
æ¥æ¬äººã®è¬ã®å€§éæ»ãè¶ éæ»äº¡ããä»ãã¹ãŠã®èŠå ãæŽãçŽãã

ããã«ã¡ã¯ãå»åž«ã»å»ççµæžãžã£ãŒããªã¹ãã®æ£®ç°ã§ãã
ä»ãæ¥æ¬äººã®éã§ãè¬ã®å€§éæ»ããçºçããŠããããšããåç¥ã§ããããïŒ
ã°ã©ãã§èŠããšãããªããŸãã

äºæž¬ãããæ»äº¡æ°ããã
ã»2021幎ã¯çŽ2.6äžäºº
ã»2022幎ã¯çŽ13.7äžäºº
ã»2023幎ã¯çŽ12.6äžäºº
å¢å ããŠããŸããã
ããã¯ãéªç¥ã»æ·¡è·¯å€§éçœãæ±æ¥æ¬å€§éçœã®æããé¥ãã«å€§ããªãã®ã«ãªã£ãŠããŸã£ãŠããŸãã
ããŸãã«ããšãã§ããªãããšãçªç¶çºçãããããã§ããããã§ã¯
ïŒïŒå¹Žããå§ãŸã£ããã³ããã¯ã¯ãã³ãã®ããã§ã¯ãªããïŒ
ãšå€§éšãã«ãªã£ãŠããŸããâŠã
äžæ¹ãããã»ã©ã®å€§äºä»¶ãªã®ã«å€§æã¡ãã£ã¢ã§ã¯ïŒã¹ãã³ãµãŒãªã©ã®åé¡ã§ïŒïŒæ®ã©è§Šãããããæ®å¿µãªããšã«äœæ ãæ°ããªããžã£ããŒãºåé¡åãããŠããŸã£ãŠããŸãâŠã
ãšããããšã§ä»åã¯ãã®èŠå ã«ã€ããŠãå
å
¥èгãªãã»å¿åºŠãªãã§ãèããããèŠå ã»å¯èœæ§ã®ãããããªèŠå ãäžã€äžã€æœ°ããŠããããšæããŸãã
èããã®ã¯
ïŒïŒäººå£ãé«éœ¢åããŠããããïŒ
ïŒïŒæ°åã³ããã®æµè¡ã§ã³ããæ»äº¡ãå¢ããããïŒ
ïŒïŒã³ããã§å»çéŒè¿«ããŠå©ããåœãæããªãã£ãããïŒ
ïŒïŒææå¯Ÿçã®åœ±é¿ã§é«éœ¢è ã®äœåãäœäžããããïŒ
ïŒïŒã³ããã¯ã¯ãã³ã®åœ±é¿ïŒ
以äžïŒã€ã§ãã
ïŒïŒäººå£ãé«éœ¢åããŠããããïŒ
ããã¯æããã«éããŸãã
ãšããã®ããäžèšã®æ»äº¡å¢å ã®ã°ã©ãã«ã¯é«éœ¢åã®åœ±é¿ãå«ãŸããŠãããã§ããã
ãã¡ãã®èµ€äžžéšåããéåžžã®é«éœ¢åã«äŒŽãæ»äº¡å¢å ã§ãã

æ¥æ¬ã®äººå£ã¯ã³ãã以åããé«éœ¢åãé²ãã§ããŠãåœç¶é«éœ¢è
ã®äººæ°ãã©ãã©ãå¢ããŠããŸãã
æ®å¿µãªããé«éœ¢è
ã®æ¹ã
ã¯æ»äº¡ãªã¹ã¯ã®éåžžã«é«ãæ¹ã
ã§ãã®ã§ãé«éœ¢è
æ°ãå¢ããã°å¿
ç¶çã«æ»äº¡æ°ãå¢å ããŸãããã®å¢å ããŒã¹ã¯æ¯å¹ŽïŒäžäººãããã§ããã
ããã赀䞞ã®éšåã®æå³ã
ãããŠå³äžããã«æžãããŠããéãç·ã¯ããã®äºæž¬ãããå¢å ããŒã¹ãæå³ããŠããŸãã
ã§ãä»ååé¡ã®æ¥æ¬äººã®å€§éæ»ïŒäºæž¬å€ä»¥äžã®æ»äº¡ïŒè¶ éæ»äº¡ïŒã¯ãã®éç·ãé¥ãã«äžåããæ¯å¹Ž12~13äžäººã®æ»äº¡å¢å ã«ãªã£ãŠããããã§ãã
ïŒåæ²ïŒ

