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į éĸã¨ãããŽã¯ãä¸čŦįã̿ǿãį æ°ã§įæ´ģãĢä¸čĒįąãįããäēēããä¸čŠąãĢãĒãå ´æã ããããĢããäēēãŽå¤ãã¯ããĒãčĒåãĒãã ããããŽãžãžæģãã§ããžããŽã§ã¯ãĒãããã¨ããæããä¸åŽãæąããĻãããčããĻãŋãã°åŊįļãŽãã¨ã ãåĨŊãã§å Ĩéĸãééĸãããäēēã¯ããĒãã
ã§ã¯ãį§ã¯äŊããããŽããã¨ãĻããˇãŗããĢã ãŖãããæ˛ģãŖããäŊããããããããã§ããã ãå ˇäŊįãĢæŗåãããã¨ã ã
ãã ãäŊããéŖãšãããããŠãããĢčĄããããã¨ããã ãã§ãĒãããäŊæäŊæĨãĢãčǰãã¨ããŠãã¸čĄãŖãĻããããĒäŧ芹ãããĻããããĒ襨æ ãããĻãäēäēēã§ãč šãæąããĻįŦãŖãĻãããââãããĒä¸įŦä¸įŦãããžãã§äģããŽå ´ãĢããããŽãããĒæčĻã§ãå ˇäŊįãĢã鎎æãĢæãæããã
äēēéãŽčŗã¯ãįžåŽã¨ã¤ãĄãŧã¸ãåŽå ¨ãĢã¯åēåĨã§ããĒãã¨ããããã¤ããšãŽãã¨ãčããã°ãčŗã¯ããã¤ããšãã¨å¤æãããã¤ããšãŽããĢãĸãŗãåēããéãĢããŠãšãŽãã¨ãčããã°ãčŗã¯æĨŊããã§ã嚸įĻãĒããĢãĸãŗãåēããäŊã¨æ°æãĄãããŠãšã¨ãã¤ããšãŽå¨æŗĸæ°ã¯ãäēããĢå ąéŗ´ãåãŖãĻããã
ãããĢãã¤ãĄãŧã¸ã ãã§įĩããããããããč¨čãĢãããããã大åã ã¨æãŖãĻãããč¨čãĢãããã¨ã§ããããĢæããåŽŋãããããĢããŖãĻãčĒåã ãã§ãĒããå¨ããŽäēēãĢã嚸ããåãããã¨ãã§ããã
į§ã¯į éĸãŽäŧæŠåޤã§ãčĒåãŽå¤ĸãčĒãŖãããčĒåãŽįĩé¨ãéããĻããããį æ°ã§æŠãã§ããäēēãããŦããŖããĢãĒãŖãĻããäēēããä¸äēēã§ãæ¸ãããã¨ãããéŖãšããã¨ã§å æ°ãĢãĒããį æ°ãé˛ããæįãæäžãããã¨ããäģãæĨæŦã§ãŽæģå ãŽįŦŦä¸äŊã¯ããã ã¨ãããäēäēēãĢä¸äēēããããĢãĒãæäģŖãĢãä¸ãåãæéãå°ãã§ãįãã§ãããæäŧããã§ããããã¨čããĻããã
ããč¨ããĒããããį§čĒčēĢããžã ãå¯č§Ŗãã¨č¨ãããããã§ã¯ãĒããæ¤č¨ēãŽééã¯éˇããĒãŖãããä¸ãæãĢä¸åēĻãŽæ¤æģãååš´ãĢä¸åēĻãŽCTãMRIã¯äģãįļããĻãããäŊãããŖãĻãååããĢââããã大åãĢããããããįããĻããããã
įŦŦä¸įĢ
ãããã¨ããŽåįš
ãåŊããåããŽå¯žįžŠčĒ
ããããã¨ãããŽå¯žįžŠčĒãįĨãŖãĻããã ããããããã¯ãåŊããåãã ãæŧĸåã§æ¸ãã°ãæéŖããââæããã¨ãéŖãããã¨ãããã¨ãããŽãã¨ãčĩˇããã¨ããĢįēããč¨čããæéŖãããĢãĒãã
䏿ĨãĢãŠããããããããã¨ãããč¨ãŖãĻããã ããããčǰããĢäŊããæäŧãŖãĻãããŖãã¨ããå°ãŖãĻãããã¨ãåŠããĻãããŖãã¨ããããŖããåŋãčžŧããĻč¨ããĻããã ããããæŖį´ãį§ã¯č¨ããĻããĒããŖããčĒåã¯ä¸å¸ã ããæäŧãŖãĻããããŽãåŊããåãåŽļãĢ帰ãã°åĻģããéŖ¯ãäŊãŖãĻããããŽããå¤ã§åããĻãããŽã ããåŊããåãäģæãã°ãã˛ãŠãčãæšã ãŖãã
ããŽãåŊããåããééãŖãĻããã¨æããĻããããŽããããã ãŖããå Ĩéĸä¸ããããããŽäģ˛éãäģŖããäģŖãããæ¯æĨãŽãããĢčĻčããĢæĨãĻããããããŽã¨ãåããĻãæŦåŊãŽããããã¨ããããæčŦãã¨ããããŽãĢæ°ãĨããã
