±é²Î²Î¼ê¤Î¾¾¸¶¤Î¤Ö¤¨(47)¤¬4Æü¡¢ÅÔÆâ¤Îɱ¡¤ÇÀ¸ÂοÕ¡°Ü¿¢¼ê½Ñ¤«¤é¤ÎÂౡ²ñ¸«¤ò³«¤­¡¢½çÄ´¤Ê²óÉü¤Ö¤ê¤ò¥¢¥Ô¡¼¥ë¤·¤¿¡£¼ê½Ñ¤Ï5»þ´Ö10ʬ¤ËµÚ¤Ó¡¢½ê°»ö̳½ê¼ÒĹ¤Ç¼ÂÄï¤Î×¢¸¶¿­µ±»á(45)¤Îº¸¿Õ¡¤ò°Ü¿¢¡£Æþ±¡Ãæ¤Ë¤Ï¡¢¤«¤Ä¤Æ¸ø»ä¤È¤â¤Ë¿Æ¤·¤«¤Ã¤¿ºî¶Ê²È¤Î»°ÌÚ¤¿¤«¤·¤µ¤ó(µýǯ64)¤é¿È¶á¤Ê¿Í¡¹¤âË´¤¯¤·¡Ö°ì½ï¤Ë(¤¢¤ÎÀ¤¤Ë)Ï¢¤ì¤Æ¤¤¤«¤ì¤ë¤«¤È¤â»×¤Ã¤¿¡×¤È¡¢»à¤ò°Õ¼±¤·¤¿Åö»þ¤Î¿´¶­¤òÎޤʤ¬¤é¤ËÌÀ¤«¤·¤¿¡£

¥Ý¥í¥Ý¥í¤È¤³¤Ü¤ìÍî¤Á¤ëÎÞ¤ò¤Ì¤°¤¤¡¢¾¾¸¶¤Ï¶ì¾Ð¤¤¤·¤¿¡£»°ÌÚ¤¿¤«¤·¤µ¤ó¤¬Ë´¤¯¤Ê¤Ã¤¿¤Î¤Ï¡¢5·î14Æü¤Î¼ê½ÑÆü¤Î3ÆüÁ°¡£¤Þ¤¿¡¢Æþ±¡Ãæ¤Ë¤ÏÊìÊý¤Î¤ª¤Ð¡¢¤½¤·¤Æ¥Ú¥Ã¥È¤Î¸¤¤¬2ɤ¡¢¼¡¡¹¤È¾³¦¤·¤¿¤È¤¤¤¦¡£¡Ö(Æþ±¡Ãæ¤Ë)°ìµ¤¤ËÂçÀڤʤâ¤Î¤¬Ë´¤¯¤Ê¤Ã¤Æ¤·¤Þ¤Ã¤¿¡£°ì½ï¤ËÏ¢¤ì¤Æ¤¤¤«¤ì¤ë¤«¤È»×¤Ã¤¿¡×¡£»à¤ò³Ð¸ç¤·¤¿Åö»þ¤ò»×¤¤¡¢°Â¤É¤ÎÎÞ¤¬»ß¤Þ¤é¤Ê¤«¤Ã¤¿¡£

¥Ç¥Ó¥å¡¼Á°¤«¤éÊú¤¨¤Æ¤¤¤¿¿Õ¡É¤ϡ¢¶»¤ÎÆâ¤Ë±£¤·¤Æ³èÆ°¤·¤Æ¤­¤¿¡£¡Ö²Î¤ÎÀ¤³¦¤¬¹¥¤­¤Ç(·Ýǽ³¦¤Ë)Æþ¤Ã¤¿¡£¼å¤¤¤È¤³¤í¤ò¸«¤»¤ÆƱ¾ð¤µ¤ì¤¿¤¯¤Ê¤«¤Ã¤¿¡×¤ÈÀâÌÀ¡£½ê°¥ì¥³¡¼¥É²ñ¼Ò¤Ë¤Þ¤Çɵ¤¤ò±£¤·¡¢Æþ±¡Ä¾Á°¤Î4·î²¼½Ü¤Þ¤Ç¿·¶Ê¡ÖÌ´¤ÎÀ±¶ý(¤«¤±¤é)¡×(9·î2ÆüȯÇä)¤Î¥ì¥³¡¼¥Ç¥£¥ó¥°¤ò¹Ô¤Ã¤Æ¤¤¤¿¡£