ãšããããšã§ãæ»äº¡æ°å¢å ã®èŠå ãšããŠãé«éœ¢åãã¯ãŸããªãããšèšã£ãŠããã§ãããã
ïŒïŒæ°åã³ããã®æµè¡ã§ã³ããæ»äº¡ãå¢ããããïŒ
ããã¯ãäžèšã®ã°ã©ãã®äžã«ãèšèŒãããŠãããšããã22幎ïŒ23幎ã®12â13äžäººã®æ»äº¡å¢å ã®ãã¡ã3ã4äžäººçšåºŠãæ°åã³ããææã«ããæ»äº¡ãšãªã£ãŠããŸãã
ãªã®ã§ãæ»äº¡å¢å ã®å€§ããªèŠå ã§ããããšæã£ãŠããŸãããã§ããããã§èããªããã°ãããªãã®ã¯ãè¿å¹Žãèºçæ»ããæ¿æžããŠãããšããäºå®ã§ãã

åºå žïŒ MedicalFacts.infoïŒhttps://medicalfacts.info/cod.rb?l=ja&years=2012~2013~2014~2015~2016~2017~2018~2019~2020~2021~2022&ages=all&sex=both&graph_type=yearly_reg_2020&top=none&columns=4&death_codes=all~02108~02112~02114~02119~09300~09301~09302~09303~09304~10200~10601~14100~14200~14201~14202~14203~14300~15000~18100~20100~20101~20102~20103~20104~20200&align_max=&per_capita=&adjusted=&i=false
以åã¯10â12äžäººã®æ»äº¡ããã£ããèºçæ»ãã§ãããã³ããå
幎ã®2020幎ããã¯7äžäººå°ã«ãŸã§æžå°ããŠããŸããïŒ2017å¹Žã®æžå°ã¯æ»å åé¡ã«ãèª€å¥æ§èºçãã远å ãããäžéšããã¡ãã«ç§»è¡ããããã§ãïŒ
2020幎ãã倧ããæžå°ããåã¯ãããããPCRæ€æ»ãªã©ã§æ£ç¢ºã«ãæ°åã³ããããšèšºæã§ããããã«ãªã£ãããã«ããããŸã§ãããŸãã«ãèºçæ»ããšããŠæ±ãããŠãããã®ããçµ±èšäžãã³ããæ»ããšã«ãŠã³ãããããã¡ãã«ç§»è¡ããã ããšèããããŸãã
æ°å€çã«ã倧äœäžèŽããŸãã
2020幎ããæ°ãã«çŸããã³ããæ»ã幎é3ã4äžäººã2020幎ããèºçæ»ãçŽ3äžäººæžå°ïŒ2016幎ããæ°ãããšçŽ5äžäººã®æžå°ïŒããŠããŸãã®ã§ã
ãªãããããã22幎ïŒ23幎ã®12â13äžäººã®æ»äº¡å¢å ã®ãã¡ãæ°åã³ããææã«ããæ»äº¡ã¯3ã4äžäººçšåºŠã§ãã€ãŸããã®å€§éšåã®çŽ9äžäººã¯ã³ããæ»ä»¥å€ã®æ»äº¡ãªã®ã§ãããããããã®ã³ããæ»ã§ããæ®ã©ãåŸæ¥ã®ãèºçæ»ãããã®çµ±èšäžã®ç§»è¡ã®å¯èœæ§ãé«ãã
ãšãªããšããã³ããæ»ããæ¥æ¬äººã®æ»äº¡å¢å ã®å€§ããªèŠå ãšããŠèããã«ã¯ããªãæªãããšèããããåŸãªãã§ãããã
ïŒïŒã³ããã§å»çéŒè¿«ããŠå©ããåœãæããªãã£ãããïŒ
ãããæãåŸãããªèŠå ã§ãããããããéãã§ãããã
ãšããã®ããä»åã®æ»äº¡å¢å ã®ãã¡ã§äžçªå€ãæ»å ã¯ãèè¡°ãïŒçŽïŒäžäººå¢å ïŒãªã®ã§ãã

