã
2. ãªãŒãããŒã«é¢šå
ãªãŒãããŒã«é¢šåã¯ã湿ç¹ããã¿ãŠã«ã·ã也ç¥èã«ããããã¿ãççãåãããã®ã«åœ¹ç«ã¡ãŸããã³ãã€ãç¶ãªãŒãããŒã«ïŒçްããæœãããªãŒãããŒã«ïŒãæž©ããã颚åã«å ãã15ã20åéæµžãããŸãããªãŒãããŒã«ã«ã¯æççäœçšãšä¿æ¹¿äœçšããããåºæ¿ãåããèãèœã¡çãããããšãã§ããŸãããªãŒãããŒã«é¢šåã¯äžçäžã®ç®èç§å»ã«ãã£ãŠæšå¥šãããŠããŸãã
3. ã³ã³ããããªã€ã«
ã³ã³ããããªã€ã«ã¯ã也ç¥ããŠãããèãèœã¡çãããã®ã«åœ¹ç«ã€å€©ç¶ã®ä¿æ¹¿å€ã§ãããŸããææãé²ãã®ã«åœ¹ç«ã€æèäœçšãšæçèäœçšããããŸããã·ã£ã¯ãŒãå ¥æµŽåŸã«ã³ã³ããããªã€ã«ãçŽæ¥èã«å¡ããŸããç±åž¯å°åã§ã¯ãã³ã³ããããªã€ã«ã¯äœäžçŽã«ãããã£ãŠèã®ä¿æ¹¿å€ããã³ä¿è·å€ãšããŠäœ¿çšãããŠããŸããã
4. ãã£ãŒããªãŒãªã€ã«
ãã£ãŒããªãŒãªã€ã«ã«ã¯ãããããçèææçãè«åºããã®æ²»çã«åœ¹ç«ã€æ¶æ¯äœçšãšæççäœçšããããŸãããã£ãŒããªãŒãªã€ã«ããã£ãªã¢ãªã€ã«ïŒã³ã³ããããªã€ã«ããªãªãŒããªã€ã«ãªã©ïŒã§åžéããæ£éšã«å¡åžããŸãããã£ãŒããªãŒãªã€ã«ã¯ãªãŒã¹ãã©ãªã¢åç£ã§ãæ§ã ãªç®èã®ç¶æ ã«å¯Ÿãã人æ°ã®çæ³ã§ãã
5. ã«ã¬ã³ãã¥ã©ã¯ãªãŒã
ããªãŒãŽãŒã«ãã®è±ããæœåºãããã«ã¬ã³ãã¥ã©ã¯ãªãŒã ã«ã¯ãæççäœçšãšåµå·æ²»çäœçšããããŸãã軜床ã®åãå·ãæŠãå·ãç«å·ãçºç¹ã®æ²»çã«äœ¿çšã§ããŸããè¬å±ãèªç¶å¥åº·é£ååºã§åºãå ¥æå¯èœã§ããã«ã¬ã³ãã¥ã©ã®æ²»çç¹æ§ã¯ããšãŒããããå°äžæµ·å°åã®äŒçµ±å»åŠã§èªèãããŠããŸãã
é çã®ããã®çæ³
1. æ°Žåè£çµŠ
è±æ°Žã¯é çã®äžè¬çãªåŒãéã«ãªãããšããããŸããååãªæ°Žã飲ãããšã§ããã°ãã°é çãåãããŸãã1æ¥ã«å°ãªããšãã³ãã8æ¯ã®æ°Žãç®æšã«ããŸãããã
2. ãããŒãã³ããªã€ã«
ãããã¿ãé¡ã«ãããŒãã³ããªã€ã«ãå¡ããšãç·åŒµåé çãåãããã®ã«åœ¹ç«ã¡ãŸãããããŒãã³ããªã€ã«ã«ã¯å·åŽäœçšãšé®çäœçšããããŸããèã«å¡ãåã«ããããŒãã³ããªã€ã«ããã£ãªã¢ãªã€ã«ïŒããããªã€ã«ãªã©ïŒã§åžéããŠãã ããããCephalalgiaãèªã«æ²èŒãããå°èŠæš¡ãªç ç©¶ã§ã¯ããããŒãã³ããªã€ã«ãç·åŒµåé çã®çã¿ã軜æžããã®ã«å¹æçã§ããããšãããããŸããã
