{"id":7062,"date":"2023-02-01T12:00:19","date_gmt":"2023-02-01T03:00:19","guid":{"rendered":"https:\/\/wp.meccari.jp\/?p=7062"},"modified":"2023-12-27T12:40:45","modified_gmt":"2023-12-27T03:40:45","slug":"menu_47","status":"publish","type":"post","link":"https:\/\/wp.meccari.jp\/eigocafe\/menu_47\/","title":{"rendered":"Menu 47\u3000\u904b\u52d5\u9ebb\u75fa\u3068\u7b4b\u529b\u4f4e\u4e0b\u306b\u95a2\u3059\u308b\u82f1\u8a9e\u8868\u73fe"},"content":{"rendered":"

\"\"<\/p>\r\n\r\n

\u3053\u3093\u306b\u3061\u306f\u3002\u300c\u533b\u5b66\u82f1\u8a9e\u30ab\u30d5\u30a7<\/strong><\/span>\u300d\u306b\u3088\u3046\u3053\u305d\uff01<\/span><\/p>\r\n

\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

\u672c\u65e5\u306e\u30c6\u30fc\u30de\u306f\u300c\u904b\u52d5\u9ebb\u75fa\u3068\u7b4b\u529b\u4f4e\u4e0b<\/strong><\/span>\u300d\u3067\u3059\u3002<\/span><\/p>\r\n

\u300c\u904b\u52d5\u9ebb\u75fa\u30fb\u7b4b\u529b\u4f4e\u4e0b<\/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\u304d37\u306e\u75c7\u5019\u306e\uff11\u3064\u3068\u3057\u3066\u5b9a\u3081\u3089\u308c\u3066\u3044\u307e\u3059\u3002\u3057\u304b\u3057\u3001\u3053\u308c\u3089\u306b\u95a2\u9023\u3059\u308b\u82f1\u8a9e\u8868\u73fe\u306f\u4e00\u898b\u3059\u308b\u3068\u96e3\u3057\u3044\u3082\u306e\u304c\u591a\u304f\u3001\u307e\u305f\u795e\u7d4c\u75c7\u72b6\u306e\u9451\u5225\u3092\u82e6\u624b\u3068\u3057\u3066\u3044\u308b\u5b66\u751f\u3055\u3093\u3082\u591a\u304f\u3044\u3089\u3063\u3057\u3083\u3044\u307e\u3059\u3002\u3057\u304b\u3057\u8907\u96d1\u306b\u898b\u3048\u308b\u533b\u5b66\u82f1\u8a9e\u3084\u9451\u5225\u75be\u60a3\u3082\u3001\u6574\u7406\u3057\u3066\u7406\u89e3\u3059\u308c\u3070\u7686\u3055\u3093\u304c\u601d\u3063\u3066\u3044\u308b\u3088\u308a\u3082\u96e3\u3057\u3044\u3082\u306e\u3067\u306f\u3042\u308a\u307e\u305b\u3093\u3002<\/span><\/p>\r\n

\u305d\u3053\u3067\u4eca\u6708\u306f\u3001\u904b\u52d5\u9ebb\u75fa<\/strong>\u3068\u7b4b\u529b\u4f4e\u4e0b<\/strong>\u306b\u95a2\u3059\u308b\u82f1\u8a9e\u8868\u73fe\u3092\u308f\u304b\u308a\u3084\u3059\u304f\u3054\u7d39\u4ecb\u3057\u307e\u3059\u3002<\/span><\/p>\r\n

\u300c\u904b\u52d5\u9ebb\u75fa\u300d\u3068\u300c\u7b4b\u529b\u4f4e\u4e0b\u300d\u306e\u533b\u5b66\u82f1\u8a9e\u306f\uff1f<\/strong><\/span><\/span>
\r\n\u300c\u904b\u52d5\u9ebb\u75fa<\/strong>\u300d\u3068\u306f\u300c\u5168\u304f\u7b4b\u8089\u3092\u52d5\u304b\u305b\u306a\u3044\u3053\u3068<\/strong>\u300d\u3067\u3001\u305d\u306e\u533b\u5b66\u82f1\u8a9e\u306f paralysis<\/strong><\/span> \u3068\u306a\u308a\u307e\u3059\u3002\u3053\u308c\u306f\u300c\u6b63\u5e38\u3088\u308a\u3082\u7b4b\u529b\u304c\u843d\u3061\u308b\u3053\u3068<\/strong>\u300d\u3067\u3042\u308b\u300c\u7b4b\u529b\u4f4e\u4e0b<\/strong>\u300d paresis<\/strong><\/span> \u3068\u306f\u533a\u5225\u3057\u3066\u4f7f\u308f\u308c\u307e\u3059\u3002\u305d\u3057\u3066\u300c\u904b\u52d5\u9ebb\u75fa<\/strong>\u300d\u3092\u8868\u3059\u63a5\u5c3e\u8f9e\u3068\u3057\u3066 –plegia<\/strong><\/span> \u3068\u3044\u3046\u3082\u306e\u304c\u3042\u308a\u3001\u300c\u7247\u9ebb\u75fa<\/strong>\u300dhemiplegia<\/strong><\/span> \u3084\u300c\u56db\u80a2\u9ebb\u75fa<\/strong>\u300dquadriplegia<\/strong><\/span> \u306e\u3088\u3046\u306b\u4f7f\u308f\u308c\u307e\u3059\u3002\u307e\u305f\u5358\u7d14\u30d8\u30eb\u30da\u30b9\u30a6\u30a4\u30eb\u30b9\u306b\u3088\u308b\u9854\u9762\u795e\u7d4c\u9ebb\u75fa\u3092\u300c\u30d9\u30eb\u9ebb\u75fa<\/strong>\u300d\u3068\u547c\u3073\u307e\u3059\u304c\u3001\u3053\u306e\u82f1\u8a9e\u306f Bell\u2019s palsy<\/strong><\/span> \u3068\u306a\u308a\u307e\u3059\u3002\u3053\u306e palsy<\/strong> \u306f\u300cparalysis \u3084 paresis \u3092\u8d77\u3053\u3059\u75be\u60a3<\/strong>\u300d\u3084\u300cparalysis \u3084 paresis \u306b tremors \u306a\u3069\u306e involuntary movements \u3092\u5408\u4f75\u3057\u305f\u72b6\u614b<\/strong>\u300d\u3068\u3044\u3063\u305f\u610f\u5473\u3067\u4f7f\u308f\u308c\u3066\u3044\u307e\u3059\u3002\u5358\u306b\u300c\u9ebb\u75fa<\/strong>\u300d\u3068\u3057\u3066\u548c\u8a33\u3055\u308c\u308b\u3053\u3068\u304c\u591a\u3044\u3053\u306e paralysis<\/strong>\/paresis<\/strong>\/palsy<\/strong> \u3067\u3059\u304c\u3001\u5168\u3066\u610f\u5473\u304c\u7570\u306a\u308b\u3053\u3068\u306b\u6ce8\u610f\u3057\u3066\u304f\u3060\u3055\u3044\u3002<\/span><\/p>\r\n

