ããªãã®åŠåš ã«åœ±é¿ãäžããå¯èœæ§ããã22ææç
èšäºäžã§
- åŠåš äžã®å¥³æ§ã¯ãªãããææããããã®ã§ããïŒ
- åŠåš äžã®å¥³æ§ã«åœ±é¿ãäžããå¯èœæ§ãããææçã®ãªã¹ã
åŠåš ã¯ãããã女æ§ã®ç掻ã®äžã§æãçŽ æŽããã段éã§ãã 圌女ã¯èªåã®å¥åº·ãæ é€ãã©ã€ãã¹ã¿ã€ã«ããããŠç°å¢ã«çŽ°å¿ã®æ³šæãæã£ãŠãããåšå²ã®äººã ããäžè©±ããããŠããŸãã ããããåŠåš ã«ã¯äžå®ã®å²åã䌎ããŸãããã®æ®µéã§ç æ°ã«ãªããšãéåžžã«ç²ããæ°åã«ãªãããšããããŸãã
ãã®çŸããæ ã®éã«ææãé²ãããã®å¯Ÿçãè¬ããå¿ èŠããããŸãã ãã®èšäºã§ã¯ããããã®ææçãšããããåé¿ããããã«äœãã§ããããç解ããã®ã«åœ¹ç«ã¡ãŸãã
åŠåš äžã®å¥³æ§ã¯ãªãããææããããã®ã§ããïŒ
ç§ãã¡ã®äœã¯çŽ°èããŠã€ã«ã¹ã«ããæ»æããç§ãã¡ãå®ãããã®èªç¶ãªé²åŸ¡æ©æ§ãæã£ãŠããŸãã æäœã¯ãããã®ææãåŒãèµ·ããç©è³ªãšæŠãããã«äœã«ãã£ãŠäœãåºãããŸãããããæã äœã¯ç§ãã¡ãææã«ææã«ããååãªæäœãäœãããšã«å€±æããŸãã
åŠåš ææçã¯äž»ã«å¥³æ§ã®å ç«åãäœäžããŠããããã«èµ·ããããããªããŸãã åŠåš äžãå ç«ã·ã¹ãã ã¯æ¯èŠªãšèµ€ã¡ããã®äž¡æ¹ãä¿è·ããããã«é©å¿ããŸãã ãã®é²åŸ¡ã¡ã«ããºã ã®ããéšåã¯åŒ·åãããŠããŸãããããéšåã¯ãã©ã³ã¹ããšãã®ãå©ããã®ã§æå¶ãããŸãã ããããªãããæ¯èŠªã¯ãŸãããã«ã¢ã³çããã³ççåŠçå€åã®æ¥å¢ãçµéšãã圌女ã¯ããã«ææãæãããããšã«å¯ŸããŠããè匱ã«ãªã£ãŠããã åèãååš©ãåºç£ã®éã«ã女æ§ã®äœã¯å€ãã®ææçã«ãããããããã圌女ã®è匱æ§ã«ã€ãªãããŸãã
å¥åº·ãªããªããšå¥åº·ãªèµ€ã¡ãããæã€ããã«ã¯ãåŠåš äžã®å¥åº·çãªã©ã€ãã¹ã¿ã€ã«ãç¶æããããšãéåžžã«éèŠã§ãã
åŠåš äžã®å¥³æ§ã«åœ±é¿ãäžããå¯èœæ§ãããææçã®ãªã¹ã
åŠåš äžã«ææããææçã¯ãæ¯èŠªã ãã§ãªããå Žåã«ãã£ãŠã¯æªçå ã«ã圱é¿ãåãŒããããè€éã§ãã
ãããã£ãŠããããã®ææã«ã€ããŠç¥ãããšã¯éåžžã«éèŠã§ããããããã®ã¿ã€ã ãªãŒãªæ²»çæ³ã¯åœãæãããšãã§ããŸãã ããããããªãèªèº«ãšããªãã®èµ€ã¡ãããå®ãããã«å¿ èŠãªããã€ãã®ææçã§ãã
åèç
