Submit Search
Upload
Meditur insight vol_3
â¢
0 likes
â¢
825 views
Meditur
Follow
Report about Japanese Reproductive Health
Read less
Read more
Health & Medicine
Slideshow view
Report
Share
Slideshow view
Report
Share
1 of 42
Download now
Download to read offline
Recommended
å°å¡å çäžåŠçåŠçŽã¹ã©ã€ã2010
å°å¡å çäžåŠçåŠçŽã¹ã©ã€ã2010
kobanawaiin
Â
åå®®å èå¢æ®çãšè¯ãåå®®
åå®®å èå¢æ®çãšè¯ãåå®®
kobanawaiin
Â
ææ¥å»çã«ãããè¬å€åž«ã®é¢ããïŒNICUæåç·
ææ¥å»çã«ãããè¬å€åž«ã®é¢ããïŒNICUæåç·
Shin Kikuchi
Â
æ¥æ¬å©ç£åž«äŒç ä¿®äŒ2014ãæ°çå ã»ä¹³å ã®èšºæ¹ã
æ¥æ¬å©ç£åž«äŒç ä¿®äŒ2014ãæ°çå ã»ä¹³å ã®èšºæ¹ã
Shin Kikuchi
Â
åŠå©ŠãšER ã¯ãããããŠãããã«
åŠå©ŠãšER ã¯ãããããŠãããã«
AYAKO SHIBATA
Â
茞液ãåºç€ã®åºç€
茞液ãåºç€ã®åºç€
daichi019
Â
0528 kanntigai ui_ux
0528 kanntigai ui_ux
Saori Matsui
Â
女åã®å¿ãã€ããUIãã¶ã€ã³ãã€ã³ã - MERYç·š -
女åã®å¿ãã€ããUIãã¶ã€ã³ãã€ã³ã - MERYç·š -
Shoko Tanaka
Â
Recommended
å°å¡å çäžåŠçåŠçŽã¹ã©ã€ã2010
å°å¡å çäžåŠçåŠçŽã¹ã©ã€ã2010
kobanawaiin
Â
åå®®å èå¢æ®çãšè¯ãåå®®
åå®®å èå¢æ®çãšè¯ãåå®®
kobanawaiin
Â
ææ¥å»çã«ãããè¬å€åž«ã®é¢ããïŒNICUæåç·
ææ¥å»çã«ãããè¬å€åž«ã®é¢ããïŒNICUæåç·
Shin Kikuchi
Â
æ¥æ¬å©ç£åž«äŒç ä¿®äŒ2014ãæ°çå ã»ä¹³å ã®èšºæ¹ã
æ¥æ¬å©ç£åž«äŒç ä¿®äŒ2014ãæ°çå ã»ä¹³å ã®èšºæ¹ã
Shin Kikuchi
Â
åŠå©ŠãšER ã¯ãããããŠãããã«
åŠå©ŠãšER ã¯ãããããŠãããã«
AYAKO SHIBATA
Â
茞液ãåºç€ã®åºç€
茞液ãåºç€ã®åºç€
daichi019
Â
0528 kanntigai ui_ux
0528 kanntigai ui_ux
Saori Matsui
Â
女åã®å¿ãã€ããUIãã¶ã€ã³ãã€ã³ã - MERYç·š -
女åã®å¿ãã€ããUIãã¶ã€ã³ãã€ã³ã - MERYç·š -
Shoko Tanaka
Â
Meditur insight vol_2
Meditur insight vol_2
Meditur
Â
Report 131211
Report 131211
èãæè¡ç 究æïœæ ªåŒäŒç€Ÿãã¥ã»ããŠã¹
Â
Report lmsd 131210
Report lmsd 131210
èãæè¡ç 究æïœæ ªåŒäŒç€Ÿãã¥ã»ããŠã¹
Â
Report 131211
Report 131211
èãæè¡ç 究æïœæ ªåŒäŒç€Ÿãã¥ã»ããŠã¹
Â
Report 131211
Report 131211
èãæè¡ç 究æïœæ ªåŒäŒç€Ÿãã¥ã»ããŠã¹
Â
Report 131211
Report 131211
èãæè¡ç 究æïœæ ªåŒäŒç€Ÿãã¥ã»ããŠã¹
Â
ç 究掻åã®å¹Žæ¬¡æšç§»ããã³äººã ã®ç掻å®æãžã®åœ±é¿ã«é¢ããåæ å¥ãã
ç 究掻åã®å¹Žæ¬¡æšç§»ããã³äººã ã®ç掻å®æãžã®åœ±é¿ã«é¢ããåæ å¥ãã
Analytics2014
Â
æ©èœè©äŸ¡ä¿æ°â ¡ãäžå¿ãšããDPCå¶åºŠã®åé¡ç¹ã«ã€ããŠ
æ©èœè©äŸ¡ä¿æ°â ¡ãäžå¿ãšããDPCå¶åºŠã®åé¡ç¹ã«ã€ããŠ
Meditur
Â
ãããã€ãè¬å±å¶åºŠãž 20150522
ãããã€ãè¬å±å¶åºŠãž 20150522
Meditur
Â
å ¥é¢å»çè²»ã®æ Œå·®åæ 20141007
å ¥é¢å»çè²»ã®æ Œå·®åæ 20141007
Meditur
Â
ç é¢ã®æ°ããããŒã±ãã£ã³ã°ã³ãã¥ãã±ãŒã·ã§ã³ïŒè©³çŽ°ïŒ
ç é¢ã®æ°ããããŒã±ãã£ã³ã°ã³ãã¥ãã±ãŒã·ã§ã³ïŒè©³çŽ°ïŒ
Meditur
Â
å€æ¥åŸ ã¡æéã®åé¡ 20140706
å€æ¥åŸ ã¡æéã®åé¡ 20140706
Meditur
Â
20140621 æ¥æ¬å¥åº·ã»æ é€ã·ã¹ãã åŠäŒ æå®çºèšè³æ
20140621 æ¥æ¬å¥åº·ã»æ é€ã·ã¹ãã åŠäŒ æå®çºèšè³æ
Meditur
Â
Meditur insight vol_5
Meditur insight vol_5
Meditur
Â
ç é¢ã®æ°ããããŒã±ãã£ã³ã°
ç é¢ã®æ°ããããŒã±ãã£ã³ã°
Meditur
Â
Meditur insight vol_4
Meditur insight vol_4
Meditur
Â
ç é¢ã«ãšã£ãŠã®é¡§å®¢ãšã¯
ç é¢ã«ãšã£ãŠã®é¡§å®¢ãšã¯
Meditur
Â
å»çã»ä»è·æ å ±é£æºã·ã¹ãã æ§æ³ 20130117 v1
å»çã»ä»è·æ å ±é£æºã·ã¹ãã æ§æ³ 20130117 v1
Meditur
Â
Meditur insight vol_1
Meditur insight vol_1
Meditur
Â
è±ç²çã«ã€ããŠïŒèšºçã¬ã€ãã©ã€ã³2013ã®ååïŒ
è±ç²çã«ã€ããŠïŒèšºçã¬ã€ãã©ã€ã³2013ã®ååïŒ
Meditur
Â
Medical serviceareamodeling and_thestrategy_201301_v1
Medical serviceareamodeling and_thestrategy_201301_v1
Meditur
Â
Meditur company infomation_201301
Meditur company infomation_201301
Meditur
Â
More Related Content
Similar to Meditur insight vol_3
Meditur insight vol_2
Meditur insight vol_2
Meditur
Â
Report 131211
Report 131211
èãæè¡ç 究æïœæ ªåŒäŒç€Ÿãã¥ã»ããŠã¹
Â
Report lmsd 131210
Report lmsd 131210
èãæè¡ç 究æïœæ ªåŒäŒç€Ÿãã¥ã»ããŠã¹
Â
Report 131211
Report 131211
èãæè¡ç 究æïœæ ªåŒäŒç€Ÿãã¥ã»ããŠã¹
Â
Report 131211
Report 131211
èãæè¡ç 究æïœæ ªåŒäŒç€Ÿãã¥ã»ããŠã¹
Â
Report 131211
Report 131211
èãæè¡ç 究æïœæ ªåŒäŒç€Ÿãã¥ã»ããŠã¹
Â
ç 究掻åã®å¹Žæ¬¡æšç§»ããã³äººã ã®ç掻å®æãžã®åœ±é¿ã«é¢ããåæ å¥ãã
ç 究掻åã®å¹Žæ¬¡æšç§»ããã³äººã ã®ç掻å®æãžã®åœ±é¿ã«é¢ããåæ å¥ãã
Analytics2014
Â
Similar to Meditur insight vol_3
(7)
Meditur insight vol_2
Meditur insight vol_2
Â
Report 131211
Report 131211
Â
Report lmsd 131210
Report lmsd 131210
Â
Report 131211
Report 131211
Â
Report 131211
Report 131211
Â
Report 131211
Report 131211
Â
ç 究掻åã®å¹Žæ¬¡æšç§»ããã³äººã ã®ç掻å®æãžã®åœ±é¿ã«é¢ããåæ å¥ãã
ç 究掻åã®å¹Žæ¬¡æšç§»ããã³äººã ã®ç掻å®æãžã®åœ±é¿ã«é¢ããåæ å¥ãã
Â
More from Meditur
æ©èœè©äŸ¡ä¿æ°â ¡ãäžå¿ãšããDPCå¶åºŠã®åé¡ç¹ã«ã€ããŠ
æ©èœè©äŸ¡ä¿æ°â ¡ãäžå¿ãšããDPCå¶åºŠã®åé¡ç¹ã«ã€ããŠ
Meditur
Â
ãããã€ãè¬å±å¶åºŠãž 20150522
ãããã€ãè¬å±å¶åºŠãž 20150522
Meditur
Â
å ¥é¢å»çè²»ã®æ Œå·®åæ 20141007
å ¥é¢å»çè²»ã®æ Œå·®åæ 20141007
Meditur
Â
ç é¢ã®æ°ããããŒã±ãã£ã³ã°ã³ãã¥ãã±ãŒã·ã§ã³ïŒè©³çŽ°ïŒ
ç é¢ã®æ°ããããŒã±ãã£ã³ã°ã³ãã¥ãã±ãŒã·ã§ã³ïŒè©³çŽ°ïŒ
Meditur
Â
å€æ¥åŸ ã¡æéã®åé¡ 20140706
å€æ¥åŸ ã¡æéã®åé¡ 20140706
Meditur
Â
20140621 æ¥æ¬å¥åº·ã»æ é€ã·ã¹ãã åŠäŒ æå®çºèšè³æ
20140621 æ¥æ¬å¥åº·ã»æ é€ã·ã¹ãã åŠäŒ æå®çºèšè³æ
Meditur
Â
Meditur insight vol_5
Meditur insight vol_5
Meditur
Â
ç é¢ã®æ°ããããŒã±ãã£ã³ã°
ç é¢ã®æ°ããããŒã±ãã£ã³ã°
Meditur
Â
Meditur insight vol_4
Meditur insight vol_4
Meditur
Â
ç é¢ã«ãšã£ãŠã®é¡§å®¢ãšã¯
ç é¢ã«ãšã£ãŠã®é¡§å®¢ãšã¯
Meditur
Â
å»çã»ä»è·æ å ±é£æºã·ã¹ãã æ§æ³ 20130117 v1
å»çã»ä»è·æ å ±é£æºã·ã¹ãã æ§æ³ 20130117 v1
Meditur
Â
Meditur insight vol_1
Meditur insight vol_1
Meditur
Â
è±ç²çã«ã€ããŠïŒèšºçã¬ã€ãã©ã€ã³2013ã®ååïŒ
è±ç²çã«ã€ããŠïŒèšºçã¬ã€ãã©ã€ã³2013ã®ååïŒ
Meditur
Â
Medical serviceareamodeling and_thestrategy_201301_v1
Medical serviceareamodeling and_thestrategy_201301_v1
Meditur
Â
Meditur company infomation_201301
Meditur company infomation_201301
Meditur
Â
More from Meditur
(15)
æ©èœè©äŸ¡ä¿æ°â ¡ãäžå¿ãšããDPCå¶åºŠã®åé¡ç¹ã«ã€ããŠ
æ©èœè©äŸ¡ä¿æ°â ¡ãäžå¿ãšããDPCå¶åºŠã®åé¡ç¹ã«ã€ããŠ
Â
ãããã€ãè¬å±å¶åºŠãž 20150522
ãããã€ãè¬å±å¶åºŠãž 20150522
Â
å ¥é¢å»çè²»ã®æ Œå·®åæ 20141007
å ¥é¢å»çè²»ã®æ Œå·®åæ 20141007
Â
ç é¢ã®æ°ããããŒã±ãã£ã³ã°ã³ãã¥ãã±ãŒã·ã§ã³ïŒè©³çŽ°ïŒ
ç é¢ã®æ°ããããŒã±ãã£ã³ã°ã³ãã¥ãã±ãŒã·ã§ã³ïŒè©³çŽ°ïŒ
Â
å€æ¥åŸ ã¡æéã®åé¡ 20140706
å€æ¥åŸ ã¡æéã®åé¡ 20140706
Â
20140621 æ¥æ¬å¥åº·ã»æ é€ã·ã¹ãã åŠäŒ æå®çºèšè³æ
20140621 æ¥æ¬å¥åº·ã»æ é€ã·ã¹ãã åŠäŒ æå®çºèšè³æ
Â
Meditur insight vol_5
Meditur insight vol_5
Â
ç é¢ã®æ°ããããŒã±ãã£ã³ã°
ç é¢ã®æ°ããããŒã±ãã£ã³ã°
Â
Meditur insight vol_4
Meditur insight vol_4
Â
ç é¢ã«ãšã£ãŠã®é¡§å®¢ãšã¯
ç é¢ã«ãšã£ãŠã®é¡§å®¢ãšã¯
Â
å»çã»ä»è·æ å ±é£æºã·ã¹ãã æ§æ³ 20130117 v1
å»çã»ä»è·æ å ±é£æºã·ã¹ãã æ§æ³ 20130117 v1
Â
Meditur insight vol_1
Meditur insight vol_1
Â
è±ç²çã«ã€ããŠïŒèšºçã¬ã€ãã©ã€ã³2013ã®ååïŒ
è±ç²çã«ã€ããŠïŒèšºçã¬ã€ãã©ã€ã³2013ã®ååïŒ
Â
Medical serviceareamodeling and_thestrategy_201301_v1
Medical serviceareamodeling and_thestrategy_201301_v1
Â
Meditur company infomation_201301
Meditur company infomation_201301
Â
Meditur insight vol_3
1.
vol.3 çæ®å»çã身è¿ãªãã®ã«
2.
2 Meditur Insight vol.3 ç®æ¬¡ ç®æ¬¡
................................................................................................................ 2 ã¯ããã« ........................................................................................................... 4 Chapter.1 çæ®å»çã®çŸç¶ãšæè² ....................................................................... 5 â é«éœ¢åºç£ã®å¢å ãšåç£å¹Žéœ¢ã®äžæ _________________________________________ 5 â çæ®å»çã»äžåŠæ²»çãšã¯__________________________________________________ 9 æ²»çã®æåç........................................................................................................................ 10 â åŠæ ¡æè²ã®ãäžåŠã _____________________________________________________12 â 矩åæè²ã®æç§æž _____________________________________________________14 â é«çåŠæ ¡ã®æç§æž _____________________________________________________17 â è¯æžã»ãŠã§ããµã€ãããåŠã¶ _______________________________________________19 å°ååãåŠã¶........................................................................................................................ 20 äžåŠãåŠã¶............................................................................................................................ 22 Chapter.2 çæ®å»çããããã瀟äŒã¥ãã............................................................. 25 â çæ®å»çã®é£ãã ______________________________________________________25 â å¶çŽã»è² æ ã軜æžããã®ã¯èª°ã ___________________________________________26 â æéçå¶çŽ ................................................................................................................... 26 â¡ ééçå¶çŽ ................................................................................................................... 26 ⢠èäœçå¶çŽ ................................................................................................................... 28 ⣠å¿ççå¶çŽ ................................................................................................................... 29 Chapter.3 çæ®å»çã®è³ªåäžã®ä»æã .............................................................. 31 â å»çã®è³ªã¯ãã©ãã¯ããã¯ã¹_______________________________________________31 æ¥æ¬ã«ãããæ å ±é瀺........................................................................................................... 31 ã¢ã¡ãªã«ã«ãããæ å ±é瀺........................................................................................................ 33 â æ å ±é瀺ã¯ãã©ãã€ã ã»ã·ãããšãªã _________________________________________38 vol.3 çæ®å»çã身è¿ãªãã®ã«
3.