\u3053\u306e paresis<\/strong> \u304c\u3042\u308b\u5834\u5408\u3001\u60a3\u8005\u3055\u3093\u306f weak<\/strong><\/span>\/weakness<\/strong><\/span> \u3068\u3044\u3046\u8868\u73fe\u3092\u4f7f\u3044\u307e\u3059\u304c\u3001\u60a3\u8005\u3055\u3093\u306f weakness \u3092 fatigue<\/strong><\/span> \u3068\u3044\u3046\u610f\u5473\u3067\u3082\u4f7f\u3046\u306e\u3067\u3001\u60a3\u8005\u3055\u3093\u304c\u3069\u3061\u3089\u3092\u610f\u5473\u3057\u3066\u3044\u308b\u306e\u304b\u3092\u533a\u5225\u3059\u308b\u5fc5\u8981\u304c\u3042\u308a\u307e\u3059\u3002<\/span><\/p>\r\n

weakness<\/strong> \u3068\u306f\u300c\u7b4b\u529b\u4f4e\u4e0b<\/strong>\u300ddecreased muscle strength<\/strong> \u306e\u3053\u3068\u3067\u3042\u308a\u3001\u305d\u306e\u533b\u5b66\u82f1\u8a9e\u306f\u4e0a\u8ff0\u306e\u901a\u308a paresis<\/strong> \u3068\u306a\u308a\u307e\u3059\u3002\u3053\u308c\u306b\u5bfe\u3057\u3066 fatigue<\/strong> \u3068\u306f\u300c\u8089\u4f53\u7684\u30fb\u7cbe\u795e\u7684\u6d3b\u529b\u306e\u4f4e\u4e0b<\/strong>\u300d\u306e\u3053\u3068\u3067\u3042\u308a\u3001\u305d\u306e\u533b\u5b66\u82f1\u8a9e\u306f lassitude<\/strong><\/span> \u3068\u306a\u308a\u307e\u3059\u3002<\/span><\/p>\r\n

\u305d\u3057\u3066\u7b4b\u8089\u3092\u52d5\u304b\u3059\u8089\u4f53\u7684\u30fb\u7cbe\u795e\u7684\u6d3b\u529b\u304c\u3042\u308b\u306b\u3082\u95a2\u308f\u3089\u305a\u3001\u795e\u7d4c\u7cfb\u306b\u7570\u5e38\u304c\u3042\u308b\u305f\u3081\u306b\u7b4b\u529b\u304c\u4f4e\u4e0b\u3057\u3066\u3044\u308b\u72b6\u614b\u306f neurological weakness<\/strong><\/span> \u3068\u547c\u3070\u308c\u307e\u3059\u3002\u3053\u308c\u306b\u5bfe\u3057\u3066\u795e\u7d4c\u7cfb\u306b\u306f\u7570\u5e38\u304c\u306a\u3044\u3082\u306e\u306e\u3001\u7b4b\u8089\u3092\u52d5\u304b\u3059\u8089\u4f53\u7684\u30fb\u7cbe\u795e\u7684\u6d3b\u529b\u304c\u4f4e\u4e0b\u3057\u3066\u3044\u308b lassitude<\/strong> \u306e\u305f\u3081\u306b\u7b4b\u529b\u304c\u4f4e\u4e0b\u3057\u3066\u3044\u308b\u72b6\u614b\u306f functional weakness<\/strong><\/span> \u3068\u547c\u3070\u308c\u3066\u533a\u5225\u3055\u308c\u3066\u3044\u307e\u3059\u3002\u3067\u3059\u304b\u3089 history taking \u3067\u60a3\u8005\u3055\u3093\u304c \u201cweak\/weakness\u201d \u3068\u3044\u3046\u8868\u73fe\u3092\u4f7f\u3046\u969b\u306b\u306f\u3001\u305d\u308c\u304c neurological weakness \u306a\u306e\u304b\u3001functional weakness \u306a\u306e\u304b\u3092\u3057\u3063\u304b\u308a\u3068\u533a\u5225\u3059\u308b\u5fc5\u8981\u304c\u3042\u308b\u306e\u3067\u3059\u3002<\/span><\/p>\r\n

\u307e\u305f\u60a3\u8005\u3055\u3093\u304c weakness \u3092\u8a34\u3048\u308b\u5834\u5408\u3001\u305d\u306e\u75c7\u72b6\u3092\u8868\u73fe\u3059\u308b\u969b\u306b\u306f weak \u4ee5\u5916\u306b\u3082\u69d8\u3005\u306a\u5f62\u5bb9\u8a5e\u3092\u4f7f\u3044\u307e\u3059\u3002\u300c\u52d5\u304d\u304c\u7de9\u5f90\u306b\u306a\u308b<\/strong>\u300d\u3068\u3044\u3046\u5834\u5408\u306b\u306f slow<\/strong><\/span> \u3092\u4f7f\u3044\u307e\u3059\u3057\u3001\u300c\u52d5\u304d\u304c\u304e\u3053\u3061\u306a\u3044<\/strong>\u300d\u5834\u5408\u306b\u306f clumsy<\/strong><\/span> \u3068\u3044\u3046\u5f62\u5bb9\u8a5e\u3082\u4f7f\u308f\u308c\u307e\u3059\u3002\u305d\u3057\u3066\u3053\u306e clumsy \u306f\u300c\u52d5\u304d\u304c\u920d\u3044<\/strong>\u300d\u300c\u3069\u3093\u304f\u3055\u3044<\/strong>\u300d\u3084\u300c\u904b\u52d5\u795e\u7d4c\u304c\u60aa\u3044<\/strong>\u300d\u3068\u3044\u3046\u610f\u5473\u3067\u3082\u4f7f\u308f\u308c\u307e\u3059\u3002\u307e\u305f\u4e0b\u80a2\u306e\u7b4b\u529b\u304c\u4f4e\u4e0b\u3057\u3066\u300c\u30e8\u30ed\u30e8\u30ed\u30fb\u30d5\u30e9\u30d5\u30e9\u3059\u308b<\/strong>\u300d\u5834\u5408\u306b\u306f wobbly<\/strong><\/span> \u3068\u3044\u3046\u5f62\u5bb9\u8a5e\u3082\u4f7f\u308f\u308c\u307e\u3059\u3002<\/span><\/p>\r\n

\u60a3\u8005\u3055\u3093\u304c\u3069\u306e\u3088\u3046\u306a weakness \u3092\u6301\u3064\u304b\u3092\u5c0b\u306d\u308b\u969b\u306b\u306f\u3001 \u201cHave you noticed any difficulty in completing specific daily tasks<\/strong>, such as brushing hair, or carrying groceries?\u201d \u306e\u3088\u3046\u306b\u5177\u4f53\u7684\u306a\u52d5\u4f5c\u306b\u3064\u3044\u3066\u5c0b\u306d\u308b\u3068\u826f\u3044\u3067\u3057\u3087\u3046\u3002<\/span><\/p>\r\n

