Éèç€ãšèé³æ©
è¡æ¶²ã®åæ»ïŒ é·æè¥åºãè¥æºããã£è¡æ§å¿äžå šã»æ ¢æ§èºæ§å¿ãªã©ã®å¿èºçŸæ£ãå šèº«éº»é ãäžè¢éº»çºãäžè¢ã®ãã¹å 垯åºå®ãäžè¢éèç€ã«ããŒãã«æ€æ»ãæ²»çã«ããæ€æ»åŸã®ãããäžå®éãšç©¿åºéšäœã®å§è¿«ãåŠåš ãªã©.ãèªããããäžè¢éèç€ããã³æ·±éšéèè¡æ çã®è¶ é³æ³¢èšºæã«é¢ããææ°ã®æšæºçè©äŸ¡æ³ã«ã€ããŠãŸãš ããããšãç®çãšããã 2.察 象 察象çŸæ£ã«ã¯ãæ·±éšéèè¡æ çãšäžè¢éèç€ãããã æ·±éšéèè¡æ çïŒdeep vein thrombosisïŒDVTïŒã¯ã.éèç€ã®ç¶æ ãè¡ç®¡ã®æ§åãèŠãŠãå»ççšçå§ãœãã¯ã¹ã®é·ããçš®é¡ã決ããŠãããŸããçã¿ãäžå¿«æã䌎ãéèç€ã®å Žåã¯å»åž«ã«çžè«ããŠçå§ãœãã¯ã¹ãè²·ããŸãããã çå§ãœãã¯ã¹ãå»ççšãšåžè²©ãã©ã¡ããããããïŒ.äœåããŒã¯ã©ã€ãæ ªåŒäŒç€Ÿãã«ã¹ã±ã¢å¶æ¥æ¬éšïŒå»çæ©åšè£œåïŒã®æ¶ååšå èŠé¡ã®è£œåæ å ±ãã芧ããã ããŸããäœåããŒã¯ã©ã€ãæ ªåŒäŒç€Ÿã¯åå°äœãé»åéšåãèªåè»ã建æãå è£ ãå»çãªã©ã®åéã§å©çšããããã©ã¹ããã¯è£œåã®ç·åã¡ãŒã«ãŒã§ãã.2018幎4æ13æ¥ äœã®ãã¿ãã¿ã«è¡ãããã£ãè¡æ¶²ããå¿èã«æ»ãè¡ç®¡ãéèãšããã足ã®éèã倪ããªã£ãŠç€ïŒãã¶ïŒç¶ã«æµ®ãåºãŠèŠããããã«ãªã£ãç¶æ ãäžè¢éèç€ãšÂ .éèç€ãæ²»ãããã§ã¯ãããŸãããã æªåãé²ãã ãçç¶ã軜ãããå¹æ ãæåŸ ã§ããŸãã äžè¢éèç€ã¯éèåŒãæ£åžžã«æ©èœããªãããšã§ãè¡æ¶²ãéæµããŠæ»çããããã«è¡ç®¡ããŒããŒããšæµ®ãåºããç€ãã§ãããããŸãã.é°éšéèç€ïŒãã ãïŒã¯å¥³æ§ç¹æã®éèç€ã§ãåŠåš ããã£ããã«çºçããããšãå€ããèã®ã ãããçã¿ãšãšãã«ãèã®ä»ãæ ¹ã倪ããã®è£åŽãèè£ãªã©ã®è¡ç®¡ããã¶ç¶ã«èšããã§ããã³ãã³ãšæµ®ãåºãŠãããèŠãç®ãæ°ã«ãªãäžã«ãåŠåš äžã¯çç¶ã匷ããªãã.ãæ¶ååšç å°éå»ãç£ä¿®ãéèã¯èèã«å ¥ãäž»æµãªè¡ç®¡ã§ããã®éèã®å§åãé«ããªãããšãéèå§äº¢é²çãšãããŸããå§åãé«ããªããšè ¹æ°Žããèãé£éã«éèç€ãã§ããããããªã©æ§ã ãªçç¶ãããããŸããéèå§äº¢é²çã«ã€ããŠãã¡ã«ããºã ãåå ãçç¶ãæ²»çã詳ãã説æããŠãããŸãã.Vol. 57 ïŒ6ïŒ, Jun. 2015 ç·èª¬ é£ééèç€ã®æ²»çæŠç¥ 1349 Gastroenterological Endoscopy ãªã©ãå ±åãããŠã ã 8) ïœ 14)ïŒãŸãïŒEOãæ³šå ¥ã ãéèç€ã®è¡æ 圢æã®æ©åºãšããŠïŒãŸãEOã«ã.