3 Meditur Insight vol.3 ãŸãšã.............................................................................................................
39 åŒçšæç® ....................................................................................................... 40
4.
4 Meditur Insight vol.3 ã¯ããã« ã¯ã©ã¹ã«ïŒäººãäœå€å粟ã§ç£ãŸããåã ãããã¯äžçã®é ãã©ããã®åœã®è©±ã§ã¯ãªããæ¥æ¬ã®è©±ã§ã ããçŸåšãæ¥æ¬ã§ã¯
2.7%çšåºŠâ» ãäœå€å粟ã§ç£ãŸãããã©ãã§ããã® 2.7%ãšããæ°å㯠37 人㫠1 人ãã€ãŸã 35 人åŠçŽã§ã¯çŽ 1 人ãäœå€å粟ã§ç£ãŸããŠããåäŸãšããããšã«ãªãïŒãã㯠2010 幎㮠æšå®å€ã§ãããããå°åŠæ ¡ã®ã¯ã©ã¹ã§ããŠã¯ããäžã§å³å¯ã«ã¯ããš 3 幎åŸã®å°åŠæ ¡ 1 幎çã®ããšã§ ãããïŒãäžåŠãšããããšãçããããšã§ã¯ãªã極ããŠãããµããããšã§ããããããŠäœå€å粟ã決ããŠç¹ å¥ãªããšã§ã¯ãªããšããããšã瀟äŒãç解ãããããã倧人ã«ãªãåã©ããã¡ã«æããã¹ããªã®ã§ã¯ãª ãã ãããã ãããŠãäœå€å粟ãç¹å¥ã§ã¯ãªããšã¯èšãããã®å 容ãç解ããŠãã人ã¯ããªãå°ãªãããã«æããé¡ åŸ®é¡ãèŠããç»é¢ã«åµåãæ ããããã«éãåºãã€ã¡ãŒãžçšåºŠãã湧ããªã人ãã»ãšãã©ã§ã¯ãªãã ããããçŸåšãäžåŠæ²»çè²»ã®å©æå¶åºŠãã©ã®ããã«ãã¹ããè°è«ããªãããŠããããæ²»çãè¡ã人ã åãã人ã¯ããã®å 容ãç解ããŠããŠãããã以å€ã®äººã¯ã»ãšãã©ç解ããŠããªãçŸç¶ã¯ãæãã㊠è¯ãç¶æ ãšèšããã ãããããããåžå°æ§ã®ããé£ç ã®æ²»çã«å¯Ÿããå©æãªã©ã§ããã°ãè°è«ã¯äž éšã®é¢ä¿è ã ãã®ç解ã§ååãªã®ãããããªãããçæ®å»çãããšã®ã»ãåŠåš ã»åºç£ã«é¢ããããš ã¯ãå€ãã®äººãç解ããè°è«ãã¹ãããŒãã ãšæãã ããã§ãçæ®å»çã®å 容ãç解ããããã«ã¯ã©ã®ããã«ããããããïŒç¬¬ 1 ç« ãçæ®å»çã®çŸç¶ãšæ è²ïŒãçæ®å»çãåãã人ãæ¯ããããã«å¿ èŠãªä»çµã¿ïŒç¬¬ 2 ç« ãçæ®å»çãæ¯ãã瀟äŒã¥ããïŒã çæ®å»çããããããã®ã«ããããã®åãçµã¿ïŒç¬¬ 3 ç« ãçæ®å»çã®è³ªåäžã®ä»æãïŒã®æ§æã§è©±ã é²ãããã â»2010 幎ã®åºçæ° çŽ 107 äžäººïŒåºæïŒ [1]ïŒã2010 幎床åã®äœå€å粟ã«ããæ£ç£æ° 29,000 人匱 ïŒåºæïŒ [2]ïŒãããããããæšå®
5.
5 Meditur Insight vol.3 Chapter.1
çæ®å»çã®çŸç¶ãšæè² â é«éœ¢åºç£ã®å¢å ãšåç£å¹Žéœ¢ã®äžæ è¿å¹Žãé«éœ¢åºç£ãå¢ããŠããããšã¯ããŒã¿ãããæããã§ãããããã«ã¯ã女æ§ã«éãã瀟äŒå šäœã§ ã®é«åŠæŽåã女æ§ã®ç€ŸäŒé²åºãªã©ãçç±ãšãããŠããããåã ã®äºè±¡ãã©ã®çšåºŠåœ±é¿ããŠããã㯠æããã§ã¯ãªããïŒæ¬ã¬ããŒãã¯ããã解ãæããããšãç®çãšããŠããªããããããèå³ãããã°ã æ§ã ãªç 究ãèäœç©ãããã®ã§ããããã§ç解ãæ·±ããŠãããããïŒ é«éœ¢åºç£ãå¢ãããšããäºå® ã¯ãå»çãåãå·»ãç°å¢ã«ãããŠããå°ãªããã圱é¿ãäžããŠãããç¹ã«åç£å¹Žéœ¢ãäžãã£ãŠããŠã ãããšã¯åšç£æå»çã«ãããè€éãã»å°é£ããçããããŠããäžå ãšæãããã å³ 1 1980 幎以éã®æ¯ 35 æ³ä»¥äžã®åºçæ°æšç§» åºæïŒ [3] 0 50,000 100,000 150,000 200,000 250,000 1980 1985 1990 1995 2000 2005 2006 2007 2008 2009 2010 2011 1980幎以éã®æ¯35æ³ä»¥äžã®åºçæ°ïŒ2005幎ãŸã§ã¯5幎ééïŒ 35ïœ39 40ïœ44 45ïœ49 50ïœ
6.
6 Meditur Insight vol.3 å³
2 æ¯ã®å¹Žéœ¢å¥åºçæ°å²å åºæïŒ [3] 幎次 ç· æ° ïœ14 æ³ 15ïœ19 20ïœ24 25ïœ29 30ïœ34 35ïœ39 40ïœ44 45ïœ49 50ïœ äž è©³ 1950 2,337,507 49 56,316 624,797 794,241 496,240 278,781 81,953 4,213 311 606 1955 1,730,692 8 25,211 469,027 691,349 372,175 138,158 33,055 1,572 134 3 1960 1,606,041 5 19,734 447,097 745,253 300,684 78,104 14,217 864 78 5 1965 1,823,697 7 17,712 513,645 854,399 355,269 72,355 9,828 462 18 2 1970 1,934,239 12 20,165 513,172 951,246 358,375 80,581 9,860 523 25 280 1975 1,901,440 9 15,990 479,041 1,014,624 320,060 62,663 8,727 312 7 7 1980 1,576,889 14 14,576 296,854 810,204 388,935 59,127 6,911 257 1 10 1985 1,431,577 23 17,854 247,341 682,885 381,466 93,501 8,224 244 1 38 1990 1,221,585 18 17,478 191,859 550,994 356,026 92,377 12,587 224 - 22 1995 1,187,064 37 16,075 193,514 492,714 371,773 100,053 12,472 414 - 12 2000 1,190,547 43 19,729 161,361 470,833 396,901 126,409 14,848 396 6 21 2005 1,062,530 42 16,531 128,135 339,328 404,700 153,440 19,750 564 34 6 2006 1,092,674 41 15,933 130,230 335,771 417,776 170,775 21,608 522 9 9 2007 1,089,818 39 15,211 126,180 324,041 412,611 186,568 24,553 590 19 6 2008 1,091,156 38 15,427 124,691 317,753 404,771 200,328 27,522 594 24 8 2009 1,070,035 67 14,620 116,808 307,765 389,793 209,706 30,566 684 20 6 2010 1,071,304 51 13,495 110,956 306,910 384,385 220,101 34,609 773 19 5 2011 1,050,806 44 13,274 104,059 300,384 373,490 221,272 37,437 802 41 3 è¡š 1 æ¯ã®å¹Žéœ¢å¥åºçæ°æšç§» åºæïŒ [3] 0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100% 1950 1955 1960 1965 1970 1975 1980 1985 1990 1995 2000 2005 2010 åºçæ°å²å æ¯ã®å¹Žéœ¢å¥åºçæ°å²å ïœ19æ³ 20ïœ24 25ïœ29 30ïœ34 35ïœ39 40ïœ44 45ïœ
7.
7 Meditur Insight vol.3 å³
3 劻ã®å¹³ååå©å¹Žéœ¢ã»æ¯ã®åºçæå¹³å幎霢ã®æšç§» åºæïŒ [4] äžæ¹ã§ãåã©ãã欲ããåŽãç£ã¿ããåŽã®åžæããèãããšãããçšåºŠé«éœ¢ã§ãã£ãŠãç£ãããšãäž è¬åãã€ã€ããããã€ãŸã§ã§ãç£ããã®ã§ã¯ãªãããšããå¹»æ³ãæ±ããããªããããªç€ŸäŒã§ããããå® éã«èº«è¿ãªãšããã§ãæ¯èŒçé«éœ¢ã§ç£ã話ãèãããšãããã ãã«åžæã倢ãè«Šããå¿ èŠã¯ãªãã¯ã ã ãèªç¶çãªçæ®è¡çºã§ã¯ãªãåŸãããšãå°é£ãªç¶æ³ã«ãããŠããã®ãããªåžæã倢ãããªããŠãã ãããããã¯æ±ããç¶ããããŠããããçæ®å»çãã¯ããã®åœ¹å²ã®éèŠæ§ãé«ãŸã£ãŠããã çæ®è£å©å»çã«ããåºçå æ°ã®æšç§»ãèŠãŠã¿ããšããã®æ°ã¯æ¥å¢ããŠãããçŽè¿ 10 幎ã§åè¿ãã«ãª ã£ãŠããããšãåããã 24.7 28.6 25.7 29.7 20 22 24 26 28 30 32 34 1975 1980 1985 1990 1995 2000 2005 2010 幎霢 劻ã®å¹³ååå©å¹Žéœ¢ã»æ¯ã®åºçæå¹³å幎霢 åå© ç¬¬1å 第2å 第3å
8.
8 Meditur Insight vol.3 å³
4 IVFïŒäœå€å粟ïŒãICSIïŒé¡åŸ®æ粟ïŒãåçµè解è移æ€ã«ããåºçå æ°ã®æšç§» åºæïŒ [5] åé ã«è¿°ã¹ããšããã幎 29,000 人è¿ãã®åäŸãçæ®å»çã®å©ããåããŠç£ãŸããŠããŠãããšããäº å®ã¯ãæ©å©åã女æ§ã®ç€ŸäŒé²åºãªã©ã®è€éã«çµ¡ã¿åã瀟äŒçç¶æ³ã®å€åãè¡šåºãããã®ãšæãã ã¹ãã§ãããã 0 5,000 10,000 15,000 20,000 25,000 30,000 35,000 åºçå æ° çæ®è£å©å»çã«ããåºçå æ°ã®æšç§» IVF ICSI åçµè解è Keyword åçµè解è移æ€(Frozen Embryo Transfer, Frozen-ET, FET) äœå€å粟ãé¡åŸ®æ粟ã«ããã§ããèïŒå粟åµïŒãåçµä¿åããæ¡åµããåšæãšç°ãªãã¿ã€ãã³ã°ã§è 解ããŠåå®®å ã«ç§»æ€ããæ¹æ³ãæ¡åµããåšæã§ã¯æåµèªçºå€ãªã©ã®åœ±é¿ããããåå®®å èçã®åå®® å ã®ç¶æ ãçåºã«ãšã£ãŠå¿ ããããã¹ããšã¯ãããªãããããªãã¹ããã¹ããªã¿ã€ãã³ã°ã§è解ããç¶æ ã®è¯ãèãæ»ãããšã«ãããçåºçã®ã¢ãããæåŸ ããææ³ããŸããé«ãçåºçã»åŠåš çãæåŸ ãå€ã ã®èã移æ€ãããåé¢ã§å€èåŠåš ã®å¯èœæ§ãé«ãŸããããè¯å¥œãªå粟åµãæ°å€ãåŸããããšã㊠ããïŒåã®æ²»çåšæã§æ»ããå粟åµã®æ°ã¯éå®ãããŠããããã£ãããªãããšããæèãå°ãªãããã ã£ãããåœææ³ã«ããæ®ã£ãè¯å¥œãªå粟åµãåçµããããšã§ç¡é§ãªã䜿ãããšãã§ããæ¯äœã«ãšã£ãŠã è² æ ã軜æžããããè¿å¹Žããã®ææ³ã«ããåºçå æ°ãæ¥æ¿ã«å¢ããŠããã ãªããæªå粟ã®åµåã«ã€ããŠã¯ãããã®æ²»çãªã©ã§åµåã«é害ãèµ·ããæãã®ãã女æ§ãªã©ã察象 ã«åçµä¿åããäºäŸããããã®ã®ãå¥åº·ãªå¥³æ§ã«å¯ŸããŠã¯äžè¬çã§ãªããæªå粟ã®åµåãäžè¬ç ã§ãªãèæ¯ã«ã¯ã现èèãè匱ã§åçµã«ããæå·ãåãããããæžæ°åè£ã®å®äºããŠããªãäžå®å® ãªç¶æ³ã«ããããšããç©çç圱é¿ãåããããåçµã»è解ãé£ãããšãã£ãæè¡çãªé£ããããããš èšãããŠããã
9.