åºå žïŒ MedicalFacts.infoïŒhttps://medicalfacts.info/cod.rb?l=ja&years=2012~2013~2014~2015~2016~2017~2018~2019~2020~2021~2022&ages=all&sex=both&graph_type=yearly_reg_2020&top=none&columns=4&death_codes=all~02108~02112~02114~02119~09300~09301~09302~09303~09304~10200~10601~14100~14200~14201~14202~14203~14300~15000~18100~20100~20101~20102~20103~20104~20200&align_max=&per_capita=&adjusted=&i=false
ãèè¡°ãã¯ããããèåã®æ«ã®èªç¶æ»ã§ããå»çã§å©ããããåœãã§ã¯ãããŸãããã§ãã®ã§ããã®èè¡°ã®éšåã«é¢ããŠã¯ãå©ããåœãæããªãã£ããããæ»äº¡ãå¢ããããšèããã®ã¯äžèªç¶ã§ãã
ãŸããè衰以å€ã§ããå»çéŒè¿«ããŠå©ããåœãæããªãã£ãããšã¯èãã«ããã§ãã
ãšããã®ããããããã¿ãªãããæãã»ã©å»çãéŒè¿«ããŠããªãããã§ãã
ã³ããçŠã§å¿æãããããECMOïŒè¡æ¶²ã®äžã«é
žçŽ ãéã蟌ããããæ©æ¢°ïŒã§æåœåŠçœ®ãåããããTVã§ææ¥æåœå®€ã®å¿
æ»ãªæ§åãæ ãåºããããããŠããã®ã§ããã®ãããªã€ã¡ãŒãžã匷ãå°è±¡ã«æ®ã£ãŠãããããããŸããããä»ã¯å»çã¯éŒè¿«ããŠããŸããã
ãã¡ãããå šåœã®ECMO宿œä»¶æ°ã®æšç§»ã

2021幎ã«å šåœã§æå€§160å°ä»¥äžçšŒåããŠããECMOã§ãããå®ã¯æ¥æ¬äººã®æ»äº¡æ°ãæ¿å¢ãã2022幎ãã23幎ã¯ã»ãŒäœ¿ããããå€ããŠ20å°ãæ®ã©ã®ææã§10å°ä»¥äžãã皌åããŠããŸãããïŒECMO NETã¯5é¡ã«ç§»è¡ãã23幎ã®éäžããçšŒåæ°ã®çºè¡šãããããŠããŸããŸãããïŒ
ãã®çšŒåæ°ã§ããã³ããæµè¡ã®ããã§å»çéŒè¿«ããšèããã®ã¯ç¡çãããã§ãããã
ãã¡ãããECMOãŸã§è³ããªããããªè»œçäŸãæ¿å¢ããŠå»çãéŒè¿«ããšããããšãèããããªãããªãã§ããâŠ
ãããã軜çã®é¢šéªãæµè¡ã£ãããå»çéŒè¿«ããŠå©ããããåœãæããªãããªããŠããšãããããã®ãªãããã¯ããææçã®åé¡ã§ã¯ãªããå»çã·ã¹ãã ã®åé¡ã§ãã
ã³ãã以åã幎éã§æ°åäžäººçœ¹æ£ããŠãããšèšãããã€ã³ãã«ãšã³ã¶ã§ãå»ç厩å£ã¯èµ·ãã£ãŠããªãã£ãã®ã§ãããããè»œçæ£è ã®æ®ºå°ã§å»ç厩å£ãããŸãããããŸããã
ãšããããšã§ããã³ããã§å»çéŒè¿«ããŠå©ããåœãæããªãã£ãããïŒããéãã§ãããã
ïŒïŒææå¯Ÿçã®åœ±é¿ã§é«éœ¢è ã®äœåãäœäžããããïŒ
äžè¿°ã®éããä»åã®æ»äº¡å¢å ã®ãã¡ã§äžçªå€ãæ»å ã¯ãèè¡°ãïŒçŽïŒäžäººå¢å ïŒã§ãã
ã§ãã®ã§ãé«éœ¢è ã®äœåäœäžããã®èè¡°å¢å ãã¯ãããåŸããã§ãã
ãã ããã®èè¡°å¢å ã®åå ããææå¯Ÿçããªã®ãïŒ
ãããšãããæè¿ã§å§ãŸã£ããªã«ãä»ã®åå ïŒã¯ã¯ãã³ïŒã³ããææïŒïŒãªã®ãïŒ
ã«ã€ããŠã¯ããŒã¿ãç¡ãã®ã§ãªããšãèšããŸããã
ã©ããªåªç§ãªå»åž«ã§ããèè¡°æ»ã®åå ãçªãæ¢ããããšã¯åºæ¥ãŸãããããããŒã¿ãååšããªãã®ã§ãã
ãã ããããã«ããŒã¿ã¯ãªãã®ã§ããããã¯ãããæ°å¹Žã®å³éãªææå¯Ÿçãé«éœ¢è ã®æ¹ã ã®äœåã奪ã£ãŠããŸã£ãã®ã¯æ³åã«é£ããªããšããã§ãã
é«éœ¢ã®æ¹ã ãå€ãå ¥é¢ããŠããç é¢ãé«éœ¢è æœèšã§ã¯ä»ããé¢äŒå¶éããå€åºå¶éããªã©ã®å³ããææå¯Ÿçã宿œãããŠãããšãããæ®ã©ããã®ç¶æ³ã§ã¯ãé«éœ¢è ã®çããã®ç§»åèœåãææ¬²ã»äœåå šè¬ã倱ãããŠãã£ãŠããŸã£ãŠãäžæè°ã§ã¯ãªãã§ãããã