¼Â¤Ï1ǯÁ°¤«¤éÆ©ÀϤʤ·¤Ç¤ÏÀ¸³è¤Ç¤­¤Ê¤¯¤Ê¤ê¡¢¸ÉÆȤÊƮɤ¬»Ï¤Þ¤Ã¤Æ¤¤¤¿¡£´é¤ÏÅÚ¿§¤Ë¤Ê¤ê¡¢Â­¤ò¿­¤Ð¤»¤Ê¤¤¤¿¤áÀµºÂ¤Ç¿²¤¿¤³¤È¤â¤¢¤ë¡£º£Ç¯¤ËÆþ¤Ã¤Æ¤«¤é¤Ï¡¢1Æü¤ª¤­¤ËÄ̱¡¡£¡ÖÇ¢ÆǤ¬Æ¬¤Ë²ó¤Ã¤Æ»à¤Ì°ìÊâ¼êÁ°¤À¤Ã¤¿¡£¤³¤³1ǯ¤Ï¿Í´Ö¤ò¤ä¤Ã¤Æ¤ë¤Î¤â·ù¤À¤Ã¤¿¡×¤È¤¤¤¦¡£

Äï¤Îº¸¿Õ¡¤ò¾¾¸¶¤Î±¦¿Õ¡¤Ë°Ü¿¢¤¹¤ë¼ê½Ñ¤Ï5»þ´Ö¤Ë¤âµÚ¤ó¤À¤¬¡¢½Ñ¸å¤Î·Ð²á¤ÏÎɹ¥¡£Æ©ÀϤÎÈѤ路¤µ¤«¤é¤â²òÊü¤µ¤ì¡Ö¥È¥¤¥ì¤Î»ÅÊý¤ò˺¤ì¤Æ¤Þ¤·¤¿¡×¤È¾Ð¤¦´é¤Ï°ÊÁ°¤è¤ê¤âÇò¤¯¤Ê¤ê¡¢´ãµå¤Î²«¤Ð¤ß¤â¾Ã¤¨¤Æ¤¤¤ë¡£
(¾¾¸¶¤Î¤Ö¤¨¡Ö»à¤Ì°ìÊâ¼êÁ°¤À¤Ã¤¿¡×)


¿ÕÉÔÁ´¤È¤Ï¿Õ¤Î´ï¼ÁŪ¤â¤·¤¯¤Ïµ¡Ç½Åª¾ã³²¤Ë¤è¤ê¡¢ÂαդÎÎÌŪ¡¦¼ÁŪ¹±¾ïÀ­¤ò°Ý»ý¤Ç¤­¤Ê¤¯¤Ê¤Ã¤¿¾õÂÖ¤ò°ÕÌ£¤·¤Þ¤¹¡£¿ôÆü¤«¤é¿ô½µ´Ö¤Çȯ¾É¤¹¤ëµÞÀ­¿ÕÉÔÁ´¤È¡¢¿ô¥ö·î¤«¤é¿ôǯ¤Ç´°À®¤¹¤ëËýÀ­¿ÕÉÔÁ´¤ËÂçÊ̤µ¤ì¤Þ¤¹¡£

¤½¤â¤½¤â¿Õ¡¤Ï¡¢·ì±Õ¤òßɲᤷ¡¢Í¾Ê¬¤ÊÏ·ÇÑʪ¤ä±öʬ¤ò¼è¤ê½ü¤¯¤È¤¤¤¦¡¢½ÅÍפÊÌò³ä¤òô¤Ã¤Æ¤¤¤Þ¤¹¡£¤µ¤é¤Ë¡¢ÀÖ·ìµå¤òºî¤ë¥Û¥ë¥â¥ó¡¢¥¨¥ê¥¹¥í¥Ý¥¨¥Á¥ó¤òºî¤ê¡¢Á´¿È¤Ë»ÀÁǤò¹Ô¤­ÅϤ餻¤¿¤ê¡¢·ì°µ¤òÄ´À°¤·¤¿¤ê¤¹¤ë¤Ê¤É¡¢À¸Ì¿¤ò°Ý»ý¤¹¤ë¾å¤Ç·ç¤«¤¹¤³¤È¤Î¤Ç¤­¤Ê¤¤Â¡´ï¤Ç¤¹¡£¿ÕÉÔÁ´¤Ç¤Ï¡¢¤³¤¦¤·¤¿µ¡Ç½¤¬ÁÓ¼º¤µ¤ì¤Æ¤·¤Þ¤¦¤ï¤±¤Ç¤¹¡£