\u305d\u3057\u3066\u3001\u3053\u306e weakness \u306e\u7a0b\u5ea6\u3092\u8868\u73fe\u3059\u308b\u3082\u306e\u3068\u3057\u3066\u5ba2\u89b3\u7684\u306a\u5c3a\u5ea6\u304c\u5b58\u5728\u3057\u3066\u3044\u307e\u3059\u3002\u7686\u3055\u3093\u3082 OSCE \u3067\u5b66\u3093\u3060\u901a\u308a\u3001\u8eab\u4f53\u8a3a\u5bdf\u306e\u300c\u5f92\u624b\u7b4b\u529b\u691c\u67fb<\/strong>\u300dmanual muscle testing (MMT)<\/strong><\/span> \u3067 \u300c\u7b4b\u529b<\/strong>\u300d muscle strength<\/strong><\/span> \u3092\u8a55\u4fa1\u3059\u308b\u969b\u306b\u306f\u3001\u4e0b\u8a18\u306e strength scale<\/strong><\/span> \u3092\u4f7f\u3063\u30660\u304b\u30895\u3067\u8868\u73fe\u3055\u308c\u307e\u3059\u3002<\/span><\/p>\r\n

Strength Scale<\/strong><\/span>
\r\n5: Normal strength<\/span>
\r\n4: Slightly decreased strength<\/span>
\r\n3: Active movement against<\/strong> gravity<\/span>
\r\n2: Active movement without<\/strong> gravity<\/span>
\r\n1: Small trace contractions<\/span>
\r\n0: Paralysis<\/span><\/p>\r\n

\u3053\u306estrength scale \u3067\u7b4b\u529b\u304c 4<\/strong> \u3060\u3063\u305f\u5834\u5408\u3001\u305d\u306e\u8868\u8a18\u306f \u201c4\/5<\/strong>\u201d \u306e\u3088\u3046\u306b\u306a\u308a\u307e\u3059\u3002\u305d\u3057\u3066\u3053\u306e\u8aad\u307f\u65b9\u306f \u201cfour out of<\/strong><\/span> five\u201d \u306e\u3088\u3046\u306b\u306a\u308a\u307e\u3059\u3002<\/span><\/p>\r\n

\u62bc\u3055\u3048\u3066\u304a\u304d\u305f\u3044\u300c\u9310\u4f53\u8def\u969c\u5bb3\u300d\u3068\u300c\u9310\u4f53\u5916\u8def\u969c\u5bb3\u300d\u306b\u95a2\u3059\u308b\u82f1\u8a9e\u8868\u73fe<\/strong><\/span><\/span>
\r\n\u60a3\u8005\u3055\u3093\u304c neurological weakness<\/strong> \u3092\u8a34\u3048\u308b\u5834\u5408\u3001\u305d\u306e\u75c5\u5909\u90e8\u4f4d\u306e\u7279\u5b9a\u304c\u91cd\u8981\u3067\u3059\u3002<\/span><\/p>\r\n

\u300c\u968f\u610f\u904b\u52d5\u306e\u60c5\u5831\u3092\u4f1d\u3048\u308b\u7d4c\u8def<\/strong>\u300d\u3092\u300c\u9310\u4f53\u8def<\/strong>\u300dpyramidal tract<\/strong><\/span> \u3068\u547c\u3073\u3001\u3053\u3053\u306b\u969c\u5bb3\u304c\u751f\u3058\u308b\u300c\u9310\u4f53\u8def\u969c\u5bb3<\/strong>\u300dpyramidal tract disorders<\/strong><\/span> \u3067\u306f\u300c\u904b\u52d5\u9ebb\u75fa<\/strong>\u300dparalysis<\/strong> \u3084\u300c\u7b4b\u529b\u4f4e\u4e0b<\/strong>\u300dparesis<\/strong> \u304c\u751f\u3058\u307e\u3059\u3002<\/span><\/p>\r\n

\u305d\u3057\u3066\u3053\u306e pyramidal tract disorders \u306e\u4e2d\u3067\u3082\u3001\u300c\u4e0a\u4f4d\u904b\u52d5\u30cb\u30e5\u30fc\u30ed\u30f3<\/strong>\u300dupper motor neuron (UMN)<\/strong><\/span> \u304c\u969c\u5bb3\u3055\u308c\u308b\u5834\u5408\u306b\u306f\u300c\u75d9\u7e2e<\/strong>\u300dspasticity<\/strong><\/span> \u304c\u73fe\u308c\u3001\u300c\u4e0b\u4f4d\u904b\u52d5\u30cb\u30e5\u30fc\u30ed\u30f3<\/strong>\u300dlower motor neuron (LMN)<\/strong><\/span> \u304c\u969c\u5bb3\u3055\u308c\u308b\u5834\u5408\u306b\u306f\u300c\u5f1b\u7de9<\/strong>\u300dflaccidity<\/strong><\/span> \u304c\u73fe\u308c\u307e\u3059\u3002<\/span><\/p>\r\n

\u3053\u308c\u306b\u5bfe\u3057\u3066\u300c\u968f\u610f\u904b\u52d5\u306e\u8abf\u6574\u3092\u884c\u3046\u7d4c\u8def<\/strong>\u300d\u3092\u300c\u9310\u4f53\u5916\u8def<\/strong>\u300dextrapyramidal system\/tract<\/strong><\/span> \u3068\u547c\u3073\u3001\u3053\u3053\u306b\u969c\u5bb3\u304c\u751f\u3058\u308b\u300c\u9310\u4f53\u5916\u8def\u969c\u5bb3<\/strong>\u300dextrapyramidal system\/tract disorders<\/strong><\/span> \u3067\u306f\u300c\u4e0d\u968f\u610f\u904b\u52d5<\/strong>\u300dinvoluntary movements<\/strong><\/span><\/a><\/strong><\/span> \u304c\u751f\u3058\u307e\u3059\u3002<\/span><\/p>\r\n

\u305d\u3057\u3066\u3053\u306e extrapyramidal tract disorders \u3067\u306f\u300c\u56fa\u7e2e<\/strong>\u300drigidity<\/strong><\/span> \u304c\u73fe\u308c\u307e\u3059\u3002UMN disorders \u3067\u751f\u3058\u308b spasticity\u304c\u3001\u904b\u52d5\u306e\u65b9\u5411\u3084\u901f\u5ea6\u306b\u3088\u3063\u3066\u786c\u3055\u304c\u7570\u306a\u308b directionally dependent\/velocity dependent \u3067\u3042\u308b\u306e\u306b\u5bfe\u3057\u3001\u3053\u306e rigidity \u306f\u3001\u904b\u52d5\u306e\u65b9\u5411\u3084\u901f\u5ea6\u306b\u95a2\u308f\u3089\u305a\u786c\u3055\u304c\u898b\u3089\u308c\u308b no<\/strong> directionally dependent\/no<\/strong> velocity dependent \u3068\u3044\u3046\u7279\u5fb4\u304c\u3042\u308a\u307e\u3059\u3002<\/span><\/p>\r\n

\u3067\u3059\u304b\u3089\u60a3\u8005\u3055\u3093\u304c neurological weakness \u3092\u8a34\u3048\u305f\u5834\u5408\u3001\u305d\u306e\u539f\u56e0\u306f pyramidal tract disorders<\/strong> \u3067\u3042\u308b\u3053\u3068\u304c\u8003\u3048\u3089\u308c\u3001\u305d\u306e\u75c5\u5909\u90e8\u4f4d\u304c UMN<\/strong> \u3067\u3042\u308c\u3070 directionally dependent \u3067\u3042\u308a velocity dependent \u3067\u3042\u308b spasticity<\/strong> \u304c\u73fe\u308c\u3001\u305d\u306e\u75c5\u5909\u90e8\u4f4d\u304c LMN<\/strong> \u3067\u3042\u308c\u3070 flaccidity<\/strong> \u304c\u73fe\u308c\u308b\u3001\u3068\u3044\u3046\u3053\u3068\u3092\u899a\u3048\u3066\u304a\u304d\u307e\u3057\u3087\u3046\u3002<\/span><\/p>\r\n