å£è ç²èã®éèç€
äžè¢éèç€ïŒãããããã¿ãããã ãïŒã¯è¶³ã®è¡ç®¡ã®ç æ°ã§ããäžè¢ãšã¯è¶³ã®ããšã§ãéèç€ã¯è¡ç®¡ïŒéèïŒãæåã©ããã³ãïŒç€ïŒã®ããã«ãµãããã ç¶æ ã®ããšããããŸãã.äžè¢éèç€æ²»çã®ææ°é¢å èšåãªã楜ã¯ãªããã¯ïŒäžè¢éèç€æè¡ãªãåæå±±åžæ¥œã¯ãªããã¯ è¶ é³æ³¢æ€æ»æ©. äžè¢éèç€ã®æ²»çã®éã«è¡ç®¡ã®ç¶æ ãæ€æ»ããããžã¿ã«è¶ é³æ³¢è£ 眮ã§ãã.粟玢éèç€ãçºèŠãããå Žåãæè¡ãããããªãã«é¢ãããå®æçãªèšºå¯ãå¿ èŠã«ãªãå Žåãå€ãã ãªããªã粟玢éèç€ã¯é²è¡æ§ã®ç æ°ã§ããããæŸçœ®ããã°å¹Žã éèç€ãè¥å€§ãæªåããããã§ããã æ²»ç. 粟玢éèç€ã®æ²»çã¯å¿ ãããå¿ èŠã§ã¯ãªãã.é£éã»èéèç€ é£éã»èéèç€ã¯ãéèãŒå€§åŸªç°ç³»ã«çããåŽå¯è¡è¡è·¯ã§ããã âçºçã«ã¯éèå§ã®äžæãé¢äžããïŒ12mmhg以äžïŒ éèå§äº¢é²ããããçŸæ£ è硬å€ãªã©æ ¢æ§èçŸæ£ ãŠã€ã«ã¹æ§èç(hbv, hcv) åçºæ§èæ±æ§è硬å€(pbc) åçºæ§ç¡¬åæ§è管ç(psc).ããªãã¡ãéèç€ãç«äœã«ããèãããªãã足ã®æäžã«ãã£ãŠæ¶ããå Žåã«ã¯äžæ¬¡æ§éèç€ãšèããããçç¶ã«å¿ããŠæè¡ãªã©ãèæ ®ããŸãã æè¿ã§ã¯ãè¶ é³æ³¢æå±€æ³ãéèé 圱ã«ãã£ãŠãã詳ããéèç€ã®éšäœãšçšåºŠã®èšºæãå¯èœã§ãã.è±æ¯åš ã¢ã€ãªã¹ãªãŒã€ã è±æ¯æ© å è±æ¯åšå · å è±æ¯åšãè±æ¯åš è±æ¯æ© å è±æ¯åšå · å è±æ¯åš å€ã«åã㊠æ§ããçŽ è å®å¿å®¶åºçš èªå® æ軜 ç°¡å äººæ° å¥³æ§ å è±æ¯åš èã«åªãã ãšãã¬ã¿ ep-0115-p ã¢ã€ãªã¹ãªãŒã€ã ã¬ãã£ãŒã¹[å ¬åŒã·ã§ããéå®ä¿èšŒ].äžè¢éèç€ã¯ïŒè€æ°ã®èšºçç§ã§æ²»çãããŠããçŸæ£ ã§ãããïŒäžè ¿æœ°çãçããŠç®èç§ãå蚺ããããšã å€ãïŒç®èç§å»ã¯éèŠãªåœ¹å²ãæ ã£ãŠããããïŒãã® äžè ¿æœ°çã»äžè¢éèç€èšºçã¬ã€ãã©ã€ã³ãäœæããïŒ ãŸãïŒæ ¢æ§éèäžå šç.