æé«ã®ããã©ãŒãã³ã¹ã®ããã«ç¡ç ãæé©åããŸãããããã®å æ¬çãªã¬ã€ãã¯ãç¡ç ã®è³ªãåäžãããç¡ç é害ã管çãããŠã§ã«ããŒã€ã³ã°ãæå€§åããããã®å®è·µçãªæŠç¥ãæäŸããŸãã
æœåšèœåãè§£ãæŸã€ïŒç¡ç æé©åã®ããã®ã°ããŒãã«ã¬ã€ã
ç¡ç ã¯ãæ é€ãéåãšåæ§ã«ã人éã«ãšã£ãŠåºæ¬çãªããŒãºã§ããããããããŒã¹ã®éãçŸä»£ç€ŸäŒã§ã¯ãç¡ç ã¯æåã«ç ç²ã«ãããã¡ã§ãããã®å æ¬çãªã¬ã€ãã§ã¯ãç¡ç ã®ç§åŠãæ¢æ±ããç¡ç ã®è³ªãæé©åããããã®å®è·µçãªæŠç¥ãæäŸããäžè¬çãªç¡ç é害ã«å¯ŸåŠããŸããããªããæ±äº¬ã®åŠçã§ããããšããã³ãã³ã®èµ·æ¥å®¶ã§ããããšãããšãã¹ã¢ã€ã¬ã¹ã®ãªã¢ãŒãã¯ãŒã«ãŒã§ããããšããã®ã¬ã€ãã¯ããè¯ãç¡ç ãéããŠããªãã®æœåšèœåãè§£ãæŸã€ããã®ç¥èãšããŒã«ãæäŸããŸãã
ãªãç¡ç ã®æé©åãéèŠãªã®ãïŒ
ç¡ç ã¯åã«äŒæ¯æãåŸãããã ãã®ãã®ã§ã¯ãããŸãããå¥åº·ãšãŠã§ã«ããŒã€ã³ã°ã®ã»ãŒãã¹ãŠã®åŽé¢ã«åœ±é¿ãäžããè€éãªçç©åŠçããã»ã¹ã§ããç¡ç äžè¶³ã¯ã以äžã®ãããªæ§ã ãªæªåœ±é¿ãšé¢é£ããŠããŸãïŒ
- èªç¥æ©èœã®äœäžïŒ éäžå°é£ãèšæ¶é害ãåé¡è§£æ±ºèœåã®äœäžã
- æ ¢æ§çŸæ£ã®ãªã¹ã¯å¢å ïŒ å¿èç ãè³åäžã2åç³å°¿ç ãè¥æºã
- å ç«ã·ã¹ãã ã®åŒ±äœåïŒ ææçãç æ°ã«ãããããããªãã
- æ°åéå®³ïŒ äžå®ããã€ç ãã€ã©ã€ã©ã®ãªã¹ã¯å¢å ã
- çç£æ§ã®äœäžïŒ ä»äºã®ããã©ãŒãã³ã¹ãšå¹çã®äœäžã
- å®å šäžã®æžå¿µïŒ äºæ ãæªæã®ãªã¹ã¯å¢å ã
éã«ãæé©åãããç¡ç ã¯ã以äžã®ç¹ã§å€§å¹ ãªæ¹åã«ã€ãªããå¯èœæ§ããããŸãïŒ
- èªç¥æ©èœã®åäžïŒ èšæ¶åãéäžåãåŠç¿èœåã®åŒ·åã
- ãšãã«ã®ãŒã¬ãã«ã®åäžïŒ èäœçããã³ç²Ÿç¥çãªã¹ã¿ããã®å¢åŒ·ã
- å ç«ã·ã¹ãã ã®åŒ·åïŒ ç æ°ã®ãªã¹ã¯äœæžãšå埩ã®è¿ éåã
- æ°åã®æ¹åïŒ ã¹ãã¬ã¹ãäžå®ããã€ç ã®è»œæžã
