次ã®æ¥ã®æ
è沢家
çœç³)èäœãã¯ããã
èæ²¢)ãããæµãã¯ããã
çœç³)ä»ã飯äœãããçŸçµèµ·ãããŠããŠãããªãïŒ
èæ²¢)ããŒã(çŸçµã®ãç¶ãããããŸã ç¶èŠªãšããŠã®èªèŠãæãŠãªãã
å¯å®€ã«ãŠ
èæ²¢)çŸçµèµ·ããã幌çšåé ãã¡ãããã
çŸçµð€èª°ïŒ
èæ²¢)âŠ
çŸçµ)ããã ã£ãããããã¯ããã
çœç³)èäœãŒãçŸçµãŒãã飯ã§ãããããæ©ãé£ã¹ã¡ãã£ãŠãŒã
èæ²¢)è¡ããã
æ°ååŸ
èæ²¢ãçœç³ããã ããŸãã
çŸçµ)ããã ããŸãã ã
(ã飯ãé£ã¹ãªãã)
çŸçµ)ãããŒãããã£ãŠããããã(èäœ)ã£ãŠããã®ãŒïŒ
çœç³)ããã ãã
çŸçµ)ããããªãã ã
æ°ååŸ
çœç³)ç§çŸçµéã£ãŠããç¿åè¡ãããèäœå ã«è¡ã£ãŠãŠãããïŒ
èæ²¢)ããã£ãã
æ°ååŸ
ç¿å
ç·å±±)èæ²¢ãã¯ããã
èæ²¢)ããããã¯ããã
è€å·)ããã
åŽå³¶)ãã¯ããããããŸããããããã°çœç³å çã¯ïŒ
èæ²¢)çŸçµã幌çšåã«éã£ãŠãã
ç·å±±)ãã£ããå¿ããããã
èæ²¢)ããã ãªã
(çœç³ããã)
çœç³)ã¿ããªãã¯ããã
ç·å±±)çœç³ãã¯ããã
è€å·)ããã
åŽå³¶)çœç³å çãã¯ããããããŸãã
è€å·)ã«ã³ãã¡ã¬ã³ã¹å§ãŸãããè¡ãããã
æ°ååŸ
æ©)ããããã«ã³ãã¡ã¬ã³ã¹ãå§ããŸãããã£ãšããã®åã«ãã¿ããªç¥ã£ãŠããšæããã©ãèæ²¢ãåž°ã£ãŠãããã§ã¯ãèæ²¢ããäžèšã
èæ²¢)ãŸãããããã
è€å·)ããã ãããã
åŽå³¶)äœèšãªããšèšããªãïŒ
è€å·)ã¯ãã
æ©)ã«ã³ãã¡ã¬ã³ã¹å§ãããã
äžå)ã¯ãã
æ°ååŸ
å»å±ã«ãŠ
çœç³)ããä»æ¥åœçŽã ã£ããèäœãçŸçµã®ãè¿ãé ŒããïŒ
èæ²¢)ããŒã
çœç³)ããããšãã
(ç·å±±ãåŽå³¶ãè€å·ãå ¥ã£ãŠãã)
è€å·)ãã£ãæ©éã€ãã£ã€ãã£ããŠããªãŒã
çœç³)ã¿ããªããã®ïŒ
ç·å±±)ããããŠãããªãã®è©±ããŠãã®ïŒ
çœç³)çŸçµã®ãè¿ãé Œãã§ãã®ãããã¿ããªç§ãåœçŽãšãã®æã«ä»£ããã«è¿ãã«è¡ã£ãŠãããŠããããšãã
è€å·)å šç¶ãçŸçµã¡ããã®ãããªããªãã§ãã§ãããã
çœç³ãç·å±±ãåŽå³¶)ç¬ç¬ã
èæ²¢)ã¿ããªæµã®ä»£ããã«çŸçµã®ãè¿ãè¡ã£ãŠãããŠãã®ããããããšãªã
æ°æéåŸ
å»å±ã«ãŠ
çœç³)ãç²ãæ§ã
ç·å±±)ããŒãç²ãããªãŒã
çœç³)ããããæ¥æ£å€ãã£ããããã
ç·å±±)èæ²¢ãçŸçµã¡ããè¿ãã«è¡ã£ãã®ïŒ
çœç³)ããããè¡ãã£ãŠã