BåèçãŠã€ã«ã¹ã¯èèã«åœ±é¿ãåãŒããæ¯çŽ ãäœå ã«èç©ãããŸãã åŠåš äžã®å¥³æ§ã¯ã圌女ã®æåã®åºçå蚪åã§Båèçã®æ€æ»ãåããŸãã ãã£ãªã¢ã¯çç¶ã瀺ããªããããããŸããããååš©äžã«èµ€ã¡ããã«ãŠã€ã«ã¹ãææãããå¯èœæ§ããããŸãã ãŠã€ã«ã¹ã¯ææãã人ãšã®æ§äº€ãéããŠäœã®é²åŸ¡ããªãããããã¯ææããè¡æ¶²ãšçŽæ¥æ¥è§Šããããšã«ãã£ãŠãæ¡æ£ããŸãã Båèçæ€æ»ã¯ãèµ€ã¡ããããŠã€ã«ã¹ã«ææããªãããã«ããããã«ãåºçæããã³åºç£åŸã«è¬ããã¹ãäºé²çãèšç»ããããã«éåžžã«éèŠã§ãã
ãã®ææçã®çç¶ã¯è ¹çãååãé»çžãé¢ç¯çãé£æ¬²äžæ¯ã§ãã
æ€æ»çµæãé°æ§ã®å Žåã¯ãåŠåš äžã«æäžããŠãå®å šãªBåèçäºé²æ¥çš®ãåããŠããŸãã ããã«ãããªãã®èµ€ã¡ããã¯çãŸããŠãã12ã¶æåŸã«äºé²æ¥çš®ãåããŸãã ææçã«ãããå±éºãããèµ€ã¡ããã®äžã«ã¯ãåºçæã«Båèçå ç«ã°ãããªã³ïŒHBIGïŒã®æäžãå¿ èŠãªãã®ããããŸãã
2. Cåèç
CåèçãŠã€ã«ã¹ãèèã«åœ±é¿ãäžããŸãã ææãã人ã«ã¯äœã®çç¶ãèŠãããªããããããŸããããæ°ãã€ããã¹ãå åã¯åãæ°ã§ãããã¯åŠåš åæã«ãããèŠãããææçã®èšºæãå°é£ã«ããŸãã ãŠã€ã«ã¹ã¯ã茞è¡ãè¡æ¶²ãšã®çŽæ¥æ¥è§ŠããŸãã¯ææããæ£è ã蚪ããå Žæã§ã®å»ççãŸãã¯æ¯ç§çæ²»çãéããŠäŒæããŸãã ææã¯åºçæã«åŠåš äžã®æ¯èŠªããèµ€ã¡ããã«ææããããšããããŸãã
å°¿è·¯ææç
å°¿è·¯ææçãŸãã¯å°¿è·¯ææçã¯ãå°¿éã«å ¥ããç®èãçŽè žãŸãã¯è£ããäžãã现èã«ãã£ãŠåŒãèµ·ããããå°¿è·¯ææçã§ãã ææçã¯ãèè±çïŒèè±çïŒãè èçïŒè çè çïŒããŸãã¯ç¡çåæ§çŽ°èå°¿çïŒçç¶ã®ãªãå°¿è·¯å ã®çŽ°èïŒã®ããããã§ãã è çè çãç¡çåæ§çŽ°èå°¿ã¯æ©ç£ãäœåºçäœéå ã®åå ãšãªããŸãã
ã¯ãæå°¿äžã®çã¿ãŸãã¯çŒç±æãæããŸãã¯æªèãŸãã¯è¡ãŸã¿ãã®å°¿ãèè±å ã«å°¿ããªããŠãé »ç¹ã«æå°¿ããããšãããã³äžè ¹éšã®çã¿ãç¹åŸŽãšããã
倧éã®æ°Žåã飲ãã§ãæå°¿ã®è¡åããããšãã«ã¯ãã£ãšããŠããªããé©åãªè¡çç¶æ ãç¶æãããããã³ãã€ã¬ã«è¡ã£ãåŸã«ååŸã«æãããšã¯ããã®ææãåé¿ããããã«åãããšãã§ãã察çã®äžéšã§ãã æ²»çã¯å»åž«ãåŠæ¹ããäœçšéã®æçç©è³ªãæäžããããšã«ãã£ãŠè¡ãããŸãã