- çç£æ§ã®åäžïŒ ä»äºã®ããã©ãŒãã³ã¹ãšå¹çã®åäžã
- 身äœçå¥åº·ã®æ¹åïŒ æ ¢æ§çŸæ£ã®ãªã¹ã¯äœæžã
ç¡ç ã®ç§åŠãçè§£ãã
ç¡ç ãæé©åããããã«ã¯ããã®æ ¹åºã«ããç§åŠãçè§£ããããšãäžå¯æ¬ ã§ããç¡ç ã¯äž»ã«2ã€ã®ããã»ã¹ã«ãã£ãŠèª¿ç¯ãããŠããŸãïŒ
1. ãµãŒã«ãã£ã¢ã³ãªãºã ïŒããªãã®äœå æèš
ãµãŒã«ãã£ã¢ã³ãªãºã ã¯ãç¡ç ãšèŠéã®ãµã€ã¯ã«ããã«ã¢ã³åæ³ããã®ä»ã®ççåŠçããã»ã¹ã調ç¯ãã24æéã®äœå æèšã§ããããã¯äž»ã«å ãžã®æŽé²ã«ãã£ãŠåœ±é¿ãåããŸããå ãç®ã«å ¥ããšãè³ã«ä¿¡å·ãéãããç æ°ãä¿é²ãããã«ã¢ã³ã§ããã¡ã©ããã³ã®çæãæå¶ãããŸããæããªããšã¡ã©ããã³ã®ã¬ãã«ãäžæããç æ°ãæããããã«ãªããŸãã
å®è·µçãªãã³ãïŒ æ¥äžãç¹ã«ååäžã«æããå ãæµŽã³ãŠããµãŒã«ãã£ã¢ã³ãªãºã ãæŽããŸããããå°±å¯ã®å°ãªããšã1æéåã«ã¯ãæããç»é¢ïŒã¹ããŒããã©ã³ãã¿ãã¬ãããã³ã³ãã¥ãŒã¿ãŒïŒãé¿ããŠãã ããã
2. ç¡ç å§ïŒç¡ç ãžã®æ¬²æ±
ç¡ç å§ïŒç¡ç ãã©ã€ããšãåŒã°ããïŒã¯ãæ¥äžã«åŸã ã«èç©ãããŠããç æ°ã®ããšã§ããããã¯äž»ã«ãç æ°ãä¿é²ããååŠç©è³ªã§ããã¢ããã·ã³ã®èç©ã«ãã£ãŠåŒãèµ·ããããŸããèµ·ããŠããæéãé·ããã°é·ãã»ã©ãããå€ãã®ã¢ããã·ã³ãèç©ããç æ°ãå¢ããŠãããŸãã
å®è·µçãªãã³ãïŒ é±æ«ãå«ããŠäžè²«ããç¡ç ã¹ã±ãžã¥ãŒã«ãç¶æããç¡ç å§ã調æŽããŸããããé床ã®ã«ãã§ã€ã³ãã¢ã«ã³ãŒã«ã®æåã¯ãç¡ç å§ã劚ããå¯èœæ§ãããããé¿ããŠãã ããã
ç¡ç ã®æ®µé
ç¡ç ã¯åäžãªç¶æ ã§ã¯ãããŸãããå€éãç¹°ãè¿ãããããã€ãã®ç°ãªã段éã§æ§æãããŠããŸãïŒ
- ã¹ããŒãž1ïŒãã³ã¬ã ç¡ç 1ïŒïŒ ç°¡åã«ç®ãèŠããæµ ãç¡ç 段éã
- ã¹ããŒãž2ïŒãã³ã¬ã ç¡ç 2ïŒïŒ å¿ææ°ãšäœæž©ãäžããå§ãããããæ·±ãç¡ç 段éã
- ã¹ããŒãž3ïŒãã³ã¬ã ç¡ç 3ïŒïŒ åŸæ³¢ç¡ç ãšããŠãç¥ãããæãæ·±ãç¡ç 段éã身äœã®ååŸ©ãšæé·ã«äžå¯æ¬ ã§ãã
