{"id":19,"date":"2025-01-31T00:00:00","date_gmt":"2025-01-30T15:00:00","guid":{"rendered":"https:\/\/test.spice-seek.jp\/koyu\/noge\/neurosurgery\/"},"modified":"2025-12-15T15:05:57","modified_gmt":"2025-12-15T06:05:57","slug":"neurosurgery","status":"publish","type":"page","link":"https:\/\/koyu.or.jp\/noge\/outpatient\/neurosurgery\/","title":{"rendered":"\u8133\u795e\u7d4c\u5916\u79d1"},"content":{"rendered":"\n<h2 class=\"wp-block-heading\">\u8133\u795e\u7d4c\u5916\u79d1<\/h2>\n\n\n<div class=\"wp-block-image\">\n<figure class=\"aligncenter size-large is-resized\"><img decoding=\"async\" src=\"https:\/\/koyu.or.jp\/noge\/wp-data\/wp-content\/uploads\/2025\/02\/AdobeStock_222588965-1024x684.jpg\" alt=\"\" class=\"wp-image-459\" 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class=\"ez-toc-link ez-toc-heading-26\" href=\"https:\/\/koyu.or.jp\/noge\/outpatient\/neurosurgery\/#%E8%84%B3%E5%8D%92%E4%B8%AD%E3%81%AE%E5%85%8B%E6%9C%8D\" >\u8133\u5352\u4e2d\u306e\u514b\u670d<\/a><\/li><\/ul><\/nav><\/div>\n<h3 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"%E5%BD%93%E9%99%A2%E3%81%A7%E8%A1%8C%E3%81%A3%E3%81%A6%E3%81%84%E3%82%8B%E6%89%8B%E8%A1%93\"><\/span>\u5f53\u9662\u3067\u884c\u3063\u3066\u3044\u308b\u624b\u8853<span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<ul class=\"wp-block-list 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class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<p>\u5f53\u9662\u3067\u306f\u3001\u798f\u5cf6\u5b5d\u5fb3\u5148\u751f\u3092\u4e2d\u5fc3\u3068\u3057\u3001\u4f50\u3005\u6728\u88d5\u4eae\u533b\u5e2b\u3068\u3068\u3082\u306b\u8133\u52d5\u8108\u7624\u3001\u8133\u6897\u585e\u306b\u5bfe\u3059\u308b\u30d0\u30a4\u30d1\u30b9\u8853\u3001\u826f\u6027\u816b\u760d\uff08\u9ac4\u819c\u816b\u3001\u4e0b\u5782\u4f53\u817a\u816b\u3001\u795e\u7d4c\u9798\u816b\u3001\u985e\u4e0a\u76ae\u816b\u7b49\uff09\u3001\u60aa\u6027\u816b\u760d\uff08\u60aa\u6027\u795e\u7d4c\u81a0\u816b\u3001\u81a0\u82bd\u816b\u3001\u8ee2\u79fb\u6027\u8133\u816b\u760d\uff09\u3001\u9ad8\u96e3\u5ea6\u306e\u982d\u84cb\u5e95\u816b\u760d\uff08\u8edf\u9aa8\u8089\u816b\u3001\u985e\u4e0a\u76ae\u816b\uff09\u3001\u4e09\u53c9\u795e\u7d4c\u75db\u3001\u7247\u5074\u9854\u9762\u75d9\u6523\u3001\u820c\u54bd\u795e\u7d4c\u75db\u306b\u5bfe\u3057\u3066\u306e\u6cbb\u7642\u3092\u884c\u306a\u3063\u3066\u304a\u308a\u307e\u3059\u3002<br>\u7279\u306b\u5927\u534a\u306e\u624b\u8853\u3092<mark style=\"background-color:rgba(0, 0, 0, 0)\" class=\"has-inline-color has-vivid-red-color\"><strong>\u9375\u7a74\u624b\u8853<\/strong><\/mark>\u3068\u3044\u3046\u624b\u6cd5\u3067\u624b\u8853\u3092\u3057\u3066\u304a\u308a\u3001\u3067\u304d\u308b\u9650\u308a\u5c0f\u3055\u306a\u50b7\u3001\u5c0f\u3055\u306a\u958b\u982d\u3067\u5b89\u5168\u306b\u624b\u8853\u3092\u884c\u3063\u3066\u304a\u308a\u307e\u3059\u3002\uff08\u2192\u9375\u7a74\u624b\u8853\u306e\u8aac\u660e\u306b\u3064\u3044\u3066\u306f\u3053\u3061\u3089<a href=\"https:\/\/dr-fukushima.com\/operation\">http:\/\/dr-fukushima.com\/operation<\/a>\uff09<br>\u307e\u305f\u3001\u5f53\u9662\u306b\u304a\u3051\u308b99%\u306e\u624b\u8853\u3092<strong><mark style=\"background-color:rgba(0, 0, 0, 0)\" class=\"has-inline-color has-vivid-red-color\">\u7121\u5243\u6bdb<\/mark><\/strong>\u3001\u3064\u307e\u308a\u9aea\u306e\u6bdb\u3092\u5243\u3063\u305f\u308a\u305b\u305a\u3001\u9aea\u306e\u6bdb\u304c\u3042\u308b\u307e\u307e\u306e\u72b6\u614b\u3067\u624b\u8853\u3092\u884c\u3063\u3066\u304a\u308a\u307e\u3059\u3002\u90e8\u5206\u5243\u6bdb\u3059\u308b\u65bd\u8a2d\u306f\u591a\u3044\u3068\u601d\u3044\u307e\u3059\u304c\u3001\u5168\u304f\u5243\u6bdb\u305b\u305a\u306b\u624b\u8853\u3092\u884c\u3046\u65bd\u8a2d\u306f\u3001\u95a2\u6771\u570f\u306b\u306f\u307b\u307c\u3042\u308a\u307e\u305b\u3093\u3002\u3053\u306e\u3088\u3046\u306b\u3059\u308b\u3053\u3068\u3067\u3001\u9000\u9662\u5f8c\u3059\u3050\u306b\u65e5\u5e38\u751f\u6d3b\u306b\u623b\u308b\u3053\u3068\u304c\u53ef\u80fd\u3067\u3059\u3057\u3001\u9aa8\u306e\u5f62\u6210\u7b49\u7f8e\u5bb9\u9762\u306b\u95a2\u3057\u3066\u3082\u8133\u5916\u79d1\u533b\u3068\u3057\u3066\u4e01\u5be7\u306b\u7dba\u9e97\u306b\u624b\u8853\u3092\u884c\u3063\u3066\u304a\u308a\u307e\u3059\u3002<\/p>\n\n\n\n<div class=\"wp-block-group\"><div class=\"wp-block-group__inner-container is-layout-constrained wp-block-group-is-layout-constrained\">\n<h4 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"%E8%84%B3%E5%8B%95%E8%84%88%E7%98%A4\"><\/span>\u8133\u52d5\u8108\u7624<span class=\"ez-toc-section-end\"><\/span><\/h4>\n\n\n\n<div class=\"ark-block-accordion\" data-icon-type=\"plus\">\n<details class=\"ark-block-accordion__item\" data-ark-acc=\"wrapper\"><summary class=\"ark-block-accordion__title\" data-ark-acc=\"header\"><span class=\"ark-block-accordion__label\">\u8133\u52d5\u8108\u7624 \u8a73\u7d30<\/span><span class=\"ark-block-accordion__icon\" aria-hidden=\"true\"><\/span><\/summary><div class=\"ark-block-accordion__body ark-keep-mt--s\" data-ark-acc=\"body\">\n<p>\u8133\u306e\u8840\u7ba1\u306e\u4e00\u90e8\u304c\u81a8\u3089\u3080\u75c5\u6c17\u3067\u3001<strong><mark style=\"background-color:rgba(0, 0, 0, 0)\" class=\"has-inline-color has-vivid-red-color\">\u8133\u52d5\u8108\u7624<\/mark><\/strong>\u306f<strong><mark style=\"background-color:rgba(0, 0, 0, 0)\" class=\"has-inline-color has-vivid-red-color\">\u304f\u3082\u819c\u4e0b\u51fa\u8840<\/mark><\/strong>\u306e\u539f\u56e0\u3068\u306a\u308a\u307e\u3059\u3002<br>\u304f\u3082\u819c\u4e0b\u51fa\u8840\u306f\u3001\u7d0460-70%\u306e\u78ba\u7387\u3067\u3001\u6b7b\u4ea1\u306b\u81f3\u3063\u305f\u308a\u3001\u5bdd\u305f\u304d\u308a\u306b\u306a\u3063\u3066\u3057\u307e\u3046\u75c5\u6c17\u3067\u3059\u3002<br>\u6700\u8fd1\u306f\u3001\u7834\u88c2\u3059\u308b\u524d\u306b\u767a\u898b\u3059\u308b\u3053\u3068\u304c\u5927\u5207\u3067\u3042\u308a\u3001\u305d\u306e\u305f\u3081\u306b\u8133\u30c9\u30c3\u30af\u3092\u63a8\u5968\u3057\u3066\u304a\u308a\u307e\u3059\u3002\u8133\u52d5\u8108\u7624\u306e\u767a\u898b\u306f\u3001\u8133\u30c9\u30c3\u30af\u306e\u6700\u5927\u306e\u76ee\u7684\u3068\u8a00\u3063\u3066\u904e\u8a00\u3067\u306f\u3042\u308a\u307e\u305b\u3093\u3002<br><strong><mark style=\"background-color:rgba(0, 0, 0, 0)\" class=\"has-inline-color has-vivid-red-color\">\u8133\u30c9\u30c3\u30af<\/mark><\/strong>\u3067\u767a\u898b\u3055\u308c\u305f\u308a\u3001\u5076\u7136\u691c\u67fb\u3057\u305fMR\u691c\u67fb\u3067\u8133\u52d5\u8108\u7624\u3092\u6307\u6458\u3055\u308c\u305f\u5834\u5408\u306f\u3001\u5927\u304d\u3055\u3068\u5f62\u3001\u8133\u52d5\u8108\u7624\u306e\u90e8\u4f4d\u306b\u3088\u3063\u3066\u6cbb\u7642\u65b9\u6cd5\u3092\u691c\u8a0e\u3057\u307e\u3059\u3002<br>\u6cbb\u7642\u65b9\u6cd5\u3068\u3057\u3066\u306f\u3001\u30ab\u30c6\u30fc\u30c6\u30eb\u306b\u3088\u308b<strong><mark style=\"background-color:rgba(0, 0, 0, 0)\" class=\"has-inline-color has-vivid-red-color\">\u30b3\u30a4\u30eb\u585e\u6813\u8853<\/mark><\/strong>\u3068<strong><mark style=\"background-color:rgba(0, 0, 0, 0)\" class=\"has-inline-color has-vivid-red-color\">\u958b\u982d\u624b\u8853\u306b\u3088\u308b\u30af\u30ea\u30c3\u30d4\u30f3\u30b0\u8853<\/mark><\/strong>\u304c\u3042\u308a\u307e\u3059\u3002\u4e16\u754c\u7684\u306b\u306f\u30ab\u30c6\u30fc\u30c6\u30eb\u306b\u3088\u308b\u6cbb\u7642\u304c\u4e3b\u6d41\u3067\u3042\u308a\u3001\u5f53\u9662\u3067\u3082\u5c0f\u6fa4\u526f\u9662\u9577\u3092\u4e2d\u5fc3\u3068\u3059\u308b\u30c1\u30fc\u30e0\u304c\u53d6\u308a\u7d44\u3093\u3067\u304a\u308a\u307e\u3059\u304c\u3001\u52d5\u8108\u7624\u306e\u5f62\u72b6\u306b\u3088\u3063\u3066\u306f\u3001\u30ab\u30c6\u30fc\u30c6\u30eb\u6cbb\u7642\u304c\u56f0\u96e3\u306a\u5834\u5408\u3082\u3042\u308a\u307e\u3059\u3002\u305d\u306e\u3088\u3046\u306a\u8133\u52d5\u8108\u7624\u306b\u5bfe\u3057\u3066\u306f\u3001\u958b\u982d\u3057\u3001\u76f4\u63a5\u8133\u52d5\u8108\u7624\u3092\u78ba\u8a8d\u3057\u3001\u52d5\u8108\u7624\u306b\u8840\u6d41\u304c\u5165\u3089\u306a\u3044\u3088\u3046\u306b\u52d5\u8108\u7624\u306e\u6839\u672c\u306b\u5c0f\u3055\u306a\u30af\u30ea\u30c3\u30d7\u3092\u884c\u3044\u307e\u3059\u3002<\/p>\n\n\n\n<div class=\"wp-block-columns is-layout-flex wp-container-core-columns-is-layout-9d6595d7 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:33.33%\">\n<figure class=\"wp-block-image size-full is-resized\"><img decoding=\"async\" src=\"https:\/\/koyu.or.jp\/noge\/wp-data\/wp-content\/uploads\/2025\/02\/nou01.jpg\" alt=\"\" class=\"wp-image-200\" style=\"width:250px\"\/><\/figure>\n<\/div>\n\n\n\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:66.66%\">\n<p class=\"has-text-align-left\"><br>\u4ee3\u8868\u4f8b\u3092\u3054\u7d39\u4ecb\u3057\u307e\u3059\u3002<br>\u8133\u30c9\u30c3\u30af\u3067\u767a\u898b\u3055\u308c\u305f\u5de6\u5185\u9838\u52d5\u8108\u3068\u5f8c\u4ea4\u901a\u52d5\u8108\u306e\u5206\u5c90\u90e8\u304b\u3089\u767a\u751f\u3057\u305f\u52d5\u8108\u7624\u306e\u65b9\u3067\u3059\u3002<br>\u4e0b\u56f3\u306f\u3001\u9020\u5f71\u5264\u3092\u4f7f\u7528\u3057\u305f\u982d\u90e8CT\u691c\u67fb\u306e\u7d50\u679c\u3067\u3059\u3002\u9ec4\u77e2\u5370\u306e\u4f4d\u7f6e\u306b\u52d5\u8108\u7624\uff08\u8840\u7ba1\u306e\u81a8\u3089\u307f\uff09\u3092\u8a8d\u3081\u307e\u3059\u3002<\/p>\n<\/div>\n<\/div>\n\n\n\n<p>\u9ec4\u8272\u77e2\u5370\u3067\u793a\u3057\u305f\u306e\u304c\u3001\u8133\u52d5\u8108\u7624\u305d\u306e\u3082\u306e\u3067\u3059\u3002\u5468\u56f2\u306b\u7d30\u3044\u8840\u7ba1\u304c\u4ed8\u7740\u3057\u3066\u3044\u308b\u306e\u304c\u308f\u304b\u308a\u307e\u3059\uff08\u8d64\u77e2\u5370\uff09\u3002\u4e01\u5be7\u306a\u64cd\u4f5c\u3067\u3001\u52d5\u8108\u7624\u306b\u4ed8\u7740\u3057\u3066\u3044\u308b\u8840\u7ba1\u3092\u5168\u3066\u5265\u304c\u3057\u307e\u3059\u3002\u3053\u306e\u3088\u3046\u306a\u64cd\u4f5c\u3092\u884c\u3046\u3053\u3068\u3067\u3001\u8133\u6897\u585e\u306a\u3069\u306e\u5408\u4f75\u75c7\u3092\u9632\u304e\u307e\u3059\u3002<\/p>\n\n\n\n<figure class=\"wp-block-image size-full is-resized\"><img