ç§ã¯äžè¬å ç§ã®ç æ£çè·åž«ã§ããå é±ãé£ééèç€ã§å ¥é¢ããæ£è ããããå èŠé¡çéèç€çµçŽ®è¡ïŒevlïŒãåããããšãçªç¶ãåè¡ããŠåããŠããŸããããçµå±icuã«éã°ããŸããããç§ã¯äœãã§ããªããŠãªããªãâŠã ç¬æã«.çã¿å°ãªãäžè¢éèç€æ²»ç. æå¹åŸ³æŽ²äŒç é¢ã¯æ°åã®äžè¢éèç€ïŒãã ãïŒã¬ãŒã¶ãŒæ²»çæ©ãå°å ¥ãããåæ©ã皌åããŠããã®ã¯æå¹åžå ã§ã¯åé¢ã®ã¿ïŒ2015幎6ææ«çŸåšïŒã.
Related queries:-> éèç€ãšãã®æ²»çæ¹æ³
ç®èç§ã§ã¹ããã€ããªã©ãããã£ãŠããªããªãæ²»ããªãæ¹ã足ã®çŒç±æãããæ¹ã¯éèç€ã«ãªã£ãŠãããããããŸããã足ãããé«ãäžããŠå¯ããšã¹ãããªãããçå§ã®ã¹ãããã³ã°ã§è¶³ã楜ã«ãªãæ¹ããã®å¯èœæ§ããããŸãã éèç€ã®çš®é¡ ïŒäŒåšåéèç€ïŒ.éèç€åé€è¡. ç®èã2ïœ3mmçšå°åéããè¡ç®¡å æ²»çã§ã¯æ¶å€±ããªãæã®éèã®ç€ããæåºããæ¹æ³ã§ãã 硬åçæ³. 现ãå°ããªéèç€ã«ãè¡ç®¡ã«ççãèµ·ããéå¡ãããè¬ïŒç¡¬åå€ïŒã泚å°ãã匟æ§å 垯ã§å§è¿«ããæ¹æ³ã§ãã.倧éªã®ãã«ã«ã¹å·åŽã¯ãªããã¯ã§ããåŠåš ãåºç£ãæ©ã«èµ·ããé°éšéèç€ããªããªãæ²»ããªããªã©æ©ãŸããŠããæ¹ã¯ãçžè«ãã ãããèµ€ã¡ããã«åœ±é¿ã¯ãããŸããããåºç£åŸãåä¹³åŸã«ãçžè«ããã ãããšããªã¹ã¹ã¡ããŸãã.åŠåš ãåºç£ãæ©ã«ã§ããããé·æéã®ç«ã¡ä»äºãããŠãã人ããèã«è¡æ¶²ãããŸãããããéèç€ã«ãªãããããšãããŸãã幎霢ãéããã«ã€ããŠãå°ããã€ç®ç«ã€ããã«ãªããŸãã éèç€ãã§ããå Žæãšåœ¢æ ã¯ããŸããŸã§ãã.足ã®è¡ç®¡ããã³ãã³ãšæµ®ãåºãŠããŠããå Žåã¯ãäžè¢éèç€ã®å¯èœæ§ããããŸããçŽæ¥åœã«é¢ããçç¶ã§ã¯ãããŸããããèªç¶ã«å®æ²»ããããšããããŸãããæ°ã«ãªãæ¹ã¯Â .æ·±éšéèè¡æ çïŒããã¶ãããã¿ãããã£ãããããïŒ (dvt) æ·±éšéèïŒå€§è ¿éèã»è窩éèãªã©ãäœã®æ·±éšã«ããéèïŒã«è¡æ ãã§ããç æ°ãèºè¡æ å¡æ çã®äž»ãªåå ã§ãããèéèã«è¡æ ãã§ãããšéèå§äº¢é²çïŒãããã»ãã¢ãªçå矀ïŒãèµ·ããã.