9 Meditur Insight vol.3 â çæ®å»çã»äžåŠæ²»çãšã¯ çæ®å»çãšã¯ã人éã®çæ®æŽ»åãè£å©ããããããã¯çæ®è¡çºèªäœã第äžè ã®æã§ä»£ããã«è¡ãããš ãæããéåžžãå»çã¯å蚺ãæ€æ»ãã¬ã³ãã²ã³æ®åœ±ãªã©ãéã蚺æãè¡ããæè¬ãæè¡ãªã©ã®æ²»çã è¡ãããã®å»çã®èæ¯ã«ã¯ç æ°ããããããã«å¯Ÿããçæ®å»çã¯ãå蚺ã»æ€æ»ã»èšºæã»æ²»çãšããæµ ãã¯å€ãããªããã®ã®ãèæ¯ã«ããã®ã¯ãäžåŠããšããç¶æ ïŒç æ°ã§ãªããã®ãå«ãïŒã§ãããå¿ ããã ç æ°ãèæ¯ã«ããããã§ã¯ãªãããã«ãæ£åžžååš©ã§ã®ãç£ãšåæ§ãå¥åº·ä¿éºã®å¯Ÿè±¡ãšãªããªããã® ãå€ããããšèããã¹ãã ããã ã§ã¯ããŸããçæ®å»çã®å€§ããªæµããå šäœåãç解ãããã å³
5 äžåŠæ²»çã® 5 ã¹ããã [6] Step 1 Lifestyle Changes ïœç掻ç¿æ £ã®æ¹å åºæ¬çé»å®³èŠå ã®é€å»ïœ äžåŠæ²»çãšãããšãããäœå€å粟ãšãã人工æ粟ãšãé«åºŠãªæ²»çãã€ã¡ãŒãžããã¡ã ããäžçªã¯ãã㯠ç掻ç¿æ £ã®æ¹åããã¹ã¿ãŒãã§ãããå€ãã®äººã¯å»è ã«ããããªãã®ã ããçŠç ã§ãã£ãããç¯åºŠãã 飲é ãå¿ãããããé床ãªéåãæ§ããããäœèª¿ãæŽãããããšãã£ãããšã ããŸããæè¿ãæ¥æ¬ã§ãäž è¬çã«ãªãã€ã€ãããã女æ§ã¯èé žãæåããããšãããã®äžç°ã§ãããèé žã¯åŠåš ããã¿ã€ãã³ã°ã§ ã¯ãªããåŠåš ããåããæåããŠããã¹ããšããããšã¯æå€ãšç¥ãããŠããªã [7]ãç·æ§ã§ããã°ãçŸäžž ãæž©ããªããšããããšãèšãããŠããããšã [8]ã Step 2 Timing ïœã¿ã€ãã³ã°æ³ã®å®è·µ å¯èœæ§ã®æ倧åïœ é©åãªã¿ã€ãã³ã°ãç¥ãããšã§ãããããã®ããã®ãã€èœåã»å¯èœæ§ãæ倧åãããåšæãææ¡ããã« ã¯ãåºç€äœæž©ãã€ãããæåµãã§ãã¯ããè©Šè¬ã䜿ãçã®æ¹æ³ãããããã ããããããã®åŠåš ããèœ åã¯å¹Žéœ¢ãšã®é¢ä¿æ§ã匷ãããšãç解ããŠããã¹ãã ã Step 3 Tests ïœæ€æ» çççé»å®³èŠå ã®ç¢ºèªïœ ã¿ã€ãã³ã°æ³ã§åŠåš ããªãå Žåã«ã¯ãã®åå ãæ¢ãã¹ããå»åž«ã«æ€æ»ããŠãããããšãšãªããæ¥æ¬ã§ã¯ã äžåŠã¯ãŸã ãŸã 女æ§ã ãã®åé¡ãšæããã¡ã ããæ€æ»ã§ã¯ãããšããããåå ãæ¢ãããã女æ§ã ã ã§ãªããç·æ§ãäžç·ã«æ€æ»ãã¹ããšããæèã匷ããªã£ãŠããã以å NHK ã®ãã¬ãçªçµã§åãäžã㊠ããããã©ã³ã¹ã§ã¯ç·å¥³äž¡æ¹ã§å蚺ããããšãäžè¬çãšãªã£ãŠããã Step 1 Lifestyle Changes Step 2 Timing Step 3 Tests Step 4 Diagnosis Step 5 Treatment
10.
10 Meditur Insight vol.3 Step
4 Diagnosis ïœèšºæ çççé»å®³èŠå ã®ç¢ºèªïœ äžåŠã¯ã女æ§ã«èŠå ãããå²åã 40%ãç·æ§ã«èŠå ãããå²åã 40%ãäž¡æ¹ã«èŠå ãããå²åã 10%ãäžæã»èª¬æã§ããªãå²åã 10%ãšããå ±åãããããŸã女æ§ã¯å 霢ã«äŒŽããåŠåš ãã確çã倧 ããäžãããšããããšã¯ãæè¿ãã¬ãçã§ã倧ããåãäžããããŠãããåŸè¿°ã®åŒç€Ÿã¢ã³ã±ãŒãã§ããã®èª èã¯ååé«ãããšãèŠãŠåããã ã¡ãªã¿ã«ãæ€æ»ããããšåå ãå¿ ãåãããšæåŸ ããããšããã ããåå ãåããã説æã§ããªããšã ãã±ãŒã¹ãäžå®å²åã§ãããããã¯ããã§ã«ã¿ã€ãã³ã°æ³ãªã©ãçµéšãåºå£ã®èŠããªããã³ãã«ãçªã é²ã¿ãªãããæ€æ»ã«æã¿ããããŠããã®ã«ããã³ãã«ã®äžã§é Œãã«ããŠããããããªç¯ç«ããæ¶ãã ãããããªè©±ã ããããããããçŸå®ãšããããšãç¥ã£ãŠãããªããã°ãªããªãããªãããã«ãªãã®ãïŒ ãªãç³å°¿ç ã«ãªãã®ãïŒãšãã£ãããšãéºäŒåæ å ±ãªã©ãçšãåå ãæ¢ãç 究ãè¡ãããŠããŠãå å ãšãªãéºäŒåãç¹å®ãããã±ãŒã¹ãå¢ããŠããŠãããäžåŠã®åå ã«ã€ããŠã¯ãããããããç·æ§ã»å¥³ æ§ã®çµã¿åããã§ãããããã«ãã以äžã«è€éãªããšãªã®ãããããªãããå»åŠã®é²æ©ãæåŸ ãã ãã Step 5 Treatment ïœæ²»ç å»çã®åãåããåŠåš ã»åºç£ã®å®çŸïœ æ²»çã«ã¯ãïŒ.ãã«ã¢ã³å€ã®æçšçã®è¬ç©çæ³ãïŒïŒåµç®¡ãåå®®ã粟巣ã®ç¶æ äžè¯çãæ¹åããæ è¡ããããŠãïŒïŒå粟ãå©ããçæ®è£å©å»çïŒARTïŒãã®å€§ãããããŠïŒã€ãããã3 ã€ç®ã® ART ã¯ã人 å·¥æ粟ïŒAIHïŒãäœå€å粟ïŒIVFïŒãé¡åŸ®æ粟ïŒICSIïŒããããIVF ã«åçµããå粟åµã䜿ãå Žåã«ã¯åçµ è解è移æ€ïŒFETãåè¿°ã® KEYWORD åç §ïŒãæ¬äººä»¥å€ããåµåã®æäŸãåã IVF ãè¡ãå Žåã«ã¯ AIH ãšåŒã°ãããé¡äŒŒã®ã±ãŒã¹ãšããŠãããŒãããŒä»¥å€ãã粟åã®æäŸãåã人工æ粟ãè¡ãå Žå㯠IUI ãšåŒã°ããã ãããïŒã€ã®ã¹ãããã®é çªã«ã€ããŠã¯ãå¿ ãããå šå¡ãåãæé ãèžãããã§ã¯ãªãããã®èŸºãã«ã€ ããŠã¯ãäžåŠæ²»çã¯ã€ãããªãâãã ãªæ€æ»ãè¬ããµããã®èµ€ã¡ãããé ãããã [9]ãšããæ¬ã«è©³ãã è¿°ã¹ãããŠããã æ²»çã®æåç æ¥æ¬ã«ãããæ²»çæ瞟ã¯æ¥æ¬ç£ç§å©Šäººç§åŠäŒãå ¬è¡šããŠãã ART å ¬éããŒã¿ [5]ã«è©³ããèŒã£ãŠ ãããäžçªæè¿ã® 2010 幎調æ»ããŒã¿ãèŠããšãç·æ²»çåšææ° 242,160 ã«å¯ŸããåŠåš åšææ° 41,637ïŒåŠåš ç 17.2%ïŒãçç£åšææ° 27,682ïŒçç£ç 11.4%ïŒãšãªã£ãŠããããã®ããŒã¿ã¯æ¯äœã®å¹Ž 霢å¥ã«ãéèšãããŠããããã®çµæãé«éœ¢ã«ãªããšåŠåš ãã確çãå€§å¹ ã«äœäžããã ãã§ãªããæµç£ ã®ç¢ºçãæ¥äžæããŠããããšãåãããåµåã®èåãªã©ãæ§ã ãªããšãèšãããŠããããç£ãã«ã¯é© åãªææããããšãã話ã¯ãèªç¶åŠåš ã ãã®è©±ã§ã¯ãªããçæ®è£å©å»çã®æãåããŠãåã話ã§ãã ããšã¯ãååèªèããªããã°ãªããªãããšã ã
11.
11 Meditur Insight vol.3 å³
6 2010 幎 ART ã«ãããåŠåš çã»çç£çã»æµç£ç åºæïŒ [5] å³ 7 2010 幎 ARTïŒæ°é®®è移æ€ïŒã«ãããåŠåš çã»çç£çã»æµç£ç åºæïŒ [5]
12.
12 Meditur Insight vol.3 å³
8 2010 幎 ARTïŒåçµè移æ€ïŒã«ãããåŠåš çã»çç£çã»æµç£ç åºæïŒ [5] ããã«æ°é®®è移æ€ãšåçµè移æ€ã®æ瞟ãèŠãŠã¿ããšãéåžžã«èå³æ·±ãããšãèŠããŠãããé«éœ¢ã«ãªã ãšåŠåš çãçç£çãšãã«äœäžããŠããããšã¯åããªã®ã ããåçµè移æ€ã§ã¯ 40 æ³ã§ãã£ãŠã移æ€ãã ãã®åŠåš çã 3 å²åŒ±ã§ãããæ°é®®è移æ€ã®ã±ãŒã¹ã® 2 å²åŒ±ã«æ¯ã¹æããã«é«ããªã£ãŠããããã®ããš ã¯è¿å¹Žåçµè移æ€ã§ã®åºçå æ°ã®æ¥å¢ãšãªã³ã¯ããŠãããšæããã [5]ãã¡ãªã¿ã«æ°é®®è移æ€ã®çµ æããã40 æ³ä»¥äžã§ã¯æ¡åµã§ãããšããŠãã移æ€ã«è³ãã±ãŒã¹ã¯ããªãäœãããšãæ³å®ãããããã ã 移æ€ã«è³ãã°ãããããªãããåŠåš ã»åºç£ãŸã§å®ãçµã¶ã±ãŒã¹ãããããšãäºå®ã ãç®èã«ãããã ããªå¯èœæ§ã§ãã£ãŠãå»çã®åã§æãåŸãŠããŸãã±ãŒã¹ãããããšããé«éœ¢ã®äžåŠæ²»çãé·ãæãå ã®èŠããªããã³ãã«ã«ããŠããŸãã çæ®å»çã®é²æ©ãåã¶äžæ¹ã§ãå»åŠã®åãæã£ãŠããŠããåŠåš ã»çç£ã®ç¢ºçãå€§å¹ ã«å€ããããšã¯ ã§ããªããšããããšã¯ç¥ã£ãŠãããªããã°ãªããªãã ããã â åŠæ ¡æè²ã®ãäžåŠã çæ®å»çãäœãããã®ãã现ããããšãŸã§æ£ããææ¡ããŠãã人ã¯ããŸãå€ããªãããã ãããã¯æè¡ ã®é²æ©ããããããå šå¡ãå®ç§ã«ç解ããã®ã¯å°åºç¡çãªããšã ããäžäœãã©ã®çšåºŠãŸã§ç解ãã ã¹ãã ãããã幎霢ãé«ããªããšåŠåš ãã¥ãããªãããšã¯èª°ããã€æããã¹ããªã®ã ãããã
13.
13 Meditur Insight vol.3 çŸç¶ã®æè²ãèããäžã§ããŸãåãæåŽã®ç解ç¶æ³ã«ã€ããŠãå€éšã®èª¿æ»äŒç€Ÿãå©çšãã€ã³ã¿ãŒã ããã§ã®ç°¡æã¢ã³ã±ãŒããå®æœããïŒ2013
幎 8 æå®æœãN=100ïŒããã®çµæãåŠæ ¡æè²ã«ãããŠãé¿åŠ ã¯å å®ããŠããåé¢ãäžåŠã¯ãŸã ãŸã ãšããå®æ ãèŠããŠããã å³ 9 é¿åŠã»äžåŠã«é¢ããåŠæ ¡æè²ã®åãæåŽã®èšæ¶ã»èªèç¶æ³ åºæïŒåŒç€Ÿã¢ã³ã±ãŒãçµæ é¿åŠãšäžåŠãã©ã¡ããäžæ¹ã倧äºãšããããããã©ã¡ããéèŠã§ãããçæ³ãèšãã°ãã©ã¡ãã«ãååã« æéãå²ããããšãæãŸãããããããå®æ ã¯é¿åŠæè²ãå å®ããŠããäžæ¹ã§ãäžåŠæè²ã¯ãŸã åå ãšã¯èšããªãããšã¯ããæãã£ããã©ãã 20 代以äžãš 30 代ã§æ¯èŒãããšïŒïŒä»£ä»¥äžã®æ¹ãæãã£ã å²åãé«ãããã幎ã æããããã«ãªã£ãŠããŠãããšç解ã§ãããããããã®äžæ¹ã§åŠåš ã»åºç£ã«å¯Ÿã ãç解ãè¥å¹Žå±€ã»ã©æ·±ãŸã£ãŠããããšãããšããã§ããªããã幎霢ãé«ããªãã»ã©åŠåš ãã¥ãããªããçã® ïŒã€ã®è³ªåã«å¯Ÿããæ£ããçããå²åã 20 代以äžãš 30 代ã§æ¯èŒãããšããããããã®è³ªåã§ã 30 代 ã®æ£ççãé«ãã£ãã 93.3% 68.9% 41.2% 18.6% 6.7% 31.1% 58.8% 81.4% 0% 20% 40% 60% 80% 100% 20ä»£ä»¥äž 30代 20ä»£ä»¥äž 30代 é¿åŠäžåŠ åŠæ ¡ã§é¿åŠã»äžåŠãç¿ã£ãïŒ ç¿ã£ã ç¿ã£ãŠããªã
14.
14 Meditur Insight vol.3 å³
10 æ¯äœé«éœ¢åã«äŒŽãåŠåš ã«é¢ããç解ç¶æ³ åºæïŒåŒç€Ÿã¢ã³ã±ãŒãçµæ â 矩åæè²ã®æç§æž ã¢ã³ã±ãŒãçµæããé¿åŠæè²ã® å å®ãå³ãããŠããäžæ¹ã§ãäž åŠæè²ã«ã€ããŠã¯ãŸã ååã§ãª ãçŸç¶ãèŠããããããã§ãã ã®èæ¯ã«ã€ããŠãçŸåšã®çŸ©å æè²ã§ã®æå°å 容ãšãé«çåŠ æ ¡ã®æå°å 容ãèŠãªããèã ãŠã¿ããããã£ãããæç§æžã¯ ã©ããã£ãå 容ã«ãªã£ãŠããã®ã ãããããŸãã矩åæè²ã§ãã å°åŠæ ¡ãäžåŠæ ¡ã®å 容ãææ¡ ãããããæç§æžãè³Œå ¥ãã ïŒäžè¬ã®æžåºã§ã¯å£²ãããŠããªãæç§æžã§ããããä»ã¯ã€ã³ã¿ãŒãããã§ãè³Œå ¥ã§ããïŒããã®å 容ã èŠããšã20 幎以äžåã«èªåãç¿ã£ãé ãšå€§ããå€ãã£ãŠããªãããã«æãããå ·äœçãªå 容ã«ã€ã㊠ã¯ãå°åŠæ ¡ïŒïŒïŒå¹ŽãïŒïŒïŒå¹ŽãäžåŠæ ¡ã®ããããã®åŠç¿æå°èŠé ãåŒçšãã [10] [11]ã 72% 72% 56% 56% 40% 92% 92% 64% 77% 33% 0% 20% 40% 60% 80% 100% 幎霢ãé«ããªããšåŠåš ãã¥ãããªã 幎霢ãé«ããªã£ãŠãäœå€å粟ãªãåŠåš ã®ãããã㯠å€ãããªã 幎霢ãé«ããªããšæµç£ãããããªã 幎霢ãé«ããªããšããŠã³çãªã©ã®ãªã¹ã¯ãé«ããªã 幎霢ãé«ããªããšåžçåéã®å²åãé«ããªã æ£çç é«éœ¢åã«äŒŽãåŠåš ã»åºç£ã«å¯Ÿããç解 20ä»£ä»¥äž 30代
15.