è£ã®ææç
è£å ã€ãŒã¹ãèææçã¯ããšã¹ããã²ã³ãšããã²ã¹ããã³ãã«ã¢ã³ã®ã¬ãã«ã®äžæãåå ã§èµ·ãããŸãã ããã¯è£å ã§ã®ççŒãåŒãèµ·ããããããŠçœã£ãœãé»è²ã®æŸåºãç¹åŸŽãšããã å»åž«ã¯éåžžããããæ²»çããããã«è¬çšè»èãåŠæ¹ããŸãã
æ§ææç
åŠåš äžã®å¥³æ§ã¯ãéåžžæ確ãªçç¶ããªãæ§ææçïŒSTDïŒã«ãããåŸåãéåžžã«é«ãã§ãã STDã®æãäžè¬çãªã¿ã€ãã¯ã¯ã©ããžã¢ã§ãã STDã®æ¯èŠªã®ä¹³å ã¯åºçæäœéãäœãåŸåããããŸãã æ¯èŠªã¯ãŸããæ©ç£ã®åŠåš äžã®åºè¡ãæ©ç£ãŸãã¯æµç£ã®å±éºããããŸãã åºçæã«ææãèµ€ã¡ããã«ææãããå¯èœæ§ãé«ããããã¯ã¿ã€ã ãªãŒã«æçç©è³ªã§æ²»çããããšãã§ããŸãã
ããã³ããã¯ã¹
ããªãããã§ã«æ°Žçã®ãšããœãŒããçµéšããããšãããããããªããäºé²æ¥çš®ãåããããšããããªãã°ãããã¯ããªããåã³æ°Žçãšå¥çŽããªãã§ãããããšã¯ããªãããããã§ãã ããå®å šãªé¢ã«ããããã«ãããªããæ°Žçã«å ç«ããããã©ããã確èªããããã«è¡æ¶²æ€æ»ãè¡ãããšãã§ããŸãã
ãã ããåŠåš äžæãŸãã¯åŠåš äžæã«æ°Žçã«ããã£ãå Žåãèµ€ã¡ããã«å 倩æ§æ°Žççå矀ã®ãªã¹ã¯ããããŸãã ããã¯èº«äœçããã³ç²Ÿç¥çãªé害ã«ãã£ãŠç¹åŸŽä»ããããŸãã è¶ é³æ³¢æ€æ»ã¯ãèµ€ã¡ããã«æ¬ é¥ããªããã©ããã確èªããããã«è¡ãããŸãã ææãããšãã«åŠåš 第3æã«ããå Žåã¯ãæäœãèç€ãéããŠèµ€ã¡ããã«å±ããããæäœãææã«ãããããå±éºæ§ãäœããªãããã幞éã§ãã
æ°Žçã¯è»œåºŠã®ã€ã³ãã«ãšã³ã¶ãšããã«ç¶ãäœã®äžã®èµ€ãéèµ·ã®çºç¹ãç¹åŸŽãšããŸãã ããªããé©åãªæ²»çã圹ã«ç«ã€ããã«åŸŽåã芳å¯ãããªãã°ããã«ããªãã®å»è ã«æèŠãèããŠãã ããã
7.ã¯ãããŸãã¯é¢šç¹
åŠåš ã®æåã®4ã¶æéã«é¢šç¹ã«ããããšãè³ãå¿èã®æ¬ é¥ãé£èŽãçœå éãªã©ã®èµ€ã¡ãããžã®æ·±å»ãªè¢«å®³ãæå³ããå¯èœæ§ããããŸãã ããã¯æµç£ã«ããã€ãªããå¯èœæ§ããããŸãã
颚ç¹ã®çç¶ã«ã¯ã軜床ã®ã€ã³ãã«ãšã³ã¶ãçºç±ãèµ€ãã³ã¯ã®çºç¹ããªã³ãç¯ã®è «ããçã¿ãšèµ€ãç®ããããŠçã¿ã䌎ãé¢ç¯ãå«ãŸããŸãã 颚ç¹ã®çããããå Žåã¯ãã§ããã ãæ©ãå»åž«ã®èšºæãåããã ãŠã€ã«ã¹ãæ€åºããããã«åŠåš 4ã¶æç®ã«ã¹ã¯ãªãŒãã³ã°æ€æ»ãè¡ãããŸããããã®ç æ°ã«å¯ŸããŠäºé²æ¥çš®ãåããããšãèããåã«å¿ èŠãªæ€æ»ããã¹ãŠè¡ãããšãæåã§ãã