ããªãã¯ã足ã®ç²åŽã«æ©ãŸãããŠããŸãããïŒ è¶³ã®ç²åŽå埩ã«ã¯ããã¯ããããµãŒãžãäžçªå¹æçãªã®ã§ãããèªåã®æã§ãããµãŒãžããããšä»åºŠã¯æãç²åŽããŠããŸããŸãããã»ã»ã ããã§æ¬²ãããªãã®ããã足ãã¿.åè ã¯èŠãç®ã§ãåŸè ã¯èªèŠçç¶ã§ãããã¯ãã§ãããã²ãã®æ©ã«ãäžè¢éèç€ãšããç æ°ã®ååšãšãå®å šãªæ²»çæ³ã確ç«ãããŠããããšãããšãã«ç¥ã£ãŠããã ããããšæããŸãã.ãŸããèªåã§ã§ããâéèã®åŒã®å£ãâã®ãã§ãã¯æ³ã«ãã³ãããããŸããïŒ ãã£ã1åãç«ã¡ç¶ãããšããªããšãã®ãµã€ã³ãæµ®ãåºãŠãããã§ãã ããã«çç¶ãé²è¡ããŠããŸã£ãäžè¢éèç€(ãããããã¿ãããã ã)ã®äººã«ãææ°æ²»çãã玹ä»ïŒ.
-> éèç€ã®äž»ãªçç¶ã¯
代衚çãªéèã®ç æ°ã®1ã€ããäžè¢éèç€ã§ããåèããæµããè¡æ¶²ã¯å¿èããã®å§åã§æŒãåºãããŸãããéèãéã£ãŠæ»ããšãã¯ãäžè¢ïŒãããããã®ããšïŒã®å Žåãäžããäžãžãšéåã«éããããšã«ãªããŸãã.ïŒïŒäžè¢éèç€ã®åå : äžè¢éèç€ã¯éåžžã«èº«è¿ãªè¡ç®¡ã®çŸæ£ã§ãããéåžžã¯çåœãè ããå±éºã¯ãããŸãããããã軜çã§ã女æ§ã¯çŸå®¹çã«æ©ãã±ãŒã¹ãå€ãããŸãã .è硬å€ã§é£ééèç€ãç Žè£ããïŒ è硬å€ã«ãªããšãèèå ã®è¡ç®¡ã现ã硬ããªããè¡æµãæªããªããŸãã ãã®ãããèèãééããã¯ãã®è¡æ¶²ãé£éã®çŽ°ãéèã«æµã蟌ãã§ç¡çã«ééããããšããŠãé£ééèãæŒãåºããŠç€ç¶ã®èšãã¿ãã§ããŸãã ãããé£ééèç€ã§ãã.äžè¢éèç€åºå ±ã»ã³ã¿ãŒïŒäžè¢éèç€ãšã¯ã足ã®è¡ç®¡ããã¶ã®ããã«èšããã ã足ãã€ããããããç²ãããããç®èãå€è²ããããããâŠãããã¯äžè¢éèç€ã®çç¶ã§ãã.éèã®äžéšãèšãã¿ãã³ãã®ãããªç¶æ ã«ãªã£ãŠããŸãéèç€ïŒãããã¿ãããã ãïŒã åºæ¬çã«ã¯è¯æ§ã§ãããè³ãå¿èãæ足ãªã©ããŸããŸãªéšäœã®éèã«çºçããŸãã ä»åã¯éèç€ã®ãã¡ãèãé£éã«ã§ããé£éèéèç€ïŒãããã©ãããããã¿ãããã ãïŒã«ã€ããŠãåå ãçç¶ã»æ²»ç.