- ã¬ã ç¡ç ïŒ é®®æãªå€¢ãšèŠéæã«äŒŒãè³æŽ»åãç¹åŸŽãšããæ¥éçŒçéåç¡ç ãèªç¥æ©èœãšææ åŠçã«éèŠã§ãã
å žåçãªç¡ç ãµã€ã¯ã«ã¯çŽ90ã120åç¶ããŸããå€éããããã®æ®µéãäœåºŠãç¹°ãè¿ããŸããåæ®µéã®å²åã¯å€ãé²ãã«ã€ããŠå€åããå€ã®ååã«ã¯æ·±ãç¡ç ãå€ããåŸåã«ã¯ã¬ã ç¡ç ãå€ããªããŸãã
ã°ããŒãã«ãªç¡ç è¡çïŒããè¯ãç¡ç ã®ããã®å®è·µçãªæŠç¥
ç¡ç è¡çãšã¯ã質ã®è¯ãç¡ç ãä¿é²ããããã®äžé£ã®ç¿æ £ãæ £è¡ãæããŸãã以äžã«ãããªããå®è·µã§ããç§åŠçæ ¹æ ã«åºã¥ããæŠç¥ãããã€ã玹ä»ããŸãïŒ
1. äžè²«ããç¡ç ã¹ã±ãžã¥ãŒã«ãäœæãã
æ¯æ¥åãæéã«å°±å¯ã»èµ·åºãã鱿«ããããå®ãããšã§ããµãŒã«ãã£ã¢ã³ãªãºã ãæŽããŸããããã¯ãã·ããå€åè ãã¿ã€ã ãŸãŒã³ãé »ç¹ã«ç§»åãã人ã«ãšã£ãŠç¹ã«éèŠã§ãããã¥ã³ãã³å€§åŠã®ç ç©¶ã«ãããšãäžè²«ããç¡ç ã¹ã±ãžã¥ãŒã«ãæã€äººã¯ãèªç¥èœåãæ°åãè¯ãããšãããã£ãŠããŸãã
äŸïŒ å¹³æ¥ã«åå7æã«èµ·ããå¿ èŠãããå Žåã鱿«ãå«ããŠæ¯æ©ååŸ11æé ã«å°±å¯ããããšãç®æããŸããããã«ããã8æéã®ç¡ç ã確ä¿ã§ããŸãã
2. ç¡ç ç°å¢ãæé©åãã
æããéãã§ãæ¶Œãããç¡ç ã«é©ããç°å¢ãäœããŸããããé®å ã«ãŒãã³ãè³æ ããŸãã¯ãã¯ã€ããã€ãºãã·ã³ã䜿çšããŠãæ°ãæ£ãããã®ãæå°éã«æããŸããç¡ç ã«çæ³çãªå®€æž©ã¯ãè¯æ°60ã67åºŠïŒææ°15ã19床ïŒã§ãã
äŸïŒ äœãé©åã«ãµããŒãããå¿«é©ãªãããã¬ã¹ãšæã«æè³ããŸããããã¢ã€ãã¹ã¯ã䜿ã£ãŠå ã鮿ããè³æ ã䜿ã£ãŠéšé³ãæžãããŸãã
3. å°±å¯åã®ãã«ãŒã©ã€ããžã®æŽé²ãå¶éãã
é»åæ©åšïŒã¹ããŒããã©ã³ãã¿ãã¬ãããã³ã³ãã¥ãŒã¿ãŒïŒããæŸåºããããã«ãŒã©ã€ãã¯ãã¡ã©ããã³ã®çæãæå¶ããç¡ç ã劚ããå¯èœæ§ããããŸããå°±å¯ã®å°ãªããšã1æéåã«ã¯ãããã®ããã€ã¹ã®äœ¿çšãé¿ããŠãã ããããã䜿çšããªããã°ãªããªãå Žåã¯ããã«ãŒã©ã€ããã£ã«ã¿ãŒããã«ãŒã©ã€ãæŸåºãæžããã¢ããªã®äœ¿çšãæ€èšããŠãã ããã