ËýÀ­¿ÕÉÔÁ´¤È¤Ï¡¢µ¡Ç½¥Í¥Õ¥í¥ó¤¬¸º¾¯¤·¤ÆÉԲĵÕÀ­¤Î¿Õµ¡Ç½Äã²¼¤òµ¯¤³¤·¡¢Âαդι±¾ïÀ­¤ò°Ý»ý¤Ç¤­¤Ê¤¯¤Ê¤Ã¤¿¾õÂÖ¤ò»Ø¤·¤Þ¤¹(ËýÀ­¤Ë·Ð²á¤·¡¢¤«¤ÄÉԲĵÕŪ¤Ë¿Ê¹Ô¤¹¤ë¿Õµ¡Ç½¾ã³²)¡£

¸¶°ø¼À´µ¤È¤·¤Æ¤Ï¡¢¸¶È¯À­¿Õ¼À´µ¤È³ȯÀ­¿Õ¼À´µ¤¬¤¢¤ê¤Þ¤¹¡£Á°¼Ô¤Ë¤ÏIgA¿Õ¾É¤Ê¤É¤Î»åµåÂοռÀ´µ¤È´Ö¼ÁÀ­¿Õ¼À´µ¤¬¤¢¤ê¡¢¸å¼Ô¤Ë¤ÏÅüǢɡ¢ç±¸¶É¡¢¥¢¥ß¥í¥¤¥É¡¼¥·¥¹¤Ê¤É¤¬¤¢¤ê¤Þ¤¹¡£

¤³¤¦¤·¤¿¿Õµ¡Ç½¾ã³²¤Î¿ÊŸ¤Ëȼ¤¤¡¢°Ê²¼¤Î¤è¤¦¤Ê¾É¾õ¤òÄ褹¤ë¤è¤¦¤Ë¤Ê¤Ã¤Æ¤­¤Þ¤¹¡£Ccr¤È¤Ï¡¢¥¯¥ì¥¢¥Á¥Ë¥ó¥¯¥ê¥¢¥é¥ó¥¹¤Î¤³¤È¤Ç¤¢¤ê¡¢¿Õ¡¤Îßɲᵡǽ¤ò¤ß¤ëÍ­ÍѤʻØɸ¤Ç¤¹¡£´ð½àÃͤÏ91¡Á130mL/ʬ¤È¤Ê¤Ã¤Æ¤¤¤Þ¤¹¡£¤³¤ÎÃͤ¬Äã²¼¤¹¤ë¤³¤È¤Ç°Ê²¼¤Î¤è¤¦¤Ê¾É¾õ¤¬¤ß¤é¤ì¤ë¤è¤¦¤Ë¤Ê¤ê¤Þ¤¹¡£
­¡¿Õµ¡Ç½¸º¾¯´ü(Ccr¡ä50ml/ʬ)¡§Î×¾²Åª¤Ë¤Ï̵¾É¾õ¤Ç¤¢¤ë¡£
­¢Âå½þÀ­¿ÕÉÔÁ´´ü(30¡ãCcr¡ã50ml/ʬ)¡§Ìë´ÖÇ¢¡¢·ÚÅÙ¤ÎÉÏ·ì¡¢·ÚÅÙ¹â·ì°µ¤ò¼¨¤¹¡£
­£ÈóÂå½þÀ­¿ÕÉÔÁ´´ü(10¡ãCcr¡ã30ml/ʬ)¡§Á´¿È·ñÂÕ´¶¡¢Â¿Ç¢¡¢ÃæÅùÅÙ¤ÎÉÏ·ì¡¢¹â·ì°µ¤¬¤ß¤é¤ì¤ë¡£
­¤Ç¢ÆǾɴü(Ccr¡ã10ml/ʬ)¡§Éâ¼ð¡¢ÇÙ¿å¼ð¡¢¹âÅÙÉÏ·ì¡¢½Å¾É¤Î¹â·ì°µ¤¬¤ß¤é¤ì¤ë¡£