15 Meditur Insight vol.3 å°åŠ
3ã4 幎 åŠç¿æå°èŠé ä¿å¥è©²åœéšåæç² ç®æš ïµ å¥åº·ãªç掻åã³äœã®çºè²ã»çºéã«ã€ããŠç解ã§ããããã«ãïŒèº«è¿ãªç掻ã«ãããŠå¥åº·ã§å®å šãª ç掻ãå¶ãè³è³ªãèœåãè²ãŠãã å 容 ïŒ1ïŒ å¥åº·ã®å€§åããèªèãããšãšãã«ïŒå¥åº·ã«ããç掻ã«ã€ããŠç解ã§ããããã«ããã (ã¢) å¿ãäœã®èª¿åããããªã©ã®å¥åº·ã®ç¶æ ã¯ïŒäž»äœã®èŠå ãåšå²ã®ç°å¢ã®èŠå ããããã£ãŠ ããããšã (ã€) æ¯æ¥ãå¥åº·ã«éããã«ã¯ïŒé£äºïŒéåïŒäŒé€åã³ç¡ç ã®èª¿åã®ãšããç掻ãç¶ããããšïŒãŸ ãïŒäœã®æž æœãä¿ã€ããšãªã©ãå¿ èŠã§ããããšã (ãŠ) æ¯æ¥ãå¥åº·ã«éããã«ã¯ïŒæããã®èª¿ç¯ïŒææ°ãªã©ã®ç掻ç°å¢ãæŽããããšãªã©ãå¿ èŠã§ã ãããšã ïŒ2ïŒ äœã®çºè²ã»çºéã«ã€ããŠç解ã§ããããã«ããã (ã¢) äœã¯ïŒå¹Žéœ¢ã«äŒŽã£ãŠå€åããããšããŸãïŒäœã®çºè²ã»çºéã«ã¯ïŒå人差ãããããšã (ã€) äœã¯ïŒææ¥æã«ãªããšæ¬¡ç¬¬ã«å€§äººã®äœã«è¿ã¥ãïŒäœã€ããå€ãã£ããïŒåçµïŒç²Ÿéãªã©ãèµ· ãã£ããããããšããŸãïŒç°æ§ãžã®é¢å¿ãèœçããããšã (ãŠ) äœãããããçºè²ã»çºéãããã«ã¯ïŒèª¿åã®ãšããé£äºïŒé©åãªéåïŒäŒé€åã³ç¡ç ãå¿ èŠ ã§ããããšã å°åŠ 5ã6 幎 åŠç¿æå°èŠé ä¿å¥è©²åœéšåæç² ç®æš ïµ å¿ã®å¥åº·ïŒããã®é²æ¢åã³ç æ°ã®äºé²ã«ã€ããŠç解ã§ããããã«ãïŒå¥åº·ã§å®å šãªç掻ãå¶ãè³ è³ªãèœåãè²ãŠãã å 容 ïŒ1ïŒ å¿ã®çºéåã³äžå®ïŒæ©ã¿ãžã®å¯ŸåŠã«ã€ããŠç解ã§ããããã«ããã (ã¢) å¿ã¯ïŒãããããªç掻çµéšãéããŠïŒå¹Žéœ¢ã«äŒŽã£ãŠçºéããããšã (ã€) å¿ãšäœã¯ïŒçžäºã«åœ±é¿ãåãããšã (ãŠ) äžå®ãæ©ã¿ãžã®å¯ŸåŠã«ã¯ïŒå€§äººãåéã«çžè«ããïŒä»²éãšéã¶ïŒéåããããªã©ãããã ãªæ¹æ³ãããããšã ïŒ2ïŒ ããã®é²æ¢ã«ã€ããŠç解ãããšãšãã«ïŒãããªã©ã®ç°¡åãªæåœãã§ããããã«ããã (ã¢) 亀éäºæ ã身ã®åãã®ç掻ã®å±éºãåå ãšãªã£ãŠèµ·ããããã®é²æ¢ã«ã¯ïŒåšå²ã®å±éºã«æ° ä»ãããšïŒç確ãªå€æã®äžã«å®å šã«è¡åããããšïŒç°å¢ãå®å šã«æŽããããšãå¿ èŠã§ããã ãšã (ã€) ããã®ç°¡åãªæåœã¯ïŒéããã«è¡ãå¿ èŠãããããšã
16.
16 Meditur Insight vol.3 ïŒ3ïŒ
ç æ°ã®äºé²ã«ã€ããŠç解ã§ããããã«ããã (ã¢) ç æ°ã¯ïŒç åäœïŒäœã®æµæåïŒç掻è¡åïŒç°å¢ãããããåã£ãŠèµ·ããããšã (ã€) ç åäœãäž»ãªèŠå ãšãªã£ãŠèµ·ããç æ°ã®äºé²ã«ã¯ïŒç åäœãäœã«å ¥ãã®ãé²ãããšãç å äœã«å¯Ÿããäœã®æµæåãé«ããããšãå¿ èŠã§ããããšã (ãŠ) ç掻ç¿æ £ç ãªã©ç掻è¡åãäž»ãªèŠå ãšãªã£ãŠèµ·ããç æ°ã®äºé²ã«ã¯ïŒæ é€ã®åãã®ãªãé£ äºããšãããšïŒå£è ã®è¡çãä¿ã€ããšãªã©ïŒæãŸããç掻ç¿æ £ã身ã«ä»ããå¿ èŠãããããšã (ãš) å«ç ïŒé£²é ïŒè¬ç©ä¹±çšãªã©ã®è¡çºã¯ïŒå¥åº·ãæãªãåå ãšãªãããšã (ãª) å°åã§ã¯ïŒä¿å¥ã«ããããæ§ã ãªæŽ»åãè¡ãããŠããããšã äžåŠæ ¡ åŠç¿æå°èŠé ä¿å¥è©²åœéšåæç² ç®æš ïµ å人ç掻ã«ãããå¥åº·ã»å®å šã«é¢ããç解ãéããŠïŒç涯ãéããŠèªãã®å¥åº·ãé©åã«ç®¡çãïŒ æ¹åããŠããè³è³ªãèœåãè²ãŠãã å 容 ïŒ1ïŒ å¿èº«ã®æ©èœã®çºéãšå¿ã®å¥åº·ã«ã€ããŠç解ã§ããããã«ããã (ã¢) 身äœã«ã¯ïŒå€ãã®åšå®ãçºè²ãïŒããã«äŒŽãïŒæ§ã ãªæ©èœãçºéããææãããããšããŸãïŒ çºè²ã»çºéã®ææããã®çšåºŠã«ã¯ïŒå人差ãããããšã (ã€) ææ¥æã«ã¯ïŒå åæ³ã®åãã«ãã£ãŠçæ®ã«ããããæ©èœãæçããããšããŸãïŒæçã«äŒŽã å€åã«å¯Ÿå¿ããé©åãªè¡åãå¿ èŠãšãªãããšã (ãŠ) ç¥çæ©èœïŒæ ææ©èœïŒç€ŸäŒæ§ãªã©ã®ç²Ÿç¥æ©èœã¯ïŒç掻çµéšãªã©ã®åœ±é¿ãåããŠçºéããã ãšããŸãïŒææ¥æã«ãããŠã¯ïŒèªå·±ã®èªèãæ·±ãŸãïŒèªå·±åœ¢æããªãããããšã (ãš) 粟ç¥ãšèº«äœã¯ïŒçžäºã«åœ±é¿ãäžãïŒãããã£ãŠããããšã 欲æ±ãã¹ãã¬ã¹ã¯ïŒå¿èº«ã«åœ±é¿ãäžããããšãããããšããŸãïŒå¿ã®å¥åº·ãä¿ã€ã«ã¯ïŒæ¬²æ±ã ã¹ãã¬ã¹ã«é©åã«å¯ŸåŠããå¿ èŠãããããšã ïŒ2ïŒ å¥åº·ãšç°å¢ã«ã€ããŠç解ã§ããããã«ããã (ã¢) 身äœã«ã¯ïŒç°å¢ã«å¯ŸããŠããçšåºŠãŸã§é©å¿èœåãããããšã身äœã®é©å¿èœåãè¶ ããç°å¢ ã¯ïŒå¥åº·ã«åœ±é¿ãåãŒãããšãããããšããŸãïŒå¿«é©ã§èœçã®ããç掻ãéãããã®æž©åºŠïŒæ¹¿ 床ãæããã«ã¯äžå®ã®ç¯å²ãããããšã (ã€) 飲ææ°Žã空æ°ã¯ïŒå¥åº·ãšå¯æ¥ãªãããããããããšããŸãïŒé£²ææ°Žã空æ°ãè¡ççã«ä¿ã€ã« ã¯ïŒåºæºã«é©åãããã管çããå¿ èŠãããããšã (ãŠ) 人éã®ç掻ã«ãã£ãŠçããå»æ£ç©ã¯ïŒç°å¢ã®ä¿å šã«ååé æ ®ãïŒç°å¢ãæ±æããªãããã« è¡ççã«åŠçããå¿ èŠãããããšã ïŒ3ïŒ å·å®³ã®é²æ¢ã«ã€ããŠç解ãæ·±ããããšãã§ããããã«ããã (ã¢) 亀éäºæ ãèªç¶çœå®³ãªã©ã«ããå·å®³ã¯ïŒäººçèŠå ãç°å¢èŠå ãªã©ããããã£ãŠçºçãã ããšã
17.
17 Meditur Insight vol.3 (ã€)
亀éäºæ ãªã©ã«ããå·å®³ã®å€ãã¯ïŒå®å šãªè¡åïŒç°å¢ã®æ¹åã«ãã£ãŠé²æ¢ã§ããããšã (ãŠ) èªç¶çœå®³ã«ããå·å®³ã¯ïŒçœå®³çºçæã ãã§ãªãïŒäºæ¬¡çœå®³ã«ãã£ãŠãçããããšããŸãïŒèªç¶ çœå®³ã«ããå·å®³ã®å€ãã¯ïŒçœå®³ã«åããŠããããšïŒå®å šã«é¿é£ããããšã«ãã£ãŠé²æ¢ã§ããã ãšã (ãš) å¿æ¥æåœãé©åã«è¡ãããšã«ãã£ãŠïŒå·å®³ã®æªåãé²æ¢ããããšãã§ããããšããŸãïŒå¿æ¥æ åœã«ã¯ïŒå¿èºèççãããããšã ïŒ4ïŒ å¥åº·ãªç掻ãšçŸç ã®äºé²ã«ã€ããŠç解ãæ·±ããããšãã§ããããã«ããã (ã¢) å¥åº·ã¯ïŒäž»äœãšç°å¢ã®çžäºäœçšã®äžã«æãç«ã£ãŠããããšããŸãïŒçŸç ã¯ïŒäž»äœã®èŠå ãšç° å¢ã®èŠå ãããããåã£ãŠçºçããããšã (ã€) å¥åº·ã®ä¿æå¢é²ã«ã¯ïŒå¹Žéœ¢ïŒç掻ç°å¢çã«å¿ããé£äºïŒéåïŒäŒé€åã³ç¡ç ã®èª¿åã®ãšã ãç掻ãç¶ããå¿ èŠãããããšããŸãïŒé£äºã®éã質ã®åãïŒéåäžè¶³ïŒäŒé€ãç¡ç ã®äžè¶³ ãªã©ã®ç掻ç¿æ £ã®ä¹±ãã¯ïŒç掻ç¿æ £ç ãªã©ã®èŠå ãšãªãããšã (ãŠ) å«ç ïŒé£²é ïŒè¬ç©ä¹±çšãªã©ã®è¡çºã¯ïŒå¿èº«ã«æ§ã ãªåœ±é¿ãäžãïŒå¥åº·ãæãªãåå ãšãªã ããšããŸãïŒãããã®è¡çºã«ã¯ïŒå人ã®å¿çç¶æ ã人éé¢ä¿ïŒç€ŸäŒç°å¢ã圱é¿ããããšã ãïŒããããã®èŠå ã«é©åã«å¯ŸåŠããå¿ èŠãããããšã (ãš) ææçã¯ïŒç åäœãäž»ãªèŠå ãšãªã£ãŠçºçããããšããŸãïŒææçã®å€ãã¯ïŒçºçæºããªãã ããšïŒææçµè·¯ãé®æããããšïŒäž»äœã®æµæåãé«ããããšã«ãã£ãŠäºé²ã§ããããšã (ãª) å¥åº·ã®ä¿æå¢é²ãçŸç ã®äºé²ã«ã¯ïŒä¿å¥ã»å»çæ©é¢ãæå¹ã«å©çšããããšãããããšã㟠ãïŒå»è¬åã¯ïŒæ£ãã䜿çšããããšã (ã«) å人ã®å¥åº·ã¯ïŒå¥åº·ãä¿æå¢é²ããããã®ç€ŸäŒã®åçµãšå¯æ¥ãªãããããããããšã ãããã®åŠç¿æå°èŠé ããèŠããŠããããšã¯ãåŠæ ¡æè²ã«ãããä¿å¥ã®ææ¥ã§ã¯ãããã ã®ç解ã æ§ã ãªç æ°ïŒã¡ã³ã¿ã«ãªãã®ãå«ãïŒãå¥åº·ç¶æã»å¢é²ãªã©éåžžã«å€ãã®ããšãåŠã¶ããã®ãããªå€ãã® å 容ãéãããæéã§ææ¥ãããŠããããšã ããããã ãé±äŒïŒæ¥å¶ãããšãæè²ãè±èªãã³ã³ãã¥ãŒã¿ çã®æ°ããªç§ç®ã®å¢å ãªã©ã®åœ±é¿ã«ãããä¿å¥ã«ããããææ¥æéãååã«ç¢ºä¿ã§ããŠããªããšã ã話ãèãã ãã«ãä¿å¥ã ãã«å€ãã®æéãå²ãããšã§ããã®ãããªçŸç¶ã®èª²é¡ãä¹ãè¶ããŠããã®ã¯çŸ å®çãªã¢ã€ãã¢ã§ãªãããŸããå°åŠæ ¡ãäžåŠæ ¡ã§ã¯ãæ§ã«å¯Ÿããèå³ãå¢å€§ããäžæ¹ã§ããã®çç© åŠçãªèæ¯ã»ç¥èã«å¯Ÿãã欲æ±ã¯ããã»ã©å€§ãããªããããã«ã¯ãé¿åŠã®ãªã¹ã¯ãé¡åšåããã¿ã€ãã³ ã°ã¯å°åŠçãäžåŠçã身è¿ãªããšã§ããäžæ¹ã§ãäžåŠã®ãªã¹ã¯ãé¡åšåããã¿ã€ãã³ã°ã¯é ãå°æ¥ã® ããšã§ãããããã«ãå°åŠæ ¡ã»äžåŠæ ¡ã§äžåŠã«é¢ããæè²ã«æéãå²ãããšã¯å¹æãèããšæãã ãã â é«çåŠæ ¡ã®æç§æž èªåã®ããšãæ£çŽã«è©±ããšãå®ã¯é«çåŠæ ¡ã§ä¿å¥ãç¿ã£ããã©ããèŠããŠããªããé«æ ¡ã®æç§æžã« ã€ããŠã¯ãµã³ãã«ãåçåŽåçã§éå¬ããããäžåŠã«æ©ãæ¹ãžã®ç¹å®æ²»çæ¯æŽäºæ¥çã®ããæ¹ã« é¢ããæ€èšäŒãã®é åžè³æãšããŠã€ã³ã¿ãŒãããäžã«æ²èŒãããŠãã [12]ããããèŠããšãé«çåŠæ ¡åŠ
18.