decoding=\"async\" src=\"https:\/\/koyu.or.jp\/noge\/wp-data\/wp-content\/uploads\/2025\/02\/nou02.jpg\" alt=\"\" class=\"wp-image-201\" style=\"width:577px\"\/><\/figure>\n\n\n\n<p>\u4e0b\u306e\u5199\u771f\u306f\u3001\u3061\u3087\u3046\u3069\u30af\u30ea\u30c3\u30d7\u3092\u884c\u306a\u3063\u305f\u72b6\u614b\u3067\u3059\uff08\u9ec4\u8272\u77e2\u5370\uff09<br>\u7279\u6b8a\u306a\u85ac\u5264\u3092\u6ce8\u5c04\u3057\u3001\u7279\u6b8a\u306a\u30e9\u30a4\u30c8\u3092\u7167\u3066\u308b\u3053\u3068\u3067\u3001\u52d5\u8108\u7624\u306e\u8840\u6d41\u304c\u906e\u65ad\u3055\u308c\uff08\u9ed2\u304f\u306a\u3063\u3066\u3044\u308b\u6c34\u8272\u77e2\u5370\uff09\u3001\u3055\u3089\u306b\u5468\u56f2\u306e\u91cd\u8981\u306a\u8840\u7ba1\u306e\u8840\u6d41\u304c\u4fdd\u305f\u308c\u3066\u3044\u308b\u3053\u3068\u304c\u308f\u304b\u308a\u307e\u3059\uff08\u8d64\u77e2\u5370\uff09\u3002<\/p>\n\n\n\n<figure class=\"wp-block-image size-full is-resized\"><img decoding=\"async\" src=\"https:\/\/koyu.or.jp\/noge\/wp-data\/wp-content\/uploads\/2025\/02\/nou03.jpg\" alt=\"\" class=\"wp-image-202\" style=\"width:577px\"\/><\/figure>\n\n\n\n<p class=\"has-text-align-left\">\u3053\u306e\u6642\u3001\u9aea\u306e\u6bdb\u306e\u751f\u3048\u969b\u304b\u3089\u5916\u5074\u3092\u5207\u958b\u3057\u3001\u3067\u304d\u308b\u9650\u308a\u50b7\u304c\u76ee\u7acb\u305f\u306a\u3044\u3088\u3046\u306b\u3057\u307e\u3059\u3002<br>\u8336\u8272\u306e\u6d88\u6bd2\u6db2\u304c\u4ed8\u3044\u3066\u3044\u308b\u90e8\u4f4d\u304c\u5207\u958b\u3057\u3066\u3044\u308b\u90e8\u4f4d\u3067\u3059\u304c\u3001\u629c\u7cf8\u76f4\u5f8c\u3067\u3082\u50b7\u304c\u76ee\u7acb\u3061\u307e\u305b\u3093\u3002<\/p>\n\n\n\n<figure class=\"wp-block-image size-full is-resized\"><img decoding=\"async\" src=\"https:\/\/koyu.or.jp\/noge\/wp-data\/wp-content\/uploads\/2025\/02\/nou4.jpg\" alt=\"\" class=\"wp-image-203\" style=\"width:577px\"\/><\/figure>\n<\/div><\/details>\n<\/div>\n<\/div><\/div>\n\n\n\n<div class=\"wp-block-group\"><div class=\"wp-block-group__inner-container is-layout-constrained wp-block-group-is-layout-constrained\">\n<h4 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"%E3%81%8F%E3%82%82%E8%86%9C%E4%B8%8B%E5%87%BA%E8%A1%80\"><\/span>\u304f\u3082\u819c\u4e0b\u51fa\u8840<span class=\"ez-toc-section-end\"><\/span><\/h4>\n\n\n\n<div class=\"ark-block-accordion\" data-icon-type=\"plus\">\n<details class=\"ark-block-accordion__item\" data-ark-acc=\"wrapper\"><summary class=\"ark-block-accordion__title\" data-ark-acc=\"header\"><span class=\"ark-block-accordion__label\">\u304f\u3082\u819c\u4e0b\u51fa\u8840 \u8a73\u7d30<\/span><span class=\"ark-block-accordion__icon\" aria-hidden=\"true\"><\/span><\/summary><div class=\"ark-block-accordion__body ark-keep-mt--s\" data-ark-acc=\"body\">\n<p>\u6b21\u306e\u60a3\u8005\u3055\u3093\u306f<strong><mark style=\"background-color:rgba(0, 0, 0, 0)\" class=\"has-inline-color has-vivid-red-color\">\u304f\u3082\u819c\u4e0b\u51fa\u8840<\/mark><\/strong>\u306e\u65b9\u3067\u3059\u3002<br>\u304a\u4ed5\u4e8b\u4e2d\u306b\u3001\u982d\u75db\u3068\u5614\u6c17\u3092\u81ea\u899a\u3055\u308c\u3001\u5f53\u9662\u306e\u5916\u6765\u3092\u53d7\u8a3a\u3055\u308c\u305f\u65b9\u3067\u3059\u3002<br>\u307b\u3068\u3093\u3069\u306e\u304f\u3082\u819c\u4e0b\u51fa\u8840\u306e\u60a3\u8005\u69d8\u306f\u3001\u982d\u75db\u306e\u5f8c\u306b\u610f\u8b58\u969c\u5bb3\u3092\u8a8d\u3081\u308b\u306e\u3067\u3001\u6551\u6025\u8eca\u3067\u642c\u9001\u3055\u308c\u308b\u3053\u3068\u304c\u591a\u3044\u3067\u3059\u304c\u3001\u4eca\u56de\u306e\u5834\u5408\u306e\u3088\u3046\u306b\u3001\u6b69\u3044\u3066\u5916\u6765\u53d7\u8a3a\u3055\u308c\u308b\u3053\u3068\u3082\u3042\u308a\u307e\u3059\u3002\u3053\u306e\u3088\u3046\u306a\u7d4c\u9a13\u304b\u3089\u3082\u5614\u6c17\u3092\u4f34\u3046\u3088\u3046\u306a\u982d\u75db\u306f\u3001\u6ce8\u610f\u3059\u308b\u5fc5\u8981\u304c\u3042\u308a\u307e\u3059\u3002<\/p>\n\n\n\n<p>\u304f\u3082\u819c\u4e0b\u51fa\u8840\u3092\u7591\u3063\u305f\u969b\u306f\u3001\u307e\u305a\u982d\u90e8CT\u691c\u67fb\u3092\u884c\u3044\u307e\u3059\u3002\u5de6\u4e0b\u56f3\u306f\u3001\u5178\u578b\u7684\u306a\u304f\u3082\u819c\u4e0b\u51fa\u8840\u306e\u753b\u50cf\u3067\u3059\u3002\u9ec4\u77e2\u5370\u306e\u90e8\u4f4d\u304c\u304f\u3082\u819c\u4e0b\u51fa\u8840\u3067\u3059\u3002\u539f\u56e0\u3092\u8abf\u3079\u308b\u305f\u3081\u306b\u3001\u9020\u5f71\u5264\u3092\u4f7f\u7528\u3057\u305fCT\u3092\u884c\u3044\u307e\u3057\u305f\u3002\uff08\u4e2d\u592e\u3001\u53f3\u4e0b\u56f3\uff09\u8840\u7ba1\u304b\u3089\u306e\u81a8\u3089\u307f\u3092\u8a8d\u3081\u307e\u3059\u3002<\/p>\n\n\n\n<figure class=\"wp-block-image size-large is-resized\"><img decoding=\"async\" src=\"https:\/\/koyu.or.jp\/noge\/wp-data\/wp-content\/uploads\/2025\/02\/nou05-1024x416.jpg\" alt=\"\" class=\"wp-image-204\" style=\"width:577px\"\/><\/figure>\n\n\n\n<p>\u3053\u306e\u60a3\u8005\u3055\u3093\u306f\u7dca\u6025\u958b\u982d\u30af\u30ea\u30c3\u30d4\u30f3\u30b0\u8853\u3092\u884c\u3044\u307e\u3057\u305f\u3002<br>\u8853\u4e2d\u753b\u50cf\u3067\u3059\u304c\u3001\u5de6\u4e0b\u56f3\u306f\u3001\u8133\u52d5\u8108\u7624\u3092\u78ba\u8a8d\u3057\u305f\u6bb5\u968e\u3067\u3059\u3002\u9ec4\u77e2\u5370\u306f\u8133\u52d5\u8108\u7624\u305d\u306e\u3082\u306e\u3067\u3059\u3002\u5468\u56f2\u306b\u51fa\u8840\u304c\u3042\u308a\u3001\u52d5\u8108\u7624\u304c\u7834\u88c2\u3057\u305f\u3053\u3068\u3092\u793a\u3057\u307e\u3059\u3002\u8d64\u77e2\u5370\u306f\u52d5\u8108\u7624\u306e\u6839\u672c\u304b\u3089\u51fa\u3066\u3044\u308b\u91cd\u8981\u306a\u8840\u7ba1\u3067\u3059\u3002<\/p>\n\n\n\n<figure class=\"wp-block-image size-full is-resized\"><img decoding=\"async\" src=\"https:\/\/koyu.or.jp\/noge\/wp-data\/wp-content\/uploads\/2025\/02\/nou06.jpg\" alt=\"\" class=\"wp-image-205\" style=\"width:300px\"\/><\/figure>\n\n\n\n<p>\u4e0b\u56f3\u306f\u3001\u52d5\u8108\u7624\u306b\u30af\u30ea\u30c3\u30d7\u3057\u305f\u76f4\u5f8c\u306e\u72b6\u614b\u3067\u3059\u3002\u9ec4\u77e2\u5370\u306e\u90e8\u4f4d\u306e\u52d5\u8108\u7624\u306f\u6d88\u5931\u3057\u3066\u304a\u308a\u3001\u8d64\u77e2\u5370\u306e\u90e8\u4f4d\u306e\u91cd\u8981\u306a\u8840\u7ba1\u306f\u3001\u6e29\u5b58\u3055\u308c\u3066\u304a\u308a\u307e\u3059\u3002<\/p>\n\n\n\n<figure class=\"wp-block-image size-full is-resized\"><img decoding=\"async\" src=\"https:\/\/koyu.or.jp\/noge\/wp-data\/wp-content\/uploads\/2025\/02\/nou07.jpg\" alt=\"\" class=\"wp-image-206\" style=\"width:300px\"\/><\/figure>\n\n\n\n<p>\u7279\u6b8a\u306a\u85ac\u5264\u3092\u6295\u4e0e\u3057\u3001\u3055\u3089\u306b\u7279\u6b8a\u306a\u30e9\u30a4\u30c8\u3092\u7167\u5c04\u3059\u308b\u3053\u3068\u3067\u3001\u8996\u899a\u7684\u306b\u52d5\u8108\u7624\u304c\u6d88\u5931\u3057\uff08\u9ec4\u77e2\u5370\uff09\u3001\u91cd\u8981\u306a\u8840\u7ba1\u304c\u6e29\u5b58\u3055\u308c\u3066\u3044\u308b\u3053\u3068\uff08\u8d64\u77e2\u5370\uff09\u3092\u78ba\u8a8d\u3057\u3066\u304a\u308a\u307e\u3059\u3002<\/p>\n\n\n\n<figure class=\"wp-block-image size-full is-resized\"><img decoding=\"async\" src=\"https:\/\/koyu.or.jp\/noge\/wp-data\/wp-content\/uploads\/2025\/02\/nou08.jpg\" alt=\"\" class=\"wp-image-207\" style=\"width:300px\"\/><\/figure>\n\n\n\n<p>\u8853\u5f8c\u6570\u65e5\u7d4c\u904e\u3057\u305f\u982d\u90e8CT\u691c\u67fb\u3067\u3059\u304c\u3001\u9ec4\u77e2\u5370\u306e\u4f4d\u7f6e\u306e\u304f\u3082\u819c\u4e0b\u51fa\u8840\u306f\u6d88\u5931\u3057\u3066\u3044\u307e\u3059\u3002<br>\u9020\u5f71\u5264\u306e\u4f7f\u7528\u3057\u305f\u982d\u90e8CT\u691c\u67fb\u3067\u3082\u3001\u52d5\u8108\u7624\u304c\u6d88\u5931\u3057\u305f\u3053\u3068\u3092\u78ba\u8a8d\u3057\u3066\u304a\u308a\u307e\u3059\u3002\uff08\u4e2d\u592e\u306e\u9ec4\u77e2\u5370\uff09\u53f3\u4e0b\u56f3\u306f\u3001\u958b\u982d\u3057\u305f\u90e8\u4f4d\u3092\u793a\u3057\u3066\u3044\u307e\u3059\u3002<\/p>\n\n\n\n<figure class=\"wp-block-image size-large is-resized\"><img decoding=\"async\" src=\"https:\/\/koyu.or.jp\/noge\/wp-data\/wp-content\/uploads\/2025\/02\/nou09-1024x407.jpg\" alt=\"\" class=\"wp-image-208\" style=\"width:577px\"\/><\/figure>\n\n\n\n<p>\u304f\u3082\u819c\u4e0b\u51fa\u8840\u306e\u624b\u8853\u306f\u3001\u57fa\u672c\u7684\u306b\u7dca\u6025\u624b\u8853\u3067\u3042\u308a\u3001\u5243\u6bdb\u3059\u308b\u3053\u3068\u304c\u307b\u307c99%\u3067\u3059\u304c\u3001\u5f53\u9662\u3067\u306f\u3001\u304f\u3082\u819c\u4e0b\u51fa\u8840\u306e\u6cbb\u7642\u5f8c\u306e\u751f\u6d3b\u3082\u8003\u3048\u3001\u7121\u5243\u6bdb\u3067\u624b\u8853\u3055\u305b\u3066\u9802\u3044\u3066\u304a\u308a\u307e\u3059\u3002\u9ec4\u77e2\u5370\u304c\u76ae\u819a\u5207\u958b\u90e8\u3067\u3059\u304c\u3001\u307b\u3068\u3093\u3069\u76ee\u7acb\u3061\u307e\u305b\u3093\u3002<\/p>\n\n\n\n<figure class=\"wp-block-image size-large is-resized\"><img decoding=\"async\" src=\"https:\/\/koyu.or.jp\/noge\/wp-data\/wp-content\/uploads\/2025\/02\/nou10-1024x505.jpg\" alt=\"\" class=\"wp-image-209\" style=\"width:577px\"\/><\/figure>\n<\/div><\/details>\n<\/div>\n<\/div><\/div>\n<\/div><\/div>\n\n\n\n<div class=\"wp-block-group\"><div class=\"wp-block-group__inner-container is-layout-constrained wp-block-group-is-layout-constrained\">\n<h3 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"%E8%84%B3%E8%85%AB%E7%98%8D\"><\/span>\u8133\u816b\u760d<span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<div class=\"wp-block-group\"><div class=\"wp-block-group__inner-container is-layout-constrained wp-block-group-is-layout-constrained\">\n<h4 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"%E9%AB%84%E8%86%9C%E8%85%AB\"><\/span>\u9ac4\u819c\u816b<span class=\"ez-toc-section-end\"><\/span><\/h4>\n\n\n\n<div class=\"ark-block-accordion\" data-icon-type=\"plus\">\n<details class=\"ark-block-accordion__item\" data-ark-acc=\"wrapper\"><summary class=\"ark-block-accordion__title\" data-ark-acc=\"header\"><span class=\"ark-block-accordion__label\">\u9ac4\u819c\u816b \u8a73\u7d30<\/span><span class=\"ark-block-accordion__icon\" aria-hidden=\"true\"><\/span><\/summary><div class=\"ark-block-accordion__body