ãšããããšã§ãäžç¢ºããªãããææå¯Ÿçã®åœ±é¿ã§é«éœ¢è ã®äœåãäœäžããããïŒãã¯ãããŒã¿ããªãã®ã§ã¯ã£ãããšããªããã®ã®ãç¡èŠã¯åºæ¥ãªãããã§ãã
Â
ïŒïŒã³ããã¯ã¯ãã³ã®åœ±é¿ïŒ
Â
2021幎ããå§ãŸã£ãã³ããã¯ã¯ãã³æ¥çš®ã
Â
ãèªåã®ããã«ãã¿ããªã®ããã«ã
ãæãããã¯ã¯ãã³ã
Â
ãªã©ãšã¡ãã£ã¢ã§å€§ã çã«å®£äŒãããã®ã§ãããããïŒïŒïŒ å¹ãããšããè§Šã蟌ã¿ã ã£ãã®ã§ãå€ãã®åœæ°ãæ¥çš®ããã®ã¯åŸ¡åç¥ã®éãã
Â
ãã ãéåžžã«æ®å¿µãªããšã§ãããæ¥æ¬ã§ã¯
Â
ãæãŠã°æã€ã»ã©ææãåºããã
Â
ãšããçµæã§ããã
Â
ç¹ã«ïŒåç®ã®è¿œå æ¥çš®ãããã®åŸåãé¡èã«è¡šããã°ã©ãã«ãããšãããªæãã«ã
Â

éç·ããã¯ã¯ãã³æ¥çš®è
æ°ã®æ³¢
èµ€ã®æ³¢ããã³ããææè
æ°ïŒæ€æ»éœæ§è
æ°ïŒãã®æ³¢ã
 æåã®æ³¢ä»¥å€ãã¯ã¯ãã³æ¥çš®ãšææå¢å ã®æ³¢ãå®å šã«äžèŽããŠããŸã£ãŠããŸãã
ããïŒæã£ããææå¢ããïŒ
ïŒïŒïŒ
å¹ãïŒææãæžãïŒããããªãã£ãïŒ
å®ã¯ïŒïŒïŒ ãšèšã£ãŠãããã¡ã€ã¶ãŒã®æ²»éšããŒã¿ãããã¯ã
Â
ãã¯ã¯ãã³æ¥çš®åŸ2é±éã¯ãŸã æäœãã§ããŠããªãããããã®ææã«ææãã人ã¯ããŒã¿ããé€å€ããŸãããšãããã®ã ã£ãã®ã§ããïŒéç§°éã®2é±éïŒ
Â
ãããŠãªããšãå€ãã®æ¥æ¬äººããã®æ¥çš®åŸ2é±éã§ææããŠããŸã£ãŠããããšããããšãäºå®ãšããŠããŒã¿ããèªã¿åããŸãã
ãŸãããããªçµæã«ãªããªããŠèª°ãäºæ³ããŠããªãã£ããšæããŸããåœã®ãã¡ã€ã¶ãŒç€Ÿãäºæ³ããŠããªãã£ãã§ãããã
ã§ãããããçŸå®ã§ãã
ãããããã§ããã¬ãã§ãããªããšèšã£ãŠãªããâŠããã³ãããªïŒã
ãšããçãæ·±ãæ¹ã®ããã«ãå
¬åŒè³æãèŠãŠã¿ãŸãããã
ãã¡ãã¯åçåŽåçã®å
¬åŒè³æã§ãã
Â