8. B矀é£éçè
B矀é£éçèã¯æ°çå ã®çåœãè ããææçã§ãæ¯èŠªã«ãæªåœ±é¿ãåãŒããŸãã åŠåš äžã«ãGBSã¯ãèè±ææçãæªã åºç£ããŸãã¯åå®®å èçïŒéåžžãåå®®ã®å åŽã«æé·ããçµç¹ãå€åŽã«æé·ããåŸåãããçã¿ã䌎ãé害ïŒãåŒãèµ·ããå¯èœæ§ããããŸãã ã»ãšãã©ã®å Žåãææè ã¯çç¶ã瀺ããªãå¯èœæ§ããããããã¹ã¯ãªãŒãã³ã°æ€æ»ã¯åŠåš 35ã37é±ååŸã«å¿ é ã§ãã ãã®ææãä¹³å ã«åœ±é¿ãäžããå¯èœæ§ã¯ãæ°Žãæ©ãåããå Žåãåºç£äžããŸãã¯æ©ç£ã®å Žåã«çºç±ããŸãã ãããé²ãããã«æçç©è³ªãåŠæ¹ãããŠããŸãã
9.现èæ§è£ç
现èæ§è£çã¯ãè£å ã®çŽ°èã®äžåè¡¡ã«ãã£ãŠåŒãèµ·ããããŸãã è£å ã®å¿ é 现èã§ããä¹³é žæ¡¿èã®ã¬ãã«ãäžãããšããã®ææçãçºçããèµ€ã¡ããã®åºçæäœéã®æžå°ãæ©ç£ããŸãã¯åŠåš äžæã®æµç£ã«ã€ãªãããŸãã
æå°¿äžã«ç¹ã«æ§å¥ãçŒç±æã®åŸã«éèã䌎ãè£ããã®ç°è²ãŸãã¯çœã®åæ³ç©ã¯ãææã瀺ããŠããå¯èœæ§ããããŸãã
å®å šãªæçç©è³ªã䜿ã£ãŠæ²»çãããŸãã çæ®åšå ã®è¡çã¹ãã¬ãŒãªã©ã现èã®ãã©ã³ã¹ãä¹±ããããªè£œåã䜿çšããããšã¯é¿ããŠãã ããã æ²»çæ¹éã«ã€ããŠã¯å»åž«ã®å©èšãæ±ããŠãã ããã
10.ãŠã€ã«ã¹ææ
åŠåš äžã®å¥³æ§ããã®èµ€ã¡ããã«åœ±é¿ãäžãããŠã€ã«ã¹ææçã«ã¯ããããœãã©ãºãçã颚ç¹ãCMVããã«ãã¹ã第5ç ãæ°Žç垯ç¶ç±ç¹ãŠã€ã«ã¹ã西ãã€ã«ãŠã€ã«ã¹ã麻ç¹ãŠã€ã«ã¹ããšã³ãããŠã€ã«ã¹ãã¢ãããŠã€ã«ã¹ãHIVããžã«ãŠã€ã«ã¹ããããŸãã ãŠã€ã«ã¹ã¯ãåºçæãŸãã¯æä¹³äžã«ãèç€ãä»ããŠãè¡æ¶²ããã³è£æ¶²ãä»ããŠæ¯èŠªããèµ€ã¡ããã«ææããå¯èœæ§ããããŸãã ãããã¯ãä¹³å ã®å 倩æ§æ¬ æçãæ»ç£ããŸãã¯æ¯èŠªã®æ»ãããåŒãèµ·ããå¯èœæ§ããããŸãã
ãã®èšäºã§ã¯ããããã®ããã€ãã«ã€ããŠè©³ãã説æããŸããã
第5ã®ç æ°ïŒãã«ããŠã€ã«ã¹ïŒ