ark-keep-mt--s\" data-ark-acc=\"body\">\n<p>\u8133\u816b\u760d\u306e\u4e2d\u3067\u3001\u6700\u3082\u983b\u5ea6\u306e\u591a\u3044\u826f\u6027\u816b\u760d\u3067\u3059\u3002\u3053\u306e\u8a3a\u65ad\u3092\u53d7\u3051\u3066\u3082\u3001\u307e\u305a\u5b89\u5fc3\u3057\u3066\u9802\u304d\u305f\u3044\u3053\u3068\u306f\u300190%\u4ee5\u4e0a\u306e\u78ba\u7387\u3067\u826f\u6027\u816b\u760d\u3067\u3042\u308b\u3068\u3044\u3046\u3053\u3068\u3067\u3059\u3002\u75c7\u72b6\u304c\u51fa\u73fe\u3057\u3066\u304b\u3089\u767a\u898b\u3055\u308c\u308b\u9ac4\u819c\u816b\u306f\u3001\u304b\u306a\u308a\u306e\u5927\u304d\u3055\u306b\u306a\u3063\u3066\u3044\u308b\u3053\u3068\u304c\u591a\u304f\u3001\u75c7\u72b6\u3082\u51fa\u73fe\u3057\u3066\u3044\u308b\u305f\u3081\u3001\u624b\u8853\u3092\u53d7\u3051\u3089\u308c\u308b\u65b9\u304c\u591a\u3044\u3068\u601d\u3044\u307e\u3059\u3002\u554f\u984c\u306f\u3001\u75c7\u72b6\u304c\u306a\u3044\u72b6\u614b\u3067\u767a\u898b\u3055\u308c\u305f\u9ac4\u819c\u816b\u306b\u5bfe\u3059\u308b\u6cbb\u7642\u3067\u3059\u3002\u75c5\u9662\u3084\u30af\u30ea\u30cb\u30c3\u30af\u3092\u53d7\u8a3a\u3057\u3001\u305f\u307e\u305f\u307e\u53d7\u3051\u305f 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class=\"wp-block-image size-large is-resized\"><img decoding=\"async\" src=\"https:\/\/koyu.or.jp\/noge\/wp-data\/wp-content\/uploads\/2025\/02\/nou11-1024x339.jpg\" alt=\"\" class=\"wp-image-210\" style=\"width:577px\"\/><\/figure>\n\n\n\n<p>\u5b9f\u969b\u306e\u8853\u4e2d\u5199\u771f\u3067\u3059\u3002<br>\u5de6\u306e\u5199\u771f\u3067\u306e\u3001\u9ec4\u8272\u77e2\u5370\u306e\u90e8\u4f4d\u304c\u9ac4\u819c\u816b\u3067\u3001\u7dd1\u77e2\u5370\u304c\u6b63\u5e38\u8133\u3067\u3059\u3002\u7d041cm\u7a0b\u5ea6\u306e\u9699\u9593\u304b\u30894cm\u4ee5\u4e0a\u306e\u816b\u760d\u3092\u6458\u51fa\u3057\u307e\u3059\u3002\u53f3\u306e\u5199\u771f\u306f\u6458\u51fa\u5f8c\u306e\u5199\u771f\u3067\u3059\u3002\u9ac4\u819c\u816b\u304c\u306a\u304f\u306a\u308a\u7a7a\u9593\u304c\u3067\u304d\u3066\u3044\u307e\u3059\u3002\uff08\u6c34\u8272\u77e2\u5370\uff09<\/p>\n\n\n\n<figure class=\"wp-block-image size-full is-resized\"><img decoding=\"async\" src=\"https:\/\/koyu.or.jp\/noge\/wp-data\/wp-content\/uploads\/2025\/02\/nou12.jpg\" alt=\"\" class=\"wp-image-211\" style=\"width:577px\"\/><\/figure>\n\n\n\n<p>\u3053\u306e\u5927\u304d\u3055\u306b\u306a\u308b\u3068\u6bd4\u8f03\u7684\u5927\u304d\u306a\u76ae\u819a\u5207\u958b\u306b\u306a\u308a\u307e\u3059\u304c\u3001\u7121\u5243\u6bdb\u3067\u3059\u306e\u3067\u3001\u8853\u5f8c\u3059\u3050\u306b\u793e\u4f1a\u5fa9\u5e30\u53ef\u80fd\u3067\u3059\u3002\u816b\u760d\u3092\u6458\u51fa\u3057\u305f\u90e8\u4f4d\u304c\u7a7a\u6d1e\u306b\u306a\u3063\u3066\u304a\u308a\u307e\u3059\u304c\u3001\u5f90\u3005\u306b\u8133\u3082\u5143\u306e\u4f4d\u7f6e\u306b\u623b\u308a\u307e\u3059\u3002\u7279\u306b\u554f\u984c\u306a\u304f\u3001\u5143\u306e\u751f\u6d3b\u306b\u623b\u3089\u308c\u3066\u304a\u308a\u307e\u3059\u3002<\/p>\n\n\n\n<figure class=\"wp-block-image size-full is-resized\"><img decoding=\"async\" src=\"https:\/\/koyu.or.jp\/noge\/wp-data\/wp-content\/uploads\/2025\/02\/nou14.jpg\" alt=\"\" class=\"wp-image-212\" style=\"width:577px\"\/><\/figure>\n\n\n\n<p>\u3053\u306e\u65b9\u3082\u8133\u30c9\u30c3\u30af\u3067\u767a\u898b\u3055\u308c\u305f\u65b9\u3067\u3059\u3002\u3084\u306f\u308a\u3053\u306e\u7a0b\u5ea6\u307e\u3067\u6642\u6298\u982d\u75db\u306f\u81ea\u899a\u3055\u308c\u3066\u304a\u308a\u307e\u3057\u305f\u304c\u3001\u8133\u30c9\u30c3\u30af\u3067\u691c\u67fb\u3057\u3001\u304b\u306a\u308a\u306e\u5927\u304d\u3055\u306b\u306a\u3063\u305f\u9ac4\u819c\u816b\u3067\u3059\u3002<\/p>\n\n\n\n<figure class=\"wp-block-image size-full is-resized\"><img decoding=\"async\" src=\"https:\/\/koyu.or.jp\/noge\/wp-data\/wp-content\/uploads\/2025\/02\/nou15.jpg\" alt=\"\" class=\"wp-image-213\" style=\"width:577px\"\/><\/figure>\n\n\n\n<p>\u3053\u306e\u3088\u3046\u306a\u5927\u304d\u3055\u306e\u816b\u760d\u3067\u3082\u6700\u4f4e\u9650\u306e\u5927\u304d\u3055\u3057\u304b\u76ae\u819a\u5207\u958b\u3092\u884c\u3044\u307e\u305b\u3093\u3002\u901a\u5e38\u3067\u3057\u305f\u3089\u30016\u6642\u9593\u4ee5\u4e0a\u304b\u304b\u308b\u3088\u3046\u306a\u624b\u8853\u3067\u3059\u304c\u3001\u5f53\u9662\u3067\u306f\u3001\u4e01\u5be7\u306b\u8fc5\u901f\u306a\u624b\u8853\u3092\u5fc3\u304c\u3051\u3066\u304a\u308a\u30013\u6642\u9593\u7a0b\u5ea6\u3067\u624b\u8853\u7d42\u4e86\u3057\u3066\u304a\u308a\u307e\u3059\u3002\u8853\u5f8c\u3082MRI\u691c\u67fb\u4e0a\u5168\u6458\u51fa\u3067\u304d\u3066\u304a\u308a\u3001\u7279\u306b\u75c7\u72b6\u3082\u554f\u984c\u306a\u304f\u3001\u65e5\u5e38\u751f\u6d3b\u306b\u623b\u3089\u308c\u3066\u304a\u308a\u307e\u3059\u3002<\/p>\n\n\n\n<figure class=\"wp-block-image size-large is-resized\"><img decoding=\"async\" src=\"https:\/\/koyu.or.jp\/noge\/wp-data\/wp-content\/uploads\/2025\/02\/nou17-1024x433.jpg\" alt=\"\" class=\"wp-image-214\" style=\"width:577px\"\/><\/figure>\n\n\n\n<p>\u8853\u5f8c\u306e\u982d\u90e8CT\u691c\u67fb\u306e\u753b\u50cf\u3067\u3059\u3002\u958b\u982d\u3057\u305f\u9aa8\u3092\u623b\u3057\u305f\u969b\u306b\u3001\u5468\u56f2\u306e\u9aa8\u3068\u306e\u9593\u306b\u5fc5\u305a\u9699\u9593\u304c\u3067\u304d\u3066\u3057\u307e\u3057\u307e\u3059\u3002\u305d\u306e\u307e\u307e\u306b\u3057\u3066\u3057\u307e\u3046\u3068\u8853\u5f8c\u3001\u76ae\u819a\u306e\u4e0a\u304b\u3089\u89e6\u308c\u305f\u6642\u306b\u3001\u6bb5\u5dee\u304c\u3067\u304d\u3066\u3057\u307e\u3044\u7f8e\u5bb9\u7684\u306b\u826f\u304f\u306a\u3044\u72b6\u614b\u306b\u306a\u308a\u307e\u3059\u3002\u5f53\u9662\u3067\u306f\u3001\u305d\u306e\u9699\u9593\u3092\u9aa8\u30bb\u30e1\u30f3\u30c8\u3067\u57cb\u3081\u308b\u3053\u3068\u3067\u3001\u7f8e\u5bb9\u7684\u306b\u3082\u7f8e\u3057\u3044\u72b6\u614b\u3092\u76ee\u6307\u3057\u305f\u624b\u8853\u3092\u5fc3\u304c\u3051\u3066\u304a\u308a\u307e\u3059\u3002<\/p>\n\n\n\n<figure class=\"wp-block-image size-full is-resized\"><img decoding=\"async\" src=\"https:\/\/koyu.or.jp\/noge\/wp-data\/wp-content\/uploads\/2025\/02\/nou18.jpg\" alt=\"\" class=\"wp-image-215\" style=\"width:250px\"\/><\/figure>\n\n\n\n<p><\/p>\n<\/div><\/details>\n<\/div>\n<\/div><\/div>\n\n\n\n<div class=\"wp-block-group\"><div class=\"wp-block-group__inner-container is-layout-constrained wp-block-group-is-layout-constrained\">\n<h4 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"%E8%81%B4%E7%A5%9E%E7%B5%8C%E9%9E%98%E8%85%AB\"><\/span><strong>\u8074\u795e\u7d4c\u9798\u816b<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h4>\n\n\n\n<div class=\"ark-block-accordion\" data-icon-type=\"plus\">\n<details class=\"ark-block-accordion__item\" data-ark-acc=\"wrapper\"><summary class=\"ark-block-accordion__title\" data-ark-acc=\"header\"><span class=\"ark-block-accordion__label\">\u8074\u795e\u7d4c\u9798\u816b \u8a73\u7d30<\/span><span class=\"ark-block-accordion__icon\" aria-hidden=\"true\"><\/span><\/summary><div class=\"ark-block-accordion__body ark-keep-mt--s\" data-ark-acc=\"body\">\n<p>\u8074\u795e\u7d4c\uff08\u7279\u306b\u524d\u5ead\u795e\u7d4c\uff09\u304b\u3089\u767a\u751f\u3057\u305f\u816b\u760d\u3067\u3059\u3002\u5185\u8033\u9053\u3068\u3044\u3046\u795e\u7d4c\u304c\u8d70\u884c\u3057\u3066\u3044\u308b\u90e8\u4f4d\u306b\u306f\u3001\u524d\u5ead\u795e\u7d4c\uff08\u4f53\u306e\u30d0\u30e9\u30f3\u30b9\u611f\u899a\u306b\u95a2\u308f\u308b\u795e\u7d4c\uff09\u3001\u8778\u725b\u795e\u7d4c\uff08\u8074\u529b\u306e\u95a2\u308f\u308b\u795e\u7d4c\uff09\u3001\u9854\u9762\u795e\u7d4c\uff08\u9854\u306e\u52d5\u304d\u306b\u95a2\u308f\u308b\u795e\u7d4c\uff09\u304c\u8d70\u884c\u3057\u3066\u3044\u307e\u3059\u3002\u3053\u306e\u795e\u7d4c\u306e\u4e2d\u3067\u3001\u524d\u5ead\u795e\u7d4c\u304c\u816b\u760d\u5316\u3057\u305f\u3082\u306e\u304c\u8074\u795e\u7d4c\u9798\u816b\u3067\u3042\u308a\u3001\u3053\u306e\u816b\u760d\u304c\u8778\u725b\u795e\u7d4c\u3092\u5727\u8feb\u3057\u8074\u529b\u4f4e\u4e0b\u306e\u539f\u56e0\u3068\u306a\u308a\u307e\u3059\u3002<br>\u3053\u306e\u816b\u760d\u304c\u3001\u8033\u9cf4\u308a\u3001\u8074\u529b\u4f4e\u4e0b\u3084\u3081\u307e\u3044\u3001\u3075\u3089\u3064\u304d\u3092\u81ea\u899a\u3059\u308b\u3053\u3068\u304c\u591a\u304f\u3001\u3042\u308b\u7a0b\u5ea6\u75c7\u72b6\u304c\u9032\u884c\u3057\u305f\u72b6\u614b\u3067\u767a\u898b\u3055\u308c\u305f\u5834\u5408\u306f\u3001\u816b\u760d\u81ea\u4f53\u5927\u304d\u304f\u306a\u3063\u3066\u3044\u308b\u3053\u3068\u304c\u591a\u304f\u3001\u8a3a\u65ad\u3055\u308c\u305f\u6642\u70b9\u3067\u624b\u8853\u3092\u52e7\u3081\u3089\u308c\u308b\u3053\u3068\u304c\u591a\u3044\u3067\u3059\u3002\u307e\u305f\u8fd1\u5e74\u3067\u306f\u8133\u30c9\u30c3\u30af\u306e\u767a\u5c55\u3068\u3068\u3082\u306b\u3001\u7121\u75c7\u72b6\u3067\u767a\u898b\u3055\u308c\u308b\u5c0f\u3055\u306a\u8074\u795e\u7d4c\u9798\u816b\u3082\u5897\u3048\u3066\u304d\u307e\u3057\u305f\u3002\u8074\u529b\u304c\u554f\u984c\u306a\u3044\u72b6\u614b\u3067\u3059\u3068\u3001\u307b\u3068\u3093\u3069\u306e\u65bd\u8a2d\u3067\u306f\u7d4c\u904e\u89b3\u5bdf\u306e\u65b9\u91dd\u3068\u306a\u308b\u3053\u3068\u304c\u591a\u3044\u3067\u3059\u3002\u307e\u305f\u3001\u8fd1\u5e74\u306e\u653e\u5c04\u7dda\u6cbb\u7642\u306e\u9769\u65b0\u306b\u3088\u308a\u5b9a\u4f4d\u653e\u5c04\u7dda\u6cbb\u7642\u3092\u52e7\u3081\u3089\u308c\u308b\u30b1\u30fc\u30b9\u3082\u3042\u308a\u307e\u3059\u3002\u6211\u3005\u306e\u30c1\u30fc\u30e0\u306f\u3001\u8074\u795e\u7d4c\u9798\u816b\u304c\u767a\u898b\u3055\u308c\u305f\u6bb5\u968e\u3067\u3001\u5185\u8033\u9053\u5185\u306b\u9650\u5c40\u3057\u3066\u3044\u308b\u816b\u760d\u3067\u3042\u3063\u3066\u3082\u3001\u57fa\u672c\u7684\u306b\u306f\u8074\u529b\u6e29\u5b58\u3092\u76ee\u7684\u3068\u3057\u305f\u624b\u8853\u3092\u63d0\u6848\u3057\u3066\u304a\u308a\u307e\u3059\u3002\u5c0f\u3055\u306a\u816b\u760d\u3067\u8074\u529b\u6e29\u5b58\u3092\u76ee\u7684\u3068\u3057\u305f\u624b\u8853\u306e\u5834\u5408\u3001\u9375\u7a74\u624b\u8853\u304c\u53ef\u80fd\u3068\u306a\u308a\u307e\u3059\u3002\u307e\u305f\u8074\u529b\u304c\u6b8b\u305b\u308b\u304b\u3069\u3046\u304b\u306f\u8033\u9f3b\u79d1\u7684\u306a\u8074\u529b\u691c\u67fb\u304c\u91cd\u8981\u3068\u306a\u308a\u307e\u3059\u306e\u3067\u3001\u8853\u524d\u306b\u8074\u529b\u691c\u67fb\u3092\u53d7\u3051\u3066\u9802\u304d\u8a55\u4fa1\u3055\u305b\u3066\u9802\u304d\u307e\u3059\u3002\u5ba2\u89b3\u7684\u8a55\u4fa1\u306b\u3066\u8074\u529b\u304c\u6d88\u5931\u3001\u307b\u307c\u805e\u3053\u3048\u3066\u3044\u306a\u3044\u72b6\u614b\u306e\u5834\u5408\u306f\u3001\u8074\u529b\u6e29\u5b58\u3092\u671f\u5f85\u3059\u308b\u624b\u8853\u306f\u96e3\u3057\u304f\u3001\u5168\u6458\u51fa\u3092\u76ee\u6307\u3057\u305f\u624b\u8853\u3092\u3054\u63d0\u6848\u3055\u305b\u3066\u9802\u3044\u3066\u304a\u308a\u307e\u3059\u3002\u3053\u306e\u8074\u795e\u7d4c\u9798\u816b\u306e\u6cbb\u7642\u306f\u3001\u8074\u529b\u304c\u6b8b\u3063\u3066\u3044\u308b\u304b\u3069\u3046\u304b\u3001\u5927\u304d\u3055\u304c\u5927\u304d\u3044\u304b\u5c0f\u3055\u3044\u304b\u306b\u3088\u3063\u3066\u6cbb\u7642\u65b9\u91dd\u304c\u7570\u306a\u308a\u307e\u3059\u3002\u60a3\u8005\u69d8\u3054\u3068\u306b\u3053\u306e\u75c5\u6c17\u3078\u306e\u5411\u304d\u5408\u3044\u65b9\u3001\u751f\u6d3b\u80cc\u666f\u306f\u7570\u306a\u308a\u307e\u3059\u3057\u3001\u3069\u306e\u3088\u3046\u306a\u75c7\u72b6\u304c\u51fa\u73fe\u3057\u3066\u3044\u308b\u304b\u3001\u816b\u760d\u306e\u5927\u304d\u3055\u3082\u60a3\u8005\u69d8\u3054\u3068\u306b\u7570\u306a\u308a\u307e\u3059\u3002\u307e\u305f\u6cbb\u7642\u65b9\u91dd\u3068\u3057\u3066\u3082\u3001\u57fa\u672c\u7684\u306b\u306f\u3001\u624b\u8853\u3001\u7d4c\u904e\u89b3\u5bdf\u3001\u5b9a\u4f4d\u653e\u5c04\u7dda\u6cbb\u7642\u306e3\u901a\u308a\u3067\u3059\u304c\u3001\u3044\u3064\u624b\u8853\u3059\u308b\u306e\u304b\u3001\u8074\u529b\u6e29\u5b58\u3067\u304d\u308b\u306e\u304b\u3067\u304d\u306a\u3044\u306e\u304b\u3068\u9078\u629e\u80a2\u304c\u3042\u308a\u3001\u3067\u304d\u308b\u9650\u308a\u305d\u308c\u305e\u308c\u306e\u60a3\u8005\u69d8\u306b\u3042\u3063\u305f\u6cbb\u7642\u3092\u63d0\u6848\u3055\u305b\u3066\u9802\u304d\u305f\u3044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class=\"wp-block-group\"><div