äŸïŒ ã³ã³ãã¥ãŒã¿ãŒãšã¹ããŒããã©ã³ã«ãã«ãŒã©ã€ããã£ã«ã¿ãŒãã€ã³ã¹ããŒã«ããŸããå°±å¯åã«ã¯é»åæžç±ã®ä»£ããã«çŽã®æ¬ãèªã¿ãŸãã
4. å°±å¯åã®ã«ãã§ã€ã³ãšã¢ã«ã³ãŒã«ãé¿ãã
ã«ãã§ã€ã³ã¯ç¡ç ã劚ããå¯èœæ§ã®ããèŠéå€ã§ããååŸã倿¹ã®ã«ãã§ã€ã³æåã¯é¿ããŸããããã¢ã«ã³ãŒã«ã¯æåã¯ç æ°ãèªããããããŸããããå€äžã«ç¡ç ã劚ããç¡ç ã®è³ªãäœäžãããå¯èœæ§ããããŸãããJournal of Clinical Sleep Medicineãã«æ²èŒãããç ç©¶ã«ãããšãå°±å¯åã®ã¢ã«ã³ãŒã«æåã¯å€äžã®èŠéåæ°ãå¢ããããšãããã£ãŠããŸãã
äŸïŒ ååŸã«ã¯ãã«ãã§ã®ã³ãŒããŒãããŒããã£ãŒã«åãæ¿ããŸããå°±å¯å3æé以å ã®ã¢ã«ã³ãŒã«æåã¯é¿ããŸãã
5. 宿çã«éåãããã就坿éã«è¿ãããªãããã«ãã
宿çãªéåã¯ç¡ç ã®è³ªãåäžãããããšãã§ããŸãããåºæ¿çã«ãªãå¯èœæ§ãããããã就坿éã«è¿ãããéåã¯é¿ããŠãã ãããæ¥äžã®æ©ãæé垯ã«éåããããšãç®æããŸãããããJournal of Sleep Researchãã«æ²èŒãããç ç©¶ã§ã¯ãäžåŒ·åºŠã®éåãç¡ç ã®è³ªãšæéãæ¹åã§ããããšãããã£ãŠããŸãã
äŸïŒ ååäžãååŸã«æ£æ©ããžã§ã®ã³ã°ãããŸããå°±å¯å3æé以å ã®æ¿ããéåã¯é¿ããŸãã
6. ãªã©ãã¯ã¹ã§ããå°±å¯åã®ç¿æ £ãäœã
ç¡ç åã«ãªã©ãã¯ã¹ããããã®å°±å¯åã®ç¿æ £ã確ç«ããŸããããããã«ã¯ãæž©ããã颚åã«å ¥ããæ¬ãèªããèœã¡çã鳿¥œãèŽããçæ³ããšã¬ãå®è·µãããªã©ãå«ãŸããŸãã
äŸïŒ ãšããœã ãœã«ããå ¥ããæž©ããã颚åã«å ¥ããæ¬ã®1ç« ãèªã¿ãå°±å¯åã«æ·±åŒåžã®ç·Žç¿ãããŸãã
7. ã¹ãã¬ã¹ãšäžå®ã管çãã
ã¹ãã¬ã¹ãšäžå®ã¯ç¡ç ãèãã劚ããå¯èœæ§ããããŸããæ·±åŒåžãçæ³ããšã¬ãªã©ã®ãªã©ã¯ãŒãŒã·ã§ã³ææ³ãå®è·µããŠã¹ãã¬ã¹ã管çããŸããããæ ¢æ§çãªã¹ãã¬ã¹ãäžå®ã«èŠããã§ããå Žåã¯ãå°éå®¶ã®å©ããæ±ããããšãæ€èšããŠãã ããããJAMA Internal Medicineãã«æ²èŒãããã¡ã¿ã¢ããªã·ã¹ã§ã¯ããã€ã³ããã«ãã¹çæ³ãç¡ç ã®è³ªãæ¹åã§ããããšãããã£ãŠããŸãã
