{"id":6955,"date":"2023-10-20T12:00:38","date_gmt":"2023-10-20T03:00:38","guid":{"rendered":"https:\/\/wp.meccari.jp\/?p=6955"},"modified":"2023-12-25T12:17:37","modified_gmt":"2023-12-25T03:17:37","slug":"menu_55","status":"publish","type":"post","link":"https:\/\/wp.meccari.jp\/eigocafe\/menu_55\/","title":{"rendered":"Menu 55\u3000\u56a5\u4e0b\u56f0\u96e3\u306b\u95a2\u3059\u308b\u82f1\u8a9e\u8868\u73fe"},"content":{"rendered":"<p><img loading=\"lazy\" decoding=\"async\" src=\"\/wp-content\/uploads\/2023\/10\/eigocafe.jpg\" alt=\"\" width=\"1100\" height=\"275\"><\/p>\r\n\r\n<p><span style=\"font-size: large;\">\u3053\u3093\u306b\u3061\u306f\u3002\u300c<span style=\"color: #8b4513;\"><strong>\u533b\u5b66\u82f1\u8a9e\u30ab\u30d5\u30a7<\/strong><\/span>\u300d\u306b\u3088\u3046\u3053\u305d\uff01<\/span><\/p>\r\n<p><span style=\"font-size: large;\">\u3053\u3053\u306f\u300c\u30b3\u30fc\u30d2\u30fc1\u676f\u5206\u300d\u306e\u6642\u9593\u3067\u3001\u533b\u5b66\u82f1\u8a9e\u306b\u307e\u3064\u308f\u308b\u8a71\u3092\u6c17\u8efd\u306b\u697d\u3057\u3093\u3067\u3044\u305f\u3060\u304f\u30b3\u30fc\u30ca\u30fc\u3067\u3059\u3002<\/span><\/p>\r\n<p><span style=\"font-size: large;\">\u672c\u65e5\u306e\u30c6\u30fc\u30de\u306f\u300c<span style=\"color: #1e90ff;\"><strong>\u56a5\u4e0b\u56f0\u96e3\u306b\u95a2\u3059\u308b\u82f1\u8a9e\u8868\u73fe<\/strong><\/span>\u300d\u3002<\/span><\/p>\r\n<p><span style=\"font-size: large;\">\u300c\u56a5\u4e0b\u56f0\u96e3\u306e\u9451\u5225\u75be\u60a3\u3068\u3057\u3066\u98df\u9053\u764c\u3068\u30a2\u30ab\u30e9\u30b7\u30a2\u4ee5\u5916\u306b\u601d\u3044\u3064\u304b\u306a\u3044\u300d\u3068\u3044\u3046\u65b9\u3001\u305d\u3057\u3066\u300c\u56a5\u4e0b\u56f0\u96e3\u306b\u95a2\u3059\u308b\u8cea\u554f\u3068\u3057\u3066\u56fa\u5f62\u7269\u3068\u6c34\u5206\u306e\u98f2\u307f\u8fbc\u307f\u3065\u3089\u3055\u4ee5\u5916\u306b\u601d\u3044\u3064\u304b\u306a\u3044\u300d\u3068\u3044\u3046\u65b9\u3001\u610f\u5916\u3068\u591a\u3044\u306e\u3067\u306f\u306a\u3044\u3067\u3057\u3087\u3046\u304b\uff1f<br \/>\r\n\u3053\u306e\u300c<strong>\u56a5\u4e0b\u56f0\u96e3<\/strong>\u300d\u306f\u533b\u5b66\u6559\u80b2\u30e2\u30c7\u30eb\u30fb\u30b3\u30a2\u30fb\u30ab\u30ea\u30ad\u30e5\u30e9\u30e0\u306b\u3042\u308b\u7fd2\u5f97\u3059\u3079\u304d\u75c7\u5019\u306e\uff11\u3064\u3068\u3057\u3066\u5b9a\u3081\u3089\u308c\u3066\u3044\u307e\u3059\u304c\u3001\u305d\u306e\u5206\u985e\u3084\u9451\u5225\u75be\u60a3\u3001\u305d\u3057\u3066\u533b\u7642\u9762\u63a5\u3067\u306e\u8cea\u554f\u306b\u95a2\u3057\u3066\u306f\u3001\u82e6\u624b\u3068\u3059\u308b\u533b\u5b66\u751f\u30fb\u533b\u5e2b\u306e\u65b9\u3082\u591a\u3044\u3053\u3068\u3068\u601d\u3044\u307e\u3059\u3002<\/span><\/p>\r\n<p><span style=\"font-size: large;\">\u305d\u3053\u3067\u4eca\u56de\u306f\u3001\u3053\u306e\u300c<strong>\u56a5\u4e0b\u56f0\u96e3<\/strong>\u300d\u306b\u95a2\u3059\u308b\u82f1\u8a9e\u8868\u73fe\u3092\u3054\u7d39\u4ecb\u3057\u307e\u3059\u3002<\/span><\/p>\r\n<p><span style=\"color: #fe3d45;\"><span style=\"font-size: large;\"><strong>\u3061\u3083\u3093\u3068\u533a\u5225\u3057\u3066\u767a\u97f3\u3067\u304d\u308b\uff1fdysphagia \u3068 dysphasia<\/strong><\/span><\/span><br \/>\r\n<span style=\"font-size: large;\">\u300c<strong>\u56a5\u4e0b\u56f0\u96e3<\/strong>\uff08\u65e5\u672c\u306e\u533b\u7642\u73fe\u5834\u3067\u306f\u300c<strong>\u56a5\u4e0b\u969c\u5bb3<\/strong>\u300d\u3068\u3082\u547c\u3070\u308c\u3066\u3044\u307e\u3059\u304c\u3001\u533b\u5b66\u6559\u80b2\u30e2\u30c7\u30eb\u30fb\u30b3\u30a2\u30fb\u30ab\u30ea\u30ad\u30e5\u30e9\u30e0\u3067\u306f\u300c<strong>\u56a5\u4e0b\u56f0\u96e3<\/strong>\u300d\u306e\u8868\u8a18\u304c\u4f7f\u308f\u308c\u3066\u3044\u307e\u3059\uff09\u300d\u306f\u3001\u4e00\u822c\u7684\u306b\u306f <strong>difficulty <span style=\"background-color: #ffff33;\">with<\/span> swallowing<\/strong> \u3084 <strong>difficulty <span style=\"background-color: #ffff33;\">in<\/span> swallowing<\/strong> \u3068\u547c\u3070\u308c\u3001\u533b\u5b66\u7684\u306b\u306f <span style=\"background-color: #ffff33;\"><strong>dysphagia<\/strong><\/span> \u3068\u547c\u3070\u308c\u307e\u3059\u3002\u3053\u306e\u5834\u5408\u306e dys- \u306f difficulty \u3068\u3044\u3046\u610f\u5473\u306b\u3001\u305d\u3057\u3066 -phagia \u306f swallowing \u3068\u3044\u3046\u610f\u5473\u306b\u306a\u308a\u307e\u3059\u3002<\/span><\/p>\r\n<p><span style=\"font-size: large;\">\u3053\u306e dysphagia \u3068\u3088\u304f\u4f3c\u305f\u533b\u5b66\u82f1\u8a9e\u3068\u3057\u3066 <strong>dyspha<span style=\"background-color: #ffff33;\">s<\/span>ia<\/strong> \u3068\u3044\u3046\u3082\u306e\u304c\u3042\u308a\u307e\u3059\u3002\u3053\u306e -phasia \u306f speech \u3068\u3044\u3046\u610f\u5473\u3067\u3059\u306e\u3067\u3001dysphasia \u306f\u300c<strong>\u8a00\u8449\u3092\u4f7f\u3048\u306a\u304f\u306a\u308b\u72b6\u614b<\/strong>\u300d\u3068\u3044\u3046\u5e83\u7fa9\u306e\u300c<strong>\u5931\u8a9e\u75c7<\/strong>\u300d\u3068\u306a\u308a\u307e\u3059\u3002\u305f\u3060\u300c<strong>\u5168\u304f\u8a00\u8449\u3092\u4f7f\u3048\u306a\u304f\u306a\u308b\u72b6\u614b<\/strong>\u300d\u3068\u3044\u3046\u72ed\u7fa9\u306e\u5931\u8a9e\u75c7\u3068\u3057\u3066 <strong>aphasia<\/strong> \u3082\u3042\u308b\u306e\u3067\u3001dysphasia \u306f\u300c<strong>\u3042\u308b\u7a0b\u5ea6\u307e\u3067\u8a00\u8449\u3092\u4f7f\u3048\u308b\u5931\u8a9e\u75c7<\/strong>\u300d\u3068\u3057\u3066\u7406\u89e3\u3057\u3066\u304a\u304f\u3068\u826f\u3044\u3067\u3057\u3087\u3046\u3002\u3082\u3061\u308d\u3093\u3053\u306e dysphasia \u3092\u300c<strong>\u767a\u8a9e\u969c\u5bb3<\/strong>\u300d\u3068\u3057\u3066\u7406\u89e3\u3057\u3066\u3082\u826f\u3044\u306e\u3067\u3059\u304c\u3001\u97f3\u3092\u4e0a\u624b\u304f\u751f\u6210\u3067\u304d\u306a\u3044\u3068\u3044\u3046\u300c<strong>\u69cb\u97f3\u969c\u5bb3<\/strong>\u300d\u3068\u3044\u3046\u610f\u5473\u306e <strong>dysarthria<\/strong> \u3068\u3044\u3046\u3082\u306e\u3082\u3042\u308b\u306e\u3067\u3001\u305d\u306e\u533a\u5225\u306b\u306f\u6ce8\u610f\u3057\u3066\u304f\u3060\u3055\u3044\u3002<\/span><\/p>\r\n<p><span style=\"font-size: large;\">\u3053\u306e\u3088\u304f\u4f3c\u305f dyspha<span style=\"background-color: #ffff33;\">g<\/span>ia \u3068 dyspha<span style=\"background-color: #ffff33;\">s<\/span>ia \u3067\u3059\u304c\u3001\u30b9\u30da\u30eb\u3068\u610f\u5473\u3060\u3051\u3067\u306a\u304f\u3001\u767a\u97f3\u3082\u7570\u306a\u308a\u307e\u3059\u3002dyspha<span style=\"background-color: #ffff33;\">gia<\/span> \u306f\u300c\u30c7\u30a3\u30b9<strong>\u30d5\u30a7\u30a3<\/strong><span style=\"background-color: #ffff33;\">\u30b8\u30a3\u30a2<\/span>\u300d\u306e\u3088\u3046\u306a\u767a\u97f3\u306b\u306a\u308a\u307e\u3059\u304c\u3001dyspha<span style=\"background-color: #ffff33;\">sia<\/span> \u306f\u300c\u30c7\u30a3\u30b9<strong>\u30d5\u30a7\u30a3<\/strong><span style=\"background-color: #ffff33;\">\u30ba\u30a3\u30a1<\/span>\u300d\u306e\u3088\u3046\u306a\u767a\u97f3\u306b\u306a\u308a\u307e\u3059\u3002\u81ea\u5206\u3067\u6b63\u3057\u304f\u767a\u97f3\u3067\u304d\u306a\u3044\u82f1\u5358\u8a9e\u306f\u6b63\u3057\u304f\u805e\u304d\u53d6\u308a\u3059\u308b\u3053\u3068\u3082\u3067\u304d\u307e\u305b\u3093\u306e\u3067\u3001\u3053\u306e2\u3064\u306e\u5358\u8a9e\u306e\u767a\u97f3\u306f\u3057\u3063\u304b\u308a\u3068\u533a\u5225\u3067\u304d\u308b\u3088\u3046\u306b\u3057\u3066\u304a\u3044\u3066\u304f\u3060\u3055\u3044\u306d\u3002<\/span><\/p>\r\n<p><span style=\"color: #fe3d45;\"><span style=\"font-size: large;\"><strong>odynophagia? xerostomia? \u77e5\u3063\u3066\u304a\u304d\u305f\u3044 dysphagia \u306e\u539f\u56e0\u306b\u3082\u306a\u308b\u75c7\u72b6<\/strong><\/span><\/span><br \/>\r\n<span style=\"font-size: large;\">\u3053\u306e\u300c\u56a5\u4e0b\u56f0\u96e3\u300ddysphagia \u306e\u5206\u985e\u3068\u9451\u5225\u75be\u60a3\u3092\u898b\u3066\u3044\u304f\u524d\u306b\u3001<strong>dysphagia \u3068\u95a2\u9023\u3059\u308b\u75c7\u72b6<\/strong>\u3082\u898b\u3066\u304a\u304d\u307e\u3057\u3087\u3046\u3002<\/span><\/p>\r\n<p><span style=\"font-size: large;\"><span style=\"background-color: #ffff33;\"><strong>Odynophagia<\/strong><\/span>\uff08\u300c\u30aa\u30c7\u30a3\u30ce<strong>\u30d5\u30a7\u30a3<\/strong>\u30b8\u30a3\u30a2\u300d\u306e\u3088\u3046\u306b\u767a\u97f3\uff09 \u306f <strong>pain on swallowing<\/strong> \u3068\u3044\u3046\u610f\u5473\u3067\u3059\u306e\u3067\u3001\u65e5\u672c\u8a9e\u3067\u306f\u300c<strong>\u56a5\u4e0b\u75db<\/strong>\u300d\u3068\u306a\u308a\u307e\u3059\u3002\u75db\u307f\u304c\u3042\u308b\u3068\u5f53\u7136\u3067\u3059\u304c dysphagia \u306e\u539f\u56e0\u306b\u3082\u306a\u308a\u307e\u3059\u3002<\/span><\/p>\r\n<p><span style=\"font-size: large;\">\u307e\u305f\u3001\u98df\u3079\u305f\u308a\u98f2\u3093\u3060\u308a\u3057\u305f\u3082\u306e\u304c\u300c<strong>\u9006\u6d41<\/strong>\u300d\u3057\u3066\u304f\u308b\u5834\u5408\u306b\u3082 dysphagia \u3068\u3057\u3066\u81ea\u899a\u3055\u308c\u307e\u3059\u304c\u3001\u3053\u308c\u3092\u82f1\u8a9e\u3067\u306f <span style=\"background-color: #ffff33;\"><strong>reflux<\/strong><\/span> \u3084 <span style=\"background-color: #ffff33;\"><strong>regurgitation<\/strong><\/span> \u3068\u8868\u73fe\u3057\u307e\u3059\u3002\u3061\u306a\u307f\u306b\u3053\u306e reflux \u3068 regurgitation \u306f <span style=\"background-color: #ffff33;\"><strong>gagging<\/strong><\/span> \u3092\u4f34\u308f\u306a\u3044\u3068\u3044\u3046\u70b9\u3067\u300c<strong>\u5614\u5410<\/strong>\u300d<strong>vomiting<\/strong>\/<strong>emesis<\/strong> \u3068\u306f\u7570\u306a\u308a\u307e\u3059\u3002\u3053\u306e gagging \u3068\u306f\u300c<strong>\u5916\u90e8\u523a\u6fc0\u306b\u3088\u308a\u8d77\u3053\u308b\u5614\u5410\u53cd\u5c04<\/strong>\u300d\u3068\u3044\u3046\u30a4\u30e1\u30fc\u30b8\u306e\u8868\u73fe\u3067\u3059\u306e\u3067\u3001\u5589\u306e\u5965\u306b\u6307\u3092\u7a81\u3063\u8fbc\u3093\u3067\u8d77\u3053\u308b\u300c<strong>\u54bd\u982d\u53cd\u5c04<\/strong>\u300d\u306f <strong>gag reflex<\/strong> \u3068\u547c\u3070\u308c\u307e\u3059\u3002\u3053\u306e\u3088\u3046\u306b gag \u306b\u306f\u300c<strong>\u5410\u304d\u6c17\u3092\u50ac\u3059<\/strong>\u300d\u300c<strong>\u606f\u3092\u8a70\u307e\u3089\u305b\u308b<\/strong>\u300d\u3068\u3044\u3046\u30a4\u30e1\u30fc\u30b8\u304c\u3042\u308b\u306e\u3067\u3001\u300c<strong>\u733f\u8f61\uff08\u3055\u308b\u3050\u3064\u308f\uff09\u3092\u304b\u307e\u305b\u308b<\/strong>\u300d\u300c<strong>\u8a00\u3044\u305f\u3044\u3053\u3068\u3092\u8a00\u308f\u305b\u306a\u3044<\/strong>\u300d\u3068\u3044\u3046\u610f\u5473\u306e\u4ed6\u3001\u300c<strong>\u8eab\u4f53\u3092\u4f7f\u3063\u305f\u5197\u8ac7<\/strong>\u300d\u3068\u3057\u3066\u65e5\u672c\u8a9e\u306b\u3082\u306a\u3063\u3066\u3044\u308b\u300c<strong>\u30ae\u30e3\u30b0<\/strong>\u300d\u3068\u3044\u3046\u610f\u5473\u3067\u3082\u4f7f\u308f\u308c\u307e\u3059\u3002\uff08\u3061\u306a\u307f\u306b\u300c<strong>\u5916\u90e8\u523a\u6fc0\u306b\u3088\u3089\u306a\u3044\u5614\u5410\u53cd\u5c04<\/strong>\u300d\u3068\u3044\u3046\u30a4\u30e1\u30fc\u30b8\u3068\u3057\u3066\u306f <strong>retching<\/strong> \u3068\u3044\u3046\u8868\u73fe\u304c\u3042\u308a\u307e\u3059\u3002\u4e8c\u65e5\u9154\u3044\u306e\u969b\u306b\u300c\u7a7a\u5410\u304d\u300ddry heaves\/heaving \u304c\u751f\u3058\u307e\u3059\u304c\u3001\u3042\u308c\u304c\u307e\u3055\u306b retching \u3067\u3059\u3002\uff09<\/span><\/p>\r\n<p><span style=\"font-size: large;\">\u305d\u3057\u3066\u4e0a\u624b\u304f swallowing \u304c\u3067\u304d\u305a\u306b\u98df\u3079\u305f\u308a\u98f2\u3093\u3060\u308a\u3057\u305f\u3082\u306e\u304c <strong>larynx<\/strong>\u300c<strong>\u5589\u982d<\/strong>\u300d\u306e\u65b9\u306b\u5165\u3063\u3066\u3044\u304f\u3068\u300c<strong>\u8aa4\u56a5<\/strong>\u300d\u3068\u306a\u308a\u307e\u3059\u304c\u3001\u3053\u308c\u306f\u82f1\u8a9e\u3067\u306f <span style=\"background-color: #ffff33;\"><strong>aspiration<\/strong><\/span> \u3068\u306a\u308a\u307e\u3059\u3002<\/span><\/p>\r\n<p><span style=\"font-size: large;\">\u5b9f\u969b\u306b\u306f dysphagia \u3067\u306f\u306a\u3044\u3082\u306e\u306e\u3001\u60a3\u8005\u3055\u3093\u304c\u300c<strong>\u5589\u306b\u4f55\u304b\u8a70\u307e\u3063\u3066\u3044\u308b\u611f\u3058\u304c\u3042\u308b<\/strong>\u300d\u3068\u8a34\u3048\u3066\u304f\u308b\u5834\u5408\u3082\u3042\u308a\u307e\u3059\u3002\u82f1\u8a9e\u570f\u306e\u60a3\u8005\u3055\u3093\u306f\u3053\u308c\u3092 \u201cI feel like there\u2019s <strong>a lump<\/strong>\/<strong>tightness in my throat<\/strong>.\u201d \u306e\u3088\u3046\u306b\u8868\u73fe\u3057\u307e\u3059\u304c\u3001\u3053\u308c\u3092\u533b\u5b66\u82f1\u8a9e\u3067\u306f <span style=\"background-color: #ffff33;\"><strong>globus pharyngeus<\/strong><\/span> \u3068\u547c\u3073\u307e\u3059\u3002<\/span><\/p>\r\n<p><span style=\"font-size: large;\">\u3053\u306e\u4ed6\u306b\u3082\u300c<strong>\u30b7\u30a7\u30fc\u30b0\u30ec\u30f3\u75c7\u5019\u7fa4<\/strong>\u300d<strong>Sj\u00f6gren\u2019s syndrome<\/strong> \u306a\u3069\u3067\u300c<strong>\u553e\u6db2<\/strong>\u300d<strong>saliva<\/strong> \u306e\u5206\u6ccc\u304c\u5c11\u306a\u304f\u306a\u308b\u3068 dry mouth \u3068\u306a\u3063\u3066\u3057\u307e\u3044\u3001\u305d\u308c\u304c\u539f\u56e0\u3067 dysphagia \u306e\u3088\u3046\u306a\u75c7\u72b6\u304c\u751f\u3058\u307e\u3059\u304c\u3001\u3053\u306e <strong>dry mouth<\/strong> \u306e\u533b\u5b66\u82f1\u8a9e\u306f <span style=\"background-color: #ffff33;\"><strong>xerostomia<\/strong><\/span> \u300c\u30bc\u30a3\u30ed\u30a5\u30b9<strong>\u30c8\u30a5<\/strong>\u30df\u30a3\u30a2\u300d\u306e\u3088\u3046\u306a\u767a\u97f3\uff09\u3068\u306a\u3063\u3066\u3044\u307e\u3059\u3002\u3053\u306e xerostomia \u306f\u65e5\u672c\u306e\u533b\u5b66\u751f\u30fb\u533b\u5e2b\u306b\u306f\u3042\u307e\u308a\u6d78\u900f\u3057\u3066\u3044\u306a\u3044\u5370\u8c61\u304c\u3042\u308a\u307e\u3059\u306e\u3067\u3001\u3053\u308c\u3092\u6a5f\u4f1a\u306b\u3057\u3063\u304b\u308a\u3068\u899a\u3048\u3066\u304a\u3044\u3066\u304f\u3060\u3055\u3044\u306d\u3002<\/span><\/p>\r\n<p><span style=\"color: #fe3d45;\"><span style=\"font-size: large;\"><strong>\u899a\u3048\u3066\u304a\u304d\u305f\u3044\u82f1\u8a9e\u570f\u3067\u3088\u304f\u4f7f\u308f\u308c\u308b2\u3064\u306e\u5206\u985e<\/strong><\/span><\/span><br \/>\r\n<span style=\"font-size: large;\">\u3067\u306f\u3001\u3053\u306e dysphagia \u306e\u539f\u56e0\u306f\u3069\u306e\u3088\u3046\u306b\u8003\u3048\u3066\u3044\u3051\u3070\u3088\u3044\u306e\u3067\u3057\u3087\u3046\u304b\uff1f<\/span><\/p>\r\n<p><span style=\"font-size: large;\">dysphagia \u306e\u539f\u56e0\u3092\u8003\u3048\u308b\u4e0a\u3067\u3001\u82f1\u8a9e\u570f\u3067\u306f dysphagia \u3092 <span style=\"background-color: #ffff33;\"><strong>oropharyngeal dysphagia<\/strong><\/span> \u3068 <span style=\"background-color: #ffff33;\"><strong>esophageal dysphagia<\/strong><\/span> \u306e2\u3064\u306b\u5206\u985e\u3057\u3066\u8003\u3048\u307e\u3059\u3002<\/span><\/p>\r\n<p><span style=\"font-size: large;\">\u300c<strong>\u53e3\u306e\u5965\u306b\u3042\u308b\u54bd\u982d<\/strong> = <strong>\u4e2d\u54bd\u982d<\/strong>\u300d\u3092 <strong>oropharynx<\/strong> \u3068\u8a00\u3044\u307e\u3059\u304c\u3001\u305d\u3053\u304b\u3089 <span style=\"background-color: #ffff33;\"><strong>oropharyngeal dysphagia<\/strong><\/span> \u306f <strong>difficulty moving food<\/strong>\/<strong>liquids from the mouth to the pharynx, and from the pharynx to the esophagus<\/strong> \u3068\u3044\u3046\u610f\u5473\u306b\u306a\u308a\u307e\u3059\u3002\u4e0a\u8ff0\u3057\u305f globus pharyngeus \u3082\u3053\u306e oropharyngeal dysphagia \u306b\u95a2\u9023\u3057\u3066\u3044\u308b\u3068\u8a00\u3048\u307e\u3059\u3002<\/span><\/p>\r\n<p><span style=\"font-size: large;\">\u3053\u308c\u306b\u5bfe\u3057\u3066\u300c<strong>\u98df\u9053<\/strong>\u300d<strong>esophagus<\/strong> \u306b\u554f\u984c\u304c\u3042\u308b <span style=\"background-color: #ffff33;\"><strong>esophageal dysphagia<\/strong><\/span> \u306f <strong>difficulty moving food<\/strong>\/<strong>liquids down the esophagus<\/strong> \u3068\u3044\u3046\u610f\u5473\u306b\u306a\u308a\u307e\u3059\u3002\u4e0a\u8ff0\u3057\u305f reflux \u3084 regurgitation \u3082\u3053\u306e esophageal dysphagia \u306b\u95a2\u9023\u3057\u3066\u3044\u308b\u3068\u8a00\u3048\u307e\u3059\u3002<\/span><\/p>\r\n<p><span style=\"font-size: large;\">\u305d\u3057\u3066\u3053\u306e oropharyngeal dysphagia \u3068 esophageal dysphagia \u306f\u3001\u3055\u3089\u306b\u305d\u308c\u305e\u308c<strong>\u69cb\u9020\u304c\u554f\u984c<\/strong>\u3068\u306a\u308b <span style=\"background-color: #ffff33;\"><strong>mechanical disorders<\/strong><\/span> \u3068\u3001<strong>\u6a5f\u80fd\u304c\u554f\u984c<\/strong>\u3068\u306a\u308b <strong>motility disorders<\/strong> \u306b\u5206\u304b\u308c\u307e\u3059\u3002\u305d\u3057\u3066 dysphagia \u306e\u5834\u5408\u3001 motility disorders \u306b\u306f\u300c<strong>\u524d\u306b\u9001\u308b\u3053\u3068\u304c\u3067\u304d\u306a\u3044\u969c\u5bb3<\/strong>\u300d\u3068\u3044\u3046\u610f\u5473\u3067 <span style=\"background-color: #ffff33;\"><strong>propulsive disorders<\/strong><\/span> \u3068\u3044\u3046\u8868\u73fe\u304c\u4f7f\u308f\u308c\u307e\u3059\u3002<\/span><\/p>\r\n<p><span style=\"color: #fe3d45;\"><span style=\"font-size: large;\"><strong>\u6574\u7406\u3057\u3066\u899a\u3048\u3088\u3046\uff01dysphagia \u306e\u9451\u5225\u75be\u60a3<\/strong><\/span><\/span><br \/>\r\n<span style=\"font-size: large;\">\u3067\u306f\u3053\u3053\u304b\u3089\u3001\u305d\u308c\u305e\u308c\u306e\u5206\u985e\u306b\u304a\u3051\u308b dysphagia \u3067\u3069\u306e\u3088\u3046\u306a\u9451\u5225\u75be\u60a3\u3092\u8003\u3048\u308c\u3070\u826f\u3044\u304b\u3001\u6574\u7406\u3057\u3066\u898b\u3066\u3044\u304d\u307e\u3057\u3087\u3046\u3002<\/span><\/p>\r\n<p><span style=\"font-size: large;\">\u307e\u305a\u306f <strong>oropharyngeal dysphagia<\/strong> \u3067\u3059\u3002<\/span><\/p>\r\n<p><span style=\"font-size: large;\">oropharynx \u306b\u304a\u3051\u308b <strong>mechanical disorders<\/strong> \u3068\u3057\u3066\u306f\u3001\u300c<strong>\u54bd\u982d\u764c<\/strong>\u300d<span style=\"background-color: #ffff33;\"><strong>pharyngeal cancer<\/strong><\/span> \u306a\u3069\u306e malignancy \u306e\u4ed6\u3001\u300c<strong>\u6241\u6843\u708e<\/strong>\u300d<span style=\"background-color: #ffff33;\"><strong>tonsillitis<\/strong><\/span> \u3084\u300c<strong>\u6241\u6843\u5468\u56f2\u81bf\u760d<\/strong>\u300d<span style=\"background-color: #ffff33;\"><strong>peritonsillar abscess<\/strong><\/span> \u306a\u3069\u306e infection \u304c\u3042\u308a\u307e\u3059\u3002\u305d\u3057\u3066 infection \u306f\u7269\u7406\u7684\u306a\u72ed\u7a84\u3060\u3051\u3067\u306a\u304f <strong>odynophagia<\/strong> \u3082\u5f15\u304d\u8d77\u3053\u3057\u307e\u3059\u3002<\/span><\/p>\r\n<p><span style=\"font-size: large;\">oropharynx \u306b\u304a\u3051\u308b <strong>propulsive<\/strong>\/<strong>motility disorders<\/strong> \u3068\u3057\u3066\u306f\u3001\u795e\u7d4c\u7cfb\u306e\u75be\u60a3\u3092\u8003\u3048\u307e\u3059\u3002\u5177\u4f53\u7684\u306b\u306f\u300c<strong>\u8133\u5352\u4e2d<\/strong>\u300d<span style=\"background-color: #ffff33;\"><strong>stroke<\/strong><\/span>\u3001\u300c<strong>\u30d1\u30fc\u30ad\u30f3\u30bd\u30f3\u75c5<\/strong>\u300d<strong>Parkinson\u2019s disease<\/strong>\u3001\u305d\u3057\u3066\u300c<strong>\u91cd\u75c7\u7b4b\u7121\u529b\u75c7<\/strong>\u300d<span style=\"background-color: #ffff33;\"><strong>myasthenia gravis (MG)<\/strong><\/span> \u3084\u300c<strong>\u30e9\u30f3\u30d0\u30fc\u30c8\u30fb\u30a4\u30fc\u30c8\u30f3\u75c7\u5019\u7fa4<\/strong>\u300d<span style=\"background-color: #ffff33;\"><strong>Lambert-Eaton myasthenic syndrome (LEMS)<\/strong><\/span> \u3068\u3044\u3063\u305f\u795e\u7d4c\u7b4b\u63a5\u5408\u90e8\u75be\u60a3\u3092\u8003\u3048\u307e\u3057\u3087\u3046\u3002<\/span><\/p>\r\n<p><span style=\"font-size: large;\">\u6b21\u306b <strong>esophageal dysphagia<\/strong> \u3067\u3059\u3002<\/span><\/p>\r\n<p><span style=\"font-size: large;\">esophagus\u306b\u304a\u3051\u308b <strong>mechanical disorders<\/strong> \u306f\u3001dysphagia to <span style=\"background-color: #ffff33;\"><strong>solids<\/strong><\/span> \u3092\u5f15\u304d\u8d77\u3053\u3057\u307e\u3059\u3002<\/span><\/p>\r\n<p><span style=\"font-size: large;\">\u3053\u306e mechanical disorders \u306e\u4e2d\u3067\u3082\u75c7\u72b6\u304c\u300c<strong>\u9032\u884c\u6027<\/strong>\u300d <span style=\"background-color: #ffff33;\"><strong>progressive<\/strong><\/span> \u306e\u5834\u5408\u3001\u300c<strong>\u98df\u9053\u764c<\/strong>\u300d<span style=\"background-color: #ffff33;\"><strong>esophageal cancer<\/strong><\/span> \u3092\u8003\u3048\u307e\u3057\u3087\u3046\u3002<\/span><\/p>\r\n<p><span style=\"font-size: large;\">\u305d\u3057\u3066 mechanical disorders \u306e\u4e2d\u3067\u3082\u75c7\u72b6\u304c\u300c<strong>\u9593\u6b20\u6027<\/strong>\u300d<span style=\"background-color: #ffff33;\"><strong>intermittent<\/strong><\/span> \u306e\u5834\u5408\u3001\u30a2\u30ec\u30eb\u30ae\u30fc\u306b\u95a2\u9023\u3059\u308b\u300c<strong>\u597d\u9178\u7403\u6027\u98df\u9053\u708e<\/strong>\u300d<span style=\"background-color: #ffff33;\"><strong>eosinophilic esophagitis<\/strong><\/span> \u3084\u3001\u9244\u6b20\u4e4f\u6027\u8ca7\u8840\u3092\u4f34\u3046 <span style=\"background-color: #ffff33;\"><strong>Plummer-Vinson syndrome<\/strong><\/span> \u306e\u4ed6\u3001\u65e5\u672c\u3067\u306f\u5c11\u306a\u3044\u3067\u3059\u304c\u3001\u98df\u9053\u4e0b\u90e8\u306e\u30ea\u30f3\u30b0\u72b6\u306e\u72ed\u7a84\u3092\u4f34\u3046 <span style=\"background-color: #ffff33;\"><strong>Schatzki\u2019s Ring<\/strong><\/span>\uff08\u300c<strong>\u30b7\u30e3<\/strong>\u30c4\u30ad\u30fc\u30ba <strong>\u30ea<\/strong>\u30f3\u30b0\u300d\u306e\u3088\u3046\u306b\u767a\u97f3\uff09\u306a\u3069\u3092\u8003\u3048\u307e\u3057\u3087\u3046\u3002<\/span><\/p>\r\n<p><span style=\"font-size: large;\">\u305d\u3057\u3066 esophagus \u306b\u304a\u3051\u308b <strong>propulsive<\/strong>\/<strong>motility disorders<\/strong> \u306f\u3001dysphagia to <span style=\"background-color: #ffff33;\"><strong>solids and liquids<\/strong><\/span> \u3092\u5f15\u304d\u8d77\u3053\u3057\u307e\u3059\u3002<\/span><\/p>\r\n<p><span style=\"font-size: large;\">\u3053\u306e esophageal dysphagia to solids and liquids \u3092\u5f15\u304d\u8d77\u3053\u3059\u4ee3\u8868\u7684\u306a\u75be\u60a3\u304c\u300c<strong>\u30a2\u30ab\u30e9\u30b7\u30a2<\/strong>\u300d<span style=\"background-color: #ffff33;\"><strong>achalasia<\/strong><\/span> \u3067\u3059\u3002achala<span style=\"background-color: #ffff33;\"><strong>sia<\/strong><\/span> \u306e\u6700\u5f8c\u306e\u90e8\u5206\u306f dyspha<span style=\"background-color: #ffff33;\"><strong>sia<\/strong><\/span> \u3068\u540c\u3058\u3088\u3046\u306a\u767a\u97f3\u3068\u306a\u308a\u3001\u300c\u30a2\u30ab<strong>\u30ec\u30a3<\/strong><span style=\"background-color: #ffff33;\">\u30ba\u30a3\u30a1<\/span>\u300d\u306e\u3088\u3046\u306a\u767a\u97f3\u3068\u306a\u308a\u307e\u3059\u3002\u3053\u306e -chalas \u306f relax \u3068\u3044\u3046\u610f\u5473\u3067\u3042\u308a\u3001\u5426\u5b9a\u3092\u610f\u5473\u3059\u308b\u63a5\u982d\u8f9e a- \u3068\u7e4b\u304c\u3063\u3066\u300c\uff08\u7b4b\u8089\u304c\uff09<strong>\u5f1b\u7de9\u3057\u306a\u3044\u75c5\u6c17<\/strong>\u300d\u3068\u3044\u3046\u610f\u5473\u306b\u306a\u308a\u307e\u3059\u3002<\/span><\/p>\r\n<p><span style=\"font-size: large;\">\u3053\u306e achalasia \u3067\u306f\u300c<strong>\u98df\u9053\u9020\u5f71<\/strong>\u300d<span style=\"background-color: #ffff33;\"><strong>barium swallow<\/strong><\/span> \u3092\u884c\u3046\u3068\u3001\u72ed\u7a84\u3057\u305f\u90e8\u5206\u304c\u92ed\u89d2\u306b\u306a\u308a\u3001\u305d\u308c\u3088\u308a\u4e0a\u90e8\u306e\u98df\u9053\u304c\u62e1\u5f35\u3059\u308b\u7279\u5fb4\u7684\u306a\u753b\u50cf\u6240\u898b\u304c\u8a8d\u3081\u3089\u308c\u307e\u3059\u3002\u3053\u308c\u304c\u300c<strong>\u9ce5\u306e\u304f\u3061\u3070\u3057<\/strong>\u300d\u306b\u4f3c\u3066\u3044\u308b\u3053\u3068\u304b\u3089\u3001\u3053\u306e\u6240\u898b\u306f <span style=\"background-color: #ffff33;\"><strong>bird\u2019s beak sign<\/strong><\/span> \u3068\u547c\u3070\u308c\u307e\u3059\u3002\u3061\u306a\u307f\u306b\u9ce5\u306e\u304f\u3061\u3070\u3057\u3067\u3082\u5148\u306e\u5c16\u3063\u305f\u3082\u306e\u3092 <strong>beak<\/strong> \u3068\u8a00\u3044\u307e\u3059\u304c\u3001\u30da\u30ea\u30ab\u30f3\u3084\u30a2\u30d2\u30eb\u306e\u304f\u3061\u3070\u3057\u306e\u3088\u3046\u306b\u3001\u6c34\u306b\u3064\u3051\u3066\u9b5a\u306a\u3069\u3092\u3059\u304f\u3044\u4e0a\u3052\u308b\u3088\u3046\u306a\u5f62\u72b6\u306e\u304f\u3061\u3070\u3057\u306f <strong>bill<\/strong> \u3068\u547c\u3070\u308c\u307e\u3059\u3002\u3067\u3059\u304b\u3089\u300c<strong>\u9774\u306e\u3088\u3046\u306a\u304f\u3061\u3070\u3057<\/strong>\u300d\u3092\u6301\u3064<strong>\u30cf\u30b7\u30d3\u30ed\u30b3\u30a6<\/strong>\u306f\u3001\u82f1\u8a9e\u3067\u306f <strong>shoebill<\/strong> \u3068\u547c\u3070\u308c\u3066\u3044\u308b\u308f\u3051\u3067\u3059\u3002<\/span><\/p>\r\n<p><span style=\"font-size: large;\">\u65e5\u672c\u3067\u300c<strong>\u80c3\u30ab\u30e1\u30e9<\/strong>\u300d\u3068\u547c\u3070\u308c\u3066\u3044\u308b\u300c<strong>\u4e0a\u90e8\u6d88\u5316\u7ba1\u5185\u8996\u93e1<\/strong>\u300d\u3067\u3059\u304c\u3001\u3053\u308c\u306f\u82f1\u8a9e\u570f\u306e\u533b\u7642\u73fe\u5834\u3067\u306f <span