class=\"wp-block-group__inner-container is-layout-constrained wp-block-group-is-layout-constrained\">\n<h4 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"%E9%A1%9E%E4%B8%8A%E7%9A%AE%E8%85%AB\"><\/span><strong><strong>\u985e\u4e0a\u76ae\u816b<\/strong><\/strong><span class=\"ez-toc-section-end\"><\/span><\/h4>\n\n\n\n<div class=\"ark-block-accordion\" data-icon-type=\"plus\">\n<details class=\"ark-block-accordion__item\" data-ark-acc=\"wrapper\"><summary class=\"ark-block-accordion__title\" data-ark-acc=\"header\"><span class=\"ark-block-accordion__label\">\u985e\u4e0a\u76ae\u816b \u8a73\u7d30<\/span><span class=\"ark-block-accordion__icon\" aria-hidden=\"true\"><\/span><\/summary><div class=\"ark-block-accordion__body ark-keep-mt--s\" data-ark-acc=\"body\">\n<p>\u975e\u5e38\u306b\u7a00\u306a\u816b\u760d\u3067\u3059\u304c\u3001\u5f53\u9662\u3067\u306f\u624b\u8853\u3092\u884c\u306a\u3063\u3066\u304a\u308a\u307e\u3059\u3002<br>\u3053\u306e\u816b\u760d\u306f\u3001\u8133\u5e79\u5468\u56f2\u306e\u9699\u9593\u3068\u3044\u3046\u9699\u9593\u306b\u3086\u3063\u304f\u308a\u3068\u5e83\u304c\u3063\u3066\u3044\u304f\u816b\u760d\u3067\u3059\u3002\u3086\u3063\u304f\u308a\u3068\u5e83\u304c\u3063\u3066\u3044\u304f\u816b\u760d\u3067\u3059\u306e\u3067\u3001\u306a\u304b\u306a\u304b\u75c7\u72b6\u304c\u51fa\u73fe\u3057\u307e\u305b\u3093\u3002\u307b\u3068\u3093\u3069\u306e\u60a3\u8005\u3055\u3093\u304c\u3001\u305f\u307e\u305f\u307eMRI\u691c\u67fb\u3092\u884c\u3044\u3001\u8a3a\u65ad\u3055\u308c\u307e\u3059\u3002<\/p>\n<\/div><\/details>\n<\/div>\n<\/div><\/div>\n<\/div><\/div>\n\n\n\n<div class=\"wp-block-group\"><div class=\"wp-block-group__inner-container is-layout-constrained wp-block-group-is-layout-constrained\">\n<div class=\"wp-block-group\"><div class=\"wp-block-group__inner-container is-layout-constrained wp-block-group-is-layout-constrained\">\n<h3 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"%E9%A1%94%E9%9D%A2%E7%97%99%E6%94%A3\"><\/span><strong><strong><strong>\u9854\u9762\u75d9\u6523<\/strong><\/strong><\/strong><span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<div class=\"ark-block-accordion\" data-icon-type=\"plus\">\n<details class=\"ark-block-accordion__item\" data-ark-acc=\"wrapper\"><summary class=\"ark-block-accordion__title\" data-ark-acc=\"header\"><span class=\"ark-block-accordion__label\">\u9854\u9762\u75d9\u6523 \u8a73\u7d30<\/span><span class=\"ark-block-accordion__icon\" aria-hidden=\"true\"><\/span><\/summary><div class=\"ark-block-accordion__body ark-keep-mt--s\" data-ark-acc=\"body\">\n<p>\u304a\u9854\u306e\u7247\u5074\u304c\u3001\u30d4\u30af\u30d4\u30af\u3059\u308b\u75c5\u6c17\u3067\u3059\u3002\u76ee\u306e\u5468\u308a\u306e\u30d4\u30af\u3064\u304d\u304b\u3089\u59cb\u307e\u308b\u3053\u3068\u304c\u591a\u304f\u3001\u6642\u9593\u304c\u305f\u3064\u306b\u3064\u308c\u3066\u3001\u982c\u3084\u53e3\u89d2\u306b\u3082\u30d4\u30af\u3064\u304d\u304c\u5e83\u304c\u308a\u307e\u3059\u3002\u75c7\u72b6\u304c\u3072\u3069\u3044\u5834\u5408\u306f\u3001\u76ee\u3092\u958b\u3051\u308b\u3053\u3068\u304c\u3067\u304d\u305a\u3001\u65e5\u5e38\u751f\u6d3b\u306b\u652f\u969c\u3092\u304d\u305f\u3059\u3053\u3068\u304c\u3042\u308a\u307e\u3059\u3002\u9854\u9762\u304c\u30d4\u30af\u3064\u304f\u539f\u56e0\u306f\u3001\u8272\u3005\u3068\u3042\u308a\u307e\u3059\u304c\u3001<strong><mark style=\"background-color:rgba(0, 0, 0, 0)\" class=\"has-inline-color has-vivid-red-color\">\u30dc\u30c8\u30c3\u30af\u30b9\u6ce8\u5c04<\/mark><\/strong>\u304c\u6cbb\u7642\u306e\u7b2c1\u9078\u629e\u306b\u306a\u308a\u307e\u3059\u3002\u30dc\u30c8\u30c3\u30af\u30b9\u6ce8\u5c04\u306b\u95a2\u3057\u3066\u306f\u3001\u5225\u306e\u9805\u76ee\u3067\u8a73\u7d30\u3092\u8aac\u660e\u3057\u3066\u304a\u308a\u307e\u3059\u3002\u3053\u3053\u3067\u306f\u3001\u7279\u306b\u7247\u5074\u9854\u9762\u75d9\u6523\u306b\u3064\u3044\u3066\u8aac\u660e\u3057\u307e\u3059\u3002\u75c7\u72b6\u306e\u539f\u56e0\u3068\u3057\u3066\u306f\u3001\u9854\u9762\u795e\u7d4c\u306b\u8840\u7ba1\u304c\u63a5\u89e6\u3057\u3066\u751f\u3058\u308b\u75c5\u6c17\u3067\u3059\u3002\u6cbb\u7642\u3068\u3057\u3066\u306f\u3001\u307e\u305a\u30dc\u30c8\u30c3\u30af\u30b9\u6cbb\u7642\u304c\u958b\u59cb\u3055\u308c\u307e\u3059\u3002\u305f\u3060\u3001\u30dc\u30c8\u30c3\u30af\u30b9\u6cbb\u7642\u306f\u3001\u6839\u672c\u6cbb\u7642\u3067\u306f\u306a\u304f\u3001\u5bfe\u75c7\u7642\u6cd5\uff08\u75c7\u72b6\u3092\u7de9\u548c\u3055\u308c\u308b\u6cbb\u7642\uff09\u3067\u3059\u306e\u3067\u3001\u6cbb\u7652\u3059\u308b\u3053\u3068\u306f\u3042\u308a\u307e\u305b\u3093\u3002\u624b\u8853\u6cbb\u7642\u3092\u884c\u3046\u307e\u3067\u306e\u3001\u5f85\u6a5f\u7684\u306a\u6cbb\u7642\u3068\u8003\u3048\u3066\u304a\u308a\u307e\u3059\u3002\u306a\u304b\u306a\u304b\u624b\u8853\u306e\u8aac\u660e\u3092\u805e\u3044\u3066\u3082\u624b\u8853\u306b\u5bfe\u3059\u308b\u6050\u6016\u5fc3\u3084\u4e0d\u5b89\u611f\u306a\u3069\u3067\u8e0f\u307f\u5207\u308c\u306a\u3044\u3053\u3068\u3082\u3042\u308b\u3068\u601d\u3044\u307e\u3059\u3002\u30dc\u30c8\u30c3\u30af\u30b9\u6cbb\u7642\u306f\u3001\u624b\u8853\u7a0b\u306e\u30ea\u30b9\u30af\u306f\u306a\u3044\u3068\u601d\u3044\u307e\u3059\u304c\u3001\u5f0a\u5bb3\u3082\u3042\u308a\u307e\u3059\u300210\u6570\u56de\u4ee5\u4e0a\u30dc\u30c8\u30c3\u30af\u30b9\u3092\u6295\u4e0e\u3059\u308b\u3068\u3001\u9854\u9762\u9ebb\u75fa\u304c\u8efd\u5ea6\u51fa\u73fe\u3059\u308b\u3053\u3068\u304c\u3042\u308a\u3001\u305d\u306e\u5f8c\u306b\u624b\u8853\u3092\u53d7\u3051\u3089\u308c\u3066\u75d9\u6523\u304c\u6d88\u5931\u3057\u305f\u72b6\u614b\u306b\u306a\u3063\u3066\u3082\u3001\u304a\u9854\u306e\u8868\u60c5\u304c\u75d9\u6523\u3092\u767a\u75c7\u3059\u308b\u524d\u3068\u5c11\u3057\u5909\u5316\u3059\u308b\u3053\u3068\u304c\u3042\u308a\u307e\u3059\u3002\u6211\u3005\u306e\u65b9\u91dd\u3068\u3057\u3066\u306f\u3001\u7247\u5074\u9854\u9762\u75d9\u6523\u306e\u65b9\u306f\u3001\u30dc\u30c8\u30c3\u30af\u30b9\u6ce8\u5c04\u3067\u6cbb\u7642\u3092\u958b\u59cb\u3057\u307e\u3059\u304c\u3001\u300e\u30dc\u30c8\u30c3\u30af\u30b9\u6cbb\u7642\u309210\u56de\u884c\u3046\u307e\u3067\u306b\u624b\u8853\u6cbb\u7642\u3092\u691c\u8a0e\u3057\u307e\u3057\u3087\u3046\u300f\u3068\u8aac\u660e\u3057\u3066\u304a\u308a\u307e\u3059\u3002<br>\u5f53\u9662\u3067\u306e\u7247\u5074\u9854\u9762\u75d9\u6523\u306b\u5bfe\u3059\u308b\u6cbb\u7642\u306f\u3001\u798f\u5cf6\u5b5d\u5fb3\u5148\u751f\u304c\u78ba\u7acb\u3057\u305f\u9375\u7a74\u624b\u8853\u3067\u884c\u3063\u3066\u304a\u308a\u307e\u3059\u3002\u76ae\u819a\u306e\u5207\u958b\u30825cm\u4ee5\u4e0b\u3067\u3042\u308a\u3001500\u5186\u7389\u30b5\u30a4\u30ba\u306e\u7a74\u304b\u3089\u624b\u8853\u3092\u884c\u3044\u307e\u3059\u3002<br>\u5b9f\u969b\u306e\u624b\u8853\u4f8b\u3092\u793a\u3057\u307e\u3059\u3002<br>50\u4ee3\u306e\u7537\u6027\u306e\u65b9\u3067\u30012\u5e74\u524d\u304b\u3089\u9854\u9762\u75d9\u6523\u3092\u81ea\u899a\u3055\u308c\u3066\u304a\u308a\u307e\u3057\u305f\u3002\u75c7\u72b6\u304c\u5f37\u304f\u306a\u3063\u3066\u304d\u305f\u305f\u3081\u3001\u624b\u8853\u3092\u5e0c\u671b\u3055\u308c\u307e\u3057\u305f\u3002<br>\u8a3a\u65ad\u306f\u3001MRI\u691c\u67fb\u3092\u884c\u3044\u307e\u3059\u3002\u8133\u5e79\u3068\u9854\u9762\u795e\u7d4c\u306e\u5883\u754c\u306e\u90e8\u4f4d\u306b\u3001\u524d\u4e0b\u5c0f\u8133\u52d5\u8108\u3068\u3044\u3046\u8840\u7ba1\u304c\u63a5\u89e6\u3057\u3066\u3044\u308b\u3053\u3068\u3092\u78ba\u8a8d\u3057\u307e\u3057\u305f\u3002<\/p>\n\n\n\n<figure class=\"wp-block-image size-full is-resized\"><img decoding=\"async\" src=\"https:\/\/koyu.or.jp\/noge\/wp-data\/wp-content\/uploads\/2025\/02\/illness33.jpg\" alt=\"\" class=\"wp-image-218\" style=\"width:250px\"\/><\/figure>\n\n\n\n<p>\u5b9f\u969b\u306e\u624b\u8853\u306e\u5199\u771f\u3067\u3059\u3002\u5de6\u5199\u771f\u306e\u9ec4\u77e2\u5370\u306e\u90e8\u4f4d\u304c\u3001\u8840\u7ba1\u304c\u9854\u9762\u795e\u7d4c\u3068\u8133\u5e79\u306e\u5883\u754c\u306b\u63a5\u3057\u3066\u3044\u308b\u72b6\u614b\u3067\u3059\u3002\u53f3\u5199\u771f\u306f\u3001\u8840\u7ba1\u306bTeflon\uff08\u9ec4\u4e38\uff09\u3068\u3044\u3046\u7e4a\u7dad\u6027\u306e\u30c6\u30fc\u30d7\u3092\u5dfb\u304d\u4ed8\u3051\u3066\u79fb\u52d5\u3055\u305b\u3066\u3044\u308b\u72b6\u614b\u3067\u3059\u3002\u4e0b\u306e\u5199\u771f\u306f\u3001\u9ec4\u77e2\u5370\u304c\u958b\u982d\u3057\u305f\u90e8\u4f4d\u3067\u3042\u308a\u3001\u4eba\u5dee\u3057\u6307\u306e\u982d\u7a0b\u5ea6\u306e\u5927\u304d\u3055\u3057\u304b\u306a\u3044\u3053\u3068\u304c\u308f\u304b\u308a\u307e\u3059\u3002<\/p>\n\n\n\n<figure class=\"wp-block-image size-large is-resized\"><img decoding=\"async\" src=\"https:\/\/koyu.or.jp\/noge\/wp-data\/wp-content\/uploads\/2025\/02\/nou19-1024x427.jpg\" alt=\"\" class=\"wp-image-219\" style=\"width:577px\"\/><\/figure>\n\n\n\n<figure class=\"wp-block-image size-large is-resized\"><img