5çªç®ã®ç æ°ã¯ãã«ããŠã€ã«ã¹B19Vã«ãã£ãŠåŒãèµ·ããããŸãã ããã¯éåžžå°ããªåäŸã«çºçããããã«ãå¹³ææã¡é ¬çŸæ£ããšããååãäžããé ¬ã®èµ€ãçºç¹ã«ãã£ãŠç¹åŸŽä»ããããŸãã ä»ã®çç¶ã«ã¯ã錻氎ãã€ã³ãã«ãšã³ã¶ãããã³åŠæ æããããŸãã æ®éã®äººã«ãšã£ãŠã¯ãããã¯å€§ããªè åšãšã¯ãªããŸããããRBCã«äœããã®äžèŠåæ§ãããå人ã§ã¯ããããRBCã®ç£çãé»å®³ããã®ã§çåœãè ããå¯èœæ§ããããŸãã
ææã¯åŸæ¶²ãšéŒ»ã®åæ³ç©ãéããŠåºãããŸãã åŠåš äžã¯ãæ»ç£ãæµç£ãèå ã®å¿çŸæ£ãããã³èå 貧è¡ãåŒãèµ·ããå¯èœæ§ããããŸãã åŠåš äžæã«åçž®ãããšãããã¯çµç¹å ã®æ°Žåéã®å¢å ã瀺ãæ°Žè «ãšåŒã°ããç¶æ ã«ã€ãªããå¯èœæ§ããããŸãã
åŠåš äžã«åçž®ããå Žåã¯ãèå ã®äœæ¶²éããã§ãã¯ããããã«è¶ é³æ³¢æ€æ»ãè¡ãããŸãã
12.ãã¯ã³ã°ãã¢
èåªä»ãŠã€ã«ã¹ææããã¯ã³ã°ãã¢ã¯åºçäžã«ããªãã®èµ€ã¡ããã«è»¢éããããšãã§ããŸãã ãã¯ã³ã°ãã¢ã¯ãæ人ã®é¢ç¯ã®è «ããé çãŸãã¯çèçãç¹åŸŽãšããŠããŸãã ããã¯ãæé£å°é£ãç®èã®åé¡ããããŠæ°çå ã®çºç±ãåŒãèµ·ãããŸãã ãã®ç æ°ã®æ²»çè¬ã¯ãããŸããããå€éã®æ°Žã飲ãã§äŒæ¯ããšãããšã§çç¶ãç·©åããããšãã§ããŸãã
ãµã€ãã¡ã¬ããŠã€ã«ã¹
ãµã€ãã¡ã¬ããŠã€ã«ã¹ïŒïŒ£ïŒïŒ¶ïŒã¯äºæ¬éãã«ãã¹ãŠã€ã«ã¹ã§ãããäœæ¶²ã®æ¥è§ŠãéããŠåºããã åäŸã¯åºçæã«CMVãçºçããç°åžžã«å°ããé ãç¥çµç³»ã®ç°åžžãæ¡å€§ããèŸèãšèèãé»çžãªã©ã®åŸŽåã瀺ãããšããããŸãã ããã€ãã®æ·±å»ãªèŠèŠçãèŽèŠçããã³ç¥çµç³»ã®åé¡ã«èŠããã§ããéããã€ãã®èµ€ã¡ããã¯æªçå ã§ãã é©åãªè¡çç¿æ £ã¯ãã®ææãé¿ããã®ãå©ããŸãããããŠãåŠåš äžã«ææããããè¶ é³æ³¢ã¯èµ€ã¡ããã®å¥åº·ããã§ãã¯ããããã«è¡ãããŸãã
ãã³ã°ç±
å¥ã®èåªä»æ§ãŠã€ã«ã¹ææçã§ãããã³ã°ç±ã¯ãååš©äžã«åäŸã«äŒæãããšæ©ç£ãäœåºçäœéããã³æ»ç£ãåŒãèµ·ããã ãã³ã°ç±ã®ããã€ãã®çç¶ã«ã¯ãé«ç±ãæ¿ããé çãé¢ç¯çãçèçããã³éªšçããªãã³ã«éŒ»ãŸãã¯æ¯èããã®è»œåºŠã®åºè¡ãå«ãŸããã ãããé²ãããã«ãåŠåš äžã®æ¯èŠªã¯è - ç æ°ã®ä¿å è ããé ãããããã®æªçœ®ããšãã¹ãã§ãã
15. HIV