style=\"background-color: #ffff33;\"><strong>EGD<\/strong><\/span> \u3068\u547c\u3070\u308c\u307e\u3059\u3002\u3053\u308c\u306f <span style=\"background-color: #ffff33;\"><strong>e<\/strong><\/span>sophago<span style=\"background-color: #ffff33;\"><strong>g<\/strong><\/span>astro<span style=\"background-color: #ffff33;\"><strong>d<\/strong><\/span>uodenoscopy \u306e\u7565\u8a9e\u306a\u306e\u3067\u3059\u304c\u3001\u5b9f\u969b\u306b\u306f\u8ab0\u3082\u30b9\u30da\u30eb\u30a2\u30a6\u30c8\u3057\u3066\u4f7f\u3044\u307e\u305b\u3093\u3002\u300c\u4e0a\u90e8\u6d88\u5316\u7ba1\u5185\u8996\u93e1\u306e\u82f1\u8a9e\u540d\u306f upper GI endoscopy \u3060\u300d\u3068\u899a\u3048\u3066\u3044\u308b\u65b9\u304c\u591a\u3044\u3068\u601d\u3044\u307e\u3059\u3002\u78ba\u304b\u306b\u60a3\u8005\u3055\u3093\u306b\u8aac\u660e\u3059\u308b\u5834\u5408\u306b\u306f upper GI endoscopy \u3068\u3044\u3046\u8868\u73fe\u304c\u4f7f\u308f\u308c\u307e\u3059\u304c\u3001\u533b\u5e2b\u540c\u58eb\u306e\u30b3\u30df\u30e5\u30cb\u30b1\u30fc\u30b7\u30e7\u30f3\u3067\u306f\u3053\u306e EGD \u306e\u65b9\u304c\u3088\u304f\u4f7f\u308f\u308c\u3066\u3044\u307e\u3059\u3002<\/span><\/p>\r\n<p><span style=\"font-size: large;\">\u65e5\u672c\u3067\u306f\u3053\u306e EGD \u3092\u9f3b\u304b\u3089\u633f\u5165\u3059\u308b\u3082\u306e\u3082\u666e\u53ca\u3057\u3066\u3044\u307e\u3059\u304c\u3001\u82f1\u8a9e\u570f\u306e <span style=\"background-color: #ffff33;\"><strong>transnasal endoscopy (TNE)<\/strong><\/span> \u3067\u306f\u3001\u901a\u5e38<strong>\u98df\u9053<\/strong>\u307e\u3067\u3057\u304b\u89b3\u5bdf\u3057\u307e\u305b\u3093\u306e\u3067\u3001gastroenterologist \u306e\u4ed6\u3001ENT doctors \u3082 TNE \u3092\u4f7f\u3044\u307e\u3059\u3002\u540c\u3058\u3088\u3046\u306b\u9f3b\u304b\u3089\u633f\u5165\u3057\u3066<strong>\u54bd\u982d<\/strong>\u3092\u4e2d\u5fc3\u306b\u89b3\u5bdf\u3059\u308b\u691c\u67fb\u306f <span style=\"background-color: #ffff33;\"><strong>flexible endoscopic evaluation of swallowing (FEES)<\/strong><\/span> \u3068\u547c\u3070\u308c\u3001ENT doctors \u306e\u4ed6\u3001speech therapist \u3082 FEES \u3092\u4f7f\u3044\u307e\u3059\u3002\u3069\u3061\u3089\u3082\u82f1\u8a9e\u570f\u306e\u533b\u7642\u73fe\u5834\u3067\u306f\u300c<strong>\u30c6\u30a3\u30fc\u30fb\u30a8\u30cc\u30fb\u30a4\u30fc<\/strong>\u300d\u3084\u300c<strong>\u30d5\u30a3\u30fc\u30b9<\/strong>\u300d\u3068\u7565\u8a9e\u3067\u547c\u3070\u308c\u307e\u3059\u3002<\/span><\/p>\r\n<p><span style=\"color: #fe3d45;\"><span style=\"font-size: large;\"><strong>\u82f1\u8a9e\u3067\u306e\u8cea\u554f\u8868\u73fe<\/strong><\/span><\/span><br \/>\r\n<span style=\"font-size: large;\">\u3067\u306f\u6700\u5f8c\u306b\u3001\u82f1\u8a9e\u3067\u306e\u533b\u7642\u9762\u63a5\u3067\u3069\u306e\u3088\u3046\u306a\u8cea\u554f\u3092\u3059\u308c\u3070\u826f\u3044\u306e\u304b\u3092\u898b\u3066\u3044\u304d\u307e\u3057\u3087\u3046\u3002<\/span><\/p>\r\n<p><span style=\"font-size: large;\">\u3053\u306e\u300c\u533b\u5b66\u82f1\u8a9e\u30ab\u30d5\u30a7\u300d\u3067\u306f\u4f55\u5ea6\u3082\u7e70\u308a\u8fd4\u3057\u3066\u5f37\u8abf\u3057\u3066\u3044\u307e\u3059\u304c\u3001\u300c<strong>\u73fe\u75c5\u6b74<\/strong>\u300d<strong>history of present illness<\/strong> \u3092\u5c0b\u306d\u308b\u969b\u306b\u306f\u4e0b\u8a18\u306e3\u3064\u306e\u30b9\u30c6\u30c3\u30d7\u3092\u4f7f\u3044\u307e\u3059\u3002<\/span><\/p>\r\n<p><span style=\"font-size: large;\">1. <strong>Open-ended questions<\/strong>: \u958b\u653e\u578b\u8cea\u554f\u3092\u4f7f\u3044\u300c<strong>\u767a\u75c7<\/strong>\u300d\u300c<strong>\u767a\u75c7\u524d<\/strong>\u300d\u300c<strong>\u767a\u75c7\u5f8c<\/strong>\u300d\u306e\u69d8\u5b50\u3092\u8a73\u7d30\u306b\u8a9e\u3063\u3066\u3082\u3089\u3046\u3002\u72b6\u6cc1\u306b\u5408\u308f\u305b\u3066\u8cea\u554f\u3092\u52a0\u3048\u3001\u9069\u5b9c\u8a71\u3092\u8981\u7d04\u3059\u308b\u3002<\/span><br \/>\r\n<span style=\"font-size: large;\">2. <strong>Closed-ended questions<\/strong>: \u201cpain\u2019s OPQRST\u201d \u3084 \u201cSOCRATES\u201d \u306a\u3069\u3092\u30c1\u30a7\u30c3\u30af\u30ea\u30b9\u30c8\u3068\u3057\u3066\u4f7f\u3044\u3001 \u805e\u304d\u6f0f\u3089\u3057\u304c\u306a\u3044\u304b\u78ba\u8a8d\u3059\u308b\u3002<\/span><br \/>\r\n<span style=\"font-size: large;\">3. <strong>Associated symptoms<\/strong>: \u9451\u5225\u75be\u60a3\u306b\u4f34\u3046\u95a2\u9023\u75c7\u72b6\u306e\u6709\u7121\u3092\u5c0b\u306d\u308b\u3002<\/span><\/p>\r\n<p><span style=\"font-size: large;\">\u3067\u306f\u3001\u5177\u4f53\u7684\u306b\u3069\u3093\u306a\u8cea\u554f\u3092\u3059\u308c\u3070\u826f\u3044\u306e\u304b\u3092\u898b\u3066\u3044\u304d\u307e\u3057\u3087\u3046\u3002<\/span><\/p>\r\n<p><span style=\"font-size: large;\"><strong>1. Open-ended questions<\/strong><\/span><br \/>\r\n<span style=\"font-size: large;\"><strong>\u2022<em>\u3000<\/em><\/strong>Could you provide more details about your swallowing difficulties?<\/span><br \/>\r\n<span style=\"font-size: large;\"><strong>\u2022<em>\u3000<\/em><\/strong>Could you describe the circumstances when you first experienced trouble swallowing?