Post CC OSCE \u3067\u3082\u5f79\u306b\u7acb\u3064\uff01paralysis\/paresis \u306e\u4ee3\u8868\u7684\u306a\u9451\u5225\u75be\u60a3<\/strong><\/span><\/span>
\r\n\u3053\u306e\u3088\u3046\u306b neurological weakness \u306e\u75c5\u5909\u90e8\u4f4d\u7279\u5b9a\u306b\u306f UMN \u3068 LMN \u3068\u3044\u3046\u6982\u5ff5\u304c\u91cd\u8981\u306a\u306e\u3067\u3059\u304c\u3001Post CC OSCE \u306a\u3069\u3067\u9451\u5225\u75be\u60a3\u3092\u8003\u3048\u308b\u969b\u306b\u306f\u3001\u3082\u3046\u5c11\u3057\u90e8\u4f4d\u3092\u7279\u5b9a\u3057\u3066\u8003\u3048\u305f\u65b9\u304c\u9451\u5225\u75be\u60a3\u3092\u8003\u3048\u3084\u3059\u304f\u306a\u308a\u307e\u3059\u3002\u6559\u79d1\u66f8\u3084\u7686\u3055\u3093\u306e\u5927\u5b66\u306e\u6388\u696d\u3067\u306f\u3088\u308a\u8a73\u7d30\u306a\u9451\u5225\u75be\u60a3\u306e\u30ea\u30b9\u30c8\u3092\u6271\u3063\u3066\u3044\u308b\u3068\u601d\u3044\u307e\u3059\u304c\u3001\u500b\u4eba\u7684\u306b\u306f\u4e0b\u8a18\u306e\u3088\u3046\u306a\u90e8\u4f4d\u306b\u5206\u3051\u3066\u9451\u5225\u75be\u60a3\u3092\u8003\u3048\u308b\u3068\u308f\u304b\u308a\u3084\u3059\u3044\u306e\u3067\u306f\u3068\u611f\u3058\u3066\u3044\u307e\u3059\u3002<\/span><\/p>\r\n

Causes of Paralysis\/Paresis<\/strong><\/span>
\r\nBrain<\/strong><\/span><\/span>
\r\n\u3000<\/em> \u2022\u3000<\/em> <\/strong>Stroke\u300c\u8133\u5352\u4e2d\u300d<\/span>
\r\n\u3000<\/em> \u2022\u3000<\/em> <\/strong>Transient Ischemic Attack (TIA)\u300c\u4e00\u904e\u6027\u8133\u865a\u8840\u767a\u4f5c\u300d<\/span>
\r\n\u3000<\/em> \u2022\u3000<\/em> <\/strong>Multiple Sclerosis (MS)\u300c\u591a\u767a\u6027\u786c\u5316\u75c7\u300d<\/span>
\r\nSpinal Cord<\/strong><\/span><\/span>
\r\n\u3000<\/em> \u2022\u3000<\/em> <\/strong>Herniated Disc\u300c\u690e\u9593\u677f\u30d8\u30eb\u30cb\u30a2\u300d<\/span>
\r\n\u3000<\/em> \u2022\u3000<\/em> <\/strong>Amyotrophic Lateral Sclerosis (ALS)\u300c\u7b4b\u840e\u7e2e\u6027\u5074\u7d22\u786c\u5316\u75c7\u300d<\/span>
\r\n\u3000<\/em> \u2022\u3000<\/em> <\/strong>Multiple Sclerosis (MS)\u300c\u591a\u767a\u6027\u786c\u5316\u75c7\u300d<\/span>
\r\nPeripheral Nerves<\/strong><\/span><\/span>
\r\n\u3000<\/em> \u2022\u3000<\/em> <\/strong>Diabetic Peripheral Neuropathy (DPN)\u300c\u7cd6\u5c3f\u75c5\u6027\u672b\u68a2\u795e\u7d4c\u75c7\u300d<\/span>
\r\n\u3000<\/em> \u2022\u3000<\/em> <\/strong>Guillain-Barr\u00e9 Syndrome (GBS)\u300c\u30ae\u30e9\u30f3\u30fb\u30d0\u30ec\u30fc\u75c7\u5019\u7fa4\u300d<\/span>
\r\nNeuromuscular Junction (NMJ)<\/strong><\/span><\/span>
\r\n\u3000<\/em> \u2022\u3000<\/em> <\/strong>Myasthenia Gravis (MG)\u300c\u91cd\u75c7\u7b4b\u7121\u529b\u75c7\u300d<\/span>
\r\n\u3000<\/em> \u2022\u3000<\/em> <\/strong>Lambert-Eaton Myasthenic Syndrome (LEMS)\u300c\u30e9\u30f3\u30d0\u30fc\u30c8\u30fb\u30a4\u30fc\u30c8\u30f3\u75c7\u5019\u7fa4\u300d<\/span>
\r\nMuscle<\/strong><\/span><\/span>
\r\n\u3000<\/em> \u2022\u3000<\/em> <\/strong>Muscular Dystrophy\u300c\u7b4b\u30b8\u30b9\u30c8\u30ed\u30d5\u30a3\u30fc\u300d<\/span><\/p>\r\n

\u3067\u306f\u3001\u3053\u306e\u4e2d\u3067\u3044\u304f\u3064\u304b\u306e\u4ee3\u8868\u7684\u306a\u9451\u5225\u75be\u60a3\u306b\u95a2\u3059\u308b\u82f1\u8a9e\u8868\u73fe\u3092\u898b\u3066\u3044\u304d\u307e\u3057\u3087\u3046\u3002<\/span><\/p>\r\n

\u201cFAST\u201d \u304c\u898b\u3089\u308c\u308b stroke \u3067\u306f\u3069\u3053\u306e\u8840\u7ba1\u304c\u8a70\u307e\u3063\u3066\u3044\u308b\u306e\uff1f<\/strong><\/span><\/span>
\r\n\u307e\u305a\u306f\u6700\u3082\u91cd\u8981\u306a\u9451\u5225\u75be\u60a3\u3067\u3042\u308b\u300c\u8133\u5352\u4e2d<\/strong>\u300dstroke<\/strong><\/span> \u3067\u3059\u3002<\/span><\/p>\r\n

\u3053\u306estroke \u306f\u4e00\u822c\u82f1\u8a9e\u3067\u3042\u308a\u3001\u533b\u5b66\u82f1\u8a9e\u3067\u306f cerebrovascular accident (CVA)<\/strong><\/span> \u3068\u306a\u308a\u307e\u3059\u3002\u305d\u3057\u3066\u3053\u306e stroke\/CVA \u306f\u300c\u8133\u51fa\u8840<\/strong>\u300dhemorrhagic stroke<\/strong><\/span> \u3068\u300c\u8133\u6897\u585e<\/strong>\u300dischemic stroke<\/strong><\/span> \u3092\u542b\u3080\u6982\u5ff5\u3067\u3059\u3002<\/span><\/p>\r\n