18 Meditur Insight vol.3 ç¿æå°èŠé 解説ã«ãããŠãå粟ãåŠåš ãåºç£ãšããã«äŒŽãå¥åº·èª²é¡ã«ã€ããŠç解ã§ããããã«ãããš ãšãã«ã家æèšç»ã®æ矩ã人工åŠåš äžçµ¶ã®å¿èº«ãžã®åœ±é¿ãªã©ã«ã€ããŠãç解ã§ããããã«ããããšãš ããŠããŠãå¹³æ
21 幎ã®åŠç¿æå°èŠé æ¹èšæã«ã¯ãå°ååãåšç£æã®å¥åº·èª²é¡çãèžãŸããçµå© ç掻ãå¥åº·ã«éããäžã§ãæ¯åã®å¥åº·èšºæ»ã®å©çšãªã©ã®å¿ èŠæ§ç解ãªã©ãæ°ãã«ç€ºãããããã ã ãŸããæç§æžã®äžã«ã¯è¥å¹Žåºç£ãé«éœ¢åºç£ã®å±éºæ§ãäžåŠåé¡ã«ã€ããŠãèšèŒãããŠããããã ããæå°èŠé ã«ãªããããã©ã®çšåºŠã®å 容ãæã£ãŠæå°ããŠãããã¯çŸå Žã«å§ããããŠãããšèãã æ¹ãããã ããã å³ 11 é«çåŠæ ¡ åŠç¿æå°èŠé 解説 ä¿å¥äœè²ç·š äœè²ç·š ãç涯ãéããå¥åº·ã åºæïŒ [13] é«çåŠæ ¡ åŠç¿æå°èŠé 解説 ä¿å¥äœè²ç·šã»äœè²ç·š 該åœéšåæç² ã¢ ç涯ã®å段éã«ãããå¥åº· (ã¢) ææ¥æãšå¥åº· ææ¥æã«ãããå¿èº«ã®çºéãå¥åº·èª²é¡ã«ã€ããŠç¹ã«æ§çæçã«äŒŽãïŒå¿çé¢ïŒè¡åé¢ã å€åããããšã«ã€ããŠç解ã§ããããã«ããããŸãïŒãããã®å€åã«å¯Ÿå¿ããŠïŒèªåã®è¡åãž ã®è²¬ä»»æãç°æ§ãå°éããæ 床ãå¿ èŠã§ããããšïŒåã³æ§ã«é¢ããæ å ±çãžã®é©åãªå¯Ÿ åŠãå¿ èŠã§ããããšãç解ã§ããããã«ããã ãªãïŒæå°ã«åœãã£ãŠã¯ïŒçºéã®æ®µéãèžãŸããããšïŒåŠæ ¡å šäœã§å ±éç解ãå³ãããšïŒä¿ è·è ã®ç解ãåŸãããšãªã©ã«é æ ®ããããšã倧åã§ããã (ã€) çµå©ç掻ãšå¥åº· å¥åº·ãªçµå©ç掻ã«ã€ããŠïŒå¿èº«ã®çºéãå¥åº·ç¶æ ãªã©ä¿å¥ã®ç«å Žããç解ã§ããããã«ã ãããã®éïŒå粟ïŒåŠåš ïŒåºç£ãšããã«äŒŽãå¥åº·èª²é¡ã«ã€ããŠç解ã§ããããã«ãããšãšãã«ïŒ 家æèšç»ã®æ矩ã人工åŠåš äžçµ¶ã®å¿èº«ãžã®åœ±é¿ãªã©ã«ã€ããŠãç解ã§ããããã«ããã㟠ãïŒçµå©ç掻ãå¥åº·ã«éããã«ã¯ïŒèªä»ã®å¥åº·ãžã®è²¬ä»»æïŒè¯å¥œãªäººéé¢ä¿ã家æãåš ãã®äººããã®æ¯æŽïŒåã³æ¯åãžã®å¥åº·èšºæ»ã®å©çšãªã©ã®ä¿å¥ã»å»çãµãŒãã¹ã®æŽ»çšãå¿ èŠ
19.
19 Meditur Insight vol.3 ãªããšãç解ã§ããããã«ããããªãïŒç·å¥³ããããã®çæ®ã«ããããæ©èœã«ã€ããŠã¯ïŒå¿ èŠ ã«å¿ãé¢é£ä»ããŠæ±ãçšåºŠãšããã æå°èŠé ã®è§£èª¬ããã ãã§ã¯å€æã§ããªãããåŒç€Ÿã®ã¢ã³ã±ãŒãçµæã«ãçŸããŠããããã«é¿åŠã æ§ææçãªã©ãé«æ ¡çã«ãšã£ãŠèº«è¿ãªåé¡ã«ã€ããŠã¯åŠæ ¡æè²ãäžå®ã®åœ¹å²ãæãããŠãããšèšã ãã®ãããããªããã身è¿ã§ã¯ãªãé«éœ¢åºç£ãäžåŠã®åé¡ã«ã€ããŠã¯ãªããªãæéãå²ãããšãé£ã ãã ãã§ãªããæããåŽã®ç解ãæããå 容ã®è³ªã®åé¡ãããããã ã ãã®é«çåŠæ ¡ã®æå°èŠé ãæç§æžãåŒçšãããäžåŠã«æ©ãæ¹ãžã®ç¹å®æ²»çæ¯æŽäºæ¥çã®ããæ¹ã« é¢ããæ€èšäŒãã®ç¬¬
2 åã®äŒåã§ã¯ãæéšç§åŠçã®æ åœè ãžãæå°èŠé ã®æ¹èšã¯ã§ããªãã®ãïŒ ãšãã質åãããã£ããæ åœè ãããã10 幎ããšã®æ¹èšã§æè¿æ¹èšããã°ãããªã®ã§ãæ¹èšã®èŠæ㯠èããå®éã«çŽãããšã¯çžåœå ã®è©±ã«ãªãããšèšã£ãŠãããå»åŠã®é²æ©ãç°å¢ã®å€åãèŠè¶ããŠæ ç§æžãäœã£ãŠããã®ã ãšã¯æãããæ£çŽãè¿œãä»ããŠããªãæãåŠããªããåŠæ ¡æè²ã«é床ãªæåŸ ãããã®ã¯é£ããã®ãããããªããããæããã â è¯æžã»ãŠã§ããµã€ãããåŠã¶ 矩åæè²ãé«çåŠæ ¡ãæè²ã®ã«ãªãã¥ã©ã ã®äžã«çæ®å»çã®æ å ±ãåäºåã«çã蟌ãããšããããšã¯ å°é£ã§ããããšãèŠããŠããããã¡ãããä»åŸãé¢ä¿è ã®å°œåã«ãããæè²å 容ãå å®ããããšã«æåŸ ã¯ããããã®ã®ã5 幎 10 幎ãšããé·ã話ã«ãªã£ãŠããŸãã ããã§èº«è¿ã§ã§ããããšãèãããšãçæ®å»çã¯æ¬ããŠã§ããµã€ãã«æ å ±ãããµããŠããããããæŽ»çš ããªãæã¯ãªãã
20.
20 Meditur Insight vol.3 å°ååãåŠã¶ åã©ããæžã£ãŠäœãæªãã!
(ã¡ããŸæ°æž) èè ïŒ èµ€å· åŠ çæ®å»çãåœãè£å©ããŠããåºæ¬çãªç解ãšããŠãå°åå ã¯ããããæªãããšãªã®ãããªãå°ååãé²ãã§ããã®ãã æ¥æ¬ãšæµ·å€ã¯éãã®ãã倧åæãšããŠã®ç¥èãåŸãããã«ã 客芳çãªç©ã®èŠæ¹ãã§ããè¯ãæ¬ã å°å瀟äŒæ¥æ¬âããã²ãšã€ã®æ Œå·®ã®ããã (岩波æ°æž) èè ïŒå±±ç° æåŒ å²©æ³¢æ°æž èè ã¡ãã»ãŒãžããåŒçš [14] æ¥æ¬ã® 1990 幎代ã¯ãå°åå察çã®å€±ããã 10 幎ãšã㣠ãŠãããïŒäžç¥ïŒ ãªããæ¥æ¬ã§å°ååããããŸã§é²è¡ããã® ãããã®çç±ã«ã€ããŠãåŠè¡è«æãããã¬ãã®ã¯ã€ãã·ã§ãŒã« è³ããŸã§æ°ããããªãã»ã©ãããããŠãããããæšãèŠãŠæ£®ã èŠããã ã£ãããèªåãèŠèãããç¯å²ã§åŸãç¥èŠã®äžè¬ åã«ãããªããã®ãå°ãªããªãã æ¬æžã§ãç§ã¯ããããŠæ¥æ¬ã®å°ååã®èŠå ã«é¢ããæ±ºå® çã ãšèãã仮説ãæ瀺ããŠãããè¿å¹ŽèšãããŠãããæ Œå·® 瀟äŒãããããå°ååãçãã ãšãã仮説ã§ãããããæ£ç¢ºã« ã¯ã(1)ãè¥å¹Žç·æ§ã®åå ¥ã®äžå®å®åããšã(2)ããã©ãµã€ãã»ã· ã³ã°ã«çŸè±¡ãã®åããæã§ãå°ååãæ·±å»åããããšçµè« ã¥ããŠããããã®ç¹ãçŽèŠããªãå°åå察çã¯ãäžæ¯ã§ãã ãšãç§ã¯èããŠããã
21.
21 Meditur Insight vol.3 å¹³æ
25 幎çå°åå瀟äŒå¯Ÿççœæž æŠèŠç èè ïŒå é£åº æ¿åºã®ãåºãçœæžã®ãããåã£ä»ãã«ããç¹ã¯åŠããªãã ã®ã®ããã®æŠèŠçã§ããã°ãå³è¡šãå€ãèªã¿ãããã åºçæ°ã»åºççã®äœäžãæ©å©åã第 1 ååºçæã®æ¯ã® å¹³å幎霢ãçµå©ã»åºç£ã«å¯Ÿããæèãªã©ãç¶²çŸ çã«ãŸãšã ãããŠããããŸãæ¿åºã®çœæžã§ãããããè«žå€åœãšã®æ¯èŒã å«ãŸããŠãããå°å瀟äŒã®ããæ¹ãã¯ãŒã¯ã©ã€ããã©ã³ã¹ãª ã©ã®ç£ã¿ãããã»è²ãŠãããç°å¢ã®æ§ç¯ã«å¿ èŠãªå 容ã äžåã«ãŸãšãŸã£ãŠããã ã¡ãªã¿ã«æŠèŠçãå šäœçãäžåŠã«èšåããŠããç®æã¯é åžžã«å°ãªãã http://www8.cao.go.jp/shoushi/whitepaper/w- 2013/25pdfgaiyoh/25gaiyoh.html åã©ãã»åè²ãŠ å¿æŽãã©ã³ èè ïŒåçåŽåç å°åå瀟äŒå¯Ÿççœæžã®æŠèŠçãšã»ãŒå ±éã®å 容ãããã å¹³æã«æžãããŠãããçºè¡ã 2006 幎ãšå°ãå€ããããæ æ°ã®æ å ±ã¯åŸãããªãããå 容ãšããŠã¯ååã http://www.mhlw.go.jp/bunya/kodomo/jisedai22/pdf/data.pdf
22.
22 Meditur Insight vol.3 äžåŠãåŠã¶ åŠæŽ»ãã€ãã«
æ©å©ã»å°ååæ代ã«çãã女ã®ã©ã€ããã©ã³ãã³ã° (è¬è«ç€Ÿãã©ã¹ã¢ã«ãã¡æ°æž) èè ïŒéœè€ è±å, çœæ²³ æ¡å èªã¿ããããå«ãã倧åŠçãããã«èªãã§ãããã®ãè¯ãã ããããªãããããŸã§ã®æŽå²ã»åžžèããçµæžåçæ§ã«ãšãã ãããã©ããã£ã瀟äŒã«ããŠããã®ãèãã人ãå¢ããããšã§ã å°ããã€ãæ³åŸãä»çµã¿ãªã©è²ã ãªããšãå€ããæ°ãã ãããŸããåŠåš ããã«ã¯é©åãªã¿ã€ãã³ã°ãããããšããæ§ã ãªæè¡ã«ã€ããŠãèšåããŠããããããã¥ã¢ãªåŠåš ã«é¢ãã ç¥èæ¬ãšããŠããç°¡æœã«ãŸãšãŸã£ãŠããã è¥å¹²ãåŠåš ããã»åºç£ããããšãè³äžã§ãããšãã䟡å€èŠ³ã 匷èŠãããŠããç¹ã¯ãã¿ã€ãã«ãããåãããšãããèŽãæ¹ãªã ãã ééãã ããã®é«éœ¢åºç£ èè ïŒåæ æ³°å ž åµåã®èåãåµåæäŸãåºçå蚺æãçåºå蚺æã代 çåºç£ãªã©ãææ°ãããã¯ãå«ããé«éœ¢åºç£ã«é¢é£ããå 容 ããŸãšããããŠããã å»çã®çŸå Žã§ãäžåŠæ²»çã«ãããæ£è ããã®å®¶æã®èŠã ã¿ãšãåŠåš ã»åºç£ã«è³ã£ãæ£è ããã®å®¶æã®åã³ãã©ã¡ãã ç¥ã£ãŠãããããããç£ãã«ã¯é©åãªã¿ã€ãã³ã°ãããããšãã ããšãç¹°ãè¿ã䞻匵ãããŠããã®ã ãšæãã ã¿ã€ãã«ã¯ãé«éœ¢åºç£ããšããããïŒïŒä»£ãïŒïŒä»£ãããç·æ§ãèª ãã¹ãæ¬ã ã
23.
23 Meditur Insight vol.3 ç¥ã£ãŠããŸãã?
ç·æ§ã®ããã ã®ããšã女æ§ã®ããã ã®ããš ïœå¥åº·ã§å å®ãã人çã®ããã«ïœ å¹³æ 24 幎åçåŽåç§åŠç 究費è£å©éïŒæè²çŸæ£å æç次äžä»£è²æåºç€ç 究äºæ¥ïŒ æ¯åä¿å¥äºæ¥ã®å¹æçå®æœã®ããã®åŠå©Šå¥èšºã乳幌å å¥èšºããŒã¿ã®å©æŽ»çšã«é¢ããç 究 äžåŠæ ¡ãé«çåŠæ ¡ã§é åžãããè³æã®ãããªäžèº«ã§ãé¿ åŠã»äžåŠãç°¡åã«æžããŠããããã ãã¿ãŒã²ãããéåžžã«æ æ§ãªããã«ããåºç€äœæž©ã枬ããŸãããããšæžããŠãããã®ã®ã女 åé«çã枬ãã¹ããªã®ããåäŸã欲ãããšæã£ã人ã枬ã ã¹ããªã®ãããã€ãã枬ãã¹ããªã®ãããã€ãŸã§æž¬ãã¹ããªã® ããåãããªãã è³æå šäœãšããŠã¯ãå 容ãã³ã³ãã¯ãã«ãŸãšããããŠããŠãã 〠Web ããããŠã³ããŒãã§ãããããä»ã®æ¬ãè³æãèªãå ã«èŠãè³æã«é©ããŠããã http://www.mhlw.go.jp/seisakunitsuite/bunya/kodomo/kodomo_kosod ate/boshi-hoken/dl/gyousei-01-01.pdf äžåŠç Q&A èè ïŒäžè¬ç€Ÿå£æ³äºº æ¥æ¬çæ®å»åŠäŒ æ¬è³æã®ãã¯ããã«ãã«æžããŠãã説æã¯ãããããäžè¬ç㪠質åããŸãšããããšããªãæ§ãããªè³æã ããå 容ã¯éåžžã« å å®ããŠããããã€ç°¡æœã«ãŸãšãŸã£ãŠãããçæ®å»çã®æ²»ç ã®çš®é¡ãšå 容ãç解ããã«ã¯ååãªè³æã§ãããç¹ã«å 霢 ã«äŒŽãåŠåš ã»åºç£ã«ãããç¶æ³ã®å€åã¯ãåµåã®è³ªã®äœäž ãæµç£ã®å¢å ã»æè²äœç°åžžã®å¢å ã«ãèšåããŠãããå å® ããŠããããŸãç·æ§äžåŠã«ã€ããŠãæ å ±ãæŽçãããŠããŠã éé å¶è é人工æ粟ã®èª¬æãããã http://www.jsrm.or.jp/public/index.html
24.
24 Meditur Insight vol.3 ç£ããªããããããã£ã¡ãã£ã!
èè ïŒããããã (è), ããã (ã€ã©ã¹ã) æ¥æ¬ã§ã¯ããŸãèªç¥ãããŠããªãé€åå¶åºŠããã®ç¹å¥é€å çžçµã§äžå¥³ã®æ¯ãšãªã£ãåè²ãŠèšé²ã äžåŠã«æ©ãã ãšãã®è©±ãããåäŸãé€åãšããŠåãå ¥ããã ãšãæé·ã®éçšã§æ©ãæ§åãªã©ãæžãããŠãããåäŸã®ã³ ã¡ã³ããèŒã£ãŠããŠã倧å€èå³æ·±ãã äžåŠæ²»çããéžæè¢ããªããšããçãèãã§ã¯ãªããç€ŸäŒ ããã£ãšç解ãã¹ãå 容ã ããã
25.