éèç€ã®æ£è ããã®å Žåããã®éèåŒãå£ããŠããïŒåŒäžå šïŒãéèè¡ãèã®å ã«åãã£ãŠéæµããŠããŸããããè¡æ¶²ãéèå ã«æ»ã£ãŠããŸãïŒéèãã£æ»ïŒãã ãããããã¿ãªã©ã®éèç€ç¹æã®çç¶ã®åå ãšãªããŸãïŒå³14ïŒã ïŒå³14ïŒäžè¢éèç€ã®è¡è¡åæ .cq4-8 é£ééèç€ã«å¯Ÿããäºé²çå èŠé¡çéèç€çµçŽ®è¡ïŒevlïŒãšå èŠé¡çéèç€ç¡¬åçæ³ïŒeisïŒã§ã¯ïŒã©ã¡ããåçºé²æ¢ã«æçšãïŒ cq4-9 èéèç€ã«å¯ŸããŠãã«ãŒã³äžéè¡æ§çµéèçéèç€å¡æ è¡ïŒb-rtoïŒã¯æå¹ãïŒ.äžæ¬¡æ§ã®å Žåãéèç€ã®ããã«èã®åæãšãªã£ãããçåœã«æ¯éããããããããããšã¯ãŸããããŸãããããããéèç€ã«ããçã¿ãããã¿ãªã©ã®çç¶ã«æ©ãŸãããããšããå€èŠäžïŒçŸå®¹é¢ïŒã®åé¡ãããæ²»çã®å¯Ÿè±¡ãšãªããŸãã.è¡ç®¡ã®éèåŽæ«æ¢¢éšã§ã®ååžåã«ãã£ãŠåŸªç°äžã«åã³ æ»ãäœæ¶²éã«çããïŒæ£åžžç¶æ ã®æ¯çŽ°è¡ç®¡èã«ã¯å¹³è¡¡ ã«è¿ãç¶æ ãååšããïŒãããStarlingã®æ³åãšããïŒ ïŒæç®7ããåŒçšïŒäžéšæ¹å€ïŒ å³2æ¯çŽ°è¡ç®¡å£ã®æé¢å³ ïŒaïŒé£ç¶åïŒïŒbïŒæçªåïŒïŒcïŒäžé£ç¶.
-> éèç€åç
ãã®ãããªäœã®æ§é ããã粟玢éèç€ã¯å³ãããå·Šã®ç²Ÿå·£ã§èµ·ããããããšãããŠããŸãïŒâ»1ïŒã 粟玢éèç€ã ãšäžåŠã«ãªãã®ïŒ 粟巣ã«éèç€ãã§ãããšãè¡æµãæªããªãã粟巣ã®æž©åºŠãé«ããªãããšã§ç²Ÿå·£å ã®é žåç©ãå¢å ããŸãã.ããããããµãŒãžåšã«ã€ããŠç»åã®ããããããµãŒãžåšã®è³Œå ¥ãèããŠããã®ã§ããäžè¢éèç€ã®äººã¯äœ¿ããªãæ¹ãããã§ããããæ¯ãšå ±åã§äœ¿ãããšæã£ãŠããã®ã§ãã äžè¢éèç€ã®äººã¯åŒ·ãæãŸãªãæ¹ããããšèããããšã.åœé¢ã§äœ¿çšããŠãããŸãã¬ãŒã¶ãŒïŒé«åšæ³¢æ©åšã®ã玹ä»ã§ããDã¯ãªããã¯ã§ã¯ãäžè¢éèç€ã®çš®é¡ã»æ§ç¶ã«å¿ããŠ5å°ã®ã¬ãŒã¶ãŒæ©åšã1å°ã®é«åšæ³¢æ²»çæ©åšãåã³1å°ã®å æ²»çæ©åšã䜿ãåããŠããŸããäžè¢éèç€ã®æ²»çã»æè¡ãªãåéå±±dã¯ãªããã¯ã.