<\/span><br \/>\r\n<span style=\"font-size: large;\"><strong>\u2022<em>\u3000<\/em><\/strong>When did you first realize you were having trouble swallowing?<\/span><br \/>\r\n<span style=\"font-size: large;\"><strong>\u2022<em>\u3000<\/em><\/strong>Please describe what you experience when you try to swallow.<\/span><br \/>\r\n<span style=\"font-size: large;\"><strong>\u2022<em>\u3000<\/em><\/strong>Can you tell me how things felt before this symptom began?<\/span><br \/>\r\n<span style=\"font-size: large;\"><strong>\u2022<em>\u3000<\/em><\/strong>Has the difficulty in swallowing worsened, improved, or remained stable since it started?<\/span><\/p>\r\n<p><span style=\"font-size: large;\"><strong>2. Close-ended questions<\/strong><\/span><br \/>\r\n<span style=\"font-size: large;\"><strong>\u2022<em>\u3000<\/em><\/strong>Do you find it difficult to swallow solid food and liquids?<\/span><br \/>\r\n<span style=\"font-size: large;\"><strong>\u2022<em>\u3000<\/em><\/strong>Are there specific foods that you find hard to swallow?<\/span><br \/>\r\n<span style=\"font-size: large;\"><strong>\u2022<em>\u3000<\/em><\/strong>Do you feel the difficulty with swallowing before the food or drink goes down, or after?<\/span><br \/>\r\n<span style=\"font-size: large;\"><strong>\u2022<em>\u3000<\/em><\/strong>Does it feel like your food gets stuck immediately after you start swallowing?<\/span><br \/>\r\n<span style=\"font-size: large;\"><strong>\u2022<em>\u3000<\/em><\/strong>Can you point to the area where you feel the food gets stuck?<\/span><br \/>\r\n<span style=\"font-size: large;\"><strong>\u2022<em>\u3000<\/em><\/strong>Do you experience coughing, choking, or feel like food is coming back up or going into your nose when you start swallowing or after swallowing?<\/span><br \/>\r\n<span style=\"font-size: large;\"><strong>\u2022<em>\u3000<\/em><\/strong>Is this swallowing issue constant, or does it come and go?<\/span><\/p>\r\n<p><span style=\"font-size: large;\"><strong>3. Associated symptoms<\/strong><\/span><br \/>\r\n<span style=\"font-size: large;\"><strong>\u2022<em>\u3000<\/em><\/strong>Do you regurgitate undigested food?<\/span><br \/>\r\n<span style=\"font-size: large;\"><strong>\u2022<em>\u3000<\/em><\/strong>Do you experience pain when you swallow?<\/span><br \/>\r\n<span style=\"font-size: large;\"><strong>\u2022<em>\u3000<\/em><\/strong>Do you experience heartburn or a burning sensation in your chest?<\/span><br \/>\r\n<span style=\"font-size: large;\"><strong>\u2022<em>\u3000<\/em><\/strong>Do you hear a gurgling noise when you swallow?<\/span><br \/>\r\n<span style=\"font-size: large;\"><strong>\u2022<em>\u3000<\/em><\/strong>Have you noticed any changes in your breath or been told you have bad breath recently?<\/span><\/p>\r\n<p><span style=\"font-size: large;\">\u4e0a\u8a18\u306e\u8868\u73fe\u3092\u4f7f\u3063\u3066 HPI \u3092\u5c0b\u306d\u305f\u3089\u3001\u3053\u308c\u306b\u7d9a\u3051\u3066\u4e0b\u8a18\u9805\u76ee\u306e\u8cea\u554f\u3092\u5c0b\u306d\u3066\u3044\u304d\u307e\u3059\u3002<\/span><\/p>\r\n<p><span style=\"font-size: large;\"><strong>\u2022<em>\u3000<\/em><\/strong>Past medical history<\/span><br \/>\r\n<span style=\"font-size: large;\"><strong>\u2022<em>\u3000<\/em><\/strong>Medications<\/span><br \/>\r\n<span style=\"font-size: large;\"><strong>\u2022<em>\u3000<\/em><\/strong>Allergies<\/span><br \/>\r\n<span style=\"font-size: large;\"><strong>\u2022<em>\u3000<\/em><\/strong>Family history<\/span><br \/>\r\n<span style=\"font-size: large;\"><strong>\u2022<em>\u3000<\/em><\/strong>Social history<\/span><br \/>\r\n<span style=\"font-size: large;\"><strong>\u2022<em>\u3000<\/em><\/strong>Review of systems<\/span><\/p>\r\n<p><span style=\"font-size: large;\">\u4ee5\u4e0a\u304c dysphagia \u306e\u5206\u985e\u30fb\u9451\u5225\u75be\u60a3\u30fb\u82f1\u8a9e\u3067\u306e\u533b\u7642\u9762\u63a5\u306e\u8cea\u554f\u8868\u73fe\u3067\u3059\u3002<\/span><\/p>\r\n<p><span style=\"font-size: large;\">\u3055\u3066\u3001\u305d\u308d\u305d\u308d\u30ab\u30c3\u30d7\u306e\u30b3\u30fc\u30d2\u30fc\u3082\u6b8b\u308a\u308f\u305a\u304b\u3067\u3059\u3002\u6700\u5f8c\u306b dysphagia \u306e\u9451\u5225\u75be\u60a3\u3092\u3082\u3046\u4e00\u5ea6\u7c21\u5358\u306b\u307e\u3068\u3081\u3066\u304a\u304d\u307e\u3059\u3002<\/span><\/p>\r\n<p><span style=\"font-size: large;\"><strong>Dysphagia Diagnosis<\/strong><\/span><br \/>\r\n<span style=\"font-size: large;\"><span style=\"background-color: #ffff33;\"><strong>Oropharyngeal Dysphagia<\/strong><\/span><\/span><br \/>\r\n<span style=\"font-size: large;\"><em>\u3000<\/em><strong>Mechanical Disorders:<\/strong><\/span><br \/>\r\n<span style=\"font-size: large;\"><em>\u3000<\/em><em>\u3000<\/em><strong>\u2022<em>\u3000<\/em><\/strong>Pharyngeal Cancer<\/span><br \/>\r\n<span style=\"font-size: large;\"><em>\u3000<\/em><em>\u3000<\/em><strong>\u2022<em>\u3000<\/em><\/strong>Tonsillitis<\/span><br \/>\r\n<span style=\"font-size: large;\"><em>\u3000<\/em><em>\u3000<\/em><strong>\u2022<em>\u3000<\/em><\/strong>Peritonsillar