25 Meditur Insight vol.3 Chapter.2
çæ®å»çããããã瀟äŒã¥ãã â çæ®å»çã®é£ãã çæ®å»çã«ã¯ããã€ãã®é£ãããããããããŸãã«ãæéçå¶çŽãééçå¶çŽãèäœçå¶çŽãå¿ç çå¶çŽã®ïŒã€ã«åé¡ã§ããã å¶çŽã»è² æ ã®çš®å¥ äºäŸ â æéçå¶çŽ ïŒ ä»äºã«ç©ŽãéããŠããŸã ïŒ è¶£å³ãäœæã®èšç»ããäžåŠæ²»çã®ã¹ã±ãžã¥ãŒã«ãåªå ããã â¡ ééçå¶çŽ ïŒ äœå€å粟ãªã©ã®é«é¡ãªå»çãç¹°ãè¿ãããšã®è² æ ã倧ãã ïŒ ä»äºãç¶ç¶ã§ããªãããã«åå ¥ããªããªã/æžã£ãŠããŸã ⢠èäœçå¶çŽ ïŒ å¹Žéœ¢çã«åŠåš ã»åºç£ãå°é£ã«ãªã ïŒ æåµèªçºå€ãªã©ã«ãã OHSS ãªã©ã®ç æ°ã«ãªã ⣠å¿ççå¶çŽ ïŒ åŠåš ã§ããªãããšã«ãã¬ãã·ã£ãŒãæãã ïŒ æ²»çã®ç¶ç¶ãäžæãçµäºã«è¿·ã æ²»çã®æéãé·æã«ãªãã°ãªãã»ã©ããã®ãããªè² æ ã»å¶çŽã倧ãããªãããã®è² æ ã¯åäŸã欲ãããš æã倫婊ã ãã«æ ãããã¹ããã®ãªã®ã ããããå°ååãåãå ¥ãããåŠããè°è«ã¯ããã«ããã瀟 äŒçã«ãµããŒãããä»çµã¿ã¯å å®ãããã¹ãã ãšèããŠãããããã§ã©ã®ãããªãµããŒããã§ãããè ããŠã¿ããã Keyword åµå·£éå°åºæ¿çå矀 (OHSS, Ovarian HyperStimulation Syndrome) ïŒïŒåµå·£éå°åºæ¿çå矀ãšã¯ïŒ 女æ§ã®åµå·£ã¯èŠªæ倧ã»ã©ïŒ3ïœ4 cmïŒã®èåšã§ããããã®äžã®åµ ïŒåµèïŒãäžåŠæ²»çã«ãããæåµèªçºå€ã«éå°ã«åºæ¿ãããããšã« ãã£ãŠãåµå·£ããµããäžããããè ¹ãèžã«æ°ŽãããŸããªã©ã®çç¶ã èµ·ããããšãåµå·£éå°åºæ¿çå矀ïŒOHSS)ãšåŒã¶ãéçäŸã§ã¯ãè äž å šãè¡æ çãªã©æ§ã ãªå䜵çãåŒãèµ·ããããšãããã ïŒïŒæ©æçºèŠãšæ©æ察å¿ã®ãã€ã³ã åµå·£éå°åºæ¿çå矀ã¯éçã«ãªããšæ§ã ãªå䜵çãæ¥ããããšãŠãå±éºãªç¶æ ã«ãªãå Žåããã ã®ã§ãæ©æã«çºèŠããŠå¯Ÿå¿ããããšã倧åã ãè¬ã«ããåµå·£éå°åºæ¿çå矀ã¯åå ãšãªã£ãè¬ãäž æ¢ããããšã«ããæ¹åããããšãå€ãã®ã§ãäžåŠæ²»çäžã«ãããªãã匵ããããã¯ãæ°ããããããæ¥ã«äœ éãå¢ãããããå°¿éãå°ãªããªãããªã©ã®çç¶ã«æ°ãã€ããå Žåã¯ãéããã«å»åž«ã»è¬å€åž«ã«é£çµ¡ã ã¹ãã§ããã åºæïŒ [6] ã [15]
26.
26 Meditur Insight vol.3 â å¶çŽã»è² æ ã軜æžããã®ã¯èª°ã â
æéçå¶çŽ äžåŠæ²»çãè¡ããšã¯ãªããã¯çãžã®å蚺ã¿ã€ãã³ã°ã¯ãªããªãèšç»ãã«ãããªãã人éã®èº«äœãç æ®æ©èœãšåãåã£ãŠã¹ã±ãžã¥ãŒã«ã決ãŸããããã©ããªã«éèŠãªäŒè°ãã€ãã³ãããã£ããšã㊠ããã¯ãªããã¯ã«è¡ãã®ãæ¥é±ã«å€æŽãããšãã£ãããšã¯ã§ããªãããã®ãããä»äºã«ç©Žããããããš ã¯çããããšã§ã¯ãªãããŸã颚éªãã²ã㊠2,3 æ¥äŒãã®ãšã¯æ ¹æ¬çã«ç°ãªããå æãä»æãæ¥æã ãšãã£ã颚ã«é·æã«ãããããšãå€ãããã®ãããªç¶æ³ããããã«ã¿ã€ã ã®ä»äºãèŸããããã㪠ã人ããããšããããã®ãããªå¶çŽã»è² æ ã軜æžããã«ã¯ã©ããããããã ããããäŸãã°ãäžåŠæ²» çäŒæãæããããã äžåŠæ²»çäŒæã®äžäŸ ãããœããã¯ïŒ ãã¡ããªãŒãµããŒãäŒæïŒéç® 1 ã¶æïœ365 æ¥éãäžåŠæ²»ççãçç±ã«äŒ æãååŸã§ããå¶åºŠ ããªã³ããŒã«ïŒ ãã¡ããªãŒãµããŒãäŒæïŒå¹Ž 10 æ¥ãäžåŠæ²»ççãçç±ã«äŒæãååŸã§ã ãå¶åºŠïŒ ããã¯ãäžåŠæ²»çãå¿ èŠãªã¿ã€ãã³ã°ã§äŒæããšããå¶åºŠã§ã倧æµç¡çµŠã ããé·æéã«ããã£ãŠ äŒæãååŸã§ãããªã©ãéåžžã«ãããããå¶åºŠã ããã ãè·å Žã«ãäžåŠæ²»çãããŠããããšããããš ãèšããªããã°ãªããªãã±ãŒã¹ããè·å Žã®ååã«è² æ ãã®ãããã£ãŠããŸãã±ãŒã¹ãã¯ã©ã€ã¢ã³ã ã«è¿·æããããã±ãŒã¹ããããåã人ã«ãšã£ãŠã¯ååŸãã«ããäŒæã®ããã ãå¶åºŠã®å å®ã ãã§ã¯ æ²»çã«ãããæéçå¶çŽãã¯ãªã¢ã§ããã»ã©çãã¯ãªãã®ãçŸå®ã§ããããã ãç£äŒããã€ãŠã¯å ãã¥ããäŒæã ã£ãããšãèãããšïŒçŸåšã§ãåãã¥ããè·å Žãããããšãäºå®ã ãïŒãè·å ŽãäžåŠ æ²»çã«å¯Ÿããç解ãæ·±ããããšã§ãåããããç°å¢ããäœãããšãã§ããã®ã§ã¯ãªãã ãããã â¡ ééçå¶çŽ ãŸãäžåŠæ²»çã«å¯Ÿããééçè² æ ãã©ã®çšåºŠã«ãªã®ãã倧ãŸãã«ç解ããŠããã¹ãã ããããã ã«ã¯ NPO æ³äºº Fine ã®èª¿æ»çµæããããããã [16]ãFine ã®èª¿æ»çµæã«ãããšãäœå€å粟㮠1 åãããè²»çšã¯ 30ïœ50 äžãšçããŠãã人ãæãå€ãã2 å²åŒ±ã¯ 50 äžå以äžãšçããŠãããé¡åŸ® æ粟ã§ã¯æŽã«é«ãã50 äžå以äžã 3 å²ãè¶ ããŠãããéé¢ãéå§ããŠããã®æ²»çè²»ã®ç·é¡ã¯ 10 äžïœ200 äžã®ã¬ã³ãžã§ 6 å²ä»¥äžãå ããŠãããã®ã®ã300 äžä»¥äžã 1 å²åŒ±ã500 äžå以äžã 3ïŒ çšåºŠããããã§ããã身è¿ãªäººããããã¡ã®å 1 人ãæããããã«é«çŽå€è»äžŠã¿ã®éé¡ãã ããããšãã話ãèããããšãããã ãã«ããã®èª¿æ»çµæã¯ããªãã¡ééã£ãŠããªããã®ãšèšããã ããã
27.
27 Meditur Insight vol.3 ãã®ãããªé«é¡ãªè² æ ãééçã«çžåœãªäœè£ããããªããããããããªããã倧åã®äººã¯å€ã ãå°ãªããè² æ ã«ãªãã¯ãã§ããããã®äžåŠæ²»çã«å¯Ÿããééçè² æ ã軜æžããã«ã¯å€§ããå ããŠ
3 ã€ã®æ¹æ³ããããïŒã€ç®ã¯æ²»çè¡çºèªäœã«å ¬çãªå©æéãåºãããšã2 ã€ç®ã¯æ°éå»ç ä¿éºçã§ã«ããŒããããšã3 ã€ç®ã¯äžåŠæ²»çãä¿éºèšºçãšããããšã ããŸãïŒã€ç®ã®å©æéãåº ãå¶åºŠã¯ããã§ã«çŸåšãããã幎ã 掻çšä»¶æ°ãå¢ããŠãããéããã財æºãæå¹ã«äœ¿ãããã«ãã çŸåšåçåŽåçã®æ€èšäŒã§æ§ã ãªè°è«ããªãããŠããããã®å©æ察象ã 43 æ³æªæºã«ãã話 ãæã¡äžãã£ãŠãã [17]ã詳ããã¯æ€èšäŒã®è³æãèŠãŠãããããããæ¯äœã®å¹Žéœ¢ãäžãããšåŠ åš ãã確çãäžãããåŠåš ãããšããŠãæµç£ããŠããŸããªã¹ã¯ãé«ããªãããšããããã¿ããã«å©æã ã¹ãã§ãªããåãæãã確çãé«ããšãããéç¹çã«å©æããããšããèãæ¹ã ãããã«ã¯ 1 ç¹ç çŸããããšããããäžåŠæ²»çãç¶ç¶ããªãã幎霢ãé«ããªã£ãŠããŸã£ã人ã¯æãçµæžçã«èŠãã ç«å Žã®äººã§ããã«ãããããããå©æãããªããšããäžå¹žãªçµæã«ãªã£ãŠããŸãããããèŽãæ¹ãª ããšæãã¹ããåŠãã¯é£ãã話ã§ããã ãã㧠2 ã€ç®ã«æããæ°éå»çä¿éºçã§ã«ããŒããããšãéèŠã«ãªã£ãŠãããšèããŠããã äžåŠæ²»çåãã®æ°éå»çä¿éºã¯çãŸããã®ã äžåŠæ²»çã«é¢ããééçè² æ ã軜æžããæ段ãšããŠãéèåºã®éè審è°äŒãä¿éºååã»ãµãŒ ãã¹ã®æäŸçã®åšãæ¹ã«é¢ããã¯ãŒãã³ã°ã»ã°ã«ãŒããã®å ±åæž ïŒhttp://www.fsa.go.jp/news/24/singi/20130611-2/01.pdfïŒããåŒçšãããšããäžåŠæ²»çã« ä¿ãä¿éºã«ã€ããŠã¯ãäžåŠãšããäºç±ã®çºçã«ã¯å¶ç¶æ§ãèªããããäžåŠæ²»çã«èŠããé«é¡ ãªè²»çšãçµæžçã«å¡¡è£ããããŒãºãããããšãããä¿éºã®å¯Ÿè±¡ãšãªãããèŠçŽ ãåããŠããã㟠ãã瀟äŒçæ矩ãååèªãããããšèãããããäžæ¹ãäžåŠæ²»çãåãããã©ããã«ã€ããŠå°ã 被ä¿éºè ã®ææã«å§ããããŠããããšãªã©ãã¢ã©ã«ãªã¹ã¯ãééžæã®åé¡ãžã®å¯ŸåŠã®å¿ èŠæ§ã ã¯ãããšããŠãä¿éºãåŒãåããéã®ãªã¹ã¯ã®ç®¡çãé£ããé¢ãååšããããšãããå ·äœçãªå åéçºã«åœãã£ãŠã¯ããããã課é¡ã«å¯Ÿå¿ã§ãããã®ãšããå¿ èŠãããããŸãããã®éãä¿éºå åãè€éã«ãªããå©çšè ã«åããã«ãããªããªãããã«çæããå¿ èŠããããã ãšããããã«ãä¿éº ååã®æäŸã«ã€ããŠæ€èšããªãããŠããã ãããã§ãå¯èœæ§ãæ®ãããŠããéãã¯ææŠãç¶ãããåžæãæã€å¥³æ§ãå»åŠçãªæ段ã§ã ãããªåžæã«ã§ãå¿ãããå»åž«ããããŠãåæ¥çãªåŽé¢ãåŠããªãã¯ãªããã¯ããã®äžè ã®ãã© ã³ã¹ãé©æ£ã§ããåæã§ã®ä¿éºèšèšã¯å¯èœã§ããããã«æãããã ããã®ãã©ã³ã¹ã厩ããç¬ éãä¿éºã¯å€§å€±æã«çµããã ããã幎霢ãåæ°ãªã©ã§ã®ç·åŒãããä¿éºå å ¥ã®æ¡ä»¶ã现ããã ããªã©ã§å¯Ÿå¿ã§ããéšåããããããããªãããããã¯åããã«ããã«ã€ãªããã åã¯åœã®å®ããšããã®ã§ããã°ããã¯ãçµæžçãªè² æ ã¯å ¬çãªä¿éºã§ã«ããŒã§ããæ¹åæ§ãæš¡ 玢ããŠãããããã®ã ãã»ã»ã»ã
28.