ããå ç«äžå šãŠã€ã«ã¹ïŒHIVïŒã¯ææè ã®å ç«ã·ã¹ãã ã«åœ±é¿ãäžããŸãã æ©å¯ã¹ã¯ãªãŒãã³ã°æ€æ»ã¯åºçåæ€æ»ã®äžéšãšããŠè¡ãããã«ãŠã³ã»ãªã³ã°ã¯åŠåš äžã®æ¯èŠªã®ããã«è¡ãããŸãã ãã®ç æ°ã®æãèŽåœçãªæ®µéã¯ãåŸå€©æ§å ç«äžå šçå矀ïŒAIDSïŒã§ããããã¯ãæ£è ãHIVææã§éœæ§ãšå€å®ãããçäŸã§ãã åŠåš äžã®æ¯èŠªã¯ãåŠåš äžãåºç£äžããŸãã¯æä¹³äžã§ããããèªåã®èµ€ã¡ããã«ãŠã€ã«ã¹ãææãããããšããããŸãã HIVéœæ§ã®æ¯èŠªã«çãŸããèµ€ã¡ããã¯ãåºçæã«ã¹ã¯ãªãŒãã³ã°æ€æ»ãåããŸãã ããã¯çåœãè ããç æ°ã§ããããããã£ãŠãåŠåš äžã«æ¯èŠªãå¥åº·ãªèµ€ã¡ãããç£ãããã«ææããå Žåã¯ãã¿ã€ã ãªãŒãªå¯Ÿçããšãå¿ èŠããããŸãã
16.ãã«ãã¹
æ§åšãã«ãã¹ã¯ããã«ãã¹ãŸãã¯å£è ãã«ãã¹ãæããããŒãããŒãšã®æ§åšæ¥è§ŠãŸãã¯ãªãŒã©ã«ã»ãã¯ã¹ãä»ããŠäŒæããåçŽãã«ãã¹ãŠã€ã«ã¹ã«ãã£ãŠåŒãèµ·ããããã çç¶ãšããŠã¯ãè£ãå€é°éšã®èµ€ãå·ãæ°Žç±ã«å€ãããåŸã§çã¿ã䌎ãçã¿ã«ãªããŸãã åŠåš åæã«ã¯ããã«ãã¹ãæ²»çããããšãã§ããŸãããåŠåš ã®æçµæ®µéã§ã¯ãçãŸããã°ããã®èµ€ã¡ããã®ææãé¿ããããã«Cã»ã¯ã·ã§ã³ãè¡ãããŸãã
17.ãªã¹ããªã¢ç
ãªã¹ããªã¢çã¯ã现èãªã¹ããªã¢ã¢ããµã€ãã²ãã¹ãå«æããé£åããå¥çŽãããŠããŸãã ãŸããªç æ°ã§ãããå ç«åãäœäžããŠãã人ã ã«åœ±é¿ãäžããåŠåš äžã®å¥³æ§ãææãããããããŸãã ããã¯çŸæ°Žãèç€ã«ææããæªçå ãæ©ç£ãåŒãèµ·ãããŸãã
ãããœãã©ãºãç
Toxoplasma gondiiãšåŒã°ããå¯çè«ãåå ã§ãåŠåš ãé²ãã«ã€ããŠããã®ææãæ¯èŠªããèå ã«äŒããå±éºæ§ãé«ãŸããŸãããåŠåš åæã«äŒæãããšããéçã«ãªããŸãã ããã¯ãèãé£ã¹ç©ã調çäžè¶³ã«ããŠããããšãæ±æãããåå£ãåŠçããããšããŸãã¯ç«ã®ãã€ã¬ç ãéããŠäŒæããã ããã¯ãåºçæããããã¯èåšç§»æ€ã茞è¡ãä»ããŠãæ¯èŠªããåäŸãžã®æ段以å€ã®æ¹æ³ã§ããã人ããä»ã®äººã«ææãããããšã¯ã§ããŸããã
19.ããªã³ã¢ãã¹ç