decoding=\"async\" src=\"https:\/\/koyu.or.jp\/noge\/wp-data\/wp-content\/uploads\/2025\/02\/nou20-1024x383.jpg\" alt=\"\" class=\"wp-image-220\" style=\"width:577px\"\/><\/figure>\n\n\n\n<p>\u7121\u5243\u6bdb\u3067\u624b\u8853\u3057\u3066\u304a\u308a\u3001\u4e0b\u306e\u5199\u771f\u306f\u629c\u7cf8\u76f4\u5f8c\u306e\u5199\u771f\u3067\u3059\u304c\u3001\u8853\u5f8c\u306e\u50b7\uff08\u9ec4\u77e2\u5370\uff09\u3082\u307b\u307c\u76ee\u7acb\u3061\u307e\u305b\u3093\u306e\u3067\u3001\u3059\u3050\u306b\u793e\u4f1a\u5fa9\u5e30\u53ef\u80fd\u3067\u3059\u3002<\/p>\n\n\n\n<figure class=\"wp-block-image size-full is-resized\"><img decoding=\"async\" src=\"https:\/\/koyu.or.jp\/noge\/wp-data\/wp-content\/uploads\/2025\/02\/illness38.jpg\" alt=\"\" class=\"wp-image-221\" style=\"width:250px\"\/><\/figure>\n\n\n\n<p><\/p>\n<\/div><\/details>\n<\/div>\n<\/div><\/div>\n\n\n\n<div class=\"wp-block-group\"><div class=\"wp-block-group__inner-container is-layout-constrained wp-block-group-is-layout-constrained\">\n<h4 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"%E9%A1%94%E9%9D%A2%E7%97%99%E6%94%A3%EF%BC%88%E3%81%8C%E3%82%93%E3%82%81%E3%82%93%E3%81%91%E3%81%84%E3%82%8C%E3%82%93%EF%BC%89\"><\/span><strong><strong><strong>\u9854\u9762\u75d9\u6523<\/strong><\/strong><\/strong>\uff08\u304c\u3093\u3081\u3093\u3051\u3044\u308c\u3093\uff09<span class=\"ez-toc-section-end\"><\/span><\/h4>\n\n\n\n<div class=\"ark-block-accordion\" data-icon-type=\"plus\">\n<details class=\"ark-block-accordion__item\" data-ark-acc=\"wrapper\"><summary class=\"ark-block-accordion__title\" data-ark-acc=\"header\"><span class=\"ark-block-accordion__label\">\u9854\u9762\u75d9\u6523\uff08\u304c\u3093\u3081\u3093\u3051\u3044\u308c\u3093\uff09 \u8a73\u7d30<\/span><span class=\"ark-block-accordion__icon\" aria-hidden=\"true\"><\/span><\/summary><div class=\"ark-block-accordion__body ark-keep-mt--s\" data-ark-acc=\"body\">\n<p>\u9854\u9762\u75d9\u6523\uff08\u6b63\u78ba\u306b\u306f\u7247\u5074\u9854\u9762\u75d9\u6523\u3068\u3044\u3044\u307e\u3059\uff09\u3068\u306f\u9854\u306e\u534a\u5206\u304c\u81ea\u5206\u306e\u610f\u5fd7\u3068\u306f\u95a2\u4fc2\u306a\u304f\u30d4\u30af\u30d4\u30af\u3068\u3051\u3044\u308c\u3093\u3059\u308b\u75be\u60a3\u3067\u3059\u3002<br>\u3053\u308c\u306f\u9854\u9762\u795e\u7d4c\u306e\u4e0d\u968f\u610f\u306a\u8208\u596e\u306b\u3088\u3063\u3066\u305d\u306e\u652f\u914d\u7b4b\uff08\u773c\u8f2a\u7b4b\u3001\u53e3\u8f2a\u7b4b\u3001\u982c\u7b4b\u7b49\uff09\u304c\u767a\u4f5c\u6027\u3001\u53cd\u5fa9\u6027\u306b\u53ce\u7e2e\u3059\u308b\u3053\u3068\u306b\u3088\u3063\u3066\u751f\u3058\u307e\u3059\u3002\u4e2d\u5e74\u306e\u5973\u6027\u306b\u591a\u304f\u3001\u7247\u5074\u306e\u773c\u306e\u5468\u56f2\uff08\u7279\u306b\u4e0b\u773c\u77bc\u90e8\u7b4b\uff09\u304b\u3089\u59cb\u307e\u308a\u3001\u5f90\u3005\u306b\u53e3\u5143\u3078\u3068\u5e83\u304c\u3063\u3066\u3044\u304d\u307e\u3059\u3002\u7cbe\u795e\u7684\u7dca\u5f35\u3001\u30b9\u30c8\u30ec\u30b9\u3001\u75b2\u52b4\u3001\u9854\u9762\u7b4b\u306e\u904b\u52d5\u306a\u3069\u3067\u8a98\u767a\u3055\u308c\u308b\u3053\u3068\u304c\u591a\u3044\u3088\u3046\u3067\u3059\u3002\u306f\u3058\u3081\u306f\u773c\u306e\u5468\u308a\u306e\u30d4\u30af\u3064\u304d\u3060\u3051\u3067\u3042\u3063\u305f\u3082\u306e\u304c\u3001\u6570\u30f6\u6708\u304b\u3089\u6570\u5e74\u306e\u7d4c\u904e\u3067\u75c7\u72b6\u304c\u9032\u884c\u3057\u3066\u3044\u304d\u3001\u982c\u304b\u3089\u53e3\u5143\u3078\u3068\u75d9\u6523\u306e\u7bc4\u56f2\u3082\u5f90\u3005\u306b\u5e83\u304c\u3063\u3066\u3044\u304f\u3053\u3068\u304c\u591a\u3044\u3067\u3059\u3002\u75c7\u72b6\u306e\u9032\u3093\u3060\u60a3\u8005\u3055\u3093\u3067\u306f\u9854\u3060\u3051\u3067\u306a\u304f\u3042\u3054\u306e\u4e0b\u306e\u7b4b\u8089\uff08\u5e83\u981a\u7b4b\uff09\u307e\u3067\u3082\u75d9\u6523\u3057\u3066\u304d\u307e\u3059\u3002\u307e\u305f\u75d9\u6523\u306e\u8d77\u304d\u308b\u983b\u5ea6\u3082\u5f90\u3005\u306b\u9ad8\u304f\u306a\u308a\u56db\u516d\u6642\u4e2d\u75d9\u6523\u3057\u3066\u3044\u308b\u60a3\u8005\u3055\u3093\u3082\u3044\u3089\u3063\u3057\u3083\u3044\u307e\u3059\u3002\u9854\u9762\u75d9\u6523\u304c\u9577\u671f\u9593\u306b\u308f\u305f\u308b\u60a3\u8005\u3055\u3093\u3067\u306f\u3001\u3051\u3044\u308c\u3093\u306e\u53ce\u307e\u3063\u3066\u3044\u308b\u3068\u304d\u306b\u540c\u5074\u306e\u9854\u9762\u9ebb\u75fa\uff08\u9f3b\u5507\u6e9d\uff1b\u307b\u3046\u308c\u3044\u7dda\u304c\u6d88\u3048\u53e3\u5143\u304c\u5782\u308c\u308b\uff09\u304c\u307f\u3089\u308c\u308b\u3053\u3068\u3082\u3042\u308a\u307e\u3059\u3002\u3053\u306e\u75c7\u72b6\u304c\u3082\u3068\u3067\u4eba\u524d\u306b\u51fa\u308b\u306e\u304c\u5104\u52ab\u306b\u306a\u3063\u305f\u308a\u3001\u305d\u306e\u7d50\u679c\u8ee2\u8077\u305b\u3056\u308b\u3092\u5f97\u306a\u304f\u306a\u3063\u305f\u308a\uff08\u7279\u306b\u55b6\u696d\u306e\u65b9\uff09\u3001\u307e\u305f\u30de\u30b9\u30af\u306a\u3057\u3067\u306f\u5916\u51fa\u3059\u308b\u3053\u3068\u304c\u51fa\u6765\u306a\u304f\u306a\u3063\u305f\u3068\u3044\u3046\u65b9\u3082\u3044\u3089\u3063\u3057\u3083\u3044\u307e\u3059\u3002<\/p>\n<\/div><\/details>\n<\/div>\n<\/div><\/div>\n\n\n\n<div class=\"wp-block-group\"><div class=\"wp-block-group__inner-container is-layout-constrained wp-block-group-is-layout-constrained\">\n<h4 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"%E9%A1%94%E9%9D%A2%E7%97%99%E6%94%A3%E3%81%AE%E4%B8%BB%E3%81%AA%E5%8E%9F%E5%9B%A0\"><\/span><strong>\u9854\u9762\u75d9\u6523\u306e\u4e3b\u306a\u539f\u56e0<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h4>\n\n\n\n<div class=\"ark-block-accordion\" data-icon-type=\"plus\">\n<details class=\"ark-block-accordion__item\" data-ark-acc=\"wrapper\"><summary class=\"ark-block-accordion__title\" data-ark-acc=\"header\"><span class=\"ark-block-accordion__label\">\u9854\u9762\u75d9\u6523\u306e\u4e3b\u306a\u539f\u56e0 \u8a73\u7d30<\/span><span class=\"ark-block-accordion__icon\" aria-hidden=\"true\"><\/span><\/summary><div class=\"ark-block-accordion__body ark-keep-mt--s\" 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id=\"%E4%B8%89%E5%8F%89%E7%A5%9E%E7%B5%8C%E7%97%9B\"><\/span><strong>\u4e09\u53c9\u795e\u7d4c\u75db<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h4>\n\n\n\n<div class=\"ark-block-accordion\" data-icon-type=\"plus\">\n<details class=\"ark-block-accordion__item\" data-ark-acc=\"wrapper\"><summary class=\"ark-block-accordion__title\" data-ark-acc=\"header\"><span class=\"ark-block-accordion__label\">\u4e09\u53c9\u795e\u7d4c\u75db \u8a73\u7d30<\/span><span class=\"ark-block-accordion__icon\" aria-hidden=\"true\"><\/span><\/summary><div class=\"ark-block-accordion__body ark-keep-mt--s\" data-ark-acc=\"body\">\n<p>\u9854\u9762\u306b\u75db\u307f\u3092\u751f\u3058\u308b\u75c5\u6c17\u3067\u3059\u3002\u5178\u578b\u7684\u306a\u75c7\u72b6\u3068\u3057\u3066\u306f\u3001\u6b6f\u78e8\u304d\u3084\u6d17\u9854\u3001\u98df\u4e8b\u3001\u4f1a\u8a71\u7b49\u306e\u969b\u306b\u3001\u96fb\u6483\u75db\u3092\u81ea\u899a\u3057\u307e\u3059\u3002\u96fb\u6483\u75db\u3068\u306f\u795e\u7d4c\u306b\u89e6\u308c\u3089\u308c\u305f\u6642\u306e\u75db\u307f\u306e\u7279\u5fb4\u3067\u3001\u4f8b\u3048\u3070\u3001\u866b\u6b6f\u306e\u6cbb\u7642\u306e\u969b\u306b\u795e\u7d4c\u306b\u89e6\u3089\u308c\u308b\u3068\u4e00\u77ac\u98db\u3073\u4e0a\u304c\u308b\u307b\u3069\u306e\u75db\u307f\u3092\u81ea\u899a\u3057\u307e\u3059\u304c\u3001\u305d\u308c\u3068\u540c\u69d8\u306e\u75db\u307f\u3067\u3059\u3002\u3082\u3061\u308d\u3093\u500b\u4eba\u5dee\u306f\u3042\u308a\u307e\u3059\u306e\u3067\u3001\u75db\u307f\u306e\u7a0b\u5ea6\u3084\u5f37\u5ea6\u306f\u3055\u307e\u3056\u307e\u3067\u3059\u304c\u3001\u75c7\u72b6\u304c\u3072\u3069\u3044\u6642\u306b\u306f\u3001\u3082\u3046\u53eb\u3073\u305f\u304f\u306a\u308b\u3088\u3046\u306a\u75db\u307f\u3067\u3059\u3002\u4e09\u53c9\u795e\u7d4c\u75db\u306e\u539f\u56e0\u3068\u3057\u3066\u306f\u3001\u307b\u3068\u3093\u3069\u4e09\u53c9\u795e\u7d4c\u3068\u8840\u7ba1\u304c\u63a5\u89e6\u3057\u3066\u751f\u3058\u308b\u75db\u307f\u3067\u3059\u304c\u3001\u7a00\u306b\u816b\u760d\u304c\u4e09\u53c9\u795e\u7d4c\u306b\u63a5\u3057\u3066\u3044\u305f\u308a\u3001\u795e\u7d4c\u305d\u306e\u3082\u306e\u304c\u816b\u760d\u5316\u3057\u3066\u3044\u305f\u308a\u3059\u308b\u5834\u5408\u3082\u3042\u308a\u307e\u3059\u3002\u307e\u305f\u3001\u5e2f\u72b6\u75b1\u75b9\u5f8c\u306b\u9854\u9762\u304c\u75db\u3080\u3053\u3068\u3082\u3042\u308a\u3001\u5168\u3066\u304c\u982d\u306e\u4e2d\u306b\u539f\u56e0\u304c\u3042\u308b\u308f\u3051\u3067\u306f\u306a\u3044\u306e\u3067\u3001\u8a3a\u65ad\u306b\u306f\u3001\u554f\u8a3a\u3068MRI\u691c\u67fb\u304c\u91cd\u8981\u3067\u3059\u3002MRI\u691c\u67fb\u4e0a\u795e\u7d4c\u3068\u8840\u7ba1\u304c\u63a5\u89e6\u3057\u3066\u3044\u308b\u3053\u3068\u304c\u5224\u65ad\u3067\u304d\u308c\u3070\u3001\u300e\u4e09\u53c9\u795e\u7d4c\u75db\u300f\u306e\u8a3a\u65ad\u3068\u306a\u308a\u307e\u3059\u3002\u3053\u306e\u624b\u8853\u3082\u3001\u9375\u7a74\u624b\u8853\u304c\u53ef\u80fd\u3067\u3001\u9aea\u306e\u6bdb\u3092\u5243\u3089\u305a\u306b4cm\u7a0b\u5ea6\u306e\u76ae\u819a\u5207\u958b\u3067\u3001500\u5186\u7389\u306e\u5927\u304d\u3055\u306e\u958b\u982d\u3067\u624b\u8853\u3092\u884c\u3044\u307e\u3059\u3002<br>\u307e\u305f\u5f53\u9662\u306e\u7279\u5fb4\u3068\u3057\u3066\u306f\u3001\u4ed6\u9662\u3067\u624b\u8853\u3092\u53d7\u3051\u3066\u75db\u307f\u304c\u53d6\u308c\u306a\u304b\u3063\u305f\u65b9\u3005\u306e\u624b\u8853\u3082\u7a4d\u6975\u7684\u306b\u884c\u3063\u3066\u304a\u308a\u307e\u3059\u3002\u3053\u306e\u75c5\u6c17\u306e\u518d\u624b\u8853\u306f\u975e\u5e38\u306b\u96e3\u5ea6\u306e\u9ad8\u3044\u624b\u8853\u306b\u306a\u308b\u3053\u3068\u304c\u591a\u3044\u3067\u3059\u304c\u3001\u305d\u306e\u96e3\u5ea6\u306e\u9ad8\u3044\u624b\u8853\u3082\u798f\u5cf6\u5b5d\u5fb3\u5148\u751f\u3092\u4e2d\u5fc3\u3068\u3057\u305f\u30c1\u30fc\u30e0\u3067\u53d6\u308a\u7d44\u3093\u3067\u304a\u308a\u3001\u307b\u307c100%\u8fd1\u3044\u6cbb\u7652\u7387\u3092\u7dad\u6301\u3057\u3066\u304a\u308a\u307e\u3059\u3002<\/p>\n<\/div><\/details>\n<\/div>\n<\/div><\/div>\n\n\n\n<div class=\"wp-block-group\"><div class=\"wp-block-group__inner-container is-layout-constrained wp-block-group-is-layout-constrained\">\n<h4 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"%E8%88%8C%E5%92%BD%E7%A5%9E%E7%B5%8C%E7%97%9B\"><\/span><strong>\u820c\u54bd\u795e\u7d4c\u75db<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h4>\n\n\n\n<div class=\"ark-block-accordion\" data-icon-type=\"plus\">\n<details