äžè¢éèç€è¡ç®¡å çŒçŒè¡ã®å°éå»ãæå°å»ãæ€æ»ãæ²»çãè¡ããŸãã 2019.05.23, äžè¢éèç€ã«ã€ããŠã®æ å ±å ¬éãµã€ããäœæããããŸãã .äžè¢éèç€ã®è¡ç®¡å ã¬ãŒã¶ãŒæ²»çãç®çãš ããã·ã¹ãã . çµç®çã«æ²»ç察象ã®äŒåšéèã«æ¿å ¥ããå ãã¡ã€ããŒã§è¡ç®¡å ã«ã¬ãŒã¶ãŒãç §å°ããã ãšã«ãããè¡ç®¡ãéå¡ãããäžè¢éèç€ã®è¡ æµãé®æããã.åœç«åŸªç°åšç ç 究ã»ã³ã¿ãŒã®åŸªç°åšç æ å ±ãµãŒãã¹ãµã€ãã§ã¯å¿èç ãè³åäžãªã©ã®åŸªç°åšç ã®çç¶ãåå ãäºé²ãæ²»éšã«ã€ããŠã®æ å ±ãæäŸããŠããŸãã.ãã®ãããªååã§äžè¢éèç€ã«å¹ããããµãŒãžæ©ãä»ã«ãã£ããæããŠãã ãã ãŸããããŒã ã±ã¢çšåãªã©ã§ä¿éºãå¹ãããããããšã¯ãªãã§ãããïŒãããœãã㯠ãšã¢ãŒãããµãŒãžã£ãŒ ã¬ãã°ãªã㬠ã²ã/倪ããå·»ãå¯Ÿå¿ æž©æ.éèç€ éèç€ãšã¯ïŒ äžè¢éèç€ã®çç¶ è¶³ã®è¡ç®¡ããã¶ã®ããã«èšããã ã足ãã€ããããããç²ãããããç®èãå€è²ãããããããããã®çç¶ãéèç€ã®çç¶ãšèšããŸãã å€ãã®æ£è ãããããŠç¡åŠçœ®ã®ãŸãŸæŸçœ®ãããŠããçŸç¶ã§ãã.ãå èŠé¡çéèç€çµçŽ®è¡ã å èŠé¡ã䜿ã£ãŠéèç€ãåŒã£åŒµããç¹æ®ãªãŽã ã§çžã£ãŠéèç€ãææ»ïŒããïŒãããæ¹æ³ã ïŒäºé²æ³ïŒ éèç€ãç Žè£ããŠåºè¡ãããŸã§çç¶ã¯ç¹ã«ãªãã®ã§ãåè¡ã»äžè¡ããŠæ°ã¥ããããä»ã®çç±ã§å èŠé¡æ€æ»ãåããŠçºèŠããã.
-> éèç€çšã¿ã€ããè³Œå ¥ãã
足ã®è¡ç®¡ã«è¡æ¶²ãæºãŸã£ãŠããŸãããã¿ãçã¿ãªã©ãåºãŠããŸãç æ°ãäžè¢éèç€ã 誰ã«ã§ãèµ·ããããç æ°ã®çºãäºé²æ¹æ³ãæ£ããç解ããŠããå¿ èŠããããŸãã ä»åã®èšäºã§ã¯ãäºé²æ¹æ³ãªã©ã«ã€ããŠè©³ãã解説ããŠãããããšæããŸãã.粟玢éèç€ã«ã€ããŠãäž2ã®ç·ã§ããæè¿æ³å°¿åšç§ã«è¡ã£ããšããäžã®ç æ°ãšèšºæãããŸãããå¥åº·ã«ç¡å®³ãšã€ã³ã¿ãŒãããã«æžããŠãã£ãã®ã§ããããã¯ãæãã§ãã.