äŸïŒ å°±å¯åã«10åéãæ·±åŒåžã®ç·Žç¿ãããŸããçæ³ã¢ããªã䜿ã£ãŠãªã©ã¯ãŒãŒã·ã§ã³ã»ãã·ã§ã³ãã¬ã€ãããŠããããŸãã
8. ç¡ç ã®ããã«é£äºãæé©åãã
ç¹å®ã®é£åãæ é€çŽ ã¯ç¡ç ãä¿é²ããããšãã§ããŸããããããé£äºã«åãå ¥ããããšãæ€èšããŠãã ããïŒ
- ããªãããã¡ã³ãè±å¯ãªé£åïŒ äžé¢é³¥ãé¶èãåµãããããçš®åé¡ãããªãããã¡ã³ã¯äœãã¡ã©ããã³ãçæããããã«äœ¿çšããã¢ããé žã§ãã
- ãã°ãã·ãŠã ãè±å¯ãªé£åïŒ ç·é»è²éèãããããçš®åé¡ãå šç²ç©ç©ããã°ãã·ãŠã ã¯çèããªã©ãã¯ã¹ãããç¥çµç³»ãèœã¡çãããã®ã«åœ¹ç«ã¡ãŸãã
- ã¿ãŒããã§ãªãŒãžã¥ãŒã¹ïŒ ã¡ã©ããã³ãå«ã¿ãç¡ç ã®è³ªãåäžãããããšãã§ããŸãã
- ããŠã€ïŒ æé žåç©è³ªãšã»ãããã³ãå«ã¿ãç¡ç ãä¿é²ããããšãã§ããŸãã
äŸïŒ å°±å¯åã«ã¢ãŒã¢ã³ããå°éé£ã¹ãããã¿ãŒããã§ãªãŒãžã¥ãŒã¹ãäžæ¯é£²ã¿ãŸãã
äžè¬çãªç¡ç é害ãžã®å¯ŸåŠ
è¯ãç¡ç è¡çãå®è·µããŠããã«ãããããããäžè²«ããŠè¯ãå€ã®ç¡ç ãåŸãã®ã«èŠåŽããŠããå Žåãç¡ç é害ããããããããŸãããäžè¬çãªç¡ç é害ã«ã¯ä»¥äžã®ãããªãã®ããããŸãïŒ
1. äžç ç
äžç çã¯ãå¯ã€ããæªããç ãç¶ããããªãããŸãã¯æ©ãããæéã«ç®ãèŠããŠããŸãããšãç¹åŸŽãšããŸããæ¥æ§ïŒçæçïŒãŸãã¯æ ¢æ§ïŒé·æçïŒã®å ŽåããããŸããæ²»çéžæè¢ã«ã¯ãäžç çã®ããã®èªç¥è¡åçæ³ïŒCBT-IïŒãè¬ç©çæ³ãã©ã€ãã¹ã¿ã€ã«ã®å€æŽãªã©ããããŸãã
2. ç¡ç æç¡åŒåžçå矀
ç¡ç æç¡åŒåžçå矀ã¯ãç¡ç äžã«åŒåžãç¹°ãè¿ã忢ãããåéãããããç¶æ ã§ãã倧ããªãã³ããæ¥äžã®ç æ°ãç¹åŸŽã§ããæ²»çéžæè¢ã«ã¯ãæç¶éœå§åŒåžçæ³ïŒCPAPïŒãå£è å è£ çœ®ãæè¡ãªã©ããããŸãã
3. ããããèçå矀ïŒRLSïŒ