class=\"ark-block-accordion__item\" data-ark-acc=\"wrapper\"><summary class=\"ark-block-accordion__title\" data-ark-acc=\"header\"><span class=\"ark-block-accordion__label\">\u820c\u54bd\u795e\u7d4c\u75db \u8a73\u7d30<\/span><span class=\"ark-block-accordion__icon\" aria-hidden=\"true\"><\/span><\/summary><div class=\"ark-block-accordion__body ark-keep-mt--s\" data-ark-acc=\"body\">\n<p>\u4e09\u53c9\u795e\u7d4c\u75db\u306f\u3001\u9854\u9762\u306e\u75db\u307f\u3067\u3059\u304c\u3001\u3053\u3061\u3089\u306f\u3001\u5589\u306e\u5965\u306e\u75db\u307f\u3067\u3059\u3002\u5178\u578b\u7684\u306a\u75c7\u72b6\u3068\u3057\u3066\u306f\u3001\u6c34\u5206\u3084\u98df\u3079\u7269\u3092\u98f2\u307f\u8fbc\u3080\u969b\u306b\u5589\u306e\u5965\u306b\u96fb\u6483\u75db\u304c\u751f\u3058\u307e\u3059\u3002\u307e\u305f\u4f1a\u8a71\u3059\u308b\u969b\u3084\u3001\u553e\u3092\u98f2\u307f\u8fbc\u3080\u7a0b\u5ea6\u3067\u3082\u75db\u307f\u3092\u611f\u3058\u307e\u3059\u3002\u4e09\u53c9\u795e\u7d4c\u75db\u3068\u6df7\u540c\u3055\u308c\u308b\u3053\u3068\u3082\u3042\u308a\u3001\u306a\u304b\u306a\u304b\u8a3a\u65ad\u3055\u308c\u306a\u3044\u5834\u5408\u3082\u3042\u308a\u307e\u3059\u3002<\/p>\n\n\n\n<figure class=\"wp-block-image size-full is-resized\"><img decoding=\"async\" src=\"https:\/\/koyu.or.jp\/noge\/wp-data\/wp-content\/uploads\/2025\/02\/shita.jpg\" alt=\"\" class=\"wp-image-466\" style=\"width:250px\"\/><\/figure>\n\n\n\n<figure class=\"wp-block-image size-full is-resized\"><img decoding=\"async\" src=\"https:\/\/koyu.or.jp\/noge\/wp-data\/wp-content\/uploads\/2025\/02\/illness40.jpg\" alt=\"\" class=\"wp-image-223\" style=\"width:250px\"\/><\/figure>\n<\/div><\/details>\n<\/div>\n<\/div><\/div>\n<\/div><\/div>\n\n\n\n<div class=\"wp-block-group\"><div class=\"wp-block-group__inner-container is-layout-constrained wp-block-group-is-layout-constrained\">\n<h3 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"%E8%A1%80%E7%AE%A1%E5%86%85%E6%B2%BB%E7%99%82\"><\/span>\u8840\u7ba1\u5185\u6cbb\u7642<span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<div class=\"ark-block-accordion\" data-icon-type=\"plus\">\n<details class=\"ark-block-accordion__item\" data-ark-acc=\"wrapper\"><summary class=\"ark-block-accordion__title\" data-ark-acc=\"header\"><span class=\"ark-block-accordion__label\">\u8840\u7ba1\u5185\u6cbb\u7642 \u8a73\u7d30<\/span><span class=\"ark-block-accordion__icon\" aria-hidden=\"true\"><\/span><\/summary><div class=\"ark-block-accordion__body ark-keep-mt--s\" data-ark-acc=\"body\">\n<p>\u8133\u795e\u7d4c\u8840\u7ba1\u5185\u6cbb\u7642\u3068\u306f\u3001\u982d\u84cb\u5185\u3084\u981a\u90e8\u306e\u8840\u7ba1\u6027\u75c5\u5909\u306b\u5bfe\u3057\u3066\u76f4\u63a5\u60a3\u90e8\u3092\u5207\u958b\u305b\u305a\u306b\u30ab\u30c6\u30fc\u30c6\u30eb\u3068\u3044\u3046\u7d30\u3044\u30c1\u30e5\u30fc\u30d6\u3092\u7528\u3044\u3066\u6cbb\u7642\u3092\u884c\u3046\u65b9\u6cd5\u306e\u7dcf\u79f0\u3067\u3059\u3002\u8133\u306e\u8840\u7ba1\u3092\u30ab\u30c6\u30fc\u30c6\u30eb\u3068\u9020\u5f71\u5264\u3092\u7528\u3044\u3066\u64ae\u5f71\u3059\u308b\u8133\u8840\u7ba1\u64ae\u5f71\u691c\u67fb\u304b\u3089\u767a\u5c55\u3057\u305f\u624b\u8853\u6cd5\u3067\u3059\u3002<br>\u8133\u795e\u7d4c\u5916\u79d1\u9818\u57df\u3067\u306f\u3001\u8fd1\u5e74\u3067\u6025\u901f\u306a\u767a\u5c55\u3092\u9042\u3052\u3066\u3055\u307e\u3056\u307e\u306a\u6cbb\u7642\u5668\u6750\u304c\u4f7f\u7528\u53ef\u80fd\u3068\u306a\u3063\u3066\u3044\u307e\u3059\u3002\u6cbb\u7642\u56f0\u96e3\u3067\u3042\u3063\u305f\u75c5\u5909\u3082\u624b\u8853\u304c\u3067\u304d\u308b\u3088\u3046\u306b\u306a\u308b\u3001\u958b\u982d\u624b\u8853\u3068\u6bd4\u3079\u3066\u60a3\u8005\u3055\u3093\u3078\u306e\u8ca0\u62c5\u304c\u5c11\u306a\u304f\u5165\u9662\u671f\u9593\u304c\u77ed\u3044\u3001\u9ad8\u9f62\u8005\u3084\u5168\u8eab\u5408\u4f75\u75c7\u3092\u6301\u3063\u305f\u65b9\u306b\u3082\u65bd\u884c\u3067\u304d\u308b\u70b9\u306a\u3069\u3067\u512a\u308c\u3066\u3044\u307e\u3059\u3002<\/p>\n<\/div><\/details>\n<\/div>\n\n\n\n<div class=\"wp-block-group\"><div class=\"wp-block-group__inner-container is-layout-constrained wp-block-group-is-layout-constrained\">\n<h4 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"%E3%82%B3%E3%82%A4%E3%83%AB%E5%A1%9E%E6%A0%93%E8%A1%93\"><\/span><strong>\u30b3\u30a4\u30eb\u585e\u6813\u8853<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h4>\n\n\n\n<div class=\"ark-block-accordion\" data-icon-type=\"plus\">\n<details class=\"ark-block-accordion__item\" data-ark-acc=\"wrapper\"><summary class=\"ark-block-accordion__title\" data-ark-acc=\"header\"><span class=\"ark-block-accordion__label\">\u30b3\u30a4\u30eb\u585e\u6813\u8853 \u8a73\u7d30<\/span><span class=\"ark-block-accordion__icon\" aria-hidden=\"true\"><\/span><\/summary><div class=\"ark-block-accordion__body ark-keep-mt--s\" data-ark-acc=\"body\">\n<p>\u307e\u305a\u3001\u5168\u8eab\u9ebb\u9154\u3092\u884c\u3044\u3001\u811a\u306e\u4ed8\u3051\u6839\u306e\u5927\u817f\u52d5\u8108\u304b\u3089\u30ab\u30c6\u30fc\u30c6\u30eb\u3092\u633f\u5165\u3057\u307e\u3059\u3002\u30ab\u30c6\u30fc\u30c6\u30eb\u3092\u76ee\u7684\u306e\u8840\u7ba1\u306b\u9032\u3081\u3001\u3055\u3089\u306b\u3001\u3053\u306e\u30ab\u30c6\u30fc\u30c6\u30eb\u306e\u4e2d\u3092\u901a\u3057\u30660.6\u339c\u7a0b\u306e\u975e\u5e38\u306b\u7d30\u304f\u67d4\u3089\u304b\u3044\u30de\u30a4\u30af\u30ed\u30ab\u30c6\u30fc\u30c6\u30eb\u306e\u5148\u7aef\u3092\u52d5\u8108\u7624\u306e\u4e2d\u306b\u633f\u5165\u3057\u307e\u3059\u3002<br>\u30de\u30a4\u30af\u30ed\u30ab\u30c6\u30fc\u30c6\u30eb\u3088\u308a\u30d7\u30e9\u30c1\u30ca\u88fd\u306e\u9aea\u306e\u6bdb\u306e\u3088\u3046\u306b\u67d4\u3089\u304b\u3044\u30b3\u30a4\u30eb\u3092\u52d5\u8108\u7624\u5185\u306b\u5145\u586b\u3057\u307e\u3059\u3002\u30b3\u30a4\u30eb\u306e\u4f4d\u7f6e\u3084\u4ed6\u306e\u91cd\u8981\u306a\u8840\u7ba1\u306e\u8840\u6d41\u306b\u554f\u984c\u304c\u306a\u3044\u3053\u3068\u3092\u78ba\u8a8d\u5f8c\u3001\u30b3\u30a4\u30eb\u306b\u7e4b\u304c\u3063\u3066\u3044\u308b\u30ef\u30a4\u30e4\u30fc\u306b1mA\u306e\u96fb\u6d41\u3092\u6d41\u3057\u307e\u3059\u3002\u3059\u308b\u3068\u3001\u30ef\u30a4\u30e4\u30fc\u3068\u30b3\u30a4\u30eb\u306e\u9023\u7d50\u90e8\u304c\u6eb6\u89e3\u3057\u3001\u30b3\u30a4\u30eb\u3060\u3051\u52d5\u8108\u7624\u5185\u306b\u6b8b\u308a\u307e\u3059\u3002\u52d5\u8108\u7624\u306e\u5927\u304d\u3055\u306b\u3088\u308a\u7570\u306a\u308a\u307e\u3059\u304c\u3001\u52d5\u8108\u7624\u304c\u9020\u5f71\u3055\u308c\u306a\u304f\u306a\u308b\u307e\u3067\u4f55\u672c\u304b\u30b3\u30a4\u30eb\u3092\u540c\u69d8\u306b\u5145\u586b\u3057\u3066\u3044\u304d\u307e\u3059\u3002<\/p>\n\n\n\n<figure class=\"wp-block-image size-full is-resized\"><img decoding=\"async\" src=\"https:\/\/koyu.or.jp\/noge\/wp-data\/wp-content\/uploads\/2025\/02\/illness41.jpg\" alt=\"\" class=\"wp-image-228\" style=\"width:577px\"\/><\/figure>\n<\/div><\/details>\n<\/div>\n<\/div><\/div>\n\n\n\n<div class=\"wp-block-group\"><div class=\"wp-block-group__inner-container is-layout-constrained wp-block-group-is-layout-constrained\">\n<h4 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"%E9%A0%AD%E8%93%8B%E5%86%85%E3%82%B9%E3%83%86%E3%83%B3%E3%83%88%E4%BD%B5%E7%94%A8%E3%82%B3%E3%82%A4%E3%83%AB%E5%A1%9E%E6%A0%93%E8%A1%93\"><\/span><strong><strong>\u982d\u84cb\u5185\u30b9\u30c6\u30f3\u30c8\u4f75\u7528\u30b3\u30a4\u30eb\u585e\u6813\u8853<\/strong><\/strong><span class=\"ez-toc-section-end\"><\/span><\/h4>\n\n\n\n<div class=\"ark-block-accordion\" data-icon-type=\"plus\">\n<details class=\"ark-block-accordion__item\" data-ark-acc=\"wrapper\"><summary class=\"ark-block-accordion__title\" data-ark-acc=\"header\"><span class=\"ark-block-accordion__label\">\u982d\u84cb\u5185\u30b9\u30c6\u30f3\u30c8\u4f75\u7528\u30b3\u30a4\u30eb\u585e\u6813\u8853 \u8a73\u7d30<\/span><span class=\"ark-block-accordion__icon\" aria-hidden=\"true\"><\/span><\/summary><div class=\"ark-block-accordion__body ark-keep-mt--s\" data-ark-acc=\"body\">\n<p>\u52d5\u8108\u7624\u9838\u90e8\uff08\u52d5\u8108\u7624\u304c\u3067\u304d\u3066\u3044\u308b\u52d5\u8108\u3068\u52d5\u8108\u7624\u306e\u6839\u672c\u90e8\u5206\uff09\u306e\u9762\u7a4d\u304c\u5e83\u3044\u5834\u5408\u3001\u30b3\u30a4\u30eb\u585e\u6813\u8853\u306e\u307f\u3067\u306f\u52d5\u8108\u7624\u5185\u306b\u8a70\u3081\u305f\u30b3\u30a4\u30eb\u304c\u52d5\u8108\u5185\u306b\u843d\u3061\u3066\u304d\u3066\u3057\u307e\u3046\u3053\u3068\u304c\u3042\u308a\u307e\u3059\u3002\u305d\u306e\u305f\u3081\u3001\u7db2\u76ee\u72b6\u306e\u30b9\u30c6\u30f3\u30c8\u3068\u3044\u3046\u7b52\u3092\u52d5\u8108\u7624\u304c\u3067\u304d\u3066\u3044\u308b\u90e8\u5206\u3092\u5145\u5206\u30ab\u30d0\u30fc\u3059\u308b\u3088\u3046\u306b\u7f6e\u304d\u62e1\u3052\u3001\u52d5\u8108\u5185\u306b\u8a70\u3081\u305f\u30b3\u30a4\u30eb\u304c\u52d5\u8108\u5185\u306b\u843d\u3061\u3066\u3053\u306a\u3044\u3088\u3046\u306b\u3059\u308b\u6cbb\u7642\u3067\u3059\u3002<\/p>\n\n\n\n<figure class=\"wp-block-image size-full is-resized\"><img decoding=\"async\" src=\"https:\/\/koyu.or.jp\/noge\/wp-data\/wp-content\/uploads\/2025\/02\/illness42.jpg\" alt=\"\" class=\"wp-image-229\" style=\"width:577px\"\/><\/figure>\n<\/div><\/details>\n<\/div>\n<\/div><\/div>\n\n\n\n<div class=\"wp-block-group\"><div class=\"wp-block-group__inner-container is-layout-constrained wp-block-group-is-layout-constrained\">\n<h4 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"%E8%B6%85%E6%80%A5%E6%80%A7%E6%9C%9F%E8%84%B3%E6%A2%97%E5%A1%9E%E8%A1%80%E6%A0%93%E5%9B%9E%E5%8F%8E%E7%99%82%E6%B3%95\"><\/span><strong>\u8d85\u6025\u6027\u671f\u8133\u6897\u585e\u8840\u6813\u56de\u53ce\u7642\u6cd5<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h4>\n\n\n\n<div class=\"ark-block-accordion\" data-icon-type=\"plus\">\n<details class=\"ark-block-accordion__item\" data-ark-acc=\"wrapper\"><summary class=\"ark-block-accordion__title\" data-ark-acc=\"header\"><span class=\"ark-block-accordion__label\">\u8d85\u6025\u6027\u671f\u8133\u6897\u585e\u8840\u6813\u56de\u53ce\u7642\u6cd5 \u8a73\u7d30<\/span><span class=\"ark-block-accordion__icon\" aria-hidden=\"true\"><\/span><\/summary><div class=\"ark-block-accordion__body