2016-10-01ãã1ã¶æéã®è¨äºä¸è¦§
40代以éã®å¥³æ§ã«å¤ãææã®é¢ç¯ãçãç æ°ã¯å¤å½¢æ§é¢ç¯çã®å¯è½æ§ããææã®ã©ã®é¢ç¯ãçããã«ããç åãéãã¾ããé²è¡ãããã¨ãå¤ããçç¶ã軽ããã¡ã«å診ã対å¦ãã¦ããã¾ãããã
ãããã¼ãã欲ããã¦5å¨å¹´ã®ãé¡ã«ãã¯ã¦ãªããã°ããããã1å¨å¹´ï¼ãã®1å¹´ã§ãããããªæå³ã§æé·ããã¨æãã¾ãããããã¯ã¦ãªããã°ã®ç¹æ§ã®ãããããããã¨ããããã¾ãã
空æ°ãå·ãããªã£ã¦ãã¾ããã鼻水ãæ¢ã¾ããªããã¨è¨ãå£ç¯ã¨ãªãã¾ãããç¥ã£ã¦ããããã§ç¥ããªããã¨ã®å¤ã鼻水ã«ã¤ãã¦ãå½¹å²ã鼻詰ã¾ãã®æ²»ãæ¹ã確èªãã¦ããã¾ãããã
ã¹ãã¬ã¹ã«æãããå¿ããæ¯æ¥ãéããä¸ç ã«æ©ã¾ããã人ãå¤ãã§ããå¯ä»ããªãããã¨ä¸ç æ¹åã«è¯ãã¨ãããæ¹æ³ã試ãããããããããã£ã¦ä¸ç ãæªåããã¦ããçæ´»ç¿æ £ãããã¾ãã
ä¸é«å¹´ç·æ§ãèªåã®å é½¢èã«æ©ãããã«ãªãã®ã¯ãè¥ã女æ§ã家æãç¹ã«å¨ããããããããã¨å«ããããã¨ããå§ã¾ãããã§ããæ¬æ¥èªç¶ãªã«ããã§ããå é½¢èãå¿ã¿å«ãããã®ã¯ãªãï¼
ããªãã®ã«ããã®ãã¨ãã¤ã³ãã¼ã«ãã¹ã«ãã¼ã«ãã¸ã£ã¹ãã³ã®è±ã®æåã¨åããªãã¦ä¿¡ãããã¾ãããæ¿åº¦ãéãã ãã§ãåãæåãè¯ãåãã«ãªã£ãããèãã«ããã«ãªã£ããããã®ã§ãã
ãã¹ããããã¨ãããå£èãâ¦ãã£ããã®ã ã¼ããå°ç¡ãã§ããæ±ã®ã«ããã¯ãã§ãã¢ã³çãªè¦ç´ ãããã¾ãããå£èã¯äºé²ããã®ãè³¢æãå¾æ¶²ã®åæ³ãå¤ããããã¨ãä¸çªã®å£èäºé²ã§ãï¼
èãæ±ã¯ç°æ§ãå¼ãä»ããã«ããï¼ã¢ãã¯ãªã³æ±è ºããåºãæ±ãèãæ±ããããã®åå ã¨ãªãã¾ããéå°ãªå¯¾çã¯ããããã¾ãããèãã«ããã®ããéºä¼å¦çã«èããã¨é¢ç½ããã®ãããã¾ãã
æã®ãã³ãã¯å ¨èº«ã«å½±é¿ããç æ°ãåå ã®ãã¨ãããã®ã§ãåå ãç¹å®ãããã¨ã大åãææ ¹ç®¡çå群ãåå ã®å ´åã¯ãè ±éçã¨åãããã«è¬ç©çæ³ãè£ å ·ãæè¡ãæ²»çæ¹æ³ã§ãã
æé¦ã®çã¿ã親æã®ä»ãæ ¹ã®çã¿ã¯ãè ±éçãåå ãããçç¶ãéããªãã¨æ¥å¸¸çæ´»ã«æ¯éãããããã¨ãããã¾ãããé©åãªæ²»çã§æ¹åãã¾ããæ©ãã«å»çæ©é¢ãåä¿¡ãããã¨ããå§ããã¾ãã