\u3053\u306e stroke \u306e\u4ee3\u8868\u7684\u306a\u75c7\u72b6\u3092\u5553\u8499\u3059\u308b\u305f\u3081\u306b \u201cStroke heroes act FAST<\/strong>.<\/span><\/a>\u201d \u306e\u3088\u3046\u306b \u201cFAST<\/strong>\u201d \u3068\u3044\u3046\u6a19\u8a9e\u304c\u82f1\u8a9e\u570f\u3067\u306f\u4f7f\u308f\u308c\u3066\u3044\u307e\u3059\u3002\u3053\u308c\u306f \u201cF<\/strong>ace, A<\/strong>rm, S<\/strong>peech, and T<\/strong>ime to call for ambulance\u201d \u306e\u982d\u6587\u5b57\u3092\u3068\u3063\u305f\u3082\u306e\u3067\u3001\u300c\u9854\u306e\u8868\u60c5\u306e\u5909\u5316\u3001\u8155\u306e\u7b4b\u529b\u4f4e\u4e0b\u3001\u308d\u308c\u3064\u304c\u307e\u308f\u3089\u306a\u3044\u3068\u3044\u3046\u75c7\u72b6\u306e\u3046\u3061\u3069\u308c\u304b\uff11\u3064\u3067\u3082\u898b\u3089\u308c\u305f\u3089\u3001\u3059\u3050\u306b\u6551\u6025\u8eca\u3092\u547c\u3073\u307e\u3057\u3087\u3046<\/strong>\u300d\u3092\u610f\u5473\u3057\u3066\u3044\u307e\u3059\u3002\u3067\u306f\u3053\u306e F<\/strong>ace\/A<\/strong>rm\/S<\/strong>peech \u306b\u7570\u5e38\u304c\u51fa\u308b stroke \u3067\u306f\u3001\u8133\u306e\u3069\u306e\u8840\u7ba1\u306b\u7570\u5e38\u304c\u3042\u308b\u306e\u3067\u3057\u3087\u3046\uff1f<\/span><\/p>\r\n

\u7686\u3055\u3093\u304c\u300c\u89e3\u5256\u5b66<\/strong>\u300danatomy<\/strong> \u3067\u5b66\u3093\u3060\u3088\u3046\u306b\u3001\u300c\u5185\u9838\u52d5\u8108<\/strong><\/span>\u300dinternal carotid artery<\/strong><\/span> \u304c brain<\/strong><\/span> \u306b\u3001\u300c\u690e\u9aa8\u52d5\u8108<\/strong>\u300dvertebral artery<\/strong> \u304c brainstem<\/strong> \u306b\u3001\u305d\u3057\u3066\u300c\u5916\u9838\u52d5\u8108<\/strong>\u300dexternal carotid artery<\/strong> \u304c head & neck<\/strong> \u306b\u8840\u6db2\u3092\u4f9b\u7d66\u3057\u3066\u3044\u307e\u3059\u3002<\/span><\/p>\r\n

\u305d\u3057\u3066\u3053\u306e brain \u306b\u8840\u6db2\u3092\u4f9b\u7d66\u3057\u3066\u3044\u308b internal carotid artery \u306f\u4e0b\u8a18\u306e3\u3064\u306b\u679d\u5206\u304b\u308c\u3057\u3066\u3001\u305d\u308c\u305e\u308c\u304c\u9589\u585e\u3059\u308b\u3068\u7279\u6709\u306e\u75c7\u72b6\u304c\u73fe\u308c\u307e\u3059\u3002<\/span><\/p>\r\n

Internal Carotid Artery \u306e\u679d\u3068\u9589\u585e\u3057\u305f\u969b\u306e\u75c7\u72b6<\/strong><\/span>
\r\nAnterior Cerebral Artery (ACA)\u300c\u524d\u5927\u8133\u52d5\u8108\u300d<\/strong><\/span><\/span>
\r\n\u3000<\/em> \u2022\u3000<\/em> <\/strong>Contralateral hemiplegia in the lower extremity\u300c\u53cd\u5bfe\u5074\u306e\u4e0b\u80a2\u306e\u904b\u52d5\u9ebb\u75fa\u300d<\/span>
\r\n\u3000<\/em> \u2022\u3000<\/em> <\/strong>Contralateral hemiparesis in the lower extremity\u300c\u53cd\u5bfe\u5074\u306e\u4e0b\u80a2\u306e\u7b4b\u529b\u4f4e\u4e0b\u300d<\/span>
\r\n\u3000<\/em> \u2022\u3000<\/em> <\/strong>Contralateral hemiparesthesia in the lower extremity\u300c\u53cd\u5bfe\u5074\u306e\u4e0b\u80a2\u306e\u611f\u899a\u7570\u5e38\u300d<\/span>
\r\nMiddle Cerebral Artery (MCA)\u300c\u4e2d\u5927\u8133\u52d5\u8108\u300d<\/strong><\/span><\/span>
\r\n\u3000<\/em> \u2022\u3000<\/em> <\/strong>Contralateral hemiplegia in the upper extremity\u300c\u53cd\u5bfe\u5074\u306e\u4e0a\u80a2\u306e\u904b\u52d5\u9ebb\u75fa\u300d<\/span>
\r\n\u3000<\/em> \u2022\u3000<\/em> <\/strong>Contralateral hemiparesis in the upper extremity\u300c\u53cd\u5bfe\u5074\u306e\u4e0a\u80a2\u306e\u7b4b\u529b\u4f4e\u4e0b\u300d<\/span>
\r\n\u3000<\/em> \u2022\u3000<\/em> <\/strong>Contralateral hemiparesthesia in the upper extremity\u300c\u53cd\u5bfe\u5074\u306e\u4e0a\u80a2\u306e\u611f\u899a\u9ebb\u75fa\u300d<\/span>
\r\n\u3000<\/em> \u2022\u3000<\/em> <\/strong>Aphasia\u300c\u5931\u8a9e\u300d<\/span>
\r\n\u3000<\/em> \u2022\u3000<\/em> <\/strong>Contralateral Hemineglect\u300c\u53cd\u5bfe\u5074\u306e\u534a\u5074\u7a7a\u9593\u7121\u8996\u300d<\/span>
\r\nPosterior Cerebral Artery (PCA)\u300c\u5f8c\u5927\u8133\u52d5\u8108\u300d<\/strong><\/span><\/span>
\r\n\u3000<\/em> \u2022\u3000<\/em> <\/strong>Contralateral Hemianopia\u300c\u53cd\u5bfe\u5074\u306e\u534a\u76f2\u300d<\/span><\/p>\r\n

\u3064\u307e\u308a\u201dFAST<\/strong>\u201d \u3067\u77e5\u3089\u308c\u308b F<\/strong>ace\/A<\/strong>rm\/S<\/strong>peech \u306b\u7570\u5e38\u304c\u51fa\u308b stroke \u3067\u306f\u3001middle cerebral artery<\/strong> (MCA<\/strong>) \u306b\u7570\u5e38\u304c\u751f\u3058\u3066\u3044\u308b\u3053\u3068\u304c\u308f\u304b\u308a\u307e\u3059\u3002ACA \u3084 PCA \u306e stroke \u3067\u306f\u3001Face\/Arm\/Speech \u4ee5\u5916\u306e\u75c7\u72b6\u304c\u73fe\u308c\u307e\u3059\u306e\u3067\u6ce8\u610f\u3057\u3066\u304f\u3060\u3055\u3044\u306d\u3002<\/span><\/p>\r\n