ark-keep-mt--s\" data-ark-acc=\"body\">\n<p>\u982d\u84cb\u5185\u52d5\u8108\u304c\u585e\u6813\uff08\u8840\u6db2\u306e\u56fa\u307e\u308a\uff09\u306b\u3088\u308a\u9589\u585e\u3057\u305f\u6025\u6027\u671f\u8133\u6897\u585e\u306e\u5834\u5408\u3001t-PA\uff08\u585e\u6813\u3092\u6eb6\u304b\u3059\u7269\u8cea\uff09\u9759\u6ce8\u30fb\u70b9\u6ef4\u7642\u6cd5\u306e\u307f\u3067\u585e\u6813\u3092\u6eb6\u89e3\u3059\u308b\u3053\u3068\u306b\u306f\u9650\u754c\u304c\u3042\u308a\u3001\u5e83\u7bc4\u8133\u6897\u585e\u306e\u56de\u907f\u3084\u8133\u6897\u585e\u9818\u57df\u306e\u7e2e\u5c0f\u304c\u56f0\u96e3\u306a\u3053\u3068\u3084\u51fa\u8840\u6027\u6897\u585e\u3068\u8a00\u3063\u3066\u8133\u6897\u585e\u5185\u306b\u51fa\u8840\u3092\u8d77\u3053\u3057\u3066\u81f4\u547d\u7684\u7d50\u679c\u306b\u9665\u308b\u3053\u3068\u304c\u7a00\u3067\u306f\u7121\u304f\u3001\u7d50\u679c\u7684\u306b\u8133\u6897\u585e\u75c7\u72b6\u306e\u6539\u5584\u3084\u6551\u547d\u304c\u56f0\u96e3\u3068\u306a\u308b\u3053\u3068\u304c\u61f8\u5ff5\u3055\u308c\u307e\u3059\u3002<br>\u305d\u306e\u969b\u3001t-PA\u9759\u6ce8\u30fb\u70b9\u6ef4\u7642\u6cd5\u5f8c\u306b\u982d\u84cb\u5185\u52d5\u8108\u3092\u9589\u585e\u305b\u3057\u3081\u3066\u3044\u308b\u585e\u6813\u3092\u53ef\u53ca\u7684\u306b\u53d6\u308a\u9664\u304f\u7d4c\u76ae\u7684\u982d\u84cb\u5185\u585e\u6813\u9664\u53bb\u8853\u7642\u6cd5\u3092\u884c\u3063\u305f\u65b9\u304c\u3001\u8133\u6897\u585e\u9818\u57df\u306e\u7e2e\u5c0f\u3084\u8133\u6897\u585e\u5f8c\u907a\u75c7\u306e\u6539\u5584\u304c\u898b\u8fbc\u307e\u308c\u308b\u53ef\u80fd\u6027\u304c\u9ad8\u3044\u3053\u3068\u304c\u308f\u304b\u3063\u3066\u3044\u307e\u3059\u3002<br>\u7d4c\u76ae\u7684\u982d\u84cb\u5185\u585e\u6813\u9664\u53bb\u8853\u306f\u3001\u53f3\u811a\u306e\u4ed8\u3051\u6839\u306e\u90e8\u5206\u306b\u5c40\u6240\u9ebb\u9154\u3092\u65bd\u3057\u3001\u30b9\u30c6\u30f3\u30c8\u3068\u3044\u3046\u7db2\u76ee\u72b6\u30fb\u7b52\u72b6\u306e\u3082\u306e\u304c\u5148\u7aef\u306b\u3064\u3044\u3066\u3044\u308b\u6975\u3081\u3066\u7d30\u3044\u7ba1\uff08Trevo\uff09\u3092\u811a\u306e\u4ed8\u3051\u6839\u306e\u52d5\u8108\u304b\u3089\u5165\u308c\u3001\u9589\u585e\u3057\u3066\u3044\u308b\u585e\u6813\u5185\u306b\u30b9\u30c6\u30f3\u30c8\u3092\u7f6e\u3044\u305f\u5f8c\u3001\u30b9\u30c6\u30f3\u30c8\u3092\u62e1\u5f35\u3055\u305b\u3066\u9589\u585e\u305b\u3057\u3081\u3066\u3044\u308b\u585e\u6813\u3092\u3068\u3089\u3048\u3066\u63bb\u304d\u51fa\u3059\u6cbb\u7642\u6cd5\u3084\u3001\u982d\u84cb\u5185\u585e\u6813\u3092\u7d30\u3044\u7ba1\uff08Penumbra\uff09\u3092\u811a\u306e\u4ed8\u3051\u6839\u306e\u52d5\u8108\u304b\u3089\u5165\u308c\u3001\u9589\u585e\u3057\u3066\u3044\u308b\u585e\u6813\u306e\u624b\u524d\u306b\u7ba1\u3092\u7f6e\u3044\u305f\u5f8c\u3001\u9670\u5727\u3092\u304b\u3051\u3066\u9589\u585e\u305b\u3057\u3081\u3066\u3044\u308b\u585e\u6813\u3092\u3068\u3089\u3048\u3066\u53d6\u308a\u51fa\u3059\u6cbb\u7642\u6cd5\u3092\u884c\u3044\u307e\u3059\u3002<\/p>\n\n\n\n<figure class=\"wp-block-image size-full is-resized\"><img decoding=\"async\" src=\"https:\/\/koyu.or.jp\/noge\/wp-data\/wp-content\/uploads\/2025\/02\/illness43.jpg\" alt=\"\" class=\"wp-image-230\" style=\"width:577px\"\/><\/figure>\n<\/div><\/details>\n<\/div>\n<\/div><\/div>\n\n\n\n<div class=\"wp-block-group\"><div class=\"wp-block-group__inner-container is-layout-constrained wp-block-group-is-layout-constrained\">\n<h4 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"%E7%B5%8C%E7%9A%AE%E7%9A%84%E9%A0%B8%E5%8B%95%E8%84%88%E3%82%B9%E3%83%86%E3%83%B3%E3%83%88%E7%95%99%E7%BD%AE%E8%A1%93\"><\/span><strong><strong>\u7d4c\u76ae\u7684\u9838\u52d5\u8108\u30b9\u30c6\u30f3\u30c8\u7559\u7f6e\u8853<\/strong><\/strong><span class=\"ez-toc-section-end\"><\/span><\/h4>\n\n\n\n<div class=\"ark-block-accordion\" data-icon-type=\"plus\">\n<details class=\"ark-block-accordion__item\" data-ark-acc=\"wrapper\"><summary class=\"ark-block-accordion__title\" data-ark-acc=\"header\"><span class=\"ark-block-accordion__label\">\u7d4c\u76ae\u7684\u9838\u52d5\u8108\u30b9\u30c6\u30f3\u30c8\u7559\u7f6e\u8853 \u8a73\u7d30<\/span><span class=\"ark-block-accordion__icon\" aria-hidden=\"true\"><\/span><\/summary><div class=\"ark-block-accordion__body ark-keep-mt--s\" data-ark-acc=\"body\">\n<p>\u4e00\u822c\u7684\u306b\u8133\u6897\u585e\u306a\u3069\u306e\u767a\u75c7\u304c\u3042\u308a\u5185\u981a\u52d5\u8108\u306e\u72ed\u7a84\u7387\u304c50\uff05\u4ee5\u4e0a\u3067\u3042\u308c\u3070\u3001\u8133\u6897\u585e\u306e\u56de\u907f\u306e\u305f\u3081\u306b\u306f\u3001\u5185\u670d\u85ac\u306e\u307f\u306b\u3088\u308b\u5185\u79d1\u7684\u6cbb\u7642\u3088\u308a\u3082\u3001\u5916\u79d1\u7684\u6cbb\u7642\u3092\u4f75\u7528\u3057\u305f\u65b9\u304c\u6709\u52b9\u3067\u3059\u3002<br>\u5185\u981a\u52d5\u8108\u306e\u9ad8\u5ea6\u72ed\u7a84\u306b\u5bfe\u3059\u308b\u5916\u79d1\u7684\u6cbb\u7642\u3068\u3057\u3066\u3001\u9838\u52d5\u8108\u5185\u819c\u5265\u96e2\u8853\uff08\u9996\u306e\u76ae\u819a\u3092\u5207\u958b\u3057\u3001\u52d5\u8108\u3092\u5207\u308a\u5e83\u3052\u3001\u30d7\u30e9\u30fc\u30af\uff08\u52d5\u8108\u786c\u5316\u306b\u3088\u308a\u6cb9\u304b\u3059\u306a\u3069\u306e\u72ed\u7a84\u306e\u672c\u4f53\uff09\u3092\u5185\u58c1\u3068\u3068\u3082\u306b\u306f\u304c\u3059\uff09\u3001\u6216\u3044\u306f\u3001\u8840\u7ba1\u5185\u624b\u8853\u304c\u884c\u308f\u308c\u307e\u3059\u3002<br>\u7d4c\u76ae\u7684\u9838\u52d5\u8108\u30b9\u30c6\u30f3\u30c8\u7559\u7f6e\u8853\u306f\u3001\u8840\u7ba1\u306e\u4e2d\u306b\u30d5\u30a3\u30eb\u30bf\u30fc\u30ef\u30a4\u30e4\u30fc\uff08\u8840\u6db2\u3084\u8d64\u8840\u7403\u306a\u3069\u306f\u901a\u3059\u3082\u306e\u306e\u3001\u6cb9\u304b\u3059\u306f\u901a\u3055\u306a\u3044\u7db2\u76ee\u72b6\u306e\u5098\uff09\u3084\u30d0\u30eb\u30fc\u30f3\u30ab\u30c6\u30fc\u30c6\u30eb\uff08\u5c0f\u3055\u306a\u98a8\u8239\u304c\u3064\u3044\u305f\u7ba1\uff09\u3068\u3044\u3046\u7d30\u3044\u7ba1\u3092\u811a\u306e\u4ed8\u3051\u6839\u306e\u52d5\u8108\u304b\u3089\u5165\u308c\u3001\u30d5\u30a3\u30eb\u30bf\u30fc\u30ef\u30a4\u30e4\u30fc\u3092\u72ed\u7a84\u90e8\u5206\u3088\u308a\u8133\u306e\u5074\u306b\u7f6e\u304d\u3001\u30d0\u30eb\u30fc\u30f3\u30ab\u30c6\u30fc\u30c6\u30eb\u3092\u72ed\u7a84\u90e8\u5206\u306b\u7f6e\u3044\u305f\u5f8c\u3001\u30d0\u30eb\u30fc\u30f3\u3092\u81a8\u3089\u307e\u305b\u3066\u72ed\u7a84\u90e8\u5206\u3092\u81a8\u3089\u307e\u305b\u3001\u305d\u306e\u5f8c\u518d\u72ed\u7a84\u3092\u9632\u3050\u305f\u3081\u3001\u30b9\u30c6\u30f3\u30c8\u3068\u3044\u3046\u91d1\u5c5e\u306e\u7db2\u76ee\u72b6\u7b52\u3092\u72ed\u7a84\u90e8\u306b\u7559\u7f6e\u3059\u308b\u6cbb\u7642\u6cd5\u3067\u3059\u3002<\/p>\n\n\n\n<figure class=\"wp-block-image size-full is-resized\"><img decoding=\"async\" src=\"https:\/\/koyu.or.jp\/noge\/wp-data\/wp-content\/uploads\/2025\/02\/illness44.jpg\" alt=\"\" class=\"wp-image-231\" style=\"width:577px\"\/><\/figure>\n<\/div><\/details>\n<\/div>\n<\/div><\/div>\n\n\n\n<div class=\"wp-block-group\"><div class=\"wp-block-group__inner-container is-layout-constrained wp-block-group-is-layout-constrained\">\n<h4 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"%E5%8B%95%E9%9D%99%E8%84%88%E5%A5%87%E5%BD%A2%E7%BD%AE%E8%A1%93\"><\/span><strong><strong><strong>\u52d5\u9759\u8108\u5947\u5f62<\/strong>\u7f6e\u8853<\/strong><\/strong><span class=\"ez-toc-section-end\"><\/span><\/h4>\n\n\n\n<div class=\"ark-block-accordion\" data-icon-type=\"plus\">\n<details class=\"ark-block-accordion__item\" data-ark-acc=\"wrapper\"><summary class=\"ark-block-accordion__title\" data-ark-acc=\"header\"><span class=\"ark-block-accordion__label\">\u52d5\u9759\u8108\u5947\u5f62\u7f6e\u8853 \u8a73\u7d30<\/span><span class=\"ark-block-accordion__icon\" aria-hidden=\"true\"><\/span><\/summary><div class=\"ark-block-accordion__body ark-keep-mt--s\" 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class=\"wp-block-image size-full is-resized\"><img decoding=\"async\" src=\"https:\/\/koyu.or.jp\/noge\/wp-data\/wp-content\/uploads\/2025\/02\/illness45.jpg\" alt=\"\" class=\"wp-image-232\" style=\"width:577px\"\/><\/figure>\n<\/div><\/details>\n<\/div>\n<\/div><\/div>\n<\/div><\/div>\n\n\n\n<div class=\"wp-block-group\"><div class=\"wp-block-group__inner-container is-layout-constrained wp-block-group-is-layout-constrained\">\n<h3 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"%E3%83%9C%E3%83%88%E3%83%83%E3%82%AF%E3%82%B9%E6%B2%BB%E7%99%82\"><\/span>\u30dc\u30c8\u30c3\u30af\u30b9\u6cbb\u7642<span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<div class=\"ark-block-accordion\" data-icon-type=\"plus\">\n<details class=\"ark-block-accordion__item\" data-ark-acc=\"wrapper\"><summary class=\"ark-block-accordion__title\" data-ark-acc=\"header\"><span class=\"ark-block-accordion__label\">\u30dc\u30c8\u30c3\u30af\u30b9\u6cbb\u7642 \u8a73\u7d30<\/span><span class=\"ark-block-accordion__icon\" aria-hidden=\"true\"><\/span><\/summary><div class=\"ark-block-accordion__body ark-keep-mt--s\" 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exit 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class=\"wp-block-group\"><div class=\"wp-block-group__inner-container is-layout-constrained wp-block-group-is-layout-constrained\">\n<div class=\"wp-block-group\"><div class=\"wp-block-group__inner-container is-layout-constrained wp-block-group-is-layout-constrained\">\n<h4 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"%E7%9C%BC%E7%9E%BC%E7%97%99%E6%94%A3%E3%83%BB%E7%89%87%E5%81%B4%E9%A1%94%E9%9D%A2%E7%97%99%E6%94%A3\"><\/span>\u773c\u77bc\u75d9\u6523\u30fb\u7247\u5074\u9854\u9762\u75d9\u6523<span class=\"ez-toc-section-end\"><\/span><\/h4>\n\n\n\n<div class=\"ark-block-accordion\" data-icon-type=\"plus\">\n<details class=\"ark-block-accordion__item\" data-ark-acc=\"wrapper\"><summary class=\"ark-block-accordion__title\" data-ark-acc=\"header\"><span class=\"ark-block-accordion__label\">\u773c\u77bc\u75d9\u6523\u30fb\u7247\u5074\u9854\u9762\u75d9\u6523 \u8a73\u7d30<\/span><span class=\"ark-block-accordion__icon\" aria-hidden=\"true\"><\/span><\/summary><div class=\"ark-block-accordion__body