ããªã³ã¢ãã¹çãŸãã¯ããªãã¯çã¯ãäœæ¶²ãä»ããŠå®¿äž»äœå ã«äŸµå ¥ãã埮èŠçå¯çè«ã«ãã£ãŠåŒãèµ·ããããæ©ç£ããã³æ©ç£ã®èã®ç Žè£ãåŒãèµ·ããããšã«é¢é£ããŠããã ããã¯ã泡ç¶ã®å€èŠ³ããã³æªèã䌎ãç·ããã£ããŸãã¯é»è²ããã£ãæŸåºã䌎ã£ãŠãè£ãèµ€ãŸãã¯ããã¿ãçããããããšãããã æçç©è³ªã¯ãææãåäŸã«äŒããã®ãé²ãããã«æ°çå ã«åŠæ¹ãããŠããŸãã
ãžã«ãŠã€ã«ã¹
ãžã«ãŠã€ã«ã¹ã¯èã«ãã£ãŠäŒæããããšãã§ããŸããŸãã¯æ§çã«ãäŒæããããšãã§ããŸãã åŠåš äžãããã¯åäŸã«å°é çïŒç°åžžã«å°ããªé ïŒãåŒãèµ·ãããŸãã ãã®åŸãèŠèŠé害ãèŽèŠé害ãèšèªé害ãæé·äžè¯ãããã«ã¯çºäœãããåŒãèµ·ããããšããããŸãã ãžã«ãé¿ããããã®æåã®æ¹æ³ã¯ããžã«ãŠã€ã«ã¹ãæµè¡ããŠããå Žæãžã®æ è¡ãé¿ããããšã§ãã
21.åç©ãææããææ
ãããœãã©ãºãçã¯ç«ã®ãã€ã¬ç ãšã®æ¥è§Šã«ãã£ãŠåŒãèµ·ããããææçã§ãã åæ§ã«ãChlamydia psittaciã¯åŠåš äžã®å¥³æ§ã«æµç£ãåŒãèµ·ããããšãç¥ãããŠããçŸãåçŸã®äžã«ååšããçç©ã§ãã åçŸãšçŸããããœãã©ãºãã®ä¿èè ã§ãã çãŸããã°ããã®åçŸã®æŸä¹³ãšåãæ±ãã¯é¿ããã¹ãã§ãã è±ã¯Eåèçã®åå ã§ãããè±ãç³äŸ¿ãšã®æ¥è§Šã¯åŠåš ã®å±éºæ§ãéåžžã«é«ãã§ãã
åŠåš äžã®ææçã®äºé²ãšæ²»ç
å¥åº·ãªèµ€ã¡ããã確ä¿ããããã«ãåŠåš äžã®æ©ææ²»çãšå¯Ÿçãå¿ èŠã§ãã ãæ¯ããã¯ã次ã®ãããªå¯Ÿçãè¬ããå¿ èŠããããŸãã
- å¿ èŠãªäºé²æ¥çš®ããã¹ãŠåŠåš åãšåŠåš äžã«è¡ãããŠããããšã確èªããŠãã ããã
- ã¿ã€ã ãªãŒãªæ²»çãåããããã«ïŒããããã°ïŒææãæ€åºããããã®ãã¹ããå®è¡ããã
- ç³é¹žãšã¬ããŸæ¹¯ã§å®æçã«æãæŽã£ãŠãã ããã
- ææãã人ã ãšã®æ¥è§Šãé¿ããŸãã
- åžžã«äœæž©æ®ºèçä¹³ãæåããã
- é£ç©ãç¹ã«èã培åºçã«èª¿çããã
- ããããæ°Žã飲ãã
- å¥åº·çã§ãã©ã³ã¹ã®åããé£äºãç¶æããŸãã
ããªãã¯ãã€ãææã®ååšã«æ°ã¥ããŠãããšã¯éããªããããããŸãããããã§ããªãã¯ããªãã®åå®®ã®äžã§ãã®è²Žéãªäººçã®ããã«æåã®ä¿è·ãäžããããšãã§ããããã«æ³šæãããªãã®äœã®å°ããªå€åã«æãããããšã¯äžå¯æ¬ ã§ãã æ¯æ§ãšãããããªãã«ä»£ãã£ãŠæã£ãŠãããã¹ãŠã®å°ããªèŽãç©ãåãå ¥ããæºåãã§ããŠããŠãã ããã