įãã§ãããĻããããã¨ã
į§ãå¤ããĻããäŧį¤žããããããã¨ããã大åãĢããį¤žéĸ¨ã ãŖããããã§åĻãã ããããã¨ããŽåįšãã¯ã严čĻĒãĢ寞ãããįãã§ãããĻãããã¨ãããč˛ãĻãĻãããĻãããã¨ããã¨ããč¨čã ãŖããäģãčĒåããããĢåå¨ããĻãããã¨ã¯åŊããåã§ã¯ãĒãã严čĻĒããããããčĒåãåå¨ããĻãããããšãĻãŽããããã¨ãããŽåįšã¯ããããĢããã¨įĸēäŋĄããĻããã
äŧį¤žã§ã¯ãč¨čã ãã§ãĒããããšãĻãŽåžæĨåĄãčĒåãŽčĒįæĨãĢ严čĻĒã¸ãįãã§ãããĻãč˛ãĻãĻãããĻããããã¨ãããäŧãããã¨ãĢãĒãŖãĻãããããããæåã¯ã¨ãĻãæĨãããããåžæĨåĄãŽå¤ãã¯äēåäģŖååã§ãäģãã严čĻĒãĢãããã¨ããĒããĻč¨ããĒãã¨ããäēēãå°ãĒããĒããŖããããã§ããããŖããäŧããããĒãã¨æŖį¤žåĄã¨ããĻčĒããĻããããĒããã ããįãåæ°ãåēããĻäŧããĻããã
į§ãããã ãŖããããŽäŧį¤žãĢå Ĩį¤žãããŽã¯äēåå ĢæŗãŽã¨ããäēåæŗååžãŽãĄãŗããŧãå¤ãä¸ã§ãŽå Ĩį¤žã§ãããĒãæĨãããããŖãããäŧãããã ããį§ãŽä¸ĄčĻĒã¯éĸåŠããĻããĻãæ¯ãĢã¯äŧããããããŽãŽãįļãĢã¯äŧããããĻããĒããŖãã
äēååš´ãļããŽåäŧ
ã严čĻĒãĢããŖããäŧããĒãããã¨ãããä¸åēĻæããĻããããŽããããã ãŖããäŊčĒŋãããį¨åēĻč¯ããĒãŖãĻããããããĩã¨ãįļãĢäŧãããã¨ããææ ãčŊįããããããžã§ããģã¨ããŠéĸåŋãæãŖãĻããĒããŖãįļãĢ寞ããĻãčĒįļã¨ããæãããŽã ã
æ¯ãĢé ŧãŋãæ°æĨåžãįļãčĻčããĢæĨãĻãããããããäēååš´ãļããŽåäŧã ãŖããäēäēēã§æŗŖããĒããéåģãæ¯ãčŋããä¸ååæŗãĢãĒãŖãĻåããĻãįļãĢããããã¨ãããäŧãããã¨ãã§ããã
į æ°ãããŖããã§ãįļã¨ãŽä礿ĩãåĸãããäģã§ã¯ãį§ãåããĻããåą é åąãĢãããéĄãåēããĻãããĻããã
į§ãŽå¨ããĢãããããæŖãŖãäēēãããã芹ããĻãŋãã¨ãéåģãĢ严čĻĒãå åŧã¨å§åŠããããžãžãæĒåŽäēãŽåéĄãæąããĻããäēēãââéŠããģãŠãå ¨åĄã ãŖããããã¨ããį æ°ã¯ãčĒåčĒčēĢã¨ããŖããåãåãŖãĻãģããäēēãŽã¨ãããĢãįĨæ§ããč´ããããããŦãŧãŗããã¨ããĻč¨ĒãããŽã§ã¯ãĒãããį§ã¯ãããåæãĢæãŖãĻãããããĄããäģŖåã¯å¤§ãããã ããåŊãããã°ãäŊã§ãã§ããã
įŦŦå ĢįĢ
čŗããčĻããããŽ
åå æŗãŽäēæ ã¨ãčŗåššã¨ããč¨č
čŗãĢčåŗãæã¤ãããĢãĒãŖãããŖããã¯ãåŽã¯äģåãŽãããæåã§ã¯ãĒããåå æŗãŽã¨ãããã¤ã¯äēæ ã§é čéǍéǍæã¨æĨæ§įĄŦčå¤čĄč Ģãč˛ ãã䏿Ĩéæč䏿ã¨ãã大äēæ ãįĩé¨ããĻããã嚸ãã大ããĒåžéēįã¯æŽããĒããŖããäģåãŽãããŽæčĄãåĢããã¨ãéé æčĄã¯äēēįã§ä¸åãĢãĒãã
ãããĻä¸åš´åãčŗã¸ãŽčģĸį§ģãčĻã¤ããŖãã¨ããåããĻãčŗåššãã¨ããč¨čãčãããčĒŋãšãĻãŋãã¨ãį°ĄåãĢč¨ãã°ãįãããããĢåŋ čĻãĒåŧå¸ãæąãæļãåžæļ˛ãĒãŠããŗãŗãããŧãĢããé¨åã ã¨ãããčŗã¯ãåŗčŗããåˇĻčŗãã大čŗããå°čŗããŽåã¤ã§æ§æãããĻããã¨æãčžŧãã§ãããŽã§ããããĒé¨äŊãããŖããŽãã¨ãį æ°ãéããĻåããĻįĨãŖãã