MS\u306b\u304a\u3051\u308b Charcot Neurological Triad \u3068\u306f\uff1f<\/strong><\/span><\/span>
\r\n\u6b21\u306b brain<\/strong> \u3068 spinal cord<\/strong> \u3068\u3044\u3046 UMN<\/strong> \u306b\u73fe\u308c\u308b\u300c\u591a\u767a\u6027\u786c\u5316\u75c7<\/strong>\u300dmultiple sclerosis (MS)<\/strong><\/span> \u306b\u95a2\u3059\u308b\u82f1\u8a9e\u8868\u73fe\u3092\u898b\u3066\u3044\u304d\u307e\u3057\u3087\u3046\u3002<\/span><\/p>\r\n

\u3053\u306e MS \u306f brain \u304b\u3089 spinal cord \u306b\u304b\u3051\u3066\u3069\u306e\u90e8\u4f4d\u3067\u3082\u75c5\u5909\u304c\u73fe\u308c\u307e\u3059\u3002\u3053\u308c\u3092 disseminated in space<\/strong><\/span> \u3068\u8a00\u3044\u3001\u65e5\u672c\u8a9e\u3067\u306f\u300c\u7a7a\u9593\u7684\u591a\u767a\u6027<\/strong>\u300d\u3068\u547c\u3093\u3067\u3044\u307e\u3059\u3002\u3053\u306e disseminated<\/strong> \u3068\u306f\u300c\u5e83\u7bc4\u56f2\u306b\u6492<\/strong>\uff08\u307e<\/strong>\uff09\u304f<\/strong>\u300d\u3068\u3044\u3046\u30a4\u30e1\u30fc\u30b8\u306e\u8868\u73fe\u3067\u3001\u4ed6\u306b\u3082 disseminated<\/strong> intravascular coagulation (DIC)\u300c\u64ad\u7a2e\u6027<\/strong>\u8840\u7ba1\u5185\u51dd\u56fa\u300d\u306e\u3088\u3046\u306b\u4f7f\u308f\u308c\u3066\u3044\u307e\u3059\u3002<\/span><\/p>\r\n

\u305d\u3057\u3066 MS \u306f\u305d\u306e\u75c7\u72b6\u306e\u73fe\u308c\u308b\u6642\u671f\u306b\u3082\u8272\u3005\u306a\u7a2e\u985e\u304c\u3042\u308a\u307e\u3059\u3002\u6700\u3082\u591a\u3044\u306e\u304c\u300c\u518d\u767a<\/strong>\u300drelapse<\/strong> \u3068\u300c\u5bdb\u89e3<\/strong>\u300dremit<\/strong> \u3092\u7e70\u308a\u8fd4\u3059 relapsing-remitting multiple sclerosis (RRMS)<\/strong><\/span> \u3068\u3044\u3046\u3082\u306e\u3067\u3059\u3002\u6b21\u306b\u591a\u3044\u306e\u304c\u518d\u767a\u3068\u5bdb\u89e3\u3092\u7e70\u308a\u8fd4\u3057\u305f\u5f8c\u306b\u300c\uff08\u60aa\u3044\u65b9\u5411\u3078\uff09\u9032\u884c<\/strong>\u300dprogress<\/strong> \u3059\u308b secondary-progressive multiple sclerosis (SPMS)<\/strong><\/span> \u3068\u3044\u3046\u3082\u306e\u3067\u3059\u3002\u305d\u3057\u3066\u6700\u521d\u304b\u3089 progress \u3092\u793a\u3059\u306e\u304c primary-progressive multiple sclerosis<\/strong> (PPMS<\/strong>) \u3068\u547c\u3070\u308c\u307e\u3059\u3002\u3053\u306e\u3088\u3046\u306b\u75c7\u72b6\u304c\u73fe\u308c\u308b\u6642\u671f\u306b\u591a\u69d8\u306a\u7a2e\u985e\u304c\u3042\u308b\u3053\u3068\u3092 disseminated in time<\/strong><\/span> \u3068\u547c\u3073\u3001\u65e5\u672c\u8a9e\u3067\u306f\u300c\u6642\u9593\u7684\u591a\u767a\u6027<\/strong>\u300d\u3068\u547c\u3093\u3067\u3044\u307e\u3059\u3002<\/span><\/p>\r\n

\u3053\u306e\u3088\u3046\u306a MS \u306e\u591a\u767a\u6027\u30922\u3064\u307e\u3068\u3081\u3066 disseminated in time and space<\/strong><\/span> \u3068\u547c\u3073\u307e\u3059\u3002\u305d\u3057\u3066\u4e00\u822c\u7684\u306b\u306f time \u306e\u65b9\u304c\u5148\u306b\u8868\u73fe\u3055\u308c\u307e\u3059\u3002<\/span><\/p>\r\n

\u3053\u306e MS \u306e\u75c5\u614b\u751f\u7406\u306f\u81ea\u5df1\u514d\u75ab\u306b\u3088\u308b\u300c\u8131\u9ac4<\/strong>\u300ddemyelination<\/strong><\/span> \u306a\u306e\u3067\u3059\u304c\u3001\u3053\u306e\u767a\u97f3\u306f\u300c\u30c7\u30a3\u30de<\/strong>\u30a3\u30ea\u30cd\u30a3\u30b7\u30e7\u30f3\u300d\u306e\u3088\u3046\u306b\u306a\u308a\u307e\u3059\u306e\u3067\u3054\u6ce8\u610f\u3092\u3002<\/span><\/p>\r\n

MS \u306e\u75c7\u72b6\u3068\u3057\u3066\u306f Charcot Neurological Triad<\/strong><\/span> \u3068\u3044\u30463\u3064\u306e\u75c7\u72b6\u304c\u3042\u308a\u3001\u305d\u306e\u899a\u3048\u65b9\u306e\u300c\u6697\u8a18\u6cd5\u300d mnemonics \u3068\u3057\u3066\u306f\u4e0b\u8a18\u306e \u201cSIN<\/strong><\/span>\u201d \u3068\u3044\u3046\u3082\u306e\u304c\u6709\u540d\u3067\u3059\u3002<\/span><\/p>\r\n

Charcot Neurological Triad: \u201cSIN\u201d<\/strong><\/span>
\r\n\u3000<\/em> \u2022\u3000<\/em> <\/strong>S<\/strong>canning speech\u300c\u8a00\u8449\u3092\u63a2\u3059\uff08scan\uff09\u3088\u3046\u306b\u9014\u5207\u308c\u9014\u5207\u308c\u8a71\u3059<\/strong>\u300d<\/span>
\r\n\u3000<\/em> \u2022\u3000<\/em> <\/strong>I<\/strong>ntention tremor & I<\/strong>ncontinence\u300c\u4f01\u56f3\u632f\u6226<\/strong> & \u5931\u7981<\/strong>\u300d<\/span>
\r\n\u3000<\/em> \u2022\u3000<\/em> <\/strong>N<\/strong>ystagmus\u300c\u773c\u632f<\/strong>\u300d<\/span><\/p>\r\n