 éç·ããã¯ã¯ãã³æ¥çš®è
æ°ã®æ³¢
èµ€ç·ããã³ããææè
æ°ïŒæ€æ»éœæ§è
æ°ïŒãã®æ³¢ã
ãããèŠããšããã¯ãã¯ã¯ãã³æ¥çš®ãšææè æ°ã®æ³¢ã¯é£åããŠããããã«èŠããŸãã
ãããã°ã¬ãŒã®æ£ã°ã©ãããè¶
éæ»äº¡æ°ããªã®ã§ããããªããšãã¡ããã»ãŒã»ãŒã¯ã¯ãã³æ¥çš®ã»ææè
æ°ã®æ³¢ãšé£åããŠããŸãã
ãæãŠã°æã€ã»ã©ææè ãå¢ããè¶ éæ»äº¡ãå¢ããã
ãšãã倧倿®å¿µãªçµæãèªã¿åããã®ã§ãâŠã
ãã¬ãããèŠãªãæ¹ã
ã¯ãããªã°ã©ãã¯èŠãããšãªããããããŸããã
ãæ°ããªãžã£ããŒãºåé¡åãããŠããŠãã¬ãå±ãæŸéã§ããªãã®ã§ããããåœç¶ã ãšæããŸããã§ãããããåœãå
¬åŒã«çºè¡šããŠããäºå®ã§ããã®çµæãšããŠãæ±æ¥æ¬å€§éçœã®3åãã®çå€§ãªæ»äº¡å¢å ã2幎ãç¶ããŠããŸã£ãã®ã§ããïŒä»å¹Žãã»ãŒåãããŒã¹ïŒã
ïŒåæ²ïŒ

Â
ãã ããã®ã°ã©ãã§ãããã®ã¯åçŽãªçžé¢é¢ä¿ã§ãå æé¢ä¿ã蚌æãããã®ã§ã¯ãããŸããã
Â
ãããã«ã
ããããããããªããã¯ã¯ãã³æ¥çš®ãšè¶
éæ»äº¡ã¯é¢é£ããªãã
ãšããããŒã¿ããããŸãã
Â
ããããã¡ãã
Â

Â
ã¯ã¯ãã³ãšè¶ éæ»äº¡ã«é¢é£ããªããšäž»åŒµããæ¹ã ã¯çãããã®ãããªãéœéåºçå¥ãã®ã°ã©ããæç€ºããŠè«ãå±éãããããšãå€ãããã§ãã
Â
ãã ããã®ãããªã°ã©ãã«ã¯éçããããŸãã
Â
ãšããã®ãããããã¯
Â
ã»éœéåºçã®é«éœ¢åçã®éããèæ ®ãããŠããªã
ã»äººå£ã®å°ãªãçã巚倧ãªçãåãäžã€ã®ç¹ãšããŠåŠçãããŠããå¯èœæ§ãé«ã
ã»äººå£ã®å€§ããªçã ãã§èŠããšãã»ãŒçžé¢é¢ä¿ãèŠãããªãïŒããããæç€ºãããã®ã°ã©ãã«ã¯çžé¢ä¿æ°ãæžããŠãªãïŒ
ã»åæã®å¯Ÿè±¡ææã幎代ãªã©ãæ£æçã«åãåãããšãã§ãã
Â
ãªã©ãªã©ã
Â
å®éã20ä»£ã®æ»äº¡ã2021幎4æã2022幎1æã§åæãããšãéã®çµæã«ãªããŸãã
Â