ïŒãäžè¢éèç€ã ãéèã¯ãããã«çèã®å§è¿«ãèžè å ã®é°å§ãçšããŠãè¡æ¶²ãå¿èã«ç°æµããŠãããããããåèãšéã£ãŠè¡æµãç·©æ ¢ã§ãåæ»ãèµ·ããããããè¡æµéã®å¢å ã«ããéèå å§ã®äžæãåŒã®é害ãéèå£ã®æå·ãè¡æ ãªã©ã«ããéæµãä¹±æµã.匟æ§ã¹ãããã³ã° çå§ã¹ãããã³ã° ãã€ã補ã®å»ççšç·šæ©ã«ããç¹æ®å å§èšèšéæ³ã®ãã¥ããã¹ãªã ããéæç¡æãçå§ã¹ãããã³ã° 匟æ§ã¹ãããã³ã° åœåºãªãªãžãã« æ¥æ¬è£œ 140ãããŒã«å»ççšç·šæ©äœ¿çš åŒãç· ã çŸè ç¹èš±è£œæ³ äžå身 è£æ£ãåå販売ããéæ³ã®ãã¥ããã¹ãªã ã»ããããasrã.äžè¢éèç€ãšã¯ éèç€ã®çç¶ã»åå ã»ç æ ã»åé¡ äžè¢éèç€ã®çç¶. äžè¢éèç€ã¯äžè¢ïŒããïŒã«éçïŒéèïŒãæµ®ãåºãç æ°ã§ãã å¿èããéãåºãããè¡æ¶²ã¯åèãéã£ãŠè¶³å ãŸã§æµããŸãã.ããããäžè¢éèç€ã¯ãµããã¯ãã®çãã³ãäœçšãåããããšæ¹åããã®ã§ãéåã¯ç©æ¥µçã«è¡ã£ãæ¹ãããã§ãããã ãŸãã«éçã®äžè¢éèç€ã§ãéèæ§è·è¡ïŒã¯ããïŒããšãã£ãŠæ©ããšè¶³ã«çã¿ãã§ãããšããããŸãã.éèç€ã¯å žåçã«ã¯é倧ãªèçŸæ£ãšé¢é£ããŠããããïŒååºé害ã®å¯èœæ§ã®è©äŸ¡ãéèŠã§ãããèšåºæ€æ»ãšããŠïŒè¡å°æ¿æ°ãå«ãè¡ç®ïŒããããã³ãã³æéïŒéšåããã³ããã©ã¹ãã³æéïŒèæ©èœæ€æ»ãªã©ãããã.åŸå€©æ§ã®åå ãšããŠã¯å»åæ§è æå·ãå€ããéçæ€ãè éšååé€åŸãªã©ã«èŠãããŸããç»åäžã¯ãæ¯çŽ°è¡ç®¡ãçµãã«å±æ²èè¡ããç°åžžè¡ç®¡ãä»ããŠåèãšéèãé£çµããèç¶åãšãåèãšç»åã圢æããéèã®ç€ç¶æ¡åŒµãåããåèç€åã«åé¡ãããŸãã çç¶.äžè¢éèç€ã»ã³ã¿ãŒ. äžè¢éèç€ãæªåŠçœ®ã®ãŸãŸæŸçœ®ãããšãæ¡åŒµèè¡ããéèã¯ãç®èçãè¡æ çãéèçãããã«ã¯æœ°çã圢æããããšããããŸãã ããªãã«ãšã£ãŠãæè¯ã®æ²»çæ³ãæäŸããããã«ãæ±æžå·ç é¢äžè¢éèç€ã»ã³ã¿ãŒã¯ãããŸãã.