¤³¤Î¤è¤¦¤ËÉÂÂ֤ϿºÌ¤Ç¡¢ÂαÕÁýÂç¡¢·ì°µ¾å¾º¡¢ÅŲò¼Á°Û¾ï¡¢»À±ö´ðÊ¿¹ÕÇËþ¡¢¿ÕÀ­ÉÏ·ì¤Ê¤É¤Ë¤è¤ê³Æ¼ï¤Î¾É¾õ¤òÄ褹¤ë¤³¤È¤Ë¤Ê¤ê¤Þ¤¹¡£µ¡Ç½¤¹¤ë¥Í¥Õ¥í¥ó¿ô¤Î¸º¾¯¤È¤È¤â¤Ë¿Ê¹Ô¤·¤Æ¤¤¤­¤Þ¤¹¡£

CRF¤ÎÉ´ü¤Ïµ¡Ç½¤¹¤ë¥Í¥Õ¥í¥ó¿ô¤Î¸º¾¯¤È¤È¤â¤Ë¿Ê¹Ô¤·¤Æ¤¤¤­¤Þ¤¹¡£¾åµ­¤Î¤è¤¦¤Ë¡¢°ìÈ̤ËCCr¤¬50¡ó°Ê¾å¤Ë°Ý»ý¤µ¤ì¤Æ¤¤¤ì¤Ð̵¾É¾õ¤ÇÂαդι±¾ïÀ­¤âÊݤ¿¤ì¤Þ¤¹¡£CCr¤¬50¡Á30¡ó¤ËÄã²¼¤¹¤ë¤È¡¢¾É¾õ¤Ï¤ß¤é¤ì¤Ê¤¤¤â¤Î¤Î·Ú¤¤¹âÃâÁÇ·ì¾É¤äǢǻ½ÌÎϾ㳲¤Ê¤É¤¬½Ð¸½¤·¤Þ¤¹¡£

CCr¤¬30¡ó¤òÀÚ¤ë¤È¹âÃâÁÇ·ì¾É¡¢ÉÏ·ì¡¢¹â¥ê¥ó·ì¾É¤Ê¤É¤¬¤ß¤é¤ì¡¢Ìë´Ö¿Ǣ¡¢°×ÈèÏ«´¶¤Ê¤É¤Î¾É¾õ¤¬È¯¾É¤·¤Þ¤¹¡£CCr¤ÎÄã²¼¤È¤È¤â¤Ë¿ÕÉÔÁ´Ä§¸õ¤Ï¿Ê¹Ô¤·¡¢5¡Á10¡ó°Ê²¼¤Ë¤Ê¤ë¤ÈËö´ü¿ÕÉÔÁ´(Ç¢ÆǾÉ)¤Ë´Ù¤Ã¤Æ¤·¤Þ¤¦²ÄǽÀ­¤¬¤¢¤ê¤Þ¤¹¡£

Ç¢ÆǾɤȤϡ¢Ëö´ü¿ÕÉÔÁ´¤Ë¤ß¤é¤ì¤ëÇ¢ÆǾÉÀ­ÆÇÁǤÎÃßÀѤȡ¢À¸ÂΤι±¾ïÀ­°Ý»ýµ¡¹½¤ÎÇËþ¤«¤éÀ¸¤¸¤ëÁ´¿È¤Î½ô¡´ï¾ã³²¤ò»Ø¤·¤Þ¤¹¡£¶ñÂÎŪ¤Ê¾É¾õ¤È¤·¤Æ¤Ï¡¢
­¡Ç¢ÆǾÉÀ­Ç¾¾É¤äÇ¢ÆǾÉÀ­Àº¿ÀɤʤɤÎÃæ¿õ¿À·Ð¾ã³²
­¢²¼»èÀÅ»ßÉÔǽ¾É¸õ·²¡¢¼ÞǮ­¾É¸õ·²¤Ê¤É¤ÎÇ¢ÆǾÉÀ­Ëö¾¿¿À·Ð¾ã³²
­£¿ÕÀ­ÌÖËì¾É¤äÇ¢ÆǾÉÀ­¹õÆâ¾ã¡¢Ç¢ÆǾÉÀ­»ëÎϾ㳲¡Ê¼å»ë¡Ë¤Ê¤É¤Î´ã¾ã³²
­¤Ì£³Ð¤äÓ̳ФÎÄã²¼
­¥ÇÙ¤¦¤Ã·ì¤ÈÇÙ¿å¼ðÁü¤Ç¤¢¤ëÇ¢ÆǾÉÀ­ÇÙ¡±ê¤äÇ¢ÆǾÉÀ­¶»Ëì±ê¡¢¿´ÉÔÁ´¡¢Ç¢ÆǾÉÀ­¿´Ëì±ê¤Ê¤É¤Î¸ÆµÛ¡¦½Û´Ä¾ã³²
­¦Ç¢ÆǾÉÀ­¸ý½­¡Ê¥¢¥ß¥ó½­¡Ë¡¢¿©ÍßÉÔ¿¶¡¢°­¿´¡¦ÓÒÅÇ¡¢²¼Î¡¡¢¾Ã²½À­ÄÙáç¡¢¾Ã²½´É½Ð·ì¤Ê¤É¤Î¾Ã²½´ï¾É¾õ
¤Ê¤É¤¬¤ß¤é¤ì¤Þ¤¹¡£