ããããèçå矀ïŒRLSïŒã¯ãèãåãããããšããæããããè¡åãåŒãèµ·ããç¥çµé害ã§ããã°ãã°äžå¿«ãªæèŠã䌎ããŸããæ²»çéžæè¢ã«ã¯ãè¬ç©çæ³ãã©ã€ãã¹ã¿ã€ã«ã®å€æŽãéåè£çµŠãªã©ããããŸãã
4. ãã«ã³ã¬ãã·ãŒ
ãã«ã³ã¬ãã·ãŒã¯ãæ¥äžã®é床ã®ç æ°ãçªç¶ã®ç¡ç çºäœãåŒãèµ·ããç¥çµé害ã§ããæ²»çéžæè¢ã«ã¯ãè¬ç©çæ³ãšã©ã€ãã¹ã¿ã€ã«ã®å€æŽããããŸãã
éèŠïŒ ç¡ç é害ãçãããå Žåã¯ã蚺æãšæ²»çã®ããã«å»åž«ãŸãã¯ç¡ç å°éå»ã«çžè«ããŠãã ããã
ç¹å®ã®éå£ã®ããã®ç¡ç æé©å
ç¡ç ã®ããŒãºã課é¡ã¯ã幎霢ãã©ã€ãã¹ã¿ã€ã«ãæåçèæ¯ã«ãã£ãŠç°ãªãå ŽåããããŸãã以äžã¯ãç¹å®ã®éå£ã«é¢ããèæ ®äºé ã§ãïŒ
1. åŠç
åŠçã¯ãåŠæ¥ã®ãã¬ãã·ã£ãŒãç€ŸäŒæŽ»åãäžèŠåãªã¹ã±ãžã¥ãŒã«ã®ãããç¡ç ã«èŠåŽããããšããããããŸããäžè²«ããç¡ç ã¹ã±ãžã¥ãŒã«ãäœæããç¡ç ç°å¢ãæé©åããã¹ãã¬ã¹ã管çããããšã§ãç¡ç ãåªå ããŸãããã培å€ã¯èªç¥æ©èœãåŠæ¥æçžŸãæãªãå¯èœæ§ãããããé¿ããŠãã ãããããŒããŒã倧åŠå»åŠéšã®ç ç©¶ã«ãããšãç¡ç äžè¶³ã¯åŠç¿ãšèšæ¶ãèããæãªãããšãããã£ãŠããŸãã
2. ã·ããå€åè
ã·ããå€åè ã¯ãäžèŠåãªæé垯ã«åãããããµãŒã«ãã£ã¢ã³ãªãºã ã®ä¹±ããç¡ç äžè¶³ãçµéšããããšããããããŸããã·ããå€åè ãšããŠç¡ç ã管çããããã®æŠç¥ã«ã¯ã以äžã®ãããªãã®ããããŸãïŒ
- ã§ããã ãäžè²«ããç¡ç ã¹ã±ãžã¥ãŒã«ãç¶æããã
- é®å ã«ãŒãã³ãè³æ ã䜿çšããŠãæãéããªç¡ç ç°å¢ãäœãã
- äŒæ©äžã«çãä»®ç ãåãã
- å çæ³ã䜿çšããŠãµãŒã«ãã£ã¢ã³ãªãºã ã調æŽããã
- ã¡ã©ããã³è£å ã«ã€ããŠå»åž«ã«çžè«ããã
3. æ è¡è
ã¿ã€ã ãŸãŒã³ãè¶ããŠæ è¡ãããšããµãŒã«ãã£ã¢ã³ãªãºã ãä¹±ããæå·®ãŒãã«ã€ãªããå¯èœæ§ããããŸããæå·®ãŒããæå°éã«æããããã®æŠç¥ã«ã¯ã以äžã®ãããªãã®ããããŸãïŒ
- æ è¡ã®æ°æ¥åããåŸã ã«ç¡ç ã¹ã±ãžã¥ãŒã«ã調æŽããã
- æ°ããã¿ã€ã ãŸãŒã³ã®é©åãªæéã«æããå ãæµŽã³ãã