\u3053\u306e Charcot Neurological Triad \u306f\u3001\u300c\u80c6\u7ba1\u708e<\/strong>\u300dcholangitis<\/strong> \u306b\u8a8d\u3081\u3089\u308c\u308b Charcot Triad<\/strong> (fever<\/strong>, right upper quadrant pain<\/strong>, and jaundice<\/strong>) \u3068\u306f\u7570\u306a\u308b\u306e\u3067\u6ce8\u610f\u3057\u3066\u304f\u3060\u3055\u3044\u3002<\/span><\/p>\r\n

\u307e\u305f\u4f53\u6e29\u304c\u4e0a\u304c\u308b\u3068MS\u306e\u75c7\u72b6\u304c\u60aa\u5316\u3059\u308b\u300c\u30a6\u30fc\u30c8\u30d5\u73fe\u8c61\u30fb\u5146\u5019<\/strong>\u300dUhthoff phenomenon\/sign<\/strong><\/span> \u306eUthoff \u306f\u3001\u82f1\u8a9e\u3067\u3082\u300c\u30a6<\/strong>\u30fc\u30c8\u30d5\u300d\u306e\u3088\u3046\u306a\u767a\u97f3\u306b\u306a\u308a\u307e\u3059\u304c\u3001MS\u306e\u60a3\u8005\u3055\u3093\u304c\u9996\u3092\u524d\u50be\u3059\u308b\u3053\u3068\u3067\u810a\u9ac4\u306b\u6cbf\u3063\u3066\u96fb\u6483\u75db\u304c\u8d70\u308b\u300c\u30ec\u30eb\u30df\u30c3\u30c8\u73fe\u8c61\u30fb\u5146\u5019<\/strong>\u300dLhermitte phenomenon\/sign<\/strong><\/span> \u306e Lhermitte \u306f\u3001\u82f1\u8a9e\u3067\u306f\u300c\u30ec\u30df<\/strong>\u30c3\u30c6\u300d\u306e\u3088\u3046\u306a\u767a\u97f3\u306b\u306a\u308b\u306e\u3067\u6ce8\u610f\u3057\u3066\u304f\u3060\u3055\u3044\u3002<\/span><\/p>\r\n

\u899a\u3048\u3066\u304a\u304d\u305f\u3044 MG \u3068LEMS \u306e\u9055\u3044<\/strong><\/span><\/span>
\r\n\u3067\u306f\u6700\u5f8c\u306b LMN \u969c\u5bb3\u3068\u3057\u3066\u306e\u9451\u5225\u75be\u60a3\u306e\u82f1\u8a9e\u8868\u73fe\u3092\u898b\u3066\u3044\u304d\u307e\u3057\u3087\u3046\u3002<\/span><\/p>\r\n

\u300c\u7cd6\u5c3f\u75c5\u6027\u795e\u7d4c\u75c7<\/strong>\u300d diabetic peripheral neuropathy (DPN)<\/strong><\/span> \u3067\u306f\u3001\u624b\u888b\u3068\u9774\u4e0b\u3092\u3064\u3051\u308b\u90e8\u4f4d\u306b\u75c7\u72b6\u304c\u73fe\u308c\u308b\u3053\u3068\u304c\u7279\u5fb4\u7684\u3067\u3001\u3053\u306e\u3088\u3046\u306a\u5206\u5e03\u3092\u82f1\u8a9e\u3067\u306f glove-and-stoking distribution<\/strong><\/span> \u3084 stocking-and-glove distribution<\/strong><\/span> \u3068\u8868\u73fe\u3057\u307e\u3059\u3002<\/span><\/p>\r\n

\u300c\u30ae\u30e9\u30f3\u30fb\u30d0\u30ec\u30fc\u75c7\u5019\u7fa4<\/strong>\u300dGuillain-Barre syndrome<\/strong><\/span> \u306f Campylobacter jejuni<\/strong><\/span> \u306a\u3069\u306b\u3088\u308b\u6d88\u5316\u7ba1\u306e\u611f\u67d3\u5f8c\u3001\u4e0b\u80a2\u304b\u3089\u4e0a\u306b\u5411\u3051\u3066\u8d77\u3053\u308b bilateral ascending paresis\/paralysis<\/strong><\/span> \u304c\u7279\u5fb4\u7684\u3067\u3059\u3002<\/span><\/p>\r\n

\u300c\u795e\u7d4c\u7b4b\u63a5\u5408\u90e8<\/strong>\u300dneuromuscular junction (NMJ)<\/strong><\/span> \u306e\u75be\u60a3\u3068\u3057\u3066\u306f\u3001\u300c\u91cd\u75c7\u7b4b\u7121\u529b\u75c7<\/strong>\u300dmyasthenia gravis (MG)<\/strong><\/span> \u3068\u300c\u30e9\u30f3\u30d0\u30fc\u30c8\u30fb\u30a4\u30fc\u30c8\u30f3\u75c7\u5019\u7fa4<\/strong>\u300dLambert-Eaton Myasthenic Syndrome (LEMS)<\/strong><\/span> \u304c\u4ee3\u8868\u7684\u3067\u3059\u3002<\/span><\/p>\r\n

MG\u306e\u65b9\u304c LEMS \u3088\u308a\u3082\u983b\u5ea6\u304c\u9ad8\u304f\u3001MG \u3067\u306f postsynaptic<\/strong> receptor \u3067\u3042\u308b acetylcholine<\/strong> receptor \u306b\u5bfe\u3057\u3066\u81ea\u5df1\u6297\u4f53\u304c\u751f\u3058\u308b\u306e\u306b\u5bfe\u3057\u3001LEMS \u3067\u306f presynaptic<\/strong> receptor \u3067\u3042\u308b calcium<\/strong> channel\u306b\u5bfe\u3057\u3066\u81ea\u5df1\u6297\u4f53\u304c\u751f\u3058\u307e\u3059\u3002<\/span><\/p>\r\n

\u307e\u305f MG \u306b\u306f\u300c\u773c\u77bc\u4e0b\u5782<\/strong>\u300dptosis<\/strong><\/span> \u3084\u300c\u8907\u8996<\/strong>\u300ddiplopia<\/strong><\/span> \u3068\u3044\u3063\u305f\u773c\u306e\u75c7\u72b6\u304c\u73fe\u308c\u308b\u4ed6\u3001 weakness worsens<\/strong><\/span> with muscle use \u3067\u3042\u308b\u306e\u306b\u5bfe\u3057\u3001LEMS \u306b\u306f dry mouth \u3084 erectile dysfunction (ED) \u3068\u3044\u3063\u305f\u81ea\u5f8b\u795e\u7d4c\u7cfb\u306e\u75c7\u72b6\u304c\u73fe\u308c\u308b\u4ed6\u3001weakness improves<\/strong><\/span> with muscle use \u3068\u3044\u3046\u7279\u5fb4\u304c\u3042\u308a\u307e\u3059\u3002<\/span><\/p>\r\n

\u305d\u3057\u3066 MG \u306b\u306f\u300c\u80f8\u817a\u816b<\/strong>\u300dthymoma<\/strong><\/span> \u304c\u5408\u4f75\u3059\u308b\u3053\u3068\u306b\u5bfe\u3057\u3001LEMS \u306b\u306f\u300c\u80ba\u5c0f\u7d30\u80de\u764c<\/strong>\u300dsmall cell lung carcinoma<\/strong><\/span> \u304c\u5408\u4f75\u3059\u308b\u3053\u3068\u3082\u91cd\u8981\u3067\u3059\u3002<\/span><\/p>\r\n