¼£ÎŤȤ·¤Æ¤Ï¡¢°Ê²¼¤Î¤è¤¦¤Ê¤â¤Î¤¬¤¢¤ê¤Þ¤¹¡£
¤Þ¤º¤Ï¿©»öÎÅË¡¤È¤·¤Æ¡¢ÃÁÇòÀ©¸Â¡¢¥¨¥Í¥ë¥®¡¼É¬Í×Î̤γÎÊÝ¡¢¿å¡¦¿©±öÀݼèÎÌÀ©¸Â¡¢¹â¥«¥ê¥¦¥à¿©¡¦¹â¥ê¥ó¿©¤Î²óÈò¤¬É¬ÍפȤʤê¤Þ¤¹¡£¾ì¹ç¤Ë¤è¤Ã¤Æ¤Ïɬ¿Ü¥¢¥ß¥Î»ÀÊ»ÍѤò¹Ô¤¤¤Þ¤¹¡£

ÂνÅÅö¤¿¤ê0.6g/kg/Æü°Ê²¼¤ÎÃÁÇòÀ©¸Â¤È¡¢¤³¤ì¤òÊ䤦¹â¥¨¥Í¥ë¥®¡¼¿©(35kcal/kg/Æü°Ê¾å)¤¬´ðËܤȤʤꡢBUN/Cr10°Ê²¼¤òÌÜɸ¤È¤·¤Þ¤¹¡£¹â·ì°µ¤äÉâ¼ð½Ð¸½»þ¤Ë¤Ï5g/Æü°Ê²¼¤Î¿©±öÀ©¸Â¤¬¡¢¹â¥«¥ê¥¦¥à·ì¾É»þ¤Ë¤ÏKÀ©¸Â¤âɬÍפȤʤê¤Þ¤¹¡£

¤Þ¤¿¡¢¿ÕÉÔÁ´¤Ë¤ª¤±¤ë¼£ÎŤȤ·¤Æ¤Ï¡¢¸¶°ø¼À´µ¤ËÂФ¹¤ë¼£ÎÅ¡¢·ì°µ´ÉÍý¡¢¿ÕÀ­ÉÏ·ì¤Î´ÉÍý¡¢¿ÕÊݸîºîÍѤòÍ­¤¹¤ëÌôºÞ¤Î»ÈÍѤʤɤ¬½ÅÍפȤʤê¤Þ¤¹¡£

ËýÀ­»åµåÂοձê¤ä´Ö¼ÁÀ­¿Õ±ê¤Ë¤è¤ëËýÀ­¿ÕÉÔÁ´¤Ç¤Ï¡¢¤½¤ì¤é¤Î¸¶°ø¤¬²¿¤«¡¢À¸¸¡ÁÈ¿¥¤Î·ë²Ì¤ÇºÙ˦À­È¾·îÂΤθºß¤ä´Ö¼Á¤Î±ê¾É½ê¸«¤Ê¤É¤Ë¤è¤Ã¤Æ¤Ï¡¢¥¹¥Æ¥í¥¤¥ÉÌô¤äÌȱÖÍÞÀ©Ìô¤Ë¤è¤ë¼£ÎŤ¬Å¬±þ¤È¤Ê¤ë¾ì¹ç¤¬¤¢¤ê¤Þ¤¹¡£