-> éèç€æ²»ç
å§è¿«ããå§åãåžè²©ã®ãã®ã¯å»ççšã®çŽååããããªã®ã§ã軜çã®äžè¢éèç€ã®æ¹ãäžè¢éèç€ãäºé²ãããæ¹ã«é©ããŠããŸãã æãããªäžè¢éèç€ãããå Žåããçç¶ã匷ãå Žåã¯å»çæ©é¢ãå蚺ããŠé©åãªåŒŸæ§ã¹ãããã³ã°ãåŠæ¹ããŠããã£ãŠãã ããã.äžè¢éèç€ããããŸãããããµãŒãžåºãªã©ã§ãªã³ããããµãŒãžãªã©ãåãããšããªãã次ã®æ¥è¡ç®¡ãã²ã©ãçãäžããçã¿ããããŸãããããµãŒãžãªã©ã¯åããªãæ¹ãããã®ã§ããããïŒ å®ã¯ãã®ãã¢ãŠãŒã«ããŒãã®ãªã³ããããµãŒãžãå.ç§ã¯å€ç§ç æ£ã«å€åãã1幎ç®ã®çè·åž«ã§ããå€ç§ç æ£ã¯ãæè¡ååŸã®æ£è ãããå€ããŠå¿ããæ¯æ¥ãéã£ãŠããŸããä»æ¥ã¯ãæ·±éšéèè¡æ çã®äºé²æ¹æ³ã«ã€ããŠè³ªåãããŠãã ããã ãã¡ã®ç é¢ã§ã¯è¡åã«åŒŸæ§ã¹ãããã³ã°ãã¯ã.倧äŒåšéèç€åã³å°äŒåšéèç€ã«å¯ŸããŠã¯ãäŒåšå€§è ¿éèæ¥åéšããæäœ8ã10cmé¢ããéšäœã«ãã©ãŒã 硬åå€ãæ³šå ¥ãããè¶ é³æ³¢æ€æ»ã§æ·±éšéèç³»ã«å€§éã®ãã©ãŒã ãèªããéã«ã¯ãæ£è ã«è¶³é¢ç¯ã®èå±ãªã©ã®ç掻åãè¡ãããããšã.è¡æ¶²ãå¿èã«æ»ã圹å²ããã€éèã§ããããªãããã®åå ã«ãã. è¡æ¶²ã®éæµãé²æ¢ããéèåŒãæ©èœäžå šãèµ·ãããšãéèç€ãçºçããŸãã åŠåš ã»åºç£ãæ©ã«çºçããããéºäŒçèŠå ããã£ãããšåå ã¯ããŸããŸã§ãã.æ ªåŒäŒç€Ÿã€ã³ãã°ã©ã«ã¯ãå»çæ©åšïŒäžè¢éèç€è¡ç®¡å æ²»çã¬ãŒã¶ãŒELVeSã¬ãŒã¶ãŒãåç«è ºè¥å€§çæ²»çã¬ãŒã¶ãŒCeralas HPDã¬ãŒã¶ãŒãCTçšé 圱å€æ³šå ¥è£ 眮CT motionãè¯æ§ç®èç å€ã®åçµæ²»ççšæ©åšCryoProbeãè硬床枬å®è£ 眮ãã£ããã¹ãã£ã³ãã¬ãŒã¶ãŒè¡æµèšïŒãç®è枬å®æ©åšïŒè§å±€æ°Žåãç®èç²åŒŸæ§.éèç€ã¯ãªããã¯ã»ææšå€ç§ å»çæ³äºº éèç€ã¯ãªããã¯ã»ææšå€ç§ ã060-0061 æå¹åžäžå€®åºå1æ¡è¥¿16äžç®1çª245ã¬ãŒãã³ãã«5F.倧éªåºå¹ç°åžã®äžè¢éèç€å°éã¯ãªããã¯ãä¿éºé©çšããæ¥åž°ãæ²»çãæ±åé§ ããåŸæ©3åïŒ è¶³ã®ãã³ã㳠足ãéã.粟玢éèç€ãšã¯ïŒç²ŸçŽ¢éèç€ïŒãããããããã¿ãããã ãïŒãšã¯ã粟巣ããå¿èã«æ»ãéèïŒèç¶éèå¢ïŒå ã®è¡æ¶²ãéæµããŠããŸãã粟巣ã®åšãã«éèã®ç€ïŒãã¶ïŒãåºæ¥ãŠããŸãç¶æ ãæããŸãã.
Éèç€ãšèé³æ©:
Rating: 602 / 426
Overall: 879 Rates