28 Meditur Insight vol.3 â¢
èäœçå¶çŽ 幎霢ãé«ããªããšåŠåš ã»åºç£ã®ç¢ºçãäœäžããæµç£ã®ãªã¹ã¯ãé«ãŸãçã®èäœçå¶çŽã«ã€ããŠã¯ åç« ã§è¿°ã¹ãã幎霢çãªå¶é以å€ã«ãäžåŠæ²»çãé²ããŠããã«ããã£ãŠãèäœçãªå¶çŽãåã ãããšããããäŸãã°ãæåµèªçºãé²ããŠããã±ãŒã¹ã§å€ãèãããã®ãåµå·£éå°åºæ¿çå矀 ïŒOHSSïŒã ããã®çç¶èªäœã¯æåãªããã€ã³ã¿ãŒãããçã§èª¿ã¹ãŠããããããèäœçå¶çŽã»ãªã¹ã¯ ãããããšããããšãç解ããŠãããªããã°ãªããªããšãã«åèã«ãªãæ¬ãããã®ã§çŽ¹ä»ãããã æ¥æ¬åã®äžåŠæ²»çå»çé誀蚎èšã«ã€ããŠæžããããA åãšäžåŠæ²»çãã§ãããäžåŠæ²»çã¯æã ã¬äºæ ã§èäœçã«ç¶ããããªããªãã±ãŒã¹ãããããšãç解ããäžã§ã¯ãäœãããåèã«ãªãã ã ãã äžåŠæ²»çã«å¯Ÿããçµæžçã«ããŒïŒæ¡ïŒ å ¬çä¿éºïŒ ï 39 æ³ãŸã§ã6 åãŸã§ã®äººå·¥æ粟ãã«ããŒïŒå¹Žéœ¢ãåæ°ã¯ä»®ã§çœ®ããïŒ æ°éä¿éºïŒ ï 39 æ³ã»6 åãŸã§ã®æåãã«ããŒãšã39 æ³ã§ 6 åè¶ ããã³ 40 æ³ä»¥éã®äººå·¥æ粟ãã« ããŒããã ããã1 åããããã®å®é¡å¶ã®ã«ããŒã§ã¯ãªããåæ°ã幎霢ã«å¿ããéæžæ¯æ ãå¶ïŒåŸã ã«ããããéé¡ãäžãã£ãŠããèšèšïŒ ï å ¬çä¿éºã§ã«ããŒããããªã亀éè²»ãäŒæ¥è£åã®ã«ã㌠ï 人工æ粟以å€ã®çæ®å»çïŒåµåæäŸãªã©ïŒã«å¯Ÿããäœããã®ã«ã㌠ï æµç£ãäœããã®é害ã®ããå ã«å¯Ÿããã«ã㌠ï äžåŠæ²»çãç¶ç¶ããªãå Žåã®è§£çŽè¿æ»é ï ïŒäžèšã«å ãïŒOHSS ãªã©ã®å»åŠççç±ã«ããäžåŠæ²»çãæ念ããå Žåã®ç¹å¥ãªã« ã㌠ï äžåŠæ²»çãæåããæ£ç£ã«è³ã£ãå Žåãç¥ãéïŒå°é¡ã®æ¯æãã倧åã®ç©ç«é㯠ä»å¥çŽè ã®ããã«ããŒã«ïŒ å ¬çä¿éºãšæ°éä¿éºãçµã¿åãããããšã§ãæ°éä¿éºã§ã¯ééžæãåæã®ãã€ãªã¹ã¯ãªäººã ã ãéããæãæšãŠã§ãªãç©ç«éããããããªä¿éºèšèšã¯ã§ããªãã ããããç¹ã«ãç¡äºãåäŸã æãããåºç£ã«è³ã£ãå Žåã«ããã®ç©ç«éãä¿éºå¥çŽè ã«ããŒã«ãããããªä»çµã¿ã¯ãçžäºæ¶ å©ã®èŠ³ç¹ãããæªããªãããã«æãããããã ãããã
29.
29 Meditur Insight vol.3 A
åãšäžåŠæ²»çâæ¥æ¬åã®äžåŠæ²»çå»çé誀蚎èšãçµãŠ èè ïŒèæš æå çæ®å»çæœèšã®å¿çã«ãŠã³ã»ã©ãŒã®èæžãäžåŠæ²»çãå å ã§èäœçã«ã粟ç¥çã«ãèŠããæ§åãæžããã«ãã«ã¿ãŒ ãžã¥ã蚎èšãªã©ã®çµç·¯ãè¿œããªãããçæ®å»çãæ±ããå» çæäŸäœå¶ã®åé¡ãã¡ã³ã¿ã«é¢ã§ã®é£ãããèäœçã«è² æ ãšå€§ããªãªã¹ã¯ãããããšãéåžžã«ããç解ã§ããã ⣠å¿ççå¶çŽ æ¥æ¬çæ®å»çå¿çã«ãŠã³ã»ãªã³ã°åŠäŒïŒJAPCRMïŒã®ããŒã ããŒãžã®çŽ¹ä»æã«ã以äžã®ããã«ã ãã æ¥æ¬ã®çæ®å»çã¯è¿å¹Žèããçºå±ããšããäžåŠã«æ©ãã«ããã«ã«ãšã£ãŠããã®å»çæè¡ã® é²æ©ãšãšãã«å€å€§ãªè²¢ç®ããããããŠãããã®ãšæãããŸããããããªãããäžæ¹ã§ã¯ãå¿ã® ã±ã¢ãã®åé¡ã¯æªã ååãªæ¹åæ§ãåŸãŠããèš³ã§ã¯ãããŸããã ïŒæ¥æ¬çæ®å»çå¿çã«ãŠã³ã»ãªã³ã°åŠäŒ ããŒã ããŒãž [18]ããåŒçšïŒ å¿ã®ã±ã¢ã¯ãå»çãé²æ©ããã°ããã»ã©ãå¿ èŠæ§ãé«ãŸã£ãŠããã¯ãã ãåç« ã§çŽ¹ä»ãããšã ããé«éœ¢ã«ãªãã°ãåŠåš ç㯠10%ã«ãæºããªããªãäžã«æµç£çãé«ãŸãã1 åã®ãã£ã³ã¹ãéã ã°ã1 ã¶æã®æ©ã¿ãšãšãã«ç¢ºçã¯ããã«äžããããã®ç¹°ãè¿ãã®äžã§ããã€ãŸã§ç¶ããã¹ãããæ¢ã æãåãããªããšãã話ã¯çããããšã§ã¯ãªãããã ããã®ããšã¯ NHK ã®çªçµã§ãåãäžããŠãã [19]ãNHK ã§ã¯äžåŠæ²»çã«é¢ããç¹éãéåžžã«å å®ãããŠãã [20]ããããã®å 容ã¯çªçµã ã ã§ãªãåè¡æ¬ã«ããªã£ãŠããã®ã§ãæ©äŒãããã°ãã²èªãããšãããããããã
30.
30 Meditur Insight vol.3 ç£ã¿ããã®ã«åããªã
åµåèåã®è¡æ èè ïŒNHK åæç NHK ã¹ãã·ã£ã«ã®å 容ãåè¡æ¬åãçªçµåæ§ãæ²»çã®ã ãã©ããåãããªããšããæ²çãªå«ã³ã«ã€ããŠãåãäžã㊠ããŠãå¿ççãµããŒãã®å å®ãäžå¯æ¬ ã§ããããšãæµ®ãã³ äžãã£ãŠããã ãããïŒã€ã®å¶çŽã軜æžããã®ã¯å©æå¶åºŠãå»çä¿éºãå¿çã«ãŠã³ã»ã©ãŒãšãã£ãä»çµã¿ãå¶åºŠã 倧äºã§ããããšã«å ãããããã瀟äŒãç解ããããšã§ã¯ãªãã ããããåäžä»£ãèå³ã»é¢å¿ãæã€ãš ããã¬ãã«ããã¹ã¿ãŒãããªããã°ãªããªããããããªããããã®èå³ã»é¢å¿ãããäžä»£ãè¶ ããç解 ãçãŸããåœã®äžåŠã«æ©ãã«ããã«ããã®å®¶æã®å¶çŽã»è² æ ãå€å°ã§ã軜ããªãã°ãããã¯å»çã® é²æ©ãšåããããã以äžã®äŸ¡å€ãããããã«æãã瀟äŒãçæ®å»çãšãã®å»çãåãã人ãã¡ãæ¯ã ããšãã颚朮ãäœãããšãæ¥åã§ããã
31.
31 Meditur Insight vol.3 Chapter.3
çæ®å»çã®è³ªåäžã®ä»æã â å»çã®è³ªã¯ãã©ãã¯ããã¯ã¹ çæ®å»çããã®æè²ããããŠæ§ã ãªè² æ ã»å¶çŽãèžãŸãããããŸã§ä»¥äžã«ç€ŸäŒãçæ®å»çã«ã€ã㊠ç解ããäžåŠã«æ©ã人ã ããã®åšãã®äººã ãæ¯ããŠããããšãéèŠã§ããããã®äžã§ãçæ®å»çã瀟 äŒã財æ¿çã«æ¯ããããšã®è°è«ã絶ããè¡ãããŠããããã®éèŠæ§ã¯åç« ã§è¿°ã¹ããšãããæ¬ ããã ãšã®ã§ããªããã®ã§ããããäžæ¹ã§ãçæ®å»çã«ããã倧ããªå©çãå ±é ¬ãåŸãŠãã人ãããããšãäº å®ã§ããããã€ãŠé«é¡çŽçšè ã®ãªã¹ããå ¬è¡šãããŠããããã«ã¯ãäžåŠæ²»çã¯ãªããã¯ã®ä»£è¡šããäžäœ ã«è€æ°äººæ²èŒãããŠãããæåŸã«ãªã¹ããå ¬è¡šããã 2004 幎ãã 10 幎è¿ãçµéããŠããç°å¢å€åã å€å°ããã ããããçæ®å»çã®å°é家ããèãããšããã§ã¯ãçŸåšã§ããããªãã®åçãå ±é ¬ãåŸãŠ ããå»çæ©é¢ã»å»åž«ãããããšã¯äºå®ã®ããã ãå ¬çãªå©æå¶åºŠã¯æ£è è² æ ã軜æžããæå³ã§è©äŸ¡ ã§ããŠããäžéšã®å»çæäŸè ãå©ããã®ã¯çŽåŸæã«æ¬ ããã®ã§ã¯ãªãã ãããã ããããé«éœ¢ãªæ£è ã«ããããªåžæãäžãç¶ãæ²»çãç¶ç¶ããããšã¯å©çã«ã€ãªãã£ãŠããã®ã ã ãããããããåœãããè²·ããªããã°çµ¶å¯Ÿã«åœãããªãããšå®ããã®è³Œå ¥ãå§ããã®ãšå€ãããªããã㪠話ã«ãªããããªãäžã«ãæ¯äœã«èäœçè² æ ã粟ç¥çè² æ ããããããšã¯ãééçè² æ ã ãã®å®ãã 以äžã«å€§ããªåé¡ã ãäžæ¹ã§ãæ²»çç¶ç¶ãšäžæ¢ã«çæ¯ã«åãåããæ£è ãšäžç·ã«æ©ã¿ãããŸãå²ã ã«èå³ã瀺ããªãå»åž«ãããããšãäºå®ã§ããã ãã®å¶å©äž»çŸ©ã®ã¯ãªããã¯ã»å»åž«ãšãããã§ãªãã¯ãªããã¯ã»å»åž«ãšãã©ã¡ããè¯ãããšããè°è«ãå®ã¯ç ãããªãããšããã®ããå¶å©äž»çŸ©ã«èµ°ã£ãŠããå»åž«ã§ãã£ãŠãæ²»çæ瞟ãéåžžã«è¯ãã£ãããããã§ãª ãå»åž«ãéã«æ瞟ãæªãã£ãããå¶å©ãšæ²»çæ瞟ã¯çžåãããã®ã§ã¯ãªãããã ãå ¬çãªå©æå¶åºŠ ã«ããæ£è è² æ ã軜æžãããããšãšåæã«å»çæ©é¢ãå©ãããšããèãæ¹ã«ãããŠãæ²»çæ瞟ãè¯ã å¶å©äž»çŸ©ã®å»çæ©é¢ãšãæ²»çæ瞟ãæªãå¶å©çã§ãªãå»çæ©é¢ã®ã©ã¡ãããããã¯ãåçŽãªè©±ã§ ã¯ãªããïŒæ²»çæ瞟ãããå¶å©çã§ãªãå»çæ©é¢ãããã°è¯ãã®ã ãïŒ ããã§å€§äºã«ãªã£ãŠããã®ããæ²»çæ瞟ã®å ¬éã§ãããå»çæ©é¢ã®æ瞟ãåãåºæºã§å ¬éããããã ã«ãªãã°ãå ¬çå©æå¶åºŠãå©çšããçŽåŸæãåºãŠããã ãããæ²»çæ瞟ã»å»çã®è³ªããã©ãã¯ãã㯠ã¹ã®ãŸãŸãå ¬çãªå©æå¶åºŠãç¶ç¶ããã®ã¯çéã§ããªãã æ¥æ¬ã«ãããæ å ±é瀺 æ¥æ¬ã§ãæ¥æ¬ç£ç§å©Šäººç§åŠäŒãç©æ¥µçã«æ å ±ãé瀺ããŠãããåŠäŒã«ç»é²ããŠããæœèšããæ²»ç æ瞟ãéããéèšããå ¬éããŠããããã®è³æã¯ããŒã ããŒãžã«ãå ¬éãããŠããŠã2005 幎以é㮠詳现ãªããŒã¿ãèŠãããšãã§ããããŸã 2008 幎ããŒã¿ã¯ ART Registry of Japan 2008 in English ãšããŠ
32.
32 Meditur Insight vol.3 è±èš³ããããŠããããã®ãããªç©æ¥µçãªå§¿å¢ã¯ãå»åŠã®ä»ã®é åã«æ¯ã¹ãå é²çã§ããã奜æãæ㊠ããã®ã ã ããããæ å ±ãååããšãããšãããã§ã¯ãªãã è¡š
2 åŠåš ã»ååš©äŸå ±åæœèšæ°ïŒ2010 å¹ŽïŒ åºæïŒ [2] è¡š 2 ã«ãããšãIVF-ET ã®å®æœæœèšã¯ 538 æœèšããã®ã«å¯ŸããåŠåš äŸå ±åæœèšæ°ã¯çŽ 8 å²ã® 432 æœèšãããªãããšãåãããçç£ååš©äŸå ±åæœèšæ°ã«è³ã£ãŠã¯ã390 æœèšãšã72.5%ã®æœèšãã㪠ãããšãåãããããã¯ããããæ²»çåšææ°ãå°ãªãæœèšãå ±åã«å«ãŸããŠããããšãäžå ã ããæ£ è èæ¯ïŒå¹Žéœ¢ãäžåŠã«é¢é£ããçŸæ£ã®æç¡ãªã©ïŒãåãããªãããçç£ååš©äŸããªãããšãåé¡ãš åçŽã«å€æããããšã¯ã§ããªãããåŠåš ã»çç£ã®æç¡ã ãã§ããæœèšéã«ã¯å·®ããããšããããšã ã è¡š 3 æ²»çåšææ°ããã¿ãæœèšæ°ã®ååžïŒ2010 å¹ŽïŒ åºæïŒ [2]
33.
33 Meditur Insight vol.3 ããã«è¡š
3 ã«ããã°ãæ²»çåšææ°ã 3000 åšæãè¶ ããæœèšãããããšãåãããæ²»çåšææ°ãå€ ããã°ãæ瞟ãè¯ããšããããã§ã¯ãªãã ãããã幎é 10 åšæ以äžã® 1 å²åŒ·ã®æœèšãšã1000 åšæ 以äžã® 1 å²åŒ±ã®æœèšã®æ瞟ãæ¯èŒã§ãããšããããããããèå³æ·±ãçµæãšãªãããšã ããã ã¡ãªã¿ã«ãå»çæ©é¢ã®ããŒã ããŒãžãèŠããšæ²»çæ瞟ãå ¬éããŠããã±ãŒã¹ãããèŠãããããã®ãã ãªåã ã®å»çæ©é¢ã®åªåã¯ããããŸã§ä»¥äžã«è©äŸ¡ãããã¹ãã ããããã ããã®å ¬éããŠããåã ã® å»çæ©é¢ã®æ²»çå®çžŸããæœèšéã§æ¯èŒããããšã¯é£ãããããããªããããã«ã¯æ£è èæ¯ãç°ãªã£ ãŠããçã®å®çžŸã®åæãšãªãæ å ±ãäžè¶³ããŠããã±ãŒã¹ãããããã ãæ£è èæ¯ãå«ããæ²»çå®çžŸ ãå ¬éããããšã¯ã§ããªãã®ã ãããã ã¢ã¡ãªã«ã«ãããæ å ±é瀺 以åãåŒç€Ÿã®ããã° [21]ã§ã玹ä»ããã®ã ããã¢ã¡ãªã«ã§ã¯ CDC ã®ããŒã ããŒãžã«å šäœã®çµ±èšã«å ããã¯ãªããã¯å¥ã®æ²»çæ瞟ãå ¬éãããŠãã [22]ãã¯ãªããã¯ããšã«ãæ£è èæ¯ãæ²»çéžæå 容ã幎 霢åºåå¥ã®æ瞟ããŸãšããããŠãããæäŸåµåãåŠããåºåãããŠããã å³ 12 ã¢ã¡ãªã«ã«ãããçæ®å»çæ©é¢ã®äœçœ® åºæïŒ [23]
34.