3. ã©ãã³ããŒãªã€ã«
ã©ãã³ããŒãªã€ã«ã«ã¯ãã¹ãã¬ã¹é¢é£ã®é çãåãããã®ã«åœ¹ç«ã€é®éã»ãªã©ãã¯ã¹äœçšããããŸãããã£ãã¥ãŒã¶ãŒã䜿ã£ãŠã©ãã³ããŒãªã€ã«ãåžå ¥ãããããããã¿ãéŠã«å¡åžããŸããã©ãã³ããŒã¯ããã®é®éäœçšãšé çç·©åäœçšã®ããã«ã¢ãããã©ããŒã§åºã䜿çšãããŠããŸããç¹ã«ãã©ã³ã¹ãªã©ãšãŒãããå šåã§æ œå¹ã»äœ¿çšãããŠããŸãã
4. ãã°ãã·ãŠã ãè±å¯ãªé£å
ãã°ãã·ãŠã æ¬ ä¹ã¯é çãšé¢é£ããŠããããšãåãã£ãŠããŸããç·é»è²éèãããããçš®åãªã©ã®ãã°ãã·ãŠã ãè±å¯ãªé£åãé£ã¹ãããšã¯ãé çã®äºé²ã«åœ¹ç«ã¡ãŸãããã°ãã·ãŠã ã®ãµããªã¡ã³ããå©çšã§ããŸããã«ããã£ã®çš®ãã¢ãŒã¢ã³ãã¯åªããäŸçµŠæºã§ãã
5. ã«ãã§ã€ã³
ã«ãã§ã€ã³ã¯è³ã®è¡ç®¡ãåçž®ãããããšã§é çãåãããã®ã«åœ¹ç«ã¡ãŸããããããã«ãã§ã€ã³é¢è±ãé çãåŒãèµ·ããå¯èœæ§ããããããé©åºŠã«æåããããšãéèŠã§ããã³ãŒããŒãçŽ è¶ãäžæ¯é£²ããšãæã«ã¯æ¥œã«ãªãããšããããŸããéå°ãªã«ãã§ã€ã³æåã¯åè·³æ§é çã«ã€ãªããå¯èœæ§ãããããæ³šæããŠãã ãããã«ãã§ã€ã³ã¯ã³ãŒããŒãçŽ è¶ãããè¶ãªã©ãæ§ã ãªåœ¢ã§äžçäžã§æ¶è²»ãããŠããŸãã
ç¡ç é害ã®ããã®çæ³
1. ã«ã¢ããŒã«ãã£ãŒ
ã«ã¢ããŒã«ãã£ãŒã«ã¯ç¡ç ãä¿é²ããé®éäœçšããããŸããå¯ãåã«ã«ã¢ããŒã«ãã£ãŒãäžæ¯é£²ã¿ãŸããããããã«ã¯ã¢ãã²ãã³ãšããæé žåç©è³ªãå«ãŸããŠãããè³å ã®ç¹å®ã®å容äœã«çµåããŠç æ°ãä¿é²ããäžç çã軜æžããå¯èœæ§ããããŸããã«ã¢ããŒã«ã¯ãšãŒããããåç±³ã§ç¡ç è£å©è¬ãšããŠåºã䜿çšãããŠããŸãã
2. ã©ãã³ããŒãªã€ã«
ã©ãã³ããŒãªã€ã«ã«ã¯ç¡ç ã®è³ªãåäžããããªã©ãã¯ã¹äœçšããããŸããå¯å®€ã§ã©ãã³ããŒãã£ãã¥ãŒã¶ãŒã䜿çšããããå¯ãåã«æã«ã©ãã³ããŒãªã€ã«ãæ°æ»ŽåãããŸããã©ãã³ããŒãåžå ¥ãããšãäžå®ãåããããªã©ã¯ãŒãŒã·ã§ã³ãä¿é²ãããŸããç¡ç ä¿é²ãšã¹ãã¬ã¹è»œæžã®ããã«ãã¢ãããã©ããŒã§äžççã«äœ¿çšãããŠããŸãã
3. æž©ããçä¹³