èºçã«ããæ»äº¡ãå¢ãã¦ãã¾ããé«é½¢è ã§ã¯å¨å²ã®äººãèºçã®ææãäºé²ãæ²»çã«ã¤ãã¦ç¥èãæã¡ãçç¶ã«æ³¨æãããã¨ã大åã§ããã¯ã¯ãã³ã®æ¥ç¨®ãçæ´»ä¸ã®æ³¨æã§èºçã®äºé²ãã
ç ã¯æ°ãããã¨ã¯è¯ãè¨ã£ããã®ã§ããæ°ãèããã¨ç ããã£ã¦ãããã§ããããã¾ã«ã¯å¼±æ°ã«ãªã£ã¦ããããæ°ãå¼µã£ã¦ã°ããã§ã¯å¯¿å½ã縮ã¾ãã¨è¨ããã®ã§ãããããã¿ã大äºã§ãã
ã¤ã±ã¡ã³ç ã¨ãå¼ã°ããæ°è¸ãèºã«åããã空æ°ãæ¼ãçªç¶ã®å¼å¸å°é£ãè¸ã®çã¿ãåæ¸ãªã©ãèµ·ããã¾ããæ ¹æ¬çãªæ²»çã¯æè¡ãå°éå»ãå診ããå¼å¸å°é£ãåçºã®ä¸å®ãåãé¤ãã¾ãããã
å¼å¸ãååã«è¡ããªããªãCOPDã¯èªè¦çç¶ããªããã¡ã«é²è¡ãã¾ãã40æ³ä»¥ä¸ã§å«ç è ãå³ããããæ¯åããç¶ãã¦ããã¨ãã¯æ¤æ»ãåãã¦ãã ãããç¦ç ãä¸çªã®æ²»çæ³ã§ãã
人ãæ»ã¬ã¨ãããã¨ãçç©å¦çãªæ»ã¨ä»æã§è¨ãã¨ããã®æ»ã«ã¤ãã¦ãéå¤ã®ååã§ã誰ãããããã¯ç´é¢ãããæ»ã¬ã¨ãããã¨ããä½è·ã®èª¬æ³ãåãå¿ã«æ®ã£ããã¨ãæ¸ãçãã¾ããã
é段ãç»ãæãã¹ãã¬ã¹ãæããæãçºä½çã«ããªã©ã§æ¯ãè¦ãããªãåå ã«ã¯ãéãç æ°ãæ¥ãè¦ããç æ°ã®å ´åãããã¾ããèªå·±å¤æããããå»çæ©é¢ãåä¿¡ãã¦æ¤æ»ã診æãï¼
æ£è ããã¯çè·å¸«ã®è¨èã«ãªããªãè¨èã«ã¨ã¦ãææãæ£è ãããå£ã«åºãè¨èã®ãµã¤ã³ã®å¾ãã«ããæ¬å½ã®æããèªã¿åããè½åçãªèãæ¹ããããã¨ãå¹æçãªæ²»çãçè·ã«ã¤ãªããã¾ãã
ç æ£çè·å¸«ã®å½¹å²ã¯ãæ£è ããã®å ¥é¢çæ´»ãæ²»çã®QOLãé«ããããã®çè·ã§ãããã®ããã®ã³ãã¥ãã±ã¼ã·ã§ã³ã¯éè¦ã§ãããæ£è ããã®æ²é»ãæå³ãããã®ãæ£ç¢ºã«æããåãå¿ è¦ã§ãã
æ£ããæ¯ç£¨ãã®æ¹æ³ã§ç£¨ãããã¨ãæ¯å¨ç äºé²ã§ã¯å¤§äºã磨ãæ®ãããã£ããããã¡ãã¨ç£¨ãã¦ããªããã°ãã©ã¼ã¯ã¯åãé¤ãã¾ãããå®æçãªæ¯ç§æ¤è¨ºãåããã©ã¼ã¯ã³ã³ããã¼ã«ãã¾ãããã
æ¯ãåå ã®ç æ°ãæ¯å¨ç ã¯çæ´»ç¿æ £ç ã®ãã¨ã¨ãè¨ãã¾ããæ¯ãå£ã®ä¸ã ãã®ç æ°ã§ã¯ãªããæ¯å¨ç èãè¡æµã«ä¹ã£ã¦å ¨èº«ã«å½±é¿ããã®ã§ããã¨ãã«ã¯çå½ã«é¢ããç æ°ã®å±éºå åã¨ãªããã¨ãã