čĨŋæ´åģåĻã¯åˇĻčŗãæąæ´åģåĻã¯åŗčŗ
ãåŗčŗãŋã¤ãããåˇĻčŗãŋã¤ããã¨ããč¨čã¯äģĨåããčãããã¨ãããŖãããæŖį´ããããããŖãĻããĒããŖããį æ°ãããŖãããĢãčŗįĨįĩå¤į§ãŽåģå¸ĢãĢ芹ãčãæŠäŧãããŖãã
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čŗãĢã¯åˇĻåŗãŠãĄããåŋ čĻã ããåģåĻãĢãčĨŋæ´ã¨æąæ´ã严æšãåŋ čĻãĒãŽã§ã¯ãĒããã¨æããį æ°ãĢãĒãŖãã¨ããčĨŋæ´åģåĻââæããå¤ãæčĄââã ãã§ã¯æ˛ģããĒããã¨ãããããĒããĒããæŦåŊãŽåå ã¯ãããŽæ˛ģįãčĻãĻããå ´æãĢã¯ãĒãããã ãčĨŋæ´åģåĻã¯ãčēĢäŊãŽæĒãįŽæã ããčĻããããã§ããã°ãč ĢįãŽããå ´æãįŽæããĻæ˛ģįãããã
䏿šãæąæ´åģåĻã¯ãį æ°ãĢãĒãŖãã¨ãčēĢäŊå ¨äŊãčĻããããã¯ãäģĨåãæ¸ãããããĢãįæ´ģįŋæ Ŗį ãã ãåãŖãéŖįæ´ģãæĨĩį̝ãĢįãįĄį æéãåŧˇããšããŦãšââæĒãįŽæã ããåãé¤ããĻããįæ´ģįŋæ ŖããŽããŽãå¤ããĒããã°ãåŽæ˛ģã¯ããåžãĒãã
ããã¯ãį§čĒčēĢãŽįĩé¨ã¨æˇąãéãĒãããŽã ãŖããčĨŋæ´åģåĻãŽįŽįã¯ãč ĢįããĒãããã¨ããåŊäēč ã§ããį§ãŽįŽįã¯ãå ãŽįæ´ģãĢæģããã¨ããįĩåąãåŗčŗãŋã¤ããåˇĻčŗãŋã¤ãã¨ããčãæšãããŖãĻãããŠãĄããæŖãããæĒãã¨ãããã¨ã§ã¯ãĒããé°éŊãŽčãæšã¨åãã§ãããŠãŗãšããã大åãĒãŽã ã¨æãã
ã¨ãããŧã°ããããããŽåŊãŽäŊŋãæš
ããŽæŦãŽãŋã¤ããĢãĢãããåŊãŽäŊŋãæšãã¯ãį§ãŽįãæšããŽããŽã ãį§ãŽåŊã¯ãį§ä¸äēēãŽããã ããĢãããŽã§ã¯ãĒããæ¯ããĻãããå¤ããŽäēēããĄããããĻãããããåēäŧãããšãĻãŽäēēããĄãŽãããĢäŊŋãŖãĻããããã¨æãŖãĻããã
å ˇäŊįãĢäŊããããŽãããžã ããšãĻãæįĸēãĢãĒãŖãĻããããã§ã¯ãĒãããããŠãããŽæŦãčĒãã§ãå°ãã§ãå ãčĻããããåŊšãĢįĢãĻãã¨æããĻããããäēēãããã°ãããäģĨä¸ãĢåŦãããã¨ã¯ãĒãã
į æ°ãĢãĒãŖãæãčǰã§ãčĒåãæ˛ģããã¨åŋ æģãĢãĒããããã¯åŊããåãŽãã¨ã ããããŠãæŦåŊã¯ãčĒåãŽãã¨ã§ã¯ãĒãã¯ããŽåŽļæãäģ˛éããčĒåäģĨä¸ãĢčããčĄåããĻãããĻãããäģãéį ä¸ãŽæšãããŽæŦãčĒãã§ãããĻãããĒããäŊčĒŋãčŊãĄįããĻãããããã˛åĨĨãããåŽļæãĢããããã¨ãããäŧããĻãŋãĻãģããã
īŧãīŧãīŧ
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ããŽåŊãäŊŋãŖãĻããããį æ°ã§æŠãčǰããŽæéãããģããŽå°ãã§ãįãã§ãããĒããéŖãšããã¨ã§å æ°ãĢãĒããį æ°ãé˛ããæįããčǰããĢåąãããããĒãããããĻããŽčǰããĢå¯ãæˇģãããĒãã
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įãã§ãããĻããããã¨ããč˛ãĻãĻãããĻããããã¨ããæ¯ããĻãããĻããããã¨ãã
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