å¯ãåã®æž©ããçä¹³äžæ¯ã¯ãç¡ç ãä¿é²ããã®ã«åœ¹ç«ã¡ãŸããçä¹³ã«ã¯ãäœãç¡ç ã調ç¯ãããã«ã¢ã³ã§ããã¡ã©ããã³ã«å€æããã¢ããé žãããªãããã¡ã³ãå«ãŸããŠããŸãããã®æž©ãããå¿å°ããããªã©ãã¯ã¹å¹æããããŸããããã¯å€ãã®æåã§äžç çã«å¯ŸããäŒçµ±çãªçæ³ã§ãã
4. ãã¬ãªã¢ã³ã«ãŒã
ãã¬ãªã¢ã³ã«ãŒãã¯ãäžç çãäžå®ã軜æžããã®ã«åœ¹ç«ã€ããŒãçæ³ã§ããå¯ãåã«ãã¬ãªã¢ã³ã«ãŒãã®ã«ãã»ã«ãæåãããããã¬ãªã¢ã³ã«ãŒããã£ãŒã飲ã¿ãŸããè³å ã®GABAïŒã¬ã³ãã¢ããé ªé žïŒã®ã¬ãã«ã«åœ±é¿ãäžãããªã©ã¯ãŒãŒã·ã§ã³ãšç¡ç ãä¿é²ãããšèããããŠããŸãããã¬ãªã¢ã³ã«ãŒãã¯ãšãŒãããã§èªç¶ãªç¡ç è£å©è¬ãšããŠäžè¬çã«äœ¿çšãããŠããŸãã
5. ãã°ãã·ãŠã
ãã°ãã·ãŠã äžè¶³ã¯ç¡ç ã劚ããå¯èœæ§ããããŸããå¯ãåã«ãã°ãã·ãŠã ã®ãµããªã¡ã³ããæåãããããã°ãã·ãŠã ãè±å¯ãªé£åãé£ã¹ãããããšãç¡ç ã®è³ªãåäžããŸãããã°ãã·ãŠã ã¯ç¡ç ã«é¢äžããç¥çµäŒéç©è³ªã調ç¯ããã®ã«åœ¹ç«ã¡ãŸãããšããœã ãœã«ããã¹ãç®èããåžåããããã°ãã·ãŠã æºã§ãã
éèŠãªèæ ®äºé
- å人差ïŒãã人ã«å¹æããã£ãŠããå¥ã®äººã«ã¯å¹æããªãå ŽåããããŸããèªåã«æãåããã®ãèŠã€ããããã«è©ŠããŠã¿ãããšãéèŠã§ãã
- çç¶ã®éãïŒå®¶åºçæ³ã¯è»œåºŠããäžç床ã®çç¶ã«æãé©ããŠããŸããçç¶ãéãå Žåãæç¶ããå Žåã¯ãå»åž«ã«çžè«ããŠãã ããã
- åºç€çŸæ£ïŒç³å°¿ç ãå¿èç ãè èç ãªã©ã®åºç€çŸæ£ãããå Žåã¯ãå®¶åºçæ³ã詊ãåã«å»åž«ã«çžè«ããŠãã ããã
- è¬ãšã®çžäºäœçšïŒäžéšã®å®¶åºçæ³ã¯è¬ãšçžäºäœçšããå¯èœæ§ããããŸããç¹ã«åŠæ¹è¬ãæçšããŠããå Žåã¯ã䜿çšããŠããå®¶åºçæ³ã«ã€ããŠå¿ ãå»åž«ã«äŒããŠãã ããã
- ã¢ã¬ã«ã®ãŒïŒæœåšçãªã¢ã¬ã«ã®ãŒã«æ³šæããŠãã ããããããŸãããçºç¹ãåŒåžå°é£ãªã©ã®ã¢ã¬ã«ã®ãŒåå¿ãåºãå Žåã¯ããã®çæ³ã®äœ¿çšãäžæ¢ããå»çæ©é¢ãå蚺ããŠãã ããã
- åŠåš ãšæä¹³ïŒåŠåš äžãæä¹³äžã®å¥³æ§ã«ãšã£ãŠå®å šã§ãªãå®¶åºçæ³ããããŸããåŠåš äžãæä¹³äžã®æ¹ã¯ãå®¶åºçæ³ã䜿çšããåã«å»åž«ã«çžè«ããŠãã ããã
äžçã®äŒçµ±ãšå®¶åºçæ³