Abscess<\/span><br \/>\r\n<span style=\"font-size: large;\"><em>\u3000<\/em><strong>Propulsive Disorders:<\/strong><\/span><br \/>\r\n<span style=\"font-size: large;\"><em>\u3000<\/em><em>\u3000<\/em><strong>\u2022<em>\u3000<\/em><\/strong>Stroke<\/span><br \/>\r\n<span style=\"font-size: large;\"><em>\u3000<\/em><em>\u3000<\/em><strong>\u2022<em>\u3000<\/em><\/strong>Parkinson&#8217;s Disease<\/span><br \/>\r\n<span style=\"font-size: large;\"><em>\u3000<\/em><em>\u3000<\/em><strong>\u2022<em>\u3000<\/em><\/strong>Myasthenia Gravis (MG)<\/span><br \/>\r\n<span style=\"font-size: large;\"><em>\u3000<\/em><em>\u3000<\/em><strong>\u2022<em>\u3000<\/em><\/strong>Lambert-Eaton Myasthenic Syndrome (LEMS)<\/span><\/p>\r\n<p><span style=\"font-size: large;\"><span style=\"background-color: #ffff33;\"><strong>Esophageal Dysphagia<\/strong><\/span><\/span><br \/>\r\n<span style=\"font-size: large;\"><em>\u3000<\/em><strong>Mechanical Disorders:<\/strong><\/span><br \/>\r\n<span style=\"font-size: large;\"><em>\u3000<\/em><em>\u3000<\/em><strong>\u2022<em>\u3000<\/em><\/strong>Esophageal Cancer<\/span><br \/>\r\n<span style=\"font-size: large;\"><em>\u3000<\/em><em>\u3000<\/em><strong>\u2022<em>\u3000<\/em><\/strong>Eosinophilic Esophagitis<\/span><br \/>\r\n<span style=\"font-size: large;\"><em>\u3000<\/em><em>\u3000<\/em><strong>\u2022<em>\u3000<\/em><\/strong>Plummer-Vinson Syndrome<\/span><br \/>\r\n<span style=\"font-size: large;\"><em>\u3000<\/em><em>\u3000<\/em><strong>\u2022<em>\u3000<\/em><\/strong>Schatzki\u2019s Ring<\/span><br \/>\r\n<span style=\"font-size: large;\"><em>\u3000<\/em><strong>Propulsive Disorders:<\/strong><\/span><br \/>\r\n<span style=\"font-size: large;\"><em>\u3000<\/em><em>\u3000<\/em><strong>\u2022<em>\u3000<\/em><\/strong>Achalasia<\/span><\/p>\r\n<p><span style=\"font-size: large;\">\u3067\u306f\u3001\u307e\u305f\u306e\u3054\u6765\u5e97\u3092\u304a\u5f85\u3061\u3057\u3066\u304a\u308a\u307e\u3059\u3002<\/span><\/p>\r\n<p><span style=\"font-size: large;\">\u300cDr. \u62bc\u5473\u306e\u533b\u5b66\u82f1\u8a9e\u30ab\u30d5\u30a7\u300d\u3067\u306f\u7686\u3055\u3093\u304b\u3089\u6271\u3063\u3066\u6b32\u3057\u3044\u30c8\u30d4\u30c3\u30af\u3092\u52df\u96c6\u3044\u305f\u3057\u307e\u3059\u3002<a href=\"https:\/\/55auto.biz\/mec-form\/regires.php?tno=275\" target=\"_blank\" rel=\"noopener\"><span style=\"color: #3366ff; text-decoration: underline;\"><strong>\u3053\u3061\u3089\u306e\u30ea\u30f3\u30af<\/strong><\/span><\/a>\u304b\u3089\u3053\u306e\u30ab\u30d5\u30a7\u3067\u6271\u3063\u3066\u6b32\u3057\u3044\u3068\u601d\u3046\u533b\u5b66\u82f1\u8a9e\u306e\u30c8\u30d4\u30c3\u30af\u3092\u3054\u81ea\u7531\u306b\u8a18\u8f09\u304f\u3060\u3055\u3044\u3002<\/span><\/p>\r\n<p style=\"text-align: right;\">\u56fd\u969b\u533b\u7642\u798f\u7949\u5927\u5b66\u533b\u5b66\u90e8 \u533b\u5b66\u6559\u80b2\u7d71\u62ec\u30bb\u30f3\u30bf\u30fc \u6559\u6388\u3000\u62bc\u5473 \u8cb4\u4e4b<\/p>\r\n\r\n","protected":false},"excerpt":{"rendered":"\u3053\u3093\u306b\u3061\u306f\u3002\u300c\u533b\u5b66\u82f1\u8a9e\u30ab\u30d5\u30a7\u300d\u306b\u3088\u3046\u3053\u305d\uff01 \u3053\u3053\u306f\u300c\u30b3\u30fc\u30d2\u30fc1\u676f\u5206\u300d\u306e\u6642\u9593\u3067\u3001\u533b\u5b66\u82f1\u8a9e\u306b\u307e\u3064\u308f\u308b\u8a71\u3092\u6c17\u8efd\u306b\u697d\u3057\u3093\u3067\u3044\u305f\u3060\u304f\u30b3\u30fc\u30ca\u30fc\u3067\u3059\u3002 \u672c\u65e5\u306e\u30c6\u30fc\u30de\u306f\u300c\u56a5\u4e0b\u56f0\u96e3\u306b\u95a2\u3059\u308b\u82f1\u8a9e\u8868\u73fe\u300d\u3002 \u300c\u56a5\u4e0b\u56f0\u96e3\u306e\u9451\u5225\u75be\u60a3\u3068\u3057\u3066\u98df\u9053\u764c\u3068\u30a2","protected":false},"author":1,"featured_media":6882,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"onecolumn-960.php","format":"standard","meta":{"_acf_changed":false,"_jin_ogp_image_url":"","_jin_last_featured_id":0,"footnotes":""},"categories":[63],"tags":[],"class_list":["post-6955","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-eigocafe"],"acf":[],"_links":{"self":[{"href":"https:\/\/wp.meccari.jp\/api\/wp\/v2\/posts\/6955","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/wp.meccari.jp\/api\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/wp.meccari.jp\/api\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/wp.meccari.jp\/api\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/wp.meccari.jp\/api\/wp\/v2\/comments?post=6955"}],"version-history":[{"count":1,"href":"https:\/\/wp.meccari.jp\/api\/wp\/v2\/posts\/6955\/revisions"}],"predecessor-version":[{"id":6956,"href":"https:\/\/wp.meccari.jp\/api\/wp\/v2\/posts\/6955\/revisions\/6956"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/wp.meccari.jp\/api\/wp\/v2\/media\/6882"}],"wp:attachment":[{"href":"https:\/\/wp.meccari.jp\/api\/wp\/v2\/media?parent=6955"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/wp.meccari.jp\/api\/wp\/v2\/categories?post=6955"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/wp.meccari.jp\/api\/wp\/v2\/tags?post=6955"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}