¸¶°ø¼À´µ¤ÎÇ¡²¿¤Ë¤«¤«¤ï¤é¤º¡¢ACEÁ˳²Ìô¤ä¥¢¥ó¥¸¥ª¥Æ¥ó¥·¥ó¼õÍÆÂÎÙɹ³Ìô¡ÊARB¡Ë¤Ï¿ÕÊݸîºîÍѤ¬¤¢¤ë¤È¤¤¤ï¤ì¤Æ¤¤¤Þ¤¹¡£ACEÁ˳²Ìô¤ÎÃæ¤Ç¤Ï´Î¿ÕÂå¼Õ¤Î¤â¤Î¤¬»ÈÍѤ·¤ä¤¹¤¤¤È¹Í¤¨¤é¤ì¡¢µÛÃåÀ­ÃºÁǤǤ¢¤ë¥¯¥ì¥á¥¸¥ó¤â¿Ê¹ÔÍÞÀ©¸ú²Ì¤¬¤¢¤ë¤È¤¤¤ï¤ì¤Æ¤¤¤Þ¤¹¡£¤¿¤À¡¢¥¯¥ì¥á¥¸¥ó¤ÏµÛÃåºÞ¤Ç¤¢¤ê¡ÊÅêÍ¿Î̤ξ¯¤Ê¤¤°åÌôÉʤϵÛÃ夵¤ì¤ä¤¹¤¤¡Ë¡¢Â¾ºÞ¤È¤ÎƱ»þÉþÍѤÏÈò¤±¤ÆñÆȤÇÉþÍѤ¹¤ë¤è¤¦¤Ë¤¹¤ëɬÍפ¬¤¢¤ê¤Þ¤¹¡£

¹ß°µÌô¤ò»ÈÍѤ·¡¢½½Ê¬¤Ê¹ß°µ¤Ï¤Û¤«¤Î¹çÊ»¾ÉͽËÉ¡¦¿ÊŸÁ˻ߤΤߤʤ餺¿Õµ¡Ç½Êݸî¤Ë¤âÍ­ÍѤȤʤê¤Þ¤¹¡£ACEÁ˳²Ìô¤äARB¤À¤±¤Ç¤Ê¤¯¡¢CaÙɹ³Ìô¤äÍøÇ¢Ìô¤âÍ­ÍѤǤ¢¤ë¤È¹Í¤¨¤é¤ì¤Þ¤¹¡£

ÂоÉÎÅË¡¤È¤·¤Æ¤Ï¡¢¹âÇ¢»À·ì¾É¤ËÂФ·Ç¢»ÀÀ¸À®Á˳²Ìô¡¢¹â¥ê¥ó·ì¾É¤ËPµÛÃåÌô(ú»ÀCa¤Ê¤É)¡¢¹â¥«¥ê¥¦¥à·ì¾É¤ËÍÛ¥¤¥ª¥ó¸ò´¹¼ù»é¡¢Âå¼ÕÀ­¥¢¥·¥É¡¼¥·¥¹¤Ëú»À¿åÁÇNa¤¬·Ð¸ýÅêÍ¿¤µ¤ì¤Þ¤¹¡£

Ä㥫¥ë¥·¥¦¥à·ì¾É¤ä¹âPTH·ì¾É¤Ë³èÀ­·¿¥Ó¥¿¥ß¥óDÀ½ºÞ¤¬ÅêÍ¿¤µ¤ì¤ë¤³¤È¤â¤¢¤ê¤Þ¤¹¤¬¡¢¿Õµ¡Ç½Äã²¼¤òÂ¥¿Ê¤¹¤ë·üÇ°¤¬¤¢¤ê¤Þ¤¹¡£¿ÕÀ­ÉÏ·ì¤Ë¤Ï°äÅÁ»ÒÁȤߴ¹¤¨¥¨¥ê¥¹¥í¥Ý¥¨¥Á¥ó¤¬»ÈÍѤµ¤ì¤Þ¤¹¡£

¤³¤¦¤·¤¿ÌôʪÎÅË¡¤Ç¤â¼£Îŷѳ¤¬Æñ¤·¤¯¤Ê¤ì¤Ð¡¢Æ©ÀÏÎÅË¡¤ÎƳÆþ¤È¤Ê¤ê¤Þ¤¹¡£Ëö´ü¿ÕÉÔÁ´¤ËÂФ·¤Æ¤Ï¡¢·ì±ÕÆ©ÀÏÎÅË¡¡¢Ê¢ËìÆ©ÀÏÎÅË¡(CAPD)¡¢¿Õ°Ü¿¢¤Ê¤É¤¬¼£ÎŤȤ·¤Æ¹Í¤¨¤é¤ì¤Þ¤¹¡£