å®¶åºçæ³ã¯æåãå°åã«ãã£ãŠå€§ããç°ãªããŸããåæåã«ã¯ãäžä»£ãè¶ ããŠåãç¶ãããŠããç¬èªã®äŒçµ±çãªå®è·µæ¹æ³ããããŸããäŸãã°ïŒ
- ã¢ãŒãŠã«ãŽã§ãŒãïŒã€ã³ãïŒïŒããŒããé£äºãçæŽ»ç¿æ £ã®å€æŽãçšããŠå¥åº·ãšãŠã§ã«ããŒã€ã³ã°ãä¿é²ããŸããäžè¬çãªçæ³ã«ã¯ãççã«å¯Ÿããã¿ãŒã¡ãªãã¯ãæ¶åã«å¯Ÿããçå§ãã¹ãã¬ã¹ã«å¯Ÿãããã¥ã«ã·ãŒïŒããŒãªãŒããžã«ïŒãªã©ããããŸãã
- äŒçµ±äžåœå»åŠïŒäžåœïŒïŒ*æ°*ïŒãšãã«ã®ãŒïŒã®ãã©ã³ã¹ãéèŠããéŒæ²»çãæŒ¢æ¹è¬ãé£äºçæ³ãçšããŠç æ°ãæ²»çããŸããçå§ãé«éºäººåãæ§ã ãªè¬èè¶ãé »ç¹ã«äœ¿çšãããŸãã
- äŒçµ±ã¢ããªã«å»åŠïŒåçã®æ€ç©ãšç²Ÿç¥çãªå®è·µã«äŸåããŠå¥åº·åé¡ã«å¯ŸåŠããŸããè¬çšæ€ç©ã®ç¥èã¯ãã°ãã°å£æ¿ã§äŒããããŸãã
- äŒçµ±ãšãŒãããããŒãåŠïŒäœäžçŽãåã«ããã®ãŒããã«ã¢ããŒã«ãã©ãã³ããŒããšã«ããŒãã©ã¯ãŒãªã©ã®ããŒãã䜿çšããŠæ§ã ãªç æ°ãæ²»çããŸãã
- äŒçµ±å äœæ°å»åŠïŒã¢ã¡ãªã«å€§éžïŒïŒåšæ¥ã®æ€ç©ãšç²Ÿç¥çãªå®è·µãçšããŠæ²»çããå¥åº·ãç¶æããŸããç¹å®ã®æ€ç©ã¯å°åã«ãã£ãŠç°ãªããŸãã
çµè«
å®¶åºçæ³ã¯ãäžè¬çãªç æ°ã管çããããã®å®å šã§å¹æçãªæ¹æ³ãšãªãåŸãŸããåçæ³ã®æœåšçãªå©ç¹ãšéçãçè§£ããå¿ èŠã«å¿ããŠå»åž«ã«çžè«ããããšã§ãèªåã®å¥åº·ãšãŠã§ã«ããŒã€ã³ã°ã管çããåãåŸãããšãã§ããŸãããã®æ å ±ã¯æè²ç®çã®ã¿ã§ãããå°éçãªå»çã¢ããã€ã¹ã®ä»£ããã«ã¯ãªããŸããããããªãç ç¶ã®èšºæãæ²»çã«ã€ããŠããå¿ ãè³æ Œã®ããå»çæäŸè ã«çžè«ããŠãã ãããäžçã®äŒçµ±ã®ç¥æµãåãå ¥ãã€ã€ããå¿ èŠãªãšãã«ã¯å°éçãªå»çæå°ãæ±ããããšã§ãåžžã«èªèº«ã®å®å šãšãŠã§ã«ããŒã€ã³ã°ãæåªå ããŠãã ããã
å 責äºé ïŒãã®ããã°èšäºã§æäŸãããæ å ±ã¯ãäžè¬çãªç¥èãšæ å ±æäŸã®ã¿ãç®çãšããŠãããå»åŠçã¢ããã€ã¹ãæ§æãããã®ã§ã¯ãããŸãããå¥åº·äžã®æžå¿µãããå ŽåããŸãã¯ãèªèº«ã®å¥åº·ãæ²»çã«é¢ããæ±ºå®ãäžãåã«ã¯ãè³æ Œã®ããå»çå°éå®¶ã«çžè«ããããšãäžå¯æ¬ ã§ãã