- æ°Žåè£çµŠãæ ããªãã
- æ©å ã§ã¯ã¢ã«ã³ãŒã«ãšã«ãã§ã€ã³ãé¿ããã
- ã¡ã©ããã³ãµããªã¡ã³ãã®äœ¿çšãæ€èšããã
4. é«éœ¢è
ç¡ç ãã¿ãŒã³ã¯å¹Žéœ¢ãšãšãã«å€åããããšããããããŸããé«éœ¢è ã¯ãå¯ã€ããæªããç ãç¶ããããªãããŸãã¯æ©ãããæéã«ç®ãèŠãããªã©ã®åé¡ãçµéšããå¯èœæ§ããããŸããé«éœ¢è ã®ç¡ç ãæ¹åããããã®æŠç¥ã«ã¯ã以äžã®ãããªãã®ããããŸãïŒ
- èŠåæ£ããç¡ç ã¹ã±ãžã¥ãŒã«ãç¶æããã
- 宿çã«éåããã
- æŒå¯ãé¿ããã
- ç¡ç ç°å¢ãæé©åããã
- æœåšçãªç¡ç é害ã«ã€ããŠå»åž«ã«çžè«ããã
ç¡ç æé©åã®æªæ¥
ç¡ç æé©åã®åéã¯ãæè¡ãšç ç©¶ã®é²æ©ã«ããæ¥éã«é²åããŠããŸããæ°ããªãã¬ã³ãã«ã¯ä»¥äžã®ãããªãã®ããããŸãïŒ
- ãŠã§ã¢ã©ãã«ç¡ç ãã©ãã«ãŒïŒ ç¡ç ãã¿ãŒã³ãç£èŠããããŒãœãã©ã€ãºãããæŽå¯ãæäŸããããã€ã¹ã
- ã¹ããŒããããã¬ã¹ïŒ äœã«åãããŠèªåçã«èª¿æŽããç¡ç ç°å¢ãæé©åãããããã¬ã¹ã
- ç¡ç ã¢ããªïŒ ã¬ã€ãä»ãçæ³ãã¹ãªãŒãã¹ããŒãªãŒããã®ä»å ¥ç ãå©ããããŒã«ãæäŸããã¢ããªã
- ç¡ç é害ã®éºäŒåæ€æ»ïŒ ç¡ç é害ã«å¯ŸããéºäŒççŽ å ãç¹å®ããã
- ããŒãœãã©ã€ãºãããç¡ç çæ³ïŒ åã ã®ããŒãºã奜ã¿ã«åãããŠç¡ç æ²»çã調æŽããã
çµè«ïŒããè¯ã人çã®ããã«ç¡ç ãåªå ãã
ç¡ç ã®æé©åã¯ãããªãã®å¥åº·ããŠã§ã«ããŒã€ã³ã°ããããŠå šäœçãªæœåšèœåãžã®éèŠãªæè³ã§ããç¡ç ã®ç§åŠãçè§£ããè¯ãç¡ç è¡çç¿æ £ãå®è·µããæ ¹æ¬çãªç¡ç é害ã«å¯ŸåŠããããšã§ãå®ãããªç¡ç ãããããå€é©ã®åãè§£ãæŸã€ããšãã§ããŸããç¡ç ãåªå ããã°ãèªç¥æ©èœã®åäžããšãã«ã®ãŒã¬ãã«ã®å¢å ãå ç«ã·ã¹ãã ã®åŒ·åããããŠãã幞ãã§çç£çãªäººçãšããå ±é ¬ãåŸãããšãã§ããã§ãããããã¥ãŒãšãŒã¯ãã·ã³ã¬ããŒã«ããããã¯äžçã®ã©ãã«ããŠããèªåã®ç¡ç ãã³ã³ãããŒã«ããããšããããè¯ãææ¥ãžã®ç¬¬äžæ©ã§ãã