34 Meditur Insight vol.3 å³
13 çæ®å»çã«ããã幎霢å¥ã®æ¹æ³éžæå²å åºæïŒ [23] å³ 14 ã¯ãªããã¯èŠæš¡ã»æ¹æ³å¥ æ£ç£å²å åºæïŒ [23]
35.
35 Meditur Insight vol.3 å³
15 CDC ART Fertility Clinic Success Rates Report ã¢ã©ããå·ã®æœèšäŸ åºæïŒ [22]
36.
36 Meditur Insight vol.3 å³
16 CDC ART Fertility Clinic Success Rates Report ã¢ã©ããå·ã®æœèšäŸ åºæïŒ [22]
37.
37 Meditur Insight vol.3 å³
15ã16 ã«ãããããªã¯ãªããã¯å¥ã®ããŒã¿ãèŠããšãããçšåºŠçäŸæ°ã»æ²»çåšææ°ãããæœèšéã® æ¯èŒã§ãã£ãŠããæ瞟ã«ã¯ããªãã°ãã€ããããããšãåãããããã§å³ 17 ã«æœèšå¥ã®ããŒã¿ãæŽç ãããšããã35 æ³æªæºã®ããã«ããçšåºŠæ²»çæ瞟ãè¯å¥œãªæ£è 矀ã§ããé«éœ¢ã®æ£è 矀ã§ããæœèšé ã®æ瞟ã«ã¯éããåºãŠããããšãåãã£ãã å³ 17 æ¯äœå¹Žéœ¢å¥ çç£çã®æœèšååž(æ¯äœåµå䜿çš) åºæïŒ [24]ãå ã«åŒç€Ÿã§äœæ
38.
38 Meditur Insight vol.3 â æ å ±é瀺ã¯ãã©ãã€ã ã»ã·ãããšãªã åè¿°ã®ã¢ã¡ãªã«ã®äžåŠæ²»çã®ã¯ãªããã¯å¥æ瞟ã®ãããªæ å ±ãé瀺ããããšãå ¬çå©æå¶åºŠã®ããæ¹ ãå€ãã£ãŠããå¯èœæ§ããããå©æããã®ã§ããã°æ²»çæ瞟ãããæœèšã«èªå°ãããéã«æ²»çæ瞟 ãæªãæœèšã«ã¯èªå°ããªãçã®ã³ã³ãããŒã«ãè¡ãããšãäžæ¡ã ãããããã«ã¯æ瞟ãããæœèšã«ã¯æº é¡å©æããããã§ãªãæœèšã«ã¯å©æé¡ãæžããããããã«ããã®ãäžæ¡ã ãå»çæ©é¢ããšã®æ Œä»ã㧠ã¯ãªãããæ²»çæ瞟ãéæåããããšã«ãããå ¬çå©æå¶åºŠã§æµãããéã®éææ§ãæ ä¿ãã¹ã㪠ã®ãããããªãã ãã®ä»çµã¿ã¯äžåŠæ²»çã«éã£ã話ã§ã¯ãªãããã以å€ã®å»çã®é åã§ãã£ãŠãåæ§ã§ãããæ¥æ¬ã« ãããŠããããæ²»çã«é¢ããããŒã¿ãé瀺ãããŠããŠããããã«
[25]ãå»çã®éææ§ãã¢ããããããš ã¯ãä»åŸãé¿ããŠã¯éããªãéã ãæ å ±é瀺ãé²ãããšã«ãããåœæ°çä¿éºã®ããšã§ãã£ãŠããå»ç æ©é¢ã®åæšéžæãæ確ã«èµ·ããåå»çæ©é¢ã¯è³ªã®åäžã«ç©æ¥µçã«ãªããããåŸãªããªããããã¯ä» ã®ãµãŒãã¹æ¥ã§ããã°æ®éã®ç«¶äºç€ŸäŒãªã®ã ããå»çã«ãããŠãä¿éºèšºçã¯åœç¶ãªãããèªç±èšº çã§ãã競äºç€ŸäŒã«ãªã£ãŠããªããçæ®å»çã¯åã¡è² ãããããããªããïŒãšããæèŠãããããã ããªããã§ãããã¯å®£äŒåºåã ã£ããå£ã³ãã ã£ããã絶察çãªæ å ±ã«ããæ¯èŒã»ç«¶äºã§ã¯ãªãã®ã ã å»çã®æ å ±é瀺ã¯ãä»åŸã®å»çæäŸãæ£è ã®è¡åæ§åŒãå€ããããã©ãã€ã ã»ã·ãããèµ·ããå¯èœ æ§ãç§ããŠãããçæ®å»çã¯åŠåš ã»åºç£ãšããæ²»çã®æåŠãåããããããããæ å ±é瀺ãæåã ãå¯èœæ§ã¯é«ãã®ã§ã¯ãªãã ãããã
39.
39 Meditur Insight vol.3 ãŸãšã äœå€å粟ãªã©ã®é«åºŠçæ®å»çãå å®ããããšã¯å€§äºã§ãããã®ã®ã瀟äŒçã«ç£ã¿ãããææãåº ããçç©åŠçã«ç£ã¿ãããææã«ç£ããããã«ããããšã§ãé«åºŠçæ®å»çã®åãåããã«ç£ããç€ŸäŒ ã«ããŠããããšãæ¬è³ªçããæ¹ã§ããããç£ã¿ãããææã«ç£ããããšãæšãé²ããããã«ã¯ãé«åºŠãª çæ®å»çã§ã¯ãªããããåºæ¬çãªã¿ã€ãã³ã°æ³ãªã©ã®å å®ãªã®ãããããªãããã®ããã«èãããšè¡ã çããšããã¯ãæè²ããã²ãšã€ã®å€§ããªã«ã®ã§ããããšã¯ééããªããçæ®å»çã¯åäŸã欲ãããæã ãããšã®ã§ããªãäžéšã®äººã ããé¢å¿ãæã€ãã®ã§ã¯ãªãããæè²ãã«å«ããå 容ãåå³ããæžç±ãã ã¬ãçªçµãã€ã³ã¿ãŒãããäžã®æ å ±ã«è§Šããããšã§ãããå€ãã®äººãç解ã身è¿ãªãã®ã«ããããšãéèŠ ã§ããã ãŸããæ¥æ¬ã«ãããŠãå»çã®æ å ±é瀺ã¯æãããã«é²ãã§ããªããããã¯åœæ°çä¿éºããã«ã©ã®æœèš ã§ãã£ãŠãåãå 容ã»è³ªã®å»çãåããããåæã§ãããããç©æ¥µçã«é瀺ããçç±ããªãã£ããã 財æ¿çã«å»çã®çœ®ãããç¶æ³ã¯å³ããã ãã«ãé©æ£ãªç«¶äºç°å¢ã®æ§ç¯ã«ãã質ã®åäžã¯é¿ããŠã¯ éããªãéã§ãããçæ®å»çã¯åŠåš ã»åºç£ãšããæåŠã®å€æã容æã§ãããããæ å ±é瀺ã«é©ã㊠ããã ããã å»çã®è³ªãåäžãããã«ã¯ãå»çè ã®ãããŸã¬åªåã ãã§ãªããæ£è åŽã®æ å ±ç解ã«åºã¥ãè¯ãæ å³ã§ã®ãã¬ãã·ã£ãŒãäžå¯æ¬ ã§ããããã®ããã«ããçæ®å»çã身è¿ãªãã®ã«ããããšãéèŠã§ã¯ãª ãã ãããã
40.
40 Meditur Insight vol.3 åŒçšæç® 1.
åçåŽåç. 人å£åæ çµ±èš ç¢ºå®æ°. 2010. 2. æ¥æ¬ç£ç§å©Šäººç§åŠäŒ. æ¥ç£å©Šèª 64 å·» 9 å· å¹³æ 23 幎床å«çå§å¡äŒ ç»é²ã»èª¿æ»å°å§å¡äŒ å ±å. 2011. 3. åçåŽåç. 人å£åæ çµ±èš æ¯ã®å¹Žéœ¢å¥ã«ã¿ã幎次å¥åºçæ°ã»çŸåçåã³åºççïŒå¥³æ§äººå£ å察ïŒ. 2011. 4. â. 人å£åæ çµ±èš ç¹æ®å ±å å¹³æ 22 幎床ãåºçã«é¢ããçµ±èšãã®æŠæ³. (ãªã³ã©ã€ã³) 2010 幎. http://www.mhlw.go.jp/toukei/saikin/hw/jinkou/tokusyu/syussyo06/dl/01.pdf. 5. æ¥æ¬ç£ç§å©Šäººç§åŠäŒ. 2010 幎çæ®è£å©å»çããŒã¿ããã¯. 6. ServiceInfertility GuidanceThe. Treatments and investigations. (ãªã³ã©ã€ã³) http://www.infertility- guidance.co.uk/fertility_treatments/ohss.html. 7. 倧å¡è£œè¬. ãã¿ãã³ Q&A é. åŠå©Šã¯èé žãå¿ èŠãªã®ã§ããïŒ (ãªã³ã©ã€ã³) (åŒçšæ¥: 2013 幎 8 æ 27 æ¥.) https://www.otsuka.co.jp/health_illness/vitamin_qa/folic_acid.html. 8. All About äž åŠ ç ïŒ å š åœ ã® äž åŠ æ²» ç ã® ç é¢ ã» ã¯ ãª ã ã 㯠㻠治 ç é¢ . ( 㪠㳠㩠〠㳠) http://allabout.co.jp/gm/gc/300018/3/. 9. å è€ä¿®. äžåŠæ²»çã¯ã€ãããªãâãã ãªæ€æ»ãè¬ããµããã®èµ€ã¡ãããé ããã. 10. æéšç§åŠç. æ°åŠç¿æå°èŠé ã»çããå å°åŠæ ¡åŠç¿æå°èŠé . 第 2 ç« åæç§ ç¬¬ 9 ç¯ äœè². (ãªã³ã©ã€ã³) http://www.mext.go.jp/a_menu/shotou/new-cs/youryou/syo/tai.htm. 11. â. æ°åŠç¿æå°èŠé ã»çããå äžåŠæ ¡åŠç¿æå°èŠé . 第 2 ç« åæç§ ç¬¬ 7 ç¯ ä¿å¥äœè². (ãªã³ã©ã€ã³) http://www.mext.go.jp/a_menu/shotou/new-cs/youryou/chu/hotai.htm. 12. åçåŽåç. 第ïŒå äžåŠã«æ©ãæ¹ãžã®ç¹å®æ²»çæ¯æŽäºæ¥çã®ããæ¹ã«é¢ããæ€èšäŒ. æéš ç§åŠçæåºè³æ åŠæ ¡ã«ãããåŠåš ã»åºç£ã«é¢ããæå°ã®çŸç¶ã«ã€ããŠ. (ãªã³ã©ã€ã³) 2013 幎 5 æ 27 æ¥. http://www.mhlw.go.jp/stf/shingi/2r98520000032xh1.html. 13. æéšç§åŠç. é«çåŠæ ¡åŠç¿æå°èŠé 解説 ä¿å¥äœè²ç·š äœè²ç·š. (ãªã³ã©ã€ã³) 2009 幎 7 æ. http://www.mext.go.jp/component/a_menu/education/micro_detail/__icsFiles/afieldfile/2011/01/1 9/1282000_7.pdf. 14. 岩 æ³¢ æž åº . 岩 æ³¢ æ° æž ç·š é éš æ° å 㮠玹 ä» . ( 㪠㳠㩠〠㳠) http://www.iwanami.co.jp/hensyu/sin/sin_kkn/kkn0704/sin_k348.html. 15. åçåŽåç. é節å¯äœçšçŸæ£å¥å¯Ÿå¿ããã¥ã¢ã« . åµå·£éå°åºæ¿çå矀ïŒOHSSïŒ. (ãªã³ã©ã€ã³) 2011 幎 3 æ. http://www.info.pmda.go.jp/juutoku/file/jfm1104011.pdf. 16. ãäžåŠæ²»çã®çµæžçè² æ ã«é¢ããã¢ã³ã±ãŒããçµæ(æç²). (ãªã³ã©ã€ã³) 2010 幎 3 æ. http://j- fine.jp/top/anke/keizai-anke.html. 17. åçåŽåç. 第ïŒå äžåŠã«æ©ãæ¹ãžã®ç¹å®æ²»çæ¯æŽäºæ¥çã®ããæ¹ã«é¢ããæ€èšäŒ. (ãªã³ ã©ã€ã³) 2013 幎 7 æ 29 æ¥. http://www.mhlw.go.jp/stf/shingi/0000013511.html. 18. æ¥æ¬çæ®å»çå¿çã«ãŠã³ã»ãªã³ã°åŠäŒ. æ¥æ¬çæ®å»çå¿çã«ãŠã³ã»ãªã³ã°åŠäŒïŒJAPCRMïŒãšã¯.
41.
41 Meditur Insight vol.3 (ãªã³ã©ã€ã³)
http://www.repro-psycho.org/kenkyu/01.php. 19. NHK. ã¯ããŒãºã¢ããçŸä»£ No.3343 çµããã®ãªãäžåŠæ²»ç 2013 幎 5 æ 8 æ¥ïŒæ°ŽïŒæŸé. (ãªã³ã© ã€ã³) 2013 幎 5 æ 8 æ¥. http://www.nhk.or.jp/gendai/kiroku/detail_3343.html. 20. â. äžåŠç€ŸäŒ ïœç£ã¿ãã è²ãŠããïœ. (ãªã³ã©ã€ã³) https://www.nhk.or.jp/shutoken/net/funin/. 21. ã¡ãã£ãã¥ã¢ããã° çæ®å»çã«é¢ããæ å ±å ¬é. (ãªã³ã©ã€ã³) 2013 幎 2 æ 5 æ¥. http://meditur.blogspot.jp/2013/02/blog-post_5.html. 22. CDC (Centers for Disease Control and Prevention). 2010 ART Clinic Data. ( 㪠㳠㩠〠㳠) http://www.cdc.gov/art/ARTReports.htm. 23. â. 2010 National Summary Section 1: Overview. 2010 Assisted Reproductive Technology National Summary Report. ( 㪠㳠㩠〠㳠) http://www.cdc.gov/art/ART2010/PDFs/Section_508_PDF_2010_SLIDES.pdf. 24. â. ART Reports and Resources 2011 Preliminary Data. ( 㪠㳠㩠〠㳠) http://www.cdc.gov/art/ExcelFiles/Clinic_Tables_Data_2011.xls. 25. æ ªåŒäŒç€Ÿã¡ãã£ãã¥ã¢. meditur insight vol.1 æ£è èŠç¹ã眮ãå»ãã«ãªã£ã DPC/PDPS å¶åºŠ. (ãªã³ ã©ã€ã³) 2013 幎 1 æ. 26. å¹³æ 24 幎åçåŽåç§åŠç 究費è£å©éïŒæè²çŸæ£å æç次äžä»£è²æåºç€ç 究äºæ¥ïŒ æ¯å ä¿å¥äºæ¥ã®å¹æçå®æœã®ããã®åŠå©Šå¥èšºã乳幌å å¥èšºããŒã¿ã®å©æŽ»çšã«é¢ããç 究24 å¹³æ. ç¥ ã£ ãŠ ã 㟠ã ã ïŒ ç· æ§ ã® ã ã ã ã® ã ãš ã 女 æ§ ã® ã ã ã ã® ã ãš . ( 㪠㳠㩠〠㳠) http://www.mhlw.go.jp/seisakunitsuite/bunya/kodomo/kodomo_kosodate/boshi-hoken/dl/gyousei- 01-01.pdf. 27. patient-information-booklets.html. ( 㪠㳠㩠〠㳠) http://cityfertility.fertilityportal.com.au/home/patient-information-booklets.html.
42.
Meditur Insight vol.3 2013
幎 9 æ æ ªåŒäŒç€Ÿã¡ãã£ãã¥ã¢ info@meditur.jp
Download now