ark-keep-mt--s\" data-ark-acc=\"body\">\n<p>\u307e\u305a\u521d\u56de\u5916\u6765\u53d7\u8a3a\u65e5\u306b\u62c5\u5f53\u533b\u304c\u8a3a\u5bdf\u3057\u3001\u75c7\u72b6\u3092\u5224\u65ad\u3057\u8a3a\u65ad\u3044\u305f\u3057\u307e\u3059\u3002\u7247\u5074\u9854\u9762\u75d9\u6523\u306e\u5834\u5408\u306f\u3001MRI\u691c\u67fb\uff083.0\u30c6\u30b9\u30e9\u306e\u9ad8\u7cbe\u5ea6\u306eMRI\uff09\u3092\u884c\u3044\u3001\u982d\u84cb\u5185\u306b\u539f\u56e0\u304c\u306a\u3044\u304b\u3092\u78ba\u8a8d\u3044\u305f\u3057\u307e\u3059\u3002\u773c\u77bc\u75d9\u6523\u304c\u7591\u308f\u308c\u308b\u969b\u306b\u3082\u3001\u7a00\u306b\u982d\u84cb\u5185\u306b\u539f\u56e0\u304c\u3042\u308b\u3053\u3068\u3082\u3042\u308b\u306e\u3067MRI\u691c\u67fb\u3092\u53d7\u3051\u3066\u9802\u304f\u3053\u3068\u3082\u3042\u308a\u307e\u3059\u3002\u8a3a\u65ad\u5f8c\u306f\u3001\u6b21\u56de\u6765\u9662\u65e5\u3092\u4e88\u7d04\u3057\u3066\u9802\u304d\u307e\u3059\u3002\u9854\u9762\u304c\u75d9\u6523\u3059\u308b\u75be\u60a3\u306f\u3001\u4ed6\u306b\u3082\u773c\u90e8\u30df\u30aa\u30ad\u30df\u30a2\u3001\u30c1\u30c3\u30af\u3001\u958b\u77bc\u57f7\u884c\u7b49\u3042\u308a\u307e\u3059\u306e\u3067\u3001\u9854\u9762\u304c\u75d9\u6523\u3059\u308b\u75c7\u72b6\u3092\u5168\u3066\u30dc\u30c8\u30c3\u30af\u30b9\u3067\u6cbb\u7642\u3067\u304d\u308b\u308f\u3051\u3067\u306f\u3042\u308a\u307e\u305b\u3093\u3002<br>\u30dc\u30c8\u30c3\u30af\u30b9\u6295\u4e0e\u65b9\u6cd5\u3068\u3057\u3066\u306f\u3001\u75d9\u6523\u304c\u751f\u3058\u3066\u3044\u308b\u9854\u9762\u306e\u7b4b\u8089\u306b\u5bfe\u3057\u3066\u3001\u4e00\u30ab\u62401-2\u5358\u4f4d\u306e\u91cf\uff080.1-0.3cc\uff09\u306e\u88fd\u5264\u3092\u975e\u5e38\u306b\u7d30\u3044\u91dd\u3067\u7b4b\u8089\u5185\u306b\u6ce8\u5c04\u3057\u3066\u3044\u304d\u307e\u3059\uff08\u6295\u4e0e\u90e8\u4f4d\u306b\u95a2\u3057\u3066\u306f\u4e0b\u56f3\u53c2\u7167\uff09\u3002\u6ce8\u5c04\u3059\u308b\u90e8\u4f4d\u306f\u30a2\u30eb\u30b3\u30fc\u30eb\u7dbf\u3067\u6d88\u6bd2\u3092\u884c\u3044\u307e\u3059\u304c\u3001\u30a2\u30eb\u30b3\u30fc\u30eb\u306b\u3088\u308b\u904e\u654f\u75c7\u7b49\u3092\u304a\u6301\u3061\u306e\u65b9\u306f\u8a3a\u5bdf\u6642\u306b\u62c5\u5f53\u533b\u306b\u4f1d\u3048\u3066\u304f\u3060\u3055\u3044\u3002<br>\u521d\u56de\u306e\u65b9\u306f\u3001\u5408\u8a08\u306710\u5358\u4f4d\u307e\u3067\u6295\u4e0e\u306b\u306a\u308a\u307e\u3059\u3002<br>\u521d\u56de\u6295\u4e0e\u5f8c\u3001\u52b9\u679c\u304c\u4e0d\u5341\u5206\u306a\u5834\u5408\u306f\u3001\u5408\u8a0820\u5358\u4f4d\u3092\u4e0a\u9650\u3068\u3057\u8ffd\u52a0\u6295\u4e0e\u3057\u3066\u3044\u304d\u307e\u3059\u3002<br>\u518d\u6295\u4e0e\u306b\u95a2\u3057\u3066\u306f\u30012\u30f6\u6708\u4ee5\u4e0a\u306e\u671f\u9593\u3092\u3042\u3051\u3066\u3001\u5408\u8a0830m\u5358\u4f4d\u3092\u4e0a\u9650\u3068\u3057\u3066\u6295\u4e0e\u3057\u3066\u3044\u304d\u307e\u3059\u3002\u52b9\u679c\u7d99\u7d9a\u671f\u9593\u306f\u3001\u6295\u4e0e\u3059\u308b\u5358\u4f4d\u91cf\u306b\u3088\u308a\u5909\u308f\u308a\u307e\u3059\u304c\u3001\u7d042-3\u30f6\u6708\u3067\u3059\u3002\u6bce\u56de\u8a3a\u5bdf\u6642\u306b\u3001\u6ce8\u5c04\u306e\u52b9\u679c\u306e\u5177\u5408\u3092\u78ba\u8a8d\u3057\u3001\u9069\u5b9c\u62c5\u5f53\u533b\u304c\u6295\u4e0e\u91cf\u3092\u8abf\u6574\u3057\u3066\u3044\u304d\u307e\u3059\u3002<br>\u4ed6\u9662\u306b\u3066\u65e2\u306b\u30dc\u30c8\u30c3\u30af\u30b9\u6ce8\u5c04\u3092\u884c\u306a\u3063\u3066\u3044\u308b\u65b9\u306b\u95a2\u3057\u3066\u306f\u3001\u5916\u6765\u4e88\u7d04\u3055\u308c\u308b\u969b\u306f\u3001\u521d\u56de\u5916\u6765\u8a3a\u5bdf\u6642\u306b\u3001\u30dc\u30c8\u30c3\u30af\u30b9\u6ce8\u5c04\u88fd\u5264\u3092\u3054\u7528\u610f\u3059\u308b\u5fc5\u8981\u304c\u3042\u308b\u306e\u3067\u3001\u305d\u306e\u65e8\u3092\u4f1d\u3048\u3066\u304f\u3060\u3055\u3044\u3002\u524d\u533b\u3067\u306e\u8a3a\u7642\u60c5\u5831\u63d0\u4f9b\u66f8\u3092\u304a\u6301\u3061\u3067\u3042\u308c\u3070\u3001\u521d\u56de\u8a3a\u5bdf\u6642\u306b\u6301\u53c2\u3092\u304a\u9858\u3044\u3057\u3066\u304a\u308a\u307e\u3059\u304c\u3001\u524d\u533b\u304b\u3089\u306e\u8a3a\u7642\u60c5\u5831\u63d0\u4f9b\u66f8\u306e\u53d7\u3051\u53d6\u308a\u304c\u56f0\u96e3\u306a\u5834\u5408\u3067\u3082\u3001\u8a3a\u5bdf\u4e0a\u7279\u306b\u554f\u984c\u3042\u308a\u307e\u305b\u3093\u306e\u3067\u3001\u76f4\u63a5\u5916\u6765\u8a3a\u5bdf\u306b\u304a\u8d8a\u3057\u304f\u3060\u3055\u3044\u3002<\/p>\n\n\n\n<figure class=\"wp-block-image size-full is-resized\"><img decoding=\"async\" src=\"https:\/\/koyu.or.jp\/noge\/wp-data\/wp-content\/uploads\/2025\/02\/ear01.jpg\" alt=\"\" class=\"wp-image-235\" style=\"width:250px\"\/><\/figure>\n<\/div><\/details>\n<\/div>\n<\/div><\/div>\n\n\n\n<div class=\"wp-block-group\"><div class=\"wp-block-group__inner-container is-layout-constrained wp-block-group-is-layout-constrained\">\n<h4 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"%E4%B8%8A%E8%82%A2%E7%97%99%E7%B8%AE%E3%83%BB%E4%B8%8B%E8%82%A2%E7%97%99%E7%B8%AE\"><\/span><strong>\u4e0a\u80a2\u75d9\u7e2e\u30fb\u4e0b\u80a2\u75d9\u7e2e<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h4>\n\n\n\n<div class=\"ark-block-accordion\" data-icon-type=\"plus\">\n<details class=\"ark-block-accordion__item\" data-ark-acc=\"wrapper\"><summary class=\"ark-block-accordion__title\" data-ark-acc=\"header\"><span class=\"ark-block-accordion__label\">\u4e0a\u80a2\u75d9\u7e2e\u30fb\u4e0b\u80a2\u75d9\u7e2e \u8a73\u7d30<\/span><span class=\"ark-block-accordion__icon\" aria-hidden=\"true\"><\/span><\/summary><div class=\"ark-block-accordion__body ark-keep-mt--s\" data-ark-acc=\"body\">\n<p>\u5f53\u9662\u3067\u306f\u3001\u30ea\u30cf\u30d3\u30ea\u30c6\u30fc\u30b7\u30e7\u30f3\u79d1\u306e\u6728\u66dc\u65e5\u5348\u524d\u306e\u5916\u6765\u306b\u3066\u30dc\u30c8\u30c3\u30af\u30b9\u7642\u6cd5\u3092\u884c\u3063\u3066\u304a\u308a\u307e\u3059\u304c\u30012020\u5e747\u6708\u3088\u308a\u571f\u66dc\u65e5\u306e\u5348\u5f8c\u306b\u8133\u795e\u7d4c\u5916\u79d1\u3067\u3082\u30dc\u30c8\u30c3\u30af\u30b9\u7642\u6cd5\u3092\u958b\u59cb\u3057\u307e\u3057\u305f\u3002 \u521d\u56de\u53d7\u8a3a\u306e\u65b9\u306f\u3001\u571f\u66dc\u65e5\u306e\u5348\u5f8c\u306e\u5916\u6765\u67a0\u3092\u307e\u305a\u4e88\u7d04\u3057\u3066\u9802\u304d\u307e\u3059\u3002\u521d\u8a3a\u5916\u6765\u5f53\u65e5\u306f\u3001\u62c5\u5f53\u533b\u304c\u8a3a\u5bdf\u3092\u884c\u3044\u307e\u3059\u3002\u4ed6\u9662\u3067\u306e\u60c5\u5831\u8a3a\u7642\u63d0\u4f9b\u66f8\u3092\u304a\u6301\u3061\u306e\u65b9\u306f\u3001\u521d\u8a3a\u5916\u6765\u53d7\u8a3a\u6642\u306b\u6301\u53c2\u4e0b\u3055\u3044\u3002\u524d\u533b\u304b\u3089\u306e\u8a3a\u7642\u60c5\u5831\u63d0\u4f9b\u66f8\u306e\u53d7\u3051\u53d6\u308a\u304c\u56f0\u96e3\u306a\u5834\u5408\u3067\u3082\u3001\u8a3a\u5bdf\u4e0a\u7279\u306b\u554f\u984c\u3042\u308a\u307e\u305b\u3093\u306e\u3067\u3001\u76f4\u63a5\u5916\u6765\u8a3a\u5bdf\u306b\u304a\u8d8a\u3057\u304f\u3060\u3055\u3044\u3002\u8a3a\u5bdf\u5f8c\u3001\u30dc\u30c8\u30c3\u30af\u30b9\u6295\u4e0e\u65e5\u3092\u4e88\u7d04\u3044\u305f\u3057\u307e\u3059\u3002<br>\u4e0a\u80a2\u75d9\u7e2e\u306b\u95a2\u3057\u3066\u306f\u3001\u8907\u6570\u306e\u7dca\u5f35\u7b4b\u306b\u5bfe\u3057\u3066\u5408\u8a08240\u5358\u4f4d\u307e\u3067\u306e\u91cf\u3092\u5206\u5272\u3057\u3066\u6295\u4e0e\u3044\u305f\u3057\u307e\u3059\u3002\u4e0b\u80a2\u75d9\u7e2e\u306b\u95a2\u3057\u3066\u306f\u3001\u5408\u8a08300\u5358\u4f4d\u307e\u3067\u306e\u91cf\u3092\u5206\u5272\u3057\u3066\u6295\u4e0e\u3044\u305f\u3057\u307e\u3059\u3002\u52b9\u679c\u6301\u7d9a\u6642\u9593\u306b\u95a2\u3057\u3066\u306f\u30013\u30f6\u6708\u7a0b\u5ea6\u3067\u3042\u308a\u307e\u3059\u3002<br>\u4ed6\u9662\u306b\u3066\u65e2\u306b\u30dc\u30c8\u30c3\u30af\u30b9\u6ce8\u5c04\u3092\u884c\u306a\u3063\u3066\u3044\u308b\u65b9\u306b\u95a2\u3057\u3066\u306f\u3001\u5916\u6765\u4e88\u7d04\u3055\u308c\u308b\u969b\u306f\u3001\u521d\u56de\u5916\u6765\u8a3a\u5bdf\u6642\u306b\u3001\u30dc\u30c8\u30c3\u30af\u30b9\u6ce8\u5c04\u88fd\u5264\u3092\u3054\u7528\u610f\u3059\u308b\u5fc5\u8981\u304c\u3042\u308b\u306e\u3067\u3001\u305d\u306e\u65e8\u3092\u4f1d\u3048\u3066\u304f\u3060\u3055\u3044\u3002<\/p>\n\n\n\n<figure class=\"wp-block-image size-full is-resized\"><img decoding=\"async\" src=\"https:\/\/koyu.or.jp\/noge\/wp-data\/wp-content\/uploads\/2025\/03\/\u30b9\u30af\u30ea\u30fc\u30f3\u30b7\u30e7\u30c3\u30c8-2025-03-02-1.26.10.png\" alt=\"\" class=\"wp-image-1615\" style=\"width:577px\"\/><\/figure>\n\n\n\n<figure class=\"wp-block-image size-large is-resized\"><img decoding=\"async\" src=\"https:\/\/koyu.or.jp\/noge\/wp-data\/wp-content\/uploads\/2025\/03\/\u30b9\u30af\u30ea\u30fc\u30f3\u30b7\u30e7\u30c3\u30c8-2025-03-02-1.26.27-1024x457.png\" alt=\"\" class=\"wp-image-1616\" style=\"width:577px\"\/><\/figure>\n<\/div><\/details>\n<\/div>\n<\/div><\/div>\n\n\n\n<div class=\"wp-block-group\"><div class=\"wp-block-group__inner-container is-layout-constrained wp-block-group-is-layout-constrained\">\n<h4 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"%E7%97%99%E6%80%A7%E6%96%9C%E9%A0%B8\"><\/span><strong><strong>\u75d9\u6027\u659c\u9838<\/strong><\/strong><span class=\"ez-toc-section-end\"><\/span><\/h4>\n\n\n\n<div class=\"ark-block-accordion\" data-icon-type=\"plus\">\n<details class=\"ark-block-accordion__item\" data-ark-acc=\"wrapper\"><summary class=\"ark-block-accordion__title\" data-ark-acc=\"header\"><span class=\"ark-block-accordion__label\">\u75d9\u6027\u659c\u9838 \u8a73\u7d30<\/span><span class=\"ark-block-accordion__icon\" aria-hidden=\"true\"><\/span><\/summary><div class=\"ark-block-accordion__body ark-keep-mt--s\" 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class=\"wp-block-image size-large is-resized\"><img decoding=\"async\" src=\"https:\/\/koyu.or.jp\/noge\/wp-data\/wp-content\/uploads\/2025\/03\/\u30b9\u30af\u30ea\u30fc\u30f3\u30b7\u30e7\u30c3\u30c8-2025-03-02-1.26.52-1-1024x332.png\" alt=\"\" class=\"wp-image-1619\" style=\"width:577px\"\/><\/figure>\n\n\n\n<figure class=\"wp-block-image size-large is-resized\"><img decoding=\"async\" src=\"https:\/\/koyu.or.jp\/noge\/wp-data\/wp-content\/uploads\/2025\/03\/\u30b9\u30af\u30ea\u30fc\u30f3\u30b7\u30e7\u30c3\u30c8-2025-03-02-1.27.11-1-1024x361.png\" alt=\"\" class=\"wp-image-1620\" style=\"width:577px\"\/><\/figure>\n<\/div><\/details>\n<\/div>\n<\/div><\/div>\n<\/div><\/div>\n<\/div><\/div>\n\n\n\n<div class=\"wp-block-group\"><div class=\"wp-block-group__inner-container is-layout-constrained wp-block-group-is-layout-constrained\">\n<h3 class=\"wp-block-heading\"><span class=\"ez-toc-section\" 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