¤¿¤À¡¢·ì±ÕÆ©ÀϤξì¹ç¡¢°ìÈÌŪ¤Ë¤ÏËè²ó¡¢ºÇÄã4»þ´Ö¤òɬÍפȤ·¤Þ¤¹¡£¤µ¤é¤Ë¡¢¿Õµ¡Ç½¤¬ÇÑÀ䤷¤Æ¤¤¤ë¾ì¹ç¤Ï¡¢½µ¤Ë3²óÄøÅÙ¡¢Æ©ÀÏÎÅË¡¤¬É¬ÍפȤʤꡢ¿¤¯¤Î»þ´Ö¤ò¼£ÎŤËÍѤ¤¤Ê¤¯¤Æ¤Ï¤Ê¤é¤Ê¤¤¤È¤¤¤¦¾õ¶·¤Ë¤Ê¤ê¤Þ¤¹¡£ÅÔ»ÔÉô¤Ê¤é¤Ð¤Þ¤À¤·¤â¡¢Æ©ÀϲÄǽ¤Êɱ¡¤¬±ó¤¤¤È¤Ê¤ì¤Ð¡¢Æ©ÀϤΤ¿¤á¤Ë¿¤¯¤Î»þ´Ö¤òɬÍפȤ·¡¢À¸³è¤Ë»Ù¾ã¤ò¤­¤¿¤¹¤³¤È¤¬¹Í¤¨¤é¤ì¤Þ¤¹¡£

Ê¢ËìÆ©ÀϤξì¹ç¤â¡¢°ìÆü¤Ë¿ô²óÊ¢¹ÐÆâ¤ËÆ©ÀϱդòÃíÆþ¡¦¸ò´¹¤¹¤ëɬÍפ¬¤¢¤ê¤Þ¤¹¡£ÉÑÈˤÊÄ̱¡¤«¤é²òÊü¤µ¤ì¡¢·ì±ÕÆ©ÀϤÈÈæ³Ó¤¹¤ë¤È¹´Â«¤µ¤ì¤ë»þ´Ö¤¬¾¯¤Ê¤¤¤È¤¤¤¦ÍøÅÀ¤¬¤¢¤ê¤Þ¤¹¤¬¡¢Æ©ÀϤòɬÍפȤ¹¤ë¡¢¤È¤¤¤¦¤³¤È¤Ë¤ÏÊѤï¤ê¤Ê¤¯¡¢¼«Âð¤òÎ¥¤ì¤ë¤È¤¤¤Ã¤¿¤³¤È¤Ë¤Ê¤ì¤Ð¡¢Æñ½Â¤¹¤ë¤È»×¤ï¤ì¤Þ¤¹¡£

¤³¤¦¤·¤¿ÆñÅÀ¤¬¤¢¤ê¡¢¿Õ°Ü¿¢¤ò˾¤Þ¤ì¤ë´µ¼Ô¤µ¤ó¤â¾¯¤Ê¤¯¤Ê¤¤¤È¹Í¤¨¤é¤ì¤Þ¤¹¡£¤Ç¤¹¤¬¡¢ËýÀ­Åª¤Ê¥É¥Ê¡¼ÉÔ­¤ÎÌäÂê¤â¤¢¤ê¡¢¤½¤¦´Êñ¤Ë¤â°Ü¿¢¤¬¤Ç¤­¤ë¤È¤¤¤¦¤ï¤±¤Ç¤â¤¢¤ê¤Þ¤»¤ó¡£

¾¾¸¶¤µ¤ó¤Ï¹¬¤¤¤Ë¤âÄ蘆¤ó¤¬¥É¥Ê¡¼¤È¤Ê¤ê¡¢°Ü¿¢¼£ÎŤ¬¤Ç¤­¤¿¤è¤¦¤Ç¤¹¡£º£¸å¤â¤·¤Ã¤«¤ê¤È²ÃÎŤʤµ¤Ã¤Æ¡¢ºÆ¤Ó¸µµ¤¤Ê»Ñ¤òÇÒ¸«¤Ç¤­¤ì¤Ð¡¢¤È»×¤ï¤ì¤Þ¤¹¡£

¡Ú´ØÏ¢µ­»ö¡Û
Æ©ÀÏÎÅˡƳÆþ¤òÃ٤餻¤ë¤³¤È¤¬¤Ç¤­¤ë¡©¼è¼êÊý¼°

ɵ¤¿Õ°Ü¿¢¡§´â¤«Æ©ÀϤ«¤é¤Î¼«Í³¤«¡Ä¡ÖÀ¸¤­¤ë¡×¤¿¤á¤ÎÁªÂò