(èæ²¢ãå ¥ã£ãŠãã)
èæ²¢)ãããè¡ã£ãŠããã
çœç³)ããã
æ°ååŸ
幌çšå
èæ²¢)çŸçµã
çŸçµ)ãããŒã
幌çšåã®å ç)ããïŒ(çŸçµã¡ããããç¶ããããªãã£ãã¯ãããâŠ
çŸçµ)ãã®ããããããŒãé ããšãã§ãå»è ããããŠãã®ã
幌çšåã®å ç)ããã ã£ããã§ããããã£ãšãçŸçµã¡ãããã¡ã®çµã¿ãæ åœããŠãéå®®æµæ¢šå¥ã§ãã
çŸçµã®åé)çŸçµã¡ããã®ããïŒ
çŸçµ)ããïŒ
çŸçµã®åé)ãžãŒããã¢ãã¢ã
éå®®)ã©ãããã®ïŒ
çŸçµã®åé)ãã¢ãã¢ã
éå®®(ãã§ãã觊ããªãã)ãããç±ïŒ
èæ²¢)ãã®åã®ååãšå¹Žéœ¢ã¯ïŒ
éå®®)äžéæºéŠã¡ãããïŒæ³ã§ãã
èæ²¢)ããããŸãããããããšãããããŸãã
(æºéŠãåãã)ãã¿ã³
éå®®ãçŸçµ)æºéŠã¡ããïŒ
èæ²¢)æºéŠã¡ããïŒãããïŒå£°èããããææ¡ã£ãŠããã
æºéŠ)âŠ
èæ²¢)ãŸãããæèãªããªã£ãã
çŸçµ)æºéŠã¡ãã倧äžå€«ïŒããæ©ãæ²»ããŠãããŠïŒ
èæ²¢)倧äžå€«ã ãéå®®å çãããããæºéŠã¡ãããç¿åã«æ¬éããŸããææ¥è»ãåŒãã§ãã ããããããšãæºéŠã¡ããã®ã家æã«é£çµ¡ãé¡ãããŸãã
éå®®)ããããããŸããã
éå®®(ææ¥è»ãåŒã¶)
èæ²¢(ç¿åã«é»è©±)
ãã®é ç¿åã§ã¯
çœç³)èäœããé£çµ¡ããªããªãŒã
ç·å±±)ãªãããã£ãã®ããªïŒ
è€å·)å¯ãéã§ãããŠãããããªãã®ïŒ
çœç³)ã§ããè¿ãã«è¡ã£ãããã®ãŸãŸå®¶ã«åž°ã£ãŠå®¶ã€ãããé£çµ¡ããããã«èšã£ãŠãããâŠ
(ãã®æãé»è©±ã鳎ã)ãã«ã«ã«ã«ã«
çœç³ðç¿åæåœã»ã³ã¿ãŒã§ãã
èæ²¢ðæµãïŒ
çœç³ðèäœâïžã©ãããã®ïŒ
èæ²¢ðæ£è ãæ¬éããããçŸçµã®åéãæ¥ã«ç±åºããŠããã£ãæèãªããªã£ããåãå ¥ãå¯èœãïŒ
çœç³ðçŸçµã®åéãïŒããããåãå ¥ãæºåããŠåŸ ã£ãŠãã
æ°ååŸ
幌çšå
èæ²¢)çŸçµã®ããšãé¡ãããŸãã
éå®®)ã¯ãããã£ãšãç é¢é£ããŠã£ã¡ãã£ãŠå€§äžå€«ã§ããïŒ
èæ²¢)ã¯ãããé¡ãããŸãã
éå®®)çŸçµã¡ãããå çãšäžç·ã«ç é¢è¡ããããã
çŸçµ)ãªãã§ïŒ
éå®®)ãããæºéŠã¡ãããšææ¥è»ã§ç é¢è¡ãããã ããæºéŠã¡ããæ©ãæ²»ã£ãŠã»ããã§ããïŒ
çŸçµ)ããã
éå®®)ãããå çãšäžç·ã«è¡ãããã
çŸçµ)ããã£ãã
æ°ååŸ
(ææ¥è»å°çãèæ²¢ã¯æºéŠãæ¬éãéå®®ã¯çŸçµãè»ã§ç é¢ã«é£ããŠè¡ã£ã)
ç¿å