Â
ã€ãŸãããããã®éœéåºçã®æ£åžå³ã䜿ã£ãã°ã©ãã§ãååŽçã®å
¬åŒè³æã§èŠãããŠãã
ãã¯ã¯ãã³æ¥çš®ã®æ³¢ããšãææè
æ°ã®æ³¢ããšãè¶
éæ»äº¡æ°ã®æ³¢ããã»ãŒã»ãŒé£åããŠæšç§»ããŠãã
ãšããçžé¢é¢ä¿ãåŠå®ããã®ã¯å°ãå³ããããã«æããŸãã
ãšããããšã§ãæ¥æ¬äººã®è¬ã®å€§éæ»ã®åå ãšããŠãã³ããã¯ã¯ãã³ã®åœ±é¿ïŒãã¯ã100ïŒ ã®ç«èšŒã¯åºæ¥ãªããã®ã®ããªããããªãæªããç¶æ³èšŒæ ããšèšãããã§ãã
ãŸãšã
以äžã5ã€ã®å¯èœæ§ã®æ¯éããŸãšãããšããããªããŸãã
ïŒïŒäººå£ãé«éœ¢åããŠããããïŒãâãâ
ïŒïŒæ°åã³ããã®æµè¡ã§ã³ããæ»äº¡ãå¢ããããïŒãâãâ
ïŒïŒã³ããã§å»çéŒè¿«ããŠå©ããåœãæããªãã£ãããïŒãâãâ
ïŒïŒææå¯Ÿçã®åœ±é¿ã§é«éœ¢è
ã®äœåãäœäžããããïŒãâãâ³
ïŒïŒã³ããã¯ã¯ãã³ã®åœ±é¿ïŒãâã â¯ããã®â³
ãâãšãâ¯ãšãâ³ãšãææ§ã®ããšèšã£ãŠãªãã§ã¯ã£ããããïŒã
ãšãã声ãèãããŠãããã§ãã
ã§ããå®ã¯ä»ååãèšãããã®ããŸãã«ãããªã®ã§ãã
ãã®ãæ¥æ¬äººã®è¬ã®å€§éæ»ããšããå代æªèã®å€§äºä»¶ã®åå ãšããŠæããããã§éšãããŠãããã¯ã¯ãã³ãã®åœåŠãç©¶æãããã«ã¯ãåçŽã«
ã»ã¯ã¯ãã³æ¥çš®ããäººã®æ»äº¡ç
ã»æ¥çš®ããŠããªãäººã®æ»äº¡ç
ãå
šåœããŒã¿ã§éèšã»åæããã°ããã ãã®è©±ã§ãã
ã»åœã¯åœæ°ã®èª°ããã€ã¯ã¯ãã³ãæ¥çš®ãããã®ããŒã¿ïŒVRSïŒãæã£ãŠããŸãã
ã»ãŸããåœæ°ã®èª°ããã€ã©ãã§æ»äº¡ããã®ãã®ããŒã¿ïŒæžç±ã®æ»äº¡å±ïŒãæã£ãŠããŸãã
ãããã®ããŒã¿ãä»ãåããã ãã§ããã®ãã¯ã¯ãã³çæãã®è§£çãåŸãããã®ã§ãã
ãã¡ããããéãåŽåããããããšã«ãªããŸãã
ã§ãããããããã®ããšã¯ãã³ãã察çã«ããã300å
åïŒãã®å·šå€§äºç®ã®ã»ãã®äžéšããã®ãã¡ã®äœ¿éäžæé11å
åïŒã®ã»ãã®äžéšã䜿ãã°ã§ããã§ãããã
ãæ¥æ¬äººã®è¬ã®å€§éæ»ããšããå代æªèã®å€§äºä»¶ãåã«ãããããããªãçç±ã¯äžã€ãèŠåœãããŸããã
ãããããã®ããšã¯èª°ã«ã§ããããããšã®ã¯ããªã®ã«ããªãããããããªãã®ã§ããããïŒ
ãæ°ããªãžã£ããŒãºåé¡åã
ãªã©ãšèšã£ãŠçµããããŠè¯ãåé¡ã§ãªãããšã¯æçœã§ãã
ççžãã©ãã«ããã®ãããããŠèª¿æ»ã ãã§ãããã¹ãã§ãã
ãã¡ãããããã¯ã¡ãã£ã¢ã ãã®ãåé¡ã§ã¯ãªããã¯ã¯ãã³æ¥çš®äºæ¥ã匷åã«æšé²ããŠãããå»çæ¥çãããæ¿åºã»ååŽçãã®åé¡ã§ããããŸãã
å»åž«ãæ¿åºãã¡ãã£ã¢ããæ¬åœã«
ãåœæ°ã®åœãå®ãã
ãã®èŠæãããã®ãªãããã®ãæ¥æ¬äººã®è¬ã®å€§éæ»ãã«å šåã§åãçµãã¹ãâŠ
ãã®ããšã«çåã®äœå°ã¯ãªãã®ã§ãããã