æ¯ãç¡ãã¨é£ã®æ¯ãå¾ãããããã¿åãããæªããªã£ãããã¾ããæ¯ãç¡ãã¨ãã®æ²»çã«ã¯ããªãã¸ãã¤ã³ãã©ã³ãçãããã¾ããã親ç¥ãããææ¯ãã¦ç§»æ¤ããèªå®¶ç§»æ¤ã¨ããæ²»çãããã¾ãã
ã¯ã¦ãªããã°ã«è¡¨ãæ¿å ¥ããè¶ çµ¶ç°¡åãªæ¹æ³ãWPã®ãã©ã°ã¤ã³ãã¤ãã¦ä½æãã表ã®ã½ã¼ã¹ã³ã¼ããã³ããããã ãï¼å¤±æãç¹°ãè¿ãã¤ã¤ãå°ããã¤ã確å®ã«åºæ¥ããã¨ã¯å¢ãã¦ãã¾ãã
åµåã®å·åä¿åæè¡ã¯å¤§ããé²æ©ãã¦ãããã¨ãèæ¯ã«ãããè¥ã女æ§ãæªå©å¥³æ§ãåµåãä¿åããå°æ¥ã®å¦å¨ ã»åºç£ã«åããããã§ãããæ²»çãªã©ãåããã±ã¼ã¹ã«ã¤ãã¦ãä¼ããã¾ãã
åä¾ã®è¦åä½ä¸ã¯è¿è¦ã主ãªåå ã§ããããã®èæ¯ã«ã¯éºä¼ã®ä»ã«ãã²ã¼ã ãã¹ãããªã©ãè¿è¦ã®é²è¡ã®ä¸å ã¨èãããã¾ããè¿è¦ã®é²è¡ãæ¢ããã«ã¯çæ´»ç¿æ £ã®æ¹åã¨é©åãªã¡ã¬ãããã¤ã³ãã
ãã¥ã¼ã¹ãªã©ã§æè¿å¢ãã¦ãããå¿èºåæ¢ãç é¢ã§æ»äº¡ã確èªããéåæãæãããã¨ãå¤ãã®ã§ããããã®èæ¯ã«ã¯å»å¸«æ³ããææ¥è»ã®ç¨éãããã¾ãããå¿èºåæ¢ã¨å¿èºèçãæ»äº¡ã¨ã®é¢é£ã«ã¤ãã¦ãä¼ããã¾ãã
èã®çã¿ã¯èé¢ç¯ã®è¡æå¸åæ©è½ãä½ä¸ããããã«èµ·ããã¾ããçã¿ã軽æ¸ããã«ã¯ã¾ãä¿åçæ³ãæ¹åãããªãå ´å人工é¢ç¯æè¡ãæ¤è¨ãã¾ãããªã¹ã¯ãããã®ã§ä¸»æ²»å»ã¨ååç¸è«ãã¾ãããã
ã»ãããæ¥ã«ã§ãããã大ãããªããªã©ã®å¤åããã£ãå ´åãã¡ã©ãã¼ãã¨ããç®èããã®çããããã¾ããæ©æã«çºè¦ãæ²»çãããã¨ãéè¦ããããã®å¤åãè¦ããããå»çæ©é¢ã§æ¤æ»ãï¼
èºã«ç©ºæ´ãã§ãããå¼å¸å°é£ã«ãªãå ´åãããèºMACçãè¿å¹´æ¥å¢ãã¦ããçµæ ¸ã¨çç¶ãã«ãç æ°ã§ããããããããé·å¼ãå ´åã¯å¼å¸å¨å ç§ã§æ¤æ»ãï¼æçç©è³ªã§æ ¹æ°è¯ãæ²»çã大åã
家åºè¡å§ã測ããã¨ã§æ®æ®µã®è¡å§ãããããããç½è¡£é«è¡å§ãä»®é¢é«è¡å§ãçºè¦ã§ãããã¨ãããã¾ããæ£ããè¡å§ã®æ¸¬ãæ¹ã確èªãã¾ããããé«è¡å§çã®è¨ºæåºæºã«ã¤ãã¦ããä¼ããã¾ãã
é«è¡å§ã®æ²»çãäºé²ã®åºæ¬ã¯çæ´»ç¿æ £ã®æ¹åã§ããéåãé£äºã大ããªè¦å ãç¹ã«é£å¡©ã®æãéããè¥æºãéåä¸è¶³ãæ¹åãããã¨ã大äºãè¡å§ãä¸ããããã«ã¾ãè¡ããããã¨ã®ã¬ã·ãã§ãã