ç·å±±)çœè»æ¥ãã
çœç³)æºéŠã¡ããâïž
èæ²¢)äžéæºéŠã¡ãããïŒæ³ãé«ç±ãåºãŠå¹Œçšåã§æèã¬ãã«ã©ãã¿ããããã颚éªã®æªåã ããã
çœç³)ããã£ããç·å±±å çãåŽå³¶ããããµããŒããé¡ãã
ç·å±±)ããã£ãã
åŽå³¶)ã¯ãã
æ°æéåŸ
(æºéŠã¯åŠçœ®ãçµãICUã«å ¥ã£ã)
ç·å±±)çŸçµã¡ããè¿ãã«è¡ã£ãŠæ£è æ¬éããã£ãŠã©ããªã£ãŠãã®ããèæ²¢ãéçæ£è åŒãã§ããããªãã®ïŒ
çœç³)ããŸããŸã§ããïŒ(ç¬ç¬)
çœç³)ICUè¡ã£ãŠãããã
ç·å±±)ããã
ICU
æºéŠã®ç¶)èæ²¢å çãçœç³å çãåšãå©ããŠããã ãæ¬åœã«ããããšãããããŸããã
æºéŠã®æ¯)çŸçµã¡ãããããæºéŠãå©ããŠãããŠããããšãã
çœç³)ãããã§ãä»æ¥çŸçµè¿ãã«è¡ã£ãã®ããã ããã瀌ãªãããã«èšã£ãŠïŒ
æºéŠã®æ¯)ããïŒããã£ãŠãã®ãã£ãããå çïŒ
çœç³)ãããçŸçµãçãŸããåããããã³ãã«ããã®ãã
æºéŠã®æ¯)ããã ã£ããã ã
æºéŠ(æãåã)
æºéŠã®æ¯)æºéŠïŒ
æºéŠã®ç¶)æºéŠïŒããããïŒ
çœç³)æºéŠã¡ããïŒãããïŒ
æºéŠ)é ·ã)
æºéŠã®ç¶ãæ¯)ããã£ããïŒ
(ããããèæ²¢ãšçŸçµãå ¥ã£ãŠãã)
çŸçµ)æºéŠã¡ãã倧äžå€«ïŒ
æºéŠ(é ·ã)
çœç³)ãã£ãæèæ»ã£ãã
èæ²¢)ããããããã£ãã
æ°æéåŸ
(æºéŠã®æ¿ç®¡ãæããã)
å»å±ã«ãŠ
è€å·)æºéŠã¡ããå埩ããŠããã£ããªã
çœç³)ãããã
ç·å±±)ããããã°ãçŸçµã¡ããã¯ïŒ
çœç³)家ã§çå®çªããŠããèäœãæ¥ã«ä»ã®å çãšåœçŽä»£ãããªããšãããªããªã£ã¡ãã£ãŠâŠ
ç·å±±)ãã£ããŒãçŸçµã¡ããã®ã飯ã¯ïŒ
çœç³)ãã€ãéããæšæ¥äœã£ãŠãããã飯é£ã¹ãŠãŠããã£ãŠãã
ç·å±±)ãããªãã ã
çœç³)ICUèŠãŠããã
ICU
çœç³)æºéŠã¡ãã調åã©ãïŒ
æºéŠ)倧äžå€«ã
èæ²¢)ä»ã®ãšããæ°å€å®å®ããŠãã
çœç³)ãããããã£ãã
æºéŠ)çŸçµã¡ãããããçŸçµã¡ãããããæºéŠãå©ããŠãããŠããããšãã
ç·šééšã³ã¡ã³ã
åŒããããã®ãããããšçé¢ç®ãªå¥³åé«çãšããçµã¿åããããŠããŒã¯ãã³ã³ãã¹ãããŒãã§ãããã¿ã€ã ã«ãã»ã«ãããäžä»£ã®éãäºäººãã€ãªããç©èªãé²ããã¢ã€ãã ãšããŠååšæãçºæ®ããŠããŸãã<br />ç»å Žäººç©ãèªåã®éå»ãšåãåããæªæ¥ã«åãã£ãŠæé·ããŠããéçšãäžå¯§ãªæ§æã§æãããŠããŸããã