\u300c\u7b4b\u8089<\/strong>\u300dmuscles<\/strong><\/span> \u306e\u75be\u60a3\u3068\u3057\u3066\u306f\u300c\u7b4b\u30b8\u30b9\u30c8\u30ed\u30d5\u30a3\u30fc<\/strong>\u300dmuscular dystrophy<\/strong> \u304c\u91cd\u8981\u3067\u3059\u304c\u3001\u3053\u308c\u306b\u306f\u69d8\u3005\u306a\u7a2e\u985e\u304c\u3042\u308a\u307e\u3059\u3002<\/span><\/p>\r\n

\u6bd4\u8f03\u7684 mild \u306a muscular dystrophy \u3067\u3042\u308b Becker muscular dystrophy (BMD)<\/strong><\/span> \u306e Becker \u306f\u300c\u30d9<\/strong>\u30c3\u30ab\u30fc\u300d\u306e\u3088\u3046\u306a\u767a\u97f3\u3068\u306a\u308a\u307e\u3059\u304c\u3001\u3088\u308a severe \u306a muscular dystrophy \u3067\u3042\u308b Duchenne Muscular Dystrophy (DMD)<\/strong><\/span> \u306e Duchenne \u306f\u300c\u30c9\u30a5\u30b7\u30a7<\/strong>\u30f3\u300d\u306e\u3088\u3046\u306a\u767a\u97f3\u3068\u306a\u308b\u306e\u3067\u3054\u6ce8\u610f\u3092\u3002<\/span><\/p>\r\n

\u3055\u3066\u3001\u305d\u308d\u305d\u308d\u30ab\u30c3\u30d7\u306e\u30b3\u30fc\u30d2\u30fc\u3082\u6b8b\u308a\u308f\u305a\u304b\u3067\u3059\u3002<\/span><\/p>\r\n

\u6700\u5f8c\u306b paralysis\/paresis \u306e\u4ee3\u8868\u7684\u306a\u9451\u5225\u75be\u60a3\u3092\u3082\u3046\u4e00\u5ea6\u307e\u3068\u3081\u3066\u304a\u304d\u307e\u3059\u3002<\/span><\/p>\r\n

Causes of Paralysis\/Paresis<\/strong><\/span>
\r\nBrain<\/strong><\/span><\/span>
\r\n\u3000<\/em> \u2022\u3000<\/em> <\/strong>Stroke\u300c\u8133\u5352\u4e2d\u300d<\/span>
\r\n\u3000<\/em> \u2022\u3000<\/em> <\/strong>Transient Ischemic Attack (TIA)\u300c\u4e00\u904e\u6027\u8133\u865a\u8840\u767a\u4f5c\u300d<\/span>
\r\n\u3000<\/em> \u2022\u3000<\/em> <\/strong>Multiple Sclerosis (MS)\u300c\u591a\u767a\u6027\u786c\u5316\u75c7\u300d<\/span>
\r\nSpinal Cord<\/strong><\/span><\/span>
\r\n\u3000<\/em> \u2022\u3000<\/em> <\/strong>Herniated Disc\u300c\u690e\u9593\u677f\u30d8\u30eb\u30cb\u30a2\u300d<\/span>
\r\n\u3000<\/em> \u2022\u3000<\/em> <\/strong>Amyotrophic Lateral Sclerosis (ALS)\u300c\u7b4b\u840e\u7e2e\u6027\u5074\u7d22\u786c\u5316\u75c7\u300d<\/span>
\r\n\u3000<\/em> \u2022\u3000<\/em> <\/strong>Multiple Sclerosis (MS)\u300c\u591a\u767a\u6027\u786c\u5316\u75c7\u300d<\/span>
\r\nPeripheral Nerves<\/strong><\/span><\/span>
\r\n\u3000<\/em> \u2022\u3000<\/em> <\/strong>Diabetic Peripheral Neuropathy (DPN)\u300c\u7cd6\u5c3f\u75c5\u6027\u672b\u68a2\u795e\u7d4c\u75c7\u300d<\/span>
\r\n\u3000<\/em> \u2022\u3000<\/em> <\/strong>Guillain-Barr\u00e9 Syndrome (GBS)\u300c\u30ae\u30e9\u30f3\u30fb\u30d0\u30ec\u30fc\u75c7\u5019\u7fa4\u300d<\/span>
\r\nNeuromuscular Junction (NMJ)<\/strong><\/span><\/span>
\r\n\u3000<\/em> \u2022\u3000<\/em> <\/strong>Myasthenia Gravis (MG)\u300c\u91cd\u75c7\u7b4b\u7121\u529b\u75c7\u300d<\/span>
\r\n\u3000<\/em> \u2022\u3000<\/em> <\/strong>Lambert-Eaton Myasthenic Syndrome (LEMS)\u300c\u30e9\u30f3\u30d0\u30fc\u30c8\u30fb\u30a4\u30fc\u30c8\u30f3\u75c7\u5019\u7fa4\u300d<\/span>
\r\nMuscle<\/strong><\/span><\/span>
\r\n\u3000<\/em> \u2022\u3000<\/em> <\/strong>Muscular Dystrophy\u300c\u7b4b\u30b8\u30b9\u30c8\u30ed\u30d5\u30a3\u30fc\u300d<\/span><\/p>\r\n

\u3067\u306f\u3001\u307e\u305f\u306e\u3054\u6765\u5e97\u3092\u304a\u5f85\u3061\u3057\u3066\u304a\u308a\u307e\u3059\u3002<\/span><\/p>\r\n


\r\n\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\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

\u56fd\u969b\u533b\u7642\u798f\u7949\u5927\u5b66\u533b\u5b66\u90e8 \u533b\u5b66\u6559\u80b2\u7d71\u62ec\u30bb\u30f3\u30bf\u30fc \u51c6\u6559\u6388\u3000\u62bc\u5473 \u8cb4\u4e4b<\/p>\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\u904b\u52d5\u9ebb\u75fa\u3068\u7b4b\u529b\u4f4e\u4e0b\u300d\u3067\u3059\u3002 \u300c\u904b\u52d5\u9ebb\u75fa\u30fb\u7b4b\u529b\u4f4e\u4e0b\u300d\u306f\u533b\u5b66\u6559\u80b2\u30e2\u30c7\u30eb","protected":false},"author":1,"featured_media":6874,"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-7062","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\/7062","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=7062"}],"version-history":[{"count":2,"href":"https:\/\/wp.meccari.jp\/api\/wp\/v2\/posts\/7062\/revisions"}],"predecessor-version":[{"id":7262,"href":"https:\/\/wp.meccari.jp\/api\/wp\/v2\/posts\/7062\/revisions\/7262"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/wp.meccari.jp\/api\/wp\/v2\/media\/6874"}],"wp:attachment":[{"href":"https:\/\/wp.meccari.jp\/api\/wp\/v2\/media?parent=7062"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/wp.meccari.jp\/api\/wp\/v2\/categories?post=7062"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/wp.meccari.jp\/api\/wp\/v2\/tags?post=7062"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}